Phlebotomy Chapter 2

during your phlebotomy program, you and your study group are asked to put together a presentation for your peers on standard precautions. While researching, you find out that different agencies right different protocols for Laboratories. Which agency can provide you with current information on standard precautions? A. CDC B. FDA C. NAACLS D. OSHA

A. CDC

you are asked to give a lecture to a new class of Phlebotomy students concerning respiratory hygiene precautions. Which agency can provide you with the current information that you need to present? A. CDC B. FDA C. NAACLS D. OSHA

A. CDC

a medical laboratory assistant (MLA) is asked to help unpack a shipment of chemicals for the laboratory. The MLA should first? A. Don all personal protective equipment B. check the NFPA label to see if there is a fire hazard C. read the SDS for storage requirements D. place all the chemicals in the chemical storage cabinet

A. Don all personal protective equipment

what is the internationally agreed-upon system for communicating chemical hazards in order to improve safety and health in the workplace? A. GHS B. HCS C. OSHA D. FDA

A. GHS

Diseases can be transmitted in several ways. A patient's cough is an example of? A. aerosol B. airborne C. vector D. vehicle

A. aerosol

the NFPA chemical Hazard codes indicate all of the following except? A. alkalinity B. flammability C. health hazard D. reactivity

A. alkalinity

your next patient states that you need to wear latex-free gloves. What type of precaution is this addressing? A. allergen exposure B. standard precautions C. ergonomics D. chemical exposure

A. allergen exposure

what type of fire extinguisher should be used on an electrical fire? A. any of these B. dry chemical C. carbon dioxide D. halon

A. any of these

physical hazards include all of these EXCEPT? A. blood and body fluids B. electrical equipment C. latex gloves D. radiation

A. blood and body fluids

A medical laboratory technician (MLT) is about to prepare some chemical solutions. She suspects that there might be some health risks. Which quadrant of the NFPA label should she check for chemicals? A. blue B. red C. yellow D. white

A. blue

Which of the following bacteria have become resistant to ciprofloxacin and levofloxacin? A. clostridium difficile B. chlamydia trachomatis C. neisseria D. fomite

A. clostridium difficile

Which of the following bacteria have become resistant to antibiotics? (choose all that apply) A. clostridium difficile B. enterococci C. pseudomonas aeruginosa D. staphylococcus aureus

A. clostridium difficile B. enterococci C. pseudomonas aeruginosa

this special procedure is performed when discarding contaminated ways from an isolation room A. double bagging B. donning of PPE C. discarding into normal waste basket D. autoclaving

A. double bagging

personal protective equipment includes all of the following EXCEPT? A. eyewash B. face shields C. gloves D. gown

A. eyewash

What is an inanimate object capable of carrying a disease? A. fomite B. helicobacter pylori C. pseudomonas aeruginosa D. giardia lamblia

A. fomite

the term HAZMATS Is used to identify? A. hazardous materials and chemicals B. chemical absorbent materials C. chemicals that have low to no risk D. chemicals that can neutralize volatile chemicals

A. hazardous materials and chemicals

what precautions should you take when adding a chemical to a container for at home specimen collection? A. label the container with the contents, the date, and your initials B. dilute strong acids by adding them first, then water C. wear PPE only if the chemical is considered a Biohazard D. laboratory Personnel are not responsible for preparing these containers

A. label the container with the contents, the date, and your initials

a common allergen found in blood collection equipment is? A. latex B. nitrile C. vitrine D. vinyl

A. latex

when you are handling a chemical, you notice the NFPA label. What does this label indicate? A. slight health risk B. high fire risk C. high reactivity risk D. not to be mixed with water

A. slight health risk

which of the following actions kills microorganisms when you use rubbing alcohol on your hands? A. the drying B. the applying C. the rubbing D. the mixing

A. the drying

Volatile solvants can cause irritation of the respiratory tract and central nervous system depression. How can you prevent accidental vapor inhalation? A. wear a mask or respirator while handling chemicals B. transport chemicals with their caps removed C. use a biological hood for handling chemicals D. handle chemicals out in the open for good air circulation

A. wear a mask or respirator while handling chemicals

A phlebotomist collects a specimen from a patient in an isolation room. what can the phlebotomist do to prevent the spread of infection? A. wear appropriate PPEs B. dispose of contaminated equipment outside the room C. wash his hands before removing his PPEs D. remove PPEs outside the room

A. wear appropriate PPEs

a patient enters an outpatient laboratory for testing. the phlebotomist notices that, after applying alcohol to the patient's skin prior to the blood collection procedure, the skin turned red. What question should the phlebotomist ask the patient? A. "are you allergic to any medications?" B. "do you have any allergies to alcohol or antiseptics?" C. "are really you feeling all right?" D. no questions are needed. developing a red color is normal when alcohol touches the skin

B. "do you have any allergies to alcohol or antiseptics?"

a phlebotomist notices a funny smell while centrifuging specimens . after a short while she sees a small flame at the back of the instrument. What class of fire has just occurred? A. D B. C C. B D. A

B. C

For which of the following diseases or conditions might a hospital routinely test patients being admitted to the hospital? A. cancer B. MRSA C. ulcer D. arthritis

B. MRSA

A fomite is a(n) ? A. alcohol-based foam hand sanitizer B. contaminated object C. sterile container D. type of pathogenic bacterium

B. contaminated object

Which of the following bacteria have become resistant to vancomycin? A. clostridium difficile B. enterococci C. varicella D. acinetobacter baumannii

B. enterococci

A _______ becomes a vehicle for disease transmission when it comes into contact with contaminated items, like food, linen, or equipment A. host B. fomite C. animal D. bug

B. fomite

an electronic instrument has a 3-pronged cord that is too short to reach the outlet. There is an extension cord in the closet that will only work with a two pronged plug. What is the safest way to connect power to this instrument? A. cut off the third prong of the instrument plug B. move the instrument closer to the outlet C. find a three-pronged extension cord D. have an electrician change the instruments plug to two-pronged

B. move the instrument closer to the outlet

What is the most common bloodborne pathogen biohazard in the laboratory? A. specimen processing B. needlestick injury C. slipping and falling D. paper cut

B. needlestick injury

what procedure can a phlebotomist perform to Break the Chain of Infection? A. pass the blood draw onto another phlebotomist B. perform hand hygiene C. wear scrubs D. use a speaker phone when answering the phone

B. perform hand hygiene

Engineering controls that are used for safe performance of venipuncture include: A. gloves and goggles B. post-procedure locking safety caps C. biohazards and sharps container D. hospital emergency code systems

B. post-procedure locking safety caps

A medical laboratory technician (MLT) is about to prepare some chemical solutions. He suspects that there might be a risk of fire. Which quadrant on the NFPA label should be checked for fire? A. blue B. red C. yellow D. white

B. red

while transferring a specimen from the collection container to a transport container for shipping, the phlebotomist spills some of the specimen on the counter. what should the phlebotomist do next? A. continue processing the specimen B. use a biohazard spill kit to clean the counter C. clean the counter with a chemical spill kit D. clean the counter with soap and water

B. use a biohazard spill kit to clean the counter

when encountering small airborne particles during patient care and laboratory activities, which respirator mask should you wear? A. N25 B. N85 C. N95 D. N105

C. N95

which practices may help eliminate the cause of lower back pain for a phlebotomist? A. placing phlebotomy equipment farther away B. bending over to perform the procedure C. adjusting the height of the patient's chair or bed D. avoiding using a cart to transport specimens

C. adjusting the height of the patient's chair or bed

a person who is processing specimens first cleans her hands with an alcohol-based sanitizer and then immediately presses the on button on the centrifuge. she feels in mild shock as the centrifuge turns on. What type of workplace Hazard has just occurred? A. vector-borne transmission B. biohazard C. electrical D. blood-borne exposure

C. electrical

a phlebotomist notices every day after several hours of performing outpatient venipunctures that she has pain in her lower back. what type of workplace hazard should be investigated to help eliminate the cause of the phlebotomist's pain? A. allergen exposure B. biohazard C. ergonomics D. fire hazard

C. ergonomics

During your morning blood draws you notice a fire at the end of the hallway. what is the LAST thing you should do? A. activate the fire alarm or phone in the alarm B. contain the fire as much as possible C. extinguish if possible D. rescue those who need immediate help

C. extinguish if possible

Which of the following actions may result in a needlestick injury while performing venipuncture and is against OSHA polices? A. engaging the engineering control upon withdrawal of the needle from the arm B. placing an uncapped needle down on the table C. jamming a used needle down into a full sharps container D. keeping fingers out of the path of needle insertion

C. jamming a used needle down into a full sharps container

double-bagging is? A. using a bag inside a bag to transport specimens B. placing normal waste into two seperate bags C. placing biohazardous material into a bag and then that bag into another bag D. wearing two pairs of gloves while working with biohazardous materials

C. placing biohazardous material into a bag and then that bag into another bag

A phlebotomist enters a room to draw blood on a patient undergoing care for an infected wound. The site of the wound and it's bandages are considered which link in the chain of infection? A. infectious agent B. mode of transmission C. portal of exit D. susceptible host

C. portal of exit

which of the following is a site where organisms grow and multiply? A. host B. site C. reservoir D. transmission

C. reservoir

Before adding a chemical to a specimen container, the phlebotomist should look up information regarding safety risks using the? A. laboratory send out manual B. standard operating procedure manual C. safety data sheets D. safety committee meeting minutes

C. safety data sheets

Which of the following is an example of a biohazard? A. touching electrical equipment with wet hands B. the potential for a fire to start C. splashing blood when a cap is removed D. spilling a chemical on a countertop

C. splashing blood when a cap is removed

if a fire alarm sounds or a code red is called in your area, you should? A. do nothing until told B. finish what you are doing, retrieve your belongings, and leave the building C. terminate any procedures and leave the building immediately D. grab a fire extinguisher and go find the fire

C. terminate any procedures and leave the building immediately

HAIs are infections? also known as nosocomial infections A. of the nasal passage B. that occur in communal settings C. that are acquired from healthcare settings D. with non-pathogenic organisms

C. that are acquired from healthcare settings

needlesticks can be prevented by? A. recapping needles B. cutting needles with a needle cutter C. using a one-handed technique to engage the engineering control D. bending needles before placing them into a sharps container

C. using a one-handed technique to engage the engineering control

a woman who has a cold wipes her hands on a dinner napkin and leaves the napkin on the table when she leaves the restaurant. The server who clears the table touches the napkin and later develops a cold. What type of transmission has occurred? A. airborne transmission B. vector-borne transmission C. vehicle-borne transmission D. droplet transmission

C. vehicle-borne transmission

you should wash your hands for a minimum of how long between patients? A. 1 minute B. 45 seconds C. 30 seconds D. 20 seconds

D. 20 seconds

a phlebotomist is asked to help unpack a shipment of chemicals for the laboratory and to check whether there are any fire hazards. The phlebotomist should check the? A. standard operating procedures for the laboratory B. FDA- approved procedures for which these chemicals will be used. C. safety data sheets for storage requirements D. NFPA label on each chemical bottle

D. NFPA label on each chemical bottle

Which government agency mandates the use of PPEs? A. CLSI B. HAZMAT C. SDS D. OSHA

D. OSHA

a physician office laboratory wants to ensure that they are disposing of medical waste properly. Which agency should they consult for medical waste handling guidelines? A. DHHS B. DOT C. EPA D. OSHA

D. OSHA

Which of the following is a document that summarizes a chemicals characteristics as well as its handling and storage guidelines? A. HAZMAT B. HEPA C. NFPA D. SDS

D. SDS

Which of the following is an example of a healthcare - associated infection (HAI) ? A. A patient enters the emergency department with suspected food poisoning after eating at a local restaurant B. a patient admitted for a bleeding problem is found to have acute leukemia two days after admission C. a phlebotomist develops high blood pressure after having been working at a hospital for three months D. a phlebotomist who has a staph infection does a point-of-care blood draw from a hospital patient, who later develops a staph infection

D. a phlebotomist who has a staph infection does a point-of-care blood draw from a hospital patient, who later develops a staph infection

diseases such as chickenpox, TB, and shingles can be spread through which mode of transmission? A. contact B. droplet C. vector D. airborne

D. airborne

during patient care activities that are likely to generate splashes of blood, a phlebotomist should wear? A. gown B. goggles C. gloves D. all of these

D. all of these

a phlebotomist notices Sparks and then a flame coming from the back of the centrifuge. What type of workplace Hazard has just occurred? A. biohazard B. chemical C. electrical D. fire

D. fire

when is it acceptable to wear dangling jewelry in the healthcare setting? A. when long necklaces are tucked underneath clothing B. when a surgical cap covers dangling earrings C. when a task does not involve hazardous chemicals D. never

D. never

A patient in which type of isolation is the LEAST likely to transmit disease to the phlebotomist? A. airborne B. contact C. droplet D. protective

D. protective

Upon entering a patient room, you encounter a fire in the waste container. the FIRST thing you should do is? (R.A.C.E) A. activate the fire alarm or phone in the alarm B. contain the fire as much as possible C. extinguish if possible D. rescue those who need immediate help

D. rescue those who need immediate help

For which of the following bacteria are some hospitals now screening patients upon admission? A. clostridium difficile B. enterococci C. pseudomonas aeruginosa D. staphylococcus aureus

D. staphylococcus aureus

before adding a chemical to a specimen container, the phlebotomist noted that the chemical may cause mild skin irritation and should not be inhaled. What would be the best method to handle this situation? A. use a flammable cabinet B. use only gloves and pour over a spill kit C. use gloves and a face shield D. use gloves, a face shield, and a fume hood

D. use gloves, a face shield, and a fume hood

You touch a contaminated object and become sick. This is an example of which type of disease transmission? A. aerosol B. airborne C. vector D. vehicle

D. vehicle

A phlebotomist is about to prepare a container for a patient specimen collection. He notices that one of the chemicals on the Shelf in the storage room displays W on its label. in which NFPA color quadrant did he see the symbol? A. blue B. red C. yellow D. white

D. white

when entering a room that has airborne precautions, you should wear a(n) ?

HEPA or N95 respirator

one of the most critical steps in preventing HAIs is correct?

hand hygiene