PHLEBOTOMY EXAM

Which of the following POC lab tests is within the CLIA defined scope of practice for a phlebotomist?

a. cell differential and urine sediment

b. strep test and urine sediment

c. urine dip and cell differential

d. strep test and urine dip

d. strep test and urine dip

The phlebotomist is performing a venipuncture on an apprehensive school age child. Which of the following approaches should the phlebotomist use to calm the child?

a. direct the child's questions to the parent and have the parent explain

b. tell the child she has to do this, but it won't hurt

c. explain the procedure and reassure the child that the parent can stay with her

d. allow child to clean the puncture site and give her a sticker

c. explain the procedure and reassure the child that the parent can stay with her

Which task should a phlebotomist complete prior to daily use of a POC instrument?

a. run the test sample

b. perform QC on the instrument

c. ensure that QC was performed within the last month

d. perform QC and calibrate the instrument

b. perform QC on the instrument

rationale: we can't calibrate instruments, out of our scope of practice

A patient brings in written lab tests result, including a mix of POC and higher complexity tests, and asks the phlebotomist for help with interpretation. Which of the following should the phlebotomist do?

a. explain the interpretation behind the POC tests, but let the patient read the directions with the higher level tests

b. explain the interpretation behind the POC car tests, but refer the patient to the MD for the higher complexity tests.

c. refer the patient to the MD for interpretation of all results

d. hand the patient pre-printed test explanations downloaded from the CDC website.

c. refer the patient to the MD for interpretation of all results

Which of the following is outside the scope of practice for a phlebotomist?

a. verifying equipment function on point if care testing using a control

b. prioritizing collections based on order requests

c. recording quality control results on a log sheet

d. performing CLIA moderate complexity tests

d. performing CLIA moderate complexity tests

What is the recommended depth of a heel puncture on an infant?

A.

2.0mm

B.

1.2mm

C.

3.0mm

D.

.02mm

A.

2.0mm

To disinfect a surface you can use boiling water or _______________.

A.

Ammonia

B.

Alcohol

C.

Bleach

D.

Betadine

C.

Bleach

Glycolysis occurs faster in newborns.

A.

True

B.

False

A.

True

Which lab sectioin would analyze the C&S test?

A.

Hematology

B.

Immunology

C.

Microbiology

D.

Serology

C.

Microbiology

Veins are located deeper than arteries.

A.

True

B.

False

B.

False

A red top tube is usualy drawn for which lab department?

A.

Hematology

B.

Blood bank

C.

Chemistry

D.

Serology

C.

Chemistry

Which body plane divides the body in equal portions?

A.

Frontal

B.

Sagittal

C.

Midsagittal

D.

Transverse

C.

Midsagittal

The order of draw for venipuncture is: BC, blue, serum, green, EDTA, gray.

A.

True

B.

False

A.

True

When someone is in shock you should keep them cool.

A.

True

B.

False

B.

False

Repeated venipuncture in the same vein can cause:

A.

Thrombus

B.

Phlebitis

C.

Hemolysis

D.

Petechiae

B.

Phlebitis

The first phase of hemostasis is _________________.

A.

Platelet phase

B.

Vascular stage

C.

Fibrinolysis

D.

Coagulation stage

B.

Vascular stage

Which of the following is the best definition of destruction of red blood cells?

A.

Hemolysis

B.

Hemostasis

C.

Homeostasis

D.

Hemoglobin

A.

Hemolysis

Crooked or winding veins are also called ___________________.

A.

Bad

B.

Tortuous

C.

Thrombotic

D.

Sclerosed

B.

Tortuous

What is another name for winged infusion sets?

A.

Caterpillar

B.

Dragonfly

C.

Butterfly

D.

Beetlebug

C.

Butterfly

Another name for RBC's:

A.

Thrombocytes

B.

Erythrocytes

C.

Leukocytes

D.

Phagocytes

B.

Erythrocytes

Test for this dept. are usually collected in a light blue tube.

A.

Chemistry

B.

Coagulation

C.

Hematology

D.

Microbiology

B.

Coagulation

Which represents the proper order of blood flow?

A.

From arteries to veins to capillaries

B.

From arterioles to capillaries to venules

C.

From capillaries to arterioles to arteries

D.

From veins to venules to capillaries

B.

From arterioles to capillaries to venules

What kind of valve is the tricuspid valve?

A.

Atrioventricle

B.

Semi-lunar

A.

Atrioventricle

OSHA requires that health care professionals receive a vaccine for:

A.

HAV

B.

HBV

C.

HCV

D.

HPV

B.

HBV

What is the oxygen carrying protein in erythrocytes?

A.

Hemoglobin

B.

Reticulocytes

C.

Plasma

D.

Leukocytes

A.

Hemoglobin

Which is NOT a reason the tourniquet is used.

A.

To prevent veinous flow of blood

B.

To make veins bulge

C.

To make veins blue

D.

To aid in vein location

C.

To make veins blue

Which test may require a chain of custody?

A.

Blood Culture

B.

Crossmatch

C.

Drug Screen

D.

TDM

C.

Drug Screen

Fluid aspirated from the peritoneal cavity.

A.

Ascites

B.

Gastric

C.

Sputum

D.

Synovial

A.

Ascites

A group of tests collected as one unit:

A.

Group

B.

Profile

C.

STAT

D.

Bunch

B.

Profile

Lavender tubes must be 2/3 full.

A.

True

B.

False

A.

True

Collecting urine by aspiration through the bladder wall

A.

Suprapubic

B.

Catheter

C.

Pediatric

D.

Amnio

A.

Suprapubic

A person should sustain from eating for how many hours prior to a fasting blood test.

A.

8

B.

6

C.

12

D.

4

C.

12

Failing to provide reasonable standards of care causing someone to suffer an injury is know as ____________.

A.

Trauma

B.

Negligence

C.

Tort

D.

Battery

B.

Negligence

Which is used for PT and PTT?

A.

Red top

B.

Green top

C.

Light blue top

D.

Gray top

C.

Light blue top

A CBC would be sent to what lab section?

A.

Chemistry

B.

Hemotology

C.

Microbiology

D.

Serology

B.

Hemotology

The heart disorder characterized by fluid buildup in the lungs

A.

Aortic stenosis

B.

Bacterial endocarditis

C.

Congestive heart failure

D.

Myocardial infarction

C.

Congestive heart failure

Blood types are determined by the presence or absence of which of the following on RBCs.

A.

Antigens

B.

Antibodies

C.

Chemicals

D.

Hormones

A.

Antigens

Serum contains the same chemical make up as plasma.

A.

True

B.

False

A.

True

The test used to evaluate intrinsic pathway is called ____________.

A.

PT

B.

APTT

C.

LMN

D.

PX

B.

APTT

Medical Asepsis is the destruction of pathogens outside the body.

A.

True

B.

False

A.

True

A drug known to interfere with urine tests should be discontinued 48-72 hours prior to the test.

A.

True

B.

False

A.

True

Which WBC comprises 40%-60% of the white blood cells?

A.

Lymphocytes

B.

Neutrophils

C.

Monocytes

D.

Basophils

B.

Neutrophils

How many hours before a blood test should a patient discontinue the use of medications known to interfere with blood tests?

A.

1-4

B.

4-24

C.

24-36

D.

48-72

B.

4-24

Which tube is drawn last in a standard venipuncture procedure?

A.

Blood culture tube

B.

Lavender

C.

Light-blue

D.

Red

B.

Lavender

Where do blood cells originate?

A.

Heart

B.

Lungs

C.

Bone marrow

D.

Capillaries

C.

Bone marrow

Which blood vessel is NOT part of systemic circulation?

A.

Brachial artery

B.

Cephalic vein

C.

Pulmonary artery

D.

Vena cava

C.

Pulmonary artery

In the order of draw for capillary specimens should you draw tubes with or without additives first?

A.

Without

B.

With

B.

With

What is a condition that could cause leukopenia?

A.

Chemotherapy

B.

Leukemia

C.

Low blood sugar

D.

Coagulation

B.

Leukemia

An example of a nosocomial infection is

A.

Catheter site of ICU patient becomes infected

B.

Healthcare worker contracts HBV from a needlestick

C.

Patient is admitted with chicken pox

D.

Patient breaks out with measles one day after admission

A.

Catheter site of ICU patient becomes infected

Lymph originates from

A.

Joint fluid

B.

Plasma

C.

Serum

D.

Tissue fluid

D.

Tissue fluid

Which vein in the antecubital fossa is usually easiest to palpate in an obese patient?

A.

Median cubital

B.

Cephalic

C.

Basilic

D.

Ulnar

B.

Cephalic

What organ would a doctor be intested in if he ordered an ALP, AST, ALT, GTT and bilirubin?

A.

Heart

B.

Liver

C.

Kidney

D.

Spleen

B.

Liver

Which fluid is obtained by lumbar puncture.

A.

Peritoneal

B.

Pleural

C.

Cerebrospinal

D.

Synovial

C.

Cerebrospinal

How many times should a red top tube be inverted?

A.

2

B.

5

C.

0

D.

8

C.

0

Capillary puncture reference ranges are higher for this analyte.

A.

Calcium

B.

Glucose

C.

Phosphorus

D.

Protein

B.

Glucose

If someone is cyanotic their skin may appear ____________.

A.

Flushed

B.

Clammy

C.

Bluish

D.

Yellow/orange

C.

Bluish

Which is NOT a common symptom of shock?

A.

Clammy skin

B.

Weak pulse

C.

Blinking eyes

D.

Shallow breathing

C.

Blinking eyes

The OGTT test diagnoses ______________.

A.

High blood pressure

B.

Cholesterol

C.

Diabetes

D.

Hemoglobin

C.

Diabetes

Serum is depleted of fibrogen.

A.

True

B.

False

A.

True

Latex sensitivity is an allergic reaction.

A.

True

B.

False

A.

True

There is a 9 to 1 ratio of blood to anticoagulant in a light blue tube.

A.

True

B.

False

A.

True

Which is the best tube for collecting an ethanol specimen?

A.

EDTA

B.

Heparin

C.

Sodium citrate

D.

Sodium fluoride

D.

Sodium fluoride

(gray top)

Glass particle in serum seperator tubes

A.

Deter coagulation

B.

Enhance clotting

C.

Inhibit glycolysis

D.

Prevent hemolysis

B.

Enhance clotting

Which element prevents glycolysis?

A.

EDTA

B.

Heparin

C.

Sodium Fluoride

D.

Potassium oxalate

D.

Potassium oxalate

What kind of blood do arteries and arterioles carry?

A.

Deoxygenated

B.

Oxygenated

B.

Oxygenated

Blood cultures are collected in a ___________ tube.

A.

Red

B.

Yellow

C.

Blue

D.

Green

B.

Yellow

The Good Samaritan Law allows health care workers to provide medical care above and beyond their normal field without being sued.

A.

True

B.

False

B.

False

Blood cultures are used to diagnose ________________.

A.

Diabetes

B.

FUO

C.

FAQ

D.

PT

B.

FUO

What is the preferred antiseptic for venipuncture?

A.

Betadine

B.

Iodine

C.

Isopropyl alcohol

D.

Jack Daniels

C.

Isopropyl alcohol

The following is a test of the respiratory system

A.

ABGs

B.

CSF

C.

ETOH

D.

UA

A.

ABGs

What part of the infant is a PKU test performed on?

A.

Toe

B.

Finger

C.

Heel

D.

Forehead

C.

Heel

The myocardium is the layer of the heart that is made of ___________-.

A.

Muscle

B.

Cartilage

C.

Endometrial tissue

A.

Muscle

Which is not a PPE?

A.

Mask

B.

Goggles

C.

Room dividers

D.

Gloves

C.

Room dividers

To check for trace elements a phebotomist would use a ______ tube.

A.

Light blue

B.

Royal blue

C.

Tiger top

D.

Yellow

B.

Royal blue

The following were collected for a routine venipuncture. Which item is incorrect?

A.

Tubes

B.

Iodine swab

C.

Touniquet

D.

Safety needles

B.

Iodine swab

What causes vacuum tubes to fill with blood?

A.

Arterial blood pressure

B.

Patient fist pumping

C.

Tourniquet pressure

D.

Tube vacuum

D.

Tube vacuum

Which laboratory section performs blood pregnancy tests?

A.

Chemistry

B.

Hematology

C.

Serology

D.

Blood bank

A.

Chemistry

What special handling does an ABG require?

A.

Warming

B.

Chilling

C.

Shaking

D.

Pre-warmed tubes

B.

Chilling

Using a butterfly may be necessary if the vein collapses with the evacuated tube system.

A.

True

B.

False

A.

True

Arteries have valves that prevent the blood from flowing back.

A.

True

B.

False

B.

False

Lipemic bloodserum appears:

A.

Bluish

B.

Milky

C.

Purple

D.

Thick

B.

Milky

Microorganism cultures are collected in _____________tubes.

A.

Light-blue

B.

Royal blue

C.

Green

D.

Yellow

D.

Yellow

Which of the following specimens are least likely to require special handling?

A.

Bilirubin and Folate

B.

Cholesterol and Uric Acid

C.

Gastrin and Lactic Acid

D.

Homocystine and renin

B.

Cholesterol and Uric Acid

A pad used to protect the patient's clothing.

A.

Flux

B.

Chux

C.

Tourniquet

D.

Antiseptic

B.

Chux

The two circulations of the heart are _________and ___________.

A.

Tricuspid and Bicuspid

B.

Pulmonary and Systemic

C.

Right Ventricle and Left Ventricle

D.

Right Atrium and Left Atrium

B.

Pulmonary and Systemic

What are the 3 components of a urinalysis?

A.

Physical, chemical, microscopic exams

B.

Gravity, clarity and color exams

C.

Blood, protein and glucose exams

D.

Hear, see and taste exam

A.

Physical, chemical, microscopic exams

When you explain the venipuncture procedure to the patient and they agree to the test it is called _______.

A.

Getting the blood

B.

Informed consent

C.

Constant talking

D.

HIPAA

B.

Informed consent

At what intervals should blood be clotted during a bleeding time test?

A.

15 seconds

B.

20 seconds

C.

30 seconds

D.

35 seconds

C.

30 seconds

Contact, droplet and airborne are ____________.

A.

Modes of transmission

B.

Portals of exit

C.

Portals of entry

D.

Agents

A.

Modes of transmission

What is the size (in inches) of the needle routinely used for venipuncture?

A.

1-1.5

B.

2-3

C.

2.5-3

D.

2-2.58

A.

1-1.5

Sputum is collected to diagnose

A.

Diptheria

B.

H. pylori

C.

Meningitis

D.

Tuberculosis

D.

Tuberculosis

The ability of the body to achieve "steady state".

A.

Anabolism

B.

Catabolism

C.

Hemostasis

D.

Homeostasis

D.

Homeostasis

What is the preferred site for venipuncture?

A.

Thrombotic vein

B.

Antecubital fossa

C.

Elbow

D.

Ulnar vein

B.

Antecubital fossa

A patient in the Oncology Dept. is probably being treated for _______________.

A.

Diabetes

B.

Pregnancy

C.

Phlebitis

D.

Cancer

D.

Cancer

Which tube can be used to collect blood for a type and crossmatch?

A.

ETS Gray top

B.

Pink top EDTA

C.

Royal Blue top

D.

Serum seperator tube

B.

Pink top EDTA

Vigorous mixing can activate platelet and shorten clotting times.

A.

True

B.

False

A.

True

Which is not true of WBCs?

A.

They are a defense mechanism

B.

They are formed in bone marrow and lymph tissues

C.

They are all the same size and shape

D.

They are also called leukocytes

C.

They are all the same size and shape

In therapeutic blood monitoring, the trough levels are tested ______________.

A.

30 minutes before the scheduled dose

B.

30 minutes after the scheduled dose

C.

2 hours postprandial

D.

2 hours diurnal

A.

30 minutes before the scheduled dose

When collecting a Blood culture with a butterfly into culture bottles, which is filled first?

A.

Aerobic

B.

Anaerobic

A.

Aerobic

The pulmonic valve is situated between ____________________.

A.

Upper and lower heart chambers

B.

Right atrium and right ventricle

C.

Right ventricle and pulmonary artery

C.

Right ventricle and pulmonary artery