4.You are asked to draw for reticulocyte Count, what tube do you use?
Discuss
o A.
o B.
Green
o C.
o D.
Lavender
5.
You are asked to draw for Cortisol AM, General Health Panel and Partial
Thromboplastine Time (PTT) what is the order of draw
Discuss
o A.
o B.
o C.
o D.
6.
You are asked to draw for Blood Urean Nitrate (BUN), Bilirubin direct and CBC
what is the proper order of draw?
Discuss
o A.
o B.
o C.
o D.
7.
Whole Blood
Discuss
o A.
Blood from which all elements have been removed and replaced
o B.
Blood from which none of the essential platelet elements have been removed
o C.
o D.
Blood that is whole, complete and not void of white blood cells
8.
Who usually draws an ABG?
Discuss
o A.
Patient, respratory therapist
o B.
Phlebotomist, nurse
o C.
o D.
9.
White Cell Count
o A.
The number of WBC's (Basophils) found in the perepheral blood and measured
per cubic meter
o B.
The number of WBC's (leukocytes) found in the peripheral blood and measured
per cubic millimeter
o C.
The number of Platelets (leukocytes) found in the blood measured per millimeter
o D.
10.
Which way should the belvel be facing when entering in the arm?
Discuss
o A.
Downward
o B.
Sideways
o C.
Upwards
o D.
At a 90 degree angle
11.
Which tube(s) contain anticoagulants?
o A.
o B.
o C.
o D.
12.
Which tube are lead levels drawn in?
o A.
Green
o B.
Royal Blue
o C.
Lavender
o D.
o A.
o B.
o C.
ASAP ESR in ER
o D.
14.
What tube(s) contain an anticoagulant?
Discuss
o A.
o B.
o C.
o D.
15.
What tube would you draw a APPT in?
Discuss
o A.
Lavender
o B.
Lt. Blue
o C.
o D.
Grey
16.
What tube does an ESR (erthrocyte Sedimentation Rate) go into?
o A.
o B.
Green
o C.
Lavender
o D.
Tiger top
17.
What tube does a "Lytes" panel go in?
o A.
Lavender
o B.
Green
o C.
Red
o D.
Lt. Blue
18.
What tube contains an antiglycolytic agent?
Discuss
o A.
Lt. Blue
o B.
Green
o C.
Lavender
o D.
Grey
19.
What section of the lab would process a CBC?
o A.
Chemistry
o B.
Hematology
o C.
Serology
o D.
Microbiology
20.
What section of the lab would a pink top tube go? What are the additive(s) in
the pink top tube?
o A.
Chemisty - EDTA
o B.
o C.
Hematology - EDTA
o D.
21.
What sample needs to be run within 15 minutes of collection?
o A.
PTT
o B.
ABG
o C.
PKU
o D.
OGTT
22.
What is the proper way to identify a patient?
o A.
o C.
o D.
23.
What is the most important thing to remember when doing a capillary
puncture?
Discuss
o A.
o B.
Excessively milking the finger during a skin puncture can result in full tubes for
testing. Also hemolysis and contamination of the specimen with tissue cells
o C.
Excessively milking the finger during a skin puncture can result in hemolysis and
contamination of the specimen with tissue fluids
o D.
Hemolysis and contamination of the specimen with tissue fluids due to not
enough excessive milking of the finger
24.
What is the most important thing to remember when creating a blood
slide/smear?
o A.
o B.
Thin, straight edge
o C.
o D.
25.
What is the most common cause for blood culture contamination?
o A.
o B.
o C.
o D.
26.
What is the main difference between arterial and venous blood?
o A.
o B.
o C.
o D.
None of the above
27.
What is the difference between Plasma and Serum?
o A.
o B.
o C.
o D.
28.
What is the correct way to end a venipuncture procedure?
o A.
o B.
o C.
o D.
29.
What is the correct order of draw for a BCX, APTT, CBC, ESR, LYTES and
CMP?
Discuss
o A.
BCX - Red with iodine, aerobic & anerobic bottles APTT - Lt. Blue CMP - Tiger
Top LYTES - Dark Green CBC - Lavender ESR - Lavender
o B.
BCX - Blue with iodine, aerobic & anerobic bottles APTT - Red & Lt. Blue CMP -
Grey LYTES - mint green CBC - Pink ESR - Lavender
o C.
BCX - Red APTT - Mint Green CMP - Tiger Top LYTES - Dark Blue CBC - Lt.
Blue ESR - Green
o D.
30.
What is the additive in a Lt. Blue top tube?
o A.
Sodium Citrical
o B.
Sodium Chloride
o C.
Sodium Citrate
o D.
Sodium - salt
31.
What is another name for winged infusion set?
o A.
Ladybug
o B.
Buttercup
o C.
Butterfly
o D.
Beetle bug
32.
What is a nosocomial infection?
o A.
o B.
o C.
o D.
33.
What is a multidraw needle used for?
Discuss
o A.
o B.
To draw multiple draws in one day on the same patient during a venipuncture
o C.
To draw multiple tubes during a venipuncture on the same patient
o D.
To draw one large tube of blood multiple times on one patient during a
venipuncture
34.
What is a fomite?
o A.
o B.
o C.
o D.
35.
What is a Capillary defined as?
o A.
o B.
o C.
o D.
36.
What are the arteries and veins in the arm a phlebotomist should know?
o A.
o B.
o C.
o D.
37.
Vacutainer System
Discuss
o A.
o B.
Combination of Vacutainer holder, needle and sample tubes which allows for a
more automated method of drawing blood
o C.
Combination of Vacutainer tubes, needle and sample holder which allows for a
more automated method of drawing blood
o D.
38.
Vacutainer Needle
Discuss
o A.
Needle used to attach to a Vacutainer Holder. The needle has a male thread on
one end which screws into the holder. The holder, tube and needle comprise the
Vacutainer system, used to draw multiple tubes of blood with one venipuncture
o B.
Needle used to attach to a Vacutainer tube and holder. The needle has a male
thread on one end which screws into the holder. The holder, tube and needle
comprise the Vacutainer system, used to draw multiple tubes of blood with one
venipuncture
o C.
Needle used to attach to a Vacutainer syringe and tube. The needle has a male
thread on one end which screws into the holder. The holder, tube and needle
comprise the Vacutainer system, used to dray multiple tubes of blood with one
venipuncture
o D.
Needle used to attach to a Vacutainer Syringe and Holder. The needle has a
male thread on one end which screws into the holder. The holder, tube and
needle comprise the Vacutainer system, used to draw multiple tubes of blood
with one venipuncture
39.
Universal precautions
Discuss
o A.
Name used to describe a prevention stategy in which all blood and potential
infectious materials are treated as if they are, in fact, infectious, regardless of the
perceived status of the source individual
o B.
Name used to describe a prevention stategy in which most blood and potential
infectious Fomite materials are treated as if they are, in fact, infectious,
regardless of the perceived status of the source individual
o C.
Name used to describe a protest stategy in which all blood and potential
infectious animals ans materials are treated as if they are, in fact, infectious,
regardless of the perceived status of the source individual
o D.
Name used to describe a prevention log and procedure in which all blood and
potential infectious materials are treated as if they are, in fact, infectious,
regardless of the perceived status of the source individual
40.
Under a patiets bill of rights, can a patient decline medical treatment?
Discuss
o A.
o B.
o C.
o D.
41.
Trauma
Discuss
o A.
o B.
Injury that required immediate medical attention due to inacurate needle draw
o C.
o D.
o A.
o B.
Plastic band that easily breaks, mainly used for patient's with blood disease
o C.
o D.
Constrictive rubber tied in a knot used for patient's needing medical attention
43.
Tortuos veins are
o A.
o B.
o C.
o D.
44.
Tort
o A.
Wrongful procedure that interferes with working conditions and caused injury
o C.
o D.
45.
Thrombophlebitis
Discuss
o A.
o B.
o C.
o D.
46.
Thixotropic gel forms a
Discuss
o A.
o B.
o C.
Circle around the Serum and the Cells
o D.
47.
The Sharps container is overflowing; what is the appropriate response?
o A.
This is not a job for a phlebotomist to determine how and when this needs to be
emptied. Jeez!
o B.
Be sure you have the proper PEP equipment, open lid, run with the open
container to your break room and throw container way in a regular waste can.
o C.
Wear appropriate PPE, close the lid, hand-carry to the nearest medical waste
accumulated pickup container, be sure the container is lined with a RED
biohazzard bag. Fill out the Medical Waste Accumulated log. Remove your
gloves and WASH YOUR HANDS!
o D.
Wear appropriate PPE, close the lid, hand-carry to the nearest medical waste
accumulated pickup container, be sure the container is lined with a RED &
BLACK biohazzard bag. Fill out the Medical Waste Accumulated log. Remove
your gloves and SPIT on YOUR HANDS!
48.
The "great toe" is the
o A.
Big toe
o B.
Middle toe
o C.
Small toe
o D.
All toes
49.
Sodium Floride keeps
o A.
o B.
o C.
o D.
50.
Sodium Citrate is in what tube color?
o A.
Red
o B.
Lt. Blue
o C.
Green
o D.
Grey
51.
Sodium Citrate
Discuss
o A.
o B.
o C.
o D.
Sodium citrate makes it easy for blood draws because it binds calcium in the
blood before test
52.
Silica (glass particles) are in what tube color?
Discuss
o A.
Red
o B.
Lt. Blue
o C.
Lavender
o D.
Tiger top
53.
Serum
Discuss
o A.
Referring to blood, the dark liquid portiion of blood that separates out before
clotting has taken place
o B.
Referring to blood, the clear liquid portion of blood that hinders separation so
clotting may take place
o C.
Referring to blood, the clear liquid portion of blood that separates out after
clottong has taken place
o D.
Referring to plasma, the clear liquid portion the separates blood from serum
54.
Scleroses veins are
o A.
o B.
o C.
o D.
55.
PTT is the abbreviation for:
o A.
o B.
o D.
56.
PT is the abbreviation for:
o A.
Prothrombin Test
o B.
Proparticle Test
o C.
Protest Time
o D.
Prothrombin Time
57.
PT & PTT tests are drawn from what tube?
o A.
Green
o B.
Grey
o C.
Tiger top
o D.
Lt. Blue
58.
Point-of-care (POCT)
Discuss
o A.
o B.
o C.
o D.
59.
Platelets
o A.
o B.
o C.
Also known as thrombocyte, this is the one and only component of the blood,
approximatley 2-4 microns in diameter and known for it's involvement in blood
coagulation. This structure has one nucleus and DNA, is formed by breaking off
the cytoplasm of the parent cell, known as megakaryocyte in the bone marrow.
o D.
Also known as thrombocyte, this is a particulate structure of the blood,
approximatley 2-4 microns per cubic meter and known for it's involvement in
blood coagulation. This structure has no nucleus or DNA, is formed by breaking
off the cytoplasm of the parent cell, known as megakaryocyte in the bone
marrow.
60.
Plasma
o A.
The fluid portion of the serum in which the cells are suspended. Plasma is
different than serum.
o B.
The fluid liquid of the whole blood in which the cellular components are
surpessed. Plasma is different than serum
o C.
The fluid portion of the blood in which the cellular components are suspended.
Plasma is different than serum.
o D.
The cellular components that are released for suspension in the fluid portion of
the serum. Plasma is different than serum
61.
Pink tube is used for
o A.
o B.
Blood Banking
o C.
o D.
Banking
62.
Phlebitis
Discuss
o A.
o B.
o C.
o D.
63.
Petechiae
Discuss
o A.
Tiny raised red spots that appear on the skin from ruptured RBC's due to
strangulation because tourniquest being left on to long and or to tight.
o B.
Tiny non-raised red spots that appear on the skin from rupturing of the capillaries
due to the tourniquest being left on to long and or to tight
o C.
Large non-raised red spots that apprear on the epidumus. These may be caused
by infection and the tourniquest being left on to long and or to tight
o D.
64.
Patient is being treated for cancer; what section of the hospital would they be
in?
o A.
Serology
o B.
Oncology
o C.
Pediatrics
o D.
65.
Pathogen
o A.
o B.
o C.
o D.
66.
Oncology
o A.
o B.
Study and treatment of cancer
o C.
o D.
67.
NPO means
o A.
Next Priority
o B.
Nothing By Mouth
o C.
Fasting
o D.
Newborn
68.
Nosocomial
o A.
o B.
o C.
o D.
Healthcare setting aquired infections
69.
Negligence (four elements)
Discuss
o A.
Duty of care, being proactive to a hazard, protecting the patient from falling so
that no injury occurs
o B.
o C.
Duty: of care, Derelict: breach of duty of care, Direct cause: Legally recognizable
injury that occurs as a result of the breach of duty of care. Damage: Wrongful
activity must have caused injury because of another's failure to live up to a
required duty of care
o D.
70.
Multi-Sample Adapter
Discuss
o A.
A device used with a butterfly and Vacutainer holder to inhibit the withdrawal of
multiple tubes of blood during a venipuncture
o B.
A device used with a butterfly and Vacutainer holder to allow for the withdrawal
of multiple tubes of blood during a venipuncture.
o C.
A device used with a needle, tubing and Vacutainer holder to control the blood
levels input into multiple tubes of blood during a venipuncture
o D.
A device used with a butterfly and Vacutainer tube and needle to inhibit the
withdrawal of multiple tubes of blood during a venipuncture
71.
Lipemic
Discuss
o A.
o B.
After blood is spun and mixed in the centrifuge the serum/plasma is white is color
and appearance
o C.
o D.
After blood is spun and seperated in a centrifuge making the substance white
and milky in color
72.
Lavender Tubes contain
o A.
SST
o B.
EDTA
o C.
Sodium Citrate
o D.
Sodium Heparin
73.
Latic Acid sample must be
o A.
Warmed
o B.
Frozen
o C.
Room temp
o D.
Chilled
74.
Invasion of privacy
Discuss
o A.
o B.
o C.
Release of medical records to sale for money with the patient's knowledge
o D.
75.
Informed Consent
Discuss
o A.
Giving the patient adequate information concerning the method, risk and
consequences to a specific procedure. Expected outcome and alternatives
o B.
Giving the patient inadequate information concerning the method, risk and
consequences to a specific procedure. Expected outcome and alternatives
o C.
Giving the patient most of the adequate information concerning the method, risk
and consequences to a specific procedure. Expected outcome and alternatives
o D.
Giving the patient some adequate information concerning the method, risk and
consequences to a specific procedure. Expected outcome and alternatives
76.
Indirect Infection
o A.
o B.
o C.
o D.
77.
If you were to pierce your index finger with a used needle; what is the correct
responce?
Discuss
o A.
Yell at the patient for being so careless, wash area with non-abrasive soap for no
less than 20 min. Bandage finger, tell your co-worker what a jerk your patient
was. Complete exposure incident form.
o B.
Wash exposed area for 15 minimum, with anti-bacterial soap. Report exposure to
the patient and demand they are tested for illness. Complete exposure incident
form. Pray Pray Pray
o C.
Wash exposed area thoroughly with hot water, using antibacterial soap for 15
minutes. Report incident to your manager or supervisor ASAP. Complete the
exposure incident form
o D.
Call your family members to plan your funeral. Report incident to your manager
or supervisor, wash area with water and bleach. Complete the exposure form
and call the press
78.
If you draw a sample culture and sensitivity, what section of the lab would
receive that?
o A.
Urinalysis
o B.
Hemodialysis
o C.
Metobolic
o D.
Microbiology
79.
If someone is admitted to the emergency department unconscious how do we
identify them, until they can be property identified?
Discuss
o A.
DOE chart that provide a hospital id number, medical record number and
identificate band and lables.
o B.
DOE information is given on a base by base cases, generally you yell or slap the
patient to wake them up so they can tell you the requested information
o C.
DOE log is kept in the breakroom, you would refer to that when something this
rare happens
o D.
DOE identification is not important, what is improtant is that you has a great draw
and got all needed blood and then some
80.
If a patient is on an asprin regimen; what would be most affected?
o A.
o B.
Clotting time
o C.
o D.
81.
If a patient declines medical treatment; what is the first thing you do?
Discuss
o A.
Advise the patient that you will be fined if they do not allow you to complete the
doctor request
o B.
Advise the patient that you understand their concern, and document the declined
procedure and notify the nurse
o C.
Advise the patient that they are sick, and that they need to have medical
attention.
o D.
Advise the patient that you are going to let them lose this opportunity allowing
you provide outstanding service.
82.
If a patient asks you what tests their physician has ordered; do you tell them?
Discuss
o A.
This is only on a need to know basis, and they do not need to know
o B.
o C.
o D.
83.
If a patient asks you for test results; what do you do?
Discuss
o A.
Give them to the patient, after all, it is their information. Sharing is caring
o B.
o C.
Advise them you will contact their family before you provide the results
o D.
Give them the results, but tell them you are not "medically qualified"; so this way
they cannot sue you under the "good samaritin law".
84.
Hypoglycemia
o A.
o B.
o C.
o D.
85.
Hyerglycemia
Discuss
o A.
o B.
o C.
Abnormally low blood sugar levels
o D.
86.
How long can the tourniquest remain on the arm during the venipuncture?
Discuss
o A.
1.5 minute
o B.
2 minute
o C.
1 minute
o D.
.5 minute
87.
Heparin
o A.
o B.
o C.
o D.
An anticoagulant that acts to enable a number of coagulation factors, especially
factor Xxa. Heparin is formed in the liver.
88.
Hemolyze
Discuss
o A.
o B.
Breaking of WBC's membrane releasing free agents into the circulation blood
o C.
Breaking of Platelets membrane releasing free plasama into the circulating blood
o D.
89.
Hemoglobin
o A.
o B.
o C.
o D.
90.
Hemoconcentration
Discuss
o A.
o B.
o C.
o D.
91.
Hematuria
o A.
Blood in stool
o B.
Blood in mouth/nose
o C.
Blood in liver/bladder/kidney
o D.
Blood in urine
92.
Hematoma
Discuss
o A.
Localized collection of RBC's within the tissue due to leakage from the wall of a
blood vessel producing a redish discoloration
o B.
Localized collection of blood within the tissue due to leakage from the wall of a
blood vessel producing a bluish discoloration
o C.
Localized collection of plasma within the tissue due to leakage from the wall of a
blood vessel producing a greenish discoloration
o D.
Localized collection of platelets within the tissue due to leakage from the wall of a
blood vessel producing a bluish discoloration
93.
Hematocrit measures ____________ in a given volume of whole bood
o A.
o B.
o C.
o D.
94.
Green tubes have what additives?
o A.
o C.
o D.
95.
Good Samaritan Law
Discuss
o A.
Law deals with rendering 1st aid by health care professionals at the scene of an
accident or sudden injury. Provide medical care within the scope of training
without fear of being sued for negligence
o B.
Law deals with rendering medical diagnosis and transportation by health care
professionals at the scene of an accident or sudden injury. Provide medical care
within the scope of training without fear of being sued for negligence
o C.
Law deals with rendering health care professionals incapable at the scene of an
accident or sudden injury. Provide medical care within the scope of training
without fear of being sued for negligence
o D.
96.
Glucose
Discuss
o A.
Protien measured in blood and urine specimens to determine the presence or
absence of diabetes. Glucose is the end product of carbohydrate metabolism
and is the cheif source of energy in all dead organisms
o B.
o C.
o D.
Glucose is the end product of carbohydrate metabolism and is the cheif source of
energy in all dead organisms. It also determins the sugar needed to provide
diabetic analysis
97.
FUO
o A.
o B.
o C.
98.
Fomite is:
Discuss
o A.
o B.
o C.
o D.
99.
Fibrinogen
Discuss
o A.
o B.
o C.
o D.
o A.
o B.
o C.
o D.
101.
Edema is
o A.
o B.
o C.
o D.
102.
Cyanotic
Discuss
o A.
o C.
o D.
103.
CDC
o A.
o B.
o C.
o D.
104.
Capillary samples are collected normally from which part of the body?
o A.
Armpit, heel
o B.
o C.
105.
Butterfly
o A.
o B.
o C.
o D.
106.
Blood culters are drawn to indentify what in the blood stream?
o A.
o B.
Microwaveable organisms
o C.
Microoganisms
o D.
107.
Before someone donates whole blood; what test is done?
o A.
Hemoglobin
o B.
Hpv
o C.
Hemotology
o D.
Hematocrit
108.
BCX or C&S What items do you need for the draw?
Discuss
o A.
o B.
o C.
o D.
109.
BCX or C&S are drawn in what tube?
Discuss
o A.
Lavender
o B.
Grey
o C.
Tiger top
o D.
Red
110.
Basilic Vein
Discuss
o A.
o B.
o C.
o D.
111.
Basal means
o A.
o B.
o C.
o D.
Patient fasting and no excercise for 12 hours
112.
All Healthcare workers are required to vaccinate for which virus?
o A.
HPV
o B.
HBV
o C.
HAV
o D.
HIV
113.
ABG (Arterial Blood Gas)
o A.
o B.
Analyses test arterial for WBC's, carbon dioxide, PH, in addition to blood oxygen
o C.
o D.
114.
A physician orders a drug screen, what bodily fluid would we collect from the
patient?
o A.
Stool
o B.
Blood
o C.
o D.
Urine
115.
A Hematocrit is
o A.
o B.
o C.
o D.
o A.
Profile or pinhead
o B.
Profile or panel
o C.
Pinhead or petiti
o D.
117.
A "Lytes" panel consists of what electrolytes?
o A.
o B.
o C.
o D.
118.
55% of blood is
o A.
Formed elements
o B.
o C.
o D.
Plasma
119.
45% of blood is
o A.
o B.
Fibrin
o C.
o D.