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WorksheetsPHLEB Practice Exam 2
Total questions: 100
Worksheet time: 1hrs 15mins
Which of the following structures begins the heartbeat by starting an electrical impulse in the right atrium?
atrioventricular (AV) node
sinoatrial (SA) node
bundle of His
mitral valve
Which of the following is the correct way a phlebotomist should introduce themselves to the patient?
Hi. I am the phlebotomist, here to draw your blood test.
Hi. I'm here to draw your lab work.
Hi. My name is Jaime Smith. I am a phlebotomist who will be drawing your lab work this morning.
Hi. My name is Jaime. I'm here to draw your labs.
What are casts?
Bacteria in urine
Metabolized drug particles in urine
Preservatives added to the specimen cup
Cylindrical structures in urine
How many identifiers must the phlebotomist request to confirm a patient's identity before drawing blood?
1
2
3
4
What is important to do when communicating with an anxious or angry patient?
Provide patient education
Call security
Stay calm and speak clearly, using short and simple
Tell them you will come back when they are calm
Which of the following should not be used to confirm the identity of a patient before venipuncture?
Date of birth
Social Security number
Medical record number
Room number
Which of the following arteries carry deoxygenated blood?
Aorta
Pulmonary artery
Radial artery
Femoral artery
An unconscious patient is brought to the emergency department with no identification. How should the phlebotomist ensure that the patient's samples are labeled correctly?
Do not draw samples until the patient is awake and can confirm their identity
Look in the patient's wallet for identification
Use the temporary name and number assigned to the patient
Label the sample with the room number and mental status of the patient
What is a requisition order?
A doctor's written instructions
The laboratory supply list
A phlebotomist's list of specimen collections for the day
The order in which specimens need to be collected
While verifying a patient's identity, the phlebotomist notes that the date of birth on the patient's wrist band is incorrect. What is the next step?
Proceed after the patient verbally states their correct date of birth
Cross it out with a permanent marker and initial the change
Do not proceed until the discrepancy is corrected
Alert a nurse and have them note the error in the patient's chart
A 19-year-old, nonverbal, mentally impaired patient in the ICU has a morning bloodwork ordered by their doctor. Which of the following is not an acceptable way to confirm the patient's identity matches the information on the wristband ID?
Ask the patient to signal their verification by nodding
Verify the patient's name and date of birth with a nurse
Verify the patient's name and date of birth with a parent or guardian who is sitting at the bedside
Verify the patient's name and date of birth with the physician
Gas exchange occurs in which type of blood vessel?
venule
vein
capillary
arteriole
Which of the following are symptoms of shock?
Low blood pressure and clammy skin
Increased urine output and shortness of breath
Nausea and vomiting with pain in the abdomen
High blood pressure and warm skin
When is a post-prandial test done?
2 hours before eating a meal
1 hour after waking
2 hours after exercise
2 hours after eating a meal
A laboratory has a set of samples that include ASAP, fasting, time, and routine specimens. Which specimens should be processed first?
ASAP
fasting
timed
routine
What happens during accessioning?
The specimens are labeled with the patient's name
Numbers are assigned to specimens for tracking purposes
The order is given to staff to complete.
Samples are balanced in a centrifuge.
"Basal State" refers to the bodies metabolic state:
After fasting for 12 hours
Two hours after a meal
Immediately after glucose ingestion
While asleep
What is used to obtain a urine sample from an infant?
Urinary catheter
Toilet hat
Urinary collection bag
Commode
The set of standardized five digit codes used to identify medical, surgical, or diagnostic services is called:
Diagnosis-related group
Current procedural terminology
International classification of diseases
Healthcare common procedure coding system
Which of the following is a step in labeling a specimen?
Tying the requisition order to the specimen container
Placing the label on the body of the container, not the cap
Returning the sample to central processing to label
Having the patient inspect the specimen container
A patient who is about to have a lipid panel drawn mentions that they had a bagel on the way to the lab this morning. What should the phlebotomist do?
Proceed with the lab draw
Draw a discard to before drawing a lipid panel
Alert the patient's provider to see if the patient's specimen should be rescheduled
Note that the patient is not fasting and proceed with any additional communication with the patient's provider
Blood specimens are transported in:
Biohazard bags
A gloved hand
Any leak proof bag or box
All of the options
The most common sight of phlebotomy is the:
Popliteal fossa
Antecubital fossa
Axilla
Inguinal area
What does a breathalyzer machine test for?
Bacteria in the respiratory tract
Blood alcohol level
Blood in the mouth
Acid reflux
Which of the following is an acceptable IV site?
A vein used for an IV three days ago
Bruised tissue
Burned hand tissue
An arm with lymphedema
Which of the following veins is not found in the antecubital area?
Subclavian
Median cubital
Cephalic
Basilic
What is required for handling a pre-employment drug screen?
Ensuring a legal transfer of the specimen
Outlining the tests that need to be conducted
Documenting the specimens chain of custody
Assigning the testing to a specific employee
For patients with an M pattern in the antecubital fossa, what is the preferred vein for phlebotomy?
Median
Basilic
Cephalic
Median cubital
What is the term for the set amount a patient must pay out-of-pocket before their insurance company will pay for their care?
Coinsurance
Co-pay
Premium
Deductible
Gastric fluid is obtained from what part of the body?
Mouth
Stomach
Bladder
Colon
Which statement concerning informed consent is false?
Persons 17 years of age and younger may not give informed consent.
A married minor may not give informed consent.
A pregnant minor may give informed consent.
An adult 18 years of age and older man give informed consent.
Which of the following sites is acceptable for a skin puncture for an adult?
The antecubital fossa
The back of the hand
The pad of the index finger
The pad of the ring finger
The maximum depth for an infant heel stick is:
1 mm
2 mm
1 cm
2 cm
Which of the following is not required for the transportation of specimens to an offsite laboratory?
A leak proof container stored on the floor of a vehicle
A vehicle that is used for transporting specimens only
Protection for the specimens from heat and light
A specialized drivers license for transporting biological materials
Which of the following techniques is not recommended when performing a heel puncture for an infant?
Puncturing the side of the heel
Fanning or blowing on the skin to quicken drying after cleaning
Positioning the infants foot lower than its body
Warming the heel first
Which of the following is true about collecting an oral hormone specimen?
It needs to be collected within 30 minutes of waking up.
It should be refrigerated or frozen if not processed within 24 hours.
It's frequently done for men with low albumin levels.
It's always done in a clinical setting.
A patient is having a panic attack and hyperventilating. How should the phlebotomist attempt to help this patient?
Have the patient recount a positive childhood memory
Give the patient a glass of water
Tell the patient to take deep breaths
Ask the patient to identify the source of their anxiety
When performing a heel stick on an infant, the first drop of blood should be:
Collected in a micro tube
Placed in a newborn screening paper
Wiped away
Stored in case additional blood is needed
Which of the following types of cells carries hemoglobin in the blood?
White blood cell
Red blood cell
Platelet
T cell
All of the following are reasons the phlebotomist should avoid aggressively squeezing the heel during an infant heel stick except:
It can cause jaundice.
It is painful to the patient.
It can cause the cells to hemolyzed.
It forces tissue fluid into the sample.
What is specific to how a stat specimen is processed?
It is processed at room temperature.
It can only be processed by certified laboratory personnel.
It is processed at the patient's bedside.
It is processed immediately, before any routine tests.
Blood level is not elevated by hemolysis?
potassium
iron
ammonia
red blood cells
A patient rolls up their sleeve and presents their arm for a blood draw. This is an example of which type of consent?
informed consent
expressed consent
implied consent
indirect consent
Which of the following is not a correct step during a newborn screening?
Touching the filter paper to the blood until the entire circle is filled
Adding a second drop if the circle on the filter paper is incompletely filled
Pressing the filter paper to the heel to fill the circle
Laying the filter paper flat to dry
The following types of blood has the highest oxygen level?
venous
arterial
clotted
hemolyzed
How is a light-sensitive sample stored for transport?
In black tubes
In a second specimen cup
In amber tubes
In a UV box
What disinfectant should be used to clean healthcare related services and equipment?
Sodium hypochlorite
Sodium hydroxide
Diluted Lysol
2:1 vinegar and distilled water solution
The procedure used to collect amniotic fluid is called:
An angioscopy
An amniotomy
An amniocentesis
A catheterization
When attempting phlebotomy on the arm, how far above the intended side of blood draw should the tourniquet be placed?
0-1 inch
2-4 inches
5-7 inches
7-10 inches
Why should the ends of the tourniquet be pointed away from the venipuncture site?
To prevent the tourniquet from coming loose
To include arterial flow
To prevent the veins from rolling
To avoid contaminating the skin at the blood draw site
Blood drawn from a fingertip is taken from which type of blood vessel?
vein
artery
arteriole
capillary
How long should a venipuncture site be allowed to air dry after being cleansed with an antiseptic?
15 seconds
30 seconds
1 minute
2 minutes
Which the following minor patients is not able to give informed consent?
A 12-year-old with a broken arm
A 17-year-old seeking treatment for sexually-transmitted infection
A pregnant minor
An emancipated minor
Standard blood samples must be tested or centrifuged within:
1 hour
2 hours
4 hours
12 hours
What is a reason to reject a sample of cerebrospinal fluid?
It was kept at room temperature.
It contains clear fluid.
It was collected over 24 hours ago.
It is in a hematology tube.
What is the needle insertion angle for drawing blood from superficial hand veins?
10 degrees
20 degrees
45 degrees
90 degrees
A patient at a clinic becomes angry about the long wait to give a blood specimen. How should the phlebotomist react?
Attempt to restrain the patient
Speak loudly over the patient
Remain calm and use a normal voice
Call security
What is the phlebotomist's responsibility during bone marrow collection?
Perform a needle stick into the center of a large bone
Clean the area where the needle will be inserted
Mark the insertion site
Place the aspirated material onto a slide with a fixative
A blood sample is drawn into a purple topped evacuated tube with EDTA. Which of the following could the sample be used for?
Basic metabolic panel
Potassium level
Complete blood count
glucose
When during venipuncture should the tourniquet be removed?
When the draw is complete
Before needle insertion
Once bloodflow has been established
After 10 seconds
What is the liquid part of blood called?
serum
saline
plasma
interstitial fluid
During venipuncture? The tourniquet should be tight enough to include ________ flow but not ________ flow.
arterial; venous
capillary; venous
venous; arterial
venous; capillary
A phlebotomist check the refrigerator and which specimens are stored and finds that the temperature is 42°F (5.5°C). What is the first thing they should do?
Inform their supervisor
Move the specimens to another refrigerator
Label the tubes with the current temperature of the refrigerator
No action is required
The common cold, influenza, and HIV are caused by which type of infectious agent?
bacteria
protozoa
virus
helminth
The maximum amount of blood that can be safely drawn from a pediatric patient is primarily based on their:
weight
diet
oxygen saturation
pain tolerance
Where is serous fluid found?
In the pericardial cavity
In the subarachnoid space
In bone marrow
In the colon
The most common equipment used for pediatric phlebotomy is:
An 18-gauge syringe
A 21-gauge ETS
A 23-gauge syringe
A 23-gauge butterfly
Why should the first evacuated tube drawn from a winged infusion system be discarded?
Air in the tubing will cause the evacuated tube to underfill.
Heparin in the tubing while contaminate the evacuated tube.
The antiseptic used to clean the puncture site will contaminate the first tube.
The flow of blood into the first tube analyzes the sample.
What is the difference between plasma and serum?
Plasma contains clotting factors and serum does not.
Plasma is collected by venipuncture and serum is collected by skin puncture.
Plasma can be collected anytime and serum is collected after fasting.
Plasma has been centrifuged and serum has not been processed.
Contact with which of the following substances does not require the use of standard precautions?
blood
urine
sweat
vomit
Which of the following pediatric restraints is not age-appropriate?
A 1-month old swaddled with one arm out of the blanket
A 2-year-old sitting in a chair, with a parent in the room
A four-year-old in the parents lap, facing the parent in a bear hug
A 14-year-old sitting in a phlebotomy chair with the parent present
Which of the following is a sign that a sample has been hemolyzed?
The tube is cracked.
The sample has casts in it.
The stopper on the tube is loose.
The serum is pink after centrifugation.
What test is used to diagnose Helicobacter pylori infection?
Breathalyzer
C-urea breath test
Lumbar puncture
Sputum culture
A topical anesthetic can be applied prior to venipuncture beginning at what age?
1 month
6 months
12 months
24 months
The following is an example of transmission of an infectious agent through direct contact?
Kissing an infected person
Inhaling droplets from the sneeze of an infected person
Standing near an infected person who is coughing
Eating contaminated food
When should therapeutic drug monitoring trough levels be collected?
Immediately before the drug is administered
Immediately after the drug is administered
One hour after the drug is administered
Two hours after the drug is administered
Platelets are essential for:
fighting infections
oxygen delivery
destroying pathogens
coagulation
The first step for a patient to take when collecting a clean-catch urine sample?
Wash their hands
The first half of the urine into the toilet
Put on gloves
Clean the urinary meatus
Geriatric vascular changes result in all of the following except:
Decreased risk of hypertension
Loss of elasticity of vessels
Decrease blood flow from impaired peripheral circulation
Narrowing of blood vessels
Under CLIA, what is the term for simple laboratory test with a low risk for incorrect results that may be performed by anyone who follows the manufacturer's directions?
Elementary tests
Moderate complexity tests
High complexity tests
Waived tests
A phlebotomist is questioning a patient through an interpreter. Who should questions be directed to?
the interpreter
the physician
the patient's family
the patient
Person with blood type O has which of the following plasma antibodies?
anti-A
anti-B
neither anti-A nor anti-B
both anti-A and anti-B
Performing phlebotomy on a patient with dementia, which of the following is not appropriate behavior by the phlebotomist?
Talking quickly through their introduction to the patient
Allowing extra time for the patient to respond
Using simple, short statements
Being calm and understanding if the patient is agitated or confused
What color is the top of tubes used for blood bank specimens?
pink
red
royal blue
green
Rh immune globulin (brand-name RhoGAM) is given to pregnant people who are Rh negative to prevent which of the following serious problems for the infant?
Congenital heart defects
Infection
Hemolytic disease of the newborn
seizures
A dipstick can be used in your analysis to test for all of the following except:
pH level
Red blood cells
parasites
glucose
Which type of waste is not matched with its correct disposal container?
Capillary tubes: sharps container
Feces: toilet
Gauze with small amount of blood colon regular garbage can
Linen heavily soiled by blood: dirty linen receptacle
What is included in a comprehensive metabolic panel (CMP) that is not included in the basic metabolic panel (BMP)?
Electrolyte level tests
Glucose level tests
Liver function tests
Kidney function tests
Prothrombin time (PT) is used to assess:
Coagulation
Liver function
Kidney function
Electrolyte tests
Which precaution must a phlebotomist take when checking the blood pressure of an HIV positive patient?
Wearing gloves
Wearing a gown
Using contact precautions
Washing hands
A crossmatch test checks for:
The presence of bacteria in the blood
The type of antibiotics that will treat a patient infection
The compatibility of donor blood with recipient blood
The average blood glucose level over the past three months
Which of the following types of urine specimens as you specifically for diabetic screening?
random
Clean-catch midstream
2-hour postprandial
24-hour
Following blood test checks for the average size of red blood cells?
Erythrocyte count
Mean corpuscular hemoglobin (MCH)
Hematocrit
Mean corpuscular volume (MCV)
A localized dilation or a bulging in the wall of a blood vessel is also known as:
an embolism
a hemorrhoid
an aneurysm
a blood clot
The phlebotomist has finished drawing blood and notes that the sharps container is full. What should they do?
Exchange the full container for a new one
Placed the syringe on top of the container so it will not roll off.
Push the syringe into the container as well as it will fit.
Put the syringe in their pocket and dispose of it in another room.
Which of the following tests is not elevated with inflammation?
White blood cell count (WBC)
C-reactive protein (CRP)
International normalized ratio (INR)
Erythrocyte sedimentation rate (ESR)
Which of the following should a patient not do before a sputum culture?
Use antibacterial mouthwash
Use antibacterial hand soap
Wear restrictive clothing
Taken in antihistamine
Pregnancy can be confirmed by testing for:
Human chorionic gonadotropin (HCG)
Thyroid stimulating hormone (TSH)
C-reactive protein
Cold agglutinins
Which of the following statements is correct in terms of the order in which to put on or remove PPE?
When removing PPE, gloves are removed last.
When removing PPE, the mask is removed before the gown.
When putting on PPE, gloves are put on before the mask
When putting on PPE, the gown is put on last.
A risk of drawing blood from the median cubital vein is possible damage to the:
Radial artery
Brachial artery
Lateral cutaneous nerve
Median nerve
