final exam

Which is another name for blood bank?

Immunohematology

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

Pharmacy

Which levels are measured within an electrolyte panel?

Sodium and potassium

Why is promoting good public relations a part of the phlebotomist's 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 intravenous (IV) lines

What are the credentials for an ASCP-certified phlebotomist?

PBT (Phlebotomy Technician)

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

CEUs (continuing education units)

Which patient situation would cause a barrier to effective communication?

The patient does not speak English

Which statement is a confirming response to a patient?

I understand how you must be feeling

Which behavior demonstrates negative kinesics?

Frowning

Which observation indicates unprofessionalism?

A. Wearing a clean, pressed uniform
B. Maintaining good eye contact with the patient
C. Having an intense odor
D. Speaking politely to the patient

Having an intense odor

Which action is considered improper telephone etiquette?

Hanging up on angry callers

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

A. Providing health education to the community
B. Investigating and controlling disease outbreaks
C. Providing immunization services
D. Licensing healthcare personnel

Licensure of healthcare personnel

Which situation demonstrates integrity?

A phlebotomist who admits making a mistake

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

Immunohematology

Drawing a patient's blood without his or her permission can result in a charge of:

Assault and battery

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

Invasion of privacy

Which of the following would not violate a patient's right to confidentiality?

Sharing collection-site information on a difficult patient

Malpractice is a claim of:

Improper treatment

If a phlebotomist ______, he or she is negligent.

Fails to put the needle and holder in the sharps container

A national organization that sets standards for phlebotomy procedures is the:

CLSI (Clinical and Laboratory Standards Institute)

Which action will compromise the quality of a specimen?

A. Properly labeling the specimen immediately after collection
B. Gently mixing tubes that contain additives
C. Partially filling a liquid EDTA tube
D. Transporting the specimen promptly to the laboratory

Partially filling a liquid EDTA tube

Which one of the following examples is unrelated to quality control? Using the correct tubes, properly identifying patients, or employees filling out their times sheets daily?

Employees filling out their time sheets daily

Chilling will adversely affect the quality of test results for which analyte?

Potassium

standard of care” in the practice of phlebotomy is influenced by which organization?

The Joint Commission

Three of the following conditions are reasons a specimen could be rejected for analysis. Which one WOULD BE ACCEPTED?

-The specimen is unlabeled or mislabeled.

-The specimen is hemolyzed when hemolysis affects the requested test.

-The specimen is collected in the wrong tube.

-A bilirubin specimen is icteric.

A bilirubin specimen is icteric

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

Refer to the procedure manual for instruction

The purpose of the Joint Commission's Office of Quality Monitoring is to:

Evaluate and track complaints related to care

Some test specimens require immediate cooling in an ice and water slurry to:

Slow down metabolic processes

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.

False.

True or False? Labeling of 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 a “J” in:

Gestation

The abbreviation “ESR” means:

Erythrocyte sedimentation rate

What word means “condition of clotting”?

Thrombosis

What word means “hardening of the artery”?

Arteriosclerosis

which of the following fits “A prefix”: adds information, modifies meaning, precedes the word root, or all of the above

All of the above

The word elements of the term “polycythemia” mean:

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 of the urinary system?

Creatinine clearance

The ability of the body to repair and maintain itself to achieve a “steady state” is:

Homeostasis

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

Skeletal muscle

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

ABGs (arterial blood gases)

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 plane

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

Dermis and subcutaneous tissue

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 this 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 of a preanalytical error happening during specimen processing is:

Inadequate centrifugation

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

A. Preventing leakage during transportation
B. Protecting the specimen from contamination
C. Maintaining the sterility of the sample
D. Proper specimen handling during transportation

Maintaining the sterility of the sample

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

Misreporting patient results

Which of the following specimens needs 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 the time of collection

Which statement describes proper centrifuge operation?

A. Place tubes of equal size and volume opposite one another for balance.
B. Place all specimens on one side of the centrifuge.
C. Open the centrifuge lid while it is still spinning.
D. Fill tubes to different levels to improve separation.

Place tubes of equal size and volume opposite one another for balance

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

Calcium in a green top tube

Which of the following represents improper aliquot preparation?

Carefully pouring the contents into the aliquot tube

True or False OR? Accessioning 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 a 24-hour urine sample?

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

Which fluid is obtained by lumbar puncture?

Cerebrospinal fluid (CSF)

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 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 a UTI

A 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 it is:

Typically more concentrated

Drugs of abuse can be detected in:

A. Hair
B. Saliva
C. Urine
D. All of the above

All of the above

Which type of specimen must be protected from 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 a sterile needle and syringe.

Suprapubic collection

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 is the:

Radial artery

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

Ulnar artery

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 where?

Distal to the puncture site

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

Hematoma formation

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 breathing room air

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

45 degree

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:

70% 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. (You should not perform an arterial puncture on that limb because it can damage the access and compromise circulation.)

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

False. The radial artery is the artery of choice for routine ABG collection

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

True

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

False. ABG syringes are typically heparinized, not treated with EDTA.

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

False. A 22-gauge needle is commonly used for routine radial ABG collection.