Phlebotomy Certification

1. 1What is the most important step when doing a venipuncture?

   1. Awashing hands
   2. Bdrawing the correct tubes
   3. Cidentification of the patient
   4. Dchecking to see if patient is fasting
2. 2What is the proper response to the patient asking, "what tests are you drawing?"

   1. Atests your doctor has ordered
   2. Bi don't know
   3. Cstate the test you are drawing
   4. Da test for syphilis, kidney function, and diabetes
3. 3Identification of an outpatient is performed by:

   1. Ahaving the patient state full name and birth date after sitting in blood drawing chair
   2. Bhave the receptionist verify identity
   3. Ccalling the patient to lab area yourself
   4. Dthe patient should show an identification card
4. 4What must be done if there is a discrepancy on the arm band?

   1. AHave the nurse okay the arm band
   2. BDraw the blood and make a document on requisition
   3. CDo not draw blood, have information corrected before drawing blood
   4. DVerify with the patient who they are
5. 5If patient is to have a FBS what must you ask?

   1. AAre you fasting?
   2. BAre you NPO?
   3. CWhen was the last time you had anything to eat?
   4. DHave you had anything to eat or drink for the past 8-10 hours?
6. 6Which defines "Non per os"?

   1. Anothing to eat or drink
   2. Bnothing by mouth
   3. Cnothing to chew
   4. Dnothing but water
7. 7When do you wash/clean your hands?

   1. Awhen entering a room
   2. Bafter finishing your blood draw
   3. Cbefore putting gloves on and after taking them off
   4. Dafter taking your gloves off
8. 8What is the best way to prevent the spread of infection?

   1. Awashing and/or cleaning hands
   2. Bwearing gloves
   3. Cwearing a mask
   4. Dwearing a disposable gown
9. 9you have a venous reaction. An example would be a:

   1. Ahematoma
   2. Bthrombophlebitis
   3. Csyncope
   4. Dbruise
10. 10When performing a venipuncture, the patient's arm should be:

    1. Aheld downward from the shoulder
    2. Belevated and even with the heart
    3. Cbent at the elbow
    4. Dheld in an upward position

11. 11When palpitating the vein before doing a venipuncture, you must consider the following:

    1. Adepth
    2. Bbounce
    3. Csize
    4. Dall of the above
12. 12What purpose does the tourniquet serve?

    1. Anone
    2. Ballows for more accurate results
    3. Cit "dams" up the blood so the vein can be felt
    4. Dit allows for hemoconcentration
13. 13Where is the antecubital fossa located?

    1. Ain the middle of the forearm
    2. Bin the upper arm area
    3. Cin the inside bend of the elbow
    4. Don the dorsal of the hand
14. 14What is the most important thing you must do when any unusual circumstance happens?

    1. Awash your hands
    2. Bdocument
    3. Cdiscuss it with the patient
    4. Drefuse to draw
15. 15a bruise is an example of:

    1. Aa hematoma
    2. Bedema
    3. Ca blood clot
    4. Dtissue contusion
16. 16what is edema?

    1. Abody tissue that contains excess amounts of tissue fluid
    2. Bthe outer layer of skin cells
    3. Cabnormal red blood cells
    4. Dskin discoloration that contains large areas of hemorrhaging
17. 17what can be the result if you probe blindly?

    1. Ait can cause undo pain
    2. Bpatient can. lose use of the arm
    3. Ca nerve can be stuck
    4. Dall of the above
18. 18the venipuncture site should be cleaned in a

    1. Acircular motion
    2. Bdownward motion
    3. Cconcentric motion
    4. Dup and down motion
19. 19never ________ a patient's arm after the venipuncture.

    1. Abandage
    2. Blower
    3. Cbend
    4. Dpoke
20. 20collection, tubes should be labeled from:

    1. Athe patient's spelling of their name
    2. Bbed/door label
    3. Casking the nurse
    4. Dinformation on the arm band
21. 21The correct order of draw for a CBC, PTT, and a Chemistry Panel when using a wing tip needle is:

    1. APlain, Lt. Blue, SST, Lavender
    2. BLt. Blue, SST, Lavender
    3. CLavender, Lt. Blue, SST
    4. DSST, Lt. Blue, Lavender
22. 22a light blue tube must be inverted ______ number of times.

    1. A0
    2. B3-4
    3. C8-10
    4. D5
23. 23An SST tube should be inverted _______ number of times.

    1. A0
    2. B5
    3. C8-10
    4. D3-4
24. 24When should a vaccutainer blood tube be mixed?

    1. Awithin 30 seconds after draw
    2. Bwithin 30 minutes after draw
    3. Cit does not matter as long as it has not clotted yet
    4. Dwithin 2 minutes after draw
25. 25What are the main departments within the Clinical Pathology Laboratory?

    1. AHistology, chemistry, biopsy, urinalysis, and blood bank
    2. Bcytology, histology, autopsies, and x-ray
    3. Cnuclear medicine, x-ray, catherization lab, biopsies, and autopsies
    4. Dmicrobiology, chemistry, hematology, blood bank, serology, and coagulation
26. 26If you are ordered to draw a PTT and a H&H on a patient, what is the order of draw?

    1. Alt. blue and lavender
    2. Blavender, lt. blue, green
    3. CSST, lt. blue, lavender
    4. Dgreen, lavender, grey
27. 27if you are asked to draw electrolytes in a green top tube, which tube would you use?

    1. Aammonium heparin
    2. Bsodium citrate
    3. Clithium heparin
    4. Dyou cant draw a green top tube for electrolytes
28. 28if you have a "short draw" in a light blue tube, what would happen to the results?

    1. Anothing, the lab would have to be careful with the blood they have
    2. Bthe results would be artificially prolonged
    3. Cthe results would be artificially shortened
    4. Dthe answer does not appear here
29. 29what happens to a vacuum tube if its not mixed?

    1. Athe tube may clot
    2. Bit provides a short draw to anyalyze
    3. Cthe tube mat form an incomplete clot, if it is a serum tube
    4. Dboth A and C are correct
30. 30if a patient is to have a BUN and Creatine what must you ask?

    1. Aare you fasting?
    2. Bthere are no special fasting requirements for these tests
    3. Cwhen was the last time you had anything to eat or drink?
    4. Dwhat did you have for breakfast?
31. 31Your patient is to have a 2 hr. PP/PC. what instructions do you need to tell the patient?

    1. Anothing to eat or drink for 2 hrs.
    2. Bcome in 2 hours before you are ready to eat
    3. Ceat a high carbohydrate meal and come back 2 hours after you finish
    4. Dcome in 2 hours after you get up in the morning
32. 32which statement below is NOT true?

    1. Ayou must complete the draw under any condition
    2. Bthe patient should be seated in a comfortable position
    3. Cthe phlebotomist should also be in a comfortable position
    4. Dyou may lower the bed- rails, or raise the bed for the procedure
33. 33which of the following is NOT a true statement?

    1. Amake sure to check the requisition for tests ordered before drawing
    2. Bcheck for cracks in the tubes before drawing
    3. Ccheck the tubes for expiration dates
    4. Dyou should pre-label tubes before doing your draw
34. 34tissue contusion means:

    1. Aa release of blood and tissue fluids cause by a break in the capillaries
    2. Ban inflammation in a vein
    3. Can infiltration of fluids under the skin
    4. Da collection of blood under the skin
35. 35your patient has had a non-venous reaction. an example would be a:

    1. Abruise
    2. Bthrombophlebitis
    3. Csyncope
    4. Dhematoma
36. 36When holding a vein taut, you must use:

    1. Ause all fingers if you feel comfortable that way
    2. Buse the index finger above, and thumb below
    3. Cuse the index finger or thumb below the site to be punctured
    4. Dboth A and C are correct
37. 37How can you compensate for veins that collapse?

    1. Adon't use a tourniquet
    2. Buse a 22 gauge needle
    3. Cdraw with a small tube, or wing tip and small gauge needle
    4. Duse a blood pressure cuff
38. 38What does a sclerosed vein feel like?

    1. Asoft and elastic
    2. Bcord-like
    3. Cspongy
    4. Dfull
39. 39what does proper cleansing of the venipuncture site do?

    1. Ait takes the place of betadine wipes
    2. Bpulls away step to below the entry site
    3. Cnothing special, any motion work
    4. Dremoves the staph aureus from the entry site
40. 40how long should alcohol be allowed to dry before doing the veniouncture?

    1. A30-60 seconds
    2. B5 minutes
    3. C2 minutes
    4. D5-10 seconds
41. 41what is the correct order of draw for ALL ADDITIVE TUBES:

    1. Alt. blue, SST, green, lavender, gray
    2. Blt. blue, lavender, green, gray
    3. Clavender, lt. blue, green gray, SST
    4. DSST, lt. blue, green gray lavender
42. 42what color top indicates the presence of NaFl/K oxalate?

    1. Agreen
    2. Bmarble
    3. Cgold
    4. Dgray
43. 43What do these symbols represent? Na+, K+, Cl+, CO2

    1. Asodium, potassium, chloride, oxygen
    2. Bsodium, potassium, chloride, carbon dioxide
    3. Csodium, potassium, carbon dioxide, ammonia
    4. DBUN, sodium, potassium chloride
44. 44an order to draw an alcohol level comes to you. What would you do?

    1. Ause the normal blood drawing procedures, no special requirements
    2. Buse a lavender tube
    3. Cuse guidelines from procedure manual
    4. Duse Betadine and Alcohol prep for cleaning
45. 45which clot tube is inappropriate for the blood bank?

    1. AEDTA
    2. Bgel barrier
    3. Ccitrate
    4. Dplain red
46. 46what tube normally will be used for drug levels?

    1. Aplain
    2. BSST
    3. CEDTA
    4. DNa flouride/ K oxalate
47. 47if you drew a BUN/ creatinine what body system is being checked?

    1. Ahepatic
    2. Bcardiac
    3. Crenal
    4. Dmusculoskeletal
48. 48the patient suffers from hyperglycemia. What is that?

    1. Alow blood sugar
    2. Bhigh cholesterol
    3. Clow protein in the blood
    4. Dhigh blood sugar
49. 49a patient must _____ 8-10 hours before stating a GTT

    1. Adrink plenty of coffee
    2. Bfast
    3. Ceat a special diet
    4. Ddrink plenty of juice
50. 50what lab samples should be collected before starting a GTT?

    1. Ablood and urine
    2. Bstool sample
    3. Cblood
    4. Dsputum sample
51. 51what is the proper name for a GTT?

    1. Agreat thyroid test
    2. Bglucose tolerance test
    3. Cdrops
    4. Dgastric tolerance test
52. 52a drug level is ordered, and you are asked to draw blood 1 hour after the administration of the drug. What are you drawing?

    1. Afasting level
    2. Bpeak level
    3. Cpost prandial level
    4. Dtrough level
53. 53a VDRL/RPR test checks for __________ disease

    1. Asyphilis
    2. Brenal
    3. Cliver
    4. Dbone and joint
54. 54how many identifiers do you need from a patient?

    1. A3
    2. B1
    3. C4
    4. D2
55. 55CK-MB/LD blood tests are used to assess what body systems?

    1. Ahepatic
    2. Bcardiac
    3. Crenal
    4. Drespiratory
56. 56if something is given T.I.D., it is an abbreviation for?

    1. Atwo times a day
    2. Bthis is done daily
    3. Cthree times a day
    4. Dtry in duplicate
57. 57C&S testa re ordered to check for the presence of:

    1. Airon in the specimen
    2. Bhemoglobin in the specimen
    3. Cbacteria in the specimen and what will kill it
    4. Dplatelets in the specimen
58. 58HB effects what organ?

    1. Aheart
    2. Bliver
    3. Ckidneys
    4. Dbrain
59. 59define hebmoconcentraiton

    1. Aa change in the ratio of formed elements to plasma
    2. Bthe change in appearance of the formed elements
    3. Cthe dilution of whole blood with tissue fluid
    4. Dswollen RBCs
60. 60after blood is collected from a patient, the serum should be separated from the cells within one hour

    1. Ato prevent hemolysis
    2. Bto prevent hemoconcentration
    3. Cto get results back to the doctor ASAP
    4. Dto prevent rupture of WBCs
61. 61when a patient haas blood work drawn and the order reads HS, how often should it be drawn?

    1. Aupon arising
    2. Bat bedtime
    3. Cafter eating
    4. Dfasting
62. 62digoxin is a therapeutic drug that is used in what type of condition?

    1. Acardiac
    2. Bkidney
    3. Cbone disease
    4. Dinfectious disease
63. 63which of the following characterizes venous blood?

    1. Ausually brighter red in color
    2. Bunoxygenated blood
    3. Coxygenated blood
    4. Dobtained through routine skin puncture
64. 64what can cause hemoconcentration?

    1. Aleaving the tourniquet on too long
    2. Btying the tourniquet too tight
    3. Ctaking too much blood at one time
    4. Dboth 1 and 2 are correct
65. 65what is the significance of the great saphenous vein?

    1. Aits the deep vein in the legs
    2. Bis the longest vein in the body
    3. Cits the only vein in the leg
    4. Dits the vein that returns blood to the heart
66. 66blood spills should be cleaned up immediately. The appropriate procedure is:

    1. Awipe up immediately with paper towels
    2. Bcover with paper towels, wear gloves, pour bleach mix from out to in over the spill
    3. Cwipe up wearing gloves
    4. Dleave it for next shift
67. 67asepsis means the killing of all

    1. Aliving organisms
    2. Bpathogenic bacteria
    3. Cstaph aureus
    4. Dstrep infection
68. 68plasma is ________ water

    1. A90%
    2. B50%
    3. C45%
    4. D10%
69. 69peripheral blood is composed of

    1. Alymph fluid
    2. Bformed elements in the blood
    3. Cvenous blood and arterial blood
    4. Dplasma and RBCs
70. 70venipuncture cleansing is done in an ________ technique

    1. Aaseptic
    2. Bclean
    3. Casepsis
    4. Dsterile-type
71. 71the general rule for isolation is

    1. Awhat goes in stays in
    2. Bleave your tray outside the room
    3. Calway gown, glove, mask, wash
    4. Da and b are correct
72. 72The significance of a reticulocyte study is to access the patients

    1. Athe amount of white blood cell formation
    2. BIf decreased the patient’s spleen may be overactive, or there may be bone marrow suppression
    3. Cno real value
    4. Dthe patient has too much iron in their blood
73. 73if you run into a problem during a blood draw, what is the most important thing you must do?

    1. Adocument all happenings
    2. Bwash your hands
    3. Cdiscuss it with the patient
    4. Drefuse to draw
74. 74which of the following groups of patients should always have a bandage applied to the venipuncture site?

    1. Ageriatrics
    2. Boutpatients
    3. Cpediatrics
    4. Dneonatals
75. 75While performing the venipuncture your patient develops a hematoma. After removing the needle and applying pressure, you instruct the patient to:

    1. Abend the arm at the elbow
    2. Bapply a cold pack as directed by the nurse or doctor
    3. Cwrap the arm tightly to restrict blood flow
    4. Dapply heat
76. 76the best way to eliminate stress for the phlebotomist and the patient is

    1. Acommuniation
    2. Blie to the patient so he wont worry
    3. Chave apathy for the patient
    4. Dhave another phlebotomist draw for you
77. 77name the additive in the plain top tube

    1. Aclot activator
    2. BNa citrate
    3. Cnothing
    4. Dnothing with silica particles for clotting
78. 78notify your supervisor if you notice the following on an inpatient

    1. Aredness or swelling in the limb you are using to draw blood
    2. Ba break or tear in the skin
    3. Ca rash or drainage
    4. Dnone of the above
79. 79choose the correct spelling for EDTA

    1. Aerglenedmeteatrate
    2. Bethylenediaminetetraacetrate
    3. Cethylenedtaminecetrate
    4. Dnone of the above
80. 80heating a site for a skin puncture

    1. Adecreases blood flow
    2. Bprevents bruising
    3. Cincreases blood flow
    4. Dcauses hemolysis
81. 81what is a microtainer/ microvette?

    1. Asomething that looks like a bullet and holds ammonia spirits
    2. Bsomething that is shot from a gun
    3. Ca tube that is used for blood collection from a skin puncture
    4. Dnone of the above
82. 82which of the following tests cannot be collected from a skin puncture?

    1. Aammonia level
    2. BCBC with a differential
    3. CBun and Creatinine
    4. DSMAC
83. 83PKU is an abbreviation for

    1. Aphenketouria
    2. Bphenylkure
    3. Cphenyleketonure
    4. Dphenylketonuria
84. 84what happens if a PKU goes undetected?

    1. Anothing
    2. Bit may lead to brain damage
    3. Cthe patient may develop type 1 diabetes
    4. Dthe patient may develop kidney problems
85. 85When is a PKU drawn?

    1. Awithin 14 days of birth
    2. Bat 6 months
    3. Cbefore 1 year of age
    4. Dbefore baby has eaten
86. 86Where is a PKU drawn?

    1. Athe finger
    2. Bthe ear lobe
    3. Cthe heel
    4. Dthe wrist
87. 87The combination of alcohol, squeezing, and massaging may result in

    1. Ahemoconcentration
    2. Bbruising
    3. Chemolysis
    4. Dcyanosis
88. 88If the hand of an inpatient is cold, what does that indicate?

    1. Athat the patient has been building a snowman
    2. Bthat the patient may have poor circulation
    3. Cthat the patient has been working in refrigeration
    4. Dthat the patient is normal
89. 89why is it necessary to wipe away the alcohol before performing a skin puncture?

    1. Ato help the skin become red
    2. Bto prevent hemolysis
    3. Cto help direct the flow of blood down the finger
    4. Dall of the above
90. 90what is the dermal subcutaneous junction?

    1. Awhere capillaries are found
    2. Bwhere arteries and veins are found
    3. Cwhere veins are found
    4. Dlocation of maximum concentration of blood vessels
91. 91where is the dermal subcutaneous junction found in the tissues?

    1. A1.6mm
    2. B2.4mm
    3. C3.5mm
    4. D4.2mm
92. 92which of the following is the correct procedure?

    1. Apuncture parallel to the fingerprints
    2. Bdo a finger puncture on a neonatael
    3. Cpuncture across finger / heel prints
    4. Duse the shortest lancet possible to obtain the best specimen
93. 93the term frothing refers to

    1. Athe mixture of blood and skin tissue causing discoloration
    2. Ba collection of blood under the skin, a non-venous reaction
    3. Cbubbles in the blood caused by an improper venipuncture technique
    4. Da fibrous part of a cell or muscle
94. 94order of collection for capillary draws; what would you draw first?

    1. Ablood gases
    2. Bperipheral blood slides/ smears and platelets
    3. Cother additive tubes; green, gray, SST, serum
    4. DEDTA tubes
95. 95order of collection for capillary draws; what would you draw last?

    1. Ablood gases
    2. BEDTA tubes
    3. Cperipheral blood slides/ smears and platelets
    4. Dother additive tubes; Green, Gray, SST, Serum
96. 96the small veins leading away from the capillaries are?

    1. Avenules
    2. Bgreat saphenous
    3. Carteriols
    4. Dvirulence
97. 97capillary blood is defined as?

    1. Aa clear, yellowish fluid composing the major portion of the blood
    2. Bblood containing plasma and all its natural elements, white blood corpuscles, red blood corpuscles and platelets
    3. Ca mixture of tissue fluid, venous and arterial blood
    4. Dall of the above
98. 98what is the angle of entry that should be used for a skin puncture?

    1. A30 degrees
    2. B90 degrees
    3. C45 degrees
    4. D15 degrees
99. 99after what age is a heel puncture usually no longer done?

    1. A1 year
    2. B2 years
    3. C6 months
    4. D6 weeks
100. 100which of the following test are effected by not cooling the tube?

     1. Abilirubin
     2. Bcoagulation time
     3. Ccholesterol
     4. Dblood gases
101. 101The main reason for Universal/ standard precautions standards is to:

     1. Atreat everyone equally
     2. Bprotect the hospital
     3. Cprotect the health-care worker and the patient
     4. Dprovide a sterile atmosphere
102. 102what are the three necessary elements for the spread of infection?

     1. Ahost, susceptible person, transmission
     2. Bairborne organism, vehicle, droplet
     3. Ccarrier, host, susceptible person
     4. Dhost, transmission, carrier
103. 103things that are included under OPIM:

     1. Ablood, body fluid with visible blood
     2. Burine, feces
     3. Ctears, saliva
     4. Dall of the above
104. 104define host

     1. Aa person carrying a germ but not the disease
     2. Ba person with the disease and germ
     3. Ca person with low resistance
     4. Da person that transmits the germ
105. 105a carrier is a person who

     1. Ais able to spread an infection to others by having the germ but has no symptoms of disease
     2. Bis able to spread infection to others by airborne organisms
     3. Ctransmits disease by direct contact
     4. Dtransmits disease by indirect contact
106. 106how are infections spread if it an airborne organism

     1. Acoughing and talking
     2. Bmoisture in the air
     3. Ctouching
     4. Dcoughing, talking, sneezing, or shaking out bed linen
107. 107what does the term pathogenic mean?

     1. Amicroorganisms
     2. Bbacteria in blood
     3. Cdisease producing
     4. Dorganisms in the air
108. 108what does the term communicable mean?

     1. Athe reason patients are in isolation
     2. Bpertaining to a disease whose causative agent can be spread to the community
     3. Ca pathological condition due to the growth of organisms
     4. Dcapable of producing disease
109. 109define viable

     1. Aadding on
     2. Bliving
     3. Cmultiplying
     4. Ddying
110. 110in strict isolation, what order should you take your isolation attire off after finishing with the patient

     1. Agown, gloves, mask
     2. Bgloves, mask, gown
     3. Cmask, gown, gloves
     4. Dmask, gloves, gown
111. 111for safety reasons, your lab coat should

     1. Abe worn at all times while you are at work
     2. Bbe worn open for comfort
     3. Cbe worn while working with patients and specimens, but removed before leaving the lab to go to a "clean" area
     4. Dwashed at home daily
112. 112What serves as the pump for circulation?

     1. Athe heart
     2. Bthe blood vessels
     3. Cthe cells
     4. Dthe lungs
113. 113what system has aveoli?

     1. Athe respiratory system
     2. Bthe urinary system
     3. Cthe integumentary system
     4. Dthe circulatory system
114. 114this blood vessel has valves. what is it?

     1. Aan artery
     2. Ba capillary
     3. Ca cell membrane
     4. Da vein
115. 115the mitral valve is located here

     1. Athe right atrium
     2. Bthe right ventricle
     3. Cthe left atrium
     4. Dthe left ventricle
116. 116what is interstitial fluid?

     1. Afluid that between the cells
     2. Banother name for tissue fluid
     3. Cfluid that is inside the cells
     4. Dboth A and B are correct
117. 117what vessels are involved in the exchange of nutrients for waste products?

     1. Athe capillaries
     2. Bthe alveolus
     3. Cthe veins
     4. Dall of the above
118. 118what does lipemic mean?

     1. Aa cloudy-milky appearance
     2. Ba clear and colorless appearance
     3. Ca yellow-green appearance
     4. Da darkish brown appearance
119. 119in question 118, what does this indicate?

     1. Ausually that the patient has eaten or has a high cholesterol
     2. Bthat the patient is normal
     3. Cthat the patient has a high bilirubin
     4. Dthat the patient is bleeding internally
120. 120what is the conduction system responsible for?

     1. Agenerating the heart beat
     2. Bpushing the blood from the heart to the body's cells
     3. Cfor the exchange of carbon dioxide for oxygen in the lungs
     4. Dfor conducting urine from the kidneys to the outside
121. 121how many parts does the conduction system have?

     1. A6
     2. B5
     3. C2
     4. D8
122. 122which side of the heart sends the blood to the lungs?

     1. Ait does not go to the lungs from the heart
     2. Bthe right side
     3. Cthe left side
     4. Dthe aorta sends the blood to the lungs
123. 123what system of the body deals with our immune system?

     1. Athe circulatory system
     2. Bthe respiratory system
     3. Cthe lymph system
     4. Dhematopoiesis
124. 124why do you not draw a mastectomy patient on the side o the mastectomy?

     1. Abecause there can be lymphostasis in that arm
     2. Bit is okay to drawn there after 5 years
     3. Cbecause the vein is too deep in the arm after a mastectomy
     4. Dbecause the arm is tender and it may be too painful for the patient
125. 125the heart is made up of what type of muscle tissue?

     1. Asmooth muscle
     2. Binvoluntary muscle all fused together
     3. Cnucleated muscle
     4. Dstriated muscle
126. 126which of the following is not considered isolation?

     1. Apathogenic
     2. Brespiratory
     3. Creverse
     4. Dstrict
127. 127if we eat a meal and digestion needs to occur, the blood flow directed to the organs is referred to as:

     1. Aauto regulatory blood flow
     2. Bintestinal tract blood flow
     3. Csympathetic blood flow
     4. Dresponsive blood flow
128. 128what is systemic circulation?

     1. Ablood circulating from the heart to body tissues
     2. Bblood circulating from the heart to the lungs
     3. Ccirculation of blood through arteries, veins, and capillaries
     4. Dcirculation of blood through the lymph system
129. 129What is buffy coat?

     1. Awhite blood cells
     2. Bwhite blood cells and platelets
     3. Cred blood cells and platelets
     4. Dplatelets
130. 130in a blood tube, as blood separates about what percentage are red blood cells (in a normal patient)?

     1. A10%
     2. B1%
     3. C45%
     4. D55%
131. 131where are platelets formed?

     1. Aspleen
     2. Bliver
     3. Cthymus
     4. Dbone marrow
132. 132smooth muscle lines the

     1. Aintestines, organs
     2. Bheart
     3. Cbones
     4. Dbrain
133. 133where does the inferior vena cava get its blood

     1. Athe head, neck and upper extremities
     2. Bthe lungs
     3. Cthe aorta
     4. Dthe lower extremities
134. 134where does the superior vena cava get its blood?

     1. Athe head, neck, and upper extremities
     2. Bthe lungs
     3. Cthe aorta
     4. Dthe bottom part of the body
135. 135what is important about QA when doing a 2 hr. PP?

     1. Athe patient has to have an 8 hour fast
     2. Bthe patient must eat a high carbohydrate diet for 3 days prior to the test
     3. Cthere is no QA for this test
     4. Dthe patient has to have a high carbohydrate meal 2 hours before the test is drawn
136. 136when identifying an outpatient, what should you do?

     1. Aask what his or her full name is
     2. Bask the date of birth
     3. Cask for mailing address
     4. Dboth a and b are correct
137. 137if you are asked to draw a cholesterol, what procedure do you need to follow?

     1. Aask the patient when he or she last had something to eat
     2. Bthe patient has to be seated for 5 minutes before the blood is drawn
     3. Cdraw ab EDTA tube
     4. Dboth a and B are correct
138. 138if a patient is suffering from hysteria and extreme anxiety, what will happen to the values of the WBC's?

     1. Athey will go down
     2. Bthey will not be effected
     3. Cthey will elevate
     4. Dthey will look abnormal
139. 139what is TQM?

     1. Atotal quantity management
     2. Btrue quarterly meetings
     3. Cturning up the management
     4. Dtotal quality management
140. 140what is the purpose of TQM?

     1. Ato have an effective way to watch the staff
     2. Bto be able to run the facility more effectively
     3. Cto have the staff of all departments involved in reorganization of the facility
     4. Dboth b and c are correct
141. 141who should be involved?

     1. Athe entire operating officers
     2. Bthe laboratory staff
     3. Crepresentatives from various departments, such as nursing, laboratory and management, etc.
     4. Donly those people involved with housekeeping
142. 142what is FMC?

     1. Aford motor company
     2. Bfor management's concern
     3. Cfocused manage care
     4. Dnone of the above
143. 143what is the purpose of FMC?

     1. Afor better care production
     2. Bfor concerns of management regarding cost to run a facility
     3. Cfor better quality food
     4. Dfor better quality care of a patient by all that come in contact with him or her
144. 144a box of blood supplies arrives at the laboratory. what should be done with them?

     1. Aput them in a closet, and let someone else put them away
     2. Bunpack them and put them in the back of present stock
     3. Creturn them to the manufacturer because you don't want them
     4. Dunpack them and place them in front of the present stock
145. 145you receive a box of blood tubes that are needed immediately. the date reads March and it is May. What should you do?

     1. Areturn them to the manufacturer
     2. Bout them in front of the present tubes
     3. Cask the manufacturer for a discount
     4. Duse them anyway and don't tell anyone
146. 146a test is ordered done in a "basal state". What does that mean?

     1. Ait is to be done when the patient has had a restful sleep and nothing to eat
     2. Bthe patient has eaten in the last hour
     3. Cthe patient has had a good exercise workout
     4. Dthe patient is overheated and had become dehydrated
147. 147what does this symbol mean?

     

     1. Abiohazard
     2. Bradiation
     3. Cfire blanket
     4. Deye was
148. 148Fill in the missing items

     

     1. Anone
     2. BNaFl/K oxalate
     3. CHeparin
     4. DGel clot/ Clot activator
     5. ERed
     6. FLavender
     7. GGreen
     8. HGray
     9. IEDTA
     10. JFlouride
     11. Knone
     12. LGel clot/ clot activator
     13. MGray
     14. NSST/ Gold
     15. OGreen
     16. PPurple
     17. QETDA
     18. RNone
     19. SNa Citrate
     20. TNa Oxalate
     21. UPlain Red
     22. VNavy
     23. WGray
     24. XLavender
     25. YEDTA
     26. ZHeparin
     27. AANa Citrate
     28. ABK Oxalate
     29. ACHeparin
     30. ADEDTA
     31. AESodium
     32. AFPotassium
     33. AGAmmonia
     34. AHPlatlets
     35. AIGlucose
     36. AJDrug Levels
     37. AKElectrolytes
     38. ALAmmonia
     39. AMTrace Metals
     40. ANLactic Acid
149. 149You are asked to draw 10 ml's of blood. How many CC's would you draw?

     1. A7.5
     2. B5
     3. C10
     4. D15
150. 150A patient refuses to give his or her consent for a procedure. The health care provider does the procedure anyways. This health care provider is guilty of

     1. Anegligence
     2. Bassault and battery
     3. Cmalpractice
     4. Dassault only
151. 151Failure to perform duties according to the "standard" is

     1. Amalpractice
     2. Bbattery
     3. Cdefamation
     4. Dnegligence
152. 152Who sets the "Standard of Care" that laboratories follow?

     1. ANCCLS
     2. BNACCLS
     3. COSHA
     4. DCLIA
153. 153The patient sticks out his or her arm when the health care professional enters the room. This indicates

     1. Ainformed consent
     2. Brefusal
     3. Cthe patient is about to hit you
     4. Dthe patient is just stretching the arm
154. 154Th patient's bill of rights was drafted in

     1. A1965
     2. B1990
     3. C1988
     4. D1970
155. 155The health care provider performs procedures that he or she is not trained to do. This is classified as

     1. Anegligence
     2. Bmalpractice
     3. Cassault and battery
     4. Dunethical
156. 156a patient goes to a doctor. The doctor prescribes a proper treatment. What then is the responsibility of the patient?

     1. Ato ask for a second opinion
     2. Bto return after 2 weeks
     3. Cto pay the doctor because the patient has entered into a contract
     4. Dto sue the doctor for charging too much
157. 157what is ethics?

     1. Ato be trained for the procedures that the health are worker performs
     2. Bproper and skillful care of the patient
     3. Cto keep all information confidential
     4. Dmoral principles
158. 158A health care professional relates patient information to a friend and breaks the HIPAA law. What can the patient do to the worker?

     1. ASue for defamation
     2. BHave him or her put in jail
     3. CThank him because the word is out and they no longer have to hide
     4. DInsist that the worker be promoted
159. 159What is LD/LDH?

     1. Aluteinizing hormone
     2. Blactic dehydrogenase
     3. Clarge molecule hormone
     4. Dlong term hormone
160. 160what type of specimen is collected above in question 171?

     1. ASerum
     2. Bwhole blood
     3. Curine
     4. Dcsp
161. 161what is the purpose of an LD?

     1. Ato see if one is pregnant
     2. Bto see if one is diabetic
     3. Cto see if one is at risk for cardiac disease
     4. Dto see if one is ovulating
162. 162what body system is being evaluated when you draw a BUN and creatinine?

     1. Athe urinary system
     2. Bthe cardiac system
     3. Cthe reproductive system
     4. Dthe respiratory system
163. 163What is a APTT?

     1. AProthrombin time
     2. Bprotime
     3. Ctissue plastin time
     4. Dactivated partial thromboplastin time
164. 164What type of specimen would you collect for a strep A evaluation?

     1. AWhole Blood
     2. Bthroat culture
     3. Curine
     4. Dhemoglobin
165. 165What effect does a short sample have if you are collecting a serum clot tube?

     1. Anothing
     2. Bthe ratio of blood to anticoagulant is wrong
     3. Cit makes the blood clot quickly
     4. Dthe serum turns red
166. 166How can a patient give his consent for a procedure by a health care provider?

     1. Awritten
     2. Borally
     3. Cnon-verbally
     4. Dall of the above
167. 167Negligence is ___________

     1. Aan attempt to touch or injure a person
     2. Bfailure to act or perform duties according to the standards of profession
     3. Cintent to do harm or injury; actual harm to a person
     4. Dinvasion of privacy or defamation of character
168. 168What group is responsible for setting the "standard of care" of phlebotomy?

     1. AOSHA
     2. BCLIA
     3. Cclinical laboratory standards institute (CLSI)
     4. Dhealth and human services (HHS)
169. 169What determines negligence?

     1. Aif there was a breach of duty
     2. Bif there is consent
     3. Cif there was a breach of the bill of rights
     4. Dif there was intentional tort
170. 170a patient's bill of rights includes the following:

     1. Athe right to be informed before giving consent
     2. Bthe right to tour the laboratory
     3. Cthe right to interview the CEO
     4. DThe right to have edible meals
171. 171a patient consents to a procedure because he believes that _______

     1. Athe health care worker is certified
     2. Bthe health care professional has "the knowledge, skills, and ability" to perform the procedure
     3. Cthe health care professional maintains CRU's yearly
     4. Dthe clinic has a license to perform the test
172. 172drawing a patient without their consent can result in a law suit claiming _____

     1. Aassault and battery
     2. Bnegligence
     3. Cmalpracice
     4. Ddefamation
173. 173a solution o 10% bleach and 90% water______?

     1. Adisinfects
     2. Bsterilizes
     3. Ccontaminates
     4. Dclean well
174. 174syncope is another word for______?

     1. Anausea
     2. Bfainting
     3. Cvomiting
     4. Dstroke
175. 175a circulating blood clot and a possible mechanism of death is a _____?

     1. Apathogen
     2. Banalyte
     3. Cparasite
     4. Dembolus
176. 176the blockage of blood supply to heart causing death to the heart?

     1. Alipemic
     2. Bishemia
     3. Cinfection
     4. Dinfarct
177. 177that space within the walls of an artery, vein, or tube?

     1. Alysis
     2. Bshunt
     3. Clumen
     4. Dblood
178. 178in ancient times men walked around with red and white staffs. What were these men called?

     1. Abarber surgeons
     2. Bblood letters
     3. Cpatriotic
     4. Dleachers
179. 179what should be done before using any blood tube in which a specimen will be drawn?

     1. Awash off the top
     2. Bwash and glove
     3. Clabel the tubes
     4. Dcheck it for cracks, expiration date and tap the additive to the bottom of the tube
180. 180Which electrolyte would be most affected by hemolyzed blood?

     1. Asodium
     2. Bpotassium
     3. CCo2
     4. Dchloride
181. 181what instructions should be given to a patient if he is to have a random glucose draw?

     1. Adiet for two days before the test
     2. Bfast for the next two hours
     3. Ceat a regular diet
     4. Deat a high carbohydrate diet for two hours after the blood is drawn
182. 182which of the following techniques could lead to contamination of a blood culture?

     1. Ausing beading for cleansing the site
     2. Bwiping off the tube tops with alcohol before using them
     3. Cre-touching the cleansed site
     4. Dwiping in a concentric circle
183. 183what is the most common source for a nosocomial infection?

     1. Astaph
     2. Bbacteria from a urinary tract infection
     3. Csalmonella in a stool sample
     4. Dbacteria from a weeping dermatitis
184. 184how full does a lavender top tube need to be?

     1. A65% full
     2. Bto the 15cc mark
     3. Chalf full
     4. Duntil it stops flowing on its own
185. 185what is meant by a basal state?

     1. Athe patient has fasted and rested for 8-10 hours
     2. Bthe patient has just arisen from an afternoon nap
     3. Cthe patient has fasted for 8 hours
     4. Dthe patient has undergone cardiac workout
186. 186what is the difference between entering a patients room in isolation from entering a regular room?

     1. Athe phlebotomy tray must be kept outside the room
     2. Bwhat goes into the room must be sterile
     3. Cuse sterile gloves only
     4. Dwhat goes into the room should be sterilized when you come out
187. 187what is one way that a health care professional can alleviate job stress?

     1. Ato keep on learning through CEU's so you create a job security
     2. Bdrink coffee
     3. Cget to work on time
     4. Ddon't get involved with fellow workers
188. 188What is commonly used in the laboratory to disinfect work surfaces, blood spills, or the equipment?

     1. A70% isopropyl alcohol
     2. Bbeading
     3. Cgreen soap
     4. D1:10 dilution of bleach
189. 189Label the following diagram

     

     1. Aelastic tissue
     2. Btunica adventia
     3. Ctunica intima
     4. Dlumen
     5. Edorsal
     6. Ftunica media
     7. Gwhite tissue
     8. Hesophagus
     9. Iendodermus
     10. Jtunica externa
     11. Kcephalic
     12. Lfibrous tissue
190. 190Label the following image

     

     1. Aartery
     2. Bvein
     3. Ccapillary
     4. Dvenule
     5. Eartery
     6. Fvein
     7. Gcapillary
     8. Hvenule
     9. Iartery
     10. Jvenule
     11. Kcapillary
     12. Lvein
     13. Martery
     14. Nvenule
     15. Oarteriole
     16. Pcapillary
     17. Qartery
     18. Rpulmonary vein
     19. Sarteriole
     20. Tvenule
191. 191capillaries are made of

     1. Aepithelium cells
     2. Btunica
     3. Cmedias
     4. Dconnective tissues
192. 192connective tissue is found in the

     1. Atunica
     2. Btunica adventia
     3. Ctunica media
     4. Dtunica intima
193. 193tunica adventia helps to

     1. Aallow arteries to constrict
     2. Bkeep blood warm
     3. Cthicken the walls of the vessels
     4. Dkeep the artery open
194. 194Label the image below

     

     1. Acaudal vein
     2. Bbrachical artery
     3. Cmedian antebrachial
     4. Dpulmonary vein
     5. Efemoral vein
     6. Focular vein
     7. Gradial artery
     8. Hcephalic vein
     9. Idorsal hand vein
     10. Jcephalic vein
     11. Kaxillary vein
     12. Ljugular vein
     13. Mbasilic vein
     14. Ntemporal vein
     15. Ocephalic vein
     16. Pvenule
     17. Qbasilic vein
     18. Rbrachial vein
     19. Sfemoral vein
     20. Tmedian
     21. Uulnar vein
     22. Vradial vein
     23. Waccessor cephalic
     24. Xulnar artery
195. 195Label the image below

     

     1. Abasilic vein
     2. Baccessory cephalic
     3. Cmedian antecubital
     4. Dmedican antebrachial
     5. Emedian cubital
     6. Fcaudal vein
     7. Gulnar vein
     8. Hcephalic vein
     9. Idorsal vein
     10. Jmedian cubital
     11. Kcephalic vein
     12. Lmedian antebrachial

Description

Quiz on Phlebotomy Certification, created by Nicole Weldon on 29/09/2021.

Author

Nicole Weldon

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