Phlebotomy Final Exam

Which is another name for the blood bank

Immunohematology

The chemistry department within the clinical laboratory is reviewing current processes and policies. With which department would the laboratory coordinate therapeutic drug monitoring?

Pharmacy

Which levels are measured within an electrolyte panel?

Sodium, Potassium

Why is promoting good public relations a part of a phlebotomists role?

It is viewed as valuable in the delivery of patient care

Which department is responsible for administering oxygen therapy?

Respiratory therapy

Which is the literal translation in Greek for the term “phlebotomy?”

Vein incision

Which responsibility is least likely to appear on a job description for a phlebotomist?

Starting the intravenous IV line

What are the credentials for n ASCP-certified phlebotomist?

PBT

What is earned as proof of participation in workshops to upgrade skills required by some agencies to renew certification?

CEU’s

Which patient situation would cause a barrier to effective communication?

Does not speak english

Which statement is confirming response to a patient

“I understand how you must be feeling.”

Which behavior demonstrates negative kinesics?

Frowning

Which observation communicates unprofessionalism?

Intense odor of cologne

Which action is considered improper telephone etiquette?

Hanging up on angry calls

Which duty is least likely to be performed by local public health agencies?

License of healthcare personnel

Which situation demonstrates integrity

A phlebotomist who follows rules when taking blood sample

Which laboratory department prepares blood products products to be used for patient transfusions?

Immunohematology

Drawing a patient’s blood without his or her permission can result

Assault and Battery

Two phlebotomists are discussing a patient’s condition in the elevator. They are overheard by the patients daughter. This is an example of

Invasion of privacy

Which of the following would not violate a patients right to confidentiality?

Sharing a collection site information on a difficult patient

Malpractice is a claim of

Inappropriate treatment

If a phlebotomist____, he or she is negligent.

Fails to put the needle & holder in sharp containers

A national organization that sets standards for phlebotomy procedures is the

CLSI

Which action will compromise the quality of a specimen

Partially filling the EDTA tube

Which one of the following examples is unrelated to quality control?

Employees filling out their sheets daily

Chilling will adversely affect the quality of the following analyte?

Potassium

The “standard of care in the practice of phlebotomy is influenced by which of the following organizations?

The joint commission

Three of the following conditions are reasons a specimen could be rejected for analysis

A bilirubin specimen icteric

A specimen was mislabed on the floor. The phlebotomist is required to fill out an incident report form. What information is not apart of the report?

Suggestion for new guidelines

The only phlebotomist in an outpatient drawing center is not familiar with the test that a physician has ordered. What is the most appropriate action to take?

Refer to the procedure manual for instruction

The purpose of the Joint Commission’s office of Quality Monitoring is to:

Evaluate an track complaints related to care

Some test specimens require immediate coooling in ice water slurry to

Slows down metabolic process

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

False

True or false? labeling a specimen must be exact

True

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

breakdown

The medical term for white blood cell is

Leukocyte

Which of the following terms means kidney inflammation?

Nephritis

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

gestation

The abbreviation “ESR”

Erythrocyte sedimation rate

What word means “condition of clotting?”

Thrombosis

What word means “hardening of the artery?”

Arteriosclerosis

A prefix

All of the above

The word elements of the term “polycythemia” means

Blood condition of many cells

The “c” sounds like an “s” in which of the following terms?

cellular

The Joint Commission “Do Not Use” list applies to all of the following except

Electronic laboratory reports

Which body plane divides the body into equal portions?

Midsagittal

Which of the following is a function of the urinary system?

To maintain electrolyte balance

Which of the following is a test to the urinary system?

Creatinine clearance

The ability of the body to repair and maintain itself to achieve a “steady state” defines what term?

Homeostasis

Which of the following types of muscle is under voluntary control?

skeletal

Which of the following is a test of the respiratory system?

ABG’s

The term “distal” means

Farthest from the point of attachment

When you are facing someone in normal anatomic position, at which body plane are you looking?

Frontal

The layer(s) of the skin containing blood vessels is/are

dermis & subcutaneous

The avascular layer of the skin is the

Epidermis

True or false? The pituitary gland is often called the “master gland” of the endocrine system

True

A specimen would most likely be accepted for testing despite the problem

No phlebotomist initials

Which of the following is used by the laboratory to identify a specimen throughout the testing process?

Accession number

A pneumatic tube is a

Pressurized air transportation system

An example preanalytical error happening during specimen processing is

Inadequate centrifugation

Transporting blood specimens with the stopper up has nothing to do with:

Maintain sterility of sample

Which of the following would not be considered a preanalytical error?

Misreporting patients results

Which of the following specimens need to be chilled?

Ammonia

This organization develops standards for specimen handling and processing?

CLSI

According to CLSI, the maximum time limit for separating serum or plasma from cells is

2 hours from time of collection

Which statement describes proper centrifuge operation?

Place tubes in equal size & volume opposite of one another for balance

Which specimen can be centrifuged immediately upon arrival in specimen processing?

Calcium in green top tube

Which of the following represents improper aliquot preparation?

Carefully pouring contents into aliquot carefully pouring contents into aliquot tube

True or false? Accessing takes place in central processing or triage

False

True or False? “ASAP” or “Med Emerg” specimens must be attended to before routine specimens

True

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

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

Which fluid is obtained by lumbar puncture

Cerebrospinal

What additional information is typically required when labeling a nonblood specimen

Specimen type and source

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

Creatinine and clearance

A refrigerated stool sample would be unsuitable for this test

Ova and parasites

A urine C&S is typically ordered to detect

Presence of UTI

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

Whooping cough

A first morning specimen is preferred for hCG testing because

typically more concentrated

Drugs of abuse can be detected in

all of the above

Which type of specimen must be protected from the light

Amniotic fluid

Sputum samples are typically collected to diagnose

Tuberculosis

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

suprapubic

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

The artery of choice for ABG collection

Radial

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

Ulnar

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

All of the answers are correct

After performing arterial puncture, check the pulse

Distal to puncture site

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

Arteospasm

The most common needle size for routine radial ABG specimen collection is

22 gauge

To maintain the integrity of an ABG specimen collected in a syringe, it should be

Analyzed within 30 minutes

Heparin is used in ABG specimen collection to

Prevent clotting of the specimen

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

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

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

45

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

Pulse into the syringe

A proper cleaning solution for preparing an arterial puncture site is

Isopropyl alcohol

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

False

True or false? The ulnar artery is the first choice for drawing an ABG specimen

False

True or false? To perform ABG puncture, a phlebotomist must undergo extensive training

True

True or false? ABG syringes are usually pretreated with EDTA to prevent clotting

False

True or false? The normal needle size for ABG collection is 20 gauge

False