AUMT final exam

What are desired traits of a phlebotomist?

a. respect, service, and growth

b. punctual, nice, and clean

c. quick, efficient, and dependable

d. there are no desired traits

a. respect, service, and growth

Which of the following is NOT considered a serum tube?

a. red

b. tiger top

c. orange

d. light yellow

d. light yellow

How do physicians utilize laboratory test results?

a. detect problems

b. monitor patients

c. determine if treatment is having the desired effect

d. all the above

d. all the above

What is the most common needle gauge and length used for venipuncture?

a. 21 gauge and 1.5 inches

b. 18 gauge and 1 inch

c. 16 gauge and 1.5 inches

d. 21 gauge and 2 inches

a. 21 gauge and 1.5 inches

The ___________ top tube is normally used for blood bank.

a. gold

b. blue

c. pink

d. lavender

c. pink

The __________ top tube must be filled completely up to the indicated line.

a. red

b. light blue

c. lavender

d. black

b. light blue

How many times do you invert your tubes?

a. 8-10

b. 10-20

c. 4-5

d. 20

a. 8-10

What is the purpose of the "order of draw"?

a. to make sure blood draws are organized

b. to prevent contaminating the blood collection site

c. to reduce the effects of "carry over"

d. to ensure the additives mix properly with the blood samples

c. to reduce the effect of "carry over"

"Mistakes and errors happen, but when you intentionally harm someone it is against ethical standards"

true/false

TRUE

What tube is responsible for coagulation studies?

a. red

b. lavender

c. light blue

d. green

c. light blue

Which of the following test requires whole blood?

a. gray

b. green

c. light blue

d. lavender

d. lavender

How many inches above the venipuncture site do you apply the tourniquet?

a. 3-4

b. 5-6

c. 1-2

d. 2-3

a. 3-4

"The evacuated tubes are vacuumed sealed"

TRUE

What tube(s) is used for trace element levels?

a. red

b. lavender

c. royal blue

d. pink

c. royal blue

What are the three main veins in the antecubital fossa?

a. cephalic vein, median cubital vein, and the basilica vein

b. capillaries, arteries, and veins

c. renal vein, pulmonary vein, and the basilica vein

d. cephalic vein, renal vein, and capillaries

a. cephalic vein, median cubital vein, and the basilica vein

How long does a serum tube need to clot before it can be centrifuged?

a. 20 min

b. 30 min

c. 10 min

d. 15 min

b. 30 min

What is the angle of your needle when drawing with the evacuated tube system?

a. 30-45 degrees

b. 15-20 degrees

c. 15-30 degrees

d. 25-30 degrees

c. 15-30 degrees

Which of the following sites should be avoided when drawing blood?

a. same side as a mastectomy

b. skin with burns or scars

c. above an IV

d. all the above

d. all the above

What is the most common complication associated with phlebotomy?

a. phlebitis

b. hematoma

c. petechiae

d. thrombosis

b. hematoma

What are the 5 main items that need to be on a requisition before drawing blood?

a. patient's full name, DOB, gender, height and phone number

b. patient's name, gender, doctor information, and medical record number, DOB

c. patient's full name, DOB, gender, weight, doctors name and address

d. patient's full name, DOB, gender, address and phone number, social security number

b. patient's name, gender, doctor information, and medical record number, DOB

Where would you look to see if the patient has an allergy?

a. the requisition

b. their wristband

c. their insurance card

d. you just ask them

a. the requisition

What words/phases cannot be used to indicate the physician needs test done right away?

a. STAT

b. now

c. ASAP

d. medical emergency

b. now

When must you label your specimen?

a. in front of the patient

b. before the patient leaves the collection area

c. before you leave the bedside

d. all the above

d. all the above

What is the best way to identify your patients in a hospital setting?

a. ask them to state their first, last name, DOB and check the wrist band

b. ask them if they are John Doe and check their wrist band

c. check their name on the door with the name on your orders

d. ask to see their wrist band and ID

a. ask them to state their first, last name, DOB and check the wrist band

"Phlebotomy students should always let the patient know that they are students"

TRUE

What does HIPAA stand for?

a. Health Insurance Plan Administrators Association

b. Health Insurance Portability and Accountability Act

c. Heparin-induced Platelet Aggregation Assay

d. Health Information Privacy Accountability Association

b. Health Insurance Portability and Accountability Act

How do you verify an outpatients information before drawing blood?

a. tell them their name and birthdate

b. have them give you their address and name

c. have them tell you their first and last name and date of birth

d. ask them their doctor's name and phone number

c. have them tell you their first and last name and date of birth

Which agency enforces patients privacy and confidentiality?

a. HIPAA

b. OSHA

c. CDC

d. NSSPA

a. HIPAA

What would be a violation of HIPAA?

a. a phlebotomist walks into the waiting room and calls out the patients name to bring them to the drawing area

b. the phlebotomist asks the patient to say their full name and date of birth while other patients are in the room

c. a phlebotomist takes a picture at work and posts it on social media with patient information showing in the background

d. the phlebotomist writes the patients name, DOB, and medical record on the tube of blood

c. a phlebotomist takes a picture at work and posts it on social media with patient information showing in the background

What are the 4 different types of consent?

a. informed, expressed, implied, and consent for minors

b. assumed, informed, refused, and consent for minors

c. expressed, ordered, timed, and assumed

d. informed, expressed, implied, and refused

a. informed, expressed, implied, and consent for minors

If you ask a patient if you can draw their blood and they do not respond but put their arm out, can you continue to draw their blood?

yes/no

yes

Typically how long must a patient fast if their test requires them to be fasting?

a. 4-6

b. 12-24

c. 8-12

d. 1-10

c. 8-12

Which of these questions DO NOT need to be asked before drawing a patient?

a. are you allergic to latex?

b. have you ever had your blood drawn before?

c. have you ever fainted from a blood draw?

d. what did you eat for dinner last night?

d. what did you eat for dinner last night?

If a patient has had a mastectomy on both sides where would you draw blood?

a. the foot

b. you couldn't draw

c. the hand

d. either arm is fine

c. the hand

In what position must a patient be in to have their blood drawn?

a. sitting

b. standing

c. laying down

d. A and C

d. A and C

What is the area in the arm called where blood draws are commonly performed?

a. antecubital fossa

b. bicep

c. gluteus maximus

d. flexor carpi ulnaris

a. antecubital fossa

What vein or veins are located in the antecubital fossa?

a. median cubital

b. cephalic

c. basilic

d. all the above

d. all the above

Veins that are twisted, dilated, and lack elasticity

a. sclerotic veins

b. tortuous veins

c. fragile veins

d. phlebetic veins

e. thrombotic veins

b. tortuous veins

Veins that are weak, thin, and difficult to puncture

a. sclerotic veins

b. tortuous veins

c. fragile veins

d. phlebetic veins

e. thrombotic veins

c. fragile veins

Veins with a blood clot that are hard and inflexible

a. sclerotic veins

b. tortuous veins

c. fragile veins

d. phlebetic veins

e. thrombotic veins

e. thrombotic veins

Veins that are hard, inflexible and narrow

a. sclerotic veins

b. tortuous veins

c. fragile veins

d. phlebetic veins

e. thrombotic veins

a. sclerotic veins

Veins that are tender and warm with a red area around them

a. sclerotic veins

b. tortuous veins

c. fragile veins

d. phlebetic veins

e. thrombotic veins

d. phlebitic veins

What do you do if a patient has duplicate orders?

a. you can combine both orders and draw double the amount of blood

b. you can call the doctor and confirm which order he/she would like drawn

c. you will have to draw the patient 2 separate times for each order

d. you can call the dr and let him know you drew plenty of blood

b. you can call the doctor and confirm which order he/she would like drawn

Which of the following organizations helps laboratories achieve accreditation?

a. CLIA

b. NSSPA

c. JCAHO

d. CLSI

d. CLSI

Threatening to move forward with a procedure without consent is considered what?

a. rude

b. assault

c. battery

d. just fine

b. assault

We do not slap the patients skin when looking for a vein because that is?

a. damaging to red blood cells

b. painful

c. battery

d. not necessary

c. battery

How many attempts can you make before asking a coworker to do the draw for you?

a. 5

b. 1

c. 2

d. 3

c. 2

Who is in charge of preventing the spread of disease and who you report to when there is an outbreak of a disease?

a. JCAHO

b. CLIA

c. CLSI

d. CDC

d. CDC

OSHA

Occupational Safety and Health Administration

SDS

Safety Data Sheet

CLIA

Clinical Laboratory Improvement Amendments

CLSI

Clinical and Laboratory Standards Institute

PPE

personal protective equipment

CDC

Centers for Disease Control and Prevention

Which one of these would you NOT stop the phlebotomy procedure for?

a. a hematoma develops

b. when you get nervous

c. patient shows signs of seizure

d. patient shows signs of loss of consciousness

b. when you get nervous

Sharps containers must have which of the following?

a. functionality

b. accessibility

c. visibility

d. all the above

d. all the above

Which of the following is NOT a step in the process when dealing with an accidental needle stick?

a. obtain the patients identifying info

b. report incident to a supervisor

c. obtain the patients medical history

d. wash puncture site thoroughly

c. obtain the patients medical history

Standard Precautions

treating every patient as if they have an infectious disease

Gloves, gowns, and disposable masks are all examples of

a. MSDS

b. PPE

c. engineering controls

d. biohazards

b. PPE

What isolation system helps protect a patient with low immunity from getting infections from others?

a. reverse isolation

b. contact isolation

c. airborne isolation

d. droplet isolation

a. reverse isolation

When should you wash your hands?

a. before every patient

b. after every patient

c. any other time gloves are needed to handle specimens

d. all the above

d. all the above

What are the three "means of transmission"?

a. droplet, airborne, contact

b. breathing, spills, listening

c. gloves, respirator, mask

d. mask, gloves, gown

a. droplet, airborne, contact

"Isolation systems help to prevent the spread of infection"

TRUE

What is the best description for QC (quality control)

a. a measure of precision or of how well an instrument is functioning to produce results that will be consistent if repeated over time

b. programs that track outcomes

c. system of tasks that are preformed to monitor processes in the lab for quality all the time

d. establishing rules and standards that lab personal abide by

a. a measure of precision or of how well an instrument is functioning to produce results that will be consistent if repeated over time

These blood vessels have a pulse; they carry oxygenated blood away from the heart and out to the body tissues

a. arteries

b. veins

c. capillaries

d. superior vena cava

a. arteries

Function of a ______ is to fight infection

a. leukocyte

b. thrombocyte

c. erythrocyte

d. platelet

a. leukocyte

What is the lifespan of a RBC?

a. 145 days

b. 150 days

c. 120 days

d. 130 days

c. 120 days

_________ aids the process of blood clotting

a. fibrinogen

b. coagulation

c. hemolysis

d. hemostasis

a. fibrinogen

What is the main function of the platelet?

a. fight infection

b. transport RBC

c. aid in clotting

d. carry hemoglobin through the body

c. aid in clotting

Tapping into the cardiovascular system requires an understanding of the system structure and how they work together to maintain the body's ________

a. balance

b. blood flow

c. movement

d. equilibrium

d. equilibrium

What is the pump at the middle of the cardiovascular system?

a. heart

b. brain

c. artery

d. hands

a. heart

inner lining of the heart

a. myocardium

b. epicardium

c. endocardium

c. endocardium

middle layer of the heart

a. myocardium

b. epicardium

c. endocardium

a. myocardium

outer layer of the heart

a. myocardium

b. epicardium

c. endocardium

b. epicardium

How many beats does it take the body to go through an entire cardiac cycle?

a. 5 beats

b. 1 beat

c. 10 beats

d. 7 beats

b. 1 beat

What is the average beats per min for an adult depending on their age and weight?

a. 60-80 bpm

b. 100-120 bpm

c. 50-60 bpm

d. there is no average

a. 60-80 bpm

"The cardiac cycle includes atrial contraction, ventricular contraction, and a recovery period"

TRUE

What is the command center of the cardiovascular system?

a. heart

b. veins

c. medulla of the brain

d. arteries

c. medulla of the brain

Carries deoxygenated blood back to the heart

a. capillaries

b. veins

c. arteries

d. blood flow

b. veins

What are the 4 main blood types

a. A, B, C, D

b. A, B, AB, O

c. A, Rh, O, AB

d. O, A, B, OB

b. A, B, AB, O

When people have ________ blood type they are universal donors

a. A

b. Rh

c. AB

d. O

d. O

Which of these is NOT a requirement to donate blood?

a. age 17 or older

b. negative for HIV, AIDS, and hepatitis

c. exercise everyday

d. weigh at least 110 pounds

c. exercise everyday

Fill in the missing stage of coagulation

-the vascular phase

-the platelet phase

-

-the clot retraction phase

-finally, the fibrinolysis phase

the coagulation phase

What are the 3 separate layers of in the tube of blood after centrifuging?

top layer - plasma

middle layer - platelets, WBC

bottom layer - RBC

Iatrogenic anemia affect what group of patients?

elderly, pediatrics, and under weight patients

What is the blood volume (in liters) of a baby that weighs 7.5lbs?

a. 16.5 L

b. 0.16 L

c. 0.34 L

d. 0.65 L

c. 0.34

What is the formula to calculate an infants blood volume?

lbs/2.2 = weight in kg X 100 then / by 1000 = blood volume in liters

When micro sampling, what should be done immediately after puncturing the skin?

a. immediately begin collecting the blood into the microtainer

b. wipe the puncture site with alcohol pad

c. wipe away first drop of blood with gauze

d. begin milking the puncture site

c. wipe away first drop of blood with gauze

Which of the following equipment is NOT used when micro sampling?

a. lancet

b. cotton ball/ gauze

c. 25g butterfly needle

d. alcohol pad

c. 25g butterfly needle

The PKU test is used to check for __________

a. inborn errors

b. diabetes

c. glucose level

d. jaundice

a. inborn errors

What is the maximum recommended age to use micro sampling on a child?

a. 6 months

b. 3 years

c. 1 year

d. 2 years

c. 1 year

What type of blood does a dermal puncture contain?

a. arterial

b. venous

c. capillary

d. all of the above

d. all of the above

What depth of a lancet that can be used for micro sampling on an infant?

a. less than 0.5mm

b. less than 2.0mm

c. less than 1.5mm

d. less than 0.2mm

less than 2.0 mm

"The pinky finger is acceptable to use for micro sampling"

FALSE

What is the appropriate site to collect blood on a child under the age of 1?

a. heel and lateral portion of the heel

b. medial and lateral portion of the heel

c. medial and heel portion of the heel

d. center and heel portion of the heel

b. medial and lateral portion of the heel

On the PKU test how long do you need to let the circles air dry?

a. 30 min

b. 3 hours

c. 2 hours

d. 60 min

b. 3 hours

What the two fingers used when micro sampling?

a. middle and index

b. ring and middle

c. middle and pinky

d. index and ring

b. ring and middle

Why do we wipe away the first drop of blood when micro sampling?

a. it contains interstitial fluid

b. it could contain alcohol/tissue fluid

c. it contains skin pieces

d. it has intermediate fluid

b. it could contain alcohol/tissue fluid

Order of draw for micro samples

a. green, lav/pink, abgs, serums

b. abgs, lav/pink, serums, green

c. abgs, lav/pink, green, serums

d. lav/pink, abgs, green, serums

c. abgs, lav/pink, green, serums

"You can apply blood directly from a finger onto a slide"

TRUE