ASCP PHLEBOTOMY CERTIFICATION EXAM COMPLETE WITH ALL QUESTIONS WITH CORRECT ANSWERS, Exams of Nursing

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ASCP PHLEBOTOMY CERTIFICATION EXAM

COMPLETE WITH ALL QUESTIONS WITH

CORRECT ANSWERS 2023-2024 GRADED A+++

Disinfectants are: Chemicals that are used to remove or kill pathogenic microorganisms Babies whose mothers have which of the following problems must be isolated from other infants? Genital herpes Which of the following is a vector in transmitting infectious diseases? Mites Which of the following is a commonly identified pathogenic microorganism that causes health care associated skin infections? Candida albicans Which of the following organizations oversees the investigation and control of VARIOUS DISEASES ESPECIALLY THOSE THAT ARE COMMUNICABLE? CDC Which of the following is a commonly identified pathogenic agent that affects the skin? Herpes virus Reverse isolation is commonly used for patients who have: Immunodeficiency disorders Which of the following is a commonly identified causative agent of nosocomial infections in the nursery unit? Escherichia coli Which of the following chemical compounds is an antiseptic for skin? Hexylresorcinol

A phlebotomist had to avoid contact with patients for 24 hours after being started on an appropriate antibiotic and appearing symptom free. What type of infection could he or she have acquired for the above work limitations to apply? Strep throat (group a) The HICPAC transmission based precautions include: Airborne, droplet, and contact About how many patients acquire a nosocomial infection annually? 1.75 to 3 million A health care acquired infection occurs when: The chain of infection is complete In health care facilities, which of the following is a typical fomite? Phlebotomy tray Which of the following is a factor that increases a host's susceptibility in the chain of infection? Drug use Antiseptics for skin include: Iodine If an electrical accident occurs involving electrical shock to an employee or a patient, the first thing that the health care provider should do is: Shut off the electrical power What the major principles of self protection from radiation exposure? Time, distance, and shielding The first step in giving mouth to mouth resuscitation is to: Determine whether the victim is conscious by gently tapping the shoulders of the victim and speaking loudly, "are you okay?" If a fire extinguisher has to be used in a health care environment, the first step to perform is:

Pull the pin off of the extinguisher If a phlebotomist is collecting blood specimens from a patient in the nuclear medicine department he or she needs to be: Wearing a dosimeter badge Which organization developed a labeling system for hazardous chemicals that is frequently used in health care facilities? NFPA The first step in controlling severe bleeding is to: Apply pressure directly over the wound or venipuncture site Chemicals that are defined as "explosive flammables" must be stored: In an explosion proof or fireproof room or cabinet Which of the following should not be done for a shock victim who seems to be not fully conscious? Give fluids to keep the victim from becoming dehydrated Class c fires are: Electrical fires MSDSS must be supplied to employees according to the: Hazard communication standard (29 cfr 1910.1200) How many lobes do normal human lungs have? 5 After oxygen crosses the respiratory membranes (in the lung) into the blood, about 97% of it combines with? Hemoglobin The term ventral refers to which part of the body? Front If a normal person breathes in, the oxygen travels through air passages to the lungs. Which of the following takes place?

Oxygen (o2) is exchanged for carbon dioxide (co2) An XY pair of chromosomes means that the fetus will be a: Baby boy Specialized cells of the nervous system are: Neurons Which of the following is produced in the adrenal glands, the glands that cause emotions such as fear and anger? Hormones Which of the following would require contact precautions? Herpes simplex Which of the following is designed to reduce the risk of transmission of microorganisms from both recognized sources of infection in health care facilities? Standard precautions Which of the following would require airborne precautions? Tuberculosis Which of the following is the proper sequence for removal of isolation apparel after blood collection in an isolation room? Gloves, goggles, gown Which of the following is the most important procedure in the prevention of disease transmission in health care institutes? Hand washing MSDS stands for: Material safety data sheet A dosimeter badge is required in health care facilities for? Radiation safety The HAZCOM standard requires chemical manufacturers to supply? MSDSS

As co2 levels increase in the blood, the blood ph: Decreases (becomes more acidic) A test required for o & p refers to: An evaluation for parasites Which of the following chemicals should be used to disinfect tourniquets and items contaminated with blood? 1:10 dilution of chlorine bleach In the process of preparing to enter a patient's isolation room, which of the following would occur first? Donning mask If a health care provider hears a fire alarm as she or he is collecting blood from a patient, she or he should not: Run Which structure governs the functions of the individual cell, such as growth, repair, reproduction and metabolism? Nucleus Which of the following is an agency of the U.S. department of labor that requires employers to provide measures that will protect workers exposed to biological hazards? OSHA Which of the following is needed for cleanup of a chemical spill? Rubber gloves The term stat refers to: Immediate and urgent specimen collection Arteries differ from veins in which of the following ways? Thicker vessel walls with a pulsating feel Steps in the identification process should include:

A 3-way match with verbal, id bracelet, and requisition information When a patient has "difficult" veins, what strategies, if any, can be used to improve the likelihood of a successful puncture? Slight rotation of the patient's arm to a different position, warming the site, and palpating the entire antecubital area to trace vein path During the venipuncture procedure, what should the phlebotomist do after the needle is inserted and blood begins to flow? Release the tourniquet Which specimen collection tube is commonly used for hematology tests? Edta If a venipuncture procedure is almost completed and suddenly you see hints of a hematoma beginning to form, what should you do? Discontinue the procedure and apply pressure with gauze If a patient is frail and has a tendency to faint, what equipment, if any, would be helpful in the specimen collection process? A recliner If arm veins cannot be used for a venipuncture, the preferred alternative veins lie in the: Dorsal side of the hand or wrist Which specimen collection tube is commonly used for hemostasis tests? Sodium citrate If a patient has a bruise in the antecubital area of his right arm (his nondominant arm), what alternate site should be considered? The antecubital area of the left arm Specimens may be rejected for a variety of reasons, most of which can be prevented by experienced professional phlebotomists. Identify one reason for specimen rejection that relates to unnecessary, but excessive, mixing of the specimen. Specimen is hemolyzed

Prior to performing a venipuncture, why is it important to get information about whether or not the patient has eaten recently? Laboratory tests can be affected by the ingestion of food and drink Where should the tourniquet be placed on the patient during the venipuncture procedure? 3 inches above the venipuncture site When collecting a blood specimen with the butterfly method and pt, ptt tests are the only tests ordered, what is the correct procedure? Use a discard tube, then collect a sodium citrate tube When the evacuated tube method is used for venipuncture, select the correct order of collection for the following tubes: blood culture tubes, coagulation tube, and hematology tube. Choose the order of tubes by their color of closures. Yellow blood culture tubes, blue, lavender Fingerstick procedures cannot be performed when which test is ordered? Blood cultures Generally speaking, what should the phlebotomist do with the first drop of blood after a fingerstick is performed? Wipe it off with gauze In making a blood smear or slide, after the drop of blood has been spread across the glass side what is the next step? Allow it to air dry Excessive massaging or milking of the finger during a skin puncture procedure can cause: Hemolysis and contamination of the specimen with tissue fluids Another instance when a fingerstick should not be performed on a patient is when the following has been ordered: Coagulation tests Labeled skin puncture specimens should include the:

Patient's name and identification number, phlebotomist's initials, and time and date of collection Skin puncture blood is composed of: Blood from arterioles and venules What is the best angle for spreading a blood smear by using two glass slides: 30 degrees Blood smears for evaluation of cells must be made carefully. Which of the following features should be present? A feathered edge It is best to use which type of bandage on an adult after a fingerstick? Hypoallergenic Which of the following chemical agents should be used to decontaminate a patient's finger before skin puncture? Isopropanol Glycolytic action refers to: Breakdown of glucose When designing a report form for laboratory results, what key elements would not be included? Physician's home address and phone number The most reliable labeling method for avoiding transcription errors in specimen collection is? Bar coded computerized labels Which of the following factors should be considered when pneumatic tube systems are used for transporting specimens: Effect on the chemical and cellular components of specimens, mechanical reliability and distance of transport, speed of carrier and landing mechanism Assays that require a chilled specimen include: Gastrin, ammonia, catecholamine, and lactic acid

Which of the following is a possible occurrence if a blood specimen tube for hematology tests is filled correctly but not mixed long enough? Tiny clots will form in the specimen It is preferable to make blood smears from EDTA specimens within what period of time after the specimen is collected: 1 hour Why is it important to get patient information about latex sensitivity? Allergies to latex cause skin irritations Adding too much blood to a sodium citrate tube can cause: Shorter clotting time Name one step that should not be in the handwashing procedure: Turning off the water faucet with hands How many more times should a phlebotomist try to perform a venipuncture on a patient if he has failed once already? Once If a patient is obese, what special equipment, if any, would be helpful in the specimen collection process? A large blood pressure cuff Osteomyelitis is defined as: Inflammation and infection of the bone Which of the following is identical for venipuncture and capillary puncture procedures? Greeting, identification, and hand hygiene Skin puncture techniques are useful in which of the following conditions? When the patient is a neonate The tat refers to: The time it takes for laboratory test results to be completed

Specimens being tested in which of the following areas would not usually require centrifugation? Coagulation and hematology During the venipuncture, the needle should be inserted at what angle to the skin? 30 degrees or less When using the syringe method to collect a blood specimen, how is the blood added into additive and nonadditive tubes? Using a syringe transfer device attached to the syringe, insert each tube in the device and allow the blood to flow freely Which of the following conditions can have adverse effect on the quality of a fingerstick? Always using the first drop of blood For specimens that require centrifugation, serum or plasma should be removed from the cells within what period of time? 2 hours Which of the following information is essential for labeling a patient's specimen? The patient's name and identification number, date and time of collection, the phlebotomist's initials Nails can grow at a rate of about: 0.1 mm per day Using an antiseptic for cleansing the skin prior to a venipuncture procedure is an example of which phase of laboratory testing? Preexamination/preanalytical Which of the following aspects would do the most to promote a professional appearance in a patient care setting? Good posture and personal hygiene Which of the following medical specialists would only treat elderly patients? Gerontologist

Assessing a patient for a suitable vein to perform a venipuncture procedure is an example of which phase of laboratory testing? Preexamination/preanalytical The term phlebotomy is derived from Greek words that mean? Vein, cut The terms venesection/.venisection are synonymous with the same as which of the following? Phlebotomy Which of the following is the medical specialty that pertains to the diagnosis and treatment of the skin disorders? Dermatology Entry level skills that describe ability level, aptitude, tasks, and responsibilities of a health care worker are called: Competency statements Identification and labeling of a blood specimen after a venipuncture procedure is an example of which phase of laboratory testing? Preexamination/preanalytical Six sigma and clsi's qses are examples of: Quality improvement frameworks Which of the following is an important work related characteristic that is helpful for phlebotomists? Enjoying work with small objects Professional certification typically refers to? Passing a national examination and completing continuing education Which agency oversees the categorization of laboratory tests according to the level of complexity and the risk involved for the patient if errors are made? Clia

Centrifugation of a blood specimen is an example of which phase of laboratory testing? Pre-examination/preanalytical Among health care organizations, which of the following is a typical long-term care facility? Nursing home Which of the following specialties would relate to diagnosis and treatment of cancer? Oncology Receiving an emergency lab test request is an example of which phase of laboratory testing? Preexamination/preanalytical Which of the following is acceptable attire for a phlebotomist? Necklace tucked inside collar Acute care refers to which type of hospital care? Short term stay Health care for infants and children falls into which medical specialty? Pediatrics Performing a laboratory assay on a patient's blood specimen is an example of which phase of laboratory testing? Examination/analytical Licensure typically refers to: Passing a state required examination and/or continuing education Which of the following is a test of moderate complexity? Blood chemistries What is braille? System of writing for visually impaired or sightless individuals

Health literacy refers to: Written, spoken, or conceptual knowledge of health issues According to the national federation of the blind (nfb), sightless individuals and individuals with impaired vision or low vision are entitled to: Use a white cane or guide dog to walk independently Which of the following is one of the work characteristics/perspectives that differs among health care workers of different generations? Behaviors toward authority figures What does the abbreviation ADA stand for? Americans with disabilities act The joint commission is a(n)? Accrediting agency for health care facilities Generation xers are individuals who were born: From 1965 to 1981 High pitched voices are associated with: Panic Which of the following terms refers to the intonation or pitch of one's voice? Tone Generation y, or millenials, are individuals who were born: From 1982- 2000 Which of the following terms would communicate a critical patient condition? Stat In a health care setting, which would be the preferred manner to place a caller on hold? Answer the phone and allow the caller to give the reason for calling, then ask him or her, " may i put you on hold for a few moments?"

For the most personal interactions among friends and many patient encounters, the most comfortable distance between the individuals is: 18 inches to 4 feet "boomers" are individuals who were born: From the mid 1940s to 1964 Which of the following terms refers to the speed and urgency of one's voice? Pace Clia is enforced by? Centers for medicare and medicaid services The standard of care presently used in phlebotomy malpractice legal cases involving health care providers is based on the conduct of the average phlebotomist in which area? National community A national organization that develops guidelines and safety measures and sets national standards specifically for laboratory procedures is: The joint commission A young boy who refused to have blood collection from his arm was locked in a room by a health care worker and was forced to have the blood collection. This is an example of: Assault and battery In legal cases, "what a reasonably prudent person would do under similar circumstances" refers to: Standard of care Which federal law states that a laboratory with moderately complex or highly complex testing must have written policies and procedures for specimen collection and labeling? Clia In a malpractice lawsuit, the first statement of a case to be filed is by the:

Plaintiff A large number of negligence health care lawsuit cases arise out of the violation of? Violation of patient confidentiality A phlebotomist who routinely collects blood specimens from homebound patients should obtain information on the state's law regarding: Patient's confidentiality and HIV status Under which of the following concepts are the supervisors and directors of laboratories held liable for the negligent actions of their employees? Respondent superior The term right to know refers to: A patient's right to information about test procedures and who is performing them In which of the circumstances below is the phlebotomist likely to collaborate with the pharmacy? When asked to collect specimens for drug monitoring Veterans or traditionalists are individuals who were born: Prior to the mid 1940s If a non english speaking patient is scheduled to have a blood specimen collection, the health care worker should: Find an interpreter or other method to communicate the information A patient's medical record can best be described as: A legal document that provides chronological log of care The space or distance between people during an interaction is called: Zone of comfort What are delta checks? Qc that allows for detection of significant changes in laboratory results Professional negligence in blood collection is the same as:

Malpractice Which of the following branches of government writes laws that are called statues? Legislative branch Failure to act or perform duties according to the standard of care for phlebotomy is? Negligence Which of the following agencies administers clia? Cms Before a patient's laboratory test results can legally be released to another physician or health care facility, the patient must: Provide his or her informed consent Which of the following is the best example of setting the standard of care for blood collection? The joint commission The legal term for improper or unskillful care of a patient by a member of the health care team or any professional misconduct, unreasonable lack of skill, or infidelity in professional or judiciary duties is? Malpractice A consent document to collect blood for research purposes from patients is established through: Irbs at institutions Which of the following has recognized rights for patients in health care organizations through "the patient care partnership"? Aha Blood collection from patients and other individuals for research purposes is regulated through the: National research act Examination of witnesses before a trial is referred to as:

Discovery The federal law enacted that regulates the quality and accuracy of laboratory testing (including phlebotomy procedures) by creating a uniform set of provisions governing all clinical laboratories is referred as: Clia Which of the following legal concepts refers to the voluntary permission by a patient to allow touching, examination, and/or treatment by health care providers? Informed consent When a phelbotomist gives aid during an emergency, he or she is usually protected through? Implied consent Which of the following best describes the moral issues or problems that have resulted because of modern medicine, clinical research, and/or technology? Bioethics Which of th following is another name for leukocytes? White blood cells Therapeutic assessments To develop the appropriate therapy or treatment for the medical condition. Ex: tdm= therapeutic drug monitoring