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WorksheetsPhlebotomy Review
Total questions: 72
Worksheet time: 36mins
What machine uses force to push the blood clot to the bottom of the tube, leaving the clear serum on the top?
Autoclave
Calibrator
Centrifuge
Incubator
What does plasma contain that differs from serum?
Fibrinogen
A buffy coat
RBCs
A clot
WBCs
What is the correct needle position to be inserted for venipuncture?
90 degrees
30 degrees
45 degrees
15 degrees
What is the first step in a successful venipuncture?
Select the site
Put the patient at ease
Apply the tourniquet appropriately
Apply gloves
Label the tubes with patient name
What is another term for syncope?
Fasting
Relaxation
Fainting
Reclining
Certain levels of blood components are decreased in capillaries. Which of the following is not decreased?
Potassium
Total protein
Calcium
Glucose
None of the above
Which of the following additives does not bind with calcium when mixed with the blood specimen?
Sodium Fluoride
Potassium Oxalate
Sodium Citrate
EDTA
What is a buffy coat?
Heavier erythrocytes
Plasma
Hemoglobin
A mixture of leukocytes and thrombocytes
A mixture of heavier erythrocytes and hemoglobin
Where are red blood cells (RBCs) produced?
Liver
Lymph nodes
Spleen
Bone marrow
What is the most common size needle used for regular vacuum tube systems?
16 G
18 G
20 G
21 G
22 G
What is the most common patient concern when having blood drawn?
Nerve damage
Hematomas
Infection
Pain
What is the purpose of an anticoagulant in a vacuum tube?
To dilute blood before testing
To ensure sterility of the tube
To separate the blood cells into layers
To prevent the blood from clotting
When collecting a blood sample with a vacuum tube system, why is the last tube withdrawn from the holder before removing the needle from the patient?
To avoid hematoma at the venipuncture site
To avoid dripping blood out the end of the needle
To prevent the clotting of blood
To eliminate pain for the patient
Leaving the tourniquet on a patient's arm for an extended length of time before drawing blood may cause which of the following?
Hemoconcentration
Specimen hemolysis
Stress
Bruising
Pain
When drawing multiple specimens in vacuum tubes, it is important to fill which of the following color-stoppered tubes first?
Light blue
Green
Lavender
Red
What organization determines proper lab procedures?
OSHA
L&I
CLIA
CLSI
CMS
What is the single most important way to prevent the spread of infection from patient to patient?
Gowning and gloving
Hand washing
Always wearing masks
Avoid breathing on clients
Which is the anticoagulant of choice when drawing coagulation studies such as PT?
No anticoagulant (red top tube)
Sodium citrate (light blue top tube)
EDTA (lavender top tube)
Heparin (green top tube)
SST (red mottled top tube)
When the medical assistant cannot perform a venipuncture successfully after two attempts, what is the best course?
Try at least two more times
Notify the provider
Ask another health care professional to try
Request the test for the next day
What might happen if the blood is drawn too quickly from a small vein?
The vein might collapse
A bruise might form
The blood cells might disintegrate
The veins could roll
The patient will experience more discomfort
Complete blood count
A larger than normal cell
Platelets
WBC's, one of the formed elements of blood
Hematologic test consisting of Hct, Hgb, RBC and WBC counts, differential WBC count and erythrocyte indices
Erythrocytes
Having less color than normal
Granulocytic WBC with dark purple cytoplasmic granules
RBC's, one of the formed elements of blood
Molecule of RBC that transports oxygen
Eosinophils
Larger than normal cell
WBCs, one of the formed elements of blood
A granulocytic WBC with red-stained granules in the cytoplasm; is increased with allergies
A WBC without cytoplasmic granules; has a large, convoluted, nonsegmented nucleus
Microcytic
Platelets
A smaller than normal cell
RBCs, one of the formed elements of blood
A larger than normal cell
Leukocytes
Having less color than normal
A hormone produced by the kidneys that helps with RBC production
WBCs, one of the formed elements of blood
Test to measure the percentage of RBCs within a specimen of anticoagulated whole blood
Hematocrit
Test to measure the percentage of RBCs within a specimen of anticoagulated whole blood
A hormone produced by the kidneys that helps with RBC production
Having less color than normal
WBC with a dense, nonsegmented nucleus that lacks granules in the cytoplasm
Hemoglobin
Platelets
Molecule of the RBC that transports oxygen
RBCs, one of the formed elements of blood
A larger than normal cell
Basophils
Granulocytic WBC with dark purple cytoplasmic granules
WBC with a dense, nonsegmented nucleus that lacks granules in the cytoplasm
A hormone produced by the kidneys that helps with RBC production
A smaller than normal cell
Thrombocytes
WBCs, one of the formed elements of blood
Platelets
Having less color than normal
RBCs, one of the formed elements of blood
Lymphocyte
WBCs, one of the formed elements of blood
A WBC without cytoplasmic granules; has a large, convoluted, nonsegmented nucleus
Granulocytic WBC with dark purple cytoplasmic granules
WBC with a dense, nonsegmented nucleus that lacks granules in the cytoplasm
Monocytes
WBC with a dense, nonsegmented nucleus that lacks granules in the cytoplasm
Having less color than normal
A WBC without cytoplasmic granules; has a large, convoluted, nonsegmented nucleus
A granulocytic WBC with red-stained granules in the cytoplasm; is increased with allergies
Macrocytic
Having less color than normal
A larger than normal cell
Platelets
A smaller than normal cell
Hypochromic
WBCs, one of the formed elements of blood
A smaller than normal cell
Having less color than normal
Platelets
Erythropoietin
Test to measure the percentage of RBCs within a specimen of anticoagulated whole blood
A hormone produced by the kidneys that helps with RBC production
Molecule of the RBC that transports oxygen
RBCs, one of the formed elements of blood
What is phlebotomy?
A trained professional in blood drawing
The legal standards for a person who performs blood-drawing skills
The process of drawing blood
All of the above are correct
What is a phlebotomist?
A trained professional in blood drawing
The legal standards for a person who performs blood-drawing skills
The process of drawing blood
All of the above
Which of the following is not part of a phlebotomist's point of care job-related duties?
Taking blood pressure
Instructing patients on urine specimen collection
Performing a tracheostomy
Performing basic laboratory tests
All of the following are considered hazards, except:
Bending your knees when lifting heavy objects
Airborne viruses and bacteria
Handling broken glass when wearing gloves
All of the above are hazards
All of the following are true about laboratory safety, except:
You may store food in the laboratory refrigerator
Protect your feet from spills
Always wear required personal protective equipment
All of the above are correct
As written in the Patient's Bill of Rights, the patient has the right to:
Refuse treatment
Not participate in experimental procedures
Know the name of the phlebotomist
All of the above are correct
Certification is evidence that:
The phlebotomist is working in the field
The phlebotomist has demonstrated proficiency in the area of blood drawing
The phlebotomist is licensed in the field
The phlebotomist is accredited in the field
Which of the following is not an OSHA-required personal protection equipment?
Steel-toe shoes
Goggles
Chin-length face shield
Full-length lab coat
The Clinical Lab Improvement Act of 1988 follows guidelines and standards set by the:
CLIA '88
NCC
JCAHO
CDC
Samples collected from a patient in a nursing home are sent to:
POL
CDC
Reference laboratory
An urgent care center
Quality assurance for laboratory personnel includes all of the following, except:
Specimen collection procedures
Specimen transport processes
Specimen-processing policies
The laboratory supervisor's home telephone number
Personal protection equipment must be provided by the:
Centers for Disease Control and Prevention
OSHA
Employee
Employer
Which of the following personal protection equipment must a phlebotomist use when performing a skin puncture or venipuncture?
Goggles
Gloves
Masks
Caps and booties
Policies adopted by some hospitals that incorporate the patient's constitutional rights to privacy, confidentiality, and informed consent are referred to as:
Statutes
Protest of assignment forms
Patient's Bill of Rights
Quality assurance
This recent OSHA regulation requires that all health care personnel at risk for exposure to ____ receive vaccination.
Hepatitis A virus
Hepatitis B virus
Hepatitis C virus
Hepatitis delta virus
Which of the following would be a reason for rejection of a specimen by the lab?
Patient's name, date of birth, and the date and time are written on the label and requisition slip
Specimen containing an additive has been inverted
An ESR has been collected in a red top tube
All of the above are reasons for rejections
The quality of the test result depends on:
The quality of the specimen
The source of the specimen
The time lapsed between collection of the specimen and analyzing the specimen
Whether the sample is going to be analyzed for glucose or phosphate
The purpose of quality control is to:
Check machinery with automated procedures
Ensure that proper laboratory procedures are being followed
Ensure that adequate patient care is being provided
All of the above are correct
A specimen may be rejected by the lab if:
The tube was not initialed
The blood is hemolyzed
The tube was not transported properly
All of the above are correct
Transport bags have a separate compartment (pouch) for requisitions in order to:
Safeguard the requisition
Keep the specimen from getting lost
Prevent contamination if the specimen leaks
Ensure the requisition goes to central receiving and the specimen to the processing lab
____ is the most important step in phlebotomy other than testing procedures.
Proper patient identification
Proper hand washing
Proper specimen handling
Collecting sufficient blood
When identifying a patient, the phlebotomist must:
Ask the patient to give his or her name
Check the patient's ID band
Ask the family members to identify the patient
All of the above are correct
When an admitted patient is not wearing an ID band, the phlebotomist must:
Ask the patient for a picture ID
Not draw blood from this patient
Simply question the patient and confirm the date of birth
Contact the nursing station and request an ID band be placed on the patient
What is the proper procedure for a phlebotomist to follow if a physician or clergy is in the patient's room at the time of the draw?
Ask the physician or clergy to step outside
Draw the blood with the physician or clergy present
Return at another time if the specimen is not STAT
Ask the physician or clergy to step outside or return at another time if the specimen is not STAT
What should the phlebotomist do if he or she cannot communicate with the patient?
Communicate with the hands
Leave the room, let the doctor draw
Draw the blood without consent
All of the above are correct
Tubes containing additives should be inverted:
3-4 times
4-5 times
5-10 times
Not to be inverted
The additive within the lavender top tube is:
No additive
Heparin
SPS or ACD
EDTA
The green top tube contains:
No additive
Heparin
SPS or ACD
EDTA
The yellow top tube contains:
No additive
Heparin
SPS or ACD
EDTA
The red top tube contains:
No additive
Heparin
SPS or ACD
EDTA
Which of the following tubes contain(s) sodium fluoride and potassium oxalate?
Red top tube
Lavender top tube
Gray top tube
All tubes with splash guards
Which of the following tubes would hold a glucose specimen for 24 hours?
Red top tube
Lavender top tube
Grey top tube
All tubes with splash guards
In which tube would a phlebotomist collect an erythrocyte sedimentation rate?
Red top tube
Lavender top tube
Grey top tube
All tubes with splash guards
Cardiac enzymes are drawn in:
Red top tube
Lavender top tube
Grey top tube
All tubes with splash guards
Which of the following tubes yield(s) a serum specimen?
Red top tube
Lavender top tube
Gray top tube
All of the above yield a serum specimen
Coagulation studies include all of the following except:
Prothrombin time
Complete blood count
Partial thromboplastin time
Platelet function
A blood donation given by a patient for use during his or her surgical procedure is called:
An autologous donation
A cryoprecipitated donation
A Willebrand's collection
None of the above
If a light blue stoppered tube is the only tube to be collected, what must the phlebotomist do prior to the tube collection?
Draw a lavender top tube
Perform a bleeding time test
Draw and discard a red top tube
Send the patient to hematology
