phlebotomy chp 1-6

A

Another name for blood bank is
A) Immunohematology
B) Immunology
C) Microbiology
D) Serology

B

With which other hospital department would the laboratory coordinate therapeutic drug monitoring?
A) Nuclear medicine
B) Pharmacy
C) Physical therapy
D) Radiology

D

Electrolyte testing includes
A) Bilirubin, creatinine
B) BUN, cholesterol
C) Glucose, uric acid
D) Sodium, potassium

D

Promoting good public relations is a part of the phlebotomist's role because
A) A phlebotomist is a representative of the laboratory
B) Good public relations promotes a harmonious relationship with visitors, staff, and patients
C) The patient often equates blood-drawing experiences with the caliber of overall care received while in the hospital
D) All of the answers are correct

C

Outpatient phlebotomy, such as in a physician's office or patient care service center, will be assigned a code for reimbursement using which national coding system?
A) AHCCCS
B) APC
C) CPT
D) HIPAA

D

Which department is responsible for administering oxygen therapy?
A) Cardiodiagnostics
B) Electroencephalography
C) Physical therapy
D) Respiratory therapy

D

The term used to describe sophisticated and highly complex medical care is
A) Managed care
B) Primary care
C) Secondary care
D) Tertiary care

A

The term "phlebotomy" is derived from Greek words that, literally translated, mean to
A) Incise a vein
B) Draw blood
C) Puncture a vein
D) Remove a portion of the vein

C

Which of the following is not a phlebotomist's duty?
A) Collecting blood specimens
B) Performing laboratory computer operations
C) Starting intravenous (IV) lines
D) Transporting specimens to the laboratory

B

Proof of participation in workshops to upgrade skills required by some agencies to renew certification is called
A) Accreditation
B) Continuing education units
C) Essentials
D) Reciprocity

B

Of the following laboratory personnel, which one is referred to as a clinical laboratory scientist?
A) Clinical laboratory technician
B) Medical technologist
C) MLT
D) Phlebotomist

D

Which of the following is an example of a barrier to effective communication with a patient? The patient
A) Does not speak English
B) Is a child
C) Is emotionally upset
D) All of the answers are correct

C

Which of the following is an example of a confirming response to a patient?
A) I do not know what you mean
B) I have no idea how long it will take
C) I understand how you must be feeling
D) I'm on a tight schedule right now

B

Which of the following is an example of negative kinesics?
A) Eye contact
B) Frowning
C) Good grooming
D) Smiling

D

Which of the following is not part of communicating a professional appearance?
A) Clean, pressed laboratory coat
B) Long hair pulled back
C) Short, clean fingernails
D) Wearing strong cologne

C

Which of the following is not proper telephone protocol?
A) Answering the phone promptly
B) Clarifying and recording information
C) Hanging up on angry callers
D) Prioritizing callers, if necessary

C

Which duty is not performed by local public health agencies?
A) Diabetes screening
B) Immunization and vaccination
C) Licensure of healthcare personnel
D) Venereal disease screening

True

True or False? Acknowledging a patient's beliefs, customs, knowledge, and attitudes exemplifies diversity awareness.
True
False

False

True or False? A phlebotomist who gets the specimen for the doctor even if he or she must take shortcuts and save time is exhibiting integrity.
True
False

False

True or False? The area of the lab where testing involving infectious diseases and the immune process is immunohematology.
True
False

A

Drawing a patient's blood without his or her permission can result in a charge of
A) Assault and battery
B) Invasion of privacy
C) Malpractice
D) Negligence

C

Two phlebotomists are discussing a patient's condition in the elevator. They are overheard by the patient's daughter. This is an example of
A) Failure to exercise reasonable care
B) Improper or unskilled care
C) Invasion of privacy
D) Mistreatment of a patient

D

Which of the following would not violate a patient's right to confidentiality?
A) Indicating the nature of a patient's disease on the door
B) Keeping a list of human immunodeficiency virus (HIV)-positive patients posted in the laboratory
C) Posting a patient's laboratory results on a bulletin board in his or her room
D) Sharing collection site information on a difficult patient

C

Malpractice is a claim of
A) Assault and battery
B) Breach of confidentiality
C) Improper treatment
D) Invasion of privacy

B

If a phlebotomist \__________, he or she is negligent.
A) Does not obtain a specimen from a combative patient
B) Fails to put the needle in the sharps container
C) Puts the bedrail in an upright position
D) Reports obvious changes in patient condition

D

A national organization that sets standards for phlebotomy procedures is the
A) ASCP
B) NAACLS
C) NCA
D) CLSI

C

Which action will compromise the quality of a specimen?
A) Drawing an electrolytes specimen in an amber tube
B) Mixing a serum separator tube
C) Partially filling a liquid EDTA tube
D) Placing a cold agglutinin in a heat block

D

Which of the following is not a principle of quality management?
A) Constant improvement
B) Customer satisfaction
C) Employee participation
D) Reduction in staff

C

Examples of quality control are all of the following except
A) Checking expiration dates of evacuated tubes
B) Documenting maintenance on centrifuge
C) Filling out your time sheet daily
D) Recording refrigerator temperature daily

C

Chilling will adversely affect the quality of test results for which of the following analytes?
A) Ammonia
B) Lactic acid
C) Potassium
D) Renin

A

When the threshold value of a clinical indicator of QA is exceeded and a problem is identified
A) A corrective action plan is implemented
B) An incident report must be filed
C) The patient specimens must always be redrawn
D) The patient's physicians must be notified

B

The agency that requires healthcare organizations to have a QA program in place to be accredited is
A) CAP
B) JCAHO
C) NCCLS
D) OSHA

A

Three of the following conditions would cause a specimen to be rejected for analysis. Which one would not?
A) A bilirubin specimen is icteric
B) A CBC specimen has clots
C) A fasting glucose specimen is lipemic
D) An electrolyte specimen is hemolyzed

D

A specimen was mislabeled on the floor. You are required to fill out an incident report form. What information would you not include?
A) Description of the consequence
B) Details of the corrective action taken
C) Explanation of the problem
D) Suggestion for new guidelines

C

An example of a QA indicator is
A) All phlebotomists will follow universal precautions
B) No eating, drinking, or smoking allowed in laboratory work areas
C) The contamination rate for blood cultures will not exceed the national contamination rate
D) Wearing laboratory coats when on break

C

You are the only phlebotomist in an outpatient drawing center. A physician orders a test with which you are not familiar. What is the most appropriate action to take?
A) Call the physician's office for assistance
B) Draw both a serum and a plasma sample
C) Refer to the user manual for instruction
D) Send the patient to another drawing center

D

Some test specimens require immediate cooling in ice and water slurry to
A) Prevent activation of cold agglutinin
B) Prevent clotting
C) Separate serum more completely
D) Slow metabolic processes

C

Which one of the following is not a phase of the litigation process?
A) A complaint against the defendant is filed by the plaintiff
B) Appeal of the jury decision is begun by the losing party
C) Correction of the situation is begun using policies and procedures already in place
D) Depositions are given while a court reporter records every word

False

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

True

True or False? As healthcare providers go about their daily activities, there are many activities that, if performed without reasonable care and skill, could result in a lawsuit.
True
False

True

True or False? Labeling of a specimen must be exact.
True
False

B

According to standard first aid procedures, severe external bleeding is best controlled by
A) Applying a tourniquet
B) Applying direct pressure and elevating the extremity
C) Keeping the injured extremity below the level of the heart
D) Raising the victim's head above the level of the injury

B

A class C fire
A) Involves combustible metals
B) Involves electrical equipment
C) Involves flammable liquids
D) Occurs with ordinary materials

A

Vaccination against HBV involves
A) A dose of vaccine, another 1 month later, and a final dose 6 months later
B) A single dose of vaccine that confers lifetime immunity
C) There is no vaccine for HBV
D) Three doses of vaccine, each 3 months apart, then yearly doses thereafter

C

An example of employee screening for infection control is
A) HBV vaccination
B) Measles vaccination
C) PPD testing
D) Shot of immune globulin

C

The NFPA system for fire response does not involve
A) Rescue
B) Alarm
C) Postexposure testing
D) Confinement

C

The purpose of "protective" isolation is to
A) Prevent airborne transmission of disease
B) Protect others from patients with transmissible diseases
C) Protect susceptible patients from outside contamination
D) Provide a safe environment for psychiatric patients

C

The OSHA HAZCOM Standard is also commonly called the
A) "Disclosure" law
B) MSDS Act
C) "Right-to-Know law"
D) United Nations Placard Recognition System

C

What is the proper order for putting on protective clothing?
A) Gloves first, then gown, mask last
B) Gown first, then gloves, mask last
C) Gown first, then mask, gloves last
D) Mask first, then gown, gloves last

D

Federal law requires that hepatitis B vaccination be made available to employees assigned to duties with occupational exposure risk
A) Immediately
B) Once their probationary employment period has ended
C) Within 1 month of employment
D) Within 10 working days of initial assignment

B

What is the first thing the phlebotomist should do in the event of an accidental needlestick?
A) Check the patient's medical records
B) Decontaminate the site and fill out an incident report
C) Go to employee health service and get a tetanus booster
D) Leave the area so that the patient does not notice the injury

B

The main principles involved in radiation exposure are
A) Exposure time, amount of radiation, and glove thickness
B) Exposure time, distance, and shielding
C) Time of day, amount of radiation, and source
D) Time of day, distance, and eye protection

A

Which of the following is an example of a nosocomial infection?
A) When a catheter site of a patient in ICU becomes infected
B) When a healthcare worker contracts hepatitis from a needlestick
C) When a patient is admitted with Hanta virus
D) When a pediatric patient breaks out with measles the day after admission for a tonsillectomy

A

Which of the following is not an example of possible "parenteral" means of transmission?
A) Drinking contaminated water
B) Getting stuck by a needle used on a patient with AIDS
C) Rubbing the eye with a contaminated hand
D) Touching infectious material with chapped hands

C

In what instance might a patient be placed in protective isolation?
A) The patient has chickenpox
B) The patient has hepatitis
C) The patient has severe burns
D) The patient has tuberculosis

C

Which of the following is an example of work practice control that reduces risk of exposure to bloodborne pathogens?
A) A biohazard symbol
B) An exposure control plan
C) Hand washing following glove removal
D) HBV vaccination

B

Which type of contact infection transmission involves transfer of an infective microbe to the mucous membranes of a susceptible individual by means of a cough or sneeze?
A) Direct
B) Droplet
C) Fomites
D) Indirect

A

The Needlestick Safety and Prevention Act directed OSHA to revise the BBP standard in all of the following areas except
A) Availability of vaccination against HBV for all employees
B) Modification of definitions relating to engineering controls
C) New record-keeping requirements
D) Solicitation of employee input in selecting engineering and work practice controls

D

Occupational exposure to bloodborne pathogens can occur if which of the following happens while the healthcare worker is performing his or her duties?
A) A human bite breaks the skin
B) Blood comes in contact with a cut or scratch
C) Body fluids splash into the mouth
D) All of the answers are correct

False

True or False? A class A fire occurs when electrical components are involved.
True
False

False

True or False? Sterile gloves must be used when collecting and handling blood specimens.
True
False

True

True or False? Eating fresh vegetables and whole grains can help a person stay healthy.
True
False

False

True or False? Applying lip-balm in the lab is acceptable when an employee has chapped lips.
True
False

C

What part of the term "osteochondritis" is the suffix?
A) chondri
B) osteo
C) itis
D) tis

A

Which of the following word parts is a prefix?
A) aer
B) logy
C) lysis
D) my

B

What does the suffix of the term "glycolysis" mean?
A) Against
B) Breakdown
C) Glucose
D) Living

D

The singular form of alveoli is
A) Alveola
B) Alveolix
C) Alveolum
D) Alveolus

C

The medical term for white blood cell is
A) Erythrocyte
B) Hepatocyte
C) Leukocyte
D) Thrombocyte

C

Which of the following terms means kidney inflammation?
A) Cystitis
B) Hepatitis
C) Nephritis
D) Neuritis

A

Only the second vowel of the ending is pronounced in the word
A) Chordae
B) Dyspnea
C) Nuclei
D) Protozoa

B

The letter "g" is pronounced like a "j" in
A) Gamete
B) Gestation
C) Glycolysis
D) Guaiac

D

The abbreviation "ESR" means
A) Energy-saving respiration
B) Eosinophil survival response
C) Estimated survival rate
D) Erythrocyte sedimentation rate

C

What word means "condition of clotting?"

A) Hemostasis

B) Leukopenia

C) Thrombosis

D) Vasoconstriction

B

Which of the following terms means muscle pain?
A) Atrophy
B) Myalgia
C) Osteomyelitis
D) Tendinitis

B

What word means "hardening of the artery?"
A) Arteriopathy
B) Arteriosclerosis
C) Arteriospasm
D) Arteritis

B

What is the word root in the word "electrocardiogram"?
A) electro
B) cardi
C) cardiogram
D) gram

D

A prefix
A) Adds information about a term
B) Modifies the meaning of a term
C) Precedes the word root
D) All of the options are correct

D

What is the suffix in the term "lipase"?
A) lip
B) lipa
C) pase
D) ase

D

The term "polycythemia" means
A) Few cell blood condition
B) Few white blood cells
C) Much blood loss
D) Many-cell blood condition

C

The "c" sounds like an "s" in which of the following terms?
A) Coagulation
B) Cardiac
C) Cellular
D) Culture

C

The JCAHO "Do Not Use" list applies to all of the following except
A) Handwritten medication related documents
B) Handwritten laboratory reports
C) Electronic laboratory reports
D) Items written on preprinted forms

A

All of the following are included on the JCAHO "Do Not Use" list except
A) CBC
B) U
C) MS
D) UI

D

JCAHO issued the "Do Not Use" list
A) To reduce medical errors
B) To eliminate dangerous abbreviations
C) To prevent incorrect interpretation of terminology
D) All of the options are correct

True

True or False? In the term "hyponatremia," "hypo" is the prefix.
True
False

False

True or False? The word roots "nephr" and "ren" both refer to the liver.
True
False

C

Which of the following structures in the skin give rise to fingerprints?
A) Arrector pili
B) Hair follicles
C) Papillae
D) Sebaceous glands

B

Which body plane divides the body into equal portions?
A) Frontal
B) Midsagittal
C) Sagittal
D) Transverse

B

Which of the following is a nervous system disorder?
A) Hepatitis
B) Multiple sclerosis
C) Nephritis
D) Pruritus

D

A major cause of respiratory distress in infants and young children is
A) Cystic fibrosis
B) Emphysema
C) Mycobacterium tuberculosis
D) Respiratory syncytial virus

A

Which of the following is a function of the urinary system?
A) To maintain electrolyte balance
B) To produce heat
C) To receive environmental stimuli
D) To remove carbon dioxide from the body

C

Which of the following is a test of the urinary system?
A) Cholinesterase
B) Creatine kinase
C) Creatinine clearance
D) Pleuracentesis

D

The ability of the body to repair and maintain itself to achieve a "steady state" defines what term?
A) Anabolism
B) Catabolism
C) Hemostasis
D) Homeostasis

B

Which of the following types of muscle is under voluntary control?
A) Cardiac
B) Skeletal
C) Smooth
D) Visceral

A

Which of the following is a test of the respiratory system?
A) ABGs
B) CSF
C) TSH
D) UA

A

The term "distal" means
A) Farthest from the point of attachment
B) Higher or above
C) Nearest to the center of the body
D) Toward the back

A

When you are facing someone in normal anatomic position, at which body plane are you looking?
A) Frontal
B) Midsagittal
C) Sagittal
D) Transverse

C

The layer(s) of the skin containing blood vessels is (are)
A) Epidermis and dermis
B) Epidermis only
C) Dermis and subcutaneous
D) Subcutaneous only

B

Three of the following are basic structural components found inside the cell. Which one is not?
A) Centrioles
B) Gametes
C) Golgi apparatus
D) Nucleus

B

The avascular layer of the skin is the
A) Dermis
B) Epidermis
C) Subcutaneous
D) None of the options are correct

B

Which one of the following basic tissue types covers and lines organs, vessels, and cavities?
A) Connective
B) Epithelial
C) Muscle
D) Nerve