Archive for October 2019

A blood specimen is requested from a patient suspected of having septicemia. which of the following substances should the phlebotomist use to clean the venipuncture site?

Naim 02:21 Add Comment

A blood specimen is requested from a patient suspected of having septicemia. which of the following substances should the phlebotomist use to clean the venipuncture site?



A. alcohol and iodine
B. alcohol and saline
C. saline and iodine
D. sterile water and iodine


Answer: A. alcohol and iodine

A blood specimen is requested on a patient suffering from tuberculosis. which of the following items should the phlebotomist remove from the patients room after completing the venipuncture?

Naim 02:21 Add Comment

A blood specimen is requested on a patient suffering from tuberculosis. which of the following items should the phlebotomist remove from the patients room after completing the venipuncture?



A. the blood sample and all the equipment used in the venipuncture
B. the blood sample and the non-disposable equipment used in the venipuncture
C. the blood sample collected during the venipuncture
D. the disposable equipment used in the venipuncture


Answer: C. the blood sample collected during the venipuncture

A 4 year old child has just arrived in the outpatient area accompanied by her mother. the phlebotomist has to perform a venipuncture on the child. the child seems somewhat apprehensive, but not yet crying. which of the following is the best course of action for the phlebotomist to take?

Naim 02:20 Add Comment

A 4 year old child has just arrived in the outpatient area accompanied by her mother. the phlebotomist has to perform a venipuncture on the child. the child seems somewhat apprehensive, but not yet crying. which of the following is the best course of action for the phlebotomist to take?



A. tell the child that the procedure will not hurt
B. demand that the mother leave the room
C. promise the child a treat is she doesn't cry
D. briefly explain to the child what is going to be done


Answer: D. briefly explain to the child what is going to be done

All of the following statements about employee needlestick injury procedures are true EXCEPT:

Naim 02:19 Add Comment

All of the following statements about employee needlestick injury procedures are true EXCEPT:



A. all needlestick incidents should be reported to a supervisor
B. the employee should receive a confidential medical evaluation
C. the necessary incident report forms should be made available to the employee
D. the source individual is required to be tested for HIV and HBV


Answer: D. the source individual is required to be tested for HIV and HBV

The tip of a needle should be visually checked for damage because a blunt or bent tip:

Naim 02:18 Add Comment

The tip of a needle should be visually checked for damage because a blunt or bent tip:



A. should be shown to the patient
B. may be used, but it will hurt more
C. will need to be noted on the request form
D. must not be used as it will hurt the patient and may damage the vein


Answer: D. must not be used as it will hurt the patient and may damage the vein

The laboratory report form showing blood test results should indicate the blood has been collected by skin puncture because:

Naim 02:18 Add Comment

The laboratory report form showing blood test results should indicate the blood has been collected by skin puncture because:



A. it must be noted for the next phlebotomist
B. results may vary depending on collection method
C. liability concerns are greater
D. validity of test results is affected by skin puncture site collection


Answer: B. results may vary depending on collection method

which of the following statements about the physical location of parts of the human anatomy is TRUE?

Naim 02:17 Add Comment

which of the following statements about the physical location of parts of the human anatomy is TRUE?



A. the hand is at the distal end of the arm
B. the patient who is supine is in a sitting position
C. the thumb is proximal to the index finger
D. when supine, the sternum is posterior to the spine


Answer: A. the hand is at the distal end of the arm

warming a site for a skin puncture:

Naim 02:11 Add Comment

warming a site for a skin puncture:



A. increases blood pressure
B. increases blood flow to the site
C. relaxes the patient
D. eliminates the need for a tourniquet


Answer: B. increases blood flow to the site

which of the following may cause hemolysis in a blood specimen?

Naim 02:10 Add Comment

which of the following may cause hemolysis in a blood specimen?



A. forcefully expelling blood into a tube from the syringe
B. leaving the tourniquet on too long
C. exposure to bright light
D. tilting the tube after drawing


Answer: A. forcefully expelling blood into a tube from the syringe

when a patient has "difficult" veins, what strategies, if any, can be used to improve the likelihood of a successful puncture?

Naim 02:09 Add Comment

when a patient has "difficult" veins, what strategies, if any, can be used to improve the likelihood of a successful puncture?



A. slight rotation of the patients arm to a different position
B. palpating the entire antecubital area to tract vein path
C. warming the site
D. all of the above


Answer: D. all of the above

when the evacuated tube method is used for venipuncture, select the correct order of collection for the following tests: blood culture, PT, CBC

Naim 02:08 Add Comment

when the evacuated tube method is used for venipuncture, select the correct order of collection for the following tests: blood culture, PT, CBC



A. light blue, purple, broth
B. purple, light blue, broth
C. broth, light blue, purple
D. broth, purple, light blue


Answer: C. broth, light blue, purple

identification of an inpatient can best be accomplished by which of the following?

Naim 02:07 Add Comment

identification of an inpatient can best be accomplished by which of the following?



A. number on the hospital bracelet and verbal confirmation from the patient
B. hospital room number and bed assignment
C. confirmation from a patients relative
D. confirmation from the patients nurse


Answer: A. number on the hospital bracelet and verbal confirmation from the patient

the phlebotomist traveled to the home of 85 year old Mrs.Harrison to collect blood for PT, PTT, and potassium. Even though the blood collection was performed by using a winged infusion set on her fragile veins, the light blue top tube was undefiled. However, the phlebotomist was able to fill the SST tube. Which of the following will most likely occur?

Naim 02:07 Add Comment

the phlebotomist traveled to the home of 85 year old Mrs.Harrison to collect blood for PT, PTT, and potassium. Even though the blood collection was performed by using a winged infusion set on her fragile veins, the light blue top tube was undefiled. However, the phlebotomist was able to fill the SST tube. Which of the following will most likely occur?



A. the potassium will be falsely elevated
B. the PT and PTT will be falsely prolonged
C. the potassium will be falsely decreased
D. the PT and PTT will not be affected


Answer: B. the PT and PTT will be falsely prolonged

blood collection vacuum tubes may contain silicon to:

Naim 02:06 Add Comment

blood collection vacuum tubes may contain silicon to:



A. decrease the possibility of hemolysis
B. decrease interference between red blood cells and anticoagulant
C. create a barrier between the red blood cells and serum
D. create a barrier between the red blood cells and plasma


Answer: A. decrease the possibility of hemolysis

what are the clinical consequences if a patient is given a transfusion, but the original specimen was drawn from the wrong patient?

Naim 02:05 Add Comment

what are the clinical consequences if a patient is given a transfusion, but the original specimen was drawn from the wrong patient?



A. damage may result in the patients kidneys
B. damage may result in the patients heart
C. it may result in death of the patient
D. all of the above


Answer: D. all of the above

veins have which of the following characteristics?

Naim 02:03 Add Comment

veins have which of the following characteristics?



A. they carry deoxygenated blood toward the heart
B. they carry oxygenated blood away from the heart
C. they are microscopic vessels that link arterioles and venules
D. they carry only red blood cells


Answer: A. they carry deoxygenated blood toward the heart

serum is obtained from blood that:

Naim 02:03 Add Comment

serum is obtained from blood that:



A. is highly oxygenated
B. contains an anticoagulant
C. does not contain an anticoagulant
D. is rich in carbon monoxide


Answer: C. does not contain an anticoagulant

meningitis can be detected by:

Naim 02:01 Add Comment

meningitis can be detected by:



A. blood analyses
B. urine cultures
C. measuring carbon dioxide
D. spinal fluid cultures


Answer: D. spinal fluid cultures

glomeruli are best described as:

Naim 02:00 Add Comment

glomeruli are best described as:



A. filters of the kidney
B. cells in the liver
C. part of the digestive system
D. part of the endocrine system


Answer: A. filters of the kidney

CBC is an abbreviation for:

Naim 02:00 Add Comment

CBC is an abbreviation for:



A. complete blood cells
B. complete blood count
C. cerebrospinal blood count
D. cerebrospinal blood cells


Answer: B. complete blood count

the abbreviation CSF is used for:

Naim 01:58 Add Comment

the abbreviation CSF is used for:



A. clinical serum fluid
B. cerebrospinal fluid
C. cerebral serum fluid
D. clinical spinal fluid


Answer: B. cerebrospinal fluid

when performing a skin puncture, which of the following may NOT help prevent hemolysis of the specimen?

Naim 01:57 Add Comment

when performing a skin puncture, which of the following may NOT help prevent hemolysis of the specimen?



A. squeezing the finger continuously to assure adequate blood drops
B. gently mix the collection contains with anticoagulants during the collection
C. allow the blood to form a drop then touch the drop to the collection container
D. ensure the alcohol used to clean the spot has complete dried prior to performing the puncture


Answer: A. squeezing the finger continuously to assure adequate blood drops

what is the recommended venipuncture technique for collecting blood from an elderly patient with fragile, superficial veins?

Naim 01:57 Add Comment

what is the recommended venipuncture technique for collecting blood from an elderly patient with fragile, superficial veins?



A. apply heat to the site prior to performing the puncture
B. used a winged infusion set with small volume tubes
C. use a routine venipuncture procedure with full size tubes
D. do not use a tourniquet


Answer: B. used a winged infusion set with small volume tubes

A CBC specimen is clotted and needs to be redrawn. what is the most likely cause of the clotting?

Naim 01:57 Add Comment

A CBC specimen is clotted and needs to be redrawn. what is the most likely cause of the clotting?



A. the anticoagulant in the tube was defective
B. the blood and anticoagulant were not mixed sufficiently in the tube
C. the patient has DIC and the blood was clotted before entering the tube
D. the technician drawing the blood waited too long before delivering the blood too the lab


Answer: B. the blood and anticoagulant were not mixed sufficiently in the tube

during a blood-draw from the basilic vein, the patient experiences severe shooting pains in his arm. what is the most likely cause?

Naim 01:56 Add Comment

during a blood-draw from the basilic vein, the patient experiences severe shooting pains in his arm. what is the most likely cause?



A. the tourniquet is too tight
B. the vein has collapsed
C. the median nerve has been punctured or nicked
D. the patient has developed a hematoma


Answer: C. the median nerve has been punctured or nicked

in the health care field, when a service is evaluated and the results fall within the boundaries of predefined acceptable standards, it is known as the principles of ________.

Naim 01:56 Add Comment

in the health care field, when a service is evaluated and the results fall within the boundaries of predefined acceptable standards, it is known as the principles of ________.



A. risk management
B. quality assurance
C. service gaurantee
D. patient satisfaction


Answer: B. quality assurance

a patient suddenly develops a large hematoma during a venipuncture procedure. what is the proper course of action?

Naim 01:55 Add Comment

a patient suddenly develops a large hematoma during a venipuncture procedure. what is the proper course of action?



A. apply a pressure bandage
B. stop the venipuncture procedure
C. apply pressure to the site and elevate the patients arm above the level of the heart
D. all of the above are correct


Answer: D. all of the above are correct

what is the first course of action when a patient refuses to allow you to draw blood?

Naim 01:55 Add Comment

what is the first course of action when a patient refuses to allow you to draw blood?



A. try to gently and calmly assure and persuade the patient
B. report it to the patients nurse
C. note the refusal on the requisition and return to the lab
D. have an assistant hold the patient down while you draw the blood


Answer: A. try to gently and calmly assure and persuade the patient

you are assigned to do a blood-draw on Sam Johnson in room 222. how do you properly verify the patient as being the correct Sam Johnson?

Naim 01:55 Add Comment

you are assigned to do a blood-draw on Sam Johnson in room 222. how do you properly verify the patient as being the correct Sam Johnson?



A. ask the patient to state his name and date of birth and match it to the requisition
B. confirm the patients name with the nurse on duty
C. ask the patient, "are you Sam Johnson?" if the patient confirms that the is the identification is considered verified
D. check the identification band to verify it is the correct patient


Answer: A. ask the patient to state his name and date of birth and match it to the requisition

when drawing blood from a small vein in the hand of an elderly patient which of the following is the best option:

Naim 01:55 Add Comment

when drawing blood from a small vein in the hand of an elderly patient which of the following is the best option:



A. 21-gauge needle with syringe and small volume evacuated tubes
B. 23-gauge winged infusion set with small volume evacuated tubes
C. 25-gauge winged infusion set with large volume evacuated tubes
D. 21-gauge needle with tube holder and large volume evacuated tubes


Answer: B. 23-gauge winged infusion set with small volume evacuated tubes

which of the following is a good way to prevent needlestick injuries?

Naim 01:54 Add Comment

which of the following is a good way to prevent needlestick injuries?



A. recapping needles by hand
B. using safe needle devices and following instructions for their use and disposal
C. waiting til a sharps disposal container is filled to the top to empty it
D. activating the safe needle device just before placing it in the sharps disposal container


Answer: B. using safe needle devices and following instructions for their use and disposal

which of the following could cause a hemolyzed specimen?

Naim 01:54 Add Comment

which of the following could cause a hemolyzed specimen?



A. pulling back on a syringe plunger with gentile pressure
B. using a 21-gauge needle to fill a 10 mL red top tube
C. mixing the blood with the additive or anticoagulant by shaking
D. inserting a needle into a site where the alcohol has air dried


Answer: C. mixing the blood with the additive or anticoagulant by shaking

which of the following is the key principle of universal precautions?

Naim 01:53 Add Comment

which of the following is the key principle of universal precautions? 



A. the human immunodeficiency virus (HIV) is the most important bloodborne pathogen
B. the blood and body fluids of all individuals are considered potentially infectious
C. gloves and gowns provide sufficient protection from blood and body fluids
D. only patients in isolation rooms are considered to be potentially infectious


Answer: B. the blood and body fluids of all individuals are considered potentially infectious

which of the following statements regarding safe use of tube holders and needles is true?

Naim 01:53 Add Comment

which of the following statements regarding safe use of tube holders and needles is true?



A. after disposing of the needle, clean the tube holder with an alcohol pad
B. discard both the needle and tube holder as a unit into a sharps container
C. disconnect the needle from the tube holder so the holder can be reused
D. unscrew the needle from the tube holder and sterilize them both for reuse


Answer: B. discard both the needle and tube holder as a unit into a sharps container

what is a nosocomial infection?

Naim 01:52 Add Comment

what is a nosocomial infection?



A. an infection acquired in a healthcare facility
B. an infection caused by an inadvertent needlestick
C. an infection acquired at school
D. any of the above


Answer: A. an infection acquired in a healthcare facility

which of the following might help protect a phlebotomist from a lawsuit?

Naim 01:51 Add Comment

which of the following might help protect a phlebotomist from a lawsuit?



A. using the same blood draw procedures on patients of all ages
B. ignoring a patients refusal to have blood drawn
C. telling someone else about what lab tests were ordered on a mutual acquaintance
D. following you employers venipuncture procedures


Answer: D. following you employers venipuncture procedures

what is the purpose of ordering a fasting lab test?

Naim 01:50 Add Comment

what is the purpose of ordering a fasting lab test?



A. to standardize the test results on a broad range of patients
B. to eliminate the effects of diet on the test results
C. to keep a patients calcium level at a minimum prior to a test
D. to keep the patient from getting sick during the blood draw


Answer: B. to eliminate the effects of diet on the test results

What is the prescribed course of action when a patient begins to feel faint during the course of a blood draw?

Naim 01:12 Add Comment

What is the prescribed course of action when a patient begins to feel faint during the course of a blood draw?



A. instruct the patient to take deep breaths while you continue with the blood draw
B. remove the needle and have the patient lower their head to between their knees
C. pause the blood draw to give the patient time to recover
D. call for assistance and wait until it arrives to continue drawing blood


Answer: B. remove the needle and have the patient lower their head to between their knees

What is the proper procedure when there is blood on the outside of a tube you have just filled with blood?

Naim 01:09 Add Comment

What is the proper procedure when there is blood on the outside of a tube you have just filled with blood?



A. tag the tube with a biohazard sticker
B. throw the tube away and redraw the sample
C. leave it as is, the blood will dry
D. use a disinfectant to wipe the outside of the tube


Answer: D. use a disinfectant to wipe the outside of the tube

Assume the elderly patient is attempting to get back into bed. which of the following would be considered appropriate non-verbal communication?

Naim 01:09 Add Comment

Assume the elderly patient is attempting to get back into bed. which of the following would be considered appropriate non-verbal communication?



A. reviewing the patients medical chart
B. gathering the phlebotomy items
C. assisting the patient
D. leaving the room


Answer: C. assisting the patient

Which of the following can result in contamination of a blood culture?

Naim 01:08 Add Comment

Which of the following can result in contamination of a blood culture?



A. touching only the handle of the scrub device
B. the patients skin being wet with antiseptic
C. repalpitating a sterilized site prior to venipuncture
D. allowing the antiseptic to dry for 30 seconds


Answer: C. repalpitating a sterilized site prior to venipuncture

Which of the following applies for a lipid panel?

Naim 01:06 Add Comment

Which of the following applies for a lipid panel?



A. the patient can be in a basal state- no restrictions
B. patient should be fasting for 4 hours with no water
C. patient should be fasting for at least 12 hours with water allowed
D. patient should be fasting for 8 hours with no water


Answer: C. patient should be fasting for at least 12 hours with water allowed

What is the meaning of hemolysis?

Naim 01:05 Add Comment

What is the meaning of hemolysis?



A. insufficient red blood cells
B. insufficient white blood cells
C. serum being red
D. blood breaking down


Answer: D. blood breaking down

In considering the safety of the patient, which of the fooling is the more dangerous element?

Naim 01:05 Add Comment

In considering the safety of the patient, which of the fooling is the more dangerous element?



A. labeling collection tubes before collecting the blood
B. disposing of a sharp properly
C. failing to wear gloves during the venipuncture procedure
D. recapping a needle after a venipuncture


Answer: A. labeling collection tubes before collecting the blood

In phlebotomy, what does the term preanalytical mean?

Naim 01:03 Add Comment

In phlebotomy, what does the term preanalytical mean?



A. variables that affect a specimen prior to lab testing
B. equipment failure
C. documenting the patients ID
D. calibrating equipment


Answer: A. variables that affect a specimen prior to lab testing

Hemoconcentration can be caused by which of the following?

Naim 01:03 Add Comment

Hemoconcentration can be caused by which of the following?



A. leaving the needle in the arm too long
B. leaving the tourniquet on the patient too long
C. the tourniquet being too loose
D. withdrawing the blood too rapidly


Answer: B. leaving the tourniquet on the patient too long
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