WorksheetsPractice Test NHA
Total questions: 149
Worksheet time: 2hrs 29mins
Name
Class
Date
1.
36. On contact isolation precautions, which PPE do we use other than gloves?
a)
a. Face shield
b)
b. Gown
c)
c. N95 mask
d)
d. Surgical mask
2.
121. A phlebotomist should verify that a patient fasted how long prior to obtaining a fasting specimen?
a)
a. 4-6 hours
b)
b. 8-12 hours
c)
c. 24 hours
d)
d. 1-2 hours
3.
3.Parameters that a phlebotomist consider when selecting a collection method
a)
a. Time of day, timing of specimen, test status
b)
b. Patient condition. patient age, blood volume required
c)
C. Ordering physician, number of tests ordered, diagnosis
d)
d. Patient height, gender, medications
4.
1.This test is performed on newborns.
a)
a. Bacteremia
b)
b. Septicem ia
c)
C. Proteinu
d)
d. phenyiletouria
5.
4.What can stabilize a patients arm during the procedure?
a)
a. Arm restraints
b)
b. BP cuff
c)
C. Cart
d)
d. Wedge
6.
2.Best location to anchor the vein before performing the venipuncture?
a)
a. 3-4 inches lateral
b)
b. 1-2 inches medial
c)
C. 1-2 inches below
d)
d. 3-4 inches above
7.
Where would you place the tourniquet on an inpatient
a)
a. top of patients burn wound
b)
b. over patients weeping rash
c)
c. above the IV site
d)
d. over patients gown sleeve
8.
9.CPR should be administered to which of the following
a)
a. Lethargic
b)
b. Pulseless
c)
C. SOB
d)
d. chest pain
9.
10. Insertion of the needle into the antecubital space is
a)
a. Perpendicular to the vein at 30-45 degrees
b)
b. Parallel to the vein at 35 degrees
c)
c. Bevel up at 15-30 degrees
d)
d. Bevel down at 25 degrees
10.
7.If no vein is visible with first inspection, what should you do before applying the tourniquet again?
a)
a. Tap the patients arm
b)
b. Tell patient to rest arm in a downward position
c)
C. Have them place an ice pack
d)
d. Tell the patient to pump the fist rapidly
11.
147. The______ action of cleansing with alcohol eliminates germs
a)
a. Rubbing
b)
b. Applying
c)
c. Drying
d)
d. Moisture
12.
5.Using a face shield when there is contact with body fluids, what mode of transmission are you trying to prevent exposure to?
a)
a. Vector
b)
b. Fomite
c)
C. Percutaneous
d)
d. Premucosal
13.
12. Tubes not inverted correctly may cause
a)
a. Hemoconcentration
b)
b. Cell dilution
c)
C. Failure in centrifuge process
d)
d. False test results
14.
14. What information should the doctors office provide for labs?
a)
a. Encounter form
b)
b. Lab accession number
c)
c. Lab requisition form.
d)
d. Doctors NPI number
15.
16. Identifying a child for venipuncture. what information should you use to identify the patient
a)
a. Identification by the patients nurse
b)
b.The room number
c)
C. The door card
d)
d. from another phlebotomist
16.
11. How can you tell if a tube has serum or plasma?
a)
a. Sodium fluoride indicates serum
b)
b. EDTA indicates plasma
c)
c. SST indicates plasma
d)
d. Sodium Citrate indicates serum
17.
17. If you experience a needlestick injury from a patients that has HIV, what is your next step.
a)
a. Save the tubes for future testing
b)
b. Send the patients for STD testing
c)
C. Report it to CDC
d)
D. Report the exposure to supervisor
18.
13. If there is a chemical spill, where do you go to get directions to clean? CLIA b SDS
a)
a.CLIA
b)
b SDS
c)
C. OSHA
d)
d. CDC
19.
6.Expired tubes may result in
a)
a. Elevation of RBC count
b)
b. Loss of vacuum
c)
C. Hemolysis
d)
d. Hemoconcentration
20.
18.Which test identifies Bacteremia
a)
a. Glucose
b)
b. Blood culture
c)
C.Lactic acid
d)
d. Blood smear
21.
19. In order for hemostasis to take place which blood components is needed
a)
a. Neutrophils
b)
b. Erythrocytes
c)
c. Thrombocytes
d)
d. Leukocytes
22.
15. Decontamination agents for visibly soiled hands would be
a)
a. Sterile water rinse
b)
b. Alcohol rinse
c)
c. Soap and water
d)
d. Hand sanitizer
23.
21. Who mandates the use of safety features on needles and immediate disposal?
a)
a. HIPPA
b)
b. OSHA
c)
b.CLIA
d)
d. CDC
24.
22. What do you do after capillary puncture?
a)
a. wait 30seconds for more blood to accumulate
b)
b. squeeze the site until tube is filled
c)
c. collect the blood on an inverted tube at 30* angle
d)
wipe away the first drop of blood
25.
24. If a phlebotomist is drawing blood on a patient in critical condition in the ER which type of consent applies
a)
a. Implied
b)
b. Expressed
c)
c. informed
d)
d. written
26.
20. To calculate the blood drawn on an infant, what type of information is being needed for the phlebotomist
a)
a. weight
b)
b. height
c)
c. blood type
d)
birth date
27.
26. Which additive is in a lavender tube?
a)
a. Lithium heparin
b)
b. Sodium heparin
c)
c. Ethylenediaminetetraacetic acid
d)
d. Sodium citrate
28.
28. What instructions would you give to a patient collecting a stool specimen?
a)
a. Refrigerate the specimen after collection
b)
b. Label the lid
c)
C. Wear sterile gloves during the collection.
d)
d. Avoid urine contact with the specimen
29.
29. Which of the following is proper procedure after collecting an ammonia specimen
a)
a. Place it in ice-water slurry
b)
b. in the freezer
c)
c. Protect form the light
d)
d. Place it at room temperature
30.
30. Which test can be used for fasting patients? BUN and Alkaline phosphate Creatine and total protein
a)
BUN and Alkaline phosphate
b)
b. Creatine and total protein
c)
C. Glucose and triglycerides
d)
d. Lactate dehydrogenase and albumin
31.
25. When you excessively shake a tube you can cause what?
a)
a. Hemoconcentration
b)
b. Hemophilia
c)
C. Hemolysis
d)
d. Hemostasis
32.
32. What is included in a labeled blood specimen Physician NPI number
a)
a. Physician NPI number
b)
b. Facility address
c)
c. Phlebotomist initials
d)
d. Patients phone number
33.
34. Order of draw
a)
a. SST, EDTA, heparin, citrate Citrate,
b)
b. Citrate, SST, heparin, EDTA
c)
C. Citrate, heparin, SST, EDTA
d)
d. EDTA, SST, heparin, citrate
34.
35. When you remove the needled form the patient what is the next step?
a)
a. Activate safety device
b)
b. Dispose the tube holder and needle
c)
c. Label the tubes
d)
d. Invert the tubes
35.
48. Hand hygiene result in
a)
a. decrease in the requisition of laboratory specimen
b)
b. decrease in the incidence of health care associate infection
c)
c. increases in potential source of pathogens
d)
d. increase in the accuracy of laboratory results
36.
37. This blood test is photosensitive and should be protected from light?
a)
a. Ammonia
b)
b. Gastrin
c)
c. Bilirubin
d)
d. Pyruvate'
37.
In a drug screening, which of the following is required for the chain of custody?
a)
a. Providers signature
b)
b. Patients signature
c)
c. Patients insurance
d)
d. Diagnosis code
38.
39. In an annual inspection focusing on equipment maintenance log, what is the focus on the inspection?
a)
a. Electrical
b)
b. Mechanicål
c)
c. Chemical
d)
d. Radiation
39.
31. Measuring a patients serum cortisol level, what would you consider?
a)
a. Prandial status
b)
b. Body temperature
c)
C. Alcohol consumption
d)
d. Time of day
40.
23. On what do you do a PKU?
a)
a Microtainer
b)
Transfer device
c)
c. Filter paper
d)
d. Capillary tube
41.
41. Explaining the procedure to the patient we should:
a)
a. Communicate in patients personal space
b)
b. Use empathy toward the patient during the talk
c)
C. Use medical terminology when talking to the patient
d)
d. Remain standing as the patient sits down
42.
27. When you use a butterfly needle what gauge would you use with a 5mL syringe?
a)
a. 18
b)
b. 25
c)
c. 23
d)
d. 27
43.
43. When you see a large blood spill, what do you do?
a)
a. wait for maintenance
b)
b. apply a thick liquid agent on top of the spill
c)
C. Evacuate the facility
d)
d. Pour bleach and clean it
44.
75. If the patient is in shock, you should
a)
a. Keep the patient warm
b)
b. Place the patient in an upright position
c)
c. Administer fluids
d)
d. Lower the patients legs
45.
44. Nonverbal factors that have a positive impact on the patient when you introduce yourself? Avoid direct contact
a)
a. Avoid direct contact
b)
b. Face the patient
c)
C. Arms crossed while talking to the patient
d)
d. Stay standing while the patients is sitting
46.
127. Which of the following must a phlebotomist perform to demonstrate proficiency when performing aseptic technique
a)
a. Proper needle insertion
b)
b. Proper disposal of contaminated material
c)
c. Correct tube selection
d)
d. Correct vein anchoring
47.
45. If you see a patient that is motionless and cyanotic what would you do?
a)
a. Administer 2 rescue breathes
b)
b. Head-tilt/ chin-lift maneuver
c)
c. Look, listen, and feel for breathing
d)
d. Ask the patient if they are ok?
48.
40. The vein for choice in a venipuncture?
a)
a. Radial
b)
b. Median cubital
c)
C. Medical basilic
d)
d. Cephalic
49.
49. What would you label on the venipuncture specimen
a)
a. NPI number
b)
b. Time of venipuncture
c)
C, Phlebotomist credentials
d)
d, Location of the venipuncture
50.
46. If the butterfly needle is not up to safety standards, which agency can confirm safety compliance equipment.
a)
a. National institute of health
b)
b. American society clinical laboratory science
c)
c. CDC
d)
d. OSHA
51.
50. Where would you perform a venipuncture on a right-sided mastectomy.
a)
a. Right basilic
b)
b. Left femoral artery
c)
c. Left antecubital
d)
d. Right cephalic
52.
47. If a patient has Mycobacterium tuberculosis which equipment is required?
a)
a. N95 respirator
b)
b. Nonlatex tourniquet
c)
c. Sterile gloves
d)
d. Face shield
53.
52. At what time should a phlebotomist check quality controls on a blood glucose meter?
a)
a. The end of the day
b)
b. Seven day after
c)
c. Before use
d)
d. After the firs use
54.
54. A green top tube after centrifuge yields
a)
a. Whole blood
b)
b. Serum
c)
c. Plasma
d)
d. Clotted blood
55.
51. How would you correct an error on a paper chart?
a)
a .Notify the provider about the error
b)
b. Strike a line through the error and initial
c)
c. Erase the error and enter correct information
d)
d. Ask the administer to erase the error and input the correct information
56.
55. *How would you monitor the volume of blood collected in a pediatric patient
a)
a. Limit to three times a day the collection of blood
b)
b. Identify restrictions on blood draw
c)
C. Obtain a stat prescription before blood collection
d)
d. Maintain an updated log on blood collection
57.
58. If a CMP( comprehensive metabolic panel) is ordered, what equipment would you need?
a)
a. Lancets, microhematocrit tubes, clay sealant
b)
b. Tourniquet, multi-sample needle, collection tube
c)
e. Aerobic and anaerobic culture bottles, chlorhexidine swabs
d)
d. Sterile cup, reagent strip, and disinfectant towel
58.
53. Which criteria is acceptable for a peripheral blood smear
a)
a. Cover the entire slide
b)
b. A feather edge
c)
C. Covers a quarter of the slide
d)
d. A well defined edge
59.
56. When using a tourniquet
a)
a. Wash the tourniquet with soap and water
b)
b. Tie a knot with the tourniquet
c)
c. Release the tourniquet with one hand
d)
d. Position the tourniquet 3 to 4 inches below the site
60.
60. Example of point of care testing
a)
a. Positive hepatitis test
b)
b. Elevated sweat chloride
c)
C. Elevated blood glucose
d)
d. Positive HIV test
61.
62. In a TDM procedure, what would you ask the patient?
a)
a. When did you last fast?
b)
b. When was your last dose of Lithium
c)
e. When was your last alcohol beverage
d)
d. When was your last dose of glucose solution
62.
59. When you have a preschooler patient you should
a)
a. Draw from the thumb
b)
b. Draw from the heel
c)
C. Don't talk to the patient and just draw the specimen
d)
d. Explain the procedure to the child and the parent/guardian
63.
63. After you wash your hands, how would you dry your hands
a)
a. With a disposable sanitizing cloth
b)
b. With a sterile towel
c)
C. Clean disposable towel
d)
d. Sanitizing hand gel
64.
65. CLSI states that the standard depth dermal puncture for an infant is.
a)
a. 0.20 mm
b)
b. 0.30 mm
c)
c. 2 mm
d)
d. 3 mm
65.
61. After a venipuncture this process occurs
a)
a. Homeostasis
b)
b. Hematopoiesis
c)
c. Hemostasis
d)
d. Hemoconcentration
66.
66. In CLSI guidelines which test is drawn first?
a)
a. Glucose
b)
b. Coagulation
c)
c. Cultures
d)
d. Electrolytes
67.
68. If the patient is allergic to alcohol, which antiseptic would you use?
a)
a. Antiseptic foam
b)
b. Saline
c)
C. Sterile water
d)
d. Chlorohexidne
68.
64. If you let your coworker use your credentials and she is from another department you are violating
a)
a. OSHA
b)
b. HIPPA
c)
C. CLIA
d)
d. FDA
69.
72. After collecting the last specimen, what action should you take next
a)
a. Disengage the tube from the collection set
b)
b. Hold gauze over the insertion site
c)
C. Place the used needle in the biohazard
d)
d. Withdraw the collection needle from the vein.
70.
69. You experience an accidental needle stick and discuss it with the patients partner; you are violating.
a)
a. HIPPA
b)
b. Needlestick Safety and Prevention Act
c)
c. The Joint Commission
d)
d. OSHA
71.
71. The most secure and reliable delivery method for results is
a)
a. Electronic reports
b)
b. Verbal reports
c)
c. Courier delivery
d)
d. Fax
72.
96. How would you instruct a female patient for a urine specimen for a culture testing?
a)
a. Don't touch the inside of the cup, clean the urinary meatus from front to back and then collectthe urine
b)
b. Don't touch the inside of the cup, clean the urinary meatus for back to front and then collect the urine
c)
c. Don't touch the inside of the cup, clean the area from back to front,, begin to void and then collect the urine
d)
d. Don't touch the inside of the cup, clean from front to back, begin to void and then collect the urine
73.
67. If your adult patient gives implied consent to you which of the following occurs
a)
a. When the patients family member nods for you to proceed
b)
b. Patient signs the document and agrees to research
c)
c. Patient offers their arm out to you
d)
d. Patient sign a medical release for their results
74.
70. What needs to be documented on a specimen label
a)
a. Your full name
b)
b. The patients insurance provider
c)
C. Your certification number
d)
d. Patients medical record number
75.
74. If your patient is in droplet precautions, you should recognize that which of the following is a means of transmission
a)
a. Urine sample
b)
b. Bloody nose
c)
c. Patients sneezes
d)
d. Itchy rash
76.
42. Best description for diversity awareness?
a)
Acknowledge the patients beliefs and customs
b)
b. Acknowledge the patients questions and complaints
c)
C. Acknowledge the presence of family and friends.
d)
d. Acknowledge the patients hobbies and interests
77.
76. If the patient has a double mastectomy what should you do
a)
a. Draw from the most acceptable vein
b)
b. Draw from the one with the minimal inflammation
c)
c. Proceed without modification
d)
d. contact the ordering and obtain permission to draw from either arm
78.
78. Drawing blood without consent results in charge of
a)
a. Battery
b)
b. Malpractice
c)
C. Breach of contract
d)
d. Negligence
79.
73. What information would you collect for a drug urine collection for federal Department of Transportation
a)
a. Temperature of the urine
b)
b. Color of the urine
c)
C. Concentration of the urine
d)
d. Total volume
80.
79. Laboratory results is required to have which of the following information
a)
a. Phlebotomist initials
b)
b. Patient diagnosis
c)
C. Values of previous tests
d)
d. Date of specimen collection
81.
77. The CLSI recommends that a heel lancet penetration to be less than 2mm to prevent which of the following condition?
a)
a. Excessive bleeding
b)
b. Tissue fluid contamination
c)
c. pain
d)
d. Bone penetration
82.
81. Use a blood transfer device with which of the following methods of blood collection
a)
a. Winged infusion
b)
b. Evacuated tube system
c)
C. Syringe
d)
D. Capillary puncture
83.
80. If your patient has a seizure during blood collection you shoulda. Complete the blood collection
a)
a. Complete the blood collection
b)
b. Restrain the patient
c)
c. Move the patient to the floor
d)
d. Use a tongue depressor to hold the patients tongue down
84.
83. On a one-year-old child, where do you place the lancet
a)
a. Pinky finger
b)
b. Index finger
c)
c. Middle finger
d)
d. The thumb
85.
84. If you fail to demonstrate proper care in resulting to injury on a person is an example of
a)
a. Fraud
b)
b. Assault
c)
c. Negligence
d)
d. Battery
86.
85. Cleaning blood spill in the counter is a process called
a)
a. Containment
b)
b. Neutralization
c)
c. Disinfection
d)
d. Sterilization
87.
57. General conception behind standard precautions
a)
a. Maintain a workplace of free environmental hazards
b)
b. Provide information about hazardous chemicals to the environments within
c)
C. Assume that all body fluids are infected with blood borne pathogens
d)
d. Ensure that employees receive training regarding workplace hazards
88.
87. Finding critical results on a laboratory test and the office is closed you should
a)
a. Call the office the next day
b)
b. Fax the results to the office with a stat fax cover sheet
c)
c. Leave a message at the office
d)
d. Contact the physician right away
89.
82. Processing a urine specimen you should use what PPE to maintain safety regulation
a)
a. Shoe covers
b)
b. Surgical gloves
c)
c. Hairnet
d)
d. Faceshield
90.
88. Threatening the patient with using restraints if they keep moving is considered
a)
a. False imprisonment
b)
b. Assault
c)
c. Battery
d)
d. Invasion of privacy
91.
89. The lancet position for a capillary blood collection is
a)
a. Parrels to the nail bed
b)
b. Along the lateral portion of the first digit
c)
C. Perpendicular to the fingerprint grooves
d)
d. Along the medial portion of the fifth digit
92.
86. In order to comply with guidelines for a CLIA waived test procedure
a)
a. Report results immediately to CLIA
b)
b. Transport on the results within 24 hours
c)
C. Process a specimen within one hour of collection
d)
d. Document quality control results
93.
91. The best site for a phenylketonuria collection on an infant
a)
a. Medial or lateral areas of the heel
b)
b. Central are of the heel
c)
C. Central area of the fingertip
d)
d. Medial or lateral area of the fingertip
94.
92. A blood spot collection for inborn errors of metabolism requires which of the following
a)
a. Newborn should be three days old
b)
b. Circles on the filter paper should be at least half filled
c)
c. First drop of blood should not be wipe
d)
d. Specimen should be completely dried before the test can be processed
95.
90. Appropriate technique for a specimen collection
a)
a. Thumb stick on an infant
b)
b. Finger stick on a toddler patient
c)
c Thumb stick on a 5-year-old patient
d)
d Heel stick on a 5-year-old patient
96.
94. If a patient is unresponsive and not breathing place the patient in this position before doing CPR
a)
a. Prone
b)
b. Supine
c)
c. Semi-Fowlers
d)
d. Side-lying
97.
95. If the patient is sitting down how would the patient place their arm
a)
a. Next to the patient while in prone position
b)
b. Wrist positioned with dorsal side upward
c)
c. Distal portion of the arm in a downward position
d)
d. Fingers oriented laterally
98.
146. Which type of bleeding should a phlebotomist notify a nurse or provider about?
a)
a.Subcutaneous
b)
b. Capillary
c)
C. Venous
d)
d. Arterial
99.
98. On an 8 year old patient what is required on the requisition?
a)
a. Guardians name and date of birth
b)
b. Your name
c)
c. Lab accreditation status
d)
d. Requesting providers name
100.
93. This medication affects a liver panel
a)
a. Melatonin
b)
b. Ibuprofen
c)
C. Zinc
d)
d. Acetaminophen
101.
99. In Preparing a blood smear slide, what action should you take before transporting the specimen
a)
a. Blow air on the slide
b)
b. Allow the smear to air dry
c)
c. Use a sterile gauze to dry the smear
d)
d. Place the smear in the freeze
102.
97. How would you verify a duplicate order?
a)
a. Determine which requistition matches the previous requisition
b)
b. Call the provider and confirm the requisition
c)
c. Draw both orders
d)
d. Confirm with the patients the tests to be performed
103.
101. When taking a sputum specimen you instruct the patient to
a)
a. Aggressively swab the inside of the cheek
b)
b. Collect a stool sample
c)
c. Discard the urine sample
d)
d. Take a deep breath and then expectorate
104.
102. Which additive promotes cloth formation
a)
a. Oxalate
b)
b. Silica
c)
c. Citrate
d)
d. Heparin
105.
103. A fasting specimen would be for
a)
a. Creatine
b)
b. Thyroid
c)
c. Cholesterol
d)
d. Pregnancy
106.
104. What color of tube would be for the following test: A1C, CBC, hepatic panel, and a CMP
a)
a. Yellow and blue
b)
b. Green and gray
c)
c. Red and black
d)
d. Gold and lavender
107.
105. If a patient has needle phobia what can you do
a)
a. Have the patient chew gum during the procedure
b)
b. Have the patients lie supine during the venipuncture
c)
c. Warm the site for at least 10 minutes prior
d)
d. Have the patients elbow joint in 90 degrees of flexion
108.
100. Veins on the outer edge of the arm are
a)
a. Dorsal
b)
b. Cephalic
c)
c. Basilic
d)
d. Median Cubital
109.
107 What form would accompany a toxicology drug screening for legal purpose
a)
a. Requisition
b)
b. Chain of custody
c)
c. CMS 1500
d)
d. Encounter
110.
108. If you notice that there is no blood flow into the tube, what would you do?
a)
a. Reposition the needle to 90 degrees
b)
b. Remove the needle
c)
c. Pull the needle back slightly
d)
d. Laterally redirect the needle
111.
106. when you clean the collection site with the antiseptic agent, what would you do?
a)
a. Dry the area with a piece of the sterile gauze
b)
b. Whip the site dry with gauze
c)
c. Allow the area to air dry
d)
d. Dry the site by fanning it
112.
110. How may times should EDTA tube be inverted after a blood collection
a)
a. 5 to 7
b)
b. 2 to 4
c)
c. 8 to 10
d)
d. 1 to 3
113.
111. Setting up an appointment for a postprandial glucose test would be at what time
a)
a. 30 min before bedtime
b)
b. 2 hr after eating a meal
c)
c. Upon waking up after fasting
d)
d. Immediately after exercising
114.
112. When 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)
b. A called in report from the clinical laboratory technician to the phlebotomist
c)
C. An in person report from the clinical laboratory technician to the nurse
d)
d. An emailed report from the clinical laboratory technician to the patient
115.
109. Information that is required for proper outpatient identification.
a)
a. physicians name and test ordered
b)
b. Patients name and date of birth
c)
C. Patients SSN and date of order
d)
d. Patients age and gender
116.
113. On a neonatal screening which of the following is the correct procedure?
a)
a. Use the first drop of blood
b)
b. Collect the blood into a hematocrit tube
c)
c. Pack the sample right away
d)
d. Saturate each circle
117.
124. If a patient becomes pale and diaphoretic, what condition is most likely to occur in the patients?
a)
a. Syncope
b)
b. Siezure
c)
c. Nausea
d)
d. Shock
118.
114. Which of the following should be placed into an ice bath of the processing?
a)
a. Cryoglobuins
b)
b. Bilirubin
c)
c. Cold agglutinins
d)
d. Ammonia
119.
116. Test that requires to be in an ice bath?
a)
a. Cold agglutinins
b)
b. Bilirubin
c)
c. Beta carotene
d)
d. Lactic acid
120.
117. After collecting a bilirubin test, the specimen should be
a)
a Be placed on a warming block
b)
b. Spun down and frozen
c)
c. Chilled
d)
d. Kept away from direct light
121.
119. The chain of custody form is valid
a)
a. The time the specimen leaves the collection site until the laboratory
b)
b. The time the specimen was ordered until the time collected
c)
c. The time the specimen is processed until the results are reported
d)
d. The time specimen is collected until the time of disposal
122.
115. Which of the site is appropriate for dermal puncture on a toddler?
a)
a. Dominant lateral plantar heel
b)
b. Nondominant dorsal hand
c)
c. Nondominant third finger
d)
d. Dominant antecubital fossa
123.
118. A patient warns the phlebotomist the he is HIV positive according to OSHA guidelines after donning glove you should.
a)
a. put on an additional pair of gloves
b)
b. Call a more experienced phlebotomist
c)
c. Put on utility gloves
d)
d. Go on with the venipuncture
124.
122 A phlebotomist is required to obtain which of the following from a potential blood donor?
a)
a. Social history
b)
b. Family history
c)
c. Complete medical history
d)
d. Exposure history
125.
120. What information should be reported when a needlestick injury.
a)
a. Type of equipment utilized
b)
b. Patients primary diagnosis
c)
c. Date of the phlebotomists last tetanus shot
d)
d. Results of the phlebotomists pregnancy test
126.
123. What is the correct method of collecting urine specimen for culture and sensitivities?
a)
a. Catheter
b)
b. Midstream clean catch
c)
c. Suprapubic
d)
d. 24 hours urine collection
127.
126. Which of the following should the phlebotomist be tested for the following needlestick injury?
a)
A. Hep A
b)
B. Hep B
c)
C. Tuberculosis
d)
D. Haemophilus influenzae Type B.
128.
128. Which of the following questions is an appropriate introduction for a phlebotomy student?
a)
a. Hi, I am phlebotomist who is here to collect a blood specimen
b)
b.Hi, my name is Sally Smith, I am a student phlebotomist and I am here to collect a blood specimen
c)
c. Hi I am here to collect a blood specimen
d)
d. I am a phlebotomist and I'm here to collect a blood specimen
129.
125. What can cause a hemolyzed specimen?
a)
a. Shaking the tube vigorously
b)
b. Collecting the sample with a syringe
c)
c. Using a large bore needle
d)
d. Inverting the tube
130.
129. To prevent allergic reactions the phlebotomist should use
a)
a. Powdered latex gloves
b)
b. Powdered sterile gloves
c)
C. Non powdered latex gloves
d)
d. Nonpowdered nitrile gloves
131.
130. What is petechiae
a)
a. Varicose veins
b)
b. Tiny purplish spots
c)
c. A stopping of the blood flow
d)
d. Excessive seating
132.
132. What equipment is most appropriate for a patient who has small, fragile veins?
a)
a. 23 gauge needle with an evacuated tube
b)
b. 23 gauge needle with a syringe
c)
c. 20 gauge needle with a syringe
d)
d. 22 gauge needle with an evacuated tube
133.
133. Which of the following is the first step in the blood collection procedure?
a)
a. Accessing the site
b)
b. Patient verfication
c)
c. Cleansing the site
d)
d. Test requisition
134.
135. When drawing a CBC with a differential in a lavender tube, what additive combines with calcium to preserve blood cells?
a)
a Sodium citrate
b)
b. Thixotropic gel
c)
c. EDTA
d)
d. Heparin
135.
131. A phlebotomist is drawing five blood collection tubes. When should the tourniquet be released?
a)
a. 60 minutes
b)
b. 1 to 2 minutes
c)
c. 2 minutes
d)
d. 120 seconds
136.
136. How often should a glucometer control be check
a)
a. Every day
b)
b. Every day of use
c)
C.c. Before ever use
d)
d. Once a week
137.
137. Which test is used to identify bacterium?
a)
a. Peripheral blood smear
b)
b. Blood culture
c)
C. Lactic acid
d)
d. Glucose tolerance test
138.
134. Which of the following tubes should be collected first for dermal samples.
a)
a. Yellow
b)
b. Lavender
c)
C. Red
d)
d. Blood culture bottle
139.
139. What information should the phlebotomist document in the medical record after collecting blood culture bottles?
a)
a. Time of last medication dose
b)
b. Time of last meal
c)
c. Hospital room number
d)
d. Site of collection
140.
141. Why should you not draw blood from a burned area?
a)
a. Burn skill will not let you find a vein
b)
b. Will cause pain
c)
c. No blood circulation
d)
d. High risk of infection
141.
138. Which of the following should be collected first?
a)
a. Electrolytes
b)
b. Glucose
c)
C. Coagulation
d)
d. cultures
142.
140. A phlebotomist must perform a blood draw on a patient with an IV on the right side and there is a mastectomy on the left side, where should the venipuncture be performed?
a)
a. On mastectomy side (ask physician)
b)
b. Above the IV (ask physician)
c)
c. on the foot
d)
d. Below IV (ask physician)
143.
143. A postprandial glucose test is done____ after eating a meal?
a)
a. Four hours
b)
b. Three hours
c)
c. Two hours
d)
d. One hour
144.
145. Where are the dermal punctures performed on an infant
a)
a. Medical surface of the thumb
b)
b. Medical antecubital fossa
c)
C. Lateral surface of the index finger
d)
d. Lateral plantar surface
145.
142. A chemical has spilled in the laboratory, where can you find the instructions to clean up the spill?
a)
a. SDS (Safety Data Sheet)
b)
b. CDC
c)
C. CLIA
d)
d. OSHA
146.
144. A chain of custody form will include
a)
a.The additive in the tube used
b)
b. Names of all who have handled the specimen
c)
c. The reason for the need of the form
d)
d. Medical history
147.
According to CLIA what type of tests can a phlebotomist perform
a)
a. Flow cytometry
b)
b. Occult blood detection
c)
c. Genetic molecular
d)
d. Electrophoresis
148.
150. What factors can prevent a person form donating blood?
a)
a. Obesity
b)
b. Race
c)
c. Gender
d)
d. Age
149.
When recording a critical result what information should be documented
a)
a. Name of facility
b)
b. Next of kin
c)
c. Person you spoke to
d)
d. Hospital rooom number
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