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NCCT Phlebotomy Tech Practice

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Quiz on NCCT Phlebotomy Tech Practice, created by jRoxy13 on 30/04/2014.
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Quiz by jRoxy13, updated more than 1 year ago
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Resource summary

Question 1

Question
Treating all lab specimens as if they are hazardous and infectious is the basis for ______?
Answer
  • patient quarantine systems
  • quality assurance programs
  • universal precautions
  • hazardous waste controls

Question 2

Question
If you have received vaccination for Hepatitis B, what would be the next most common exposure?
Answer
  • HIV
  • Hepatitis C
  • Chicken pox
  • West Nile virus

Question 3

Question
Microorganisms that cause disease are _____?
Answer
  • pathogens
  • normal flora
  • non-pathogenic
  • None of the above

Question 4

Question
The most frequent LAB nosocomial infection is ______?
Answer
  • HIV
  • HAV
  • HBV
  • HCV

Question 5

Question
A patient who has diarrhea or gastroenteritis bacteria is placed in which type of isolation?
Answer
  • Enteric isolation
  • Respiratory isolation
  • Reverse isolation
  • Strict isolation

Question 6

Question
When a patient needs to be protected because they have an immune system compromise, they are placed in _______?
Answer
  • enteric isolation
  • respiratory isolation
  • reverse isolation
  • strict isolation

Question 7

Question
When a patient has a highly contagious illness, they are placed in which type of isolation?
Answer
  • Enteric isolation
  • Respiratory isolation
  • Reverse isolation
  • Strict isolation

Question 8

Question
OSHA regulates and enforces standard precautions.
Answer
  • True
  • False

Question 9

Question
Hepatitis C is not a threat to healthcare workers.
Answer
  • True
  • False

Question 10

Question
AIDS is an example of a blood-borne disease.
Answer
  • True
  • False

Question 11

Question
An incident report is not necessary after a needle stick.
Answer
  • True
  • False

Question 12

Question
All needles must be placed in a sharps container.
Answer
  • True
  • False

Question 13

Question
Lab coats are not contaminated and can be worn in the cafeteria.
Answer
  • True
  • False

Question 14

Question
On the National Fire chart, "O" is the most dangerous.
Answer
  • True
  • False

Question 15

Question
Contamination means unclean.
Answer
  • True
  • False

Question 16

Question
OSHA stands for Occupational Safety and Health Administration
Answer
  • True
  • False

Question 17

Question
AIDS stands for Acquired Immune Deficiency Syndrome
Answer
  • True
  • False

Question 18

Question
An evacuated tube system for venipuncture consists of all but which one of these items?
Answer
  • Vacuum collection tube
  • Adapter
  • Phlebotomy tray
  • Multi-sample needle

Question 19

Question
Which of these factors will result in failure to obtain blood during collection?
Answer
  • Leaving tourniquet on the arm
  • Patient taking medication
  • Insufficient needle depth
  • Making a fist

Question 20

Question
A tube holder (adapter) that has been visibly contaminated with blood should be disposed of in _______?
Answer
  • a sealed bag
  • the regular trash
  • biohazard waste container
  • sharps container

Question 21

Question
The greatest number of phlebotomist drawing injuries occur with the use of ________?
Answer
  • butterfly needles (winged infusion sets)
  • evacuated tube draws
  • capillary draws
  • tube holders

Question 22

Question
When using tubes with additives, how soon after collection should mixing begin?
Answer
  • As soon as the tube clots
  • As long as it's within 5 minutes
  • Immediately after collection

Question 23

Question
An adapter for a vacuum tube system is called a vacuum tube holder.
Answer
  • True
  • False

Question 24

Question
Blood drawn in a non-additive tube, and then centrifuged, yields plasma.
Answer
  • True
  • False

Question 25

Question
An anticoagulant prevents blood from clotting.
Answer
  • True
  • False

Question 26

Question
A butterfly needle (winged infusion set) is used for hand veins and difficult draws.
Answer
  • True
  • False

Question 27

Question
As the gauge of a needle gets bigger, the interior bore of the needle gets bigger.
Answer
  • True
  • False

Question 28

Question
The tourniquet is used in venipuncture to find and enter into the vein more easily.
Answer
  • True
  • False

Question 29

Question
EDTA is in which color tube?
Answer
  • Blue
  • Red
  • Lavender
  • Yellow
  • Green

Question 30

Question
Heparin is in which color tube?
Answer
  • Blue
  • Red
  • Lavender
  • Yellow
  • Green

Question 31

Question
Which color tube has no additive?
Answer
  • Blue
  • Red
  • Lavender
  • Yellow
  • Green

Question 32

Question
Sodium citrate is in which color tube?
Answer
  • Blue
  • Red
  • Lavender
  • Yellow
  • Green

Question 33

Question
ACD is in which color tube?
Answer
  • Blue
  • Red
  • Lavender
  • Yellow
  • Green

Question 34

Question
What does post prandial mean?
Answer
  • Fasting
  • Before a meal
  • After a meal
  • None of the above

Question 35

Question
What is blood in the urine called?
Answer
  • Hematuria
  • Abnormal
  • Painful
  • Petechiae

Question 36

Question
A word meaning "kidney" is ____.
Answer
  • hepato-
  • lipo-
  • entero-
  • nephro-

Question 37

Question
A word meaning "liver" is ____.
Answer
  • entero-
  • hepato-
  • ren-
  • nephro-

Question 38

Question
A prefix that means "a decreased amount" is ______.
Answer
  • a-/an-
  • hypo-
  • hyper-
  • incr-

Question 39

Question
A prefix meaning "an excessive amount" is ____.
Answer
  • a-/an-
  • hypo-
  • hyper-
  • incr-

Question 40

Question
A prefix meaning "without" is ____.
Answer
  • a-/an-
  • hypo-
  • hyper-
  • incr-

Question 41

Question
The suffix meaning "surgical incision" is _____.
Answer
  • -ectomy
  • -itis
  • -trophy
  • -otomy

Question 42

Question
The word meaning "inflammation" is _____.
Answer
  • -ectomy
  • hypo-
  • hyper-
  • -itis

Question 43

Question
The word meaning vein is ______.
Answer
  • phlebo-
  • pulmon-
  • thromb-
  • hepato-

Question 44

Question
Which gland is often called the master gland?
Answer
  • Thyroid
  • Pituitary
  • Brain
  • Kidney

Question 45

Question
What is the main function of the kidneys?
Answer
  • To store urine
  • To eliminate fluid waste products
  • To aid in the digestive process
  • None of the above

Question 46

Question
The systemic veins carry ______.
Answer
  • deoxygenated blood away from the heart
  • deoxygenated blood back to the heart
  • oxygenated blood to the heart
  • oxygenated blood away from the heart

Question 47

Question
Which body system is primarily involved with breathing?
Answer
  • Reproductive system
  • Respiratory system
  • Nervous system
  • Digestive system

Question 48

Question
The heart is part of which system?
Answer
  • Respiratory
  • Skeletal
  • Reproductive
  • Cardiovascular

Question 49

Question
A patient who stays overnight in the hospital is called a/an _________?
Answer
  • inpatient
  • consumer
  • resident
  • outpatient

Question 50

Question
Which body system filters blood to eliminate waste, help maintain blood pH, and regulate water balance?
Answer
  • Respiratory
  • Urinary
  • Nervous
  • Cardiovascular

Question 51

Question
The hematology department is involved in testing _______.
Answer
  • red blood cells
  • white blood cells
  • Platelets
  • All of the above

Question 52

Question
What is the most common test run in hematology?
Answer
  • Cholesterol test
  • Urinalysis
  • Hemogram
  • Pregnancy test

Question 53

Question
A urinalysis involves running a chemical test on urine.
Answer
  • True
  • False

Question 54

Question
Platelets are involved in blood clotting.
Answer
  • True
  • False

Question 55

Question
Arteries carry blood back to the heart.
Answer
  • True
  • False

Question 56

Question
Veins are bigger than arteries.
Answer
  • True
  • False

Question 57

Question
Plasma is the liquid part of the blood.
Answer
  • True
  • False

Question 58

Question
There is more pressure on veins than arteries.
Answer
  • True
  • False

Question 59

Question
Venous blood is used most often for blood tests.
Answer
  • True
  • False

Question 60

Question
The buffy coat contains white blood cells and platelets.
Answer
  • True
  • False

Question 61

Question
Red blood cells have hemoglobin and carry oxygen to cells.
Answer
  • True
  • False

Question 62

Question
The study of blood is called hematology.
Answer
  • True
  • False

Question 63

Question
What additive is in the lavender collection tube?
Answer
  • EDTA
  • Sodium heparin
  • Ethyleneadiaminetetraacetic acid
  • Both EDTA and Ethyleneadiaminetetraacetic acid are correct

Question 64

Question
What additive is in the red speckled (SST) collection tube?
Answer
  • Sodium heparin
  • Gel with serum separation
  • No additive
  • EDTA

Question 65

Question
What additive is in the green collection tube?
Answer
  • Lithium heparin
  • Potassium oxalate
  • Sodium citrate
  • EDTA

Question 66

Question
What additive is in the red collection tube?
Answer
  • EDTA
  • Sodium heparin
  • Clot activator gel
  • No additive

Question 67

Question
What additive is in the grey collection tube?
Answer
  • Lithium heparin
  • Sodium fluoride
  • Potassium oxalate
  • Both sodium fluoride and potassium oxalate

Question 68

Question
What additive is in the light blue collection tube?
Answer
  • Sodium heparin
  • Sodium citrate
  • Sodium fluoride
  • Sodium polyanethole sulfonate

Question 69

Question
Which tube would be used for hematology testing (ex.: WBC)?
Answer
  • Lavender top tube
  • Light blue top tube
  • Red top tube
  • Green top tube

Question 70

Question
Which tube would be used for a serum specimen?
Answer
  • Lavender top tube
  • Speckled top tube
  • Red top tube
  • Both speckled and red top tubes

Question 71

Question
Which tube needs to be chilled for coagulation studies?
Answer
  • Red top tube
  • Green top tube
  • Yellow top tube
  • Light blue top tube

Question 72

Question
Which vein is used most often for venipuncture?
Answer
  • Cephalic
  • Basilic
  • Median cubital
  • Radial

Question 73

Question
The tourniquet is placed how far above the antecubital area?
Answer
  • 5-7 inches
  • 4-6 inches
  • 3-4 inches
  • 1-2 inches

Question 74

Question
How much blood does the average adult have?
Answer
  • .05 liters
  • 5 liters
  • 50 liters
  • 15 liters

Question 75

Question
How many times should a collection tube with an additive be inverted?
Answer
  • 1-2 times
  • 3-4 times
  • 5-10 times
  • None of the above

Question 76

Question
Which needle has the smallest gauge?
Answer
  • 23
  • 18
  • 21
  • 16

Question 77

Question
Which can be used for a finger stick collection?
Answer
  • Unopette
  • Microtainer
  • Capillary tube
  • All of the above

Question 78

Question
What does OSHA stand for?
Answer
  • Occupation Safety and Health Administration
  • Occupation Safety and Health Association
  • Occupational Safety and History Association
  • Occupational Supplies and Health Association

Question 79

Question
When drawing blood using additive tubes, the phlebotomist must remember all but which one of these collection requirements?
Answer
  • Mix tubes to keep the blood from clotting
  • Fill the tubes until all vacuum has expired
  • Fill in the correct order
  • Keep tourniquet tied until last tube is filled

Question 80

Question
Tiny clots may appear in anticoagulated tubes due to ________.
Answer
  • insufficient mixing
  • centrifuging too slowly
  • an inadequate amount of blood
  • traumatized platelets

Question 81

Question
In hospitals and clinics, the most frequently used needle has a ______ gauge.
Answer
  • 24
  • 21
  • 18
  • 15

Question 82

Question
The depth of a heel puncture cannot exceed _______.
Answer
  • 5.3 mm
  • 2.0 mm
  • 1.3 mm
  • 3.0 mm

Question 83

Question
The fragile skin of very ill infants may require phlebotomists to find an alternative for which post-puncture step?
Answer
  • Labeling tubes
  • Using adhesive tape
  • Removing the tourniquet
  • Calming the infant

Question 84

Question
There are many bruises on both arms of a 5-year-old child who has had CBCs drawn every day for a month. What collection change could be considered next for the daily CBCs until the bruises have healed?
Answer
  • Microcollection by fingerstick
  • Venipuncture in the ankle
  • Using smaller collection tubes
  • Trying a syringe draw from the forearm

Question 85

Question
To reduce pain when performing venipuncture on a child, a physician can apply ______ to the skin.
Answer
  • topical antiseptic
  • topical anesthetic (EMLA)
  • a tighter tourniquet
  • warming lights

Question 86

Question
If low weight infants have too much blood drawn, they may be in danger of _____.
Answer
  • bilirubinuria
  • hemoglobinuria
  • becoming anemic

Question 87

Question
What should be used to help bleeding on an infant heel?
Answer
  • An ice compress
  • Lancing with the grain
  • Pre-warming the heel
  • Multiple punctures

Question 88

Question
Which would be least appropriate in pediatric venipuncture?
Answer
  • Winged infusion set (butterfly needle)
  • 1 or 3 cc syringe
  • 15 gauge needle
  • Pediatric-sized tubes

Question 89

Question
Squeezing the finger too vigorously during collection can cause erroneous lab test results due to ________.
Answer
  • skin contamination
  • blood cell concentration
  • clotting at the puncture site
  • dilution with tissue fluid

Question 90

Question
Capillary blood collection would be a good choice for testing when ______.
Answer
  • multiple tests are ordered
  • veins are fragile or bruised
  • large amounts of blood are needed
  • pure arterial blood is required

Question 91

Question
Finger puncture on adults is most often performed on the ______.
Answer
  • First or second finger
  • Fifth finger
  • Third or fourth finger
  • Heel or foot

Question 92

Question
Which is the preferred location for an infant heel puncture?
Answer
  • Previous location
  • Posterior curve
  • Medial or lateral aspect
  • Any location

Question 93

Question
The proper technique for collecting capillary blood is _______.
Answer
  • use the thumb because it is the largest
  • puncture more than once to get good flow
  • squeeze hard to get the blood quickly
  • wipe away the first drop of blood

Question 94

Question
Pre-warming the heel of an infant encourages bleeding.
Answer
  • True
  • False

Question 95

Question
The finger should be punctured at an angle perpendicular to the fingerprint.
Answer
  • True
  • False

Question 96

Question
When the tourniquet is placed on too tight, capillaries may rupture, causing _______.
Answer
  • rash
  • pain
  • urticaria
  • petechiae

Question 97

Question
What factors should be considered in site selection prior to venipuncture?
Answer
  • Scars and burns
  • Edema
  • Mastectomy
  • All of the above

Question 98

Question
Veins that are hard and cord-like are called ______.
Answer
  • torturous
  • hematoma
  • sclerosed
  • collapsed

Question 99

Question
When a tourniquet is left on a patient's arm too long, which of the following can occur?
Answer
  • Petechiae
  • Hemolysis
  • Hemoconcentration
  • Collapsed vein

Question 100

Question
The term that means rupturing of red blood cells is _____.
Answer
  • hemostasis
  • homestasis
  • hemolysis
  • hematoma

Question 101

Question
Which of the following is probably the most common complication from phlebotomy?
Answer
  • Convulsions
  • Short draw
  • Hypovolemia
  • Hematoma

Question 102

Question
Which procedure is generally performed by a nurse or respiratory therapist?
Answer
  • Glucose tolerance test
  • Arterial blood gases
  • Heel stick on infant
  • IV bleeding time

Question 103

Question
Aspirin may affect a patient's ______.
Answer
  • blood culture results
  • bleeding time (platelet function analysis)
  • blood draw
  • glucose level

Question 104

Question
A hematoma can be prevented if _______.
Answer
  • pressure is placed on the vein until bleeding has stopped
  • a bandage is placed on the vein after the needle is removed
  • the needle is removed before the tourniquet is released

Question 105

Question
The accumulation of extravascular fluid in the arm is called _______.
Answer
  • edema
  • hematoma
  • thrombus
  • synovial fluid

Question 106

Question
Cleanse the vein in a circular motion from the center to the ______.
Answer
  • peripheral edge
  • injection point
  • opposite side you started from
  • None of the above

Question 107

Question
The angle of a needle entering a vein should be ______.
Answer
  • 10 degrees
  • 12 degrees
  • 15 degrees
  • 90 degrees

Question 108

Question
A woman who has had a mastectomy ______.
Answer
  • poses no complications for blood draws
  • can have an increased risk of infection on the mastectomy side
  • will always have problems from tourniquet use
  • should never have blood drawn again

Question 109

Question
Edema can cause _______.
Answer
  • swelling in venipuncture site
  • dilution of the blood sample
  • difficulty in feeling veins
  • All of the above

Question 110

Question
When a patient becomes faint, symptoms might include _______.
Answer
  • perspirations
  • pale skin
  • clammy skin
  • All of the above

Question 111

Question
When a hematoma starts to form while drawing blood, ignore it until you fill all tubes needed.
Answer
  • True
  • False

Question 112

Question
Tubes should be labeled after the blood is drawn.
Answer
  • True
  • False

Question 113

Question
Order of tube draw is not important.
Answer
  • True
  • False

Question 114

Question
Anchoring a vein prevents it from rolling.
Answer
  • True
  • False

Question 115

Question
A thrombosed vein is often chosen for venipuncture.
Answer
  • True
  • False

Question 116

Question
Keeping the tourniquet on for too short a time causes hemoconcentration.
Answer
  • True
  • False

Question 117

Question
The color of normal serum is usually straw to yellow.
Answer
  • True
  • False

Question 118

Question
When should a phlebotomist follow universal precautions?
Answer
  • When a patient is known to be infectious
  • While working in a hospital laboratory
  • Whenever a phlebotomy procedure is performed
  • None of the above

Question 119

Question
What type of protection must a phlebotomist use?
Answer
  • Lab coat
  • Gloves
  • Face shield
  • All of the above

Question 120

Question
The proper way to dispose of a needle is to ____.
Answer
  • put it in the sharps container
  • throw it into a biohazard bag
  • activate the safety feature and put it in the sharps container
  • collect all needles in a cup and dispose of them later

Question 121

Question
The proper way to dispose of a needle is to ____.
Answer
  • put it in the sharps container
  • throw it into a biohazard bag
  • activate the safety feature and put it in the sharps container
  • collect all needles in a cup and dispose of them later

Question 122

Question
What should a phlebotomist do first when a patient has a fainting episode while having their blood drawn?
Answer
  • Apply a cold compress
  • Remove the needle
  • Remove the tourniquet
  • Use an ammonia inhalant

Question 123

Question
Wheat is the correct ending procedure?
Answer
  • Remove needle, apply pressure
  • Remove tourniquet, remove needle, apply pressure
  • Remove tourniquet, remove tube, remove needle
  • Remove tourniquet, remove tube, remove needle, apply pressure

Question 124

Question
This OSHA regulation requires that all healthcare personnel receive vaccinations for ________.
Answer
  • hepatitis A
  • hepatitis B
  • hepatitis C
  • hepatitis Delta

Question 125

Question
A specimen may be rejected by the lab if ______.
Answer
  • the tube is not full
  • the specimen hemolyzed
  • the tube was not transported properly
  • All of the above

Question 126

Question
The best way to locate a vein is to _______.
Answer
  • ask the patient where their best veins are
  • memorize the diagram of arm veins
  • palpate (feel) the antecubital space with your finger
  • None of the above

Question 127

Question
When labeling tubes, the following information should be included, except _______.
Answer
  • patient name and birth date
  • time of collection
  • diagnosis
  • phlebotomist's initials

Question 128

Question
When identifying a patient, the phlebotomist must _____.
Answer
  • ask the patients name and date of birth
  • just draw the patient - no questions
  • check paperwork or chart
  • Both ask the patients name and date of birth and check paperwork or chart

Question 129

Question
As written in the patient bill of rights, s patient has the right to _____.
Answer
  • confidentiality
  • informed consent
  • know the name of the phlebotomist
  • All of the above

Question 130

Question
Inspecting the bevel prior to drawing, the phlebotomist looks to see if ______.
Answer
  • there are defects
  • there are burrs
  • the bevel is facing upward
  • All of the above

Question 131

Question
If a phlebotomist is accidentally stuck with a needle, they should ______.
Answer
  • put a bandage on it
  • tell their supervisor
  • rinse with water
  • lick their finger clean

Question 132

Question
If a patient has an IV in their arm, the phlebotomist should _____.
Answer
  • draw blood from the IV line
  • ask the nurse to remove the IV
  • draw blood from below the IV line
  • draw blood from above the IV line

Question 133

Question
Tourniquets should remain in place for _______.
Answer
  • at least 3 minutes
  • the entire time of the draw
  • no longer than 1 minute
  • None of the above

Question 134

Question
Which of these specimens is normally sterile?
Answer
  • Throat swab
  • Stool specimen
  • Blood specimen
  • Wound swab

Question 135

Question
If a tube breaks while centrifuging, what action would be best?
Answer
  • Evacuate room, open lid, remove tube with forceps
  • Open lid, stop centrifuge, remove tubes wearing gloves
  • Let centrifuge stop, open lid, remove tube with forceps
  • Tip centrifuge over and shake tubes out

Question 136

Question
Drawing areas and the lab are decontaminated with what percentage bleach?
Answer
  • 1:15
  • 1:10
  • 1:20
  • 1:100

Question 137

Question
Which is a common disinfectant used for collecting blood cultures?
Answer
  • Chlorhexidine
  • Methanol
  • Alcohol
  • Lidocaine

Question 138

Question
The rubber sleeve on an evacuated tube needle makes it possible for use with _____.
Answer
  • multiple tubes
  • sterile techniques
  • intravenous drips
  • None of the above

Question 139

Question
A possible tube breakage during centrifugation might be due to _______.
Answer
  • too much blood in the tube
  • an unbalanced centrifuge
  • not enough blood in the tube
  • centrifuging for too long

Question 140

Question
Which national organization that establishes standards for phlebotomy procedures recently changed its name to Clinical Laboratory Standards Institute (CLSI)?
Answer
  • OSHA
  • JCAHO
  • NCCLS
  • TQM

Question 141

Question
HIPAA requires the Department of Health and Human Services to establish national standards for _________.
Answer
  • continued access of health insurance
  • electronic health care transactions
  • Medicare and Medicaid
  • improving clinical laboratories

Question 142

Question
The Centers for Medicare and Medicaid regulate all laboratory testing that is performed in the US through _____.
Answer
  • CLIA (Clinical Lab Improvement Amendment)
  • HIPAA (Health Insurance Portability and Accountability Act)
  • ASCP (American Society for Clinical Pathology)
  • JCAHO (Joint Commission on Accreditation Healthcare Organization)

Question 143

Question
Which globally recognized, voluntary organization develops and distributes standards and guidelines to improve medical testing?
Answer
  • JCAHO
  • ASCP
  • NCCLS
  • NAACLS

Question 144

Question
In order to monitor therapeutic drug levels, the lab needs to know the ______.
Answer
  • pharmacy name and number
  • number of pills left to take
  • time of last dose taken
  • time of next dose to be taken

Question 145

Question
What initial patient preparation is required for a glucose tolerance test (GTT)?
Answer
  • Make sure the patient has eaten at least 2 hours before
  • Ask the patient whether insulin has been taken yet
  • Make sure patient has been fasting fro 10-12 hours
  • Make sure to collect a first morning urine specimen

Question 146

Question
Which of the following has the highest incidence among healthcare workers?
Answer
  • TB
  • Hepatitis B
  • HIV/AIDS
  • Hepatitis C

Question 147

Question
To confirm diabetes mellitus or hyperglycemia, what test would be ordered?
Answer
  • Postprandial sucrose test
  • Lactose intolerance test
  • Hemoglobin A1C test
  • Glucose tolerance test

Question 148

Question
Which of these is considered a time-dependent test?
Answer
  • Hemogram
  • Glucose tolerance
  • Direct bilirubin
  • Platelet count

Question 149

Question
A glucose meter is an important way to monitor the medical condition of patients with ________.
Answer
  • systemic lupus erythematous
  • diabetes mellitus
  • iron deficiency anemia
  • chronic leukemia

Question 150

Question
Whenever a glucose meter is cleaned or its batteries are changed, it is crucial to ______.
Answer
  • call clinical support for assistance
  • recheck monitor with controls
  • notify the manufacturer for QC instructions
  • double-check the next couple of patient tests

Question 151

Question
One possible cause for finding fibrin strands in serum tubes after centrifugation might be _____.
Answer
  • centrifuging for too long
  • centrifuging before the tube has formed a clot
  • centrifuging at too high of a speed
  • centrifuging after a long delay

Question 152

Question
If samples collected for urinalysis and blood testing are accidentally lost for 2 weeks, can they still be used?
Answer
  • No.
  • Yes, if the tops have not been opened.
  • Yes, if tested in the next 24 hours.
  • Yes, if they are refrigerated until tested.

Question 153

Question
Why do phlebotomists use a tourniquet?
Answer
  • To elevate blood pressure
  • To dull the pain at the needle site
  • To help locate veins in the antecubital area
  • To distract the patient while drawing

Question 154

Question
Two samples are sent to the lab in the same bag. Both tubes have the same patient name written on them but two different requisitions. What is the best action to take?
Answer
  • Call the physician to ask if it's okay to run the samples.
  • Ask the patients if they can identify their sample.
  • Arrange to recollect both samples.
  • Just guess which tube matches which paperwork.

Question 155

Question
Which of these is not an example of parenteral transmission of an infection?
Answer
  • Infection through a hangnail
  • Eye/hand contamination
  • Needle stick injury
  • Drinking contaminated water

Question 156

Question
Which lab test evaluates extrinsic coagulation function?
Answer
  • Prothrombin time (PT)
  • Extracorpeal circulation workup (ECC)
  • Lupus anticoagulation test (LAT)
  • Activated partial thromboplastin time (APTT)

Question 157

Question
A cholesterol panel provides the most useful information to the physician if it is drawn _____.
Answer
  • without a tourniquet
  • along with electrolytes
  • right after a fatty meal
  • while the patient is fasting

Question 158

Question
Which of the following tests should be kept warm after collection and delivered to the lab as soon as possible?
Answer
  • Hemogram
  • Type and crossmatch
  • Urinalysis
  • Cold agglutinins

Question 159

Question
OSHA requires training and educational information be given to phlebotomists on all but which of the following topics?
Answer
  • Blood-borne pathogens
  • Preventing identification errors
  • Needle safety and handling
  • Glass and sharps disposal

Question 160

Question
According the the College of American Pathologists (CAP), phlebotomists are involved primarily in which phase of lab testing?
Answer
  • Pre-analytical
  • Analytical
  • Post-analytical
  • None are correct

Question 161

Question
The National Fire Protection Association labels would use which color and number to indicate that a chemical is easily dispersed in air and will burn readily?
Answer
  • Red, 4
  • White, 2
  • Red, 1
  • Yellow 3

Question 162

Question
The abbreviation QNS would be written on a requisition for redraw because ______.
Answer
  • the patient was combative
  • the test was cancelled earlier
  • there wasn't enough specimen to run tests
  • the patient was an easy draw

Question 163

Question
The right to know law requires chemical manufacturers to supply what information along with their products?
Answer
  • Free fire extinguishers
  • Disposable containers
  • Material Safety Data sheets
  • Radioactive warning signs

Question 164

Question
Ensuring that services and results compare with accepted standards is the foundation for ______.
Answer
  • quality assurance
  • standard deviation
  • statistical analysis
  • coefficient of variation

Question 165

Question
Healthcare workers can demonstrate an awareness of safety in hospital corridors by ______.
Answer
  • turning corners carefully to avoid collisions
  • quickly reporting items that require clean up
  • granting right-of-way to patients and emergencies
  • All of the above

Question 166

Question
Why is it important to keep a record of all patient specimens collected and tested?
Answer
  • For pre-analytical quality control
  • For analytical quality control
  • For post-analytical quality control
  • To meet AMA guidelines

Question 167

Question
Which of these diseases is caused by a blood-borne pathogen?
Answer
  • Cystitis
  • Chicken pox
  • Influenza
  • Malaria

Question 168

Question
Communications between physicians and patients are considered privileged, which means that medical records are ______.
Answer
  • confidential in nature and protected
  • not open to the patients themselves
  • freely open to anyone
  • accessible to any healthcare worker

Question 169

Question
When mailing blood specimens to a reference lab, the outside label should clearly show ______.
Answer
  • biohazard warning sign
  • "In case of breakage, send to CDC"
  • full name and address of lab
  • All of the above

Question 170

Question
Which of these is not part of the Patient Bill of Rights?
Answer
  • Right of refusal of treatment
  • Right to select preferred caregivers
  • Right to informed consent of care
  • Right to accurate information about care

Question 171

Question
Medical ethics defines conduct within the medical profession that is deemed to be _____.
Answer
  • moral or immoral
  • negligent
  • right or wrong
  • related to malpractice

Question 172

Question
As part of the quality assurance process that ensures accuracy in lab test results, healthcare workers who collect and perform lab testing must demonstrate ongoing ______.
Answer
  • competency
  • empathy
  • compliance
  • intelligence

Question 173

Question
AIDS stands for ______.
Answer
  • autoimmune deficiency symptoms
  • acquired immune deficiency syndrome
  • acquired infectious disease state
  • accidental inflammation disease state

Question 174

Question
The federal government requires that specimens be transported or shipped in what type of container?
Answer
  • Plastic
  • Water-tight
  • Metal-rimmed
  • Egg crate

Question 175

Question
Containers used to dispose of sharps must have all these characteristics except being ______.
Answer
  • mold-resistant
  • spill-proof
  • tamper-proof
  • puncture-resistant

Question 176

Question
The purpose of quality control is to ______.
Answer
  • check machinery
  • list all mistakes made
  • ensure that patient care is provided
  • All of the above

Question 177

Question
If a patient becomes combative while having his/her blood drawn, the phlebotomist should _____.
Answer
  • force patient to stay still
  • transfer control to [of?] patient
  • ignore patient and refuse to draw them
  • report patient to security

Question 178

Question
The primary methods of performing a venipuncture include ______.
Answer
  • syringe
  • butterfly (winged infusion set)
  • evacuated tube
  • All of the above

Question 179

Question
The preferred method used for cleaning a venipuncture site is _____.
Answer
  • soap and water
  • 10% alcohol
  • 70% alcohol
  • betadine

Question 180

Question
The proper method of locating a vein is _____.
Answer
  • palpating
  • applying cold water
  • memorizing a diagram of the arm veins
  • using a blood pressure cuff

Question 181

Question
The average depth of skin puncture is _____.
Answer
  • 4.0 mm
  • 1.5 mm
  • 2.0 mm
  • 3.4 mm

Question 182

Question
The evacuated tube used for coagulation tests is _________.
Answer
  • red top
  • lavender top
  • yellow top
  • light blue top

Question 183

Question
The preferred finger when performing skin puncture is the _____.
Answer
  • index finger
  • thumb
  • little finger
  • third or fourth finger

Question 184

Question
The evacuated tube used for blood (typing) banks is ______.
Answer
  • yellow top
  • red top
  • green top
  • marble top

Question 185

Question
The evacuated tube used for chemistry is ______.
Answer
  • light blue top
  • red or marble top
  • lavender top
  • yellow top

Question 186

Question
Serum is collected from what color tube?
Answer
  • Lavender top
  • Red top
  • Marble top
  • Both red and marble top

Question 187

Question
Plasma is collected from what color tube?
Answer
  • Red top
  • Green top
  • Lavender top
  • Both green and lavender top

Question 188

Question
The tube of choice for hematology is _______.
Answer
  • lavender top
  • light blue top
  • red top
  • grey top

Question 189

Question
The vein most often used for venipuncture is the _______.
Answer
  • antecubital
  • basilic
  • median cubital
  • radial artery

Question 190

Question
What is the additive in lavender top tubes?
Answer
  • EDTA
  • ACD
  • Sodium citrate
  • SPS

Question 191

Question
What is the additive in green top tubes?
Answer
  • Lithium heparin
  • Potassium oxalate
  • Sodium fluoride
  • SPS

Question 192

Question
What is the additive in grey top tubes?
Answer
  • Lithium heparin
  • Sodium heparin
  • Potassium oxalate
  • EDTA

Question 193

Question
What is the additive in light blue top tubes?
Answer
  • Sodium heparin
  • Sodium citrate
  • Sodium fluoride
  • EDTA

Question 194

Question
What is the additive in red top tubes?
Answer
  • EDTA
  • Sodium heparin
  • Clot activator gel
  • No additive

Question 195

Question
Which needle has the smallest gauge?
Answer
  • 23
  • 18
  • 21
  • 16

Question 196

Question
What is the correct order of draw?
Answer
  • Lavender, red, light blue, yellow, green
  • Yellow, red, light blue, lavender, green
  • Red, light blue, yellow, lavender, green
  • Yellow, light blue, red, green, lavender

Question 197

Question
Tourniquets should remain on the arm for how long?
Answer
  • 3 minutes
  • Entire time of draw
  • 1 minute
  • As long as you want

Question 198

Question
Excessive milking of a skin puncture ______.
Answer
  • can cause the blood sample to be hemolyzed
  • should be avoided
  • can cause dilution with tissue fluid
  • All of the above

Question 199

Question
Patients with diarrhea/gastroenteritis bacteria are placed in _____.
Answer
  • enteric isolation
  • respiratory isolation
  • reverse isolation
  • strict isolation

Question 200

Question
When a patient is highly contagious, they are placed in ______.
Answer
  • enteric isolation
  • respiratory isolation
  • reverse isolation
  • strict isolation

Question 201

Question
When should a phlebotomist follow universal precautions?
Answer
  • When a patient is known to be infectious
  • While working in a hospital
  • Whenever a phlebotomy procedure is performed
  • None of the above

Question 202

Question
The proper way to dispose of a needle is to ______.
Answer
  • put it in a sharps container
  • throw it out in a biohazard bag
  • activate the safety feature and put it in a sharps container
  • collect a bunch in a cup and dispose of them later

Question 203

Question
Microorganisms that cause a disease are _____.
Answer
  • pathogens or pathogenic
  • normal flora
  • non pathogenic
  • None of the above

Question 204

Question
When a tourniquet is placed on too tightly, what can happen?
Answer
  • A rash
  • Pain
  • A nevus
  • Petechiae

Question 205

Question
The tourniquet is placed how far above the draw site?
Answer
  • 5-7 inches
  • 4-6 inches
  • 3-4 inches
  • 1-2 inches

Question 206

Question
Factors to consider in site selection when drawing are ________.
Answer
  • scars or burns
  • edema
  • mastectomy
  • All of the above

Question 207

Question
Veins that are hard and cord like are called ______.
Answer
  • hematoma
  • sclerosed
  • collapsed
  • torturous

Question 208

Question
Collection tubes with additives need to be inverted ______.
Answer
  • 1 time
  • 5-10 times
  • 0 times
  • as many times as desired

Question 209

Question
When a tourniquet is left on the arm too long, _______ can happen.
Answer
  • hemolysis
  • petechiae
  • hemoconcentration
  • a collapsed vein

Question 210

Question
What is the most common complication for phlebotomy?
Answer
  • Convulsions
  • Short draw
  • Hypovolemia
  • Hematoma

Question 211

Question
Which of the following means thrombocytopenia?
Answer
  • Low white blood count
  • Low platelet count
  • Low red blood count
  • Low blood level

Question 212

Question
Thrombophlebitis means _____.
Answer
  • a blood clot in the heart
  • a hard blood draw
  • inflammation of a vein with a clot
  • inflammation of the thyroid gland

Question 213

Question
Proper technique for collecting capillary blood is to _______.
Answer
  • use the thumb because it is the largest
  • puncture more than once to get more blood
  • squeeze hard to get blood quickly
  • wipe away the first drop of blood

Question 214

Question
If a patient has an IV in their arm, the phlebotomist should _____.
Answer
  • draw from the IV line
  • ask a nurse to remove the line
  • draw from below the IV line
  • not draw blood

Question 215

Question
Which is not proper venipuncture technique?
Answer
  • Clean arm with alcohol
  • Apply pressure when done drawing
  • Release tourniquet before removing the needle
  • Label tubes before drawing the patient

Question 216

Question
The most important step in performing venipuncture is ______.
Answer
  • selecting needle size
  • collecting enough blood
  • identifying the patient
  • positioning the patient

Question 217

Question
Sharps containers must have all characteristics except being _____.
Answer
  • odor proof
  • spill proof
  • tamper proof
  • puncture proof

Question 218

Question
Which is a possible route of infection during venipuncture?
Answer
  • Skin contact
  • Airborn
  • Ingestion
  • All of the above

Question 219

Question
The process by which an object or area becomes unclean is _____.
Answer
  • contaimination
  • infection
  • sepsis
  • pollution

Question 220

Question
Clots in additive tubes can be caused by ______.
Answer
  • insufficient mixing
  • centrifuging too slowly
  • inadequate amount of blood
  • traumatized platelets

Question 221

Question
Within the capillaries, blood cells _____.
Answer
  • give away oxygen
  • pick up carbon dioxide
  • pick up waste products
  • All of the above

Question 222

Question
Characteristics of capillaries include _______.
Answer
  • being thin walled in structure
  • forming microscopic pathways
  • connecting arterioles with venules
  • All of the above

Question 223

Question
Blood cultures require sample collection in ______.
Answer
  • anaerobic and aerobic bottles
  • CO2 and sterile saline bottles
  • anaerobic and CO2 bottles
  • aerobic and sterile saline bottles

Question 224

Question
Which of the following is most likely to cause contamination during blood culture collection?
Answer
  • Letting the betadine dry between steps
  • Cleansing the bottle tops as well as the draw site
  • Re-palpating the draw site with a prepped finger
  • Rushing the drying process

Question 225

Question
Which of these additives is commonly found in blood culture tubes?
Answer
  • SPS
  • EDTA
  • Sodium citrate
  • Sodium oxalate

Question 226

Question
A hemogram includes all of the following except _____.
Answer
  • red blood count
  • white blood count
  • platelet count
  • blood sugar level

Question 227

Question
Blood specimens are centrifuged in order to ____.
Answer
  • separate the cells from the serum or plasma
  • separate platelets from white blood cells
  • remove interfering substances
  • separate red blood cells from white blood cells

Question 228

Question
Signs of syncope may include ____.
Answer
  • nausea
  • sweating
  • turning pale
  • All of the above

Question 229

Question
All of the following can cause a hematoma except ______.
Answer
  • excessive probing of the needle
  • removing the tourniquet before the needle
  • placing the needle only partially in the vein
  • placing the needle all the way through the vein

Question 230

Question
The average adult has approximately how much blood?
Answer
  • .05 liters
  • 5 liters
  • .5 liters
  • 15 liters

Question 231

Question
Red blood cells are also called ______.
Answer
  • erythrocytes
  • thrombocytes
  • leukocytes
  • phagocytes

Question 232

Question
Aspirin may have an effect on which patient test?
Answer
  • CBC
  • Blood culture
  • Bleeding time
  • Glucose level

Question 233

Question
The outer-most layer of the heart wall is called the ______.
Answer
  • epicardium
  • myocardium
  • endocardium
  • mesocardium

Question 234

Question
Veins carry ____.
Answer
  • oxygen-poor blood away from the heart
  • oxygen-poor blood back to the heart
  • oxygen-rich blood back to the heart
  • oxygen-rich blood away from the heart

Question 235

Question
Which gland is called the master gland?
Answer
  • Thyroid
  • Pituitary
  • Brain
  • Thalamus

Question 236

Question
When drawing for therapeutic drug levels _____.
Answer
  • trough level is drawn after dose is given
  • trough level is drawn before dose is given
  • peak level is drawn before dose is given
  • Not important to know

Question 237

Question
Accumulation of extra fluid under the skin is called ________.
Answer
  • edema
  • hematoma
  • thrombus
  • synovial

Question 238

Question
Which chamber of the heart has the thickest myocardium?
Answer
  • The right atrium
  • The left atrium
  • The right ventricle
  • The left ventricle

Question 239

Question
Which artery in the wrist is used for blood gases?
Answer
  • Jugular
  • Radial
  • Popliteal
  • Femoral

Question 240

Question
A hemogram is collected in which tube?
Answer
  • Light blue top
  • Lavender top
  • Red top
  • Black top

Question 241

Question
The smallest veins in the body are known as ____.
Answer
  • capillaries
  • arteries
  • venules
  • arterioles

Question 242

Question
When unclotted blood is centrifuged, what is on top?
Answer
  • Serum
  • Cells
  • Plasma
  • Platelets

Question 243

Question
Which lab test evaluates extrinsic coagulation?
Answer
  • Protime PT
  • Rapid plasma reagiin
  • Lupus anticoagulant
  • Activated partial thromboplastin (APPT)

Question 244

Question
Speed of centrifuge in RPMs can be checked using a ______.
Answer
  • spectrophotometer
  • pH meter
  • water purity meter
  • tachometer

Question 245

Question
When making a blood smear, the spreader slide is made of _____.
Answer
  • metal
  • quartz
  • plastic
  • glass

Question 246

Question
What does the lab need to know in order to monitor therapeutic levels?
Answer
  • Number of pills taken
  • Pharmacy
  • Time of last dose
  • If eaten with food

Question 247

Question
A bed patient in a hospital is called a(n) ______.
Answer
  • inpatient
  • consumer
  • resident
  • outpatient

Question 248

Question
Negligence by a professional is called ______.
Answer
  • invasion of privacy
  • slander
  • malpractice
  • tort

Question 249

Question
Lack of physical or mental fitness is called _____.
Answer
  • malpractice
  • obesity
  • negligence
  • incompetence
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