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Phlebotomy > Final (official exam) > Flashcards

Final (official exam) Flashcards

1
Q

How should a phlebotomist instruct a female patient to collect a urine specimen for culture testing?

A

Do not touch the inside of the container, clean the urinary meatus from front to back, begin voiding into toilet, and then collect the specimen

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2
Q

Which of the following is the appropriate procedure for handling an ammonia specimen?

A

Transport on ice

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3
Q

A phlebotomist informs a patient who is anxious that restraints will have to be used if the patient continues to move. The phlebotomist is liable for which of the following?

A

Assault

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4
Q

Which of the following is caused by excessive shaking of a tube?

A

Hemolysis

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5
Q

Failure to demonstrate proper care that results in an injury to another person is an example of

A

Negligence

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6
Q

Drawing a patient’s blood without consent can result in a charge of

A

Battery

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7
Q

A phlebotomy tech is concerned that the office’s current butterfly needles are not up to safety standards. Which of the following agencies can confirm safety compliance of the equipment?

A

American Society for Clinical Laboratory Standards

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8
Q

Which of the following blood specimen tests are photosensitive?

A

Bilirubin

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9
Q

Which of the following actions should a phlebotomist take to comply with guidelines for a CLIA-waived procedure?

A

Document quality control results

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10
Q

A lab is scheduled for a routine inspection with the primary focus on equipment maintenance logs. Which of the following areas will be the focus of the inspection?

A

Mechanical safety

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11
Q

A phlebotomist has just confirmed critical values on a lab test. Which of the following actions should a phlebotomist take when the physician’s office is already closed?

A

Contact the physician by paging or calling right away

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12
Q

When drawing blood on a preschooler, a phlebotomist should

A

Explain the procedure to the parent and child

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13
Q

A phlebotomist is explaining the venipuncture procedure to a patient who is seated. How should the phlebotomist instruct the patient to position their arm?

A

Distal portion of the arm in a downward position

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14
Q

A phlebotomist inserts a needle into a patient’s vein and observes no blood flow into the tube. Which of the following actions should a phlebotomist take first?

A

Pull the needle back slightly

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15
Q

A phlebotomist allows another administrative employee to use their login password to enter a patient’s laboratory results. Which of the following regulates the confidentiality that has been breached?

A

HIPAA

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16
Q

According to CLSI, the standard depth of a dermal puncture for an infant is

A

2mm

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17
Q

A phlebotomist is performing a venipuncture on a patient who’s allergic to alcohol. What could they use instead?

A

Chlorohexane

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18
Q

A patient is on contact isolation precautions. What PPE, other than the standard gloves, would be required?

A

Surgical mask

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19
Q

Which of the following tests is performed to identify bacteremia?

A

Blood culture

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20
Q

If a tube is not inverted correctly after collection, it may cause

A

False test results

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21
Q

Which of the following parameters should a phlebotomist consider when selecting a collection method?

A

Patient condition, patient age, blood volume required

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22
Q

Which of the following info must a phlebotomist include on the label of a venipuncture specimen?

A

Time of the venipuncture

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23
Q

If a patient is on droplet precautions, the phlebotomist should recognize that which of the following is a means of transmission?

A

The patient sneezes

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24
Q

Which of the following nonverbal factors can have a positive impact when a phlebotomist introduces themselves to a patient?

A

Take a position facing a patient

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25
Q

A phlebotomist should use a blood transfer device with which of the following methods of blood collection?

A

Syringe

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26
Q

There has been a chemical spill in the lab. To what should a phlebotomist to refer to for directions?

A

SDS

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27
Q

A phlebotomist is planning to collect a specimen to measure a patient’s serum cortisol level, which of the following should a phlebotomist consider?

A

Prandial status

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28
Q

Which of the following needles should a phlebotomist use for a venipuncture using a winged infusion set?

A

23g

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29
Q

Which of the following actions should you do first after removing the needle?

A

Activate the needle safety device

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30
Q

The duties of a phlebotomist include

A

Greeting and instructing patients

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31
Q

A phlebotomist has washed their hands, how should they dry them?

A

With a clean disposable towel

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32
Q

A phlebotomy tech is caring for a patient who is in shock. What action should they take?

A

Keep the patient warm

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33
Q

If a phlebotomists hands are visibly soiled with bodily fluids, how should they clean them?

A

With soap and water

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34
Q

Which of the following actions should a phlebotomist take when using a tourniquet?

A

Release the tourniquet with one hand

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35
Q

Which of the following orders of draw should a phlebotomist use for venipuncture collection?

A

Sodium citrate, SST, sodium heparin, EDTA

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36
Q

Which of the following is required on the chain of custody form after a urine drug screen?

A

Patient’s signature

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37
Q

Which of the following tube additives promotes clot formation?

A

Silica

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38
Q

Which of the following is the vein of choice for a venipuncture?

A

Median cubital

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39
Q

How can a phlebotomist distinguish whether a collection tube contains serum or plasma?

A

EDTA in the collection tube indicates plasma

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40
Q

Which of the following info should the physician’s office provide to a phlebotomist for laboratory specimen collection?

A

Laboratory requisition form

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41
Q

Which of the following is used to stabilize a patient’s arm during venipuncture?

A

A phlebotomy wedge

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42
Q

By wearing a face shield when coming into contact with bodily fluids, you’re preventing what mode of transmission?

A

Permucosal

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43
Q

A report of lab results is required to have which of the following info?

A

Date of specimen collection

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44
Q

A phlebotomist is preparing a blood smear slide, what should they do before transporting it?

A

Allow the smear to dry

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45
Q

The CLSI recommends a heel lancet’s penetration to be less than 2mm to prevent what?

A

Bone penetration

46
Q

Which of the following blood components is needed for hemostasis to take place?

A

Leukocytes

47
Q

Which of the following is the correct location to anchor a vein before performing a venipuncture?

A

3-4 inches above the puncture site

48
Q

Which of the following lancet positions should a phlebotomist use for a capillary blood collection?

A

Perpendicular to the fingerprint grooves

49
Q

When prepping a blood smear, which of the following should a phlebotomist use to ensure the best test results?

A

Venous blood from a sodium citrate tube

50
Q

If no vein is apparent upon first inspection, which of the following should the phlebotomy tech do before reapplying the tourniquet?

A

Have the patient rest their arm in a downward position

51
Q

A phlebotomist is processing a urine specimen in the lab. Which of the following should the phlebotomist don?

A

Surgical gloves

52
Q

A phlebotomist should identify that a blood spot collection for inborn errors of metabolism requires what?

A

The specimen must be completely dried before the test can be processed

53
Q

A phlebotomist is preparing to collect blood from a patient with needle phobia, what should they do?

A

Instruct the patient to lay supine during the procedure

54
Q

A phlebotomist has duplicate orders for a patient, how should the order be verified?

A

Call the provider to confirm the test requisition for the patient

55
Q

A phlebotomist is scheduled to perform a venipuncture on a child who isn’t able to provide identification, how should they identify the child?

A

Identification by the patient’s nurse

56
Q

After cleaning the collection site with an antiseptic agent, the phlebotomist should do what?

A

Allow the site to air dry

57
Q

Which of the following info is a phlebotomist required to document during urine collection for the Department of Transportation for drug testing?

A

Temperature of urine collected

58
Q

While performing donor phlebotomy for a blood bank, the phlebotomist should use a

A

16-18g needle

59
Q

Which of the following is a phlebotomist required to document on a CBC specimen label?

A

Patient’s ID number

60
Q

A phlebotomist is instruction a patient on how to collect a stool specimen, what advice should they give?

A

Avoid urine contact with specimen

61
Q

A phlebotomist is preparing to collect a capillary blood specimen from a patient using the aseptic technique. What cleaning agent should the phlebotomist use?

A

70% isopropyl alcohol

62
Q

A phlebotomist is preparing to draw blood from a patient for therapeutic drug monitoring, which of the following should the phlebotomist ask?

A

When was your last dose of lithium?

63
Q

When performing a test for PKU, the specimen should be processed using which of the following?

A

Filter paper

64
Q

Which of the following techniques of needle insertion into the anticubital space is in accordance to venipuncture guidelines?

A

With the bevel facing up at an angle of 15-30 degrees

65
Q

Which of the following color tube tops will the phlebotomist need to perform an A1C, CBC, hepatic panel, and a comprehensive metabolic panel?

A

Gold and lavender

66
Q

A phlebotomist is preparing to perform venipuncture on a patient who had a right-sided masectomy, which is the correct site to draw from?

A

Left antecubital

67
Q

When preparing to explain a procedure to the patient, what should a phlebotomist do?

A

Plan to use empathy

68
Q

A phlebotomist is preparing to obtain an inpatient specimen from a patient, what’s the proper place to place the tourniquet?

A

Over the patient’s gown sleeve

69
Q

Which of the following actions should a phlebotomist take after collecting blood into a serum separation tube?

A

Invert the tube 5-8 times

70
Q

Which of the following pairs of blood tests is appropriate for a fasting specimen?

A

Glucose and triglycerides

71
Q

Which of the following refers to the process of cleaning up a blood specimen spill on a counter?

A

Disinfection

72
Q

Which of the following anticoagulants is found in a lavender-topped tube?

A

EDTA

73
Q

A phlebotomist is required to use the sharps container to dispose of what?

A

Lencets

74
Q

A phlebotomist should instruct a patient to take which of the following actions when providing a sputum sample?

A

Take a deep breath and then expectorate

75
Q

A large spill has occurred in the lab involving blood, what should you do?

A

Apply a liquid thickening agent on top of the spill

76
Q

Which of the following types of bleeding should a phlebotomist notify a nurse about?

A

Arterial

77
Q

A phlebotomist should administer CPR to whom?

A

A patient who is pulseless

78
Q

A phlebotomist is obtaining a venipuncture specimen and has decided to use the vein on the outer edge of the arm, what is this vein called?

A

Cephalic

79
Q

Which of the following actions should a phlebotomist take for a patient who has had a double mastectomy?

A

Contact the ordering provider and obtain permission to draw from either arm

80
Q

A phlebotomist has to draw blood from a patient who is in critical condition, what type of consent is this?

A

Implied

81
Q

Which of the following governing bodies mandates the use of safety feature on needles and the immediate disposal as one unit in a biohazard container after use?

A

CLIA

82
Q

Which of the following processes occurs after a venipuncture to control the bleeding?

A

Hemostasis

83
Q

Which of the following methods provides for the most secure and reliable delivery of lab results?

A

Electronic reports

84
Q

An adult patient gives implied consent when which of the following occurs?

A

When the patient offers their arm to the phlebotomist

85
Q

Which of the following pieces of info is a phlebotomist required to include on the label of a tube?

A

Phlebotomist’s initials

86
Q

A phlebotomist should identify that which of the following OTC products can affect a liver function panel?

A

Acetometophin

87
Q

Following collection of the last specimen collection tube, which of the following should take place next?

A

Disengage the tube from the collection set

88
Q

Which of the following best exemplifies diversity awareness in the workplace?

A

Acknowledging a patient’s beliefs and customs

89
Q

A phlebotomist should recognize that proper hand hygiene can result in what?

A

A decrease in the incidence of healthcare related infections

90
Q

After centrifuging, a green top tube yields a specimen of

A

Plasma

91
Q

A phlebotomist has entered incorrect info in a patient’s paper chart, what should they do?

A

Strike a line through the error and initial

92
Q

Which of the following actions is required right after a phlebotomist experiences an accidental needlestick injury when drawing blood from a patient who has HIV?

A

Report the exposure to the supervisor

93
Q

A phlebotomist should identify which of the following as the best site for phenylketonuria collection on an infant?

A

The medial or lateral areas of the heel

94
Q

Which of the following actions should a phlebotomy tech take when a patient has a seizure during a blood draw?

A

Move the patient to the floor

95
Q

Which of the following is an appropriate technique for specimen collection?

A

Performing a finger stick on a toddler patient

96
Q

A phlebotomist is obtaining a blood specimen from a patient who is suspected of having a mycobacterium tuberculosis infection, what is required to don?

A

N95 respirator

97
Q

Which of the following practices should a phlebotomist follow to help monitor the volumes of blood collected from pediatric patients?

A

Maintain an updated log of blood collected from patients

98
Q

Utilizing tubes that have expired may result in which of the following?

A

Loss of vacuum

99
Q

A phlebotomist is working with an admin assistant to schedule an appointment for a postprandial glucose test. At what time should the phlebotomist ensure this patient’s appointment is scheduled?

A

2 hr after eating a meal

100
Q

How many times should an EDTA tube be inverted after blood collection?

A

8 to 10 times

101
Q

A phlebotomist is preparing to draw blood from an infant, to calculate the blood volume that can be drawn what info must they have?

A

Weight

102
Q

When performing a dermal puncture on patients 1+ where should they do it?

A

Middle finger

103
Q

Which of the following actions should a phlebotomist take next for an adult capillary puncture after puncturing the site?

A

Wipe away the first drop of blood

104
Q

Which of the following info is required for proper outpatient identification?

A

Patient’s name and date of birth

105
Q

An 8 year old arrives to the lab for blood work, which of the following is required for venipuncture requisitions?

A

Guardian’s name and date of birth

106
Q

Which of the following forms commonly accompanies a toxicology drug screen for legal purposes?

A

Chain of custody

107
Q

According to the CLSI order of draw guidelines, which of the following should be collected first?

A

Cultures

108
Q

A blood glucose meter was checked during the previous morning for errors. At which of the following times should the quality control of the meter be checked?

A

Before use

109
Q

Which of the following methods of reporting results by a clinical laboratory abides by the recommended standards by the Joint Commission?

A

A faxed report from the clinical lab technician to the physician

110
Q

Fasting specimens are preferred for which of the following tests?

A

Cholesterol

111
Q

After collecting a bilirubin test, which of the following steps must be taken postvenipuncture to ensure an accurate result?

A

Specimen should be kept away from direct light

112
Q

Aseptic techniques are followed by phlebotomists during phlebotomy procedures for which of the following reasons?

A

To decrease the risk of infection to patients and phlebotomists

Phlebotomy (10 decks)

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