Pregunta 1
Pregunta
What is the most important venipuncture step?
Respuesta
-
Collecting the specimen
-
Positioning the patient
-
Selecting supplies
-
Identifying the patient
Pregunta 2
Pregunta
Which test is time-dependent?
Respuesta
-
Glucose
-
Cholesterol
-
Bilirubin
-
Potassium
Pregunta 3
Pregunta
Which sterilizer is used for blood cultures?
Respuesta
-
Alcohol
-
Lidocaine
-
Bacitracin
-
Chlorhexidine
Pregunta 4
Pregunta
What is the most commonly used vein?
Respuesta
-
Median cubital
-
Cephalic
-
Radial
-
Basilic
Pregunta 5
Pregunta
A hemogram is drawn in which color tube?
Respuesta
-
Lavender top
-
Green top
-
Blue top
-
Red top
Pregunta 6
Pregunta
Why is disposable equipment used?
Pregunta 7
Pregunta
The venipuncture site is cleansed with 70% _____.
Respuesta
-
iodine
-
water
-
isopropyl alcohol
-
betadine
Pregunta 8
Pregunta
Which needle has the smallest diameter?
Respuesta
-
20-gauge
-
23-gauge
-
18-gauge
-
21-gauge
Pregunta 9
Pregunta
Which cells transport oxygen to the tissues?
Respuesta
-
White blood cells
-
Red blood cells
-
Platelets
-
Squamous cells
Pregunta 10
Pregunta
How long can a tourniquet remain on the arm?
Respuesta
-
1 minute
-
2 minutes
-
5 minutes
-
10 minutes
Pregunta 11
Pregunta
Specimens need to be shipped in what type of container?
Respuesta
-
Watertight
-
Paper
-
Egg crate
-
Plastic
Pregunta 12
Pregunta
Where can a patient acquire a nosocomial infection?
Respuesta
-
At work
-
At the doctor's office
-
In the hospital
-
At home
Pregunta 13
Pregunta
Specimens used as criminal tracking evidence are called _____.
Respuesta
-
privileged
-
private
-
chain of custody
-
bad
Pregunta 14
Pregunta
The process of killing all microorganisms in an area is called ______.
Respuesta
-
cleaning
-
sterilization
-
autoclaved
-
disinfection
Pregunta 15
Pregunta
Which body system regulates water balance and blood pH?
Respuesta
-
Urinary
-
Cardiovascular
-
Respiratory
-
Digestive
Pregunta 16
Pregunta
Which element is bound by EDTA to prevent clotting?
Respuesta
-
Calcium
-
Potassium
-
Magnesium
-
Sodium
Pregunta 17
Pregunta
Blood cultures require which samples for collection?
Respuesta
-
anaerobic/aerobic
-
aerobic/saline
-
CO2/saline
-
anaerobic/CO2
Pregunta 18
Pregunta
Which is not a VAD device?
Respuesta
-
PICC line
-
central venous line
-
shunt
-
sphygmomanometer
Pregunta 19
Pregunta
What can reduce pain at the venipuncture site?
Respuesta
-
EMLA
-
A tighter tourniquet
-
Warm water
-
Topical antiseptic
Pregunta 20
Pregunta
What site would be preferred with an open IV?
Respuesta
-
In the IV tubing
-
Above the IV
-
Below the IV
-
It cannot be done
Pregunta 21
Pregunta
All chemical supply manufacturers must provide this with their products?
Pregunta 22
Pregunta
Which body system is involved with breathing?
Respuesta
-
Respiratory
-
Nervous
-
Digestive
-
Cardiovascular
Pregunta 23
Pregunta
The heart is part of which body system?
Respuesta
-
Skeletal
-
Cardiovascular
-
Muscular
-
Integumentary
Pregunta 24
Pregunta
Which national organization recently changed its name to CLSI?
Pregunta 25
Pregunta
What does QNS mean?
Respuesta
-
Not enough specimen
-
Hard draw
-
Patient was insulting
-
Test ordered wrong
Pregunta 26
Pregunta
The lab test for extrinsic function is ____.
Respuesta
-
partial thromboplastin time (PTT)
-
prothrombin time (PT)
-
platelet function time (PFT)
-
lupus anticoagulation (LA)
Pregunta 27
Pregunta
Which tube is used when drawing alcohol specimens?
Respuesta
-
Plain red top
-
EDTA
-
Sodium fluoride
-
Sodium citrate
Pregunta 28
Pregunta
Tiny clots in additive tubes are due to ______.
Respuesta
-
a traumatized draw
-
not enough specimen
-
insufficient mixing
-
centrifuging too long
Pregunta 29
Pregunta
Which has the highest occurrence in healthcare?
Respuesta
-
Hepatitis B
-
HIV
-
Hepatitis C
-
TB
Pregunta 30
Pregunta
The process where an area becomes unclean is called _____.
Respuesta
-
sterile
-
contaminated
-
prepped
-
good enough
Pregunta 31
Pregunta
The most common nosocomial infection is ______.
Respuesta
-
urinary tract
-
dermal
-
respiratory
-
surgical
Pregunta 32
Pregunta
Grey tubes have which additive?
Respuesta
-
EDTA
-
Sodium citrate
-
Sodium fluoride
-
SPS
Pregunta 33
Pregunta
Tubes without an additive are what color?
Respuesta
-
Lavender top
-
Blue top
-
Green top
-
Red top
Pregunta 34
Pregunta
Skin punctures on adults are performed on which finger(s)?
Respuesta
-
First finger
-
Heel or foot
-
Third or fourth finger
-
Second finger
Pregunta 35
Pregunta
What is the most frequently used needle gauge?
Pregunta 36
Pregunta
The smallest human veins are called ________.
Respuesta
-
capillaries
-
arteries
-
venules
-
arterioles
Pregunta 37
Pregunta
The smallest human arteries are called _______.
Respuesta
-
capillaries
-
arteries
-
venules
-
arterioles
Pregunta 38
Pregunta
If a hematoma starts to form, what should you do?
Respuesta
-
Finish drawing, not to worry
-
Release tourniquet, remove needle, apply pressure
-
Apply pressure above site
-
Reposition needle
Pregunta 39
Pregunta
A protime is collected in what color tube?
Respuesta
-
Red top
-
Green top
-
Lavender top
-
Light blue top
Pregunta 40
Pregunta
AIDS stands for ______.
Respuesta
-
auto immune deficiency symptom
-
acquired immune disease state
-
acquired immune deficiency syndrome
-
auto inflammation disease state
Pregunta 41
Pregunta
The cellular components of blood are _______.
Respuesta
-
Red blood cells
-
White blood cells
-
Platelets
-
All of the above
Pregunta 42
Pregunta
When making blood smear slides, what angle works best?
Respuesta
-
5 degrees
-
10 degrees
-
30 degrees
-
90 degrees
Pregunta 43
Pregunta
Which color tube needs a 9:1 ratio to be accepted by the lab?
Respuesta
-
Plain red top - blood bank
-
Lavender top - hematology
-
SST - chemistry
-
Light blue top - coagulation
Pregunta 44
Pregunta
Which drawing method has the highest number of injuries?
Pregunta 45
Pregunta
Which protection works best for blood and skin contact?
Respuesta
-
Gloves
-
Respirator
-
Gown
-
Mask
Pregunta 46
Pregunta
What patient identification is a must besides name?
Respuesta
-
Date of birth
-
Diagnosis
-
Address
-
Social security number
Pregunta 47
Pregunta
Which test is used for diabetes mellitus or hyperglycemia?
Respuesta
-
Glucose tolerance
-
Hemogram
-
Potassium
-
Urinalysis
Pregunta 48
Pregunta
How do you encourage bleeding on an infant heelstick?
Respuesta
-
An ice pack
-
Multiple punctures
-
Squeezing hard
-
Pre-warming
Pregunta 49
Pregunta
If a patient needs to collect urine for 24 hours, which container would work best?
Respuesta
-
2 mL
-
20 mL
-
200 mL
-
2,000 mL
Pregunta 50
Pregunta
Which technique works best if a patient has excessive arm hair or frail skin?
Pregunta 51
Pregunta
The site of a finger stick is cleansed and ______
Respuesta
-
soaped
-
swabbed with iodine
-
allowed to dry
-
No prep is needed
Pregunta 52
Pregunta
Physician and patient visits are considered privileged, which means ________.
Pregunta 53
Pregunta
Which technique will minimize aerosol contamination in the lab?
Pregunta 54
Pregunta
Why is a 2.4 mm lancet not recommended for an infant heelstick?
Respuesta
-
It can cause injury to the heel.
-
It may not puncture deep enough.
-
It may take multiple tries.
-
It may require you to squeeze harder.
Pregunta 55
Pregunta
Fibrin strands may be caused by _______.
Respuesta
-
centrifuging at too high a speed
-
centrifuging too long
-
centrifuging before the sample has clotted
-
centrifuging after 2 hours
Pregunta 56
Pregunta
How soon after drawing should mixing begin?
Respuesta
-
Immediately
-
It's not needed
-
Once all tubes are drawn
-
After sitting
Pregunta 57
Pregunta
Can a phlebotomist draw blood from a patient that refuses?
Respuesta
-
No.
-
Yes, if a doctor tells them it's okay.
-
Yes, if a nurse tells them it's okay.
-
Yes, there's no choice in the matter.
Pregunta 58
Pregunta
A patient who stays overnight in the hospital is called a(n) _______.
Respuesta
-
outpatient
-
inpatient
-
resident
Pregunta 59
Pregunta
If you have been vaccinated for Hepatitis B, which would be your next threat?
Respuesta
-
HIV
-
Hepatitis C
-
H1N1
-
Herpes
Pregunta 60
Pregunta
Which organism can not live in human fluids?
Respuesta
-
Bacteria
-
Fungus
-
Virus
-
Ticks
Pregunta 61
Pregunta
Why are tourniquets used during a blood draw?
Respuesta
-
To eliminate pain
-
To locate veins
-
To distract the patient
-
They are not needed
Pregunta 62
Pregunta
Why is protective isolation used?
Pregunta 63
Pregunta
Sterility must be used when handling _____.
Respuesta
-
IV supplies
-
needle holders
-
lab coats
-
venipuncture trays
Pregunta 64
Pregunta
A glucose meter is used on patients with ______.
Respuesta
-
diabetes mellitus
-
anemia
-
leukemia
-
arthritis
Pregunta 65
Pregunta
Which is a blood borne pathogen?
Respuesta
-
Urinary tract infection
-
Strep throat
-
Malaria
-
Influenza
Pregunta 66
Pregunta
Phlebotomists should check blood tubes for _____.
Respuesta
-
expiration dates
-
faded labels
-
warnings
-
manufacturer's name
Pregunta 67
Pregunta
What do you do if a patient stops breathing while drawing blood?
Respuesta
-
Keep drawing
-
Stop and call for help
-
Don't worry
-
Shake them awake
Pregunta 68
Pregunta
Which National Fire color and number indicates that a chemical is easily dispersed and will burn?
Respuesta
-
Blue, 2
-
Red, 4
-
White, 4
-
Yellow, 1
Pregunta 69
Pregunta
Which National Fire color and number indicates that a chemical is easily dispersed and will burn?
Respuesta
-
Blue, 2
-
Red, 4
-
White, 4
-
Yellow, 1
Pregunta 70
Pregunta
If a patient's bracelet and requisition do not match, what's your next step?
Respuesta
-
Change the paper to match the bracelet
-
Do not draw until resolved
-
Ask a nurse to identify
-
Ask the patient's roommate
Pregunta 71
Pregunta
If you lower a bed rail to draw a child, what do you do before leaving the room?
Pregunta 72
Pregunta
What is the first step after you perform a skin puncture?
Pregunta 73
Pregunta
Which test must be kept warm and delivered directly to the lab?
Respuesta
-
Cold agglutinin
-
CBC
-
Blood typing
-
Blood gases
Pregunta 74
Pregunta
What is the life span of a red blood cell?
Respuesta
-
60 days
-
120 days
-
5 days
-
25 days
Pregunta 75
Pregunta
Why do you need a feathered edge when making blood smears?
Pregunta 76
Pregunta
Why does a rubber sleeve cover one side on a multi-sample needle?
Respuesta
-
It prevents blood from leaking into the holder.
-
It makes tubes easier to push on.
-
It decreases needle sticks.
-
It keeps tubes from being contaminated.
Pregunta 77
Pregunta
For which test does a patient need to be fasting?
Respuesta
-
Lipid
-
Hemogram
-
Blood typing
-
Potassium
Pregunta 78
Pregunta
Which of these organisms serve as a reservoir host?
Respuesta
-
Animals
-
Humans
-
Plants
-
All of the above
Pregunta 79
Pregunta
When additive tubes are centrifuged, what is spun to the bottom?
Respuesta
-
White blood cells
-
Red blood cells
-
Plasma
-
Platelets
Pregunta 80
Pregunta
Phlebotomists should wash their hands _____.
Respuesta
-
even if gloves are used
-
before collection
-
after collection
-
All of the above
Pregunta 81
Pregunta
What do you do if the collection tube has blood on the outside of it?
Respuesta
-
Wipe it down with disinfectant
-
Discard the tube and redraw
-
Pour it into a clean tube
-
Don't worry about it
Pregunta 82
Pregunta
Sharps containers must have all of the following features except being _____.
Respuesta
-
mold proof
-
spill proof
-
puncture proof
-
tamper proof
Pregunta 83
Pregunta
Squeezing the finger too hard can cause false results due to ______.
Pregunta 84
Pregunta
OSHA is required to train staff for all of the following except ______.
Respuesta
-
identification errors
-
blood-borne diseases
-
needle safety
-
sharps disposal
Pregunta 85
Pregunta
If a patient starts to get raised, red blotches by the tourniquet, what should the phlebotomist do?
Pregunta 86
Pregunta
If blood and urine specimens are lost for 2 weeks, can they still be used?
Pregunta 87
Pregunta
Which is not important when drawing a tube with an additive?
Pregunta 88
Pregunta
Venipuncture should not be performed on a left arm if ______.
Pregunta 89
Pregunta
Treating all specimens as if they are hazardous and infectious is the basis of ______.
Respuesta
-
universal precautions
-
hazardous control
-
patient education
-
good practice
Pregunta 90
Pregunta
How are slides used to make blood smears disposed of?
Pregunta 91
Pregunta
What post-draw technique would you not use after drawing from an ill neonate (baby)?
Pregunta 92
Pregunta
A skin puncture sample is a good choice for testing when _______.
Respuesta
-
veins are bruised and fragile
-
a large amount of blood is needed
-
multiple tests have been ordered
-
at any time
Pregunta 93
Pregunta
The collection site is cleansed in a circular motion, starting ______.
Pregunta 94
Pregunta
Phlebotomists should not draw too much blood from a small baby because the baby could be in danger of _______.
Respuesta
-
a bad experience
-
becoming anemic
-
needing more blood later
-
No danger
Pregunta 95
Pregunta
Which is not included in the patient bill of rights?
Respuesta
-
Preferred nurse
-
Refusal of treatment
-
Informed consent
-
Right to know
Pregunta 96
Pregunta
Where is the preferred collection site on an infant heel?
Respuesta
-
Anywhere
-
Posterior curve
-
Middle of heel
-
Medial or lateral aspect
Pregunta 97
Pregunta
A hemolyzed specimen can be caused by ________
Pregunta 98
Pregunta
What step should a phlebotomist take if they have a needle stick exposure?
Pregunta 99
Pregunta
What is the most important information if a patient needs a GTT?
Pregunta 100
Pregunta
What is the first step to take when entering a patient's room?
Pregunta 101
Pregunta
A cholesterol (lipid) is best drawn ______.
Respuesta
-
right after a big meal
-
while fasting
-
in the afternoon
-
after urinating
Pregunta 102
Pregunta
The artery in the wrist is called the ______.
Respuesta
-
radial
-
jugular
-
femoral
-
cephalic
Pregunta 103
Pregunta
Which is the least appropriate for an infant venipuncture?
Pregunta 104
Pregunta
Centers for Medicare and Medicaid regulates all lab testing in the US through _____.
Pregunta 105
Pregunta
What does the lab need to know when drawing therapeutic drug levels?
Respuesta
-
Time of last dose
-
Patient's diagnosis
-
Time next dose is due
-
Nothing
Pregunta 106
Pregunta
Which additive is used in microbiology blood culture tubes?
Respuesta
-
EDTA
-
SPS
-
Sodium citrate
-
Sodium fluoride
Pregunta 107
Pregunta
If a patient has 3 orders from 3 different doctors, what should the phlebotomist do?
Pregunta 108
Pregunta
If a glucose meter is cleaned, it is important to ______.
Pregunta 109
Pregunta
The HIPAA act requires the Department of Health and Human Services to establish national standards for _____.
Pregunta 110
Pregunta
If you need to mail a specimen, the label must include ______.
Pregunta 111
Pregunta
Which of these may result in a failure to collect a specimen?
Respuesta
-
Making a fist
-
If the tourniquet is too loose
-
Insufficient needle depth
-
If the patient is taking medication
Pregunta 112
Pregunta
Which of these is a globally-recognized organization that develops and oversees standards and guidelines in lab testing?
Pregunta 113
Pregunta
Which blood test should be protected from the light?
Respuesta
-
Glucose
-
Hemogram
-
Bilirubin
-
Potassium
Pregunta 114
Pregunta
A patient who donates blood for their own surgery is called a ______ donor.
Pregunta 115
Pregunta
Phlebotomists are involved in which phase of testing?
Respuesta
-
Pre-analytical
-
Analytical
-
Post-analytical
-
None of the above
Pregunta 116
Pregunta
Why is it important to keep a log of all specimens collected?
Respuesta
-
For pre-analytical QC
-
For analytical QC
-
For post-analytical QC
-
No record is needed
Pregunta 117
Pregunta
If a patient's sleeve is too tight to pull up, what would you do?
Pregunta 118
Pregunta
A centrifuge is used in a clinical laboratory setting to _____.
Respuesta
-
sort tubes of different colors
-
store tubes at the correct temperatures
-
measure blood oxygen levels
-
separate liquid from the cells in the blood
Pregunta 119
Pregunta
When you send blood tubes by mail in a watertight container, they should be enclosed in a _____.
Pregunta 120
Pregunta
Anticoagulants are used to _____.
Pregunta 121
Pregunta
EMLA is a mixture of lidocaine and prilocaine that can be used to _____.
Respuesta
-
sterilize a venipuncture site
-
anticoagulate whole blood
-
topically anesthetize a draw site
-
put a phlebotomy patient under
Pregunta 122
Pregunta
When blood seeps into the surrounding tissue during a venipuncture, a _______ can form.
Respuesta
-
petechiae
-
carbuncle
-
hematoma
-
hemolysis
Pregunta 123
Pregunta
The term that refers to right or wrong conduct is ______.
Respuesta
-
empathy
-
sympathy
-
ethics
-
rights
Pregunta 124
Pregunta
The purpose of the bleeding time test is to assess ______.
Respuesta
-
platelet plug formation in the capillaries
-
the pressure of the blood vessels
-
elasticity in the major blood vessels
-
the amount of blockage in the veins
Pregunta 125
Pregunta
Skin punctures may be indicated for use when ______.
Respuesta
-
the patient is an infant, toddler, or preschooler
-
only a small amount of blood is needed
-
the patient's vein needs to be preserved for IV therapy
-
All of the above
Pregunta 126
Pregunta
If a biohazard spills in the laboratory, a phlebotomist should first try to ______.
Pregunta 127
Pregunta
The federal law that expanded in 2000 to protect the confidentiality of electronically stored health information is abbreviated as _____
Pregunta 128
Pregunta
A vein might be prone to collapse if the _______.
Respuesta
-
vacuum tube is too large for the vein, the syringe plunger is pulled back too quickly, the vacuum tube loses its vacuum, or the tourniquet is too tight
-
vacuum tube is too large for the vein, the syringe plunger is pulled back too quickly, or the vacuum tube loses its vacuum
-
the vacuum tube loses its vacuum or the tourniquet is too tight
-
vacuum tube is too large for the vein or the syringe plunger is pulled back too quickly
Pregunta 129
Pregunta
Before entering designated isolation rooms, phlebotomists should always ______.
Respuesta
-
put on masks and foot coverings
-
put on gowns and tie them
-
check requirements on signs
-
call a nurse or physician
Pregunta 130
Pregunta
The phase of laboratory testing that refers to test orders, test collection, and test sample preparation are all part of the _____ phase.
Respuesta
-
exponential
-
pre-analytical
-
testing
-
post-prandial
Pregunta 131
Pregunta
Hemolysis would cause rejection of a sample collected for _______ testing.
Respuesta
-
potassium
-
pregnancy
-
rubella
-
pyruvate
Pregunta 132
Pregunta
In performing phlebotomy on children, it is best to ____.
Pregunta 133
Pregunta
One test often used to assess hemostasis before surgery is ____.
Respuesta
-
blood culture
-
hemoglobin
-
platelet count
-
bleeding time
Pregunta 134
Pregunta
The anticoagulant EDTA works by ______.
Respuesta
-
binding prothrombin
-
lysis of red blood cells
-
inactivating thrombin
-
binding calcium
Pregunta 135
Pregunta
A tube of blood that arrives in the laboratory without a label must be _____.
Pregunta 136
Pregunta
The ____ must be followed exactly whenever drawing patient test samples that may be used in a legal proceeding.
Respuesta
-
chain of command
-
chain of custody
-
standard deviation
-
coefficient of variation
Pregunta 137
Pregunta
Knowing when to collect peak and trough levels is important when drawing ______.
Respuesta
-
blood cultures
-
therapeutic drugs
-
cortisol levels
-
estrogen levels
Pregunta 138
Pregunta
An appropriate means of communicating with a patient who is profoundly hearing-impaired might include ______.
Respuesta
-
ignoring the patient entirely
-
talking only to a hearing relative
-
using written communication
-
trying to speak a little louder
Pregunta 139
Pregunta
If a nurse stops to ask you to draw a patient for a post-prandial glucose, what would you need to know?
Pregunta 140
Pregunta
Where would be the best location option for blood collection on this patient?
Pregunta 141
Pregunta
How would you confirm diabetes in a patient?
Respuesta
-
Lipid test
-
A1C
-
Potassium
-
Glucose tolerance
Pregunta 142
Pregunta
While working the lab, you pick up a pen left on the counter and place it in your mouth. What type of exposure would this be?
Respuesta
-
Strict
-
Vector
-
Contact
-
Vehicle