ASCP PHLEBOTOMY CERTIFICATION EXAM

DISINFECTANTS ARE:

CHEMICALS THAT ARE USED TO REMOVE OR KILL PATHOGENIC MICROORGANISMS

BABIES WHOSE MOTHERS HAVE WHICH OF THE FOLLOWING PROBLEMS MUST BE ISOLATED FROM OTHER INFANTS?

GENITAL HERPES

WHICH OF THE FOLLOWING IS A VECTOR IN TRANSMITTING INFECTIOUS DISEASES?

MITES

WHICH OF THE FOLLOWING IS A COMMONLY IDENTIFIED PATHOGENIC MICROORGANISM THAT CAUSES HEALTH CARE ASSOCIATED SKIN INFECTIONS?

CANDIDA ALBICANS

WHICH OF THE FOLLOWING ORGANIZATIONS OVERSEES THE INVESTIGATION AND CONTROL OF VARIOUS DISEASES ESPECIALLY THOSE THAT ARE COMMUNICABLE?

CDC

WHICH OF THE FOLLOWING IS A COMMONLY IDENTIFIED PATHOGENIC AGENT THAT AFFECTS THE SKIN?

HERPES VIRUS

REVERSE ISOLATION IS COMMONLY USED FOR PATIENTS WHO HAVE:

IMMUNODEFICIENCY DISORDERS

WHICH OF THE FOLLOWING IS A COMMONLY IDENTIFIED CAUSATIVE AGENT OF NOSOCOMIAL INFECTIONS IN THE NURSERY UNIT?

ESCHERICHIA COLI

WHICH OF THE FOLLOWING CHEMICAL COMPOUNDS IS AN ANTISEPTIC FOR SKIN?

HEXYLRESORCINOL

A PHLEBOTOMIST HAD TO AVOID CONTACT WITH PATIENTS FOR 24 HOURS AFTER BEING STARTED ON AN APPROPRIATE ANTIBIOTIC AND APPEARING SYMPTOM FREE. WHAT TYPE OF INFECTION COULD HE OR SHE HAVE ACQUIRED FOR THE ABOVE WORK LIMITATIONS TO APPLY?

STREP THROAT (GROUP A)

THE HICPAC TRANSMISSION BASED PRECAUTIONS INCLUDE:

AIRBORNE, DROPLET, AND CONTACT

ABOUT HOW MANY PATIENTS ACQUIRE A NOSOCOMIAL INFECTION ANNUALLY?

1.75 TO 3 MILLION

A HEALTH CARE ACQUIRED INFECTION OCCURS WHEN:

THE CHAIN OF INFECTION IS COMPLETE

IN HEALTH CARE FACILITIES, WHICH OF THE FOLLOWING IS A TYPICAL FOMITE?

PHLEBOTOMY TRAY

WHICH OF THE FOLLOWING IS A FACTOR THAT INCREASES A HOST'S SUSCEPTIBILITY IN THE CHAIN OF INFECTION?

DRUG USE

ANTISEPTICS FOR SKIN INCLUDE:

IODINE

IF AN ELECTRICAL ACCIDENT OCCURS INVOLVING ELECTRICAL SHOCK TO AN EMPLOYEE OR A PATIENT, THE FIRST THING THAT THE HEALTH CARE PROVIDER SHOULD DO IS:

SHUT OFF THE ELECTRICAL POWER

WHAT THE MAJOR PRINCIPLES OF SELF PROTECTION FROM RADIATION EXPOSURE?

TIME, DISTANCE, AND SHIELDING

THE FIRST STEP IN GIVING MOUTH TO MOUTH RESUSCITATION IS TO:

DETERMINE WHETHER THE VICTIM IS CONSCIOUS BY GENTLY TAPPING THE SHOULDERS OF THE VICTIM AND SPEAKING LOUDLY, "ARE YOU OKAY?"

IF A FIRE EXTINGUISHER HAS TO BE USED IN A HEALTH CARE ENVIRONMENT, THE FIRST STEP TO PERFORM IS:

PULL THE PIN OFF OF THE EXTINGUISHER

IF A PHLEBOTOMIST IS COLLECTING BLOOD SPECIMENS FROM A PATIENT IN THE NUCLEAR MEDICINE DEPARTMENT HE OR SHE NEEDS TO BE:

WEARING A DOSIMETER BADGE

WHICH ORGANIZATION DEVELOPED A LABELING SYSTEM FOR HAZARDOUS CHEMICALS THAT IS FREQUENTLY USED IN HEALTH CARE FACILITIES?

NFPA

THE FIRST STEP IN CONTROLLING SEVERE BLEEDING IS TO:

APPLY PRESSURE DIRECTLY OVER THE WOUND OR VENIPUNCTURE SITE

CHEMICALS THAT ARE DEFINED AS "EXPLOSIVE FLAMMABLES" MUST BE STORED:

IN AN EXPLOSION PROOF OR FIREPROOF ROOM OR CABINET

WHICH OF THE FOLLOWING SHOULD NOT BE DONE FOR A SHOCK VICTIM WHO SEEMS TO BE NOT FULLY CONSCIOUS?

GIVE FLUIDS TO KEEP THE VICTIM FROM BECOMING DEHYDRATED

CLASS C FIRES ARE:

ELECTRICAL FIRES

MSDSs MUST BE SUPPLIED TO EMPLOYEES ACCORDING TO THE:

HAZARD COMMUNICATION STANDARD (29 CFR 1910.1200)

HOW MANY LOBES DO NORMAL HUMAN LUNGS HAVE?

5

AFTER OXYGEN CROSSES THE RESPIRATORY MEMBRANES (IN THE LUNG) INTO THE BLOOD, ABOUT 97% OF IT COMBINES WITH?

HEMOGLOBIN

THE TERM VENTRAL REFERS TO WHICH PART OF THE BODY?

FRONT

IF A NORMAL PERSON BREATHES IN, THE OXYGEN TRAVELS THROUGH AIR PASSAGES TO THE LUNGS. WHICH OF THE FOLLOWING TAKES PLACE?

OXYGEN (O2) IS EXCHANGED FOR CARBON DIOXIDE (CO2)

AN XY PAIR OF CHROMOSOMES MEANS THAT THE FETUS WILL BE A:

BABY BOY

SPECIALIZED CELLS OF THE NERVOUS SYSTEM ARE:

NEURONS

WHICH OF THE FOLLOWING IS PRODUCED IN THE ADRENAL GLANDS, THE GLANDS THAT CAUSE EMOTIONS SUCH AS FEAR AND ANGER?

HORMONES

WHICH OF THE FOLLOWING WOULD REQUIRE CONTACT PRECAUTIONS?

HERPES SIMPLEX

WHICH OF THE FOLLOWING IS DESIGNED TO REDUCE THE RISK OF TRANSMISSION OF MICROORGANISMS FROM BOTH RECOGNIZED SOURCES OF INFECTION IN HEALTH CARE FACILITIES?

STANDARD PRECAUTIONS

WHICH OF THE FOLLOWING WOULD REQUIRE AIRBORNE PRECAUTIONS?

TUBERCULOSIS

WHICH OF THE FOLLOWING IS THE PROPER SEQUENCE FOR REMOVAL OF ISOLATION APPAREL AFTER BLOOD COLLECTION IN AN ISOLATION ROOM?

GLOVES, GOGGLES, GOWN

WHICH OF THE FOLLOWING IS THE MOST IMPORTANT PROCEDURE IN THE PREVENTION OF DISEASE TRANSMISSION IN HEALTH CARE INSTITUTES?

HAND WASHING

MSDS STANDS FOR:

MATERIAL SAFETY DATA SHEET

A DOSIMETER BADGE IS REQUIRED IN HEALTH CARE FACILITIES FOR?

RADIATION SAFETY

THE HAZCOM STANDARD REQUIRES CHEMICAL MANUFACTURERS TO SUPPLY?

MSDSs

AS CO2 LEVELS INCREASE IN THE BLOOD, THE BLOOD PH:

DECREASES (BECOMES MORE ACIDIC)

A TEST REQUIRED FOR O & P REFERS TO:

AN EVALUATION FOR PARASITES

WHICH OF THE FOLLOWING CHEMICALS SHOULD BE USED TO DISINFECT TOURNIQUETS AND ITEMS CONTAMINATED WITH BLOOD?

1:10 DILUTION OF CHLORINE BLEACH

IN THE PROCESS OF PREPARING TO ENTER A PATIENT'S ISOLATION ROOM, WHICH OF THE FOLLOWING WOULD OCCUR FIRST?

DONNING MASK

IF A HEALTH CARE PROVIDER HEARS A FIRE ALARM AS SHE OR HE IS COLLECTING BLOOD FROM A PATIENT, SHE OR HE SHOULD NOT:

RUN

WHICH STRUCTURE GOVERNS THE FUNCTIONS OF THE INDIVIDUAL CELL, SUCH AS GROWTH, REPAIR, REPRODUCTION AND METABOLISM?

NUCLEUS

WHICH OF THE FOLLOWING IS AN AGENCY OF THE U.S. DEPARTMENT OF LABOR THAT REQUIRES EMPLOYERS TO PROVIDE MEASURES THAT WILL PROTECT WORKERS EXPOSED TO BIOLOGICAL HAZARDS?

OSHA

WHICH OF THE FOLLOWING IS NEEDED FOR CLEANUP OF A CHEMICAL SPILL?

RUBBER GLOVES

THE TERM STAT REFERS TO:

IMMEDIATE AND URGENT SPECIMEN COLLECTION

ARTERIES DIFFER FROM VEINS IN WHICH OF THE FOLLOWING WAYS?

THICKER VESSEL WALLS WITH A PULSATING FEEL

STEPS IN THE IDENTIFICATION PROCESS SHOULD INCLUDE:

A 3-WAY MATCH WITH VERBAL, ID BRACELET, AND REQUISITION INFORMATION

WHEN A PATIENT HAS "DIFFICULT" VEINS, WHAT STRATEGIES, IF ANY, CAN BE USED TO IMPROVE THE LIKELIHOOD OF A SUCCESSFUL PUNCTURE?

SLIGHT ROTATION OF THE PATIENT'S ARM TO A DIFFERENT POSITION, WARMING THE SITE, AND PALPATING THE ENTIRE ANTECUBITAL AREA TO TRACE VEIN PATH

DURING THE VENIPUNCTURE PROCEDURE, WHAT SHOULD THE PHLEBOTOMIST DO AFTER THE NEEDLE IS INSERTED AND BLOOD BEGINS TO FLOW?

RELEASE THE TOURNIQUET

WHICH SPECIMEN COLLECTION TUBE IS COMMONLY USED FOR HEMATOLOGY TESTS?

EDTA

IF A VENIPUNCTURE PROCEDURE IS ALMOST COMPLETED AND SUDDENLY YOU SEE HINTS OF A HEMATOMA BEGINNING TO FORM, WHAT SHOULD YOU DO?

DISCONTINUE THE PROCEDURE AND APPLY PRESSURE WITH GAUZE

IF A PATIENT IS FRAIL AND HAS A TENDENCY TO FAINT, WHAT EQUIPMENT, IF ANY, WOULD BE HELPFUL IN THE SPECIMEN COLLECTION PROCESS?

A RECLINER

IF ARM VEINS CANNOT BE USED FOR A VENIPUNCTURE, THE PREFERRED ALTERNATIVE VEINS LIE IN THE:

DORSAL SIDE OF THE HAND OR WRIST

WHICH SPECIMEN COLLECTION TUBE IS COMMONLY USED FOR HEMOSTASIS TESTS?

SODIUM CITRATE

IF A PATIENT HAS A BRUISE IN THE ANTECUBITAL AREA OF HIS RIGHT ARM (HIS NONDOMINANT ARM), WHAT ALTERNATE SITE SHOULD BE CONSIDERED?

THE ANTECUBITAL AREA OF THE LEFT ARM

SPECIMENS MAY BE REJECTED FOR A VARIETY OF REASONS, MOST OF WHICH CAN BE PREVENTED BY EXPERIENCED PROFESSIONAL PHLEBOTOMISTS. IDENTIFY ONE REASON FOR SPECIMEN REJECTION THAT RELATES TO UNNECESSARY, BUT EXCESSIVE, MIXING OF THE SPECIMEN.

SPECIMEN IS HEMOLYZED

PRIOR TO PERFORMING A VENIPUNCTURE, WHY IS IT IMPORTANT TO GET INFORMATION ABOUT WHETHER OR NOT THE PATIENT HAS EATEN RECENTLY?

LABORATORY TESTS CAN BE AFFECTED BY THE INGESTION OF FOOD AND DRINK

WHERE SHOULD THE TOURNIQUET BE PLACED ON THE PATIENT DURING THE VENIPUNCTURE PROCEDURE?

3 INCHES ABOVE THE VENIPUNCTURE SITE

WHEN COLLECTING A BLOOD SPECIMEN WITH THE BUTTERFLY METHOD AND PT, PTT TESTS ARE THE ONLY TESTS ORDERED, WHAT IS THE CORRECT PROCEDURE?

USE A DISCARD TUBE, THEN COLLECT A SODIUM CITRATE TUBE

WHEN THE EVACUATED TUBE METHOD IS USED FOR VENIPUNCTURE, SELECT THE CORRECT ORDER OF COLLECTION FOR THE FOLLOWING TUBES: BLOOD CULTURE TUBES, COAGULATION TUBE, AND HEMATOLOGY TUBE. CHOOSE THE ORDER OF TUBES BY THEIR COLOR OF CLOSURES.

YELLOW BLOOD CULTURE TUBES, BLUE, LAVENDER

FINGERSTICK PROCEDURES CANNOT BE PERFORMED WHEN WHICH TEST IS ORDERED?

BLOOD CULTURES

GENERALLY SPEAKING, WHAT SHOULD THE PHLEBOTOMIST DO WITH THE FIRST DROP OF BLOOD AFTER A FINGERSTICK IS PERFORMED?

WIPE IT OFF WITH GAUZE

IN MAKING A BLOOD SMEAR OR SLIDE, AFTER THE DROP OF BLOOD HAS BEEN SPREAD ACROSS THE GLASS SIDE WHAT IS THE NEXT STEP?

ALLOW IT TO AIR DRY

EXCESSIVE MASSAGING OR MILKING OF THE FINGER DURING A SKIN PUNCTURE PROCEDURE CAN CAUSE:

HEMOLYSIS AND CONTAMINATION OF THE SPECIMEN WITH TISSUE FLUIDS

ANOTHER INSTANCE WHEN A FINGERSTICK SHOULD NOT BE PERFORMED ON A PATIENT IS WHEN THE FOLLOWING HAS BEEN ORDERED:

COAGULATION TESTS

LABELED SKIN PUNCTURE SPECIMENS SHOULD INCLUDE THE:

PATIENT'S NAME AND IDENTIFICATION NUMBER, PHLEBOTOMIST'S INITIALS, AND TIME AND DATE OF COLLECTION

SKIN PUNCTURE BLOOD IS COMPOSED OF:

BLOOD FROM ARTERIOLES AND VENULES

WHAT IS THE BEST ANGLE FOR SPREADING A BLOOD SMEAR BY USING TWO GLASS SLIDES:

30 DEGREES

BLOOD SMEARS FOR EVALUATION OF CELLS MUST BE MADE CAREFULLY. WHICH OF THE FOLLOWING FEATURES SHOULD BE PRESENT?

A FEATHERED EDGE

IT IS BEST TO USE WHICH TYPE OF BANDAGE ON AN ADULT AFTER A FINGERSTICK?

HYPOALLERGENIC

WHICH OF THE FOLLOWING CHEMICAL AGENTS SHOULD BE USED TO DECONTAMINATE A PATIENT'S FINGER BEFORE SKIN PUNCTURE?

ISOPROPANOL

GLYCOLYTIC ACTION REFERS TO:

BREAKDOWN OF GLUCOSE

WHEN DESIGNING A REPORT FORM FOR LABORATORY RESULTS, WHAT KEY ELEMENTS WOULD NOT BE INCLUDED?

PHYSICIAN'S HOME ADDRESS AND PHONE NUMBER

THE MOST RELIABLE LABELING METHOD FOR AVOIDING TRANSCRIPTION ERRORS IN SPECIMEN COLLECTION IS?

BAR CODED COMPUTERIZED LABELS

WHICH OF THE FOLLOWING FACTORS SHOULD BE CONSIDERED WHEN PNEUMATIC TUBE SYSTEMS ARE USED FOR TRANSPORTING SPECIMENS:

EFFECT ON THE CHEMICAL AND CELLULAR COMPONENTS OF SPECIMENS, MECHANICAL RELIABILITY AND DISTANCE OF TRANSPORT, SPEED OF CARRIER AND LANDING MECHANISM

ASSAYS THAT REQUIRE A CHILLED SPECIMEN INCLUDE:

GASTRIN, AMMONIA, CATECHOLAMINE, AND LACTIC ACID

WHICH OF THE FOLLOWING IS A POSSIBLE OCCURRENCE IF A BLOOD SPECIMEN TUBE FOR HEMATOLOGY TESTS IS FILLED CORRECTLY BUT NOT MIXED LONG ENOUGH?

TINY CLOTS WILL FORM IN THE SPECIMEN

IT IS PREFERABLE TO MAKE BLOOD SMEARS FROM EDTA SPECIMENS WITHIN WHAT PERIOD OF TIME AFTER THE SPECIMEN IS COLLECTED:

1 HOUR

WHY IS IT IMPORTANT TO GET PATIENT INFORMATION ABOUT LATEX SENSITIVITY?

ALLERGIES TO LATEX CAUSE SKIN IRRITATIONS

ADDING TOO MUCH BLOOD TO A SODIUM CITRATE TUBE CAN CAUSE:

SHORTER CLOTTING TIME

NAME ONE STEP THAT SHOULD NOT BE IN THE HANDWASHING PROCEDURE:

TURNING OFF THE WATER FAUCET WITH HANDS

HOW MANY MORE TIMES SHOULD A PHLEBOTOMIST TRY TO PERFORM A VENIPUNCTURE ON A PATIENT IF HE HAS FAILED ONCE ALREADY?

ONCE

IF A PATIENT IS OBESE, WHAT SPECIAL EQUIPMENT, IF ANY, WOULD BE HELPFUL IN THE SPECIMEN COLLECTION PROCESS?

A LARGE BLOOD PRESSURE CUFF

OSTEOMYELITIS IS DEFINED AS:

INFLAMMATION AND INFECTION OF THE BONE

WHICH OF THE FOLLOWING IS IDENTICAL FOR VENIPUNCTURE AND CAPILLARY PUNCTURE PROCEDURES?

GREETING, IDENTIFICATION, AND HAND HYGIENE

SKIN PUNCTURE TECHNIQUES ARE USEFUL IN WHICH OF THE FOLLOWING CONDITIONS?

WHEN THE PATIENT IS A NEONATE

THE TAT REFERS TO:

THE TIME IT TAKES FOR LABORATORY TEST RESULTS TO BE COMPLETED

SPECIMENS BEING TESTED IN WHICH OF THE FOLLOWING AREAS WOULD NOT USUALLY REQUIRE CENTRIFUGATION?

COAGULATION AND HEMATOLOGY

DURING THE VENIPUNCTURE, THE NEEDLE SHOULD BE INSERTED AT WHAT ANGLE TO THE SKIN?

30 DEGREES OR LESS

WHEN USING THE SYRINGE METHOD TO COLLECT A BLOOD SPECIMEN, HOW IS THE BLOOD ADDED INTO ADDITIVE AND NONADDITIVE TUBES?

USING A SYRINGE TRANSFER DEVICE ATTACHED TO THE SYRINGE, INSERT EACH TUBE IN THE DEVICE AND ALLOW THE BLOOD TO FLOW FREELY

WHICH OF THE FOLLOWING CONDITIONS CAN HAVE ADVERSE EFFECT ON THE QUALITY OF A FINGERSTICK?

ALWAYS USING THE FIRST DROP OF BLOOD

FOR SPECIMENS THAT REQUIRE CENTRIFUGATION, SERUM OR PLASMA SHOULD BE REMOVED FROM THE CELLS WITHIN WHAT PERIOD OF TIME?

2 HOURS

WHICH OF THE FOLLOWING INFORMATION IS ESSENTIAL FOR LABELING A PATIENT'S SPECIMEN?

THE PATIENT'S NAME AND IDENTIFICATION NUMBER, DATE AND TIME OF COLLECTION, THE PHLEBOTOMIST'S INITIALS

NAILS CAN GROW AT A RATE OF ABOUT:

0.1 MM PER DAY