NCCT Phlebotomy Tech Practice

Question 1 of 249

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Treating all lab specimens as if they are hazardous and infectious is the basis for ______?

Select one of the following:

  • patient quarantine systems

  • quality assurance programs

  • universal precautions

  • hazardous waste controls

Question 2 of 249

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If you have received vaccination for Hepatitis B, what would be the next most common exposure?

Select one of the following:

  • HIV

  • Hepatitis C

  • Chicken pox

  • West Nile virus

Question 3 of 249

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Microorganisms that cause disease are _____?

Select one of the following:

  • pathogens

  • normal flora

  • non-pathogenic

  • None of the above

Question 4 of 249

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The most frequent LAB nosocomial infection is ______?

Select one of the following:

  • HIV

  • HAV

  • HBV

  • HCV

Question 5 of 249

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A patient who has diarrhea or gastroenteritis bacteria is placed in which type of isolation?

Select one of the following:

  • Enteric isolation

  • Respiratory isolation

  • Reverse isolation

  • Strict isolation

Question 6 of 249

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When a patient needs to be protected because they have an immune system compromise, they are placed in _______?

Select one of the following:

  • enteric isolation

  • respiratory isolation

  • reverse isolation

  • strict isolation

Question 7 of 249

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When a patient has a highly contagious illness, they are placed in which type of isolation?

Select one of the following:

  • Enteric isolation

  • Respiratory isolation

  • Reverse isolation

  • Strict isolation

Question 8 of 249

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OSHA regulates and enforces standard precautions.

Select one of the following:

  • True
  • False

Question 9 of 249

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Hepatitis C is not a threat to healthcare workers.

Select one of the following:

  • True
  • False

Question 10 of 249

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AIDS is an example of a blood-borne disease.

Select one of the following:

  • True
  • False

Question 11 of 249

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An incident report is not necessary after a needle stick.

Select one of the following:

  • True
  • False

Question 12 of 249

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All needles must be placed in a sharps container.

Select one of the following:

  • True
  • False

Question 13 of 249

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Lab coats are not contaminated and can be worn in the cafeteria.

Select one of the following:

  • True
  • False

Question 14 of 249

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On the National Fire chart, "O" is the most dangerous.

Select one of the following:

  • True
  • False

Question 15 of 249

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Contamination means unclean.

Select one of the following:

  • True
  • False

Question 16 of 249

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OSHA stands for Occupational Safety and Health Administration

Select one of the following:

  • True
  • False

Question 17 of 249

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AIDS stands for Acquired Immune Deficiency Syndrome

Select one of the following:

  • True
  • False

Question 18 of 249

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An evacuated tube system for venipuncture consists of all but which one of these items?

Select one of the following:

  • Vacuum collection tube

  • Adapter

  • Phlebotomy tray

  • Multi-sample needle

Question 19 of 249

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Which of these factors will result in failure to obtain blood during collection?

Select one of the following:

  • Leaving tourniquet on the arm

  • Patient taking medication

  • Insufficient needle depth

  • Making a fist

Question 20 of 249

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A tube holder (adapter) that has been visibly contaminated with blood should be disposed of in _______?

Select one of the following:

  • a sealed bag

  • the regular trash

  • biohazard waste container

  • sharps container

Question 21 of 249

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The greatest number of phlebotomist drawing injuries occur with the use of ________?

Select one of the following:

  • butterfly needles (winged infusion sets)

  • evacuated tube draws

  • capillary draws

  • tube holders

Question 22 of 249

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When using tubes with additives, how soon after collection should mixing begin?

Select one of the following:

  • As soon as the tube clots

  • As long as it's within 5 minutes

  • Immediately after collection

Question 23 of 249

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An adapter for a vacuum tube system is called a vacuum tube holder.

Select one of the following:

  • True
  • False

Question 24 of 249

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Blood drawn in a non-additive tube, and then centrifuged, yields plasma.

Select one of the following:

  • True
  • False

Question 25 of 249

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An anticoagulant prevents blood from clotting.

Select one of the following:

  • True
  • False

Question 26 of 249

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A butterfly needle (winged infusion set) is used for hand veins and difficult draws.

Select one of the following:

  • True
  • False

Question 27 of 249

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As the gauge of a needle gets bigger, the interior bore of the needle gets bigger.

Select one of the following:

  • True
  • False

Question 28 of 249

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The tourniquet is used in venipuncture to find and enter into the vein more easily.

Select one of the following:

  • True
  • False

Question 29 of 249

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EDTA is in which color tube?

Select one of the following:

  • Blue

  • Red

  • Lavender

  • Yellow

  • Green

Question 30 of 249

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Heparin is in which color tube?

Select one of the following:

  • Blue

  • Red

  • Lavender

  • Yellow

  • Green

Question 31 of 249

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Which color tube has no additive?

Select one of the following:

  • Blue

  • Red

  • Lavender

  • Yellow

  • Green

Question 32 of 249

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Sodium citrate is in which color tube?

Select one of the following:

  • Blue

  • Red

  • Lavender

  • Yellow

  • Green

Question 33 of 249

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ACD is in which color tube?

Select one of the following:

  • Blue

  • Red

  • Lavender

  • Yellow

  • Green

Question 34 of 249

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What does post prandial mean?

Select one of the following:

  • Fasting

  • Before a meal

  • After a meal

  • None of the above

Question 35 of 249

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What is blood in the urine called?

Select one of the following:

  • Hematuria

  • Abnormal

  • Painful

  • Petechiae

Question 36 of 249

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A word meaning "kidney" is ____.

Select one of the following:

  • hepato-

  • lipo-

  • entero-

  • nephro-

Question 37 of 249

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A word meaning "liver" is ____.

Select one of the following:

  • entero-

  • hepato-

  • ren-

  • nephro-

Question 38 of 249

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A prefix that means "a decreased amount" is ______.

Select one of the following:

  • a-/an-

  • hypo-

  • hyper-

  • incr-

Question 39 of 249

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A prefix meaning "an excessive amount" is ____.

Select one of the following:

  • a-/an-

  • hypo-

  • hyper-

  • incr-

Question 40 of 249

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A prefix meaning "without" is ____.

Select one of the following:

  • a-/an-

  • hypo-

  • hyper-

  • incr-

Question 41 of 249

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The suffix meaning "surgical incision" is _____.

Select one of the following:

  • -ectomy

  • -itis

  • -trophy

  • -otomy

Question 42 of 249

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The word meaning "inflammation" is _____.

Select one of the following:

  • -ectomy

  • hypo-

  • hyper-

  • -itis

Question 43 of 249

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The word meaning vein is ______.

Select one of the following:

  • phlebo-

  • pulmon-

  • thromb-

  • hepato-

Question 44 of 249

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Which gland is often called the master gland?

Select one of the following:

  • Thyroid

  • Pituitary

  • Brain

  • Kidney

Question 45 of 249

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What is the main function of the kidneys?

Select one of the following:

  • To store urine

  • To eliminate fluid waste products

  • To aid in the digestive process

  • None of the above

Question 46 of 249

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The systemic veins carry ______.

Select one of the following:

  • deoxygenated blood away from the heart

  • deoxygenated blood back to the heart

  • oxygenated blood to the heart

  • oxygenated blood away from the heart

Question 47 of 249

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Which body system is primarily involved with breathing?

Select one of the following:

  • Reproductive system

  • Respiratory system

  • Nervous system

  • Digestive system

Question 48 of 249

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The heart is part of which system?

Select one of the following:

  • Respiratory

  • Skeletal

  • Reproductive

  • Cardiovascular

Question 49 of 249

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A patient who stays overnight in the hospital is called a/an _________?

Select one of the following:

  • inpatient

  • consumer

  • resident

  • outpatient

Question 50 of 249

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Which body system filters blood to eliminate waste, help maintain blood pH, and regulate water balance?

Select one of the following:

  • Respiratory

  • Urinary

  • Nervous

  • Cardiovascular

Question 51 of 249

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The hematology department is involved in testing _______.

Select one of the following:

  • red blood cells

  • white blood cells

  • Platelets

  • All of the above

Question 52 of 249

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What is the most common test run in hematology?

Select one of the following:

  • Cholesterol test

  • Urinalysis

  • Hemogram

  • Pregnancy test

Question 53 of 249

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A urinalysis involves running a chemical test on urine.

Select one of the following:

  • True
  • False

Question 54 of 249

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Platelets are involved in blood clotting.

Select one of the following:

  • True
  • False

Question 55 of 249

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Arteries carry blood back to the heart.

Select one of the following:

  • True
  • False

Question 56 of 249

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Veins are bigger than arteries.

Select one of the following:

  • True
  • False

Question 57 of 249

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Plasma is the liquid part of the blood.

Select one of the following:

  • True
  • False

Question 58 of 249

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There is more pressure on veins than arteries.

Select one of the following:

  • True
  • False

Question 59 of 249

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Venous blood is used most often for blood tests.

Select one of the following:

  • True
  • False

Question 60 of 249

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The buffy coat contains white blood cells and platelets.

Select one of the following:

  • True
  • False

Question 61 of 249

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Red blood cells have hemoglobin and carry oxygen to cells.

Select one of the following:

  • True
  • False

Question 62 of 249

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The study of blood is called hematology.

Select one of the following:

  • True
  • False

Question 63 of 249

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What additive is in the lavender collection tube?

Select one of the following:

  • EDTA

  • Sodium heparin

  • Ethyleneadiaminetetraacetic acid

  • Both EDTA and Ethyleneadiaminetetraacetic acid are correct

Question 64 of 249

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What additive is in the red speckled (SST) collection tube?

Select one of the following:

  • Sodium heparin

  • Gel with serum separation

  • No additive

  • EDTA

Question 65 of 249

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What additive is in the green collection tube?

Select one of the following:

  • Lithium heparin

  • Potassium oxalate

  • Sodium citrate

  • EDTA

Question 66 of 249

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What additive is in the red collection tube?

Select one of the following:

  • EDTA

  • Sodium heparin

  • Clot activator gel

  • No additive

Question 67 of 249

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What additive is in the grey collection tube?

Select one of the following:

  • Lithium heparin

  • Sodium fluoride

  • Potassium oxalate

  • Both sodium fluoride and potassium oxalate

Question 68 of 249

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What additive is in the light blue collection tube?

Select one of the following:

  • Sodium heparin

  • Sodium citrate

  • Sodium fluoride

  • Sodium polyanethole sulfonate

Question 69 of 249

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Which tube would be used for hematology testing (ex.: WBC)?

Select one of the following:

  • Lavender top tube

  • Light blue top tube

  • Red top tube

  • Green top tube

Question 70 of 249

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Which tube would be used for a serum specimen?

Select one of the following:

  • Lavender top tube

  • Speckled top tube

  • Red top tube

  • Both speckled and red top tubes

Question 71 of 249

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Which tube needs to be chilled for coagulation studies?

Select one of the following:

  • Red top tube

  • Green top tube

  • Yellow top tube

  • Light blue top tube

Question 72 of 249

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Which vein is used most often for venipuncture?

Select one of the following:

  • Cephalic

  • Basilic

  • Median cubital

  • Radial

Question 73 of 249

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The tourniquet is placed how far above the antecubital area?

Select one of the following:

  • 5-7 inches

  • 4-6 inches

  • 3-4 inches

  • 1-2 inches

Question 74 of 249

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How much blood does the average adult have?

Select one of the following:

  • .05 liters

  • 5 liters

  • 50 liters

  • 15 liters

Question 75 of 249

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How many times should a collection tube with an additive be inverted?

Select one of the following:

  • 1-2 times

  • 3-4 times

  • 5-10 times

  • None of the above

Question 76 of 249

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Which needle has the smallest gauge?

Select one of the following:

  • 23

  • 18

  • 21

  • 16

Question 77 of 249

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Which can be used for a finger stick collection?

Select one of the following:

  • Unopette

  • Microtainer

  • Capillary tube

  • All of the above

Question 78 of 249

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What does OSHA stand for?

Select one of the following:

  • Occupation Safety and Health Administration

  • Occupation Safety and Health Association

  • Occupational Safety and History Association

  • Occupational Supplies and Health Association

Question 79 of 249

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When drawing blood using additive tubes, the phlebotomist must remember all but which one of these collection requirements?

Select one of the following:

  • Mix tubes to keep the blood from clotting

  • Fill the tubes until all vacuum has expired

  • Fill in the correct order

  • Keep tourniquet tied until last tube is filled

Question 80 of 249

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Tiny clots may appear in anticoagulated tubes due to ________.

Select one of the following:

  • insufficient mixing

  • centrifuging too slowly

  • an inadequate amount of blood

  • traumatized platelets

Question 81 of 249

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In hospitals and clinics, the most frequently used needle has a ______ gauge.

Select one of the following:

  • 24

  • 21

  • 18

  • 15

Question 82 of 249

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The depth of a heel puncture cannot exceed _______.

Select one of the following:

  • 5.3 mm

  • 2.0 mm

  • 1.3 mm

  • 3.0 mm

Question 83 of 249

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The fragile skin of very ill infants may require phlebotomists to find an alternative for which post-puncture step?

Select one of the following:

  • Labeling tubes

  • Using adhesive tape

  • Removing the tourniquet

  • Calming the infant

Question 84 of 249

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There are many bruises on both arms of a 5-year-old child who has had CBCs drawn every day for a month. What collection change could be considered next for the daily CBCs until the bruises have healed?

Select one of the following:

  • Microcollection by fingerstick

  • Venipuncture in the ankle

  • Using smaller collection tubes

  • Trying a syringe draw from the forearm

Question 85 of 249

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To reduce pain when performing venipuncture on a child, a physician can apply ______ to the skin.

Select one of the following:

  • topical antiseptic

  • topical anesthetic (EMLA)

  • a tighter tourniquet

  • warming lights

Question 86 of 249

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If low weight infants have too much blood drawn, they may be in danger of _____.

Select one of the following:

  • bilirubinuria

  • hemoglobinuria

  • becoming anemic

Question 87 of 249

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What should be used to help bleeding on an infant heel?

Select one of the following:

  • An ice compress

  • Lancing with the grain

  • Pre-warming the heel

  • Multiple punctures

Question 88 of 249

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Which would be least appropriate in pediatric venipuncture?

Select one of the following:

  • Winged infusion set (butterfly needle)

  • 1 or 3 cc syringe

  • 15 gauge needle

  • Pediatric-sized tubes

Question 89 of 249

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Squeezing the finger too vigorously during collection can cause erroneous lab test results due to ________.

Select one of the following:

  • skin contamination

  • blood cell concentration

  • clotting at the puncture site

  • dilution with tissue fluid

Question 90 of 249

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Capillary blood collection would be a good choice for testing when ______.

Select one of the following:

  • multiple tests are ordered

  • veins are fragile or bruised

  • large amounts of blood are needed

  • pure arterial blood is required

Question 91 of 249

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Finger puncture on adults is most often performed on the ______.

Select one of the following:

  • First or second finger

  • Fifth finger

  • Third or fourth finger

  • Heel or foot

Question 92 of 249

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Which is the preferred location for an infant heel puncture?

Select one of the following:

  • Previous location

  • Posterior curve

  • Medial or lateral aspect

  • Any location

Question 93 of 249

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The proper technique for collecting capillary blood is _______.

Select one of the following:

  • use the thumb because it is the largest

  • puncture more than once to get good flow

  • squeeze hard to get the blood quickly

  • wipe away the first drop of blood

Question 94 of 249

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Pre-warming the heel of an infant encourages bleeding.

Select one of the following:

  • True
  • False

Question 95 of 249

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The finger should be punctured at an angle perpendicular to the fingerprint.

Select one of the following:

  • True
  • False

Question 96 of 249

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When the tourniquet is placed on too tight, capillaries may rupture, causing _______.

Select one of the following:

  • rash

  • pain

  • urticaria

  • petechiae

Question 97 of 249

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What factors should be considered in site selection prior to venipuncture?

Select one of the following:

  • Scars and burns

  • Edema

  • Mastectomy

  • All of the above

Question 98 of 249

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Veins that are hard and cord-like are called ______.

Select one of the following:

  • torturous

  • hematoma

  • sclerosed

  • collapsed

Question 99 of 249

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When a tourniquet is left on a patient's arm too long, which of the following can occur?

Select one of the following:

  • Petechiae

  • Hemolysis

  • Hemoconcentration

  • Collapsed vein

Question 100 of 249

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The term that means rupturing of red blood cells is _____.

Select one of the following:

  • hemostasis

  • homestasis

  • hemolysis

  • hematoma

Question 101 of 249

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Which of the following is probably the most common complication from phlebotomy?

Select one of the following:

  • Convulsions

  • Short draw

  • Hypovolemia

  • Hematoma

Question 102 of 249

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Which procedure is generally performed by a nurse or respiratory therapist?

Select one of the following:

  • Glucose tolerance test

  • Arterial blood gases

  • Heel stick on infant

  • IV bleeding time

Question 103 of 249

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Aspirin may affect a patient's ______.

Select one of the following:

  • blood culture results

  • bleeding time (platelet function analysis)

  • blood draw

  • glucose level

Question 104 of 249

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A hematoma can be prevented if _______.

Select one of the following:

  • pressure is placed on the vein until bleeding has stopped

  • a bandage is placed on the vein after the needle is removed

  • the needle is removed before the tourniquet is released

Question 105 of 249

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The accumulation of extravascular fluid in the arm is called _______.

Select one of the following:

  • edema

  • hematoma

  • thrombus

  • synovial fluid

Question 106 of 249

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Cleanse the vein in a circular motion from the center to the ______.

Select one of the following:

  • peripheral edge

  • injection point

  • opposite side you started from

  • None of the above

Question 107 of 249

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The angle of a needle entering a vein should be ______.

Select one of the following:

  • 10 degrees

  • 12 degrees

  • 15 degrees

  • 90 degrees

Question 108 of 249

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A woman who has had a mastectomy ______.

Select one of the following:

  • poses no complications for blood draws

  • can have an increased risk of infection on the mastectomy side

  • will always have problems from tourniquet use

  • should never have blood drawn again

Question 109 of 249

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Edema can cause _______.

Select one of the following:

  • swelling in venipuncture site

  • dilution of the blood sample

  • difficulty in feeling veins

  • All of the above

Question 110 of 249

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When a patient becomes faint, symptoms might include _______.

Select one of the following:

  • perspirations

  • pale skin

  • clammy skin

  • All of the above

Question 111 of 249

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When a hematoma starts to form while drawing blood, ignore it until you fill all tubes needed.

Select one of the following:

  • True
  • False

Question 112 of 249

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Tubes should be labeled after the blood is drawn.

Select one of the following:

  • True
  • False

Question 113 of 249

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Order of tube draw is not important.

Select one of the following:

  • True
  • False

Question 114 of 249

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Anchoring a vein prevents it from rolling.

Select one of the following:

  • True
  • False

Question 115 of 249

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A thrombosed vein is often chosen for venipuncture.

Select one of the following:

  • True
  • False

Question 116 of 249

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Keeping the tourniquet on for too short a time causes hemoconcentration.

Select one of the following:

  • True
  • False

Question 117 of 249

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The color of normal serum is usually straw to yellow.

Select one of the following:

  • True
  • False

Question 118 of 249

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When should a phlebotomist follow universal precautions?

Select one of the following:

  • When a patient is known to be infectious

  • While working in a hospital laboratory

  • Whenever a phlebotomy procedure is performed

  • None of the above

Question 119 of 249

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What type of protection must a phlebotomist use?

Select one of the following:

  • Lab coat

  • Gloves

  • Face shield

  • All of the above

Question 120 of 249

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The proper way to dispose of a needle is to ____.

Select one of the following:

  • put it in the sharps container

  • throw it into a biohazard bag

  • activate the safety feature and put it in the sharps container

  • collect all needles in a cup and dispose of them later

Question 121 of 249

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The proper way to dispose of a needle is to ____.

Select one of the following:

  • put it in the sharps container

  • throw it into a biohazard bag

  • activate the safety feature and put it in the sharps container

  • collect all needles in a cup and dispose of them later

Question 122 of 249

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What should a phlebotomist do first when a patient has a fainting episode while having their blood drawn?

Select one of the following:

  • Apply a cold compress

  • Remove the needle

  • Remove the tourniquet

  • Use an ammonia inhalant

Question 123 of 249

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Wheat is the correct ending procedure?

Select one of the following:

  • Remove needle, apply pressure

  • Remove tourniquet, remove needle, apply pressure

  • Remove tourniquet, remove tube, remove needle

  • Remove tourniquet, remove tube, remove needle, apply pressure

Question 124 of 249

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This OSHA regulation requires that all healthcare personnel receive vaccinations for ________.

Select one of the following:

  • hepatitis A

  • hepatitis B

  • hepatitis C

  • hepatitis Delta

Question 125 of 249

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A specimen may be rejected by the lab if ______.

Select one of the following:

  • the tube is not full

  • the specimen hemolyzed

  • the tube was not transported properly

  • All of the above

Question 126 of 249

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The best way to locate a vein is to _______.

Select one of the following:

  • ask the patient where their best veins are

  • memorize the diagram of arm veins

  • palpate (feel) the antecubital space with your finger

  • None of the above

Question 127 of 249

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When labeling tubes, the following information should be included, except _______.

Select one of the following:

  • patient name and birth date

  • time of collection

  • diagnosis

  • phlebotomist's initials

Question 128 of 249

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When identifying a patient, the phlebotomist must _____.

Select one of the following:

  • ask the patients name and date of birth

  • just draw the patient - no questions

  • check paperwork or chart

  • Both ask the patients name and date of birth and check paperwork or chart

Question 129 of 249

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As written in the patient bill of rights, s patient has the right to _____.

Select one of the following:

  • confidentiality

  • informed consent

  • know the name of the phlebotomist

  • All of the above

Question 130 of 249

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Inspecting the bevel prior to drawing, the phlebotomist looks to see if ______.

Select one of the following:

  • there are defects

  • there are burrs

  • the bevel is facing upward

  • All of the above

Question 131 of 249

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If a phlebotomist is accidentally stuck with a needle, they should ______.

Select one of the following:

  • put a bandage on it

  • tell their supervisor

  • rinse with water

  • lick their finger clean

Question 132 of 249

Medal-premium 1

If a patient has an IV in their arm, the phlebotomist should _____.

Select one of the following:

  • draw blood from the IV line

  • ask the nurse to remove the IV

  • draw blood from below the IV line

  • draw blood from above the IV line

Question 133 of 249

Medal-premium 1

Tourniquets should remain in place for _______.

Select one of the following:

  • at least 3 minutes

  • the entire time of the draw

  • no longer than 1 minute

  • None of the above

Question 134 of 249

Medal-premium 1

Which of these specimens is normally sterile?

Select one of the following:

  • Throat swab

  • Stool specimen

  • Blood specimen

  • Wound swab

Question 135 of 249

Medal-premium 1

If a tube breaks while centrifuging, what action would be best?

Select one of the following:

  • Evacuate room, open lid, remove tube with forceps

  • Open lid, stop centrifuge, remove tubes wearing gloves

  • Let centrifuge stop, open lid, remove tube with forceps

  • Tip centrifuge over and shake tubes out

Question 136 of 249

Medal-premium 1

Drawing areas and the lab are decontaminated with what percentage bleach?

Select one of the following:

  • 1:15

  • 1:10

  • 1:20

  • 1:100

Question 137 of 249

Medal-premium 1

Which is a common disinfectant used for collecting blood cultures?

Select one of the following:

  • Chlorhexidine

  • Methanol

  • Alcohol

  • Lidocaine

Question 138 of 249

Medal-premium 1

The rubber sleeve on an evacuated tube needle makes it possible for use with _____.

Select one of the following:

  • multiple tubes

  • sterile techniques

  • intravenous drips

  • None of the above

Question 139 of 249

Medal-premium 1

A possible tube breakage during centrifugation might be due to _______.

Select one of the following:

  • too much blood in the tube

  • an unbalanced centrifuge

  • not enough blood in the tube

  • centrifuging for too long

Question 140 of 249

Medal-premium 1

Which national organization that establishes standards for phlebotomy procedures recently changed its name to Clinical Laboratory Standards Institute (CLSI)?

Select one of the following:

  • OSHA

  • JCAHO

  • NCCLS

  • TQM

Question 141 of 249

Medal-premium 1

HIPAA requires the Department of Health and Human Services to establish national standards for _________.

Select one of the following:

  • continued access of health insurance

  • electronic health care transactions

  • Medicare and Medicaid

  • improving clinical laboratories

Question 142 of 249

Medal-premium 1

The Centers for Medicare and Medicaid regulate all laboratory testing that is performed in the US through _____.

Select one of the following:

  • CLIA (Clinical Lab Improvement Amendment)

  • HIPAA (Health Insurance Portability and Accountability Act)

  • ASCP (American Society for Clinical Pathology)

  • JCAHO (Joint Commission on Accreditation Healthcare Organization)

Question 143 of 249

Medal-premium 1

Which globally recognized, voluntary organization develops and distributes standards and guidelines to improve medical testing?

Select one of the following:

  • JCAHO

  • ASCP

  • NCCLS

  • NAACLS

Question 144 of 249

Medal-premium 1

In order to monitor therapeutic drug levels, the lab needs to know the ______.

Select one of the following:

  • pharmacy name and number

  • number of pills left to take

  • time of last dose taken

  • time of next dose to be taken

Question 145 of 249

Medal-premium 1

What initial patient preparation is required for a glucose tolerance test (GTT)?

Select one of the following:

  • Make sure the patient has eaten at least 2 hours before

  • Ask the patient whether insulin has been taken yet

  • Make sure patient has been fasting fro 10-12 hours

  • Make sure to collect a first morning urine specimen

Question 146 of 249

Medal-premium 1

Which of the following has the highest incidence among healthcare workers?

Select one of the following:

  • TB

  • Hepatitis B

  • HIV/AIDS

  • Hepatitis C

Question 147 of 249

Medal-premium 1

To confirm diabetes mellitus or hyperglycemia, what test would be ordered?

Select one of the following:

  • Postprandial sucrose test

  • Lactose intolerance test

  • Hemoglobin A1C test

  • Glucose tolerance test

Question 148 of 249

Medal-premium 1

Which of these is considered a time-dependent test?

Select one of the following:

  • Hemogram

  • Glucose tolerance

  • Direct bilirubin

  • Platelet count

Question 149 of 249

Medal-premium 1

A glucose meter is an important way to monitor the medical condition of patients with ________.

Select one of the following:

  • systemic lupus erythematous

  • diabetes mellitus

  • iron deficiency anemia

  • chronic leukemia

Question 150 of 249

Medal-premium 1

Whenever a glucose meter is cleaned or its batteries are changed, it is crucial to ______.

Select one of the following:

  • call clinical support for assistance

  • recheck monitor with controls

  • notify the manufacturer for QC instructions

  • double-check the next couple of patient tests

Question 151 of 249

Medal-premium 1

One possible cause for finding fibrin strands in serum tubes after centrifugation might be _____.

Select one of the following:

  • centrifuging for too long

  • centrifuging before the tube has formed a clot

  • centrifuging at too high of a speed

  • centrifuging after a long delay

Question 152 of 249

Medal-premium 1

If samples collected for urinalysis and blood testing are accidentally lost for 2 weeks, can they still be used?

Select one of the following:

  • No.

  • Yes, if the tops have not been opened.

  • Yes, if tested in the next 24 hours.

  • Yes, if they are refrigerated until tested.

Question 153 of 249

Medal-premium 1

Why do phlebotomists use a tourniquet?

Select one of the following:

  • To elevate blood pressure

  • To dull the pain at the needle site

  • To help locate veins in the antecubital area

  • To distract the patient while drawing

Question 154 of 249

Medal-premium 1

Two samples are sent to the lab in the same bag. Both tubes have the same patient name written on them but two different requisitions. What is the best action to take?

Select one of the following:

  • Call the physician to ask if it's okay to run the samples.

  • Ask the patients if they can identify their sample.

  • Arrange to recollect both samples.

  • Just guess which tube matches which paperwork.

Question 155 of 249

Medal-premium 1

Which of these is not an example of parenteral transmission of an infection?

Select one of the following:

  • Infection through a hangnail

  • Eye/hand contamination

  • Needle stick injury

  • Drinking contaminated water

Question 156 of 249

Medal-premium 1

Which lab test evaluates extrinsic coagulation function?

Select one of the following:

  • Prothrombin time (PT)

  • Extracorpeal circulation workup (ECC)

  • Lupus anticoagulation test (LAT)

  • Activated partial thromboplastin time (APTT)

Question 157 of 249

Medal-premium 1

A cholesterol panel provides the most useful information to the physician if it is drawn _____.

Select one of the following:

  • without a tourniquet

  • along with electrolytes

  • right after a fatty meal

  • while the patient is fasting

Question 158 of 249

Medal-premium 1

Which of the following tests should be kept warm after collection and delivered to the lab as soon as possible?

Select one of the following:

  • Hemogram

  • Type and crossmatch

  • Urinalysis

  • Cold agglutinins

Question 159 of 249

Medal-premium 1

OSHA requires training and educational information be given to phlebotomists on all but which of the following topics?

Select one of the following:

  • Blood-borne pathogens

  • Preventing identification errors

  • Needle safety and handling

  • Glass and sharps disposal

Question 160 of 249

Medal-premium 1

According the the College of American Pathologists (CAP), phlebotomists are involved primarily in which phase of lab testing?

Select one of the following:

  • Pre-analytical

  • Analytical

  • Post-analytical

  • None are correct

Question 161 of 249

Medal-premium 1

The National Fire Protection Association labels would use which color and number to indicate that a chemical is easily dispersed in air and will burn readily?

Select one of the following:

  • Red, 4

  • White, 2

  • Red, 1

  • Yellow 3

Question 162 of 249

Medal-premium 1

The abbreviation QNS would be written on a requisition for redraw because ______.

Select one of the following:

  • the patient was combative

  • the test was cancelled earlier

  • there wasn't enough specimen to run tests

  • the patient was an easy draw

Question 163 of 249

Medal-premium 1

The right to know law requires chemical manufacturers to supply what information along with their products?

Select one of the following:

  • Free fire extinguishers

  • Disposable containers

  • Material Safety Data sheets

  • Radioactive warning signs

Question 164 of 249

Medal-premium 1

Ensuring that services and results compare with accepted standards is the foundation for ______.

Select one of the following:

  • quality assurance

  • standard deviation

  • statistical analysis

  • coefficient of variation

Question 165 of 249

Medal-premium 1

Healthcare workers can demonstrate an awareness of safety in hospital corridors by ______.

Select one of the following:

  • turning corners carefully to avoid collisions

  • quickly reporting items that require clean up

  • granting right-of-way to patients and emergencies

  • All of the above

Question 166 of 249

Medal-premium 1

Why is it important to keep a record of all patient specimens collected and tested?

Select one of the following:

  • For pre-analytical quality control

  • For analytical quality control

  • For post-analytical quality control

  • To meet AMA guidelines

Question 167 of 249

Medal-premium 1

Which of these diseases is caused by a blood-borne pathogen?

Select one of the following:

  • Cystitis

  • Chicken pox

  • Influenza

  • Malaria

Question 168 of 249

Medal-premium 1

Communications between physicians and patients are considered privileged, which means that medical records are ______.

Select one of the following:

  • confidential in nature and protected

  • not open to the patients themselves

  • freely open to anyone

  • accessible to any healthcare worker

Question 169 of 249

Medal-premium 1

When mailing blood specimens to a reference lab, the outside label should clearly show ______.

Select one of the following:

  • biohazard warning sign

  • "In case of breakage, send to CDC"

  • full name and address of lab

  • All of the above

Question 170 of 249

Medal-premium 1

Which of these is not part of the Patient Bill of Rights?

Select one of the following:

  • Right of refusal of treatment

  • Right to select preferred caregivers

  • Right to informed consent of care

  • Right to accurate information about care

Question 171 of 249

Medal-premium 1

Medical ethics defines conduct within the medical profession that is deemed to be _____.

Select one of the following:

  • moral or immoral

  • negligent

  • right or wrong

  • related to malpractice

Question 172 of 249

Medal-premium 1

As part of the quality assurance process that ensures accuracy in lab test results, healthcare workers who collect and perform lab testing must demonstrate ongoing ______.

Select one of the following:

  • competency

  • empathy

  • compliance

  • intelligence

Question 173 of 249

Medal-premium 1

AIDS stands for ______.

Select one of the following:

  • autoimmune deficiency symptoms

  • acquired immune deficiency syndrome

  • acquired infectious disease state

  • accidental inflammation disease state

Question 174 of 249

Medal-premium 1

The federal government requires that specimens be transported or shipped in what type of container?

Select one of the following:

  • Plastic

  • Water-tight

  • Metal-rimmed

  • Egg crate

Question 175 of 249

Medal-premium 1

Containers used to dispose of sharps must have all these characteristics except being ______.

Select one of the following:

  • mold-resistant

  • spill-proof

  • tamper-proof

  • puncture-resistant

Question 176 of 249

Medal-premium 1

The purpose of quality control is to ______.

Select one of the following:

  • check machinery

  • list all mistakes made

  • ensure that patient care is provided

  • All of the above

Question 177 of 249

Medal-premium 1

If a patient becomes combative while having his/her blood drawn, the phlebotomist should _____.

Select one of the following:

  • force patient to stay still

  • transfer control to [of?] patient

  • ignore patient and refuse to draw them

  • report patient to security

Question 178 of 249

Medal-premium 1

The primary methods of performing a venipuncture include ______.

Select one of the following:

  • syringe

  • butterfly (winged infusion set)

  • evacuated tube

  • All of the above

Question 179 of 249

Medal-premium 1

The preferred method used for cleaning a venipuncture site is _____.

Select one of the following:

  • soap and water

  • 10% alcohol

  • 70% alcohol

  • betadine

Question 180 of 249

Medal-premium 1

The proper method of locating a vein is _____.

Select one of the following:

  • palpating

  • applying cold water

  • memorizing a diagram of the arm veins

  • using a blood pressure cuff

Question 181 of 249

Medal-premium 1

The average depth of skin puncture is _____.

Select one of the following:

  • 4.0 mm

  • 1.5 mm

  • 2.0 mm

  • 3.4 mm

Question 182 of 249

Medal-premium 1

The evacuated tube used for coagulation tests is _________.

Select one of the following:

  • red top

  • lavender top

  • yellow top

  • light blue top

Question 183 of 249

Medal-premium 1

The preferred finger when performing skin puncture is the _____.

Select one of the following:

  • index finger

  • thumb

  • little finger

  • third or fourth finger

Question 184 of 249

Medal-premium 1

The evacuated tube used for blood (typing) banks is ______.

Select one of the following:

  • yellow top

  • red top

  • green top

  • marble top

Question 185 of 249

Medal-premium 1

The evacuated tube used for chemistry is ______.

Select one of the following:

  • light blue top

  • red or marble top

  • lavender top

  • yellow top

Question 186 of 249

Medal-premium 1

Serum is collected from what color tube?

Select one of the following:

  • Lavender top

  • Red top

  • Marble top

  • Both red and marble top

Question 187 of 249

Medal-premium 1

Plasma is collected from what color tube?

Select one of the following:

  • Red top

  • Green top

  • Lavender top

  • Both green and lavender top

Question 188 of 249

Medal-premium 1

The tube of choice for hematology is _______.

Select one of the following:

  • lavender top

  • light blue top

  • red top

  • grey top

Question 189 of 249

Medal-premium 1

The vein most often used for venipuncture is the _______.

Select one of the following:

  • antecubital

  • basilic

  • median cubital

  • radial artery

Question 190 of 249

Medal-premium 1

What is the additive in lavender top tubes?

Select one of the following:

  • EDTA

  • ACD

  • Sodium citrate

  • SPS

Question 191 of 249

Medal-premium 1

What is the additive in green top tubes?

Select one of the following:

  • Lithium heparin

  • Potassium oxalate

  • Sodium fluoride

  • SPS

Question 192 of 249

Medal-premium 1

What is the additive in grey top tubes?

Select one of the following:

  • Lithium heparin

  • Sodium heparin

  • Potassium oxalate

  • EDTA

Question 193 of 249

Medal-premium 1

What is the additive in light blue top tubes?

Select one of the following:

  • Sodium heparin

  • Sodium citrate

  • Sodium fluoride

  • EDTA

Question 194 of 249

Medal-premium 1

What is the additive in red top tubes?

Select one of the following:

  • EDTA

  • Sodium heparin

  • Clot activator gel

  • No additive

Question 195 of 249

Medal-premium 1

Which needle has the smallest gauge?

Select one of the following:

  • 23

  • 18

  • 21

  • 16

Question 196 of 249

Medal-premium 1

What is the correct order of draw?

Select one of the following:

  • Lavender, red, light blue, yellow, green

  • Yellow, red, light blue, lavender, green

  • Red, light blue, yellow, lavender, green

  • Yellow, light blue, red, green, lavender

Question 197 of 249

Medal-premium 1

Tourniquets should remain on the arm for how long?

Select one of the following:

  • 3 minutes

  • Entire time of draw

  • 1 minute

  • As long as you want

Question 198 of 249

Medal-premium 1

Excessive milking of a skin puncture ______.

Select one of the following:

  • can cause the blood sample to be hemolyzed

  • should be avoided

  • can cause dilution with tissue fluid

  • All of the above

Question 199 of 249

Medal-premium 1

Patients with diarrhea/gastroenteritis bacteria are placed in _____.

Select one of the following:

  • enteric isolation

  • respiratory isolation

  • reverse isolation

  • strict isolation

Question 200 of 249

Medal-premium 1

When a patient is highly contagious, they are placed in ______.

Select one of the following:

  • enteric isolation

  • respiratory isolation

  • reverse isolation

  • strict isolation

Question 201 of 249

Medal-premium 1

When should a phlebotomist follow universal precautions?

Select one of the following:

  • When a patient is known to be infectious

  • While working in a hospital

  • Whenever a phlebotomy procedure is performed

  • None of the above

Question 202 of 249

Medal-premium 1

The proper way to dispose of a needle is to ______.

Select one of the following:

  • put it in a sharps container

  • throw it out in a biohazard bag

  • activate the safety feature and put it in a sharps container

  • collect a bunch in a cup and dispose of them later

Question 203 of 249

Medal-premium 1

Microorganisms that cause a disease are _____.

Select one of the following:

  • pathogens or pathogenic

  • normal flora

  • non pathogenic

  • None of the above

Question 204 of 249

Medal-premium 1

When a tourniquet is placed on too tightly, what can happen?

Select one of the following:

  • A rash

  • Pain

  • A nevus

  • Petechiae

Question 205 of 249

Medal-premium 1

The tourniquet is placed how far above the draw site?

Select one of the following:

  • 5-7 inches

  • 4-6 inches

  • 3-4 inches

  • 1-2 inches

Question 206 of 249

Medal-premium 1

Factors to consider in site selection when drawing are ________.

Select one of the following:

  • scars or burns

  • edema

  • mastectomy

  • All of the above

Question 207 of 249

Medal-premium 1

Veins that are hard and cord like are called ______.

Select one of the following:

  • hematoma

  • sclerosed

  • collapsed

  • torturous

Question 208 of 249

Medal-premium 1

Collection tubes with additives need to be inverted ______.

Select one of the following:

  • 1 time

  • 5-10 times

  • 0 times

  • as many times as desired

Question 209 of 249

Medal-premium 1

When a tourniquet is left on the arm too long, _______ can happen.

Select one of the following:

  • hemolysis

  • petechiae

  • hemoconcentration

  • a collapsed vein

Question 210 of 249

Medal-premium 1

What is the most common complication for phlebotomy?

Select one of the following:

  • Convulsions

  • Short draw

  • Hypovolemia

  • Hematoma

Question 211 of 249

Medal-premium 1

Which of the following means thrombocytopenia?

Select one of the following:

  • Low white blood count

  • Low platelet count

  • Low red blood count

  • Low blood level

Question 212 of 249

Medal-premium 1

Thrombophlebitis means _____.

Select one of the following:

  • a blood clot in the heart

  • a hard blood draw

  • inflammation of a vein with a clot

  • inflammation of the thyroid gland

Question 213 of 249

Medal-premium 1

Proper technique for collecting capillary blood is to _______.

Select one of the following:

  • use the thumb because it is the largest

  • puncture more than once to get more blood

  • squeeze hard to get blood quickly

  • wipe away the first drop of blood

Question 214 of 249

Medal-premium 1

If a patient has an IV in their arm, the phlebotomist should _____.

Select one of the following:

  • draw from the IV line

  • ask a nurse to remove the line

  • draw from below the IV line

  • not draw blood

Question 215 of 249

Medal-premium 1

Which is not proper venipuncture technique?

Select one of the following:

  • Clean arm with alcohol

  • Apply pressure when done drawing

  • Release tourniquet before removing the needle

  • Label tubes before drawing the patient

Question 216 of 249

Medal-premium 1

The most important step in performing venipuncture is ______.

Select one of the following:

  • selecting needle size

  • collecting enough blood

  • identifying the patient

  • positioning the patient

Question 217 of 249

Medal-premium 1

Sharps containers must have all characteristics except being _____.

Select one of the following:

  • odor proof

  • spill proof

  • tamper proof

  • puncture proof

Question 218 of 249

Medal-premium 1

Which is a possible route of infection during venipuncture?

Select one of the following:

  • Skin contact

  • Airborn

  • Ingestion

  • All of the above

Question 219 of 249

Medal-premium 1

The process by which an object or area becomes unclean is _____.

Select one of the following:

  • contaimination

  • infection

  • sepsis

  • pollution

Question 220 of 249

Medal-premium 1

Clots in additive tubes can be caused by ______.

Select one of the following:

  • insufficient mixing

  • centrifuging too slowly

  • inadequate amount of blood

  • traumatized platelets

Question 221 of 249

Medal-premium 1

Within the capillaries, blood cells _____.

Select one of the following:

  • give away oxygen

  • pick up carbon dioxide

  • pick up waste products

  • All of the above

Question 222 of 249

Medal-premium 1

Characteristics of capillaries include _______.

Select one of the following:

  • being thin walled in structure

  • forming microscopic pathways

  • connecting arterioles with venules

  • All of the above

Question 223 of 249

Medal-premium 1

Blood cultures require sample collection in ______.

Select one of the following:

  • anaerobic and aerobic bottles

  • CO2 and sterile saline bottles

  • anaerobic and CO2 bottles

  • aerobic and sterile saline bottles

Question 224 of 249

Medal-premium 1

Which of the following is most likely to cause contamination during blood culture collection?

Select one of the following:

  • Letting the betadine dry between steps

  • Cleansing the bottle tops as well as the draw site

  • Re-palpating the draw site with a prepped finger

  • Rushing the drying process

Question 225 of 249

Medal-premium 1

Which of these additives is commonly found in blood culture tubes?

Select one of the following:

  • SPS

  • EDTA

  • Sodium citrate

  • Sodium oxalate

Question 226 of 249

Medal-premium 1

A hemogram includes all of the following except _____.

Select one of the following:

  • red blood count

  • white blood count

  • platelet count

  • blood sugar level

Question 227 of 249

Medal-premium 1

Blood specimens are centrifuged in order to ____.

Select one of the following:

  • separate the cells from the serum or plasma

  • separate platelets from white blood cells

  • remove interfering substances

  • separate red blood cells from white blood cells

Question 228 of 249

Medal-premium 1

Signs of syncope may include ____.

Select one of the following:

  • nausea

  • sweating

  • turning pale

  • All of the above

Question 229 of 249

Medal-premium 1

All of the following can cause a hematoma except ______.

Select one of the following:

  • excessive probing of the needle

  • removing the tourniquet before the needle

  • placing the needle only partially in the vein

  • placing the needle all the way through the vein

Question 230 of 249

Medal-premium 1

The average adult has approximately how much blood?

Select one of the following:

  • .05 liters

  • 5 liters

  • .5 liters

  • 15 liters

Question 231 of 249

Medal-premium 1

Red blood cells are also called ______.

Select one of the following:

  • erythrocytes

  • thrombocytes

  • leukocytes

  • phagocytes

Question 232 of 249

Medal-premium 1

Aspirin may have an effect on which patient test?

Select one of the following:

  • CBC

  • Blood culture

  • Bleeding time

  • Glucose level

Question 233 of 249

Medal-premium 1

The outer-most layer of the heart wall is called the ______.

Select one of the following:

  • epicardium

  • myocardium

  • endocardium

  • mesocardium

Question 234 of 249

Medal-premium 1

Veins carry ____.

Select one of the following:

  • oxygen-poor blood away from the heart

  • oxygen-poor blood back to the heart

  • oxygen-rich blood back to the heart

  • oxygen-rich blood away from the heart

Question 235 of 249

Medal-premium 1

Which gland is called the master gland?

Select one of the following:

  • Thyroid

  • Pituitary

  • Brain

  • Thalamus

Question 236 of 249

Medal-premium 1

When drawing for therapeutic drug levels _____.

Select one of the following:

  • trough level is drawn after dose is given

  • trough level is drawn before dose is given

  • peak level is drawn before dose is given

  • Not important to know

Question 237 of 249

Medal-premium 1

Accumulation of extra fluid under the skin is called ________.

Select one of the following:

  • edema

  • hematoma

  • thrombus

  • synovial

Question 238 of 249

Medal-premium 1

Which chamber of the heart has the thickest myocardium?

Select one of the following:

  • The right atrium

  • The left atrium

  • The right ventricle

  • The left ventricle

Question 239 of 249

Medal-premium 1

Which artery in the wrist is used for blood gases?

Select one of the following:

  • Jugular

  • Radial

  • Popliteal

  • Femoral

Question 240 of 249

Medal-premium 1

A hemogram is collected in which tube?

Select one of the following:

  • Light blue top

  • Lavender top

  • Red top

  • Black top

Question 241 of 249

Medal-premium 1

The smallest veins in the body are known as ____.

Select one of the following:

  • capillaries

  • arteries

  • venules

  • arterioles

Question 242 of 249

Medal-premium 1

When unclotted blood is centrifuged, what is on top?

Select one of the following:

  • Serum

  • Cells

  • Plasma

  • Platelets

Question 243 of 249

Medal-premium 1

Which lab test evaluates extrinsic coagulation?

Select one of the following:

  • Protime PT

  • Rapid plasma reagiin

  • Lupus anticoagulant

  • Activated partial thromboplastin (APPT)

Question 244 of 249

Medal-premium 1

Speed of centrifuge in RPMs can be checked using a ______.

Select one of the following:

  • spectrophotometer

  • pH meter

  • water purity meter

  • tachometer

Question 245 of 249

Medal-premium 1

When making a blood smear, the spreader slide is made of _____.

Select one of the following:

  • metal

  • quartz

  • plastic

  • glass

Question 246 of 249

Medal-premium 1

What does the lab need to know in order to monitor therapeutic levels?

Select one of the following:

  • Number of pills taken

  • Pharmacy

  • Time of last dose

  • If eaten with food

Question 247 of 249

Medal-premium 1

A bed patient in a hospital is called a(n) ______.

Select one of the following:

  • inpatient

  • consumer

  • resident

  • outpatient

Question 248 of 249

Medal-premium 1

Negligence by a professional is called ______.

Select one of the following:

  • invasion of privacy

  • slander

  • malpractice

  • tort

Question 249 of 249

Medal-premium 1

Lack of physical or mental fitness is called _____.

Select one of the following:

  • malpractice

  • obesity

  • negligence

  • incompetence

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NCCT Phlebotomy Tech Practice

jRoxy13
Quiz by , created over 2 years ago

Quiz on NCCT Phlebotomy Tech Practice, created by jRoxy13 on 30/04/2014.

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jRoxy13
Created by jRoxy13 over 2 years ago
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