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Phlebotomy practice test

Total questions: 103

Worksheet time: 51mins

Name
Class
Date
1.

Which of the following gauge numbers has the largest bore needle? Select the best answer.

a)

14 gauge

b)

20 gauge

c)

21 gauge

d)

22 gauge

2.

If a needle’s bevel is stuck to the wall of the vein, you should remove and reinsert it. Select the best answer.

a)

True

b)

False

3.

For some fecal occult blood testing, patients must be instructed not to eat certain foods prior to the test. Select the best answer.

a)

True

b)

False

4.

What should you do if a stat test is ordered and the patient is not in their room? Select the best answer.

a)

Leave a note at the nurse's station

b)

Locate the patient

c)

Postpone the collection

d)

Wait until they return

5.

Which of the following are units of weight? Select the best answer.

a)

Centimeters and inches

b)

Centimeters and kilograms

c)

Inches and pounds

d)

Pounds and kilograms

6.

Mixing different cleaning agents is recommended to make the most effective disinfectant. Select the best answer.

a)

True

b)

False

7.

Which of the following lists the steps of venipuncture completion in the correct order? Select the best answer.

a)

Apply pressure, release the tourniquet, remove the needle

b)

Release the tourniquet, remove the needle, apply pressure

c)

Remove the needle, apply pressure, release the tourniquet

d)

Remove the needle, release the tourniquet, apply pressure

8.

What type of safety hazards are needles and lancets? Select the best answer.

a)

Biological

b)

Electrical

c)

Physical

d)

Sharps

9.

What color tube might contain EDTA and gel? Select the best answer.

a)

Black

b)

Gray

c)

Light blue

d)

White

10.

Coagulation study results can be falsely shortened if the collection tube is underfilled. Select the best answer.

a)

True

b)

False

11.

Blood samples for bilirubin testing should be protected from light. Select the best answer.

a)

True

b)

False

12.

What vein is most commonly used when performing a blood draw? Select the best answer.

a)

Antecubital

b)

Basilic

c)

Cephalic

d)

Median cubital

13.

Which of the following types of physicians may be found in a clinical laboratory? Select the best answer.

a)

Gastroenterologist

b)

Obstetrician

c)

Pathologist

d)

Surgeon

14.

Which of the following is used to collect blood from a capillary stick? Select the best answer.

a)

Blood culture bottle

b)

Microtainer

c)

Syringe

d)

Vacuum blood collection tube

15.

What is the most commonly used anticoagulant for blood tests? Select the best answer.

a)

Calcium citrate

b)

EDTA

c)

Heparin

d)

Potassium oxylate

16.

What could be the result of improper cleaning of a venipuncture site? Select the best answer.

a)

Hematoma

b)

Petechiae

c)

Septicemia

d)

Urinary tract infection

17.

What test is performed to check for blood in fecal material? Select the best answer.

a)

72 hour stool test

b)

Clean catch test

c)

Fasting stool test

d)

Occult blood test

18.

What is the functional unit of the nervous system? Select the best answer.

a)

Neoplasm

b)

Nephron

c)

Neuron

d)

Nucleus

19.

What color tube contains potassium oxalate? Select the best answer.

a)

Black

b)

Gray

c)

Light blue

d)

White

20.

What is the most important step of the blood collection procedure? Select the best answer.

a)

Appropriate vein selection

b)

Application of the tourniquet

c)

Patient identification

d)

Selection of the proper tubes

21.

When donning a gown, mask, respirator, face shield, and gloves, which item should be put on last? Select the best answer.

a)

Gloves

b)

Gown

c)

Mask

d)

Respirator

22.

What is the first thing you should do when entering a patient's room? Select the best answer.

a)

Assemble your equipment

b)

Identify the patient

c)

Introduce yourself

d)

Put on gloves

23.

Which of the following body systems protects vital organs and gives the body structure? Select the best answer.

a)

Integumentary system

b)

Muscular system

c)

Skeletal system

d)

Vascular system

24.

In what position should the bevel of the needle be in before entering a vein? Select the best answer.

a)

Facing down

b)

Facing toward the left

c)

Facing toward the right

d)

Facing upward

25.

A tube with no vacuum would be an example of an equipment error. Select the best answer.

a)

True

b)

False

26.

How often should a diluted bleach solution that is used as a cleaning agent be made? Select the best answer.

a)

Every 3 hours

b)

Every 6 hours

c)

Every day

d)

Once a week

27.

Which of the following is a common test ordered for a timed blood collection for an adult patient? Select the best answer.

a)

Bilirubin

b)

Cold agglutinins

c)

Complete blood count (CBC)

d)

Medication level

28.

What is a gray top vacutainer tube most commonly used for? Select the best answer.

a)

CBC

b)

GTT

c)

PT

d)

PTT

29.

What is the military time for 9:00pm? Select the best answer.

a)

1800

b)

1900

c)

2000

d)

2100

30.

What is hypoglycemia? Select the best answer.

a)

High blood sugar

b)

High cholesterol

c)

Low blood sugar

d)

Low cholesterol

31.

What is the correct term for the process of withdrawing blood from a vein? Select the best answer.

a)

Hematoma

b)

Hemolyzed

c)

Leukocytes

d)

Venipuncture

32.

What body system contains the epidermis? Select the best answer.

a)

Cardiac

b)

Integumentary

c)

Nervous

d)

Skeletal

33.

Which of the following is an agency that requires standards for medical record documentation? Select the best answer.

a)

Centers for Disease Control and Prevention (CDC)

b)

Joint Commission

c)

Food and Drug Administration (FDA)

d)

National Institute of Health (NIH)

34.

What color tube contains EDTA? Select the best answer.

a)

Green

b)

Lavender

c)

Orange

d)

Red

35.

What is the maximum amount of time an infant heel warming device should be applied? Select the best answer.

a)

30 seconds

b)

1-2 minutes

c)

3-5 minutes

d)

8-10 minutes

36.

A urine sample must be delivered to the lab within one hour. Select the best answer.

a)

True

b)

False

37.

Which of the following can affect a patient’s blood alcohol level? Select the best answer.

a)

Age

b)

Fitness level

c)

Height

d)

Weight

38.

Besides phlebotomy, what department can also perform arterial blood gases? Select the best answer.

a)

Occupational therapy

b)

Physical therapy

c)

Radiology

d)

Respiratory therapy

39.

It is necessary for phlebotomy technicians to wash their hands before putting on gloves and after removing them. Select the best answer.

a)

True

b)

False

40.

What is the first thing a phlebotomist should do when performing an adult standard venipuncture? Select the best answer.

a)

Apply a tourniquet

b)

Examine the requisition form

c)

Identify vein by palpation

d)

Prepare equipment

41.

The most common antiseptic used to clean a venipuncture site is _______. Select the best answer.

a)
Isopropyl alcohol
b)

soap and water

c)

bleach

d)

clorox wipe

42.

Acetaminophen may affect a patient’s liver function tests. Select the best answer.

a)

True

b)

False

43.

What is the most common infection acquired from a needlestick injury? Select the best answer.

a)

Hepatitis

b)

HIV

c)

Influenza

d)

Meningitis

44.

What is the function of most arteries? Select the best answer.

a)

Carry deoxygenated blood away from the heart

b)

Carry deoxygenated blood to the heart

c)

Carry oxygenated blood to the heart

d)

Carry oxygenated blood away from the heart

45.

Collecting a lithium level in a tube containing lithium heparin will cause the result to be falsely high. Select the best answer.

a)

True

b)

False

46.

Using a proper needle gauge is the most important factor in preventing contamination of a blood culture. Select the best answer.

a)

True

b)

False

47.

Which of the following laboratory abnormalities is more commonly seen in those who smoke tobacco? Select the best answer.

a)

Decreased troponin level

b)

Elevated hemoglobin

c)

Elevated plasma fibrinogen

d)

Elevated sodium level

48.

A collection of blood below the surface of the skin is called: Select the best answer.

a)

Hematology

b)

Hematoma

c)

Hematuria

d)

Hemolysis

49.

What is the first action one should take if stuck with a used needle that has been in contact with blood? Select the best answer.

a)

Clean the wound with soap and water

b)

Dial 911

c)

Place a bandage on it

d)

Apply a tourniquet to the injured limb

50.

Which of the following is an example of proper laboratory safety? Select the best answer.

a)

Drinking coffee while processing specimens

b)

Reusing gloves

c)

Washing hands between every other patient

d)

Wearing personal protective equipment

51.

Having a patient sit in a phlebotomy chair for venipuncture provides an increase in which of the following for the patient? Select the best answer.

a)

Discomfort

b)

Restraint

c)

Safety

d)

Warmth

52.

What test is used mainly in children to diagnose infectious causes of cough? Select the best answer.

a)

Blood culture

b)

Respiratory viral panel

c)

Throat swab

d)

Urinalysis

53.

What can the phlebotomist do if a patient is refusing to have their blood drawn? Select the best answer.

a)

Call the patient’s family member

b)

Force the patient to have their blood drawn

c)

Inform the patient they will be discharged if they refuse the blood draw

d)

Try to convince the patient to have their blood drawn

54.

Which of the following contains a retractable sheath? Select the best answer.

a)

21g needle

b)

Lancet

c)

Multiple draw needle

d)

Vacutainer

55.

What is the correct term for a decrease in the number of circulating red blood cells? Select the best answer.

a)

Anemia

b)

Anticoagulant

c)

Centrifuge

d)

Platelets

56.

What government agency is responsible for workplace safety in the laboratory? Select the best answer.

a)

CLIA

b)

FDA

c)

MSDS

d)

OSHA

57.

Which of the following can be a cause of prolonged bleeding time? Select the best answer.

a)

Early infection

b)

Low platelet count

c)

Low red blood cell count

d)

Low white blood cell count

58.

What is the term for the unauthorized release of patient information? Select the best answer.

a)

Invasion of privacy

b)

Liable

c)

Malpractice

d)

Negligence

59.

What is the name for small red spots on the skin caused by a tourniquet that is too tight? Select the best answer.

a)

Hematoma

b)

Hemoconcentration

c)

Hemolysis

d)

Petechiae

60.

What term is used to describe a chemical compound that kills microorganisms? Select the best answer.

a)

Antiseptic

b)

Decontamination

c)

Dilution

d)

Disinfectant

61.

The tourniquet aids venous flow throughout the arm. Select the best answer.

a)

True

b)

False

62.

Which laboratory department performs complete blood counts (CBCs)? Select the best answer.

a)

Chemistry

b)

Hematology

c)

Immunohematology

d)

Microbiology

63.

Which of the following gauge numbers has the smallest bore needle? Select the best answer.

a)

16 gauge

b)

20 gauge

c)

21 gauge

d)

23 gauge

64.

What term refers to overall physiologic balance in the body? Select the best answer.

a)

Hemolysis

b)

Hemostasis

c)

Homeostasis

d)

Hematopoiesis

65.

Recapping used needles after routine venipuncture is acceptable. Select the best answer.

a)

True

b)

False

66.

Airborne precautions are used for which of the following disease(s)? Select the best answer.

a)

Hepatitis B

b)

HIV

c)

Staphylococcal skin infection

d)

Tuberculosis

67.

Good candidates for dermal collection would include which patients? Select the best answer.

a)

Children and adolescents

b)

Those with obesity

c)

Those who require infrequent blood draws

d)

Those who are well dehydrated

68.

Which of the following tests is used to diagnose diabetes? Select the best answer.

a)

Complete blood count

b)

Intravenous glucose tolerance test

c)

Liver function test

d)

Oral glucose tolerance test

69.

What is the medical term for ‘immediately’? Select the best answer.

a)

ASAP

b)

ER

c)

NPO

d)

STAT

70.

When should a critical lab result be reported to the physician? Select the best answer.

a)

Immediately

b)

Within 1 week

c)

Within 12 hours

d)

Within 24 hours

71.

How many inches should a tourniquet be placed above the venipuncture site? Select the best answer.

a)

1 to 2

b)

2 to 3

c)

3 to 4

d)

4 to 5

72.

A phlebotomist is responsible for handling patient correspondence. Select the best answer.

a)

True

b)

False

73.

Which of the following is not an anticoagulant? Select the best answer.

a)

EDTA

b)

Polymer gel

c)

Sodium citrate

d)

Sodium heparin

74.

Which laboratory department performs culture and sensitivity tests? Select the best answer.

a)

Chemistry

b)

Hematology

c)

Immunohematology

d)

Microbiology

75.

The middle and ring fingers are the most common digits used to obtain a dermal puncture in adults. Select the best answer.

a)

True

b)

False

76.

For a given temperature expressed in Fahrenheit, the same temperature in Celsius will be _______. Select the best answer.

a)

A higher number

b)

A lower number

c)

It depends on the number

d)

The same number

77.

What is a phlebotomist? Select the best answer.

a)

A medical assistant

b)

A technician who draws blood

c)

The process of drawing blood

d)

The study of the circulatory system

78.

Which of the following is a barrier to effective communication? Select the best answer.

a)

Empathy

b)

Listening

c)

Paying attention

d)

Stereotyping

79.

What is the medical term for fainting? Select the best answer.

a)

Emesis

b)

Hematoma

c)

Lymphostasis

d)

Syncope

80.

After venipuncture, the correct position for the arm is fully bent. Select the best answer.

a)

True

b)

False

81.

Which of the following is a component of non-verbal communication? Select the best answer.

a)

Clothing

b)

Hairstyle

c)

Shoes

d)

Posture

82.

When should a tourniquet be removed in order to prevent a hematoma? Select the best answer.

a)

30 seconds after removing the needle

b)

Before palpitating the vein

c)

Before removing the needle

d)

Immediately after removing the needle

83.

What is the maximum depth that should be penetrated when performing an infant heel stick? Select the best answer.

a)

1 millimeter

b)

2 millimeters

c)

3 millimeters

d)

4 millimeters

84.

What point-of-care test can be used for a routine urinalysis? Select the best answer.

a)

Dipstick

b)

Glucometer

c)

Human chorionic gonadotropin (HCG)

d)

Occult blood

85.

Which of the following is a characteristic of good clinical documentation? Select the best answer.

a)

Accurate

b)

Illegible

c)

Long

d)

Subjective

86.

What does CBC stand for? Select the best answer.

a)

Cardiac blood count

b)

Complete blood chemistry

c)

Complete blood count

d)

Computed blood count

87.

For arterial blood gas collections, 21g needles are most often used. Select the best answer.

a)

True

b)

False

88.

How many liters of blood does an average adult have? Select the best answer.

a)

1 to 2

b)

3 to 4

c)

5 to 6

d)

7 to 8

89.

What is the term for blood donated by a patient to be used for a planned future surgical operation? Select the best answer.

a)

Autologous donation

b)

Blood typing

c)

Compatibility testing

d)

Directed donation

90.

Which of the following terms refers to the destruction of red blood cells? Select the best answer.

a)

Hematoma

b)

Hemolysis

c)

Leukocytes

d)

Venipuncture

91.

If a venipuncture is unable to be performed in the arm, what location is preferred as a second choice? Select the best answer.

a)

Ankle

b)

Foot

c)

Hand

d)

Lower leg

92.

Which term refers to the moral standards of behavior or conduct that govern an individual’s actions? Select the best answer.

a)

Ethics

b)

Laws

c)

Regulations

d)

Rules

93.

What is the most common type of specimen collection for a urine sample? Select the best answer.

a)

Catheterized urine sample

b)

Midstream clean catch

c)

Suprapubic aspiration

d)

Timed specimen

94.

You are performing a venipuncture and the patient begins to have convulsions. What should be your first action? Select the best answer.

a)

Call for help

b)

Notify the doctor

c)

Offer juice in case of low blood sugar

d)

Remove the tourniquet and needle

95.

Which of the following may be used in the process of performing a venipuncture? Select the best answer.

a)

Butterfly

b)

Glucometer

c)

Pulse oximeter

d)

Thermometer

96.

Which of the following veins is an acceptable choice for drawing a blood sample? Select the best answer.

a)

Axillary

b)

Cephalic

c)

Jugular

d)

Radial

97.

Which of the following is assessed in a 2-hour OGTT? Select the best answer.

a)

Anemia

b)

Blood glucose

c)

Epinephrine

d)

Lactose

98.

Which of the following are units of length? Select the best answer.

a)

Centimeters and inches

b)

Centimeters and kilograms

c)

Inches and pounds

d)

Pounds and kilograms

99.

What is the term for the liquid portion of the blood collected from a red-stoppered tube following centrifugation? Select the best answer.

a)

Anticoagulant

b)

Plasma

c)

Serum

d)

Sodium citrate

100.

What is the primary function of erythrocytes? Select the best answer.

a)

Carry oxygen to cells

b)

Coagulate blood

c)

Fight infection

d)

Provide nutrients to leukocytes

101.

During a venipuncture procedure a sudden swelling occurs around the puncture site. You should...

a)

Call for help

b)

Immediately remove the tourniquet and then the needle

c)

Continue with the venipuncture

d)

Apply pressure with an antiseptic wipe

102.

Which antecubital vein is considered the best vein for venipuncture?

a)

Medial cubital

b)

Basilic

c)

Cephalic

d)

Brachial

103.

Describe the proper technique for inserting an IV cannula into a vein.

a)

Thread into artery instead of vein

b)

Advance without checking for blood flash

c)

Clean the site, apply tourniquet, insert at 15-30 degree angle, advance until blood flash, lower angle to 5-15 degrees, thread into vein while stabilizing needle.

d)

Insert at 90-degree angle