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Before the phlebotomist performs a venipuncture, the patient warns that he is HIV positive. According to OSHA regulations, after donning gloves, the phlebotomist should? A) Apply an extra set of gloves over the first set B) Have the supervisor observe the draw C) Don a mask and eye protection D) Perform the venipuncture - Answer: D) Perform the venipuncture Which of the following is appropriate cleanser for cleansing around the urinary meatus for a clean-catch urine specimen? A) Hydrogen Peroxide
B) Benzalkonium Chloride C) Povidone Iodine D) 70% Alcohol pad - Answer: B) Benzalkonium Chloride The phlebotomist should use a tube with which of the following anticoagulants to collect a PT/PTT test? A) EDTA (Ethylenediaminetetraacetic acid) B) Sodium citrate C)Potassium oxalate D) Heparin - Answer: B) Sodium citrate When should the code on glucose cuvettes or strips be compared to the code on the glucose meter? A) After a new package is opened B) When a patient is tested C) At the beginning of the shift D) Following an error code - Answer: B) When a patient is tested
B) An increased rate of coagulation C) The smaller size of samples D) Additive cross contamination - Answer: B) An increased rate of coagulation (lavender) A Phlebotomist is preparing to perform a hand draw. Which of the following should the phlebotomist assemble? A) ETS Needle and transfer B) Winged infusion set and adapter C) Syringe and vacutainer D) Lancet and microtainer - Answer: B) Winged infusion set and adapter A patient comes in to find out his test results. The phlebotomist notices the results are ready and verifies the patient's identity. Which of the following actions is most appropriate? A) Have the lab manager discuss the results with the patient B) Have the nurse interpret the result for the patient C) Obtain a signed authorization from the patient and explain the results in a private exam room D) Inform the patient to contact the ordering physician to get the results. - Answer: D) Inform the patient to contact the ordering physician to get the results During a venipuncture, the patient reports a sharp pain radiating down the arm. Which of the following actions should the phlebotomist take?
A) Release the tourniquet and remove the needle B) Pull back on the needle and continue procedure C) Reposition the patient and change the needle gauge D) Continue to draw and monitor the patient's pain. - Answer: A) Release the tourniquet and remove the needle A blood specimen was rejected by the lab with the abbreviation QNS. Why was the specimen rejected? A) The specimen was insufficient B) The specimen was exposed to light C) The specimen was chilled D) The specimen was not properly mixed - Answer: A) The specimen was insufficient Which of the following is the best method to prevent internal or external bleeding from the venipuncture site after the needle is removed? A) Apply pressure to prevent leakage of blood into the tissues B) Have the patient bend the arm at the elbow to reduce bleeding C) Apply a hot pack to the site if swelling or discoloration occurs
C) Surgical mask D) Shoe covers - Answer: B) N-95 respirator According to CLSI order of draw guidelines, which of the following samples should the phlebotomist collect first? A) Coagulation B) Blood culture C) Electrolytes D) Glucose levels - Answer: B) Blood culture A phlebotomist must invert anticoagulant tubes to prevent which of the following: A) Hemolysis B) clotting C) Hemoconcentration D) Reflux - Answer: B) Clotting For Which of the following does emergency first-aid treatment include maintaining an open airway, controlling bleeding, and keeping the victim warm until help arrives A) Syncope B) Convulsions C) Diaphoresis D) Shock - Answer: D) Shock Performing a venipuncture for blood cultures from other venipuncture procedures in that A) More blood is drawn
B) The site is Cleaned more stringently C) Special patient permission must be obtained D) A larger gauge needle is used - Answer: B) The site is Cleaned more stringently Which of the following is the term for a donation of a patient's own blood for an upcoming surgery? A) Autonomic Donation B) Presurgical Donation C) Autologous donation D) Homologous Donation - Answer: C) Autologous donation The tourniquet should be left on the patients arm for no longer than A) 30 seconds B) 60 seconds C) 90 seconds D) 120 seconds - Answer: B) No longer than 60 seconds A phlebotomist is preparing to draw blood from a patient in a hospital, the patient extends his arm and turns his head away. Which of the following forms of consent does this indicate? A) Informed consent B) Expressed Consent C) Refusal of consent D) Implied consent - Answer: D) Implied consent A phlebotomist is drawing 5 blood collection tubes. When should the tourniquet be released?
At what temperature should a semen sample be transported by the phlebotomist? a) -21 to -10 C b) 21 to 23 C c) 25 to 30 C d) 36 to 38 C - Answer: D) 36 to 38 Degrees Celsius While performing a venipuncture, the first tube fills, but the second tube slows and does not fill completely,, The phlebtomist need to draw two additional tubes. Which of the following should the phle take? A) Tell the patient that she will need to perform another venipuncture B) Write QNS on the requisition for the other tests C) Submit the existing tubes for all the ordered tests D) Insert a new tube to see if it will fill - Answer: D) Insert a new tube to see if it will fill Which of the following is the next step after removing the needle from the patient's arm? A) Ask the patient to open his fist B) remove the tourniquet C) Engage the needle safety device D) Invert all tubes - Answer: C) Engage the needle safety device Which of the following is the first step in the blood collection procedure?
A) Test requisition B) Patient Identification C) Test Accession D) Vein Location - Answer: A) Test requisition Capillary specimen collection is preferred over venipuncture when A) veins are inaccessible B) The patient prefers capillary collection C) Collecting blood cultures D) Conducting coagulation tests - Answer: A) veins are inaccessible A 69 yr old unconscious patient is brought into the emergency dept. Several blood tests are ordered. The blood collects blood under: a) implies consent b) informed consent c) active consent d) explicit consent - Answer: A) Implied Consent A physician orders a specimen STAT, but the phlebotomist forgets to fill out the patient id number. What is the appropriate procedure for an improperly labeled specimen once the lab receives it? a) the specimen is processed as labeled b) the label is corrected by lab personnel c) the specimen is transferred to a properly labeled tube d) the lab rejects the mislabeled specimen - Answer: D) Lab rejects the mislabeled specimen
The phlebotomist should examine the antecubital veins of both arms for which of the following reasons? A) The median cubital vein could be more accessible on one side than the other B) The median cubital vein on the dominant arm tends to be anchored better C) The median cubital vein in the non-dominant arm tends to be inaccessible D)The medial cubital vein could bruise more easily on one side than the other. - Answer: A) The median cubital vein could be more accessible on one side than the other When should a phlebotomist perform a liquid controls for quality control on a CLIA-waived (POC) point of care test? a) with every patient b) every week the test is performed c) when a new lot or kit is opened d) when a different tech performs the test - Answer: C) When a new lot number or kit is opened Which of the following is a potential consequence of mislabeling a blood bank specimen? A) A HIPAA violation B) A transfusion reaction C) A medical transcription error D) A pharmaceutical reaction - Answer: B) A transfusion reaction Which of the following actions would result in a grossly hemolyzed specimen?
A) An incorrect order of draw B) An Incorrect needle gauge C) Applying the tourniquet too close to the draw site D) Failure to invert the tube - Answer: B) An Incorrect needle gauge When entering a patient's room for a routine blood draw, you notice a clergy member is with the patient. You should? A) Proceed with the draw B) Mark requisition "unable to draw at this time" C) Return after drawing other patients D) Wait in the patient's room until the clergy member leaves - Answer: C) Return after drawing other patients A patient states that this is his first blood draw. Which of the following actions is appropriate? A) Explain the reason the test was ordered B) Inform the patient of all possible complications C) Show the patient the gauge of the needle D) Describe the procedure - Answer: D) Describe the procedure When alcohol is used to cleanse the venipuncture site, it must be allowed to air dry prior to the stick because alcohol
A) Dorsal veins B) Superficial Veins C) Wrist Veins D) Foot Veins - Answer: A) Dorsal veins While a phlebotomist is performing a venipuncture, the patient begins to seize. Which of the following is appropriate action to take? a) insert a tongue depressor into the patients mouth b)place the patient in the prone position c) discontinue the draw d) restrain the patient - Answer: C) Discontinue the draw A phlebotomist is educating a patient about the proper at home collection procedure for a semen specimen. Which of the following statements indicates the patient understand the teaching? a) I will collect the specimen in a sterile container and refridgerate b) I will collect the specimen in a sterile container and return within the hour c) I will collect the specimen in a clean condom and return in 2 hours d) I will abstain from ejaculation for three days prior to the test - Answer: B) " I will collect the specimen in a sterile container and return within 1 hour" During a venipuncture, the phleb is struck with a used needle. What is the first action the phleb should take? a) report for an HIV evaluation b) report for a medical evaluation by a physician c) contact the supervisor about the incident
d) flush the injured area with running water - Answer: D) Flush the injured area with running water During a draw, the patient becomes unresponsive. What is the next action the phleb should take? a) elevate the patients feet b) check for breathing c) alert medical personnel d) start chest compressions - Answer: B) Check for breathing Which of the following statements by a phleb regarding skin preparation for Blood cultures is appropriate? I will cleanse the area with: a) 70% ethyl alcohol b) sodium hypochlorite c) with povidone iodine d) with 90% isopropyl alcohol - Answer: Ccleanse the area with povidone iodine A phleb sees a coworker recieve a major electrical shock from an instrument. Which of the following is the first thing the phleb must do? A) Call 911 B) Call the shift supervisior C) Remove the coworkers from contact with the instrument D) Shut off the power to the instrument - Answer: D) Shut off the power to the instrument
A) Complete medical history B) Drug Screen C) ECG D) GTT - Answer: A) Complete medical history A phleb should comply with HIPAA to protect which of the patients following? a) consent b) standards c) information d) compliance - Answer: C) Patients information When performing a venipuncture on a patient of average weight, which of the following is a corrected technique for needle insertion? A) half an inch B) inch and a half C) until a change in resistance D) until it meets resistance - Answer: C) Insert until a change in resistance What action should the phleb take to verify the quality of venipuncture supplies before beginning a blood draw on an adult patient? A) Determine if the tourniquet is the proper size
B) Check the vacuum of the tube C) Inspect the integrity of the needle's seal D) Verify that the adapter is the correct color - Answer: C) Inspect the integrity of the needle's seal What is an appropriate action for preparing a peripheral blood smear? a) a drop of blood the size of a dime on the center of the slide b) 1 mm drop of blood a half inch from the edge of the slide c) 1 mm drop of blood on the center of the slide d) a drop of blood the size of a dime a half inch from the edge of the slide - Answer: B) Place a 1 mm drop of blood a half inch from the edge of the slide What tube color is collected first for dermal samples? a) lavender b) green c) red d) light Blue - Answer: Lavender Top Which of the following is the proper procedure after collecting an ammonia specimen? A) Protect the specimen tube from light B) Keep the specimen tube warm
