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Practice Certification Exam HARTMAN (1-150) complete study guide A patient reports that during a previous blood draw he felt lightheaded and almost passed out. What should - Perform the draw with the patient reclined or in a supine position A phlebotomy technician at a primary care clinic is performing venipuncture on a patient with suspected influenza. The patient is wearing a mask. What PPE should the technician wear? - Gloves and a mask A requisition calls for the following tests: CBC, CMP, and PTT. Which of the following reflects the proper order of draw? - Citrate, SST, EDTA Blood exits the heart through the body's largest artery, the ________________. - Aorta What part of the evacuated tube system allows multiple collection tubes to be filled with one puncture? - The interior needle/tube holder When drawing a specimen for an ammonia test, what should a phlebotomy technician have ready for specimen transportation? - An ice slurry A phlebotomy technician asks a patient to
state and spell his name. He says, "Chris Morgan, C-H-R-I-S M-O-R-G-A-N." The name listed on the requisition is "Criss Morgan." What should the phlebotomy technician do? - Call the ordering provider to resolve the issue and get a new requisition with the correct spelling if the spelling was an error When a blood culture is ordered along with other tests, which tube is filled first? - Yellow SPS Which of these patient reactions should be documented, but is not a cause for discontinuing a draw or likely to affect analytes? - Petechiae A phlebotomy technician is performing a venipuncture collection on a young adult and needs to draw a citrate tube, a serum separator tube, and an EDTA tube. The citrate tube and SST fill quickly. The EDTA tube fills partway and then blood flow stops. What is the most likely explanation? - The tube's vacuum is compromised. Scars cover the arms and hands of a patient whose requisition requires CBC and electrolytes. After finding no acceptable venipuncture site on either arm or hand, the phlebotomy technician sees that the scarring does not extend to the fingertips. Which of the following
venipuncture sites. After assembling the ETS and double-checking that he has the correct tubes gathered for a venipuncture draw, a phlebotomy technician realizes that he forgot to remove the tourniquet after site selection. He knows that it has been in place for more than one minute. If he continues with the draw, what is one possible consequence? - The specimens collected will not produce accurate test results. Which of the following information on a requisition form is essential for a phlebotomy technician to match exactly with information provided by the patient? - Complete date of birth Disposable tourniquets are intended to be used - On one patient only How should a phlebotomy technician respond if, after a site is selected and cleaned and equipment prepared, the patient pushes down his sleeve and clutches his arm to his chest? - She should ask the patient if he has concerns she can address or if he would like Which of the following is a HIPAA violation? - Failing to log out of a patient record on a visible screen before calling the next patient in
A patient with a DNR order in place becomes unresponsive during the course of a blood draw. The phlebotomy technician should - Discontinue the blood draw and immediately call for help Which of the following is within the range of common microcollection tube volumes? - 0.5 mL In which of the following cases should a phlebotomy technician seek out interpretation services? - A patient does not speak English and is accompanied by her 10-year-old grandson who speaks fluent English. Capillary blood gas testing is ordered on a newborn infant. Where and how should the specimen be drawn? - From the lateral or medial plantar surface of the foot by capillary puncture Which set of differences is true of collection of donor blood as compared to routine venipuncture for diagnostic testing? - A larger needle is used and the patient is first given a brief medical exam. Blood flow slows and then stops while a phlebotomy technician is halfway through drawing a citrate tube. After adjusting the needle gently forward and backward, the technician is not
pain from the standard disposable tourniquet applied to her arm. Which steps might help the phlebotomy technician locate a vein and improve comfort for the patient? - Remove the tourniquet, ask the patient to dangle her arms for several minutes, and then use a blood pressure cuff inflated to just below the patient's diastolic blood Capillary blood will flow more easily when this is done prior to capillary puncture: - The site is warmed for 3-5 minutes When a patient enters a phlebotomist's drawing station, how can the phlebotomist best communicate a positive, professional attitude? - By greeting the patient, introducing himself by name and title, and inviting the patient to be seated
- _________________________ is an illness spread by droplets. - Influenza Microclotting of an anticoagulated specimen may occur if the phlebotomy technician does not - Use gentle inversions to mix the specimen with the tube additive immediately after it is collected In which of the following situations should a phlebotomy technician report a point-ofcare testing result that is in the critical value
range? - Any time a result is in critical value range, even if the repeated test is normal Why is it especially important that a phlebotomy technician take care when drawing from a patient who is quadriplegic? - The patient is unable to alert the phlebotomy technician to pain that might signal nerve involvement The number associated with all documents and specimens connected to a particular requisition is known as the - Accession number Patients who are performing stool guaiac testing at home should be instructed not to eat _____________________ in the days leading up to and during the test. - Red meat Which fingers are best suited for capillary blood collection? (Choose two.) - (B) The ring finger C) The middle finger Hemolysis can occur when the phlebotomist - (A) Draws a syringe plunger back forcefully Which of the following is true of patient fasting? - (C) If it extends beyond 14 hours it may produce inaccurate test results. When an order is marked STAT it should be
whorls when performing capillary collection. - (B) 90° Death is a possible consequence of - (D) Misidentifying a patient After completing a blood draw the phlebotomy technician should always - (A) Thank the patient If a patient has orders for therapeutic drug monitoring and must have blood drawn at trough medication levels, when should her blood be drawn? - (C) Within 10 minutes before her next dose When is a bandage applied to a venipuncture site? - (B) After bleeding has stopped In which of the following ways can a phlebotomy technician help to prevent iatrogenic anemia? - (B) By performing draws carefully and avoiding the need for redraws CLSI standards for patient identification include asking a patient to _______________ her full name. - (D) State and spell The area of the foot used for infant heel stick is known as the - Lateral or medial plantar surface An endocrinologist has ordered a thyroid panel and fasting blood glucose tests for a
patient. Which of these choices represents a possible tube choice? - (C) SST tube and sodium fluoride/oxalate tube Which of the following is true of labeling aliquot tubes? - (A) Each one should be labeled with the patient's identifying information What step immediately follows removing the needle from a venipuncture site? - (B) Activating the needle's safety mechanism The following tests may be related to assessing kidney health: - (C) Renal panel, 24-hour urine collection A patient who uses a cane or walker is at a higher risk for this type of hazard: - (A) Uneven walkways and tripping hazards Drawing blood from _____________ is usually considered to be beyond the scope of practice for entry-level phlebotomy technicians. - (C) Arteries __________________________________ is an organization that develops standards of practice for laboratories worldwide. - (A) CLSI Which set of adaptations is appropriate when drawing blood from a pediatric patient? - (A) Use of a higher gauge needle, removing any sharp or potentially dangerous objects from within the patient's reach,
portion of the specimen be removed from the solid portion? - (A) Immediately A split specimen is often created for purposes of _____________ testing. - (C) Drug Which of the following tasks related to pointof- care testing devices may be performed by a phlebotomy technician? - (B) Recording quality control measurements in a daily log When should a phlebotomy technician label and initial tubes drawn from patients in hospital rooms? - (B) Right after completing the draw and in the presence of the patient When a patient is in an isolation room, where should the phlebotomy technician doff any required PPE? - (A) Inside the patient's room right before exiting Gray-topped tubes typically have two additives. What are the actions of these two additives? - (C) Anticoagulant and antiglycolytic Which of the following are effects of warming a capillary puncture site? (Choose two.) - (B) Improved blood flow (C) Arterialization of the blood A patient indicates that phlebotomy technicians
have always had the best luck drawing blood from his right arm, but no suitable site can be found in the right arm after visual inspection and palpation. What should the phlebotomy technician do next? - (B) Check the left arm Hemolysis of a capillary specimen is most likely to have resulted from - (B) "Milking" the finger during collection Which of the following patients is most likely to require use of a syringe and transfer device? - (D) An 80-year old man
