Phlebotomy Certification
What is a phlebotomist? A) A trained professional in blood drawing B) The legal standards for a person who performs blood drawing skills C) The process of drawing blood D) All of the above
A) A trained professional in blood drawing skills
A blood donation given by a patient for use during his/her surgical procedures is called: A) An autologous donation B) A cryoprecipitate donation C) A Willebrand's collection D) None of the above
A) An autologous donation
All of the following are considered hazards except: A) Bending your knees when lifting heavy objects B) Airborne viruses & bacteria C) Handling broken glass when wearing gloves D) All of the above are hazards
A) Bending your knees when lifting heavy objects
A child suspected of having whooping cough comes in for testing. The phlebotomist will perform a: A) Blood draw. B) Urine collection. C) Throat swab. D) Nasopharyngeal swab.
A) Blood draw.
A patient comes to the lab stating that the physician called and told her to get a stat CBC drawn. You have no requisition so you should: A) Call the physician and get a verbal order. B) Transcribe the verbal order onto a requisition. C) Have the physician fax over the request. D) All of the above.
A) Call the physician and get a verbal order.
The patient's requisition says Mary Smith. She verifies her date of birth but informs you that she just got married and her name is now Mary Jones and requests that you change the name on the form. The phlebotomist should: A) Call the physician office for verification and have a new requisition faxed. B) Honor the patients request sine her insurance card says Mary Jones. C) Check the patients dirvers license or picture ID to verify the name Mary Jones. D) Cross out Smith and write Smith-Jones, her initials, date and time.
A) Call the physician office for verification and have a new requisition faxed.
While restocking the phlebotomy cart, the phlebotomist finds a labeled specimen in the rack. The phlebotomist should: A) Check the time, date of collection and process accordingly. B) Discard the specimen in the bio hazardous waste. C) Leave it on the tray until someone comes looking for it. D) Reprint the label and go re-draw the patient.
A) Check the time, date of collection and process accordingly.
You are performing a therapeutic phlebotomy in a patient with polycythemia. After collection of the unit of blood you will: A) Discard the unit according to lab policy. B) Process the unit for delivery to the blood bank. C) Separate the unit into pack cells, plasma, and platelets. D) Prepare the RBCs for re-infusion into the patient.
A) Discard the unit according to lab policy.
The phlebotomist completes a difficult venipuncture on a very angry patient. After returning to the lab the phlebotomist should: A) Document what occurred during the procedure and interaction with the patient. B) Tell the other phlebotomists about how angry the patient was as she drew his blood. C) Call her friend to vent and calm down before going out to collect the remaining draws . D) Forget about it because she followed proper procedure and protocol.
A) Document what occurred during the procedure and interaction with the patient.
You receive a specimen from a physicians office dates yesterday. The specimen is now 18hrs old but you do not reject it because it was: A) Glucose test drawn in a gray top. B) An ammonia level that remained uncapped. C) A stool culture for C.diff kept at room temp. D) B12 at room temp in a red top tube.
A) Glucose test drawn in a gray top.
The glass red-topped tube contains: A) No additive B) Heparin C) SPS or ACD D) EDTA
A) No additive
_____ is the most important first step in phlebotomy & other testing procedures. A) Proper patient info B) Proper hand washing C) Proper specimen handling D) Collecting sufficient blood
A) Proper patient identification
Which of the following tube yield(s) a serum specimen? A) Red topped tube B) Lavender topped tube C) Grey topped tube D) All of the above
A) Red topped tube
Blood for serology testing should be drawn in a: A) Red topped tube B) Lavender topped tube C) Grey topped tube D) All tubes with splash guards
A) Red topped tubes
Why is it important that the patient see the phlebotomist wash his/her hands before and after the draw? A) So the patient is assured that infection control policies are being followed. B) To ensue that the lab achieves high marks on the patient satisfactory surveys. C) So the phlebotomist does not get reported to the director of nursing and lab supervisor. D) To prevent compromising glove fit and glove integrity during the venipuncture procedure.
A) So the patient is assured that infection control policies are being followed.
Which of the following is not OSHA required PPE? A) Steel toed shoes B) Goggles C) Chin length lab coat D) Full length lab coat
A) Steel toed shoes
How should the phlebotomist proceed if there is a language barrier with the patient? A) Use hand gestures to communicate B) Leave the room & let the physician draw C) Draw the blood w/our consent D) All of the above
A) Use hand gestures to communicate
All of the following are true about laboratory safety except: A) You may store food in the lab refrigerator B) Protect your feet from spills C) Always wear PPE D) All of the above are correct
A) You may store food in the laboratory refrigerator
The tourniquet is placed _________ above the site of draw. A) 5-7in B) 3-4in C) 1-2in D) 4-6in
B) 3-4in
When performing POCT, the phlebotomist must make sure the cartridge is seated properly in the instrument. This is an example of: A) A pre-analytic variable. B) An analytic variable. C) A Post- analytic variable. D) Delta check variable.
B) An analytic variable.
The phlebotomist is preparing to perform a venipuncture on a child who is extremely upset and crying, and the mother is becoming extremely frustrated and upset with the child. The best course of action is to: A) Ask the mother to calm down so she can be more effective in soothing the child. B) Ask the mother to step out of the room if possible and get another phlebotomist to assist. C) Ask the mother to tell the child it won't hurt and will be over quickly if the child sits still. D) Ask the mother to grab the child, sit in the chair and hold his arm securely during the draw.
B) Ask the mother to step out of the room if possible and get another phlebotomist to assist.
The phlebotomist tells the nurse who stopped by the lab that Mary Jones in room 630, who had a blood glucose of 1200mg/dL, must continue to have venous draws instead of performing POCT due to the high glucose level. This conversation is or is not appropriate because: A) It violates patient confidentiality. B) Both are medical professionals and the nurse needed the info to treat Ms. Jones. C) The info is not protected personal info. D) The nurse does not need the info to treat the patient.
B) Both are medical professionals and the nurse needed the info to treat Ms. Jones.
Clinical Laboratory Improvement Act of 1988 follows guidelines & standards set by the: A) CLIA '88 B) CLSI C) JCAHO D) CDC
B) CLSI
The phlebotomist removed the cap from the needle, proceeded to anchor the vein and noticed he forgot to re-apply the tourniquet. The appropriate course of action would be: A) To insert the needle anyway because the vein is visible without a tourniquet. B) Discard the vacutainer and needle unit and start the procedure over. C) Set he vacutainer and needle unit in an upright position and re-apply tourniquet. D) Have the patient hold the vacutainer and the needle unit while he applies the tourniquet.
B) Discard the vacutainer and needle unit and start the procedure over.
The phlebotomist performed an I-STAT electrolyte test on a patient. The results were abnormal but within linearity of the instrument. The phlebotomist should: A) Re-run the controls before reporting the result. B) Enter the results into the computer and report out. C) Draw venous blood sample for testing in the lab. D) Re-calibrate the instrument and then retest the patient.
B) Enter the results into the computer and report out.
Which of the following PPE must a phlebotomist use when performing a skin puncture or venipuncture? A) Goggles B) Gloves C) A mask D) Caps and booties
B) Gloves
The green-topped tube contains: A) No additive B) Heparin C) SPS or ACD D) EDTA
B) Heparin
Employer's must provide vaccination against ______ free of charge. A) Hepatitis A B) Hepatitis B C) Hepatitis C D) Hepatitis delta virus
B) Hepatitis B
The ER nurse hands the phlebotomist an ID bracelet to put on a trauma patient so the phlebotomist can draw STAT labs. The phlebotomist should: A) Put the arm band on the patient and complete the STAT draw in an emergency situation. B) Inform the nurse that he/she is not allowed to do do and request that the patient put it on. C) Attach the armband to the gurney rail and perform the STAT draw. D) Ask the patient to verify their info and to put the armband on themselves.
B) Inform the nurse that he/she is not allowed to do do and request that the patient put it on.
In which tube(s) would a phlebotomist collect an erythrocyte sedimentation rate? A) Red topped tube B) Lavender topped tube C) Grey topped tube D) All tubes with splash guards
B) Lavender topped tube
The phlebotomist receives an order for the following tests: glucose, PT/INR, and a CBC. Which of the following lists the correct tubes in the correct order? A) Red, green, lavendar. B) Light blue, lavendar, gray. C) Lavendar, gray, light blue. D) Red, light blue, lavendar.
B) Light blue, lavendar, gray.
Chilling a specimen will: A) Speed up the metabolic process B) Maintain the stability of the specimen during transport C) Prevent problems in tubes containing EDTA D) Facilitate processing
B) Maintain the stability of the specimen during transport
When processing the specimens that the courier just dropped off, you find that there are 4 tests ordered but only 2 tubes received: 1 Lavendar and 1 SST tube. The requisition is marked for a CBC, RPR, BUN and creatinine. The phlebotomist should: A) Inform the physician office the patient needs to have 2 more tubes drawn. B) Make aliquots from the SST tube for the RPR and BUN/creatinine tests. C) Mark QNS on the requisition for the RPR test and process the draw. D) Process all tubes and inform chem tube needs to be routed to immunology.
B) Make aliquots from the SST tube for the RPR and BUN/creatinine tests.
You are working quickly to complete your early morning draws when you encounter a difficult draw on a newborn that will surely take longer. You should call down to the lab for assistance because you: A) Do not have the appropriate materials to shield the specimen from light. B) Need a slurry of ice to transport the temperature sensitive specimen. C) Are nearing the acceptable time lapse between collection of the specimen analysis. D) Need an other phlebotomist to take over so you can end your shift on time.
B) Need a slurry of ice to transport the temperature sensitive specimen.
Mary the phlebotomist brought in ice-cream bars in celebration of passing her certification exam. She puts them in the freezer thinking it was alright because only test reagents, no blood or bodily fluids were stored inside. She was reprimanded for all except: A) Test reagents cam contain blood/body fluids. B) No food/drinks are allowed in lab without permission. C) Labs are designated as biohazardous. D) OSHA regulations were violated.
B) No food/drinks are allowed in lab without permission.
While processing specimens, the phlebotomist finds a tube labeled with the patients name, medical record number, DOB, date and time. The phlebotomist should: A) Reject the specimen because it does not have the phlebotomist ID on the label. B) Process the specimen and deliver it to the appropriate department for analysis. C) Re-label the tube because it contains protected personal info. D) Call the floor and ask who the physician is and write it on the label.
B) Process the specimen and deliver it to the appropriate department for analysis.
The phlebotomist is trying to fill the 2nd tube but the tube is not filling. There is no visible hematoma, the needle did not move during the tube switch and the 1st tube filled just fine. The appropriate course of action is to: A) End the draw and re-stick the patient in a new site. B) Remove the tube as it seems the vacuum is depleted and try another tube of the same type. C) End the draw and advise the physician you could not complete the requisition. D) Move on to the next tube and document that the 2nd tube could not be collected.
B) Remove the tube as it seems the vacuum is depleted and try another tube of the same type.
The phlebotomist is processing a chain of custody specimen and is called to a code blue when she has not yet completed the process. The appropriate course of action is to: A) Seal the specimen and place it in the courier pick-up basket. B) Sign the specimen over to another tech to finish up the process. C) Go to the code and then call the client to come back for a recollection. D) Put the specimen on the phlebotomy cart and take it to the code blue.
B) Sign the specimen over to another tech to finish up the process.
Which of the following is correct for arterial blood gas collection? A) ABG must be collected in a red & marbles topped tube B) The area must be prepped with Iodine before the draw C) A tourniquet is used in the collection D) Both B & C are correct
B) The area must be prepped with Iodine before the draw
Certification is evidence that: A) The phlebotomist is working in the field B) The phlebotomist has demonstrated proficiency in the area of blood drawing C) The phlebotomist is licensed in the field D) The phlebotomist is accredited in the field
B) The phlebotomist has demonstrated proficiency in the area of blood drawing
The phlebotomist receives specimen for bilirubin testing from the courier about 1.5hrs after collection and noticed that the tube is clear and has not been packaged to be protected from light. This is not an appropriate example of transport because: A) The tube was delivered on time. B) The specimen needed to be protected from light. C) The specimen is too old. D) Bilirubin specimens do not need to be protected from light.
B) The specimen needed to be protected from light.
The depth of a heel puncture cannot exceed: A) 5.3mm B) 2.4mm C) 2.0mm D) 1.3mm
C) 2.0mm
The patient has one small visible, palpable medial cephalic vein in the left arm. The phlebotomist will select which needle combo as the best option for the venipuncture procedure? A) 18g with a 10-mL syringe. B) 20g with a butterfly. C) 22g with a vacutainer. D) 25g with a 5mL syringe.
C) 22g with a vacutainer.
A heparinized needle and syringe are necessary in the collection of: A) Blood culture B) ESR C) ABG D) Heparin levels
C) ABG
Which of the following would be a reason for rejection of a specimen by the laboratory: A) The patient's name, DOB, & date/time are written on the label & requisition slip B) Specimen containing an additive has been inverted C) An ESR has been collected in a red topped tube D) All of the above
C) An ESR has been collected in a red topped tube
Under HIPAA protected health information is defined as: A) Info that the patient refuses to disclose to the physician B) Any test result C) Any part of a patient's health info that's linked info that identifies the patient D) Info that summarizes the patient's insurance coverage
C) Any part of a patient's health info that is linked to info that identifies the patient
The patient has an order for a CBC and a PT, both of which only require a small amount of blood. She had a masectomy on the left side and scars from a serious burn on the antecubital site of the right arm. The phlebotomist should: A) Call the physician for permission to draw from the left arm. B) Check the patient for possible alternate venipuncture sites. C) Collect the blood by performing a fingerstick on the right hand. D) Perform an arterial draw using a small gauge needle and vacutainer.
C) Collect the blood by performing a fingerstick on the right hand.
When comparing a butterfly draw on a pregnant woman, the phlebotomist accidentally scratches the top of her hand through the glove as she withdrew the needle. The phlebotomist should: A) Not worry because the woman is pregnant therefore not a risk. B) Wash it off and not reports it because its a superficial wound and not a puncture wound. C) Complete an accidental exposure report form after performing first aid. D) Get a complete history on the woman to give to her supervisor.
C) Complete an accidental exposure report form after performing first aid.
After Putting a tourniquet on a patient, the phlebotomist noticed the development of petichiae. She verified correct application of the tourniquet and should now: A) Stop the procedure and refer the patient back to her physician. B) Get the supervisors permission to continue the venipuncture. C) Continue the procedure and expect a longer clotting time at the puncture site. D) Remove the tourniquet and perform the procedure on the patients other arm.
C) Continue the procedure and expect a longer clotting time at the puncture site.
An extremely obese patient with tiny, virtually unpalpable veins requires a CBC. The best option for obtaining the blood sample is: A) Venipuncture using a 22 vacutainer and a 2mL tube. B) Venipuncture using a 21-gauge needle and a syringe. C) Dermal puncture using a microtainer tube. D) Dermal puncture using a Natelson tube.
C) Dermal puncture using a microtainer tube.
While performing a stack of afternoon draws, the sleeve of the phlebotomist's lab coat is contaminated with a splatter of blood. The appropriate course of action is to: A) Wipe off the blood with an alcohol swab. B) Get bleach from the nurses' station and spray the area. C) Discard the coat and get a fresh one from the lab. D) Roll up the sleeve so the blood is not visible.
C) Discard the coat and get a fresh one from the lab.
The phlebotomist dropped a tube of blood on the floor and it broke on impact. The proper way to clean up the blood and broken glass includes all except: A) PPE as required by the facility. B) Pick up glass using forceps. C) Dispose of glass in a waste container. D) Saturate site with bleach.
C) Dispose of glass in a waste container.
Coagulation studies should be drawn in a light blue tube containing which of the following additives? A) Clot activator B) Sodium citrate C) EDTA D) SPS
C) EDTA
Most tubes containing additives should be inverted: A) Once B) Three times C) Five to Eight times D) Tubes containing additives should not be inverted
C) Five to Eight times
Which of the following tubes contain(s) serum fluoride & potassium oxalate? A) Red topped tube B) Lavender topped tub C) Gray topped tube D) All tubes with splash guards
C) Gray topped tubes
Which of the following tubes would hold a glucose specimen for 24-hrs? A) Red topped tube B) Lavender topped tube C) Gray topped tube D) All tubes with splash guards
C) Grey topped tubes
The phlebotomist enters the room of an elderly patient who tells her she had difficulty manipulating the cup while collecting her midstream clean- catch specimen, so she voided all of the urine into the collection cup. The phlebotomist should: A) Take the specimen back for analysis. B) Give the patient a new kit and tell her to recollect correctly. C) Inform the nurse so that he or she can assist the patient or collect a cath specimen. D) Inform the physician so he/she can perform suprapubic collection.
C) Inform the nurse so that he or she can assist the patient or collect a cath specimen.
While performing a QC on a point of care instrument for glucose testing prior to the 10pm patient glucose testing, the phlebotomist records QC value for the normal control that's in range and value for the abnormal control that's 2 points out of range. The appropriate course of action is to: A) Continue with the patient testing because the normal control was in 6 25 D. B) Continue with patient testing because the abnormal control did not exceed 6 25 D. C) Initiate trouble shooting protocol for out of range controls. D) Perform the venipuncture draws in lieu of POCT collection for the 10pm glucose.
C) Initiate trouble shooting protocol for out of range controls.
The phlebotomist blows her nose into a tissue prior to entering the patients room she moves the patient's telephone, water cup, and pitcher over to the side of the bed table so she can put the tray on it. The phlebotomist then goes to the restroom to wash her hands. The phlebotomist actions: A) Were the correct procedure for performing venipuncture. B) Might have compromised the patient had she not washed her hands. C) Left the patient at risk for health care associated infection. D) Inappropriate because the phlebotomist should never touch the patients belongings.
C) Left the patient at risk for health care associated infection.
The phlebotomist completes a draw in the ER. She is then asked to perform a STAT ABG on another patient. She has never performed an ABG but has been observing other phlebotomists over the past week or so. She is the only phlebotomist available so she does it. The phlebotomist has a duty to the patient for all except: A) Performing ABG because its STAT. B) Getting someone who was qualified to perform an arterial draw. C) Making sure all equipment is available. D) Relieving another phlebotomist so he can perform the draw.
C) Making sure all equipment is available.
You receive an order for a blood gas on a 10-day old baby in the pediatric unit. You check your phlebotomy cart for the following equipment: A) Heparanized syringe and 25-gauge needle. B) 2-mL green top tube for venous blood gases. C) Natelson tube and plastic end caps. D) Heparinized capillary tubes and clay.
C) Natelson tube and plastic end caps.
The phlebotomist was preparing to deliver pathology reports the doctors mailboxes when she noticed her neighbor had been diagnosed with prostate cancer. She promptly called her neighbor who had been anxiously awaiting the news. All of the following apply, except: A) Violation of HIPAA B) Created a liability issue for the lab. C) Ok, because her neighbor asked for the info. D) Violated physician-patient integrity.
C) Ok, because her neighbor asked for the info.
Which of the following is NOT part of a phlebotomists point of care job related duties? A) Take blood pressure B) Instructing patients on urine specimen collection C) Performing tracheostomy D) Performing POC testing
C) Performing tracheostomy
The master gland(s) in the endocrine is/are the: A) Ovaries and testes B) Thyroid C) Pituitary D) Thymus
C) Pituitary
As your are putting away the new order of vacutainer tubes, you should: A) Place them on the bottom shelves to prevent chemical spills. B) Rotate the stock putting the later expiration dates in the front. C) Position current stock so it will be used first. D) Leave the shipment unopened until needed so it remains fresh.
C) Position current stock so it will be used first.
Transport bags have a separate compartment (pouch) for requisitions to: A) Safeguard the requisition B) Keep the specimen from getting lost C) Prevent contamination if the specimen leaks D) Ensure the specimen goes to central receiving & the specimen to the processing lab
C) Prevent contamination if the specimen leaks
Samples collected from a patient in a nursing home are sent to the: A) POL B) CDC C) Reference laboratory D) Urgent care center
C) Reference laboratory
The yellow-topped tube contains: A) No additive B) Heparin C) SPS or ACD D) EDTA
C) SPS or ACD
Why should a glass red-topped tube be drawn before a green-topped tube? A) Additives in the red topped tube will not interfere with the tests performed on green topped tube B) Red topped tube are always the first tube drawn C) Since there are no additive in the red topped tube. It cannot contaminate the green topped tube D) Green topped tubes are always the last tube drawn
C) Since there are no additives in the red topped tube, it cannot contaminate the green topped tube.
The phlebotomist prepares to draw blood on a child that doesn't want to have her blood drawn. The phlebotomist can gain the child's trust by doing all of the following except: A) Use a soothing tone of voice. B) Explain the procedure in terms the child understands. C) Tell the child it won't hurt. D) Give the child choices when possible.
C) Tell the child it won't hurt.
What is phlebotomy? A) A trained professional in blood drawing B) The legal standards for a person who performs blood drawing skills C) The process of drawing blood D) All of the above
C) The process of drawing blood
The quality of the test result depends on: A) The type of specimen B) The source of the specimen C) The time between collecting the specimen & analyzing the specimen D) Whether the sample is going to be analyzed for glucose or phosphate
C) The time between collecting the specimen & analyzing the specimen
Cold agglutinin test must be maintained at a temperature of: A) 37 F B) 32 C C) 32 F D) 37 C
D) 37 C
What additional equipment may be needed when drawing blood from a patient in the premature nursery? A) Small butterfly needles B) Rewards, stickers, & toys C) Anesthesia D) Additional PPE
D) Additional PPE
A specimen may be rejected by the lab if: A) The time was not initiated B) The blood is hemolyzed C) The tube was not transported properly D) All of the above
D) All of the above
As written in the Patient Care Partnership from the American Hospital Association, the patient has the right to: A) High quality care B) Protection of privacy C) Help with billing claims D) All of the above
D) All of the above
Specimens for which of the following tests must be kept chilled? A) Ammonia B) Pyruvate C) Lactic Acid D) All of the above
D) All of the above
The purpose of Total Quality Management is to: A) Check the machinery w/ automated procedures B) Ensure that proper laboratory procedures are being followed C) Ensure that adequate patient care is being provided D) All of the above
D) All of the above
When labeling tubes, all of the following information must be placed on them, except: A) Patient's name B) Date C) Time of draw D) All of the above
D) All of the above
Acceptable method(s) of identifying a patient include: A) Ask the patient to give his/her name & DOB B) Check the patient's I.D. band C) Ask the patient to present a photo ID D) All of the above are acceptable
D) All of the above are acceptable
The phlebotomist downed gloves, gown and goggles before performing an ABG procedure. She is still at risk for which type of exposure? A) Cutaneous B) Permucosal C) Percutaneous D) All of the above.
D) All of the above.
While processing a specimen, the phlebotomist accidentally spills a tube of blood on the table. The phlebotomist should: A) Disinfect the contaminated area with 10% bleach. B) Allow bleach to remain in contact with contaminated area for 20min. C) Clean up visible blood first. D) All of the above.
D) All of the above.
The phlebotomist has an order for a blood draw on his father who is in the hospital. The phlebotomist can identify his father by: A) Greeting and acknowledging the patient as "Dad". B) Greeting and acknowledging the patient by his first and last name. C) Asking the patient to state his first and last name. D) Asking the patient to state his name and checking the requisition against the patients armband.
D) Asking the patient to state his name and checking the requisition against the patients armband.
A hemogard top: A) Is a plastic top that fits over the stooped B) Is only used on the Lavender topped tube C) Is used to reduce aerosol & splattering of blood D) Both A & C
D) Both A & C
What is the proper procedure for a phlebotomist to follow if a physician or member of the clergy is in the patient's room at the time of the draw? A) Ask the physician or clergy member to step outside B) Draw the blood w/physician or clergy present C) Return at another time if the specimen is not a STAR request D) Both A & C
D) Both A & C
Which of the following is false for blood culture collection? A) The culture must be collected in the red & marble topped tubes B) The area must be prepped with Iodine or another antibacterial agent before the draw C) A tourniquet is not used for blood culture collection D) Both A & C are false for blood culture collection
D) Both A & C are false for blood culture collection
You are on your last patient for the morning draws, only to find that you have almost depleted your supply of tubes. The order is for a CBC and electrolytes but you only have lavender and red tops left on your tray. The proper course of action is to: A) Draw 2 lavender top tubes and deliver one to chemistry and one to hematology. B) Call down to the lab to have SST tubes delivered to you in the patients room. C) Draw the blood in a syringe and transfer to the appropriate tubes when you get to the lab. D) Draw 1 lavender for hematology and 1 red for chemistry.
D) Draw 1 lavender for hematology and 1 red for chemistry.
The lavender topped tube contains: A) No additive B) Heparin C) SPS or ACD D) EDTA
D) EDTA
Personal protection equipment must be provided by the: A) CDC B) OSHA C) Employee D) Employer
D) Employer
Which of the following is not needed for a routine phlebotomy procedure? A) Gloves B) Tourniquet C) Alcohol D) Iodine
D) Iodine
You have received an order to draw a CBC and a cholesterol level on Mr. Smith. He states that he is in a rush. Which of the following actions is appropriate to take to speed the process along? A) Blow on the site to get the alcohol to dry faster. B) Draw only a green-topped tube. C) Leave the tourniquet tied the entire time. D) None of the above are appropriate.
D) None of the above are appropriate.
When an admitted patient is not wearing an ID band, the phlebotomist must: A) Ask the patient for a picture ID B) Not draw blood from this patient C) Question the patient & confirm the DOB D) Not draw blood until nursing has paced an ID band on the patient
D) Not draw blood until the nursing staff has placed an ID band on the patient
The phlebotomist enters a patients room and says, "Hi John. I need to draw some blood again." The phlebotomists ID of the patient is: A) Ok, because the phlebotomist has already drawn the same patient twice today. B) Ok, because the patient and the phlebotomist are long time friends. C) Ok, because the patient has been in the hospital for a month and everyone knows him. D) Not ok, because proper ID of the patient must be adhered to at all times.
D) Not ok, because proper ID of the patient must be adhered to at all times.
While in the middle of performing a difficult venipuncture, the patient states that she feels like she is going to vomit. You observe her and note that she is pale and diaphoretic. You should: A) Withdraw the needle and grab an emesis basin and cool cloth. B) Continue drawing the blood quickly so you don't have to re-stick the patient. C) Tell the patient to put her head down on her other arm and continue the draw. D) Pull the needle out and go get someone from the lab to help you.
D) Pull the needle out and go get someone from the lab to help you.
While performing a venipuncture procedure, the phlebotomist checks the expiration date of the tube being used. This action is considered part of: A) Quality assurance. B) A delta check. C) A part of care check. D) Quality control.
D) Quality control.
While in the ER performing a venipuncture, you, the patient, and the patient's family clearly overhear 2 nurses outside the room discussing the patient next to you. You should: A) Ignore the conversation and focus on drawing your patient. B) Report the breach of confidentiality to your supervisor. C) Talk loudly to distract the attention away from the nurses. D) Tell the family to close the door if it happens again.
D) Tell the family to close the door if it happens again.
Quality assurance for laboratory personnel includes all of the following except: A) Specimen collection procedures B) Specimen transport processes C) Specimen processing policies D) The laboratory supervisors home telephone number
D) The laboratory supervisors home telephone number
