Phlebotomy National Exam Study Guide

The aorta branches into smaller division called arteries, which in turn branch into smaller division called _____.

a. venules

b. capillaries

c. arterioles

d. cytes

c. arterioles

The most important way to prevent the spread of infection during phlebotomy is by:

a. wearing

b. 10% bleach solution

c. using a sharps container

d. washing your hands

d. washing your hands

What are the three isolation categories?

a. droplet, allergy, contact

b. airborne, reverse, droplet

c. containment, airborne, contact

d. airborne, contact, droplet

d. airborne, contact, droplet

Of the test's below, a sample for which may not be hemolyzed?

a. potassium

b. lactate

c. ammonia

d. glucose

a. potassium

To properly decontaminate specimen collection areas: a solution of Bleach and water should be used with what ratio

a. 1:20

b. 1:10

c. 50:50

d. 1:100

b. 1:10

Which suffix means blood?

a. -emia

b. -ology

c. -lysis

d. -it is

a. -emia

The ears, nose, and eyes are in the _____ system.

a. Integumentary

b. Digestive

c. Sensory

d. Muscular

c. Sensory

What is the most common source of HBV in the workplace?

a. Urine

b. Semen

c. Blood

d. Sputum

b. Semen

Post-Prandial means:

a. In the morning

b. After a meal

c. Before dinner

d. in the evening

b. After a meal

Neutrophils, eosinophils, and basophils are types of _____.

a. White blood cells

b. Vessels

c. Rbc's

d. Additives

a. White blood cells

What is the appropriate angle to use when preparing a blood smear?

a. 50

b. 25

c. 30

d. 75

c. 30

_____ is when a patient arm is swollen with excessive fluid.

a. Lactate

b. Edema

c. BP

d. Hematoma

b. Edema

A viral infection of the liver is called _____.

a. Hepatitis

b. Bilirubin

c. Cirrhosis

d. Icteric

a. Hepatitis

When the heart is contracting, the pressure is the highest. This pressure is called _____.

a. Heart pressure

b. Diastolic pressure

c. Aortic pressure

d. Systolic pressure

d. Systolic pressure

Which vein is the most subjected to venipuncture?

a. Cephalic vein

b. Brachial vein

c. Basilic vein

d. Medial Cubital

d. Medial Cubital

The smallest veins are know as _____.

a. Capillaries

b. Arteries

c. Venules

d. Arterioles

c. Venules

The body system responsible filtering blood and regulating water balance is know as _____.

a. Urinary

b. Digestive

c. Integumentary

d. Circulatory

a. Urinary

When we treat all patient/samples as if they are pontentially infectious, this is called

a. PPE

b. Universal precaution

c. Isolation techniques

d. Nosocomial

b. Universal precaution

The study of blood is know as _____.

a. Hemolysis

b. Hemoglobin

c. Hemostasis

d. Hematology

d. Hematology

When disinfecting a site for venipuncture, we clean the arm with isopropyl alcohol from the center to the _____.

a. Periphery

b. Outside

c. Sides

d. None of the above

a. Periphery

Latex sensitivity is a type of:

a. Physical reaction

b. Allergic reaction

c. Chemical reaction

d. Scientific reaction

b. Allergic reaction

Characteristics of capillaries include _____.

a. Having thin walls

b. Microscopic

c. Connects arteries and veins

d. All of the above

d. All of the above

Which of these needles is the smallest?

a. 18

b. 21

c. 25

d. 15

c. 25

What color tube stopper indicates a tube containing sodium citrate?

a. Red

b. Yellow

c. Green

d. Blue

d. Blue

What body system is responsible for the heart, blood, and vessels?

a. Cardiovascular

b. Circulatory

c. Endocrine

d. Lymphatic

a. Cardiovascular

Rupture or destruction of the red blood cells is defined as:

a. Lipemic

b. Hemolysis

c. Fibrinolysis

d. Hemostasis

b. Hemolysis

The test most frequently ordered to check for anemia is called _____.

a. HCT

b. PLT

c. CBC

d. TSH

c. CBC

A _____ tube is drawn when a ammonia test is ordered.

a. Red

b. Blue

c. Yellow

d. Green

d. Green

The lowest blood preassure reading is called _____.

a. Systolic

b. Cephalic

c. Bottom

d. Diastolic

d. Diastolic

During vein selection how can you tell the difference between a vein an a artery?

a. If pulsations are noted

b. By the depth of the vessels

c. By the look of the vessels

d. None of the above

a. If pulsations are noted

Of the test below, which is required to be taken to the lab in a warm bath?

a. Ammonia

b. Cold agglutins

c. Lactate

d. Warm agglutins

b. Cold agglutins

The liver, stomach, mouth and pancreas are in the _____ sytem.

a. Reproductive

b. Digestive

c. Urinary

d. Muscular

b. Digestive

The most important step in phlebotomy is _____.

a. Order of draw

b. Cleaning the site

c. Labeling your tube

d. Identifying the patient

d. Identifying the patient

The common name for a thrombocyte is _____.

a. Platelet

b. Clot

c. Red blood cell

d. Leukocyte

a. Platelet

What is the name of the additive inside the blood culture bottles?

a. SST

b. Heparin

c. SPS

d. Sodium citrate

c. SPS

The liquid portion of anticoagulated blood is called _____.

a. Clotted

b. Plasma

c. Serum

d. None of the above

b. Plasma

Needles are color coded to indicate their _____.

a. Gauge

b. Manufacture

c. Bevel angle

d. Lenght

a. Gauge

Which cellular component is responsible for carry oxygen in the blood?

a. Erythrocytes

b. Plt

c. Hemoglobin

d. WBC

c. Hemoglobin

If a patient begins to show signs of syncope, you should:

a. Continue draw as normal

b. Apply pressure to the site

c. Discontinue draw, provide care

d. Use a smaller needle

c. Discontinue draw, provide care

Of the test's below, which one should be drawn without stasis?

a. GTT

b. Potassium

c. Troponin

d. Lactate

d. Lactate

Before obtaining a peak sample, it is important to get what information form the nurse?

a. The patient's medical record

b. Permission

c. Name of medication

d. Time of last dose

d. Time of last dose

An infection acquired in a hospital setting is called a _____.

a. Contact infection

b. Nosocomial infection

c. Universal precaution

d. Contagion

b. Nosocomial infection

What is the maximum recommended depth for heel punctures?

a. 1.0

b. 2.5

c. 2.0

d. 3.5

c. 2.0

Which tube contains the additive EDTA?

a. Lavender

b. Blood cultures

c. Yellow

d. Green

a. Lavender

OSHA stands for:

a. Occupational heart and safety administration

b. Occupational standards and health accreditation

c. Occupational safety and health administration

d. None of the above

c. Occupational safety and health administration

What is the name of the equipment used to separate plasma or serum from red blood cells?

a. Tourniquet

b. sphygmomanometer

c. Autoclve

d. Centrifuge

d. Centrifuge

The nose and lungs are part of which body system?

a. Urinary

b. Respiratory

c. Digestive

d. Cardiovascular

b. Respiratory

The instrument that measures blood pressure is called a:

a. BP meter

b. Thermometer

c. Adapter

d. shygmomanometer

d. shygmomanometer

PT is the lab abbreviation for which of the following test?

a. Prothrombin time

b. Physical Therapy

c. Part-time

d. Protein C

a. Prothrombin time

The "Good Samaritan Law" covers healthcare workers who _____.

a. Report patient abuse

b. Go above and beyond their duties

c. Provide care (within their scope of duty) during an accident without fear of being sued

d. Provide patients with their Bill of Rights

c. Provide care (within their scope of duty) during an accident without fear of being sued

Lancets are used to collect blood sambles by _____.

a. Arterial

b. Evacuated tubes

c.Capillary or skin punctures

d. Venipunctures

c.Capillary or skin punctures

After drawing blood, the phlebotomist should dispose of the needle by _____.

a. Recapping, then deposit into sharps

b. Activating safety device, then deposit into sharps

c. Tossin into red biohazard waste bag

d. Trash can

b. Activating safety device, then deposit into sharps

Negligence by a professional is called _____.

a. Battery

b. Tort

c. Malpractice

d. Invasion of privacy

c. Malpractice

Which of the following are types of tourniquets?

a. Pliable strap

b. Blood pressure cuff

c. Velcro strap

d. All of the above

d. All of the above

If a patient refuses a draw the phlebotomist should _____.

a. Collect the specimen as planned

b. Notify the nurse

c. Move on to the next patient

d. Try to convince them to say yes

b. Notify the nurse

Which color tube stopper would ytou use to collect a glucose test?

a. Red

b. Pink

c. Yellow

d. Gray

d. Gray

Which of these below is an appropriate cleaner when preparing the skin for blood cultures?

a. Isopropyl alcohol

b. Alcohol and iodine

c. Iodine

d. Chlorine

b. Alcohol and iodine

To properly idntify an outpatient, they must state their name and _____.

a. D.O.B

b. SSN

c. Doctors name

d. Test needed

a. D.O.B

The best way to prevent a hematoma is to _____.

a. Bandage as normal

b. Apply a cold compress

c. Apply pressure until the bleeding stops

d. No special treatment needed

c. Apply pressure until the bleeding stops

What is required of a patient needing a lipi panel?

a. Obtaining sample in the AM

b. Refraining from taking medications

c. Fasting for 8-12 hours

d. No stasis

c. Fasting for 8-12 hours

Which tube below is considered a serum separating tube?

a. Tiger top

b. Yellow

c. Pink

d. Lavender

a. Tiger top

Of these below, which test is a diurnal variation?

a. Troponin

b. Potassium

c. Ammonia

d. Cortisol

d. Cortisol

The _____ system is made up of joints and cartilage.

a. Muscular

b. Skeletal

c. Lymphatic

d. Digestive

b. Skeletal

Which tube is responsible for genetic and platelet studies?

a. Blue

b. Yellow

c. Red

d. Gold

b. Yellow

Blood cultures consist one aerobic and one _____ bottle.

a. Antibody

b. Antigen

c. Anaerobic

d. Antiseptic

c. Anaerobic

This test checks for inflammation or joint and muscular pain.

a. CMP

b. HCG

c. PSA

d. ESR

d. ESR

Wich committee is responsible for establishing the procedures for blood collection such as the "order of draw"?

a. OSHA

b. CLIA

c. NCCLS

d. JCAHCO

c. NCCLS

If, during venipuncture, you behaved according to protocols, and as any rational person would in similar situations, this is called ......

a. Being responsible

b. Having integrity

c. Reasonable care

d. None of these

c. Reasonable care

The evacuated tube system contains all but wich of the following supplies:

a. Pen

b. Tourniquet

c. Gauze

d. Tape

a. Pen

Your lab requisition say Williams Brown, but the patient's wristband reads "Bill Brown". What is your next course of action?

a. Notify the nurse as soon as the collection is complete.

b. Refrain from collecting the specimen until identification is accurate.

c. Refrain from collecting the specimen until your supervisor ok's it.

d. None of these of above

b. Refrain from collecting the specimen until identification is accurate.

In the case your patient is sedated, you introduce yourself and complete the draw. This is called _____.

a. Informed consent

b. Assumed consent

c. Breach of duty

d. Malpractice

b. Assumed consent

Red streaks within serum after centrifuge is called _____.

a. Fibrin strands

b. Hemolysis

c. Hemoconcentration

d. Fibrinolysis

a. Fibrin strands

After an accident needle stick, you induce bleeding, wash and bandage the injury, obtain patient information from the nurse, and then return to work.What step has been omitted?

a. The patient needs to be informed of the accident

b. You did not fill out an accident injury report

c. you need the nurses permission to continue drawing

d. You did not report the incident to your supervisor

d. You did not report the incident to your supervisor

The buffy coat, within a plasma sample consists of which two components?

a. RBC and PLT

b.WBC and RBC

c. WBC and PLT

d. PLT only

c. WBC and PLT

If a blood draw is needed from a patient with an open IV line where will you obtain the sample?

a. Above the IV

b. Have the RN stop the IV

c. Wait till the IV is done

d. Below the IV

d. Below the IV

The engineered device responsible for stopping blood seepage during tube change is caleed _____.

a.Stopper

b. Safety device

c. Sheath

d. Vaccutainer

c. Sheath

As a phlebotomist you have the right to know about all chemicals within your workplace. This information can be found where

a. By asking your supervisor

b. By contacting OSHA

c. Within your employee handbook

d. Inside the MSDS

d. Inside the MSDS

What integral part of the phlebotomy process was omitted if clots are found within an EDTA tube?

a. You drew out of order

b. Thed specimen was refrigerated

c. The specimen was not spun

d. The Specimen was not inverted

d. The Specimen was not inverted

Of the materials below, which could be classified under white, for the National Fire Protection Marking System.

a. Dynamite

b. Corrosive

c. Bleach

d. Ammonia

b. Corrosive

Forgetting to wipe away the first drop of blood during microsampling can cause erroneous lab results due to dilution by _____.

a.Tissue fluid

b. Skin fluid

c. Liquid fluid

d. None of these

a.Tissue fluid

Accidental needle sticks most commonly occur with the use of wich

a. Evacuated tube system

b. Winged infusion system

c. Micro sampling

d. Syringe drw

b. Winged infusion system

If a vein "disappears" completely or "collapses" during venipuncture, what has happened?

a. You used too high of a needle gauge

b. The vacuum is too strong

c. The needle gauge is too low

d. The vacuum is too weak

b. The vacuum is too strong

When a phlebotomist is negligent in the care of a patient, which results in injury, this is considered to be:

a. Breach of duty

b. Battery

c. Malpractice

d. Assault

c. Malpractice

If one of the supplies below became contaminated with blood, which one would be disposed of inside a red biohazard bag?

a. A dirty needle

b. A fully saturated cotton ball

c. A broken tube

d. A transfer device

b. A fully saturated cotton ball

The study of right and wrong is called:

a. Integrity

b. Professionalism

c. Ethics

d. Positive thinking

c. Ethics

What additive is found inside a tube that should be filled to a 9:1 ratio

a. Potassium oxalate

b. Gel barrier

c. Sodium fluoride

d. Sodium Citrate

d. Sodium Citrate

Use of the word Asepsis means a site has been found to be .....

a. Contaminated

b. Bacteria filled

c. Sterilized

d. Without bacteria

d. Without bacteria

What may have caused a tube to break within the centrifuge?

a. Unbalance tubes

b. Tubes that are not full

c. The centrifuge spinning too fast

d. None of these

a. Unbalance tubes

The abbreviation V.A.D. stands for:

a. Vessel access device

b. Venous arterial device

c. Venous access device

d. vessel accompany device

c. Venous access device

Inability to physically or mentally perform your job function would be considered

a. Malpractice

b. Incompetence

c. Negligence

d. Assault

b. Incompetence

When all microbial bacteria has been destroyed; the area is now called_____.

a. Sterilized

b. Clean

c. Disinfected

d. Safe

a. Sterilized

If a patient has a diagnosis of diabetes mellitus, which of the test below might they have performed?

a. Glucose

b. Lipid

c. CMP

d. Potassium

a. Glucose

Ethanol and paternity test are example of:

a. Reasonable care

b. Duty of care

c. Sample integrity

d. Chain of custody

d. Chain of custody

All but which of these belongs on the front of the package when mailing blood samples?

a. Biohazard

b. Name of your lab

c. Doctors name

d. CDC information

c. Doctors name

If the patient needs a container for 24 hour urine collection, which amount below would be best to give to them?

a. 200ml

b. 2000ml

c. 1000ml

d. 1500ml

b. 2000ml

EMLA is applied topically to a patients skin for;

a. Cleansing

b. Testing

c. Sanitation

d. Numbing

d. Numbing

When collecting a micro sample on a patient of 18 months we should choose which site?

a. Medial and lateral portion of foot

b. 3rd and 4th fingers

c. Antecubital Fossa

d. Top portion of hand

a. Medial and lateral portion of foot

Elderly patients, as well as NICU babies, have fragile skin that requires special care. Which of the steps below would be acceptable?

a. No change is needle

b. Use a 21 gauge or smaller numbered needle

c. Do not use paper tape

d. Do nit use. tourniquet

c. Do not use paper tape

To encourage bleeding from a heel stick, what can we do?

a. Squeeze more vigorously

b. Apply a heel warmer

c. Elevate the foot

d. Use a bigger needle

b. Apply a heel warmer

When preparing an arm for venipuncture, how do we dry the cleaner?

a. With a cotton ball

b. By blowing on it

c. Allow to air dry

d. With a fanning motion

c. Allow to air dry