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Phlebotomy Final

Total questions: 100

Worksheet time: 50mins

Name
Class
Date
1.

Capillary puncture reference ranges are higher for this:

a)

Calcium

b)

Glucose

c)

Phosphors

2.

The chamber of the heart that receives blood from systemic circulation:

a)

Right atrium

b)

Left atrium

c)

Right ventricle

d)

Left ventricle

3.

A person should sustain from eating for how many hours prior to fasting blood test?

a)

8

b)

6

c)

12

d)

4

4.

Veins have thinner walls than arteries.

a)

True

b)

False

5.

Another name for RBC:

a)

Thrombocytes

b)

Erythrocytes

c)

Leukocytes

d)

Phagocytes

6.

The internal space of a blood vessel:

a)

Atrium

b)

Lumen

c)

Septum

d)

Valve

7.

The purpose of an antiglycolotic agent is:

a)

Enhance clotting

b)

Inhibits microbes

c)

Prevents clotting

d)

Preserves glucose

8.

What gauge needle is considered standard?

a)

18

b)

20

c)

21

d)

23

9.

The pulmonic valve is situated between:

a)

Upper and lower heart chambers

b)

Right atrium and right ventricle

c)

Right ventricle and pulmonary artery

10.

In a routine blood draw the red tube is before the green.

a)

True

b)

False

11.

Which tubes does not contain EDTA?

a)

Lavender top tube

b)

Pink plastic top tube

c)

Red and Black tubes

d)

Mottled green and gray top tubes

12.

In a routine venipuncture the lavender tube should be drawn before red tube top.

a)

True

b)

False

13.

Failing to provide reasonable standard of care causing someone to suffer injury is:

a)

Trauma

b)

Negligence

c)

Tort

d)

Battery

14.

What percentage of blood is made up of formed elements?

a)

35%

b)

65%

c)

45%

d)

55%

15.

The additive in a pink top tube is:

a)

ADP

b)

SPS

c)

Heparin

d)

EDTA

16.

OSHA requires that health care professionals receive a vaccine for:

a)

HAV

b)

HBV

c)

HCV

d)

HPV

17.

The following were collected in a routine venipuncture. Which is incorrect?

a)

Tube

b)

lodine swab

c)

Tourniquet

d)

Safety needle

18.

Which of the following specimens are least likely to require special handling?

a)

Bilirubin and Folate

b)

Cholesterol and Uric Acid

c)

Gastrin and Lactic Acid

d)

Homocysteine and Renin

19.

Using a butterfly may be necessary if the vein collapses with an evacuated tube.

a)

True

b)

False

20.

Microorganism cultures are collected in ___ Tubes

a)

Light blue

b)

Royal blue

c)

Green

d)

Yellow

21.

If someone is cyanotic their skin may appear

a)

Flushed

b)

Clammy

c)

Bluish

d)

Yellow / orange

22.

What is the liquid portion of blood called?

a)

Plasma

b)

Water

c)

Formed Elements

d)

Serum

23.

An example of nosocomial infection is:

a)

Catheter site of ICU patient becomes infected

b)

Healthcare worker contracts HBV from needle stick

c)

Patient admitted with chicken pox

d)

Patient breaks out with measles on the day of admission

24.

What are the 3 components of a urinalysis?

a)

Physical, chemical, microscopic exam

b)

Gravity clarity and color exams

c)

Blood protein and glucose

d)

Hear see and taste

25.

A urine culture is ordered to detect:

a)

Abnormal PH

b)

Glucose overload

c)

Kidney damage

d)

Presence of a UTI

26.

Is latex sensitivity an allergic reaction?

a)

True

b)

False

27.

Invert a gray tube:

a)

8

b)

5

c)

0

d)

4

28.

Which tube is for a PTT?

a)

Light Blue

b)

Green

c)

Red

d)

Gray

29.

Glass particle in a serum separator tube:

a)

Deters coagulation

b)

Enhance clotting

c)

Inhibits glycolysis

d)

Prevents hemolysis

30.

Which is not a light sensitive test?

a)

Bilirubin

b)

Beta Carotene

c)

Porphyrins

d)

Ammonia

31.

The proper way to insert the needle is with the bevel facing:

a)

Up

b)

Down

c)

Left

d)

Right

32.

Sclerosed veins feel like:

a)

Spongy

b)

Cordlike

c)

Movable

d)

Square

33.

If the needle passes through the vein you must pullout of the arm and try another arm.

a)

True

b)

False

34.

ACD / Blood Culture tubes are collected in a ___ tube.

a)

Red

b)

Yellow

c)

Blue

d)

Green

35.

What is a condition that would cause Leukopenia?

a)

Chemo

b)

Leukemia

c)

Low Blood Sugar

d)

Coagulation

36.

Pulmonary circulation carries:

a)

Oxygenated Blood throughout the body

b)

Deoxygenated blood to the lungs and oxygenated blood from the lungs

37.

When serum is ___ it's a clue that the patient is not fasting.

a)

Hemoconcentrated

b)

Hemolysis

c)

Jaundice

d)

Lipemic

38.

Another name for thrombocytes is:

a)

White blood cells

b)

Red blood cells

c)

Platelets

d)

Monocytes

39.

The heart disorder characterized in fluid buildup in the lungs is:

a)

Aortic Stenosis

b)

Bacterial endocarditis

c)

Congestive Heart Failure

d)

Myocardial infraction

40.

What is the recommended depth of a heel puncture on an infant?

a)

2.0

b)

1.2

c)

3.0

d)

.02

41.

Which is not true of a WBC?

a)

They are a defense mechanism

b)

They are formed in bone marrow and lymph nodes

c)

They are the same size and shape

d)

They are also called leukocytes

42.

Which layer of the heart is the epicardium?

a)

Inner

b)

Middle

c)

Outer

43.

Which test may require a chain of custody?

a)

Blood Culture

b)

Cross Match

c)

Drug screen

d)

TDM

44.

Which vein in the antecubital fossa is easiest to palpate in an obese patient?

a)

Medial

b)

Серhalic

c)

Basilica

d)

Ulnan

45.

Accumulation of body fluid in the tissues?

a)

Lipids

b)

Edema

c)

Fistula

d)

Trauma

46.

Cytolysis occurs faster in newborns.

a)

True

b)

False

47.

To check for trace elements a phlebotomist would use a _____ tube.

a)

Light Blue

b)

Royal Blue

c)

Tiger Top

d)

Yellow Top

48.

What percentage of formed elements are erythrocytes?

a)

60

b)

55

c)

90

d)

10

49.

When collecting a blood culture with a butterfly into a culture bottle, which comes first?

a)

Aerobic

b)

Anaerobic

50.

Which is a test for the urinary system?

a)

Cholinesterase

b)

Creatinine kinase

c)

Creatinine clearance

d)

Pleuracentesis

51.

Cortisol peaks late in the afternoon.

a)

True

b)

False

52.

Hemostasis is defined as:

a)

Steady state

b)

Stoppage of blood

c)

Basil state

d)

Stoppage of Food

53.

Microorganisms that cause diseases:

a)

Hereditary

b)

Normal flora

c)

Non pathogens

d)

Pathogenic

54.

What is another name for a winged infusion set?

a)

Caterpillar

b)

Dragonfly

c)

Butterfly

d)

Bettlebug

55.

The hollow part of the needle is called a lumen.

a)

True

b)

False

56.

A CBC would be sent to what lab section?

a)

Chemistry

b)

Hematology

c)

Microbiology

d)

Serology

57.

What are the intervals that blood should be blotted during a bleeding time test?

a)

15 Seconds

b)

20 Seconds

c)

30 Seconds

d)

35 Seconds

58.

The most common complication of phlebotomy is:

a)

Petechiase

b)

Phlebitis

c)

Hemoconcentration

d)

Hematoma

59.

Bacteria and Parasites belong to which type of hazard?

a)

Biologic

b)

Chemical

c)

Physical

d)

Allergic

60.

What is the normal span of an RBC?

a)

9 to 12

b)

120

c)

365

d)

45

61.

The left ventricle delivers oxygenated blood to the aorta.

a)

True

b)

False

62.

The hormone in a positive pregnancy test is?

a)

ACTH

b)

LH

c)

HCG

d)

TSH

63.

Blood types are determined by the presence or absence of which of the following RBC's:

a)

Antigens

b)

Antibodies

c)

Chemicals

d)

Hormones

64.

If the patient continues to bleed after 8 mins of pressure you should:

a)

Re-tie the tourniquet

b)

Call a family member to hold pressure

c)

Call for help

d)

Wrap the area tightly with a towel

65.

In the order of draw for capillary specimens, should you draw tubes with or without additives first?

a)

With

b)

Without

66.

Serum contains the same chemicals that make up plasma.

a)

True

b)

False

67.

Sputum is collected to diagnose:

a)

Diphtheria

b)

H- Pylori

c)

Meningitis

d)

Tuberculosis

68.

Postprandial means:

a)

After eating

b)

After sleeping

c)

After blood test

d)

After midnight

69.

Which tube contains sodium citrate?

a)

Light Blue

b)

Red

c)

Green

70.

Which of the following is the best definition of destruction of red blood cells?

a)

Hemolysis

b)

Hemostasis

c)

Hemostasis

d)

Hemoglobin

71.

The first tube in the order of draw for a capillary specimens is lavender.

a)

True

b)

False

72.

Which tube is drawn last in a venipuncture test?

a)

Blood Culture

b)

Lavendar

c)

Red

d)

Light Blue

73.

The two circulations of the heart are:

a)

Tricuspid and Bicuspid

b)

Pulmonary and Systemic

c)

Ventricle and Left Ventricle

d)

Right atrium and Left Atrium

74.

Leaving a tourniquet on too long may cause:

a)

Hemolysis

b)

Hemoconcentration

c)

Septicemia

d)

Thrombosis

75.

A group of tests collected as one unit is called:

a)

Group

b)

Profile

c)

Stat

d)

Bunch

76.

How many liters of blood does an average adult have?

a)

5-6

b)

3-4

c)

7-8

d)

9-10

77.

What is the preferred site for a venipuncture?

a)

Thrombotic Vein

b)

Antecubital Vein

c)

Elbow

d)

Ulnar Vein

78.

Medical asepsis is the destruction of pathogens outside of the body.

a)

True

b)

False

79.

What is the preferred antiseptic for a venipuncture?

a)

Betadine

b)

lodine

c)

Isopropyl Alcohol

d)

Jack Daniels

80.

How many hours before a blood test should a patient discontinue meds known to interfere with blood test?

a)

1-4

b)

4-24

c)

24-36

d)

48-72

81.

To disinfect a surface you can use boiling water or:

a)

Ammonia

b)

Alcohol

c)

Bleach

d)

Betadine

82.

20 to 40% of WBC are composed of:

a)

Lymphocytes

b)

Neutrophils

c)

Basophils

d)

Eosinophils

83.

Tubes may lose their vacuum due to:

a)

Manufacturing defect

b)

Expired tubes

c)

A fine crack in tube

d)

All of the Above

84.

The most critical aspect of blood culture collections is:

a)

Amount of specimen

b)

Skin antisepsis

c)

Specimen handling

d)

The needle gauge

85.

There is a 9 to 1 ratio of blood to anticoagulation in a light blue tube.

a)

True

b)

False

86.

Lipemic blood serum appears:

a)

Bluish

b)

Milky

c)

Purple

d)

Thick

87.

Lavender. yellow and green top tubes should be inverted 8 times each.

a)

True

b)

False

88.

Which blood vessel is not part of the systemic circulation?

a)

Brachial Artery

b)

Cephalic Vein

c)

Pulmonary Artery

d)

Vena Cava

89.

What part of the infant is a PKU test preformed on?

a)

Toe

b)

Finger

c)

Heel

d)

Forehead

90.

Vigorous mixing can activate platelets and shorten clotting time.

a)

True

b)

False

91.

Endocardium is which layer of the heart?

a)

Outer

b)

Inner

c)

Middle

92.

Proper order of PPE is:

a)

Gloves, gown, mask

b)

Gown, gloves, mask

c)

Gown, mask, gloves

d)

Mask, gown, gloves

93.

Which tube is sometimes called a serum separator tube?

a)

Red

b)

Red/ Grey

c)

Light Blue

d)

Green

94.

Arteries have valves that prevent the blood from flowing back.

a)

True

b)

False

95.

When you explain the venipuncture to the patient and they agree, this is called:

a)

Getting the blood

b)

Informed consent

c)

Consent talking

d)

HIPPA

96.

The most important step in a routine venipuncture is:

a)

Gathering equipment

b)

Palpate veins

c)

Identify patient

d)

Tying the tourniquet

97.

Which would be considered a preanalytical error?

a)

Improper time of collection

b)

Wrong order of draw

c)

Faulty technique

d)

Exposure to light

98.

Which should not be done during a vein procedure?

a)

Lowering the patients arm

b)

Patients fists pumping

c)

Palpating the Antecubital

d)

Placing a warm towel on the arm

99.

What is the oxygen carrying protein in erythrocytes?

a)

Hemoglobin

b)

Reticulocytes

c)

Plasma

d)

Leukocytes

100.

The OGTT test is to diagnose:

a)

High Blood Pressure

b)

Cholesterol

c)

Diabetes

d)

Hemoglobin