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Worksheets2022 Phlebotomy Review Part 1
Total questions: 40
Worksheet time: 40mins
A PCT is performing a venipuncture for a patient and observes a hematoma developing at the needle insertion site. Which of the following actions should the technician take?
Observe the site for 3 minutes to see if the hematoma worsens
Remove the needle while keeping the tourniquet in place
Apply pressure to the site for a minimum of 5 minutes
Continue blood collection and send to the lab for analysis
A PCT is providing instructions to a newly hired technician about transporting and handling blood specimens. Which of the following instructions should the technician include?
Avoid inverting a specimen tube if it includes an additive
Ensure the blood specimen tube maintains contact with the tube stopper
Ensure the blood specimen transport bag has a liquid-tight closure
Avoid wearing gloves when carrying the specimen transport bag
A PCT should identify which of the following procedures is most commonly used to obtain a routine urinalysis specimen from an adult patient?
Clean catch midstream collection
Catheterized collection
Suprapubic aspiration
24-hour collection
A PCT must invert anticoagulant tubes to prevent which of the following?
Hemolysis
Clotting
Hemoconcentration
Reflux
A PCT is obtaining a blood specimen from a patient. The technician should identify which of the following errors could cause specimen hemolysis?
Excessively massaging the antecubital space when locating a vein
Failing to release the tourniquet within 1 minute
Redirecting the needle several times to locate a vein
Transporting the tubes horizontally
Which of the following actions should a PCT take to verify the quality of venipuncture supplies before beginning a blood draw?
Determine that the tourniquet is the proper size
Check the vacuum of the tube
Inspect the integrity of the needle’s seal
Verify the adapter is the correct color
A PCT is preparing to label a patient’s specimen tube following a blood collection. Which of the following actions should the technician take?
Face the patient while labeling the specimen tube
Use a pencil to label the specimen
Avoid using computer-generated labels
Initial the label prior to blood collection
A PCT is preparing to collect a stool specimen from a patient. Which of the following actions should the technician take?
Collect the specimen in a sterile container
Wear sterile gloves while collecting the specimen
Prevent contaminating the specimen with urine
Place the specimen hat toward the front of the toilet
A PCT should identify which of the following laboratory tests require a chain of custody protocol?
Activated clotting time
Blood alcohol level
Prothrombin time
Platelet function
A PCT is collecting a urine specimen from a patient. The technician should identify which of the following urine characteristics is an unexpected finding?
Straw-colored urine
Pale yellow urine
Red-tinged urine
Dark gold urine
A PCT is performing a venipuncture to collect a blood specimen from a patient. Which of the following actions should the technician take to reduce the risk of exposure to bloodborne pathogens?
Recap the needle after use
Place the needle in a red biohazard bag after the venipuncture
Dispose of the needle in a sharps container
Verify any history of a bloodborne disease before performing a venipuncture
A PCT has orders to collect blood cultures, CBC, PTT, and an iron panel. He forgets to draw for the PTT. Which of the following actions should the technician take?
Discard the specimens and redraw
Keep the specimens collected and draw the PTT
Call another technician and notify the supervisor
Draw a discard tube and redraw cultures and blue top
A provider requests that a PCT collect blood specimens from a patient for blood cultures, hematology, and coagulation studies. Which of the following should the technician fill first when performing the venipuncture?
Lavender tube
Red tube
Light blue tube
Blood culture tubes
When should a PCT compare the code on glucose cuvettes to the code on the glucometer?
After a new package of cuvettes is opened
When a patient is tested
At the beginning of the shift
Following an error code
A PCT is preparing to perform an antecubital venipuncture and has cleansed the site. The technician palpates the vein again with a gloved finger. Which of the following actions should the technician take first?
Cleanse the site
Insert the needle
Remove the tourniquet
Anchor the vein
A PCT is preparing to perform venipuncture for a patient. Which of the following identifiers should the technician use to verify the patient’s identity?
The unit the patient is in and their diagnosis
The patient’s name and date of birth
The patient’s room and bed number
The patient’s allergies and marital status
A PCT is transporting a blood specimen that is wrapped in aluminum foil. The technician should identify that the specimen is wrapped in aluminum foil for which of the following reasons?
To keep the specimen warm
To shield the patient information
To protect the specimen from light
To insulate the specimen from ambient air
A PCT received a needlestick injury while performing venipuncture for a patient. Which of the following actions should the technician take?
Attend bloodborne pathogen training
Complete an incident report
Document the event in the patient’s medical record
Recap the needle and dispose of it
A PCT is performing a routine venipuncture for a patient who becomes pallid and diaphoretic. Which of the following conditions is this patient most likely to experience?
Syncope
Shock
Nausea
Seizure
A PCT in a clinic is receiving a urine specimen from a patient who completed a 24 hours urine collection. The technician should ensure that which of the following requirements have been met for this test?
The specimen was allowed to stand for 8 hours following the final collection
The final voiding of the 24 hour period was discarded
The patient cleaned the meatus prior to each void
The specimen was refrigerated prior to being returned
A PCT is obtaining a bilirubin specimen from a newborn who is 1 day old and has jaundice. Which of the following actions should the technician take to ensure the integrity of the specimen?
Turn off the UV light
Clean the puncture site with betadine
Obtain the specimen from the bend of the arm
Place the specimen into a warmer immediately after collection
Which of the following is the best method to prevent internal or external bleeding from the venipuncture site after the needle is removed?
Apply pressure to prevent leakage of blood into the tissues
Have the patient bend the arm at the elbow to reduce bleeding
Apply a hot pack to the site if swelling or discoloration occurs
Apply pressure to the site while removing the needle
PCT should recognize that which of the following is the purpose of CLIA?
To create and promote clinical and laboratory practices
To establish quality standards for laboratory testing on human specimens
To provide clinical laboratory education
To protect patient information
A PCT is collecting a blood culture specimen from a patient who has an allergy to shellfish. Which of the following topical antiseptics should the technician use to cleanse the patient’s skin prior to the venipuncture?
Hydrogen peroxide
Chlorhexidine gluconate
Povidone-iodine
Isopropyl alcohol
A PCT has obtained a specimen that must remain at body temperature when transported to the laboratory for processing. Which of the following actions should the technician take?
Wrap the specimen in aluminum foil
Put the specimen in a double layer of biohazard bags
Place the specimen in a warming device
Leave the specimen in a light-blocking insulated container
A PCT is collecting five tubes of blood. During which of the following times should the technician release the tourniquet?
After the collection is complete
While the last tube is filling with blood
Within 1 minute
Within 2-3 minutes
A PCT is assigned to perform hourly, point-of-care glucose testing for a patient who has diabetes mellitus. Which of the following actions should the technician take?
Allow the patient to perform the test using their own glucometer brought from home
Use the facility’s glucometer to perform the glucose tests on the patient
Perform the test using the glucometer that the patient brought from home
Alternate hourly testing between the facility’s glucometer and the patient’s glucometer
A PCT has just collected a blood specimen from a patient. For which of the following reasons should the technician invert the collection tubes that contain anticoagulants immediately following a blood collection?
To prevent clotting of the blood
To encourage the mixing of hemoglobin and plasma
To prevent blood from mixing with the additives
To encourage sedimentation within the collection tube
Which of the following actions is appropriate when labeling specimens?
Writing the technician’s initials and the time on the label prior to collection
Labeling specimens at the time of collection in front of the patient
Keeping the specimens in the tray and labeling them in the laboratory
Specifying the patient’s room number, last name, and date of birth on the label
A PCT should recognize that chain of custody is used for which of the following reasons?
To track the location of samples and data
To follow methods of collection with samples and data
To ensure that samples are being disposed of using correct operating procedures
To guarantee the identification and integrity of samples
Which of the following indicates proper use of an evacuated tube system (ETS) for blood collections?
Used once per patient
Used if the package is damaged
Used if past the expiration date
Used if the package is open
A PCT is performing a blood collection with a winged infusion set through a dorsal hand vein. At which of the following angles should the technician insert the needle?
15°
30°
10°
20°
A PCT missed the 0900 specimen collection for a patient’s glucose tolerance test (GTT). Which of the following actions should the technician take next?
Stop the test and prepare to perform it on another day
Log the collections as “unable to obtain” and perform next collections
Perform the collections and record the time that the specimens were to be collected
Perform the collections and record the time that they were collected
A PCT has just collected a specimen to determine a patient’s blood ammonia level. Which of the following actions should the technician take?
Wrap the specimen in aluminum foil
Submerge the specimen in an ice slurry
Allow the specimen to stand at room temperature
Place the specimen on a heat block
A PCT is preparing to perform a drug test for a patient. Which of the following actions should the technician plan to take?
Include the location where the test was performed on the chain of custody form
Instruct the patient to flush the toilet after finishing the test
Check the temperature and volume of the specimen within 10 minutes
Send the specimen to the laboratory within 48 hours
A PCT is speaking with a client who is performing a 24-hour urine collection. The patient states, “I accidentally urinated into the toilet once today and did not collect the urine.” Which of the following responses should the technician make?
“You will need to collect one additional urine specimen immediately following the 24-hour period.”
“You should discard all of the previous specimens and begin the collection again.”
“The test will still be valid if you only forget to collect the urine one time.”
“You will need to provide an estimate of the volume of the missed urine specimen”
A PCT is preparing to perform a venipuncture on a patient who is NPO. The patient states, “I feel nauseous.” Which of the following actions should the technician take?
Position the patient’s head between their knees
Reschedule the venipuncture for another day
Instruct the patient to consume a full glass of water
Encourage the patient to take deep, slow breaths
A PCT is performing a capillary blood specimen collection for an 11-month old infant. Which of the following devices should the technician use?
Winged infusion set
Disposable syringe
Disposable lancet
Evacuated tube system (ETS)
A PCT is collecting a blood specimen from a patient who states, “I am feeling lightheaded.” Which of the following actions should the technician take?
Protect the patient from falling
Keep the tourniquet applied to the patient’s arm
Apply a warm compress to the patient’s head
Continue with the blood collection
A patient collects a specimen in an EDTA tube, but the specimen clots. This could have been caused by which of the following?
The technician shook the tube to mix the additive
The collection tube was past its expiration date
The collection tube was stored at 20℃ (68℉)
The technician did not draw a sufficient quantity
