Phlebotomists are an important part of the health care team because they
Phlebotomists often have many duties and tasks. Which is the primary duty?
Which laboratory employee has the most education and is usually a consultant to other physicians?
When a patient refuses to have blood drawn, the phlebotomist should do all of the following EXCEPT
Perhaps the single most important step in phlebotomy, and often where an error occurs, is:
Which is the organization that does quality checks of the laboratory through surveys and samples?
Which is a quality assurance plan that not only aims to meet minimum standards, but also seeks to constantly improve performance?
What is the type of phlebotomy where the phlebotomist is part of the laboratory team and is dispatched to the nursing units from the laboratory?
An unexpected occurrence in a health care facility that involves death or serious psychological injury is
What should you do if you accidentally stick yourself with a contaminated needle?
The primary purpose of infection control is:
The single most important way to prevent the spread of infection in a hospital or other health care facility is:
The name given to an infection that a patient acquires 48 hours or more after admission to a hospital is:
A potential source of infectious material from a patient in protective isolation includes:
Aerosols call be produced by:
Standard Precautions state that if there is a possibility of coming into contact with a patient's blood, or any other body fluid, you must wear?
According to Standard Precautions, blood and body fluids from which group are considered bio hazardous?
According to Standard Precautions, all used needles are to be disposed of in the following manner:
The process of making substances or breaking down substances so that the body can functions is?
Blood flows from the right atrium into the right ventricle. From this point, it is pumped through the?
When a patient has had a mastectomy, venipuncture should be avoided on the affected side because?
Why does the left ventricle of the heart have such a thick muscular wall?
The formed elements of blood found inside a tube drawn with an anticoagulant are
Five components that are found in a CBC with diff. are?
The gauge of the needle indicates the following relationship: the larger the gauge number, the:
In general, a syringe is used when drawing specimens and/or patients EXCEPT for?
Which anticoagulant prevents coagulation of blood by removing calcium through the formation of insoluble calcium salt?
You are preparing to draw blood for multiple tests in several tubes. The best and most cost-efficient technique would be?
The anticoagulant heparin is used for blood gases and other chemistry tests. It works by?
Blood is needed for routine bleeding and coagulation studies (PT, PTT). Which color tube top is to be used
An arterial puncture is more likely to result in a hematoma than a venipuncture is because of?
Which statement is true about arterial punctures?
Under which of the following conditions would you avoid a site for a venipuncture?
What is the primary source of information when labeling a patient sample in the hospital?
An arterial puncture site is more likely to bleed because?
Venipuncture is usually performed in the antecubital area. Which vein is usually the best to draw from?
The doctor orders a CBC, serum drug level, PT and a set of blood cultures. What is the order of draw?
Once an arterial blood sample is obtained, the puncture site should have pressure held for at least?
As a general rule, you should not stick a person more than ____ in an attempt to obtain blood?
Why is the first tube discarded when you are drawing from an indwelling line?
The purpose of the Allen test is to?
The following items are minimum requirements for sample labeling?
A patient sitting in a chair has fainted. Possible acceptable actions by the phlebotomist include?
A phlebotomist is requested to draw an unconscious patient. The patient's name and identification number on the armband agree with the information on the request form and computer labels. What else should be done to ensure patient identification?
A conscious patient does not have an identification armband. The name on the water jug and room number on the door agree with the information on the request. What should the phlebotomist do?
An unconscious, unidentified man is admitted to an emergency trauma center. What would be the system of choice to ensure patient identification?
To fill an evacuated tube with blood from a syringe, the phlebotomist should:
In what order should a serum (SST) tube, a green tube, light blue tube and a lavender tube be filled from a syringe?
A patient comes to have a monthly Prothrombin time (PT) collected. You must use a butterfly system because of the patient's small veins. This is the only test you need to draw. What must you remember to do first?
In performing an arterial puncture, you should puncture the artery using a:
Which of the following is true about microcapillary collection?
The safe area of heel puncture on an infant is:
The depth of cut made by a puncture device for a heel stick on a full-term infant should be no more than:
What can happen if you squeeze the patient's finger too vigorously during a capillary puncture?
You are to collect by fingerstick a green top, a lavender top, and a red top microcollection container. What microcontainer do you collect first?
When doing venipuncture on a child, whom should you talk to and explain the procedure to?
Warming the skin puncture site:
A CBC is collected by fingerstick from a patient. The results of the CBC show a lower WBC and platelet count than blood collected the previous day. What caused this change?
Children understand illness in different ways. What age group would have the greatest stress because of separations from caregivers and a change in the home routine?
Children understand illness in different ways. What age group might think that an illness is a punishment for being "bad"?
At what age does a child start to understand the mechanics of health and how procedures help lead to a cure?
Children understand illness in different ways. At what age would a child start to understand illness and why he or she does not feel well?
The idea of moving the child's attention from the procedure to something else is called:
What is the best technique the phlebotomist can use for a safe and successful venipuncture?
Glycolysis occurring in a tube of unseparated blood will cause:
You receive an order to draw a STAT CBC. Your responsibility is to?
What is the major drawback of a 24-hour urine collection?
The process for prepping the puncture site for this procedure is similar to that for an arterial puncture. What is the procedure?
Which of the following statements concerning bleeding time testing is true?
Disturbing the platelet plug on a patient while performing a bleeding time will cause the results to be:
Glucose tolerance tests and therapeutic drug monitoring tests have which of the following collection requirements in common?
When blood is drawn to monitor the therapy of a specific antibiotic, the peak level is drawn 1 hour after administering the antibiotic. The term used to refer to the antibiotic level drawn right before the antibiotic is given is called the:
Protecting a sample from light is best done by:
Samples may be rejected for testing if?
Which statement best summarizes the quality of blood samples?
If the tourniquet is applied for longer than 1 minute, which of the following analytes will be elevated and will continue to increase the longer the tourniquet is applied?
Preexamination errors are variables that occur to a sample before the sample is tested. The type of error caused by a patient would be:
Preexamination errors are variable that occur to a sample before the sample is tested. The type of error caused by a phlebotomist would be:
Preexamination errors are variables that occur to a sample before the sample is tested. A transportation error would be:
To achieve quality customer service, the phlebotomist must meet what customer needs?
When two people are communicating, they understand each other when they have a common understanding. This common ground is based on three frames of reference:
Which is a barrier to communication?
The average person can listen at the rate of approximately _____words per minute and can speak at the rate of____words per minute.
Of the three situations listed, which one is compliant with the Antikickback Law?
A patient is having blood collected and asks the phlebotomist to have a copy of the results sent to a physician who was not listed on the requisition. What should the phlebotomist do?
A patient's information that is connected to their medical information is:
An associate is hired as a phlebotomist and completes the initial training and competency certification. When will the next competency certification be needed?
To demonstrate competency, a phlebotomist must verify the ability to collect blood samples from what age group?
The competency assessment check-off form must include what information?
A competency program should verify the competency of a phlebotomist in the area(s) of:
Phlebotomists certified with ASCP after January 2004 must maintain their certification through the:
For a phlebotomist to be fully competent the phlebotomist must be competent in:
Which of the following POC laboratory tests is within the CLIA defined scope of practice for a phlebotomist?
The phlebotomist is performing a venipuncture on an apprehensive school age child. Which of the following approaches should the phlebotomist use to calm the child?
Which task should a phlebotomist complete prior to daily use of a POC instrument?
A patient brings in written lab tests results, including a mix of POC and higher complexity tests, and asks the phlebotomists for help with interpretation. Which of the following should the phlebotomist do?
Which of the following is outside the scope of practice for a phlebotomist?
Which if the following specimens require the phlebotomist to follow chain-of-custody documentation procedures?
Which of the following QC measures are within the phlebotomists scope of practice?
At which of the following times should a test tube be labeled with the patients identifications?
Instead of obtaining consent from a patient who is mentally competent, the phlebotomist obtains consent from a family member. This is a violation of?
The phlebotomist is asked to draw blood on a non-responsive patient in an emergency department. This draw would be conducted under?
A patient presents to have a diagnostic HIV test drawn. Which of the following forms of consent must the phlebotomist obtain prior to venipuncture?
A 19-year-old patient offers her arm to the phlebotomist when she comes in with a venipuncture tray. This is an example of?
Which of the following is a CLIA waived test that can be performed by the phlebotomist?
Commitment to privacy, continuity of care, advance directives, and the authority to refuse treatment are granted according to which of the following?
While giving a patient an injection, the patient jumped, causing the phlebotomist to get stuck on the hand with a contaminated needle. After performing thorough hand washing, which of the following should the phlebotomist do first?
A phlebotomist has active symptoms of the common cold. Under which of the following conditions may he perform venipuncture?
Which of the following statements by a new phlebotomist indicates the need for further education on standard precaution?
An immunization is currently available for prevention of which of the following bloodborne diseases?
Which of the following is the minimum PPE requirement when drawing lab work on a patient with suspected HIV?
Which of the following best describes the proper way to clean up a broken glass tube?
The phlebotomist arrives at an inpatient room to collect a blood sample. There is an isolation chart located outside the room. The phlebotomist washes her hands and puts on the following personal protective equipment: gown, gloves, and mask. Which of the following types of precaution is being used for this patient?
The phlebotomist is preparing to remove her gloves after a venipuncture and notices blood on the gloves. Where should the phlebotomist dispose of her gloves.
If a phlebotomist has questions about disposing of outdated hazardous chemicals, where should she look to find this information?
Keeping contaminated equipment and supplies away from the phlebotomists clothing to prevent pathogen transmission to the next patient is an example of which of the following?
Which of the following is a requirement for a healthcare facility to be in compliance with OSHA?
Which of the following tube and additive combinations should be used for a PT/INR test?
For which of the following tubes must the phlebotomist prep the site with povidone iodine or chlorhexidine?
The phlebotomist is drawing plain red, purple, and blue top tubes. Upon completion of the blood draw the phlebotomist noticed that he missed an order requiring an SST. The phlebotomist should share the?
A phlebotomist has received a requisition to collect specimen for a Bilirubin from a premature newborn patient. Which of the following is the best device for this collection?
Using the guidelines for any method of venipuncture, after confirming patient identity which of the following actions should the phlebotomist perform first?
The phlebotomist is instructed to preform a capillary stick for newborn screening. Which of the following collection devices should the phlebotomist use?
The physician has ordered a prothrombin time (PT) and complete blood count (CBC) for an adult patient with a diagnosis of thrombophlebitis. The phlebotomist should collect the evacuated tubes in which of the following orders?
The phlebotomist applies pressure to the venipuncture site using gauze. After two minutes he observes that the bleeding has not stopped. The next appropriate action would be to?
A patient on coumdin therapy is at the lab for their weekly coagulation test. Which of the following tubes should the phlebotomist collect for this test?
A physician has orders a STAT blood work for a patient. The physician ordered hematology tests and chemistry and coagulation panels. Which of the following tubes are needed for this procedure?
A CMP is ordered for an older adult patient whose veins continue to collapse despite drinking water. Which of the following is the best collection method for this patient?
When inspecting a patient's arm before performing a venipuncture, the most desirable site appears to be the back of the hand. Which of the following venipuncture methods is most appropriate in this situation?
Which of the following actions should the phlebotomist take to make a vein more prominent when attempting to select a venipuncture site?
Which of the following actions should the phlebotomist take to decrease the potential for hemolysis of a blood specimen in an EDTA tube?
For which of the following patients is the use of an adhesive bandage contraindicated?
Grey-topped sodium fluoride tubes should not be used to collect alanine aminotransferase (ATL) or aspartate aminotransferase (AST) because the anticoagulant
A 2-week-old infant has been brought in the lab for a repeat PKU/neonatal screening. Which of the following collection procedures is appropriate to collect the specimens?
A phlebotomist working in a hospital is collecting blood from a patient with very small, difficult veins. Three tubes of blood need to be collected. The blue and green tubes fill easily and completely, but the lavender tube fills incompletely. Changing the lavender tube using the same draw also results in an incomplete specimen. Which of the following should the phlebotomist do next?
The phlebotomist is collecting a capillary sample from an infant. Following the collection, the phlebotomist holds firm pressure on the site until bleeding has stopped. How should the phlebotomist proceed?
During palpation of a large vessel in the forearm, the phlebotomist detects a vibration sensation. The phlebotomist should then
The phlebotomist notes the patients arm is scarred in the lateral aspect of the antecubital fossa, and the other arm is not available. The phlebotomist decides to use a more medial site in the fossa over the basilica vein. Which of the following make this a poor choice?
After a phlebotomy draw, the phlebotomist realizes that the tourniquet was on for an extensive length of time. Which of the following is the more likely resulting complication?
Which of the following sites should the phlebotomist use for newborn screening blood collection?
A patient with an order for a blood draw presents with burns covering both arms. Which of the following is the phlebotomist's best option for collecting the largest amount of blood for this patient?
When performing venipuncture on a patient with a left mastectomy, which of the following sites should the phlebotomist use?
The phlebotomist is educating the patient on fasting diet requirements prior to a glucose tolerance test. Which of the following is the minimum time frame the patient must remain fasting before the start of the test?
Which of the following information is contraindicated for patient identification at the time of draw?
Which of the following veins would generally be acceptable for routine blood collection by the phlebotomist?
When performing a capillary puncture on an infant, which of the following is the preferred site?
Which of the following is a site preparation solution required for collecting blood cultures and blood alcohol levels?
Which of the following statements represents correct patient identification for a phlebotomist is an outpatient setting?
Which of the following is an appropriate draw site for an adult patient with a central line?
The phlebotomist received a requisition for a blood test on a 70-year-old female patient with diabetes and a mastectomy of the left breast. Upon entering the room the phlebotomist notices a PICC line in the patient's right arm. For this specimen collection, the phlebotomist should?
The patient on hemodialysis with a left AV shunt has undergone a right sided mastectomy and has an order for a STAT glucose. After consulting with the physician the phlebotomist is told to perform a capillary draw. Which of the following sites should the phlebotomist use?
Capillary blood specimens are most likely to be successfully collected from patients that
The phlebotomist applies the tourniquet, but than has trouble relocating the vein after several minutes of palpation. Which of the following is an expected outcome in these test results?
The phlebotomist has a requisition for chemistry and coagulation testing. Which of the following is the correct tube selection and order of draw?
On the initial attempt the phlebotomist went through the vein, but was able to pull back on the needle and successfully collect the specimen. Which of the following should the phlebotomist do next?
The phlebotomist has collected an ammonia level. Which of the following should be done regarding transport of the specimen?
The phlebotomist needs to draw a blood culture, sedimentation rate, PTT, and a glucose test. Which of the following is the correct order of draw?
A phlebotomist has completed a draw on a patient. After the blood is drawn the patient informed the phlebotomist that he tends to bleed longer. Which of the following is the next course of action the phlebotomist should take?
Which of the following should the phlebotomist do when collecting blood via finger stick?
The phlebotomist is asked to draw blood from a patient with an IV in the right arm whose left arm is inaccessible. The phlebotomist may draw blood without a physician's approval from the
A phlebotomist is asked to collect a CBC, PT, electrolytes, and a BUN. The correct order of draw for this collection is?
A phlebotomist has received a requisition to draw a bilirubin on an infant with jaundice. The phlebotomist should?
A phlebotomist receives an order to collect a cold agglutinin specimen. The phlebotomist should?
An older adult patient arrives to have blood drawn. While assessing the arms for venipuncture, the phlebotomist notices scar tissue in the antecubital areas and is unable to palpate a vein. Which of the following is an appropriate alternative course of action?
While performing a venipuncture, immediately before removing the needle, the phlebotomist should?
The phlebotomist has an order to collect a complete blood count with differential, partial thromboplastin time, basic metabolic panel, and blood cultures. Place the tubes in the correct order of draw.
An infant is brought to the clinic for a CBC. After performing a heelstick, not enough blood is collected to perform the test. Which of the following actions should the phlebotomist take?
When inserting a needle during venipuncture, the bevel should be in which of the following positions in relation to the vein?
Forceful shaking of blood in an evacuated collection tube will cause which of the following complication?
The physician orders the following blood work to evaluate a patient for sepsis: CBC, Blood culture, and a BMP. When using the evacuated tube method for venipuncture, in which of the following orders should the tubes be drawn?
A patient shares with the phlebotomist the last time he was in the clinic to have his blood drawn, he "became very dizzy and felt like the room was spinning." Which of the following actions should the phlebotomist take?
When performing a capillary puncture on an infant, which of the following is the reason for using the lateral heel instead of a finger?
When a complete metabolic serum profile (CMP) and complete blood count (CBC) are ordered at the same time, why would the CMP be drawn first?
Which of the following statements best describes the reason antecubital veins are most desirable to use when performing venipuncture?
Capillary blood specimen collection is contraindicated in patients that
Which of the following is the reason blood cultures are typically drawn first?
After performing a venipuncture on a patient the phlebotomist notices the patient is bending his elbow to hold the gauze in place. This action is contraindicated because bending the elbow is likely to?
While performing a capillary stick on a six-month-old infant's heel, the lancet should be no longer than?
Which of the following is the maximum time the phlebotomist should leave a tourniquet secured in place on a patient's arm when performing a venipuncture?
Which of the following is the reason for wiping off the first drop of blood from the patient's finger with gauze when performing a capillary puncture?
Which of the following must be included on a specimen label once it has been filled with blood?
Which of the following techniques should the phlebotomist use when collecting a blood specimen from a geriatric patient?
Which of the following should the phlebotomist do after drawing blood from a patient on anticoagulant therapy?
In the middle of a blood draw the patient experiences a seizure. Which of the following should the phlebotomist do after removing the tourniquet and withdrawing the needle?
During a blood draw, a patient begins complaining of discomfort and tingling, at which time the phlebotomist notices bruising and discoloration at the site. How should the phlebotomist proceed?
During the transport of blood specimens the blood begins to freeze. How will this affect the test results?
While performing a venipuncture, the phlebotomist removes the filled tubes, but forgets to remove the tourniquets prior to needle withdrawal. Which of the following is the most likely result?
The patient reports feeling faint, and slumps forward during a venipuncture. After calling for assistance, which of the following actions should the phlebotomist take next?
When performing a venipuncture, sudden swelling is observed at the insertion site. Which of the following actions should the phlebotomist take?
Which of the following is an appropriate alternative to using a rubber tourniquet when attempting a venipuncture on a known patient who is difficult to obtain a sample from?
While performing a venipuncture in the antecubital space, the patient verbalizes an extreme amount of pain and the blood in the collection tube is noted to be bright red. Which of the following sites is most likely to have been inadvertently punctured?
After centrifuging a blood specimen, the phlebotomist notes the serum has a reddish appearance. Which of the following has occurred?
While obtaining blood during a venipuncture, the patient faints. Which of the following actions should the phlebotomist take initially?
Which of the following actions is an example of compliance with Quality Control (QC) guidelines for phlebotomy?
Which of the following forms is the phlebotomist responsible for having the patient sign when a specimen is being collected for substance abuse screening for employment?
Which of the following regulations set the minimum standards for medical laboratory practice and quality?
Which of the following actions should the phlebotomist take when disposing of a needle following a venipuncture?
The phlebotomist is drawing blood on an 88-year-old patient that has multiple skin tears. Which of the following should be used to secure the 2X2 gauze sponge?
After selecting the appropriate location to collect a blood sample, how many inches above that location should the phlebotomist tie the tourniquet?
After the phlebotomist has introduced herself and identified the patient, she should next?
The phlebotomist preps the median cubital vein for a venipuncture procedure. How should the phlebotomist prep the patient's skin?
To help prevent a hematoma at the site after drawing blood, which of the following actions should the phlebotomist take?
The physician orders a hemoglobin level to be checked on a 2-month-old patient. Which of the following sites should the phlebotomist use to obtain the specimen?
A finger stick capillary puncture should be performed at which of the following sites to prevent injury?
While performing a venipuncture using an evacuated tube, a small amount of blood enters the tube and then stops. Which of the following conditions is most likely to have caused this?
Which of the following conditions may occur if a tourniquet is left in place on a patient's extremity for longer than 60 seconds?
A centrifuge functions is which of the following ways?
Which of the following is the correct order of PPE removal prior to leaving the exam room of a patient who is in contact-droplet isolation?
According to the American Hospital Association, if a Spanish-speaking patient is not provided a translator although one was requested? This would be considered a violation of?
Which of the following organizations makes on-site visits to inspect phlebotomy laboratories?
It is appropriate for the phlebotomist to use an alcohol-based hand rub as the only method of hand hygiene after which of the following activates?
Which of the following precautions should be used for a patient with pulmonary TB?
Which of the following would be considered a hospital acquired infection?
Which of the following standards are being violated when a phlebotomist fails to use proper hand washing technique?
Which of the following actions by the phlebotomist is the first line of defense in preventing the spread of microorganisms?
Which of the following is included in an exposure control plan?
The Needlestick Safety & Prevention Act exists to protect healthcare workers from accidental exposure to?
A phlebotomist must follow transmission based precautions for which of the following patients?
A physician orders a CBC and glucose tolerance test. Which of the following is the correct tube selection and order of draw?
Which of the following is the appropriate blood collection device for obtaining a PKU on an infant?
Which of the following is the CLSI recommended micro-collection order of draw for a BMP, CBC, and bilirubin?
The patient was sent to the lab to have lavender, light blue, green, and gray. Place the evacuated tubes in the correct order of draw.
Following an uncomplicated venipuncture, the patient is still bleeding after three minutes of continuous pressure by the phlebotomist. The phlebotomist asks the patient if she is on anticoagulants. The patient indicates that she is, and states that this is normal for her. How should the phlebotomist proceed?
A phlebotomist has received a requisition for a blood draw on a patient with a coagulation disorder. The phlebotomist should be sure to
If a patient has measles, which of the following is a required additional precaution?
When a phlebotomist enters a patient's room to collect a STAT blood sample, a sign above the bed states that all collections should be from the patients central port. Which of the following should the phlebotomist do next?
Which of the following actions is a HIPAA violation?