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Phlebotomy
Besides gloves which of the following PPE should a phlebotomist wear when drawing on a patient with pneumonia? - correct answer Face mask A phlebotomist notices that a blood collection tube is cracked what steps should the phlebotomist take? - correct answer Discard the tube in a sharps container A parent asks the phlebotomist for the results of their young adults point of care test (POCT), what steps should the phlebotomist take? - correct answer Ask the patient for the permission to disclose results with the parent present A patient starts to cry and is unwilling to extend her arm for the third draw of a glucose tolerance test (GTT), what is the proper statement for the phlebotomist to make? - correct answer "May I perform the draw?" While performing a globose monitor quality control check the phlebotomist should record which of the following? - correct answer Date of battery change A phlebotomist gets a glucometer reading of 250mg/dL on a patient, a second test reads in the normal range, which of the following could have happened? - correct answer The finger was dirty What should a phlebotomist use to clean up a large blood spill? - correct answer Chlorine bleach If a phlebotomist experiences an accidental needle stick which of the following should be included in the sharps log? - correct answer The department where the injury occurred Which of the following types of transmission-based precautions should be used for streptococcal pharyngitis? - correct answer Droplet
Which of the following is true for blood culture collection? - correct answer Scrub the site with chlorhexidine gluconate for 1 minute A medical professional should do what of the following when performing CPR on an infant? - correct answer 30 compressions, 3.8cm (1.5in deep) After a failed veinpuncture attempt a phlebotomist collects blood in a micro collection tube, why should the phlebotomist document that blood was collected in this manner? - correct answer To alert the physician that this is capillary blood A centrifuge fire belongs in which classes of fire? - correct answer Class c Upon completing a draw in an isolation room which of the following PPE should the phlebotomist remove first? - correct answer Goggles Which of the following PPE should be worn in order to aliquot a blood specimen? - correct answer Face shield and gloves Which is the phlebotomist most likely to experience upon receiving an accidental needle stick? - correct answer Hepatitis B virus (HBV) If a phlebotomist receives a splash of blood to the eyes while aliquoting a specimen, what is the phlebotomist's first course of action? - correct answer Rinse eyes with water for a minimum of 15 min Which department is responsible for processing a Blood Culture, occult (stool) blood card and urine culture and sensitivity (C&S) - correct answer Microbiology Which of the following would a phlebotomist use to clean a venipuncture site for a blood alcohol test? - correct answer Iodine A phlebotomy technician is performing a venipuncture on a patient who has a wound infected with methicillin-resistant Stephylococcus aureus (MRSA) and has been placed in isolation. Which actions should the technician take once the procedure is complete? - correct answer Dispose of gown before leaving the room
A patient has invested a fatty meal just before having their blood drawn, what should the phlebotomist expect the sample to look like? - correct answer The specimen will be lipemic Which tests will be affected by a patient taking warfarin (blood thinners)? - correct answer PT A patient informs the phlebotomist that they may experience syncope while having blood drawn, what action should the phlebotomist take? - correct answer Place the patient in a supine position During a routine blood draw a patient asks the phlebotomist why is blood being collected, what would be the best response for the phlebotomist to give? - correct answer "You should ask your provider about the test?" For a blood culture to be collected properly the phlebotomist should? - correct answer Swab the area twice to make sure it's sterile A phlebotomy technician is preparing to collect a blood sample from a patient for a cholesterol test what statement should the technician make? - correct answer "Avoid eating red meat the day before the test" In order to prevent reflux or backflow of anticoagulants the phlebotomist should place the patients arm in which position? - correct answer Fully extended from the shoulder to the wrist To collect a coagulation test on a 4-year old patient the phlebotomist should follow what method? - correct answer ETS system Upon entering a patients room, the phlebotomist notices that the patient has an IV in both arms, what action should the phlebotomist take? - correct answer Ask the nurse to turn the IV's off for 2 minutes What instructions should the phlebotomist give to a patient who must collect a 24- hour urine? - correct answer "Start collecting at the second void of the day"
What is true for a urine specimen culture and sensitivity collection? - correct answer Midstream clean-catch specimen Which of the following equipment should the phlebotomist use on a 30-year old patient with small veins? - correct answer 23 gauge winged infusion set While performing equipment inventory a phlebotomist notices that there are several expired tubes, what is the best action for the phlebotomist to take? - correct answer Dispose of the tubes in a sharps container and order new ones While performing a routine venipuncture for a CBC, glucose and potassium test on a patient the phlebotomist leaves the tourniquet on for 3 minutes, what outcome could the phlebotomist expect? - correct answer High potassium level What location would be the best choice for a phlebotomist draw if the patient has edema on the right arm - correct answer Left side hand If a phlebotomist used providing iodine to clean capillary puncture site, what may occur? - correct answer Increased potassium level What is the correct way to anchor a vein for a venipuncture? - correct answer Anchor the vein 2.5 to 5cm (1 to 2in) below the puncture site What errors would a phlebotomist see is the blood was collected through a hematoma? - correct answer Hemolysis What tubes should a phlebotomist collect for a CBC, PTT, cold agglutinin and bilirubin tests? - correct answer One lavender One light blue Two serum tubes What statements should a phlebotomist make to a patient that extends their arm and states "I don't want my blood drawn"? - correct answer "I will get the doctor"
Lavender Upon performing a routine venipuncture, the vein of the patient collapses, what could be the cause? - correct answer Applying the tourniquet too tightly What test should be collected first? - correct answer Blood culture What is the proper way to process a WBC differential test, testosterone test and glucose test? - correct answer Prepare a slide from a lavender topped tube and centrifuge a red topped tube and grey topped tube To properly prepare a peripheral blood smear from a capillary puncture what should he done first? - correct answer Touch the slide to the second drop of blood What is the proper Oder of draw for a blood culture test, a PTT and a CBC test using the syringe method? - correct answer Anaerobic bottle, aerobic bottle light blue tube, and lavender tube What is the correct way to collect two sets of blood cultures? - correct answer Collect one set from the patients right arm and one set from a different site on the same arm When collecting a peripheral blood smear from a patient a phlebotomist should know which tests will be run for this specimen? - correct answer WBC differential test Upon receiving a chain of custody specimen, the phlebotomist should verify that the following pieces of information matches the requisition form? - correct answer Case number What is the proper way to collect a neonatal screening card? - correct answer Touch the card to a drop of blood and saturate each circle in the card What is the best time to perform a neonatal screening test? - correct answer Between 24- 72 hours after birth
What blood type is the universal donor? - correct answer O- What is the total blood volume (in liters) for a pediatric patient weighing 15.9kg (35lb) - correct answer 1.59L What is the total blood volume (in milliliters) for an infant weighing 3.3kg (6.6lbs)? - correct answer 240 to 330ml A patient is going to collect a pregnancy test, what statement should the phlebotomist make? - correct answer "Collect your first urine specimen of the morning" A patient is going to collect a sputum specimen what statement should the phlebotomist make? - correct answer "You should provide the specimen in the morning before eating and drinking" When performing a peripheral blood smear, the phlebotomist should know which additive is correct for the test? - correct answer EDTA (lavender top) What is the correct order of draw for a PTT, blood culture and testosterone levels? - correct answer Yellow topped tube Light blue tube Red topped tube If a patient has type O blood which types of blood can the patient receive? - correct answer Type O What statement should a phlebotomist make to a patient who will be collecting a fecal specimen at home? - correct answer "Do not mix urine with the fecal specimen" What would indicate a possible blood donors eligibility to donate blood? - correct answer Hematocrit level 42%
