final

Question 1

Drawing a patient’s blood without his or her permission can result in a charge of a. assault and battery b. breach of confidentiality c. invasion of privacy d. respondeat superior

Answer 1

a. assault and battery

Question 2

Two phlebotomists are discussing a patient’ s condition in the elevator. They are overheard by the patient’ s daughter. This is an example of
a. Failure to exercise reasonable care b. Invasion of privacy c. Improper or unskilled care d. Mistreatment of patient

Answer 2

b. invasion of privacy

Question 3

Which of the following would not violate a patient’s right to confidentiality?
a. Indicating the nature of a patient’s disease on the door b. Listing all HIV+ patients in the laboratory computer c. Sharing collection site information on a difficult patient d. Tracking a patient’s laboratory results on the bulletin board

Answer 3

c. sharing collection sire information on a difficult patient

Question 4

Malpractice is a claim of

A. assault and battery. B. breach of confidentiality. C. improper treatment. D. invasion of privacy.

Answer 4

d. improper treatment

Question 5

If a phlebotomist ________, he or she is negligent.
a. Reports obvious changes in patient condition b. Fails to put the needle in the sharps container c. Puts the bedrail in an upright position when leaving d. reports obvious changes in the patient’s condition

Answer 5

b. Fails to put the needle in the sharps container

Question 6

A national organization that sets standards for phlebotomy procedures is the
a. ASCP b. NAACLS c. NCA d. CLSI

Answer 6

d. CLSI

Question 7

Which action will compromise the quality of a specimen?
A. Drawing electrolytes in an amber tube B. Mixing a serum separator tube five times C. Partially filling a liquid EDTA tube D. Placing a cold agglutinin in a heat block

Answer 7

C. Partially filling a liquid EDTA tube

Question 8

Which one of the following examples is unrelated to quality control?
A. Checking expiration dates of evacuated tubes B. Documenting maintenance on centrifuge C. Employees filling out their time sheets daily D. Recording refrigerator temperature daily

Answer 8

C. Employees filling out their time sheets daily

Question 9

Chilling will adversely affect the quality of test results for which of the following analyte?
A. Ammonia B. Lactic Acid C. Potassium D. Renin

Answer 9

C. Potassium

Question 10

The “standard of care” in the practice of phlebotomy is influenced by which of the following organization?
A. The Environmental Protection Agency B. The U.S. Food and Drug Administration C. The Health Insurance Privacy Agency D. The Joint Commission

Answer 10

D. The Joint commission

Question 11

Three of the following conditions are reasons a specimen could be rejected for analysis, Which one is not?
A. A bilirubin specimen is icteric B. A CBC specimen contains clots C. A fasting glucose specimen is lipemic D. An electrolyte specimen is hemolyzed

Answer 11

A. A bilirubin specimen is icteric

Question 12

The purpose of the Joint Commission’s Office of Quality Monitoring is to:
a. Evaluate and track complaints related to care b. Implement immediate response to safety issues c. Inspect healthcare facilities for accreditation c. Set specific patient safety goals to improve care

Answer 12

A. evaluate and track complaints related to care

Question 13

Some test specimens require immediate cooling in ice and water slurry to
a. prevent activation of cold agglutinins b. prevent the specimen from clotting c. separate serum more completely d. slow down metabolic processes

Answer 13

d. slow down metabolic processes

Question 14

True or False? A good way to avoid lawsuits is to consistently perform venipunctures as rapidly as possible so as to get the results to the physician quickly.

Answer 14

FALSE

Question 15

True or False? Labeling of a specimen must be exact.

Answer 15

TRUE

Question 16

What does the suffix of the term “glycolysis” mean?

a. against b. breakdown c. glucose d. living

Answer 16

b. breakdown

Question 17

The medical term for white blood cell is

a. Erythrocyte b. Hepatocyte c. leukocyte d. thrombocyte

Answer 17

c. leukocyte

Question 18

Which of the following terms mean kidney inflammation?

a. cystitis b. hepatitis c. nephritis d. neuritis

Answer 18

c. nephritis

Question 19

The letter “g” is pronounced like a “j” in

a. gamete b. gestation c. glycolysis d. guaiac

Answer 19

b. gestation

Question 20

The abbreviation “ ESR” means
a. Energy-saving respiration b. Erythrocyte sedimentation rate c. Eosinophil survival response d. Estimated survival rate

Answer 20

c. Erythrocyte sedimentation rate

Question 21

What word means “condition of clotting”?

a. homeostasis b. leukopenia c. thrombosis d. vasoconstriction

Answer 21

c. thrombosis

Question 22

What word means “ hardening of the artery” ?

a. arteriopathy b. arteriosclerosis c. arteriospasm d. arteritis

Answer 22

b. Arterioslecerosis

Question 23

A prefix
a. adds information about a term b. modifies the meaning of a term c. precedes the word root d. All of the above are correct

Answer 23

d. all of the above are correct

Question 24

The word elements of the term “polycythemia” mean
A. blood condition of many cells. B. condition of large blood cells. C. lack of normal red blood cells. D. state of reduced blood cells.

Answer 24

a. blood condition of many cells

Question 25

The "c" sounds like an "s" is which of the following terms? | a. coagulation b. cardiac c. cellular d. culture

Answer 25

c. cellular

Question 26

The Joint commission "Do Not Use" list applies to all of the following except a. electronic laboratory reports b. handwritten laboratory reports c. handwritten medication orders d. writing on preprinted forms

Answer 26

a. electronic laboratory reports

Question 27

Which body plane divides the body into equal portions? | a. Frontal b. Midsagittal c. Cranial d.Transverse

Answer 27

b. midsagital

Question 28

which of the following is a function of the urinary system a. to maintain electrolyte balance b. to receive environmental stimuli c. to remove CO2 from the body d. to return tissue fluid to the blood

Answer 28

to maintain electrolyte balance

Question 29

Which of the following is a test of the urinary system? | a. Cholinesterase b. Creatine kinase c. Creatinine clearance d. Pleuracentesis

Answer 29

c. Creatinine kinase

Question 30

The ability of the body to repair and maintain itself to achieve a "steady state" defines what term? A. Anabolism B. Catabolism C. Hemostasis D. Homeostasis

Answer 30

D. Homeostasis

Question 31

Which of the following type of muscle is under voluntary control? A. Cardiac B. Skeletal C. Smooth D. Visceral

Answer 31

B. Skeletal

Question 32

Which of the following is a test of the respiratory system? | A. ABG B. CSF C. ETOH D. UA

Answer 32

A. ABG

Question 33

``` The term "distal" means A) farthest from the point of attachment. B) higher or above. C) nearest to the center of the body. D) toward the back. ```

Answer 33

A) farthest from the point of attachment

Question 34

When you are facing someone in normal anatomic position, at which body plane are you looking? A. Frontal B. Midsagittal C. Sagittal D. Transverse

Answer 34

A. Frontal

Question 35

``` The layer(s) of the skin containing blood vessels is/are A. epidermis and dermis. B. epidermis only. C. dermis and subcutaneous. D. subcutaneous only. ```

Answer 35

C. dermis and subcutaneous.

Question 36

The avascular layer of the skin is the | A. corium. B. dermis. C. epidermis. D. subcutaneous.

Answer 36

C. epidermis

Question 37

Which gland is often called the "master gland" of the endocrine system? A. Pineal B. Pituitary C. Thymus D. Thyroid

Answer 37

B. Pituitary

Question 38

A specimen would most likely be accepted for testing despite this problem a. expired evacuated tube b. incomplete identification c. no phlebotomist initials d. quantity not sufficient

Answer 38

c. No phlebotomist initials

Question 39

Which of the following is used by the laboratory to identify a specimen throughout the testing process a. accession number b. hospital number c. mnemonic code d. password ID

Answer 39

a. accession number

Question 40

a pneumatic tube is a a. pressurized air transportation system b. temporary computer data storage unit c. tube connection between two computers d. a type of collection tube for blood gases

Answer 40

a. pressurized air transportation system

Question 41

an example of pre analytical error happening during specimen processing is a. faulty collection technique b. inadequate centrifugation c. insufficient specimen d. patient stress and anxiety

Answer 41

b. inadequate centrifugation

Question 42

transporting blood specimens with the stopper up has nothing to do with a. encouraging complete clot formation b. maintaining the sterility of the sample c. minimizing stopper caused aerosols d. reducing agitation caused hemolysis

Answer 42

b. maintaing the sterility of the sample

Question 43

Which of the following would not be considered a preanalytical error? a. failing to mix an additive tube b. mislabeling a aliquot tube c. misreporting patient results d. using the wrong order of draw

Answer 43

c. misreporting patient results

Question 44

which of the following specimens need to be chilled? | a. ammonia b. bilirubin c. cold agglutinin d. serum protein

Answer 44

a. ammonia

Question 45

this organization develops standards for specimen handling and processing a. CDC b. CLIA c. CLSI d. FDA

Answer 45

c. CLSI

Question 46

According to CLSI, the maximum time limit for separating serum or plasma from cells is a. 15 min from time of collection b. 30 min from TOC c. 1.0 hr from TOC d. 2.0 hr from TOC

Answer 46

d. 2.0 hrs from TOC

Question 47

which statement describes proper centrifuge operation? a. centrifuge serum specimen before they start to form noticeable clots b. never centrifuge both serum and plasma specimens in the same centrifuge c. place tubes of equal size and volume opposite one another for balance d. remove evacuated tube stoppers before placing them in the centrifuge

Answer 47

c. place tubes of equal size and volume opposite one another for balance

Question 48

which specimen can be centrifuged immediately upon arrival in specimen processing a. blood culture in an SPS tube b. calcium in a green top tube c. CBC in a lavender stopper tube d. Creatinine in an SST tube

Answer 48

b. calcium in a green top tube

Question 49

Which of the following represents improper aliquot preparation? a. removing the stopper behind a splash shield b. carefully pouring the contents into a aliquot tube c. covering or capping the aliquot tube immediately d. none of the above

Answer 49

b. carefully pouring the contents into a aliquot tube

Question 50

T/F Accession takes place in central processing or triage

Answer 50

FALSE

Question 51

T/F "ASAP" or "Med Emerg" specimens must be attended to before routine specimens true

Answer 51

TRUE

Question 52

What is the recommended procedure for collecting a 24-hour urine sample?

Answer 52

Void the first morning specimen, start the timing, and collect all other specimens including the next morning's specimen.

Question 53

Which fluid is obtained by lumbar puncture?

Answer 53

Cerebrospinal

Question 54

What additional information is typically required when labeling a nonblood specimen?

Answer 54

special handling needs

Question 55

Which of the following tests requires a 24-hour urine specimen?

Answer 55

Creatinine clearance

Question 56

A refrigerated stool sample would be unsuitable for this test.

Answer 56

Ova and parasites

Question 57

A urine C&S is typically ordered to detect

Answer 57

Presence of UTI

Question 58

An NP culture swab is collected to detect the presence of organisms that cause

Answer 58

Whooping cough

Question 59

Drugs of abuse can be detected in

Answer 59

Hair, saliva and urine (All of the above)

Question 60

Which type of specimen must be protected from light?

Answer 60

Amniotic fluid

Question 61

Sputum samples are typically collected to diagnose

Answer 61

Tuberculosis

Question 62

This type of urine collection involves the aspiration of urine directly through the wall of the bladder using a sterile needle and syringe.

Answer 62

Suprapubic

Question 63

True or False? Part of a phlebotomist's job may be to instruct a patient on how to collect a clean catch midstream urine specimen. True

Answer 63

TRUE

Question 64

The artery of choice for ABG collection.

Answer 64

radial

Question 65

When performing the Allen test, which artery is released first?

Answer 65

Ulnar

Question 66

What happens to a ABG specimen left at room temperature for a prolonged period?

Answer 66

Blood cells continue to consume oxygen; continued metabolism proceduces acids and levels of carbon dioxide increase

Question 67

After performing a arterial puncture, check the pulse

Answer 67

distal to the puncture site

Question 68

Which of the following is the most common arterial puncture complication even when proper technique is used

Answer 68

Ateriospasm

Question 69

Which of the following patients would be considered to be in a "steady state" for ABG specimen collection?

Answer 69

A patient who has been asleep for 30 minutes while breathing room air

Question 70

Which of the following is the proper needle insertion angle for radial artery puncture?

Answer 70

45 degree

Question 71

Which of the following is the best way to tell that a specimen is arterial? As the specimen is collected, the blood should

Answer 71

pulse into the syringe

Question 72

A proper cleaning solution for preparing an aterial puncture site is

Answer 72

isopropyl alcohol

Question 73

True or False? It is safe to draw an ABG specimen from a limb that has an A-V Shunt or fistula.

Answer 73

FALSE

Question 74

True or False? The ulnar artery is the first choice for drawing and ABG specimen.

Answer 74

FALSE

Question 75

True or False? To perform ABG punctures, a phlebotomist must under extensive training.

Answer 75

TRUE

Question 76

True or False? ABG pretreated with EDTA to prevent clotting.

Answer 76

FALSE

Question 77

True of False? The normal needle size for ABG collection is 20 gauge.

Answer 77

FALSE

Question 78

Another name for blood bank is?

Answer 78

Immunohematology

Question 79

With which other hospital department would the laboratory coordinate therapeutic drug monitoring?

Answer 79

Pharmacy

Question 80

Electrolyte testing includes?

Answer 80

sodium, potassium

Question 81

Promoting good public relations is part of the pantomimist's role because?

Answer 81

Promoting good public relations is part of the pantomimist's role because? A phlebotomist is representative of the laboratory throughout the facility. Good public relations promotes a harmonious relationship with the staff. Patients often equate venipuncture experiences with the overall hospital care.

Question 82

Which department is responsible for administering oxygen therapy?

Answer 82

Respiratory Therapy

Question 83

The term 'phlebotomy' is derived from Greek words that literally translated mean?

Answer 83

Vein Incision

Question 84

Which of the following is not a phlebotomist's duty?

Answer 84

Starting intravenous (IV) lines.

Question 85

What are the credentials for an ASCP-certified phlebotomist?

Answer 85

PBT

Question 86

Proof of participation in workshops to upgrades skills required by some agencies to renew certification is called?

Answer 86

CEUs

Question 87

Which of the following is an example of barrier to effective communication with a patient? The patient

Answer 87

Does not speak English

Question 88

Which of the following is an example of confirming response to a patient?

Answer 88

I understand how you must be feeling.

Question 89

Which of the following is an example of negative kinesics?

Answer 89

Frowing

Question 90

Which of the following communicates unprofessionalism?

Answer 90

Intense odor of cologne

Question 91

It is improper telephone protocol to?

Answer 91

Hang up on angry callers

Question 92

Which duty is not performed by local public health agencies?

Answer 92

Licensure of healthcare personnel

Question 93

The federal law that defines the responsibilities of medical laboratory personnel is the?

Answer 93

CLIA (Clinical Laboratory Improvement Amendments of 1988)