front 1 The first step in controlling severe bleeding is to? A)Apply pressure directly over the wound or venipuncture site B) send for medical assistance C) start cardiopulmonary resuscitation D) make the individual lie down and apply pressure totge persons forehead | back 1 A.)Apply pressure directly over the wound venipuncture site |
front 2 If a health care provider is in an area of the health care facility where a fire starts, she or he should? A) attempt to extinguishthe fire, using the proper equipment B) pull the lever in the fire alarm box C) block the entrances so that others will not entr the fire area D) close all doorsand windows before leaving tge area | back 2 B) pull the lever in the fire alarm box |
front 3 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? A) move the victim away from the electricity B) start CPR C) shut off the electrical power D) place a blanket over the victim | back 3 C) shut off the electrical power |
front 4 The abbreviation Race is used in? A) mechanical emergencies B) radiation emergencies C) electrical emergencies D) fire emergencies | back 4 D) fire emergencies |
front 5 A dosimeter badge is required in health care facilities for A) radiation safety B) fire safety C) electrical safety D) mechanical safety | back 5 A) radiation safety |
front 6 MSDS stands for A) mean safety data sheet B) mean standard deviation sheet C) material standard deviation sheet D) material safety data sheet | back 6 D) material safety data sheet |
front 7 CPR stands for A) cardiopulmonary resuscitation B) cardiopulmonary recovery C) cardiopulmonary rescue D)cardiopulmonary return | back 7 A) cardiopulmonary resuscitation |
front 8 Which of the following describes the term systole A) blood tension B) a heart murmur C) relaxation of the heart D) contraction of the heart | back 8 D) contraction of the heart |
front 9 Which of the following describes the term diastole A) blood tension B) a heart murmur C) contraction of the heart D) relaxation of the heat | back 9 D) relaxation of the heart |
front 10 Which of the following veins is most commonly used for venipuncture A) femoral B) great saphenous C) median cubical D) brachial | back 10 C) median cubital |
front 11 Hemoglobin content is assessed in the laboratory by analyzing A) megakaryocytes | back 11 C) erythrocytes |
front 12 Which of the following is another name for leukocytes A) white blood cells B) platelets C) sera D) red blood cells | back 12 A) white blood cells |
front 13 Which of the following is another name for erythrocytes A) a red blood cells B) sera C) platelets D) white blood cells | back 13 A) red blood cells |
front 14 Which of the following is another name thrombocytes A) red blood cells B) white blood cells C) sera D) platelets | back 14 D) platelets |
front 15 Which of the following is true of a serum specimen A) is rich in carbon B) contains anticoagulant additive C) does not contain an anticoagulant additive D) is highly oxygenated | back 15 C) does not contain an anticoagulant additive |
front 16 Leukemia is a condition in which A) clothing factors do not work property B) WBCs are overproduced and do not function correctly C) there is anemia due to excessive venipuncture D) there is a weekend area of the blood vessel wal | back 16 B) WBCs are overproduced and do not function correctly |
front 17 Hemophilia is an inherited condition in which A) there is a weakened area ofthe blood vessel wall B) clotting factors do not work properly C) there is anemia due to excessive venipuncture D) there is a weakend area of the blood vessel wall | back 17 B) clotting factors do not work properly |
front 18 Iatrogenic anemia is a condition in which A) clothing factors do not work properly B) the anemia is due to excessive venipuncture C) there is a weakend area of blood vessel wall D) WBCs are overproduced and do not function correctly | back 18 B) the anemia is due to excessive venipuncture |
front 19 Thrombocytopenia is a condition in which there is a | back 19 A) low platelet count |
front 20 Polycythemia is a condition in which there is a A) high WBC count B) high BUN C) high RBC count D) low platelet count | back 20 C) high RBC count |
front 21 An XX pair of chromosomes means that the fetus will be a A) brown- haired child B) baby girl C) blue- eyed child D) baby boy | back 21 B) baby girl |
front 22 A test request for O and P refers to A) an evaluation for parasites B) chromosomes analysis C) oxygen and pH D) occult blood and pathogens | back 22 A) an evaluation for parasite |
front 23 Which of the following controls skin pigmentation A) melanin B) glucose C) hemoglobin D) vitamin d | back 23 A) melanin |
front 24 Which of the followingis designed to reduce the risk of transmission of microorganism from both recognize and unrecognized sources of infectionin health care facilities A) standard precautions B) protective environment C) droplet precautions D) reverse isolation | back 24 A) standard precautions |
front 25 Which of the organized overseers the investigation and control of various disease, especially those that are cummunicable A) CLIA B) THE JOINT COMMISSION C) JCAHO D)CDC | back 25 d) CDC |
front 26 Which of the following is an agency of U.S. Department of labor that requires employers to provide measure that will protect workers exposed to biological hazards A) the joint commission B)CLIA C) OSHA D) CLSI | back 26 C) OSHA |
front 27 If an accident such as a needlestick occurs, the injured health care worker should immediately: A) contact his or her immediate supervisor | back 27 C) cleanse the area with isopropyl alcohol and apply an adhesive bandage |
front 28 About how many patients acquire a nosocomial infection annually? A) 1 to 1.5 million | back 28 B) 1.75 to 3 million |
front 29 Which of the following is a commonly identified pathogenic agent that affects the skin? A) Shigella sp. | back 29 D) Herpes virus |
front 30 Which of the following would require contact precautions? A) scarlet fever | back 30 D)herpes simplex |
front 31 Which of the following would require airborne precautions? A) tuberculosis | back 31 A) tuberculosis |
front 32 Which of the following is a commonly identified causative agent of nosocomial infections in the nursery unit? A) Escherichia coli | back 32 A) Escherichia coli |
front 33 Reverse isolation is commonly used for patients who have: | back 33 B) immunodeficiency disorders |
front 34 Antiseptics for skin include: A) hypochlorite solution | back 34 C) iodine |
front 35 Which of the following chemicals should be used to disinfect tourniquets and items contaminated with blood? A) 70 percent isopropyl | back 35 B) 1:10 dilution of chlorine bleach |
front 36 In health care facilities, which of the following is a typical fomite? A) laboratory coat | back 36 C) phlebotomy trey |
front 37 Which of the following is the most important procedure in the prevention of disease transmission in health care institutions? A) use of appropriate waste disposal practices | back 37 C) handwashing |
front 38 22) Which of the following is a vector in transmitting infectious
diseases? | back 38 B) mites |
front 39 A health care-acquired infection occurs when: A) a source is detected | back 39 B) the chain of infection is complete |
front 40 Disinfectants are: A) quaternary ammonium compounds D) chemicals that are used to inhibit the growth and development of microorganisms but do not necessarily kill them | back 40 B) chemicals that are used to remove or kill pathogenic microorganisms |
front 41 Prior to performing a venipuncture, why is it important to get
information about whether or not the patient has eaten recently? | back 41 A) Laboratory tests can be affected by the ingestion of food and drink. |
front 42 Name one step that should not be in the handwashing procedure: A) lathering with soap and water | back 42 D) turning off the water faucet with hands |
front 43 Arteries differ from veins in which of the following ways? | back 43 A) thicker vessel walls with a pulsating feel |
front 44 If arm veins cannot be used for a venipuncture, the preferred
alternative veins lie in the: | back 44 C) dorsal side of the hand or wrist |
front 45 During a typical venipuncture, the needle should be inserted at what
angle to the skin? | back 45 A) 30 degrees or less |
front 46 During the venipuncture procedure, what should the phlebotomist do
after the needle is inserted and blood begins to flow? | back 46 A) release the tourniquet |
front 47 Which of the following information is essential for labeling a
patient's specimen? | back 47 B) the patient's name and identification number, date of collection, time of collection |
front 48 Steps in the identification process should include: | back 48 B) a three-way match with verbal, ID bracelet, and requisition information |
front 49 If a venipuncture procedure is almost completed and suddenly you see
hints of a hematoma beginning to form, what should you do? | back 49 D) discontinue the procedure and apply pressure with gauze |
front 50 Which specimen collection tube is commonly used for hematology
tests? | back 50 C) sodium citrat |
front 51 Adding too much blood to a sodium citrate tube can cause: | back 51 A) shorter clotting time |
front 52 When collecting a blood specimen with the butterfly method and PT and
PTT tests are the only tests ordered, what is the correct
procedure? | back 52 C) use a discard tube, then collect a sodium citrate tube |
front 53 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. | back 53 B) Specimen is hemolyzed. |
front 54 If the tourniquet is applied to the arm for longer than 2 minutes, which of the following analytes will most likely become falsely elevated? A) potassium | back 54 A) potassium |
front 55 When blood is to be collected for a glucose tolerance test, the
patient should fast for: | back 55 C) 8-12 hours |
front 56 Which of the following analytes is significantly increased in the
blood with changes in position? | back 56 C) glucose |
front 57 An abnormal accumulation of fluid in the intercellular spaces of the
body that is localized or diffused is referred to as: | back 57 A) hemoconcentration |
front 58 Upon entering Ms. Newhouse's hospital room, the phlebotomist
introduced herself and explained she was going to collect blood for
laboratory tests requested by the physician. The patient became very
anxious and said she was frightened of needles; then she started
sweating from being frightened of the procedure. This patient's
emotional stress could lead to a decrease in which of the
following? | back 58 B) serum iron level |
front 59 Which of the following would most likely not be an explanation for
turbid serum? | back 59 A) elevated glucose |
front 60 When hemoglobin is released from RBCs and serum becomes tinged as
pink or red, this condition is referred to as: | back 60 B) hemolysis |
front 61 If a patient begins to have a seizure during venipuncture, the
phlebotomist should immediately: | back 61 C) release the tourniquet |
front 62 Hemolysis in collected blood can cause a falsely decreased value
for: | back 62 A) hemoglobin |
front 63 The EDTA blood collection tube must not be underfilled, since it has
been shown to lead to: | back 63 B) low hematocrit levels |
front 64 What additive destroys the enzymes in the blood when the gray-topped
tube is used to collect blood? | back 64 B) sodium fluoride |
front 65 Which of the following laboratory test results are affected most if
the patient is not fasting? | back 65 C) glucose |
front 66 SPS tubes are used in the collection of: | back 66 B) microbiology specimens |
front 67 which of the following additives found in a royal blue topped blood collection tube A) sodium citrate B) ammonium heparin C) lithium heparin D)clot activator | back 67 D)clot activator |
front 68 The yellow-topped blood collection tube has which of the following
additives? | back 68 B) sodium polyanethol sulfonate |
front 69 The safety butterfly blood collection system is frequently used with
a needle gauge size of: | back 69 A) 21 |
front 70 For newborns, the penetration depth of safety lancets for blood
collection must be: | back 70 D) 2.0 mm or less |
front 71 Which of the following needle gauges has the smallest diameter? | back 71 D) 23 |
front 72 A blood cell count requires whole blood to be collected in a: | back 72 A) lavender-topped tube |
front 73 Which of the following tests usually requires blood collected in a
tan-topped blood collection tube? | back 73 C) lead |
front 74 Which of the following is a commonly used intravenous device that is
sometimes used in the collection of blood from patients who are
difficult to collect blood by conventional methods? | back 74 C) butterfly needle |
front 75 The color coding for needles indicates the: | back 75 B) gauge |
front 76 Which of the following anticoagulants is found in a green-topped
blood collection tube? | back 76 B) sodium heparin |
front 77 Which of the following is an anticoagulant used in blood
donations? | back 77 B) citrate-phosphate-dextrose |
front 78 The gold-topped blood collection tube should be gently inverted how
many times after blood is collected? | back 78 A) 5 times |
front 79 Which of the following blood collection tubes is most appropriate for
the sterile blood collection of trace elements and nutritional
studies? | back 79 B) royal blue-topped tube |
front 80 Which of the following blood collection tubes is most appropriate for
the collection of blood for a DIFF? | back 80 B) purple-topped tube |
front 81 How many times should the lavender-topped blood collection tube be
inverted after blood collection? | back 81 B) 8 times |
front 82 Which of the following additives is not in a gray-topped blood
collection tube? | back 82 B) sodium citrate |
front 83 Which of the following blood collection tubes is most appropriate for
blood bank collections? | back 83 A) pink-topped tube |
front 84 Failure to act or perform duties according to the standard of care
for phlebotomy is: | back 84 B) negligence |
front 85 In legal cases, "what a reasonably prudent person would do under
similar circumstances" refers to: | back 85 C) standard of care |
front 86 When a phlebotomist gives aid during an emergency, he or she is
usually protected through: | back 86 D) implied consent |
front 87 The federal law enacted that regulates the quality and accuracy of
laboratory testing (including phlebotomy procedures) by creating a
uniform set of provisions governing all clinical laboratories is
referred to as: | back 87 B) CLIA |
front 88 Which of the following agencies administers CLIA? | back 88 B) CMS |
front 89 Which of the following branches of government writes laws that are
called statutes? | back 89 D) legislative branch |
front 90 CLIA is enforced by the: | back 90 A) Centers for Medicare and Medicaid Services |
front 91 Which federal law states that a laboratory with moderately complex or
highly complex testing must have written policies and procedures for
specimen collection and labeling? | back 91 B) CLIA |
front 92 Which of the following has recognized rights for patients in health
care organizations through "The Patient Care
Partnership"? | back 92 B) AHA |
front 93 Under which of the following concepts are the supervisors and
directors of laboratories held liable for the negligent actions of
their employees? | back 93 C) respondeat superior |
front 94 Which of the following is the best example of setting the standard of
care for blood collection? | back 94 D) The Joint Commission |
front 95 Professional negligence in blood collection is the same as: | back 95 B) malpractice |
front 96 A patient's medical record can best be described as: | back 96 A) a legal document that provides a chronological log of care |
front 97 The Joint Commission is a(n): | back 97 C) agency that administers certifications |
front 98 Which of the following terms refers to the speed and urgency of one's
voice? | back 98 C) pace |
front 99 Which of the following terms refers to the intonation or pitch of
one's voice? | back 99 B) tone |
front 100 What does the abbreviation ADA stand for? | back 100 D) Americans with Disabilities Act |
front 101 The space or distance between people during an interaction is
called: | back 101 C) zone of comfort |
front 102 What are "delta checks"? | back 102 C) QC that allows for detection of significant changes in laboratory results |
front 103 The term Phlebotomy is derived fom Greek words that mean | back 103 b. vein, cut |
front 104 The terms venesection/venisection are synonymous with which of the
following? | back 104 c. phlebotomy |
front 105 Acute care refers to which type of hospital care? | back 105 d. short-term |
front 106 which agency oversees the categorization of laboratory tests according to the level of complexity and the risk involved for the patient if errors are made A) the joint commission B) CLIA C) CDC D) ISO | back 106 B) CLIA |
front 107 which of the following is the medical specialty that pertains to the diagnosis and treatment of skin disoders? a. dermatology | back 107 a. dermatology |
front 108 Which of the following specialties would relate to diagnosis and
treatment of cancer? | back 108 b. oncology |
front 109 Assessing a patient for a suitable vein to perform a venipuncture
procedure is an example of which phase of laboratory testing? | back 109 a. preexamination/preanalytical |
front 110 Centrifugation of a blood specimen is an example of which phase of
laboratory testing? | back 110 a. preexamination/preanalytical |
front 111 Performing a laboratory assay on a patient's blood specimen is an
example of which phase of laboratory testing? | back 111 b. examination/analytical |
front 112 In which of the circumstances below is the phlebotomist likely to
collaborate with the pharmacy? | back 112 c. when asked to collect specimens for drug monitoring |
front 113 Which of the following aspects would do the most to promote a
professional appearance in a patient care setting? | back 113 a. good posture and personal hygiene |
front 114 Which of the following is a test of moderate complexity A) mononucleosis test B) occult blood detection C) urine pregnancy test D) blood chemistries | back 114 D) blood chemistries |
front 115 Among health care organizations, which of the following is a typical
long-term facility? | back 115 a. nursing home |
front 116 Licensure typically refers to | back 116 c. passing a state-required examination and/or continuing education |
front 117 The term "right to know" refers to | back 117 b. the patient's right to information about his procedures and who is performing them |
front 118 Which of the following is an important work-related characteristic
that is helpful for phlebotomists? | back 118 b. enjoying working with small objects |
front 119 Which of the following is acceptable attire for a phlebotomist? | back 119 b. necklace tucked inside a collar |
front 120 An XY pair of chromosomes means that the fetus will be a: | back 120 A) baby boy |
front 121 The ________ hand should be used for a fingerstick, if possible. | back 121 nondominant |
front 122 When performing a fingerstick, the puncture should be oriented ________ to or across the fingerprint ridges. | back 122 perpendicular |
front 123 The most reliable labeling method for avoiding transcription errors
in specimen collection is: | back 123 B) bar-coded computerized labels |
front 124 The TAT refers to: | back 124 A) the time it takes for laboratory test results to be completed |
front 125 Which of the following is a possible occurrence if a blood specimen
tube for hematology tests is filled correctly but mixed too long or
too vigorously? | back 125 A) Hemolysis will occur. |
front 126 Glycolytic action refers to: | back 126 C) breakdown of glucose |
front 127 Cooling a blood specimen causes: | back 127 A) slowing of metabolic processes |
front 128 Assays that require a chilled specimen include: | back 128 B) gastrin, ammonia, catecholamine, and lactic acid |
front 129 To chill a blood specimen as it is transported, the health care
worker should use: | back 129 C) icy water or commercial ice pack |
front 130 Specimens that require protection from light include those for: | back 130 C) bilirubin and vitamin B12 |
front 131 When designing a report form for laboratory results, what key
elements would not be included? | back 131 D) physician's home address and phone number |
front 132 For specimens that require centrifugation, serum or plasma should be
removed from the cells within what period of time? | back 132 D) 2 hours |
front 133 How long does it usually take for a serum specimen (without
additives) to form a clot? | back 133 D) 30-60 minutes |
front 134 For children older than ________ year, a fingerstick is appropriate for blood collection. | back 134 1 |
front 135 If an incision for a heelstick goes deeper than ________ mm in a newborn, it can lead to osteomyelitis. | back 135 2.0 mm |
front 136 ________ blood is the specimen of choice for blood gas testing. | back 136 arterial |
front 137 In the hospital, it is best to perform a blood collection procedure on a child in a ________ room. | back 137 treatment |
front 138 Bedside testing is also referred to as ________, or point-of-care testing. | back 138 POCT |
front 139 Diabetes mellitus is a disease in which the ________ cannot produce enough insulin. | back 139 pancreas |
front 140 The abbreviation Na+ stands for ________. | back 140 sodium |
front 141 PT stands for ________. | back 141 prothrombin time |
front 142 Blood cultures are often collected from patients who have fevers of __________________ origin. | back 142 Unkown |
front 143 The purpose of the ____________ is to test the efficiency of the body's insulin - releasing mechanism and glucose - disposing system. | back 143 GTT |
front 144 ABG'S stands for | back 144 Arterial blood gases |
front 145 A __________ is a artificial shunt in which the vein and artery have been fused through surgery. | back 145 Fistula |
front 146 The _____ test is used as the gold standard in the diagnostic of cystic fibrosis | back 146 Sweat chloride |
front 147 The term used for intoxicated driving is _______ | back 147 DWI |
front 148 A term used to mean after death is ________. | back 148 postmortem |
front 149 ________ is the same in all cells of the body. | back 149 DNA |
front 150 ________ should not be used to cleanse a venipuncture site if collecting blood for BAC. | back 150 isopropanol |
front 151 5) A device used to test the breath of a suspected drunk driver is a ________. | back 151 breathalyzer |
front 152 9) A decedent is a person who is ________, expired, or dead. | back 152 deceased |
front 153 All hospitalized patients should have a ________ identification number. | back 153 unique |
front 154 Every blood specimen should be treated as if it were hazardous or ________ | back 154 infectious |
front 155 The lavender-topped blood collection tube contains the additive ________. | back 155 EDTA |
front 156 The brown- topped blood collection tube is used for ________ determinations | back 156 Lead |
front 157 Sodium ________ is contained in green-topped blood collection tubes. | back 157 heparin |
front 158 The ________ number indicates the diameter of the needle. | back 158 gauge |
front 159 The most common butterfly needle sizes are 21- and ________ gauge. | back 159 23 |
front 160 The ________ provides a barrier to slow down venous flow for use in venipuncture. | back 160 tourniquet |
front 161 Disposable, sterile ________ that are retractable are used to avoid bloodborne pathogen exposure. | back 161 lancets |
front 162 For infants, a depth of less than ________ mm on heelsticks is recommended to avoid penetrating bone | back 162 2 |
front 163 Venous blood flow in the arm is from the wrist to the shoulder or __________. | back 163 Elbow |
front 164 Arteries have (thicker or thinner) vessel walls than veins. | back 164 Thicker |
front 165 What substance in RBCs is responsible for oxygen transport? | back 165 Hemoglobin |
front 166 Lactic acid is produced in the _________. | back 166 Muscles |
front 167 The "master gland" is the ________ gland | back 167 Pituitary |
front 168 GTT stands for | back 168 Glucose tolerance test |
front 169 Blood cell formation is called | back 169 Hematopoesis |
front 170 a patient with an active TB infection is placed in a hospital room with _______ air pressure | back 170 negative |
front 171 The ________ of transmission for the pathogen to pass directly from the source to the host is part of the chain of infection. | back 171 mode |
front 172 For the chain of infection to occur, a ________ must be present. | back 172 pathogen |
front 173 ________ infections occur when the chain of infection is complete. | back 173 nosocomial |
front 174 a computer keyboard is considered a _______ in health care facilities | back 174 fomite |
front 175 standard precautions have been designed through the ______ to decrease the risk of transmission to microorganisms | back 175 CDC |
front 176 _______ precautions reduce the spread of infections from agents such as rubeola | back 176 Airborne |
front 177 Chemical compounds that are used to remove or kill pathogenic microorganisms are called ________. | back 177 disinfectants |
front 178 Syncope is another term for | back 178 Fainting |
front 179 When RBCs are lysed, hemoglobin is released and this results in ________. | back 179 hemolysis |
front 180 Plasma cholesterol will be falsely ________ if the tourniquet pressure is too tight or prolonged | back 180 elevated |
front 181 Veins ________ when blood is withdrawn too quickly or forcefully during venipuncture. | back 181 collapse |
front 182 When a patient has "difficult" veins, what strategies, if
any, can be used to improve the likelihood of a successful
puncture? | back 182 D) all of the above |
front 183 If arm veins cannot be used for a venipuncture, the preferred
alternative veins lie in the: | back 183 C) dorsal side of the hand or wrist |
front 184 Where should the tourniquet be placed on the patient during the
venipuncture procedure? | back 184 C) 3 inches above the venipuncture site |
front 185 During a typical venipuncture, the needle should be inserted at what
angle to the skin? | back 185 A) 30 degrees or less |
front 186 During the venipuncture procedure, what should the phlebotomist do
after the needle is inserted and blood begins to flow? | back 186 A) release the tourniquet |
front 187 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. | back 187 C) yellow, blue, lavender blood culture tubes |
front 188 The term STAT refers to: | back 188 D) immediate and urgent specimen collection |
front 189 Steps in the identification process should include: | back 189 C) a two-way match with the ID bracelet and the verbal confirmation |
front 190 ) If a patient is frail and has a tendency to faint, what equipment,
if any, would be helpful in the specimen collection process? | back 190 C) a recliner |
front 191 ) If a patient has a bruise in the antecubital area of his right arm
(his nondominant arm), what alternate site should be considered? | back 191 C) the antecubital area of the left arm |
front 192 One reason for hematoma formation during venipuncture is that
the: | back 192 D) needle is too small |
front 193 How many more times should a phlebotomist try to perform a
venipuncture on a patient if he has failed once already? | back 193 A) once |
front 194 Which specimen collection tube is commonly used for hematology
tests? | back 194 A) EDTA |
front 195 Which specimen collection tube is commonly used for hemostasis
tests? | back 195 C) sodium citrate |
front 196 Adding too much blood to a sodium citrate tube can cause: | back 196 A) shorter clotting time |
front 197 When collecting a blood specimen with the butterfly method and PT and
PTT tests are the only tests ordered, what is the correct
procedure? | back 197 C) use a discard tube, then collect a sodium citrate tube |