WorksheetsExtra Question Ch 7
Total questions: 69
Worksheet time: 35mins
Name
Class
Date
1.
1.A phlebotomy technician is preparing to collect a blood specimen from a patient who signed a general informed consent form upon admission to the facility. Which of the following actions be the patient indicates implied consent for the venipuncture.
a)
A. Rolling up his shirtsleeve
b)
B. Asking about the technician's experience
c)
C. Expressing apprehension about the procedure
d)
D. Saying he needs to make sure hip provider wants these tests
2.
A phlebotomy technician is preparing to draw blood from a patient in an inpatient setting. The patient extends his arm and turns his head away. This action by the patient is an example of which of the following types of consent?
a)
A. Informed consent
b)
B. Implied consent.
c)
C. Refusal of consent
d)
D. Expressed consent
3.
A phlebotomy technician should comply with HIPAA to protect which of the following?
a)
A. Patient's consent
b)
B. Patients' standards
c)
C. Patients' information.
d)
D. Patients' compliance
4.
A phlebotomy technician is reviewing a laboratory requisition before obtaining blood specimens from a patient. The technician should verify that the requisition includes which of the following information?
a)
A. The patient's next of kin
b)
B. Emergency contact information
c)
C. The patient's previous medications
d)
D. A specimen identification code.
5.
Which of the following actions is a phlebotomy technician required to take before leaving a patient's room?
a)
A. Ask the patient for feedback
b)
B. Alert the nurse that she is leaving
c)
C. Initial and mark the date and time on each tube drawn.
d)
D. Initial and mark the date and time on the requisition form
6.
A phlebotomy technician should identify that of the following is an identifier for a specimen as long as it remains in the laboratory?
a)
A. ICD-10 codes
b)
B. Accession number.
c)
C. CPT code
d)
D. Medical record number
7.
A phlebotomy technician is collecting a blood specimen from a patient to measure the trough level of a medication. The technician should collect the specimen at which of the following times?
a)
A. Within 15 min before the patient receives the next dose of medication.
b)
B. Less than 15 min after the patient receives a dose of the medication
c)
C. At least 2 hr after the patient receives a dose of the medication
d)
D. Approximately halfway between two doses of the medication
8.
A phlebotomy technician is preparing to perform a venipuncture for a 2-year-old child. The child asks if the blood draw will hurt. Which of the following statements should the technician make?
a)
A. "This will not hurt at all"
b)
B. "This will go quickly"
c)
C. "You will feel a small prick"
d)
D. "You have no reason to worry"
9.
Which of the following source for patient identification should a phlebotomy technician use in and inpatient setting?
a)
A. verbal and wristband
b)
B. Medical chart and nurse
c)
C. Family member and driver's license
d)
D. Spiritual advisor and provider
10.
A phlebotomy technician is interviewing a patient before performing a venipuncture. During the interview, the patient states that he lives nearby and ran to the facility to "get in some running time today." Which of the following precautionary actions should the technician take?
a)
A. Offer the patient a high-carbohydrate snack before the venipuncture
b)
B. Place the patient in a reclining position for the venipuncture
c)
C. Have the patient rest comfortable for at least 15 min before the venipuncture.
d)
D. Reschedule the venipuncture for another day
11.
A phlebotomy technician is preparing to collect a vancomycin peak level for a patient in an inpatient setting. Which of the following actions should the technician take prior to collecting the blood specimen?
a)
A. Ask the patient when he received his last does of vancomycin
b)
B. Ask the attending nurse if the patent's vancomycin dose schedule is accurate.
c)
C. Ask the pharmacist when the next dose of vancomycin is scheduled for the patient
d)
D. Ask the provider if the patient has received his dose of vancomycin
12.
A phlebotomy technician is preparing to perform a fingerstick for a patient. Which of the following actions should the technician take first?
a)
A. Cleanse the site with an antiseptic wipe
b)
B. Select the appropriate part of the third or fourth finger
c)
C. Position the blade of the lancet across the lines of the fingertip
d)
D. Confirm the identity of the patient
13.
A phlebotomy technician is reviewing a laboratory test requisition form before obtaining blood specimens from a patient. Which of the following actions should the technician take prior to performing the venipunctures?
a)
A. Ensure the requisition form includes an accession number
b)
B. Review the patient's medication record
c)
C. Check the provider's availability
d)
D. Check the requisition form for duplicate test orders.
14.
After verifying a patient's identity, a phlebotomy technician sees that the patient's laboratory results are ready. Which of the following actions should the technician take?
a)
A. Have a laboratory manager discuss the results with the patient
b)
B. Have a nurse interpret the results for the patient
c)
C. Inform the patient to contact the ordering provider to obtain the results.
d)
D. Explain the results to the patient in a private exam room
15.
Which of the following actions should a phlebotomy technician take to maintain compliance with HIPAA?
a)
A. Discard test results into the office trash can
b)
B. Leave patient information next to the printer
c)
C. Clear phone numbers from the fax machine.
d)
D. Share passwords with other facility staff
16.
A phlebotomy technician is preparing to enter a patient's room to collect a blood specimen. Which of the following actions should the technician plan to take?
a)
A. Knock firmly on the patient's door
b)
B. Speak in a loud tone when addressing the patient
c)
C. Communicate name and department affiliation to the patient
d)
D. Place the specimen collection tray on the patient's bed
17.
A phlebotomy technician should identify that which of the following is the first step in the blood collection procedure?
a)
A. Test requisition.
b)
B. Preparing equipment
c)
C. Test accession
d)
D. Vein location
18.
An unconscious patient is brought to the emergency department, and several blood tests are ordered. A phlebotomy technician should collect the patient's blood because he has received which of the following types of consent?
a)
A. Implied consent
b)
B. Informed consent
c)
C. Expressed consent
d)
D. Explicit consent
19.
A phlebotomy technician is preparing to collect a timed medication draw ordered for 1400. The technician should verify when the patient received his previous dose of medication with which of the following members of the interprofessional team?
a)
A. Pharmacist
b)
B. Laboratory technologist
c)
C. Nurse
d)
D. Medical assistant
20.
Which of the following actions is a phlebotomy technician required to take before leaving a patient's room?
a)
A. Ask the patient for feedback
b)
B. Alert the nurse that she is leaving
c)
C. Initial and mark the date and time on each tube drawn
d)
D. Initial and mark the date and time on the requisition form
21.
A phlebotomy technician is preparing to perform a venipuncture on a patient. Which of the following types of consent is the patient providing when she extends her arm to begin the procedure?
a)
A. Expressed consent
b)
B. Implied consent
c)
C. Informed consent
d)
D. Full disclosure
22.
A phlebotomy technician is verifying a patient's identity before performing a venipuncture procedure. Which of the following information should the technician request from the patient?
a)
A. The patient's full name and date of birth
b)
B. The name of the patient's provider
c)
C. The patient's room and bed number
d)
D. The patient's city and state of birth
23.
A phlebotomy technician is preparing to draw a peak level for a medication that was administered orally to a patient. After verifying when the patient received the medication, how long should the technician wait prior to attempting the draw?
a)
A. 30 min after administration
b)
B. 2 hr after administration
c)
C. 15 min after administration
d)
D. 4 hr after administration
24.
A phlebotomy technician is preparing to collect a blood specimen from a patient. Which of the following statements should the technician make prior to performing the venipuncture?
a)
A. "You provider has requested this test"
b)
B. "I'm going to put my supplies here on your bedside table"
c)
C. "I already have supplies open to save time"
d)
D. "We can leave all the lights off during the procedure"
25.
The Joint Commission recommends using the patient's full name and which of the following pieces of information to ensure accurate inpatient identification?
a)
A. Insurance carrier
b)
B. Medical record number
c)
C. Laboratory requisition number
d)
D. Provider's name
26.
Before collecting blood from a patient in an inpatient setting, a phlebotomy technician notices that the patient does not have a wristband on his wrist, but there is one attached to the patient's IV stand. Which of the following actions should the technician take?
a)
A. Hold the draw until the nurse has attached a wristband
b)
B. Write "unable to draw" on the requisition form
c)
C. Verify the patient's identity with the wristband on the IV stand
d)
D. Ask the patient to confirm his identity
27.
A phlebotomy technician enters a patient's room to perform a venipuncture and finds the patient sleeping. Which of the following actions should the technician take?
a)
A. Return at a late time
b)
B. Write "unable to draw" on the requisition form
c)
C. Wait to draw until a nurse arrives
d)
D. Gently wake the patient
28.
Which of the following actions should a phlebotomy technician take when reporting laboratory results?
a)
A. Send the results to the patient's partner
b)
B. Send the results to the patient's personal e-mail
c)
C. Send the results to the patient's ordering provider.
d)
D. Send the result to the patent's Insurance office
29.
A phlebotomy technician is preparing to draw blood specimens from a patient who is alone and unresponsive. The technician should collect the specimens using which of the following forms of consent?
a)
A. Informed consent
b)
B. Full disclosure
c)
C. Expressed consent
d)
D. Implied consent
30.
A phlebotomy technician is processing a semen specimen. Which of the following actions should the technician take?
a)
A. Refrigerate the specimen
b)
B. Transport the specimen at room temperature
c)
C. Pour the specimen into a clean condom for transport
d)
D. Deliver the specimen to the laboratory within 2 hr
31.
A phlebotomy technician is informing a patient about how to enter a basal state for a blood collection. The technician should inform the patient not to consume food for how many hours prior to blood collection?
a)
A. 12 hr
b)
B. 6 hr
c)
C. 24 hr
d)
D. 15 hr.
32.
A phlebotomy technician is reviewing a laboratory test requisition form before obtaining blood specimens from a patient. Which of the following actions should the technician take prior to performing the venipuncture?
a)
A. Ensure the requisition form includes an accession number
b)
B. Review the patient's medication record
c)
C. Check the provider's availability
d)
D. Check the requisition form for duplicate test orders.
33.
A phlebotomy technician in an outpatient setting is identifying a patient before performing a venipuncture procedure. To confirm the patient's identity, which of the following questions should the technician ask?
a)
A. "Are you Mr. Chapman?"
b)
B. "Is this your name on the requisition?"
c)
C. "Would you please state and spell your full name and provide your date of birth?"
d)
D. "Is your name John C. Chapman?"
34.
Which of the following is a potential consequence of a phlebotomy technician mislabeling a blood bank specimen?
a)
A. A HIPAA violation
b)
B. A transfusion reaction
c)
C. A medical transcription error
d)
D. A pharmaceutical reaction
35.
A phlebotomy technician has requisition for collection fasting blood glucose and albumin specimens from a patient. Which of the following actions should the technician take before collection the patient's blood?
a)
A. Make sure the patient did not drink any fluids for the past 2 to 6 hr
b)
B. Assemble a green-topped heparin tube
c)
C. Make sure the patient has fasted for the past 8 to 12hr.
d)
D. Plan the specimen collection for the early afternoon
36.
A phlebotomy technician is following the Clinical and Laboratory Standards Institute (CLSI) clinical laboratory workflow pathway. As part of the post examination phase of this process. Which of the following actions should the technician take?
a)
A. Process the specimen
b)
B. Review and verity results
c)
C. Provide post-puncture care
d)
D. Enter critical laboratory data.
37.
A phlebotomy technician enters a patient's room to obtain a stat specimen. The patient's provider and a nurse are speaking with the patient. Which of the following action should the technician take first?
a)
A. Explain the procedure to the patient while setting up the supplies
b)
B. Introduce himself to the patient and the health care team member,
c)
C. Ask permission to proceed with obtaining the stat specimen
d)
D. Ask the patient which arm she prefers the technician to use
38.
Which of the following actions should a phlebotomy technician take when labeling specimens?
a)
A. Labeling specimens at the time collection and in the presence of the patient
b)
B. Specifying the patient's room number, last name, and date of birth on the label
c)
C. Keeping the specimens in the tray and labeling them in the laboratory
d)
D. Writing the technician's initials and the time on the label prior to collection
39.
A provider order a stat specimen, but a phlebotomy technician forgets to fill out the patient ID number on the collection tube. The technician should expect the laboratory that received the specimen to take which of the following actions?
a)
A. Process the specimen
b)
B. Correct the specimen's label
c)
C. Transfer the specimen to a properly labeled tube
d)
D. Reject the specimen
40.
A phlebotomy technician is explaining the venipuncture process to an adult patient. The patient nods frequently but appears confused. Which of the following actions should the technician take?
a)
A. Ask a family member of the patient to confirm if the patient understands
b)
B. Assume that the patient understands, and proceed with the procedure
c)
C. Rephrase the information for the patient.
d)
D. Repeat the information in a louder voice
41.
Which of the following is the first step in the blood collection procedure?
a)
a. Accessing the site.
b)
b. Patient verification
c)
c. Cleansing the site
d)
d. Test requisition
42.
A phlebotomy technician enters a patient's room to perform a venipuncture and notice that the patient is sleeping. Which of the following actions should the technician take?
a)
A. Perform the blood draw
b)
B. Return later in the day
c)
C. Wake the patient before collection.
d)
D. Write "unable to collect" on the requisition form
43.
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
44.
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
45.
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
46.
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
47.
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
48.
Information that is required for proper outpatient identification
a)
a. physicians name and test ordered
b)
b. Patient's name and date of birth.
c)
c. Patients SSN and date of order
d)
d. Patients age and gender
49.
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
50.
A fasting specimen would be for
a)
a. Creatine
b)
b. Thyroid
c)
c. Cholesterol
d)
d. Pregnancy
51.
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
52.
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 provider and obtain permission to draw from either arm
53.
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 provider’s name.
54.
You experience an accidental needle stick and discuss it with the patients partner; you are violating
a)
a. HIPAA
b)
b. Needlestick Safety and Prevention Act
c)
c. The Joint Commission
d)
d. OSHA
55.
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
56.
Drawing blood without consent results in charge of
a)
a. Battery
b)
b. Malpractice
c)
c. Breach of contract
d)
d. Negligence
57.
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
58.
What needs to be documented on a specimen label
a)
a. Your full name
b)
b. The patient's insurance provider
c)
c. Your certification number
d)
d. Patients medical record number.
59.
On 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
60.
If You let your coworker use your credentials and she is from another department you are violating
a)
a. OSHA
b)
b. HIPAA
c)
c. CLIA
d)
d. FDA
61.
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
62.
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.
Which test can be used for fasting patients?
a)
a. BUN and Alkaline phosphatase
b)
b. Creatine and total protein
c)
c. Glucose and triglycerides
d)
d. Lactate dehydrogenase and albumin
64.
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
65.
Measuring a patient's serum cortisol level, what would you consider?
a)
a. Prandial status
b)
b. Body temperature
c)
c. Alcohol consumption
d)
d. Time of day
66.
Identifying a child for venipuncture. what information should you use to identify the patient
a)
a. Identification by the patient’s nurse
b)
b. The room number
c)
c. The door card
d)
d. From another phlebotomist
67.
What information should the doctor’s office provide for labs?
a)
a. Encounter form
b)
b. Lab accession number
c)
c. Lab requisition form.
d)
d. Doctors NPI number
68.
Which test can be used for fasting patients?
a)
A. BUN
b)
B. Cr
c)
C. HDL
d)
D. B-12
69.
When is cortisol administer?
a)
A. 2300hr
b)
b. 008hr
c)
C. 005hr
d)
D. 1300hr
100 %
