Phlebotomy Final

1. 1Which of the following statements is an appropriate introduction to a patient?

   1. A"Hello, my name is Courtney. I am a phlebotomy technician and am here to draw your blood."
   2. B"Hello, my name is Ms. Johnson. I work at the hospital and am here to test for diabetes."
   3. C"Hello, I am a phlebotomist, and I am here to perform a glucose test."
   4. D"Hello, I am a phlebotomy technician and I need to know if you are fasting."
2. 2Which of the following is an example of proper patient identification?

   1. AAsk the patient where he lives, check the medical record, and check the wristband
   2. BCompare the wristband to the laboratory order sheet, and ask the patient to spell his name
   3. CAsk the patient to state his name and date of birth
   4. DObserve whether the patient answers yes when you say his name
3. 3A 19-year-old patient extends her arm and looks away when the phlebotomist enters her hospital room. This is an example of which type of consent?

   1. AExpressed
   2. BInformed
   3. CImplied
   4. DMinor
4. 4A patient has never had his blood drawn before. When explaining the venipuncture procedure which of the following would be an appropriate statement?

   1. A"it will not hurt unless you move."
   2. BIt will not hurt. I have done this many times before."
   3. C"It may hurt. Tell me if it does."
   4. DIt does hurt, but I will perform the draw very quickly."
5. 5A blood draw must be performed on a 5-month-old infant. Which of the following locations should be the first site choice for the collection?

   1. AScalp
   2. BAntecubital area
   3. CFinger
   4. DHeels
6. 6Which of the following is the antiseptic of choice for venipuncture?

   1. AIsopropyl alcohol
   2. BPovidone-iodine
   3. CChlorhexidine
   4. DEthyl alcohol
7. 7The first step in the patient care process is?

   1. AAssessment
   2. BPlanning
   3. CInformation sorting
   4. DFollow-up
8. 8To inform a patient what preparations should be performed for a test in the basal state, which of the following should the phlebotomist tell the patient?

   1. A"The test should be performed right after work."
   2. B"The test should be performed first thing in the morning"
   3. C"The test requires that a patient records the last time she took medication."
   4. D"The test requires that the patient records the last time her blood was drawn."
9. 9Mastectomy is the medical term for breast?

   1. ABiopsy
   2. BReduction
   3. CRemoval
   4. DSurgery
10. 10A hematoma is a?

    1. AA blood clot inside a vein
    2. BPool of fluid from an IV
    3. CSwelling or mass of blood
    4. DSymptom of nerve injury

11. 11Which of the following is the medical term for fainting?

    1. ASclerosis
    2. BStasis
    3. CSupine
    4. DSyncope
12. 12The serum or plasma of a lipemic specimen appears?

    1. ACloudy white
    2. BDark yellow
    3. CFoamy pink
    4. DPink to red
13. 13A vein that feels hard, cord-like, and lacks resiliency is most likely?

    1. AAn artery
    2. BCollapsed
    3. CSclerosed
    4. DSuperficial
14. 14Blood glucose, pregnancy and fecal blood testing are examples of which of the following types of test?

    1. AHigh complexity test
    2. BModerate complexity test
    3. CPhysician performed microscopy test
    4. DWaived test
15. 15What is a blood culture primarily used to check for?

    1. ABlood typing
    2. BPregnancy
    3. CBacteria
    4. DPlatelets
16. 16In a hospitalized patient whose blood may be drawn every day for every few hours, what type of anemia is commonly seen?

    1. AHemolytic
    2. BSickle cell
    3. CIatrogenic
    4. DPernicious
17. 17Which of the following types of urine collection is required for culture and sensitivity testing?

    1. A24 hour specimen
    2. BFirst voided urine
    3. CClean catch midstream specimen
    4. DTimed specimen
18. 18For which of the following test would a first voided morning urine specimen be collected?

    1. ADrug
    2. BAlcohol
    3. CGlucose
    4. DPregnancy
19. 19For which of the following is testing of newborns required in all states?

    1. AAnti a titers
    2. BPhenylketonuria
    3. CHuman immunodeficiency virus
    4. DSickle cell disease
20. 20Which of the following is the appropriate angle to hold the slide when preparing a peripheral blood smear?

    1. A20 to 25
    2. B30 to 35
    3. C40 to 45
    4. D45 to 50
21. 21When state required testing of an infants capillary blood is done, which of the following must occur?

    1. AThe blood is dropped onto both sides of the filter paper
    2. BCapillary tubes are used along with the filter paper
    3. CThe circles on the filter paper must be totally saturated
22. 22Which term is used to describe a blood donation from a patient for later use in his or her own surgical procedures?

    1. ATransfused
    2. BAutologous
    3. CAutotransplantation
    4. DAutoimmunity
23. 23Sealed or locked specimen transfer bags are used as part of which of the following?

    1. AChain of custody
    2. BPlasma thawing
    3. CCentrifuging
    4. DChain of communication
24. 24Which of the following is required for all specimens shipped to a reference laboratory?

    1. AChain of custody form
    2. BA warming pack
    3. CWatertight secondary containers
    4. DAn ice pack
25. 25A patient can donate blood if he or she?

    1. AIs 13 years old with parent permission
    2. BWeighs less than 110 pounds
    3. CDonated blood 9 weeks ago
    4. DIs negative for AIDS but positive for HIV
26. 26For which condition is therapeutic phlebotomy commonly used?

    1. AIatrogenic anemia
    2. BHemophilia
    3. CIron deficiency
    4. DPolycythemia vera
27. 27Fecal specimen collection is used to detect which of the following?

    1. AUrinary bladder cancer
    2. BColorectal cancer
    3. CLower esophageal cancer
    4. DDiverticulosis
28. 28Tubes needed for culture and sensitivity tests may be kept at room temperature for up to how many hours?

    1. A2
    2. B12
    3. C72
29. 29After anchoring a vein:

    1. AClean site
    2. BPerform procedure
    3. CExamine needle
    4. DReapply tourniquet
30. 30Which of the following should be obtained prior to obtaining a specimin?

    1. ATest requisition
    2. BCollection priority
    3. CPatient identification
    4. DRequesting MD
31. 31Which of the following test requires chain of custody?

    1. ABlood typing
    2. BDrug testing
    3. CHIV testing
    4. DTb testing
32. 32The phlebotomist has to draw the following tests: CBC, Chem panel, lead and toxicology on a capillary draw, which would be done first?

    1. ARed
    2. BLavender
    3. CLight blue
    4. DRoyal blue
33. 33Which of the following must be followed whenever a phlebotomist draws patient test samples for legal proceedings?

    1. ATier II
    2. BIsolation
    3. CChain of custody
34. 34Which of the following additive will be in the tube utilized for an ESR?

    1. AEDTA
    2. BSPS
    3. CAmmonia
    4. DHeparin
35. 35John Smith had a UA completed at St. James Hospital. The results indicated an infection. What was elevated to indicate this infection?

    1. AKeotones
    2. BLeukocytes
    3. CProtein
    4. DGlucose
36. 36A patient has to have blood typing and a type and screen completed prior to surgery which tube would be utilized?

    1. ARed no additives
    2. BLight blue (sodium citrate)
    3. CGreen (heparin)
    4. DTiger top (gel)
37. 37In which of the following orders should a PT be drawn by a phlebotomist to avoid cross contamination?

    1. AAfter lavender tube draw
    2. BAfter green tube draw
    3. CBefore gold tube draw
    4. DBefore a sterile tube drawn
38. 38A phlebotomist needed to collect a PT difficult vein, which of the following is the best ube to draw

    1. ALight green
    2. BPink
    3. CLavender
    4. DLight blue
39. 39When collecting a capillary draw, which would be collected first?

    1. ABlood gasses
    2. BEDTA
    3. CSerum
    4. DSodium citrate
40. 40A phlebotomist has orders to collect BC, CBC, PTT and an iron panel. He forgets to draw for the PTT. Which of the following actions should phlebotomist take?

    1. AObtain PTT from iron panel
    2. BKeep the specimens collected and draw PTT
    3. CCall another phlebotomist to draw a PTT
    4. DDraw a discard tube during redraw
41. 41Which of the following tubes would you expect a phlebotomist to centrifuge and the separate for a serum test?

    1. ALavender
    2. BBlue
    3. CRed
    4. DGreen
42. 42Which color tube is utilized for a Tropin test?

    1. AYellow
    2. BLavender
    3. CLight blue
    4. DLight green
43. 43If you have to draw a stat chem panel, which tube would you utilize?

    1. ARed
    2. BLight green
    3. CLavender
    4. DLight blue
44. 44When performing a donor phlebotomy for blood bank, what gauge needle would you use?

    1. A16-18
    2. B23-25
    3. C21-22
45. 45After applying alcohol to the patients arm, the phlebotomist should:

    1. AAllow it to air dry
    2. BBlow on the site
    3. CWipe it clean with gauze
46. 46Which of the following meets recommended handling required for a blood specimen that is collected and tested for presence of bilirubin:

    1. AChill specimen
    2. BTransport 30 mins after collection
    3. CPlace on heating block
    4. DProtect collection from bright light
47. 47A patient is in droplet isolation what is the means of transmission:

    1. APatient sneezes
    2. BPatient provides UA specimen
    3. CPatient has bloody nose
    4. DPatient has itchy rash
48. 48The ER sends two nasal swabs to lab on a 7 year old patient. One swab is labeled, the other swab is not. What should the tech do:

    1. ARun both test
    2. BRun only labeled
    3. CContact ER to recollect both
    4. DCall RN to verify
49. 49The phlebotomist should identify which of the following conditions as an indication for a BC collection:

    1. AAnemia
    2. BBacteremia
    3. CHyperkalemia
    4. DPolycythemia
50. 50Blood grouping and typing test must be collected in a tube with which of the following colored stoppers:

    1. ARed/no additive
    2. BBlue/ sodium citrate
    3. CGreen/heparin
    4. DTiger top/ thick tropic gel
51. 51A phlebotomist should use which of the following additive tubes for a coagulation specimen:

    1. ALithium heparin
    2. BSodium heparin
    3. CEDTA
    4. DSodium citrate
52. 52The provider requests a stat chemistry panel. Which of the following tubes should the phlebotomist use to draw the specimen:

    1. ALight green
    2. BSerum
    3. CLavender
53. 53Which of the following parameters should a phlebotomist consider when selecting a collection method?

    1. APatient condition, patient age, bv. Req
    2. BPt, ht., gender, pt. mess
    3. Cordering MD, number of tests
54. 54Which of the following actions should a phlebotomist perform to comply with guidelines for a clip waived procedure

    1. ADocumenting quality control results
    2. BReporting results immediately to CLIA
    3. CTransporting specimen within 24hr
55. 55As a phlebotomist, which of the following is the most important step to ensure patient safety during the collection process

    1. AGlove use
    2. BPatient identity
    3. CGauge selection
56. 56A phlebotomist must collect a CBC from a patient with RA mastectomy and an IV in left arm, where should they draw

    1. ARight index finger
    2. BRight median cubical
    3. CLeft basilica vein
    4. DLeft ring finger
57. 57There has been a chemical spill in the lab, the phlebotomist should refer to what for directions on how to clean

    1. ACLIA
    2. BOSHA
    3. CMSDS
58. 58After a phlebotomist processes a blood specimen obtained via syringe method, they notice the serum is a dark red color, Why?

    1. AAlcohol was not dry
    2. BTourniquet not on too long
    3. CGauge needle too large
    4. DThe syringe plunger was pulled too fast
59. 59Which of the following actions is appropriate for dermal specimen collection on a 15 month old patient.

    1. ANon dominant dorsal hand
    2. BNon dominant lateral plantar heel
    3. CThird finger
60. 60When drawing for a blood ETOH used as evidence in legal proceedings, which of the following is appropriate

    1. ARequest three forms of ID
    2. BCleanse site with 70% isopropyl alcohol
    3. CProtect sample from light
    4. DCollect in gray top sodium fluoride tube
61. 61Point of care test regulations require quality control to

    1. AEnsure accuracy in test results
    2. BDetermine wave test classifications
    3. CEvaluate the productivity of test instruments
    4. DMonitor use of test instrumentation
62. 62Immediately after an accidental needle puncture, the phlebotomist should

    1. ATell supervisor
    2. BFill out incident report
    3. CFlush site with water
    4. DReceive blood tests for infectious agents
63. 63Which of the following color top tubes would the phlebotomist use to perform A1C, CBC and hepatic panel

    1. AYellow and blue
    2. BGold and lavender
    3. CGreen and gray
    4. DRed and black
64. 64A phlebotomist should recognize that failure of a collection tube to fill could result from which of the following

    1. AUsing a contaminated tube
    2. BUsing a tube stored at room temp
    3. CUsing an expired tube
    4. DUsing the wrong size tube
65. 65Which of the following veins is located laterally on the arm

    1. ABasilic
    2. BMedian
    3. CBrachial
    4. DCephalic
66. 66Which of the following needle is used for blood bank donor

    1. A16-18
    2. B23-25
    3. C21-22
67. 67Which of the following test tubes would you expect a phlebotomist to centrifuge and then separate for a serum only test

    1. AYellow tube
    2. BBlue tube
    3. CRed tube
    4. DGreen tube
68. 68Which of the following tests is most commonly ordered on patients with FUO

    1. ABlood cultures
    2. BImmunology tests
    3. CESR
    4. DRapid plasma screening
69. 69The timing for a glucose tolerance test begins

    1. AWhen the fasting sample is drawn
    2. BWhen the test results are completed on the fasting sample
    3. CWhen the patient finishes drinking the glucose solution
    4. D30 min after the patient finishes drinking the glucose solution

Description

NHA CPT Medicine Quiz on Phlebotomy Final, created by Owen Ledlow on 10/07/2023.

Author

Owen Ledlow

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