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NHA Phlebotomy Review:

Total questions: 120

Worksheet time: 3600secs

Name
Class
Date
1.

When performing a capillary draw collection, which of the following steps should the phlebotomist take after selecting the site?

a)

Squeeze the patient's finger

b)

Secure the patient's hand

c)

Cleanse the site with antiseptic

d)

Label the specimen

2.

A phlebotomist is preparing to draw blood from an infant. To calculate the blood volume that can be drawn, which of the following types of patient information must the phlebotomist have?

a)

Weight

b)

Height

c)

Blood type

d)

Birth date

3.

According to CLSI, the standard depth of a dermal puncture for an infant is __.

a)

0.30mm

b)

3mm

c)

2mm

d)

0.20mm

4.

When a phlebotomist technician is introducing themselves after entering a patient's room, which of the following tones of voice should the technician use?

a)

Quiet and professional

b)

Loud and authoritative

c)

Assertive and humorous

d)

Commanding and confident

5.

Which of the following is a common complication when using a needle that is too small?

a)

Hemodialysis

b)

Collapsed vein

c)

Hemoconcentration

d)

Hemolysis

6.

Which of the following forms commonly accompanies a toxicology drug screen for legal purposes?

a)

Requisition

b)

Chain of custody

c)

CMS 1500

d)

Encounter

7.

A phlebotomist should identify which of the following as the best site for phenylketonuria collection on an infant?

a)

The central area of the heel

b)

The medial and lateral areas of the heel

c)

The central area of the fingertip

d)

The medial or lateral area of the fingertip

8.

Which of the following is an appropriate choice for cleaning a surface contaminated with blood or body fluids?

a)

Povidone-iodine

b)

70% isopropyl alcohol

c)

Boiling water

d)

10% bleach solution

9.

When should the phlebotomist label the collection tubes?

a)

Before collection

b)

Immediately after verifying patient identification

c)

Before handwashing

d)

Immediately after collection

10.

A phlebotomist is preparing to obtain an inpatient specimen from a patient. Which of the following locations is the proper place for the phlebotomist to place the tourniquet?

a)

On top of the patient's burn wound

b)

Over the patient's gown sleeve

c)

Above the patient's IV site

d)

Over the patient's weeping rash

11.

A phlebotomist is asked to verify the temperature of a urine specimen for chain of custody procedure. Which of the following temperatures is an acceptable measurement for the specimen?

a)

26.7 (80)

b)

22.2 (72)

c)

35 (95)

d)

38.3 (101)

12.

Which of the following is the minimum required number of unique patient identifiers a phlebotomist should use prior to a blood draw?

a)

One

b)

Two

c)

Three

d)

Four

13.

Which of the following is the first step a phlebotomist should take to prevent the spread of infection?

a)

Decontaminating the equipment before use

b)

Washing hands with antimicrobial soap and water

c)

Wearing gloves for any patient contact

d)

Applying antiseptic to the puncture sites prior to venipuncture

14.

A phlebotomist should report a critical value for point-of-care testing to which of the following?

a)

Office manager

b)

Physician

c)

Insurance company

d)

Patient

15.

Which of the following actions by a phlebotomist can be the source of a preanalytical error when collecting a blood specimen?

a)

Underfilling the tube

b)

Inverting the tube after collection

c)

Tying a tourniquet loosely

d)

Using an 18-gauge needle

16.

A phlebotomist collects an evacuated tube sample with an outdated tube. Which of the following might result from using this tube?

a)

Rejection of specimen

b)

Allergic reaction from patient

c)

Contamination of sample

d)

Inadequate clotting at puncture site

17.

If a phlebotomist’s hands are visibly soiled with blood or body fluids, which of the following decontamination agents should the phlebotomist use to clean them?

a)

Alcohol-based hand rub

b)

Sterile water rinse

c)

Alcohol rinse

d)

Soap and water

18.

Which of the following methods should a phlebotomist use to invert tubes to prevent clotting?

a)

Rolling the tubes between the palms of the hands 4 to 8 times after collection

b)

Passing the tubes from hand to hand 4 to 8 times after collection

c)

Shaking the tubes 4 to 8 times after collection

d)

Moving the tubes in a figure-eight motion 4 to 8 times after collection

19.

To qualify for blood donation, a patient must have a minimum level of 12.5g/dL for which of the following?

a)

RBC

b)

Platelet count

c)

Hemoglobin

d)

WBC

20.

Which of the following instructions should a phlebotomist provide to a patient before performing a blood draw?

a)

Contact the provider for test result

b)

Keep the arm still

c)

Watch for bruising in the next 24 hours

d)

Apply mild pressure to the site

21.

Drawing a patient's blood without consent can result in a charge of ___.

a)

Breach of contract

b)

Battery

c)

Malpractice

d)

Negligence

22.

A new medical office and an old medical office are merging and combining all medical equipment into one office. Which of the following blood glucose monitors will need to have quality control measurement daily?

a)

Blood glucose monitors in use from the old medial office only

b)

None of the blood glucose monitors

c)

All blood glucose monitors in use

d)

Blood glucose monitors in use from the new office only

23.

A patient is scheduled for a 3-hour glucose tolerance test at an outpatient laboratory. After verifying the patient's identity, which of the following actions should the phlebotomist take?

a)

Instruct the patient to finish drinking the glucose within 30 minutes

b)

Confirm the patient fasted for the proper length time

c)

Obtain the patient's current vitals

d)

Prepare the patient's middle finger for capillary collection

24.

Which of the following actions should a phlebotomist take first after removing the needle from a patient's arm?

a)

Label the collection tubes

b)

Activate the needle safety device

c)

Invert collection tubes gently

d)

Dispose of the tube holder and needle

25.

Which of the following methods of reporting results by a clinical laboratory abides by the recommended standards set by the Joint Commission?

a)

A faxed report from the clinical laboratory technician to the physician

b)

A called-in report from the clinical laboratory technician to the phlebotomist

c)

An email report from the clinical laboratory technician to the patient

d)

An in-person report from the clinical laboratory technician to the nurse

26.

Which of the following needles should a phlebotomist use for a venipuncture using a winged infusion set and a 5 mL syringe?

a)

27 gauge

b)

18 gauge

c)

23 gauge

d)

25 gauge

27.

A phlebotomist should avoid using a site with burned skin during venipuncture for which of the following reasons?

a)

Inaccuracy of laboratory results

b)

Damages to skin elasticity

c)

Increased risk of infection

d)

Precipitates vein sclerosis

28.

A patient suspected of having a severe medication reaction goes into shock. Which of the following first aid measures should the phlebotomist take?

a)

Administer oral fluids

b)

Maintain an open airway

c)

Provide a cooling blanket

d)

Keep the patient as upright as possible

29.

When performing a blood smear, which of the following actions should a phlebotomist take to ensure a quality result?

a)

Holding the slides at 30 degrees to each other when performing the smear

b)

Hold two slides at 90 degrees to each other when performing the smear

c)

Allow the blood drop to clot completely prior to performing the smear

d)

Allow the blood drop to clot slightly prior to performing the smear

30.

Which of the following is used to stabilize a patient's arm during a venipuncture?

a)

Arm restriants

b)

A phlebotomy wedge

c)

A blood pressure cuff

d)

A phlebotomy cart

31.

Which of the following demonstrates an accurate collection and inversion situation?

a)

Draw a green tube and invert it 1 time

b)

Draw a red tube and invert it 5 times

c)

Draw a light blue tube and invert it 2 times

d)

Draw a yellow tube and invert it 8 times

32.

The phlebotomist is instructing a patient on how to collect a C&S stool specimen. Which of the following is a correct part of the explanation?

a)

"Collect the stool specimen in the morning."

b)

"Retrieve 2 centimeters of stool specimen from the toilet."

c)

"Chill the stool specimen in a container."

d)

"Avoid urinating in the stool specimen collection container."

33.

A phlebotomist is preparing to collect a blood specimen from a patient who has self-reported needle phobia. Which of the following actions should the phlebotomist take?

a)

Warm the site for 10 minutes before venipuncture

b)

Encourage the patient to chew gum during the procedure

c)

Place the patient's elbow joint in 90 degrees of flexion

d)

Instruct the patient to lie supine during the procedure

34.

Which of the following is an appropriate action by the phlebotomist when performing a fingertip capillary collection?

a)

The lancet should penetrate less than 1 mm

b)

The lancet should penetrate less than 3 mm

c)

Puncture perpendicular to the grain of the fingertip

d)

Puncture parallel to the grain of the fingertip

35.

A phlebotomist experiences a needlestick injury and discusses the event with the patient's partner without the patient's permission. The phlebotomist is now in violation of which of the following?

a)

Needlestick Safety and Prevention Act

b)

OSHA

c)

HIPPA

d)

The Joint Commission

36.

Which of the following actions should a phlebotomist take when collecting a specimen for a newborn screening?

a)

Wipe away the first drop of blood

b)

Use a capillary tube for collection

c)

Allow the card to dry in a vertical position

d)

Smear the blood on the spot collection card

37.

A phlebotomist has inadvertently squeezed a patient's puncture site firmly during a capillary procedure. Which of the following complications could result from this action?

a)

Hemostasis

b)

Homeostasis

c)

Hypobilirubinemia

d)

Hemolysis

38.

A phlebotomist is preparing to perform venipuncture on a patient who had a right-sided mastectomy. Which of the following is the correct site to perform the collection?

a)

Left femoral artery

b)

Right cephalic

c)

Right basilic

d)

Left antecubital

39.

A phlebotomist is explaining the venipuncture procedure to a patient who is seated. In which of the following positions should the phlebotomist instruct the patient to place their arm?

a)

Nest to the patient while in a prone position

b)

Fingers oriented laterally

c)

Wrist positioned with a dorsal side upward

d)

Distal portion of the arm in a downward position

40.

Which of the following needles should a phlebotomist use for collecting units of blood for donation?

a)

12 gauge

b)

23 gauge

c)

21 gauge

d)

16 gauge

41.

The results from which of the following tests are an example of point of care testing?

a)

A positive HIV test

b)

A positive hepatitis test

c)

An elevated sweat chloride test

d)

An elevated blood glucose test

42.

While preparing to collect a blood specimen for a prothrombin time, which of the following collection tubes should the phlebotomist use?

a)

Lavender

b)

Light blue

c)

Royal Blue

d)

red

43.

Which of the following actions is appropriate when transporting a specimen for ABG analysis?

a)

Placing the specimen in ice

b)

Collecting the specimen in an SST

c)

Inserting the specimen in a light-resistant package

d)

Collecting the specimen in sodium citrate

44.

Which of the following sites is appropriate to prepare for dermal specimen collection on a toddler?

a)

Nondominant dorsal hand

b)

Dominant lateral plantar heel

c)

Dominant antecubital space

d)

Nondominant third finger

45.

There has been a chemical spill in the lab. To which of the following should a phlebotomist refer for directions to clean up the spill?

a)

OSHA

b)

CLIA

c)

CDC

d)

SDS

46.

Which of the following processes occurs after a venipuncture to control the bleeding?

a)

Hematopoiesis

b)

Homeostasis

c)

Hemoconcentration

d)

Hemostasis

47.

Which of the following must a phlebotomist perform to demonstrate proficiency in aseptic technique?

a)

Correct vein anchoring

b)

Correct tube selection and order of collection

c)

Proper disposal of contaminated materials

d)

Proper needle insertion angle

48.

A phlebotomist should identify that which of the following is an example of why a collection tube would lose its vacuum?

a)

The tube was underfilled with blood

b)

The tube was stored at room temperature

c)

The additive is adhering to the tube stopper

d)

The expiration date was passed

49.

Which of the following pieces of information on a requisition form is critical to patient identification?

a)

Date of birth

b)

Physician's name

c)

Emergency contact

d)

Blood type

50.

Which of the following is the correct angle of insertion when performing venipucnture using the evacuated tube method?

a)

30

b)

90

c)

75

d)

50

51.

When drawing blood on a preschooler, the phlebotomist should

a)

Obtain a heel stick

b)

Not tell the child when the needle insertion is coming

c)

Obtain a thumb stick

d)

Explain the procedure to the parent and child

52.

A patient is on contact isolation precautions. What PPE, other than the standard gloves, would be required?

a)

N95 mask

b)

Gown

c)

Face shield or goggles

d)

Surgical gloves

53.

Which of the following best exemplifies diversity awareness in the workplace?

a)

Acknowledging patient's questions and complaints

b)

Acknowledging presence of patient's family and friends

c)

Acknowledging patient's beliefs and customs

d)

Acknowledging patient's hobbies and interests

54.

A phlebotomist should instruct a patient to take which of the following actions when providing a sputum specimen?

a)

Collect the stool directly into a sterile container

b)

Discard the first urine of the day and collect for 24 hours

c)

Aggressively swab the inside of the cheek

d)

Take a deep breath and then expectorate

55.

Which of the following is essential when performing quality control for CLIA-waived testing?

a)

Confirming the requisition order

b)

Ensuring the sterility of the testing medium

c)

Verifying data of expiration

d)

Transporting specimens

56.

A patient informs the phlebotomist they have experienced syncope in their past venipuncture draws. Which of the following body positions should the phlebotomist place the patient in?

a)

Seated

b)

Standing

c)

Recumbent

d)

Prone

57.

Which of the following samples should a phlebotomist present to the laboratory first for processing?

a)

A peck antibiotic level from a patient who is NPO

b)

A sodium level from a patient who has a DNR order

c)

A hemoglobin and hematocrit level from a patient who is postoperative

d)

A stat potassium level from a patient in the emergency room

58.

A phlebotomist is performing a venipuncture when a patient begins to lose consciousness. The phlebotomist should recognize that the experiencing which of the following conditions?

a)

Syncope

b)

Anabolism

c)

Hemolysis

d)

Edema

59.

Which of the following specimens should a phlebotomist place in an ice slurry if there is a delay for processing?

a)

Bilirubin

b)

Vitamin A

c)

Ammonia

d)

Vitamin B6

60.

If a phlebotomist receives an accidental needlestick, which of the following actions should be taken first?

a)

Wash the area with soap and water

b)

Complete the blood draw

c)

Seek immediate treatment

d)

Report the needlestick to the supervisor

61.

A phlebotomist is concerned about contracting HIV during venipuncture. Which of the following precautions should the phlebotomist take prior to venipuncture?

a)

Contact

b)

Standard/

bloodburne

c)

Airborne

d)

Droplet

62.

A phlebotomist is instructing a patient who has a suspected UTI about urine sample collection. The phlebotomist should instruct the patient to

a)

Collect a

first-morning specimen

b)

Collect a 24-hr urine specimen

c)

Collect the sample in a clean container

d)

Collect the sample midstream

63.

Which of the following tube additives promotes clot formation?

a)

Heparin

b)

Silcia

c)

Citrate

d)

Oxalate

64.

A large spill has occurred in a laboratory involving venous blood. Which of the following actions should the phlebotomist take?

a)

Cover the spill until maintenance arrives

b)

Apply a liquid thickening agent on top of the spill

c)

Pour bleach on the spill and let it soak for 60 seconds

d)

Evacuate the laboratory

65.

Which of the following types of tests is a phlebotomist allowed to perform according to CLIA regulations?

a)

Occult blood detection

b)

Flow cytometry

c)

Eletrophoresis

d)

Genetic molecular

66.

Which of the following tests is performed to identify bacteremia?

a)

Glucose tolerance test

b)

Lactic acid

c)

Peripheral blood smear

d)

Blood culture

67.

Which of the following information must a phlebotomist include on the label of a venipuncture specimen?

a)

Ordering provider's NPI number

b)

Time of the venipuncture

c)

Location of the venipuncture

d)

Phlebotomist's credentials

68.

Which of the following actions by a phlebotomist exhibits proper handling while transporting a CBC?

a)

Placing the specimen on a heat block

b)

Wrapping the specimen in foil to protect from light

c)

Placing the specimen in an ice slurry

d)

Keeping the specimen at room temperature

69.

A phlebotomist inserts a needle into a patient's vein and observes no blood flow into the tube. Which of the following actions should the phlebotomist take first?

a)

Pull needle slightly back

b)

Remove the needle

c)

Laterally redirect the needle

d)

Reposition the needle to 90

70.

Which of the following veins is located laterally on the arm?

a)

Median

b)

Cephalic

c)

Basilic

d)

Brachial

71.

A phlebotomist should administer CPR to which of the following patients?

a)

A patient who has chest pain

b)

A patient who is pulseless

c)

A patient who is short of breath

d)

A patient who is lethargic

72.

Which of the following is the vein of choice for a venipuncture procedure?

a)

Median basilic

b)

Radial

c)

Cephalic

d)

Median cubital

73.

A phlebotomist is preparing to collect a blood specimen from a patient who has active Mycobaterium Tuberculosis. Which of the following precautions should the phlebotomist follow?

a)

Contact precautions

b)

Standard precautions

c)

Airborne precautions

d)

Droplet precautions

74.

To prevent iatrogenic anemia, it is necessary to

a)

Speck to the patient's nurse prior to taking blood

b)

Ask the patient if they are taking any medications

c)

Document every time on a patient's chart that blood is taken

d)

Know the patient's past illnesses prior to taking blood

75.

In which of the following locations should a phlebotomist directly dispose of a contaminated microscope slide?

a)

Red sharps container

b)

Biohazard bag

c)

Specimen bag

d)

Medical waste container

76.

Which of the following information should a phlebotomist document during a glucose tolerance test?

a)

Amount of water ingested during the procedure

b)

Time the glucose load was completed

c)

Flavor of the glucose solution

d)

Volume of blood obtained during the procedure

77.

A phlebotomist should identify that a blood spot collection for inborn errors of metabolism requires which of the following?

a)

The circles on the filter paper must be at least half filled

b)

The specimen must be completely dried before the test be processed

c)

The first drop of blood immediately following the puncture must be included

d)

The newborn must be at least 3 days old

78.

A phlebotomist reports a stat result to a provider by verbal report. The phlebotomist should follow this with documentation that contains which of the following?

a)

Room number of the patient

b)

Provider's phone number

c)

Name of the provider contacted

d)

Patient's insurance information

79.

Which of the following means of receiving an order for specimen collection is considered to be the most accurate method?

a)

Manual requisition

b)

Multipart requisition

c)

Verbal requisition

d)

Automated requisition

80.

A phlebotomist is preparing to perform a venipuncture. Which of the following needle positions should the phlebotomist use?

a)

Bevel up at a 30 degree angle

b)

Bevel down at a 45 degree angle

c)

Bevel down at a 30 degree angle New Choice

d)

Bevel up at a 45 degree angle

81.

Which of the following is an appropriate technique when preparing a site for venipuncture after applying antiseptic?

a)

Blow on site

b)

Wipe with clean gauze

c)

Wave hands over site

d)

Allow to air dry

82.

A phlebotomist is anchoring the vein prior to a venipunture. Which of the following distances from the puncture site should the phlebotomist use?

a)

1 to 2 inches below

b)

1 to 2 inches above

c)

3 to 4 inches below

d)

3 to 4 inches above

83.

A phlebotomist should explain to a male patient that which of the following fluids is used for fertility testing?

a)

Amniotic

b)

Synovial

c)

Seminal

d)

Peritoneal

84.

A phlebotomist is collecting a postaccidential/ injury blood sample from a Department Transportation employee. Which of the following forms should the phlebotomist complete to comply with federal guidelines?

a)

Worker's compensation form

b)

Chain of custody form

c)

Department of Motor Vehicles form

d)

Facility incident form

85.

Which of the following organizations regulates laboratory chemical hazards and exposure?

a)

FDA

b)

OSHA

c)

CLIA

d)

DEA

86.

After anchoring the vein, which of the following actions should the phlebotomist take next?

a)

Clean the site

b)

Reapply the tourniquet

c)

Perform the procedure

d)

Examine the needle

87.

A phlebotomist has entered incorrect information in a patient's paper chart after a venipuncture procedure. Which of the following actions should the phlebotomist take to correct the error?

a)

Notify the provider about the error

b)

Ask an administrator to erase the error and input the correct information

c)

Erase the error and enter correct information

d)

Strike a line through the error and initial

88.

A phlebotomist has duplicate orders for a patient. How should the order be verified?

a)

Call the provider to confirm the test requisition for the patient

b)

Determine which requisition matches with the patient's previous test requisitions

c)

Confirm with the patient what laboratory work the provider prescribed

d)

Draw both orders and discard the incorrect specimen after the order has been clarified

89.

A phlebotomist is processing a urine specimen in the laboratory. Which of the following personal protection equipment is required to maintain safety regulations in the laboratory?

a)

Shoe cover

b)

Surgical gloves

c)

Hairnet

d)

Face shield

90.

An adult patient implied consent to a phlebotomist when which of the following occurs?

a)

When the patient signs a release for their laboratory results

b)

When the patient offers their arm out to the phlebotomist

c)

When the patient's family member nods for the phlebotomist to proceed

d)

When the patient signs a document of agreement for a research study

91.

Which of the following should a phlebotomist anticipate for a patient who has been taking Warfarin?

a)

Fasting requirement

b)

Alternate antiseptic required

c)

Increased bleeding time

d)

Specimen placed on ice

92.

Which of the following describes the process of obtaining implied consent for venipuncture?

a)

The provider explains the procedure and the phlebotomist reviews the consent form with the patient prior to obtaining the signature.

b)

The phlebotomist explains the procedure, discusses risks, informs the patient of alternative procedures, and has the patient sign a consent form.

c)

The provider explains the procedure, discusses risks, informs the patient of alternative procedures, and has the patient sign a consent form.

d)

The phlebotomist explains the procedure, the patient nods and tells the phlebotomist the procedure is understood and that there are no questions

93.

Which of the following criteria is acceptable in determining the quality of a peripheral blood smear?

a)

Covers a quarter of the slide

b)

Covers the entire slide

c)

A feathered edge

d)

A well-defined edge

94.

Which of the following methods provides for the most secure and reliable delivery of laboratory results?

a)

Fax

b)

Electronic devices

c)

Courier delivery

d)

Verbal reports

95.

Which of the following meets recommended handling requirements for a blood specimen that is to be collected and tested for the presence of bilirubin?

a)

Keep the collected specimen in contact with a heating block

b)

Chill the collected specimen in an icy water mixture

c)

Protect the collected specimen from sources of bright light

d)

Transport the collected specimen to the laboratory within 30 minutes

96.

Which of the following complications can result from massaging, probing, fist pumping and prolonged tourniquet application?

a)

Exsanguination

b)

Arteriosclerosis

c)

Anaphylactic shock

d)

Hemoconcentration

97.

A phlebotomist is performing a venipuncture on a patient who is allergic to alcohol. Which of the following is an appropriate antiseptic to use in place of the alcohol?

a)

Saline

b)

Antiseptic foam

c)

Sterile water

d)

Chlorhexidine

98.

Which of the following specimens has a phlebotomist appropriately prepared for transport?

a)

A tiger top tube for bilirubin testing that is being shipped in a clear biohazard bag

b)

A green top tube for ammonia testing that is being shipped in an icy water mixture

c)

A tube containing serum hat is being shipped after separation from a lavender top tube

d)

A red top tube that is being shipped after clotting for 15 minutes and being centrifuged

99.

The provider requests a stat chemistry panel. Which of the following tubes should the phlebotomist use to draw the specimen?

a)

Lavender

b)

Light green

c)

Light blue

d)

Red

100.

A laboratory is scheduled for a routine annual inspection with the primary focus on equipment maintenance logs. Which of the following areas will be the focus of the inspection?

a)

Electricity safety

b)

Mechanical safety

c)

Chemical safety

d)

Radiation safety

101.

Which of the following blood collection methods uses interchangeable collection tubes that allows a phlebotomist to draw several blood specimens at once?

a)

Evacuated tube system

b)

Hypodermic needle and syringe system

c)

Lancet capillary system

d)

Winged infusion and syringe system

102.

Anchoring the selected vein for a venipuncture using a winged infusion set serves which of the following purposes?

a)

Minimizes vein movement

b)

Reduces the pain of needle insertion

c)

Improves vein identification

d)

Eliminates the need for the tourniquet

103.

A phlebotomist is required to use the sharps container to dispose of which of the following items after performing a capillary collection?

a)

Alcohol wipe

b)

Used gauze

c)

Microtainer tube

d)

Lancet

104.

Aseptic techniques are followed by phlebotomists during phlebotomy procedures for which of the following reasons?

a)

To increase the likeihood of successful collection

b)

To minimize the volume of blood sample required

c)

To maintain the stability of patient specimens

d)

To decrease the risk of infection to patients and phlebotomists

105.

A NIOSH-certified N95 or higher-level mask should be worn when entering what types of isolation room?

a)

Direct contact

b)

Indirect contact

c)

Droplet

d)

Airborne

106.

When labeling a non-blood specimen, why is it important to place the label on the container itself and not the lid?

a)

The label is more susceptible to contamination if it is on the lid

b)

The lid will become contaminated by the non-blood specimen

c)

The label for the non-blood specimen is easier to read to the container

d)

Once the lid is removed in the lab, the specimen is unlabeled

107.

Which of the following pairs of blood tests is appropriate for a fasting specimen?

a)

Glucose and triglycerides

b)

Lactate dehydrogenase and albumin

c)

BUN and alkaline phosphate

d)

Creatinine and total protein

108.

Which of the following causes hemolysis?

a)

Allowing the blood to clot before centrifuging

b)

Using too large a needle with respect to vein size

c)

Vigorously inverting the collection tubes

d)

Leaving the tourniquet on for 30 to 60 seconds

109.

Which of the following specimens requires a chain of custody form?

a)

Swab for chlamydia

b)

Sputum for tuberculosis testing

c)

Blood for HIV testing

d)

Blood for paternity testing

110.

A phlebotomist finds a patient who is unresponsive and not breathing. In which of the following positions should the phlebotomist place the patient before initiating CPR?

a)

Prone

b)

Side-lying

c)

Supine

d)

Semi-Fowler's

111.

A phlebotomist is obtaining a blood specimen from a patient who is suspected of having Mycobateremia Tuberculosis infection. Which of the following pieces of equipment is required?

a)

N95 respirator

b)

Nonlatex tourniquet

c)

Sterile gloves

d)

Face shield

112.

A phlebotomist enters a patient's room and observes the patient to be motionless and cyanotic. Which of the following actions should the phlebotomist take first?

a)

Ask the patient if they are okay in a loud voice

b)

Look, listen, and feel for breathing movements

c)

Administer two rescue breath

d)

Perform the head-tilt/chin lift maneuver

113.

A phlebotomist is scheduled to perform venipuncture on a patient who had a right-sided mastectomy and has a cast on the left arm. The phlebotomist should revceive approval to use the right arm for a venipuncture procedure from which of the following people?

a)

Patient's provider

b)

Patient

c)

Patient's nurse

d)

Patient's spouse

114.

Which of the following terms is used to describe hard and coed-like veins?

a)

Sclerosis

b)

Collapse

c)

Distention

d)

Patency

115.

When should a phlebotomist remove the tourniquet using the syringe method for venipuncture?

a)

After 30 seconds of blood flow into the syringe

b)

After the last sample is collected

c)

After 2 minutes of blood flow into the syringe

d)

As soon as the blood starts flowing into the syringe

116.

A phlebotomist is drawing a capillary blood specimen on a 2 month old infant. Which of the following techniques should the phlebotomist use to avoid hemolysis of the specimen?

a)

Puncture after alcohol preparation while the heel is still wet

b)

Scrape the blood after the heel immediately with a microtube

c)

Squeeze the heel with a generous amount of pressure

d)

Warm the heel prior to puncture

117.

A phlebotomist is scheduled to perform a venipunture on a child who is unable to provide identification. Which of the following information should the phlebotomist use to identify the child?

a)

Identification by the patient's nurse

b)

Identification by another phlebotomist

c)

Patient's room number

d)

Patient's door card

118.

When performing a blood draw, which of the following actions should the phlebotomist take next after confirming the ordered tests on the requisition slip?

a)

Apply a tourniquet to the patient's arm

b)

Prepare the collection equipment

c)

Perform hand hygiene and don gloves

d)

Verify any diet restrictions and latex sensitivity

119.

Which of the following actions by a phlebotomist is a HIPPA violation?

a)

Leaving the provider's name blank on the requisition form

b)

Looking up the patient's laboratory results when asked by the provider

c)

Providing the laboratory results to the insurance company

d)

Entering the wrong diagnosis code for a patient

120.

An emergency department provider orders a venipuncture on an unidentified and unconscious patient. Which of the following actions should the phlebotomist take when labeling the blood specimen?

a)

Use the name John or Jane Doe on the specimen, depending on gender

b)

Leave the specimen label blank until the patient's name is confirmed

c)

Place the temporary ID number assigned to the patient on the specimen

d)

Label the blood specimen with the patient's bed number and attending physician

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