PHLEBOTOMY GAME FLASH CARDS I

What should be done if blood flow stops mid-draw? A. Re-anchor and advance or pull back slightly B. Pull the needle out immediately C. Start over on the same arm D. Shake the tube vigorously

A

True or False: MRSA is one of the most common bacteria found in healthcare settings.

True

Which blood type is considered the universal donor

O negative

True or False: The Modified Allen test is used to confirm collateral circulation before an arterial puncture.

True

What does PPE stand for? A. Professional Practice Ethics B. Patient Protection Equipment C. Personal Protective Equipment D. Personal Protocol Essentials

C

What is the purpose of a laboratory test directory? - To list tests and their requirements - To store unused chemicals - To replace quality control testing - To record patient demographics and results

To list tests and their requirements

According to the Patient Bill of Rights, can a patient decline medical treatment? (Yes or No)

Yes

True or False: HIPAA regulations apply only to electronic records.

False

True or False: Capillary action is the movement of liquid through a narrow space with the help of gravity.

False

Which of the following is an example of nonverbal communication? A. Facial expressions and body language B. Speaking clearly and slowly C. Giving written instructions D. Asking open-ended questions

A

Which of the following items should always be included on a specimen label? - Patient's full name, date of birth, date and time of collection, collector's initials - Patient's full name, date of birth, attending physician - Collector's initials, name of test, time of collection - Patient's full name, specimen source (e.g., throat or buccal), collector's initials

Patient's full name, date of birth, date and time of collection, collector's initials

True or False: The tourniquet should be applied 6-8 inches above the draw site.

False

What is the purpose of placing certain specimens on ice immediately after collection? - To reduce the risk of bacterial contamination - To slow cellular and biochemical reactions that could alter results - To make the blood easier to separate during centrifugation - To keep the specimen from clotting too quickly

To slow cellular and biochemical reactions that could alter results

What two identifiers do medical professionals use to properly identify patients?

Full name and date of birth

True or False: The PASS acronym stands for Pull, Aim, Slide, Sweep.

False

Forcefully squeezing or "milking" the finger during a capillary puncture may cause: - Hemostasis - Hemolysis - Osteomyelitis - Phenylketonuria

Hemolysis

What is the mission of HIPAA?

protect patients' health information

True or False: Barcoding helps reduce specimen misidentification errors.

Barcoding helps reduce specimen misidentification errors.

Which of the following is NOT a core value of professionalism? A. Integrity B. Dependability C. Judgment D. Empathy

C

Which of the following is NOT a non-blood specimen that a phlebotomist may handle? - Urine - Stool - Nail clippings - Spinal fluid

Nail clippings

What is the definition of battery, and how does it apply in the healthcare setting?

touching without consent

Which emergency condition is characterized by pale and clammy skin, rapid breathing, and a weak pulse? - Stroke - Shock - Seizure - Heart attack

Shock

Which of the following is a key step when collecting capillary blood? - Using alcohol with io -Using the largest lancet available -Drawing blood from a swollen site -Discarding the first drop

Discarding the first drop

blood that is low in oxygen is called .

Deoxygenated blood

When does an infection begin? - When the body produces too many red blood cells - When a harmful microorganism enters the body and multiplies - When the immune system overproduces antibodies - When the body becomes dehydrated

When a harmful microorganism enters the body and multiplies

Which method uses a vacuum-sealed tube to collect blood? - Syringe draw - Dermal puncture - Capillary tube collection - Evacuated tube system

Evacuated tube system

Platelet-rich plasma is commonly used in medical and cosmetic treatments to promote what? - Muscle growth - Bone density - Healing and tissue repair - Blood clotting

Healing and tissue repair

What is the ideal angle of the top slide when making a blood smear? 15-20 25-30 30-45 45

30-45

Which of the following best describes informed consent? A. A patient agrees to a procedure after receiving a full explanation B. A patient nods their head in approval C. A provider proceeds without patient approval D. A family member grants permission for the patient

A

True or False: An EMR can be accessed across multiple healthcare facilities.

False

True or False: A phlebotomist should avoid drawing blood from a site with a new tattoo due to a higher risk of infection.

True

Which urine test is commonly performed during a physical exam? - Culture and Sensitivity - 24-Hour Urine Collection - Urinalysis - Creatinine Clearance Test

Urinalysis

What is the primary purpose of an Exposure Control Plan? A. To prevent workplace theft B. To outline how to reduce exposure to bloodborne pathogens C. To label chemical containers D. To manage vacation schedules

B

What is the function of EDTA in blood collection tubes? - Promote clotting - Prevent clotting by binding calcium - Separate serum - Preserve glucose

Prevent clotting by binding calcium

True or False: Failing to label a patient's blood sample can be considered an act of negligence.

True

Which lifestyle recommendation is included in the American Heart Association's "Life's Essential 8?" - Eat better - Be more active - Quit tobacco - All of the above

All of the above

Which white blood cell condition involves an abnormally low count? A. Leukocytosis B. Leukopenia C. Anemia D. Thrombocytopenia

B

Which of the following is NOT a link in the chain of infection? - Portal of Entry - Immune Response - Mode of Transmission - Reservoir

Immune Response

True or False: A laboratory test directory may be available in digital or written form, depending on the facility.

True

What is the name of the triangular area inside the elbow that is ideal for venipuncture?

Antecubital fossa

Which test requires the patient to cough deeply to bring up secretions from the lower respiratory tract? - Throat swab - Nasopharyngeal swab - Sputum sample - Saliva sample

Sputum sample

A patient becomes pale and dizzy during a blood draw. What should the phlebotomist do first? - Complete the draw quickly - Remove the needle and lay the patient back - Call for a supervisor - Draw an extra tube for testing

Remove the needle and lay the patient back

A proper blood smear should have what feature? - A thick feathered edge with clumped cells - A smooth feathered edge without streaks - Even coverage of the entire slide - Only methylene blue stain

A smooth feathered edge without streaks

What additional identifier do medical professionals use to identify patients in the hospital?

The patient's ID band

Which type of code is used to describe procedures for billing purposes? - CPT - LIS - ICD-10 - EMR

CPT

True or False: The order of draw is the same for microcollection tubes and vacutainer tubes.

False

True or False: Povidone-iodine is an appropriate site cleanser when collecting an ETOH specimen.

True

Which chamber of the heart pumps oxygenated blood to the body? A. Left ventricle B. Right ventricle C. Left atrium D. Right atrium

A

Which best describes the practice of Universal Precautions? - Using protective equipment only with patients known to be infectious - Treating all blood, body fluids, and tissues as potentially infectious - Avoiding cross-contamination from food and environmental sources - Limiting testing to reduce hospital-acquired infections

Treating all blood, body fluids, and tissues as potentially infectious

Which tube is typically drawn last to avoid additive interference? - Light blue - Green - Gray - Red

Gray

What is another name for a red blood cell?

Erythrocyte

What does the NFPA hazard diamond communicate? - Chemical hazards - Bloodborne pathogen risk - Radiation exposure - Infection control codes

Chemical hazards

What is the most common site for capillary collection in infants under 12 months old? A. Finger B. Heel C. Earlobe D. Big toe

B

What does viability mean? - The ability of cells, tissues, or microorganisms to remain alive and functional -The ability of a specimen to clot properly for testing - The amount of blood collected in the tube - The stability of the specimen during transport

The ability of cells, tissues, or microorganisms to remain alive and functional

Which of the following is the correct method for cleansing the venipuncture site? A. Using an up-and-down motion B. Wiping back and forth across the site C. Setting the swab on the site for at least 30 seconds D. Dabbing the site lightly

B

True or False: A vein viewer is a point-of-care testing device.

False

What is the correct order of steps before beginning a blood draw? A. Explain procedure → identify patient → gain consent B. Gain consent → identify patient → explain procedure C. Identify patient → explain procedure → gain consent D. Explain procedure → gain consent → identify patient

C

What is a waybill used for in laboratory practice? - Patient identification - Insurance reimbursement - Specimen shipment documentation - Chain of custody

Specimen shipment documentation

Which situation requires a capillary draw rather than venipuncture? - Blood culture - Large-volume draw - CBC on an infant - Coagulation testing

CBC on an infant

Which test is used to monitor exposure to heavy metals? - ABG - Ammonia - OGTT - Trace elements

Trace elements

What should a phlebotomist do if they are exposed to blood? A. Call the patient B. Rinse and continue working C. Report immediately and follow the Exposure Control Plan D. Wipe with alcohol and continue working

C

Which of the following tests requires freezing? - ACTH - Calcitonin - Factor IX - All of the above

All of the above

What serious reaction can occur if blood is transfused into a patient who is not a compatible match?

Agglutination

What is the proper position for a patient who faints during a blood draw? - Sitting upright - Standing - Recovery position - On the stomach

Recovery position

What equipment modification can help with veins that collapse under pressure? A. Use a syringe instead of a vacuum tube B. Use a tourniquet higher up on the arm C. Increase the vacuum pressure D. Use a larger collection tube

A

What are the four main groups of pathogens? - Viruses, Bacteria, Prions, Algae - Bacteria, Fungi, Protozoa, Toxins - Viruses, Bacteria, Fungi, Parasites - Viruses, Bacteria, Yeasts, Worms

Viruses, Bacteria, Fungi, Parasites

What is the liquid portion of anticoagulated blood? A. Serum B. Plasma C. Lymph D. Buffy coat

B

Which condition is commonly treated using therapeutic phlebotomy? - Anemia - Leukemia - Diabetes - Hemochromatosis

Hemochromatosis

Why must tubes be inverted after collection? - To mix the blood with any additives in the tube - To check for clotting - To remove bubbles - To prevent contamination

To mix the blood with any additives in the tube

Which tube and additive are used to prepare a blood smear? - Blue-top, sodium citrate - Lavender-top, EDTA - Green-top, heparin - Red-top, no additive

Lavender-top, EDTA

Blood that is high in oxygen is called

oxygenated blood

Which type of code identifies diagnoses and reasons for testing? - CPT - ABN - LIS - ICD-10

ICD-10

The purpose of the order of draw is to prevent cross-contamination of additives.

True

What is the correct timeframe for analyzing an ABG sample? - Within 5 minutes - Within 30 minutes - Within 1 hour - Within 4 hours

Within 5 minutes

What is the purpose of a tourniquet in venipuncture? A. To sterilize the skin B. To reduce bleeding C. To dilate the artery D. To make veins more prominent

D

Which test most likely requires a pre-warmed collection tube? - Lipid panel - Cryoglobulin test - Basic metabolic panel - Hemoglobin A1C test

Cryoglobulin test

What is the preferred vein for venipuncture?

median cubital vein

What system is primarily used to manage lab test orders and results? - EHR - LIS - ICD-10 - CPT

LIS

Which of the following can make venipuncture more difficult? A. Proper hydration, poor circulation, obesity B. Obesity, dehydration, poor circulation C. Needle phobia, proper hydration, low BMI D. All of the above

B

Which type of transmission-based precaution is required for a patient with tuberculosis? - Contact precautions - Droplet precautions - Airborne precautions - Standard precautions

Airborne precautions

Which component of blood is responsible for carrying oxygen? A. Leukocytes B. Plasma C. Hemoglobin D. Platelets

C

What is the purpose of the chain of custody? - To ensure specimens are refrigerated - To maintain strict tracking of forensic specimens - To allow specimens to be tested at multiple laboratories - To prioritize rapid testing over documentation

- To maintain strict tracking of forensic specimens

When should a discard tube be used? - Always before drawing blood - Only when using a syringe - When using a butterfly needle - After a failed draw attempt

When using a butterfly needle

True or False: Cleaning and inspecting centrifuge rotors is only necessary during troubleshooting.

False

True or False: Certain states may require a license to practice phlebotomy in that state.

True

True or False: An AED can analyze heart rhythm and deliver a shock if needed.

True

In pediatric patients, what is the best strategy for minimizing anxiety? A. Talk only to the parent B. Use distraction techniques and age-appropriate language C. Sedate the child D. Tell them it won't hurt

Use distraction techniques and age-appropriate language

Which test requires arterial blood rather than venous blood? - CBC - Lipid Panel - ABG - OGTT

ABG

What agency enforces workplace safety standards? A. HIPAA B. CDC C. CLSI D. OSHA

D

What does a peak level represent in therapeutic drug monitoring? - The fastest time it takes for a medication to act in the body - The highest concentration of a medication in the bloodstream - The lowest concentration of a medication in the bloodstream - The average concentration of a medication over a 24-hour period

The highest concentration of a medication in the bloodstream

Which of the following is considered a HIPAA violation? A. Calling a patient's name in the waiting room B. Writing patient information in the medical chart C. Discussing patient results in a crowded elevator D. Giving the patient a printed copy of their results

C

What is the purpose of an Advanced Beneficiary Notice? - To confirm informed consent - To inform Medicare patients of potential costs - To assign billing codes - To request specimen recollection

To inform Medicare patients of potential costs

Which test is most commonly performed using a lavender-top tube? - CBC - Glucose - PT/INR - BMP

CBC

Which acronym is used for fire response procedures? - RACE - PASS - CPR - AED

RACE

Which of the following can help make a vein more prominent before venipuncture? - Applying a cold compress - Keeping the arm elevated - Using a larger gauge needle - Asking the patient to dangle the arm below heart level

Asking the patient to dangle the arm below heart level

What is the first link in the chain of infection? - Portal of Entry - Mode of Transmission - Infectious Agent - Susceptible Host

Infectious Agent

True or False: The basilic vein is the most securely anchored and is the safest vein to use.

False

What is the laboratory most likely to do if a specimen has an error? - Correct the error and proceed with testing - Store the sample indefinitely - Reject the sample and require recollection - Test the specimen and flag the results

Reject the sample and require recollection

When a vein is hard to palpate, what is the best next step? - Draw from an artery - Perform a blind stick - Use a warming device or have the patient hydrate - Switch to a fingerstick

Use a warming device or have the patient hydrate

Which step should be taken before starting a centrifuge to prevent damage and accidents? - Balancing tubes of equal volume across from each other - Wiping down the rotor with alcohol - Using only plastic tubes - Unplugging and reconnecting the centrifuge

Balancing tubes of equal volume across from each other