Phlebotomy Final Exam Practice Flashcards - Easy Notecards

Phlebotomy Final Exam Practice Flashcards | Easy Notecards 8/28/17, 3:34 PM
Phlebotomy Final Exam Practice
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1 Phlebotomists are Represent the

an important part of laboratory and the
the health care institution, are in direct
team because they contact with the patient,
and perform tasks that are
critical to the patient's
diagnosis
Search 2 Phlebotomists Collecting venous blood

often have many samples
duties and tasks.
Create Cards Which is the
primary duty?
Home
Notecards 3 Which laboratory Pathologist

employee has the
Books most education
and is usually a
http://www.easynotecards.com/notecard_set/45124 Page 1 of 70
and is usually a
Classes
consultant to other
Bingo Rooms physicians?
4 When a patient Try to convince the

Sign In refuses to have patient to have blood
blood drawn, the drawn
phlebotomist
should do all of the
following EXCEPT
5 The most common Administrative

source of
laboratory error is:
6 What laboratory Immunohematology

department tests a
type and cross-
match?
7 A geriatric patient An elderly patient

is:
8 Perhaps the single Patient identification

most important
About Terms & Policies 2016 step in phlebotomy,
and often where an
error occurs, is:
9 Therapeutic Polycythemia Vera

phlebotomy is
performed as a
treatment for
patients with:
10 What laboratory Cytology

department does
the Pap test?
11 The hematocrit test Hematology

is performed in
what department of
the laboratory?
12 What hospital Neonatal

department cares
for newborn
infants?
13 What hospital Nephrology

department cares
for patients with
cancer?
14 Where in a hospital Obstetrics

would you find a
patient in labor for
childbirth?
15 Where in a hospital Orthopedics

would you find a
patient with broken
bones?
16 Which is the College of American

organization that Pathologists (CAP)
does quality
checks of the
laboratory through
surveys and
samples?
17 Which is a quality Continuous quality

assurance plan improvement
that not only aims
to meet minimum
to meet minimum
standards, but also
seeks to constantly
improve
performance?
18 What is the type of Centralized phlebotomy

phlebotomy where
the phlebotomist is
part of the
laboratory team
and is dispatched
to the nursing units
from the
laboratory?
19 An unexpected Sentinel Event

occurrence in a
health care facility
that involves death
or serious
psychological injury
is
20 What should you Wash your hands and

do if you clean and bandage the
accidentally stick puncture site. Record the
yourself with a patient's name and ID
contaminated number, report the incident
needle? to your supervisor, and fill
out an incident report
21 Handwashing: Is the best way to

prevent the spread of
infection
22 Which disease Tuberculosis

requires the use of
respiratory
(airborne)
(airborne)
precautions?
23 The primary Prevent the spread of

purpose of communicable disease
infection control is: within health care facilities
24 What disease is AIDS

NOT a vaccine-
preventable
disease?
25 Gloves should be During ALL

worn: venipunctures and
capillary punctures
26 The single most Handwashing

important way to
prevent the spread
of infection in a
hospital or other
health care facility
is:
27 The name given to Hospital Acquired

an infection that a (Nosocomial)
patient acquires 48
hours or more after
admission to a
hospital is:
28 Which of the HBV Vaccine

following is NOT
classified as a
personal protective
equipment (PPE).
29 A potential source None (The phlebotomist

of infectious is considered a potential
of infectious is considered a potential

material from a source of infection to the
patient in protective patient)
isolation includes:
30 Aerosols call be Centrifuging open

produced by: serum tubes, popping
the top off blood tubes, and
pouring off a serum
samples
31 Standard Gloves
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?
32 According to ALL blood and body

Standard fluids
Precautions, blood
and body fluids
from which group
are considered bio
hazardous?
33 According to Discarded intact

Standard
Precautions, all
used needles are
to be disposed of in
the following
manner:
34 A person who has Edematous

a buildup of fluids
in their entire body
in their entire body

is known to be:
35 Anatomy is the Shape and structure of

study of the: the body
36 The study of the Physiology

function of each
body part and how
the functions
coordinate is
called?
37 The part of the cell Nucleus

that controls the
activities of the cell
(brain of the cell) is
the:
38 The system Muscle

responsible for
body movement is?
39 Skeletal muscle is Voluntary

also known as?
40 Lymph fluid is also Interstitial

called?
41 When the body Homeostasis

systems work
together to form a
steady state, it is
referred to as?
42 The process of Anabolism

using simple
substances to build
substances to build
more complex
substances is
called?
43 The process of Catabolism

producing energy
by breaking down
complex
compounds is?
44 The process of Metabolism

making substances
or breaking down
substances so that
the body can
functions is?
45 The channel for Endoplasmic Reticulum

transporting
material in and out
of the nucleus is
the?
46 The cell structure Lysosomes

that digests
enzymes and
breaks down
cellular
components is the?
47 The tissue that Epithelial tissue

protects the body
by covering internal
and external
surfaces is?
48 What supports and Connective tissue

connects organs
and tissues?
49 Which type of Cardiac, skeletal, and

muscle makes up smooth
the muscles of the
body?
50 The layer of the Dermis

integumentary
system that
contains the blood
system is the?
51 The process in Internal Respiration

which oxygen-rich
blood diffuses into
tissue cells is?
52 The most common Diabetes

disorder of the
endocrine system
is
53 The axial skeleton Protection to parts of

is responsible or the body
located in
54 The function of the Fight infection

leukocytes is to
55 What is the Plasma contains

difference between fibrinogen, serum does
plasma and not
serum?
56 The life span of the 120 days

red blood cell is
approximately?
approximately?
57 The function of the Carry oxygen

erythrocyte (Red
Blood Cell) is to
58 The buffy coat Leukocytes and

consists of thrombocytes
59 What is the Hemoglobin

substance in
erythrocytes that
carries oxygen?
60 Which cell Platelets

contributes most to
blood clotting?
61 Where does the Sinoatrial node

electrical impulse
start in the heart?
62 Which blood Arteries

vessels generally
carry blood that is
high in oxygen?
63 Blood flows from Pulmonary artery to the

the right atrium into lungs
the right ventricle.
From this point, it is
pumped through
the?
64 The tricuspid and Heart

bicuspid valves are
associated with
the?
the?
65 When a patient has Patient is more

had a mastectomy, susceptible to infection
venipuncture
should be avoided
on the affected
side because?
66 Why does the left To pump blood to all

ventricle of the parts of the body
heart have such a
thick muscular
wall?
67 The main function Transportation

of the circulatory
system is to
provide
68 The ventricles of Pumping blood

the heart are
principally
responsible to
69 Unoxygenated Superior vena cava

blood from the
head and neck
region returns to
the heart via?
70 What does NOT Pulmonary artery

carry oxygenated
blood
71 Which is referred to Sinoatrial node

as the pacemaker
of the heart?
72 What is the They supply

function of the oxygenated blood to the
coronary arteries? heart muscles
73 What happens Myocardial infarction

when a coronary
artery becomes
occluded?
74 The fluid portion of Plasma

anticoagulated
whole blood that
contains fibrinogen
is called the?
75 The formed Plasma, buffy coat, and

elements of blood erythrocytes
found inside a tube
drawn with an
anticoagulant are
76 The formed 45%

elements make up
about_____
percent of the
whole blood
volume
77 Five components WBC, RBC,

that are found in a Hemoglobin,
CBC with diff. are? Hematocrit, Differential
78 Which bore 23-gauge needle

(diameter) of the
needle is the
smallest?
79 The common 20, 21, or 22 gauge

79 The common 20, 21, or 22 gauge

needle gauges
used for drawing
blood with an
evacuated system
are?
80 Through which size 20

needle will blood
flow the fastest?
81 The unit of liquid Liter

volume in the
metric system is
the?
82 The gauge of the Smaller the diameter of

needle indicates the bore
the following
relationship: the
larger the gauge
number, the:
83 In general, a Requests for multiple

syringe is used testing, requiring
when drawing different anticoagulants
specimens and/or and multiple tubes
patients EXCEPT
for?
84 Which EDTA, Oxalate, and

anticoagulant Lithium heparin
prevents
coagulation of
blood by removing
calcium through
the formation of
insoluble calcium
salt?
85 You are preparing Evacuated tube system

to draw blood for
multiple tests in
several tubes. The
best and most
cost-efficient
technique would
be?
86 The anticoagulant Preventing the

heparin is used for conversion of
blood gases and prothrombin to thrombin
other chemistry
tests. It works by?
87 10mL is the same 10cc

as?
88 Blood is needed for Light blue

routine bleeding
and coagulation
studies (PT, PTT).
Which color tube
top is to be used
89 When serum is Red

needed for testing
which tube listed
should be used?
90 The anticoagulant EDTA

preferred for
hematology testing
is?
91 An arterial Higher pressure in the

puncture is more arteries
puncture is more arteries

likely to result in a
hematoma than a
venipuncture is
because of?
92 Which arteries are Femoral

least suitable for
drawing blood
gases?
93 Which statement is Collateral circulation

true about arterial should be checked
punctures? before drawing, Heparin is
the anticoagulant of choice,
and the site must be held
at least 5 minutes after
completing the puncture
94 A patient has a Perform the Allen test

negative Allen test. on the other arm
What should you
do?
95 The artery that lies Radial

on the thumb side
of the wrist is the?
96 If the blood is Collapse

drawn too quickly
from a vein, the
vein will have a
tendency to?
97 The bevel of the Should always be facing

needle up when inserted into
the skin
98 Under which of the Edematous arm, arm

98 Under which of the Edematous arm, arm

following conditions with IV, and a
would you avoid a hematoma
site for a
venipuncture?
99 When drawing Identify the patient

blood samples,
which of the
following should be
performed first?
100 What is the primary Wristband and patient

source of verification of name
information when
labeling a patient
sample in the
hospital?
101 An arterial Arteries have higher

puncture site is pressure than veins
more likely to bleed
because?
102 Venipuncture is Medial cubital

usually performed
in the antecubital
area. Which vein is
usually the best to
draw from?
103 The doctor orders Blood culture, light blue,

a CBC, serum drug red, lavender
level, PT and a set
of blood cultures.
What is the order
of draw?
104 What can happen if Hemoconcentration
the tourniquet is
left on to long
before drawing
blood?
105 Which two arteries Radial and Ulnar

are occluded when
the Allen test is
performed?
106 Once an arterial 5 minutes

blood sample is
obtained, the
puncture site
should have
pressure held for at
least?
107 As a general rule, Twice

you should not
stick a person
more than ____ in
an attempt to
obtain blood?
108 Serum is described Bilirubin, causing

is icteric in the jaundice
presence of
increased?
109 Serum is described Lipids in a nonfasting

as lipemic in the sample
presence of
increased?
110 Serum is described Hemoglobin from

as hemolyzed in ruptured RBCs
the presence of
increased?
increased?
111 Why is the first To remove heparin or

tube discarded saline contamination
when you are
drawing from an
indwelling line?
112 The purpose of the Check for collateral

Allen test is to? circulation through the
ulnary artery before
sampling the radial artery
113 The following items The patients complete

are minimum name, the identification
requirements for number, date, time of
sample labeling? collection, and collectors
initials
114 A patient sitting in a Placing a cold

chair has fainted. compress on the back
Possible of the patients neck,
acceptable actions putting the patients head
by the phlebotomist between his/her knees, or
include? call for assistance
115 Which is generally Hematoma

the most common
complication from
phlebotomy?
116 A phlebotomist is Nothing else is

requested to draw necessary
an unconscious
patient. The
patient's name and
identification
number on the
armband agree
armband agree
with the information
on the request form
and computer
labels. What else
should be done to
ensure patient
identification?
117 A conscious patient Do not draw the patient

does not have an until an armband has
identification been applied
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?
118 An unconscious, Use a three-part

unidentified man is identification system
admitted to an that utilizes a temporary
emergency trauma armband and labels for
center. What would specimens and blood to be
be the system of transfused.
choice to ensure
patient
identification?
119 To fill an evacuated Use a transfer device by

tube with blood removing the syringe
from a syringe, the needle after the safety
phlebotomist shield has been engage
should: and then attaching the
syringe to the transfer
device for filling the
evacuated tubes.
120 In what order Light blue, serum, green

should a serum and lavender
(SST) tube, a
green tube, light
blue tube and a
lavender tube be
filled from a
syringe?
121 A patient comes to Ask another

have a monthly phlebotomist to try
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?
122 In performing an 45-degree angle of

arterial puncture, insertion with the bevel
you should of the needle facing the
puncture the artery elbow
using a:
123 Which of the The first drop of blood

following is true should be wiped away.
about
microcapillary
collection?
124 Which of the Neonatal screening

following neonatal
tests is required by
tests is required by
law?
125 The safe area of The most medial and

heel puncture on lateral portion of the
an infant is: plantar surface
126 The depth of cut 2.0mm

made by a
puncture device for
a heel stick on a
full-term infant
should be no more
than:
127 What can happen if The sample will be

you squeeze the diluted with tissue fluid,
patient's finger too and hemolysis can occur
vigorously during a
capillary puncture?
128 Why must the first To remove tissue fluid

drop of blood from
a capillary puncture
be wiped away?
129 You are to collect Lavender top

by fingerstick a
green top, a
lavender top, and a
red top
microcollection
container. What
microcontainer do
you collect first?
130 When doing Child and the parent

venipuncture on a
child, whom should
you talk to and
you talk to and

explain the
procedure to?
131 In a skin puncture Squeezing the heel or

procedure, finger too hard
hemolysis can
occur from:
132 Warming the skin Increases the blood flow

puncture site: through the arterioles
and capillaries sevenfold
133 Skin puncture Hemolysis

blood is more likely
to be contaminated
by:
134 A CBC is collected The blood was collected

by fingerstick from too slowly and partially
a patient. The clotted in the collection
results of the CBC container.
show a lower WBC
and platelet count
than blood
collected the
previous day. What
caused this
change?
135 Children The first 2 years

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?
136 Children Ages 2 to 6

understand illness
in different ways.
What age group
might think that an
illness is a
punishment for
being "bad"?
137 At what age does a Ages 6 to 9

child start to
understand the
mechanics of
health and how
procedures help
lead to a cure?
138 Children Ages 10 and above

understand illness
in different ways.
At what age would
a child start to
understand illness
and why he or she
does not feel well?
139 The idea of moving Distraction

the child's attention
from the procedure
to something else
is called:
140 What is the best Parent or caregiver

way to restrain a holds the child
child?
141 What is the best Patience and

technique the understanding
phlebotomist can
use for a safe and
successful
venipuncture?
142 Dorsal vein blood Hand

collection uses a
vein in the
patient's:
143 Glycolysis A decrease in serum

occurring in a tube glucose concentration
of unseparated
blood will cause:
144 What does NPO Nothing by mouth

mean?
145 The glucose Is performed to aid in

tolerance test? the diagnosis of
diabetes mellitus
146 You receive an Draw blood in a

order to draw a lavender tube and send
STAT CBC. Your it to the lab promptly
responsibility is to?
147 What is the major Patient cooperation is

drawback of a 24- essential and is often
hour urine hard to get.
collection?
148 A test performed Postprandial

after a meal is
called:
149 The process for Blood culture collection

prepping the
puncture site for
this procedure is
similar to that for
an arterial
puncture. What is
the procedure?
150 Which test is NOT Glucose

usually done to
detect clotting
problems?
151 The gray top tube Glucose

is usually drawn for
which test(s)?
152 Which of the You should touch the

following drop of blood with the
statements filter paper, a stopwatch
concerning should be started at the
bleeding time same time as the puncture
testing is true? is made, and it is used to
assess platelet functions
153 The glucose Administration of

tolerance test glucose and multiple
includes: timed blood draws
154 What is the To assess platelet

purpose of the function
bleeding time test?
155 Hypoglycemia is a Low blood sugar

condition of:
156 What is the best A clean-catch

sample for urine midstream urine sample
collection?
157 The patient's The patient ate before

fasting glucose can having blood drawn
be elevated if:
158 Disturbing the Falsely elevated

platelet plug on a
patient while
performing a
bleeding time will
cause the results to
be:
159 A properly May contain a chemical

collected 24-hour preservative
urine sample:
160 The most common Improper skin

cause of blood preparation
culture
contamination is:
161 In which test Blood alcohol level

should alcohol
NEVER be used to
cleanse the
venipuncture site?
162 Glucose tolerance Timed sample

tests and
therapeutic drug
monitoring tests
have which of the
following collection
requirements in
requirements in
common?
163 When blood is Trough level

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:
164 The results of a Exercise, stress and

test can change posture
because of:
165 Citrate tubes must 10

be within _____
percent of full to
give accurate
results.
166 Circadian changes Cyclical changes

are best described throughout the day
as:
167 Protecting a Placing the sample in

sample from light is an amber-colored tube,
best done by: or wrapping aluminum foil
around the sample
168 Samples may be The sample was drawn

rejected for testing above a running IV, the
if? sample was not labeled
with the patients complete
with the patients complete

name and an
anticoagulated sample had
a clot
169 Which occurrence Clot in a red, black, or

is NOT a cause of gold top tube
sample rejection?
170 The most critical Patient identification

step in phlebotomy
is:
171 Which statement Samples of low quality

best summarizes can produce inaccurate
the quality of blood and potentially dangerous
samples? results
172 If the tourniquet is Potassium

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?
173 Preexamination The patient eating a

errors are variables candy bar when the test
that occur to a is supposed to be fasting
sample before the
sample is tested.
The type of error
caused by a patient
would be:
174 Preexamination The phlebotomist

174 Preexamination The phlebotomist

errors are variable putting the incorrect
that occur to a name on the tube of blood
sample before the
sample is tested.
The type of error
caused by a
phlebotomist would
be:
175 Preexamination The tube breaking in

errors are variables transport
that occur to a
sample before the
sample is tested. A
transportation error
would be:
176 To achieve quality Know what the

customer service, customer wants,
the phlebotomist determine the level of
must meet what service received, and take
customer needs? action to satisfy the
customer
177 When two people Background, education,

are experience
communicating,
they understand
each other when
they have a
common
understanding.
This common
ground is based on
three frames of
reference:
178 The phlebotomist Accommodator

who tends to
who tends to
smooth over a
conflict is known as
a(n):
179 Unconscious Kinesics

postures, gestures,
and facial
expressions are
known as:
180 Which is a barrier The patient has a

to communication? hearing impairment, the
patient is unconscious or
the patient is unable to
speak English
181 Which would NOT Problems phlebotomist

be part of patient has at home
satisfaction?
182 The average 500-600;100-200

person can listen at
the rate of
approximately
_____words per
minute and can
speak at the rate
of____words per
minute.
183 Eye contact is a Nonverbal

method of communication
___________com
munication
184 The OIG is the? Office of Inspector

General
185 Of the three Furnishing the physician

situations listed, with the blood collection
which one is tubes that are returned to
compliant with the the furnishing laboratory for
Antikickback Law? testing
186 A patient is having Call the ordering

blood collected and physician to see if this is
asks the permissible
phlebotomist to
have a copy of the
results sent to a
physician who was
not listed on the
requisition. What
should the
phlebotomist do?
187 A patient's Personal health

information that is information (PHI)
connected to their
medical information
is:
188 An associate is 6 months

hired as a
phlebotomist and
completes the
initial training and
competency
certification. When
will the next
competency
certification be
needed?
189 To demonstrate All age groups

competency, a
phlebotomist must
phlebotomist must
verify the ability to
collect blood
samples from what
age group?
190 The competency All the steps involved in

assessment check- completing the
off form must procedure
include what
information?
191 In most health care Start an IV

facilities, a
phlebotomist would
NOT be authorized
to:
192 A competency Customer service,

program should safety, and computer
verify the use
competency of a
phlebotomist in the
area(s) of:
193 Phlebotomists Certification

certified with ASCP maintenance program
after January 2004
must maintain their
certification
through the:
194 For a phlebotomist Obese patients,

to be fully different age patients
competent the and psychiatric patients
phlebotomist must
be competent in:
195 Which of the Strep test and urine dip

following POC
laboratory tests is
within the CLIA
defined scope of
practice for a
phlebotomist?
196 The phlebotomist is Explain the procedure

performing a and reassure the child
venipuncture on an that the parent can stay
apprehensive with her
school age child.
Which of the
following
approaches should
the phlebotomist
use to calm the
child?
197 Which task should Perform QC on the

a phlebotomist instrument
complete prior to
daily use of a POC
instrument?
198 A patient brings in Refer the patient to the

written lab tests physician for
results, including a interpretation of all results
mix of POC and
higher complexity
tests, and asks the
phlebotomists for
help with
interpretation.
Which of the
following should
the phlebotomist
do?
199 Which of the Performing CLIA

199 Which of the Performing CLIA

following is outside moderate complexity
the scope of tests
practice for a
phlebotomist?
200 Which if the Blood alcohol and Drug

following testing
specimens require
the phlebotomist to
follow chain-of-
custody
documentation
procedures?
201 Which of the Checking the expiration

following QC dates of venipuncture
measures are supplies, Monitoring
within the temperatures of specimen
phlebotomists refrigerators, and routine
scope of practice? cleaning of surfaces where
specimens are processed.
202 At which of the While in the patients

following times room, after drawing the
should a test tube blood.
be labeled with the
patients
identifications?
203 Instead of The Patient's Bill of

obtaining consent Rights
from a patient who
is mentally
competent, the
phlebotomist
obtains consent
from a family
member. This is a
violation of?
violation of?
204 The phlebotomist is Implied consent

asked to draw
blood on a non-
responsive patient
in an emergency
department. This
draw would be
conducted under?
205 A patient presents Informed consent

to have a
diagnostic HIV test
drawn. Which of
the following forms
of consent must
the phlebotomist
obtain prior to
venipuncture?
206 A 19-year-old Implied consent

patient offers her
arm to the
phlebotomist when
she comes in with
a venipuncture
tray. This is an
example of?
207 Which of the Chemical urinalysis

following is a CLIA
waived test that
can be performed
by the
phlebotomist?
208 Commitment to The Patient's Bill of

privacy, continuity Rights
of care, advance
directives, and the
authority to refuse
treatment are
granted according
to which of the
following?
209 While giving a Report the incident to

patient an injection, the supervisor
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?
210 A phlebotomist has The phlebotomist may

active symptoms of perform venipuncture
the common cold. provided he is wearing a
Under which of the mask and afebrile
following conditions
may he perform
venipuncture?
211 Which of the "I will wear a gown,

following gloves, and mask for
statements by a inpatient collections."
new phlebotomist
indicates the need
for further
education on
education on
standard
precaution?
212 An immunization is Hepatitis B

currently available
for prevention of
which of the
following
bloodborne
diseases?
213 Which of the Gloves only

following is the
minimum PPE
requirement when
drawing lab work
on a patient with
suspected HIV?
214 Which of the Use a broom and dust

following best pan to sweep up the
describes the glass and fragments and
proper way to place in a sharps container
clean up a broken
glass tube?
215 The phlebotomist Droplet

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
protective
equipment: gown,
gloves, and mask.
Which of the
following types of
precaution is being
used for this
patient?
216 The phlebotomist is A biohazard waste

preparing to container
remove her gloves
after a
venipuncture and
notices blood on
the gloves. Where
should the
phlebotomist
dispose of her
gloves.
217 If a phlebotomist MSDS

has questions
about disposing of
outdated
hazardous
chemicals, where
should she look to
find this
information?
218 Keeping Medical asepsis

contaminated
equipment and
supplies away from
the phlebotomists
clothing to prevent
pathogen
transmission to the
next patient is an
example of which
example of which
of the following?
219 Which of the Annual employee safety

following is a training
requirement for a
healthcare facility
to be in compliance
with OSHA?
220 Which of the Light blue, sodium

following tube and citrate
additive
combinations
should be used for
a PT/INR test?
221 For which of the A yellow tube with SPS

following tubes
must the
phlebotomist prep
the site with
povidone iodine or
chlorhexidine?
222 The phlebotomist is Red tube

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?
223 A phlebotomist has 1.00mm lancet

A phlebotomist has 1.00mm lancet

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?
224 Using the Review the

guidelines for any requirements for
method of collecting and handling the
venipuncture, after blood specimen as ordered
confirming patient by the physician
identity which of
the following
actions should the
phlebotomist
perform first?
225 The phlebotomist is Heel stick lancet

instructed to
preform a capillary
stick for newborn
screening. Which
of the following
collection devices
should the
phlebotomist use?
226 The physician has Blue, Lavender

ordered a
prothrombin time
(PT) and complete
blood count (CBC)
for an adult patient
with a diagnosis of
thrombophlebitis.
thrombophlebitis.
The phlebotomist
should collect the
evacuated tubes in
which of the
following orders?
227 The phlebotomist Elevate the arm while

applies pressure to applying pressure
the venipuncture
site using gauze.
After two minutes
he observes that
the bleeding has
not stopped. The
next appropriate
action would be to?
228 A patient on Light blue top

coumdin therapy is
at the lab for their
weekly coagulation
test. Which of the
following tubes
should the
phlebotomist
collect for this test?
229 A physician has Light blue, Red, and

orders a STAT Lavender
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?
230 A CMP is ordered Butterfly needle

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?
231 When inspecting a Butterfly needle

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?
232 Which of the Apply a warm compress

following actions to the area for 5
should the minutes
phlebotomist take
to make a vein
more prominent
when attempting to
select a
venipuncture site?
233 Which of the Gently invert the tube

following actions after collecting the
should the specimen
should the specimen

phlebotomist take
to decrease the
potential for
hemolysis of a
blood specimen in
an EDTA tube?
234 For which of the Newborn with

following patients is hyperbillirubinemia
the use of an
adhesive bandage
contraindicated?
235 Grey-topped Destroys many

sodium fluoride enzymes
tubes should not
be used to collect
alanine
aminotransferase
(ATL) or aspartate
aminotransferase
(AST) because the
anticoagulant
236 A 2-week-old infant Capillary using heel

has been brought puncture lancet
in the lab for a
repeat
PKU/neonatal
screening. Which
of the following
collection
procedures is
appropriate to
collect the
specimens?
237 A phlebotomist Re-position the needle

working in a and recollect the
working in a and recollect the

hospital is lavender tube
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?
238 The phlebotomist is Do not bandage

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?
239 During palpation of Choose a different

a large vessel in collection site
a large vessel in collection site

the forearm, the
phlebotomist
detects a vibration
sensation. The
phlebotomist
should then
240 The phlebotomist Increased risk of nerve

notes the patients damage, and increased
arm is scarred in risk of arterial involvement
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?
241 After a phlebotomy Hemoconcentration

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?
242 Which of the Plantar surface of the

following sites heel
following sites heel

should the
phlebotomist use
for newborn
screening blood
collection?
243 A patient with an Microcollection

order for a blood container
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?
244 When performing Right antecubital fossa

venipuncture on a
patient with a left
mastectomy, which
of the following
sites should the
phlebotomist use?
245 Which of the Identify the patient

following steps is
completed first in
performing
venipuncture?
246 The phlebotomist is 8-12 Hours

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?
247 Which of the Insurance number

following
information is
contraindicated for
patient
identification at the
time of draw?
248 Which of the Cephalic

following veins
would generally be
acceptable for
routine blood
collection by the
phlebotomist?
249 When performing a Plantar surface of the

capillary puncture heel
on an infant, which
of the following is
the preferred site?
250 Which of the Povidone Iodine

following is a site
preparation
solution required
for collecting blood
cultures and blood
alcohol levels?
251 Which of the "May I have your name

251 Which of the "May I have your name

following please?"
statements
represents correct
patient
identification for a
phlebotomist is an
outpatient setting?
252 Which of the Dorsal side of the hand

following is an
appropriate draw
site for an adult
patient with a
central line?
253 The phlebotomist Refer the draw to the

received a nurse
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?
254 The patient on Left ring finger

hemodialysis with a
left AV shunt has
undergone a right
sided mastectomy
and has an order
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?
255 Capillary blood are extremely obese

specimens are
most likely to be
successfully
collected from
patients that
256 The phlebotomist Falsely elevated K

applies the levels from tissue
tourniquet, but than damage
has trouble
relocating the vein
after several
minutes of
palpation. Which of
the following is an
expected outcome
in these test
results?
257 The phlebotomist Light blue, and SST

has a requisition
for chemistry and
coagulation testing.
Which of the
following is the
correct tube
selection and order
selection and order

of draw?
258 On the initial Explain to the patient

attempt the that a bruise may be
phlebotomist went likely, but it should be gone
through the vein, within a few days.
but was able to pull
back on the needle
and successfully
collect the
specimen. Which
of the following
should the
phlebotomist do
next?
259 The phlebotomist Immerse the specimen

has collected an in an ice and water
ammonia level. slurry
Which of the
following should be
done regarding
transport of the
specimen?
260 The phlebotomist Yellow, light blue,

needs to draw a lavender, and grey
blood culture,
sedimentation rate,
PTT, and a glucose
test. Which of the
following is the
correct order of
draw?
261 A phlebotomist has Confirm hemolysis and

completed a draw apply gauze with paper
on a patient. After tape
the blood is drawn
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?
262 Which of the Position the lancet

following should across the fingerprint
the phlebotomist lines
do when collecting
blood via finger
stick?
263 The phlebotomist is Right arm distal to the

asked to draw IV site
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
264 A phlebotomist is Light blue, green,

asked to collect a lavender
CBC, PT,
electrolytes, and a
BUN. The correct
order of draw for
this collection is?
265 A phlebotomist has Protect the specimen
received a from light

requisition to draw
a bilirubin on an
infant with
jaundice. The
phlebotomist
should?
266 A phlebotomist Maintain the specimen

receives an order at 37 degrees Celsius
to collect a cold
agglutinin
specimen. The
phlebotomist
should?
267 An older adult Draw blood from the

patient arrives to hand using a winged
have blood drawn. infusion set
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?
268 While performing a Release the tourniquet

venipuncture,
immediately before
removing the
needle, the
phlebotomist
should?
should?
269 The phlebotomist Blood culture bottles,

has an order to light blue, red, lavender
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.
270 An infant is brought Apply a warm compress

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?
271 When inserting a Up

needle during
venipuncture, the
bevel should be in
which of the
following positions
in relation to the
vein?
272 Forceful shaking of Hemolysis

blood in an
evacuated
evacuated
collection tube will
cause which of the
following
complication?
273 The physician Blood culture, Red top,

orders the following Lavender top
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?
274 A patient shares Encourage the patient

with the to lie down during the
phlebotomist the venipuncture
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?
275 When performing a The small amount of

capillary puncture tissue between the skin
on an infant, which and bone in the finger
of the following is makes an injury to the
the reason for bone likely.
the reason for bone likely.

using the lateral
heel instead of a
finger?
276 When a complete Tubes without additives

metabolic serum should be drawn before
profile (CMP) and tubes with additives
complete blood
count (CBC) are
ordered at the
same time, why
would the CMP be
drawn first?
277 Which of the The tissue surrounding

following these veins is less
statements best sensitive, making the
describes the procedure less painful
reason antecubital
veins are most
desirable to use
when performing
venipuncture?
278 Which of the Light blue top

following
evacuated tubes
should the
phlebotomist draw
first?
279 Capillary blood Have edema of the

specimen hands and feet
collection is
contraindicated in
patients that
280 Which of the They can easily be
following is the contaminated

reason blood
cultures are
typically drawn
first?
281 After performing a Create a hematoma

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?
282 While performing a 2.0mm

capillary stick on a
six-month-old
infant's heel, the
lancet should be no
longer than?
283 Which of the One minute

following is the
maximum time the
phlebotomist
should leave a
tourniquet secured
in place on a
patient's arm when
performing a
venipuncture?
284 Which of the The first drop of blood

following is the may contain traces of
following is the may contain traces of

reason for wiping tissue fluids
off the first drop of
blood from the
patient's finger with
gauze when
performing a
capillary puncture?
285 Venipuncture An elbow splint

should be avoided
on an arm with
286 Which of the Collector's identification

following must be
included on a
specimen label
once it has been
filled with blood?
287 Which of the Pulling the skin taunt

following and firmly anchor the
techniques should vein
the phlebotomist
use when
collecting a blood
specimen from a
geriatric patient?
288 Which of the 1.) Hold pressure and

following should elevate the patient's
the phlebotomist arm, 2.) Wait for bleeding
do after drawing to stop, 3.) Apply a
blood from a pressure dressing over the
patient on site
anticoagulant
therapy?
289 In the middle of a 1.) Call for help and 2.)

In the middle of a 1.) Call for help and 2.)

blood draw the Protect the patient's
patient experiences head and lower her to the
a seizure. Which of floor
the following
should the
phlebotomist do
after removing the
tourniquet and
withdrawing the
needle?
290 During a blood Release the tourniquet,

draw, a patient withdraw the needle,
begins complaining and apply pressure
of discomfort and
tingling, at which
time the
phlebotomist
notices bruising
and discoloration at
the site. How
should the
phlebotomist
proceed?
291 During the Decreased cell counts

transport of blood
specimens the
blood begins to
freeze. How will
this affect the test
results?
292 While performing a Hematoma

venipuncture, the
phlebotomist
removes the filled
tubes, but forgets
to remove the
tourniquets prior to
tourniquets prior to
needle withdrawal.
Which of the
following is the
most likely result?
293 The patient reports Remove the tourniquet

feeling faint, and
slumps forward
during a
venipuncture. After
calling for
assistance, which
of the following
actions should the
phlebotomist take
next?
294 When performing a Release the tourniquet,

venipuncture, remove the needle, and
sudden swelling is immediately apply pressure
observed at the at the site
insertion site.
Which of the
following actions
should the
phlebotomist take?
295 Which of the Blood pressure cuff

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?
296 While performing a Brachial artery

296 While performing a Brachial artery

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?
297 After centrifuging a The specimen is

blood specimen, hemolyzed
the phlebotomist
notes the serum
has a reddish
appearance. Which
of the following has
occurred?
298 While obtaining Discontinue the

blood during a venipuncture and call
venipuncture, the for help
patient faints.
Which of the
following actions
should the
phlebotomist take
initially?
299 Which of the Check controls on

following actions is urinalysis dipsticks daily
an example of
compliance with
Quality Control
(QC) guidelines for
(QC) guidelines for

phlebotomy?
300 Which of the Chain-of-custody

following forms is
the phlebotomist
responsible for
having the patient
sign when a
specimen is being
collected for
substance abuse
screening for
employment?
301 Which of the CLIA

following
regulations set the
minimum
standards for
medical laboratory
practice and
quality?
302 Which of the Place the needle with

following actions safety device activated
should the immediately in a sharps
phlebotomist take container
when disposing of
a needle following
a venipuncture?
303 What does the The type or absence of

color of an an additive
evacuated
collection tube
represent?
304 The phlebotomist is Rolled gauze

The phlebotomist is Rolled gauze

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?
305 The rubber sleeve Multiple use

at the end of a
venipuncture
needle allows for
306 Which of the Test priority

following should be
included on a
patient's laboratory
requisition?
307 After selecting the 3 to 4 inches

appropriate
location to collect a
blood sample, how
many inches above
that location should
the phlebotomist tie
the tourniquet?
308 After the Explain the procedure

phlebotomist has
introduced herself
and identified the
patient, she should
next?
309 The phlebotomist Use a circular motion,

preps the median from the inside out
preps the median from the inside out

cubital vein for a
venipuncture
procedure. How
should the
phlebotomist prep
the patient's skin?
310 To help prevent a Apply direct pressure

hematoma at the with cotton gauze
site after drawing
blood, which of the
following actions
should the
phlebotomist take?
311 The physician Hell of the foot

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?
312 A finger stick Slightly to the side of

capillary puncture the center of the
should be fingertip
performed at which
of the following
sites to prevent
injury?
313 Most laboratory Patient prep to lab

testing errors occur arrival pre-analytical
during the phase
314 While performing a Collapsing vein

venipuncture using
an evacuated tube,
a small amount of
blood enters the
tube and then
stops. Which of the
is most likely to
have caused this?
315 Which of the Venous stasis

may occur if a
tourniquet is left in
place on a patient's
extremity for longer
than 60 seconds?
316 A centrifuge Rotates to separate

functions is which components of a
of the following patients blood
ways?
317 Which of the Gown, Gloves, Mask

following is the
correct order of
PPE removal prior
to leaving the exam
room of a patient
who is in contact-
droplet isolation?
318 Which of the 21-23

following needle
gauges is most
commonly used for
venipuncture?
319 Negligence by Malpractice

health care
professional is
considered which
of the following?
320 According to the Patient's Bill of Rights

American Hospital
Association, if a
Spanish-speaking
patient is not
provided a
translator although
one was
requested? This
would be
considered a
violation of?

following
organizations
makes on-site
visits to inspect
phlebotomy
laboratories?
322 It is appropriate for Before putting on gloves

the phlebotomist to prior to veinpuncture
use an alcohol-
based hand rub as
the only method of
hand hygiene after
which of the
following activates?
323 Which of the Airborne and standard

following
precautions should
precautions should
be used for a
patient with
pulmonary TB?
324 Which of the A patient who contracts

following would be MRSA infection from a
considered a venipuncture
hospital acquired
infection?
325 A sharp may be Sheathed

disposed of
following a
venipuncture once
the needle is

following standards
are being violated
when a
phlebotomist fails
to use proper hand
washing
technique?
327 Which of the Perform regular hand

following actions by hygiene
the phlebotomist is
the first line of
defense in
preventing the
spread of
microorganisms?
328 Which of the Contaminated

following is needlestick injury
included in an evaluation process
exposure control
exposure control
plan?
329 The Needlestick Blood borne pathogens

Safety &
Prevention Act
exists to protect
healthcare workers
from accidental
exposure to?
330 A phlebotomist Patient with meningitis

must follow
transmission based
precautions for
which of the
following patients?
331 A physician orders Lavender, grey

a CBC and glucose
tolerance test.
Which of the
following is the
correct tube
selection and order
of draw?
332 Which of the Lancet

following is the
appropriate blood
collection device
for obtaining a PKU
on an infant?
333 Which of the Lavender, green, red

following is the
CLSI
recommended
micro-collection
order of draw for a
order of draw for a

BMP, CBC, and
bilirubin?
334 The patient was Light blue, green,

sent to the lab to lavender, and grey
have lavender, light
blue, green, and
gray. Place the
evacuated tubes in
the correct order of
draw.
335 Which of the Bilirubin

following is the
most common light
sensitive analyte
specimen?
336 Following an Hold direct pressure

uncomplicated until the bleeding stops,
venipuncture, the apply a bandage, and
patient is still notify the nurse
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?
337 A phlebotomist has Hold pressure on the

337 A phlebotomist has Hold pressure on the

received a draw site until bleeding
requisition for a has stopped
blood draw on a
patient with a
coagulation
disorder. The
phlebotomist
should be sure to
338 If a patient has N95 Respirator

measles, which of
the following is a
required additional
precaution?
339 When a Communicate the test

phlebotomist order to the nursing
enters a patient's staff and wait for one of
room to collect a them to collect the sample
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?
340 Which of the Disposing of extra

following actions is patient tube labels in a
a HIPAA violation? regular trash can
341 Which of the Folding the arms across

following is an the chest
example of
negative nonverbal
negative nonverbal
communication?

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Phlebotomy Final Exam Practice

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All Cards: 341

1 Phlebotomists are Represent the

Search 2 Phlebotomists Collecting venous blood

Notecards 3 Which laboratory Pathologist

4 When a patient Try to convince the

5 The most common Administrative

6 What laboratory Immunohematology

7 A geriatric patient An elderly patient

8 Perhaps the single Patient identification

9 Therapeutic Polycythemia Vera

10 What laboratory Cytology

11 The hematocrit test Hematology

12 What hospital Neonatal

13 What hospital Nephrology

14 Where in a hospital Obstetrics

15 Where in a hospital Orthopedics

16 Which is the College of American

17 Which is a quality Continuous quality

18 What is the type of Centralized phlebotomy

19 An unexpected Sentinel Event

20 What should you Wash your hands and

21 Handwashing: Is the best way to

22 Which disease Tuberculosis

23 The primary Prevent the spread of

24 What disease is AIDS

25 Gloves should be During ALL

26 The single most Handwashing

27 The name given to Hospital Acquired

28 Which of the HBV Vaccine

29 A potential source None (The phlebotomist

of infectious is considered a potential

30 Aerosols call be Centrifuging open

32 According to ALL blood and body

33 According to Discarded intact

34 A person who has Edematous

in their entire body

35 Anatomy is the Shape and structure of

36 The study of the Physiology

37 The part of the cell Nucleus

38 The system Muscle

39 Skeletal muscle is Voluntary

40 Lymph fluid is also Interstitial

41 When the body Homeostasis

42 The process of Anabolism

43 The process of Catabolism

44 The process of Metabolism

45 The channel for Endoplasmic Reticulum

46 The cell structure Lysosomes

47 The tissue that Epithelial tissue

48 What supports and Connective tissue

49 Which type of Cardiac, skeletal, and

50 The layer of the Dermis

51 The process in Internal Respiration

52 The most common Diabetes

53 The axial skeleton Protection to parts of

54 The function of the Fight infection

55 What is the Plasma contains