Quiz and Test Review
Which of the following is important to do after correctly identifying the patient before a blood draw? a) Provide an explanation of the process and purpose. b) Give the patient a precise explanation of the procedure. c) Ask the patient about previous blood draws. d) Place the patient in an uncomfortable position.
a) Provide an explanation of the process and purpose.
Which of the following tubes would be filled SECOND according to the tests ordered in the skill lab's requisition form? a) SST b) Light blue c) Lavender d) Green
a) SST
Which of the following is an absolute contraindication for venipuncture? a) Mastectomy same side b) Rash on the upper shoulder area of the same side c) Previous IV at the site d) Deep, difficult to palpate vein
a) Mastectomy same side
A CCMA needs to perform a PKU newborn screening. From which site would the specimen be collected? a) Medial heel b) Antecubital space c) Third digit d) Radial artery
a) Medial heel
Which is the preferred site for capillary puncture in both adults and children? a) Middle or ring finger b) Index or pinky finger c) Thumb or big toe d) Any finger is suitable
a) Middle or ring finger
When drawing blood cultures, a medical assistant should prepare a patient's skin using which of the following products? a) Povidone lodine b) Hydrogen peroxide c) Sterile water d) Glutaraldehyde
a) Povidone lodine
Which of the following is correct? a) The CCMA cannot find the vein after 60 seconds, so they release the tourniquet b) The CCMA palpates the area with their non dominant hand c) The CCMA has another CCMA check the vein after they palpate it d) The CCMA palpates the area with their thumb
a) The CCMA cannot find the vein after 60 seconds, so they release the tourniquet
Which of the following is correct? a) The anchor should be performed with the non-dominant hand b) After inserting the needle, switch to hold it with the other hand c) The tubes should be held and inserted with the dominant hand d) Insert the tube into the connector before inserting the needle
a) The anchor should be performed with the non-dominant hand
Which of the following is true? a) The end of the glucometer strip should touch the drop of blood b) The blood should drip off the finger onto the glucometer strip c) The end of the glucometer strip should scoop the blood off the finger d) Blot the glucometer against the bleeding finger
a) The end of the glucometer strip should touch the drop of blood
Which of the following should be performed after the finger is stuck? a) The finger should be gently squeezed to force blood to the tip. b) The quality controls should be run. c) Expiration date of the strips should be checked. d) Insert the strip into the glucometer.
a) The finger should be gently squeezed to force blood to the tip.
Which of the following is correct? a) The lancet should be applied at a right angle to the fingerprint. b) The patient's hand should be held at the wrist. c) The lancet should be applied parallel to the fingerprint. d) The finger should be punctured on the side of the finger.
a) The lancet should be applied at a right angle to the fingerprint.
Which of the following is correct? a) The patient needs to hold pressure at the puncture site. b) The site must be cleaned with alcohol after the puncture. c) The puncture site should be immediately bandaged after the puncture. d) The site must be cleaned with alcohol after the blood has been collected.
a) The patient needs to hold pressure at the puncture site.
What is the potential consequence of using a needle that is too small for a blood draw? a) The specimen may be hemolyzed b) The needle may puncture an artery instead of a vein c) The needle may cause excessive bruising d) The specimen may clot too quickly
a) The specimen may be hemolyzed
Which of the following is correct? a) The arrow side of the strip is inserted into the glucometer b) Insert the glucometer strip into the glucometer after applying the blood c) Place the arrow size of the strip against the drop of blood d) The glucometer strip should be wiped against the finger after the puncture
a) The arrow side of the strip is inserted into the glucometer
Which of the following is the main purpose of following the order of the draw during a venipuncture? a) To prevent contamination of the blood sample b) To make the procedure less painful for the patient c) To ensure that the blood flows more easily d) To minimize the risk of hematoma formation
a) To prevent contamination of the blood sample
Which of the following is the correct way to place a tourniquet based on the video you just watched? a) Tourniquet A b) Tourniquet B c) Tourniquet C
a) Tourniquet A
Which of the following blood tests may be affected by recent food and/or beverage intake? a) Triglycerides b) Creatinine c) Calcium d) White blood cell count
a) Triglycerides
What should be done if veins are inaccessible for a blood draw? a) Use the hand and a butterfly needle b) Draw from the feet veins under physician supervision c) Use the basilic vein in the bottom of the arm d) Attempt to draw from any vein in the patient's body without physician supervision.
a) Use the hand and a butterfly needle
Which of the following steps is performed AFTER using a lancet during a capillary blood collection procedure? a) Wipe away first drop of blood b) Collect blood c) Discard lancet into sharps container d) Apply bandage
a) Wipe away first drop of blood
Which of the following is true regarding site selection for a capillary stick? a) Use the index finger b) Use the ring finger c) Use the thumb d) Use the pinky finger
b) Use the ring finger
Which of the following tubes should a medical assistant select first when adhering to the proper order of draw? a) Red b) Yellow c) Green d) Gray
b) Yellow
Which tube would the medical assistant use to draw a specimen for blood culture? a) Green b) Yellow c) Gray d) Lavender
b) Yellow
Which test is used to help determine whether a patient has infectious mononucleosis and is common in adolescent patients who show symptoms of fever, headache, swollen glands, and fatigue? a) Tuberculosis Skin Test b) Rapid Strep Test c) Mono Rapid Test d) Urine Culture Test
c) Mono Rapid Test
A medical assistant performs a glucose test on a patient. The result for the patient's fasting blood glucose is 450 mg/ml. Which of the following actions should the medical assistant take? a) Notify the office manager b) Place the results on the provider's desk c) Notify the provider at once d) Tell the patient to inject insulin
c) Notify the provider at once
Which blood tests are typically used to monitor how quickly the blood clots and are important for patients on blood thinners? a) Fasting or non-fasting blood sugar b) Total cholesterol c) PT/INR d) Glucose
c) PT/INR
Which of the following situations would be acceptable for a basal state lab draw? a) Patient has fasted for 8 hours b) Patient has fasted for 12 hours c) Patient has slept for 8 hours and is fasting d) Patient has slept for 8 hours and has had only orange juice to drink
c) Patient has slept for 8 hours and is fasting
A CCMA performs a fingerstick to check a patient's glucose. Which of the following would ensure accurate results? a) Apply wrist tourniquet b) Chill the specimen c) Perform quality controls d) Ensure the patient has eaten breakfast
c) Perform quality controls
Which congenital disease is caused by a defect in the metabolism of the amino acid phenylalanine and results in mental retardation? a) Cystic Fibrosis b) Sickle Cell Anemia c) Phenylketonuria (PKU) d) Tay-Sachs Disease
c) Phenylketonuria (PKU)
What is the recommended position for a patient with a fainting history when preparing for a procedure? a) Standing up b) Leaning against a wall c) Semi-fowler's position d) Sitting in a dark room
c) Semi-fowler's position
Which of the following is important to communicate to a patient before collecting a Hemoccult test specimen? a) The need to fast for 12 hours before the test. b) The importance of collecting the specimen in the morning. c) That urine or water contamination makes the specimen unusable. d) That a high-fat diet should be followed for 3 days before the test.
c) That urine or water contamination makes the specimen unusable.
Which of the following is correct? a) The needle should be inserted bevel down b) The needle should be inserted very slowly c) The needle should be inserted at a 15-30-degree angle d) The needle should be inserted 1-2" deep
c) The needle should be inserted at a 15-30-degree angle
What is the dietary requirement for the patient according to the provider's order in the skill lab? a) Patient must be fasting b) Sample must be taken after eating c) There is no dietary requirement d) Patient must drink a sugary solution prior to testing
c) There is no dietary requirement
What is the purpose of using cohesive wrap or paper tape during a blood draw? a) To check for latex allergies b) To prepare the skin with alcohol wipes c) To aid in hemostasis d) To label the blood collection tube correctly
c) To aid in hemostasis
Why is it important to ensure that the needle used in phlebotomy has a safety device? a) To prevent hemolysis of the specimen b) To ensure that the needle is properly attached to the tube holder c) To reduce the risk of needlestick injury d) To facilitate a faster and more efficient blood draw
c) To reduce the risk of needlestick injury
Which of the following is correct? a) Capture the first drop of blood after it collects on the skin b) Squeeze the finger to express the blood c) The blood should drip off the finger onto the strip d) Wipe away the first drop of blood
d) Wipe away the first drop of blood
Which result is a normal PT/Protime result for a patient not on blood thinning medications? a) 10.4-15.7 seconds b) 20.4-20.7 seconds c) 17.9-30.8 seconds d) 101.9-120.9 seconds
a) 10.4-15.7 seconds
Which of the following would be a normal Hemoglobin result in a female patient? a) 12-16 g/dL b) 4,5-11 thousand/mm3 c) 150,000-400,000 per mm3 d) 130-200 mg/dL
a) 12-16 g/dL
What is the angle for using the lancet during a capillary stick procedure? a) 90° b) 30° c) 45° d) 15°
a) 90°
Which of the following can cause a false positive on a fecal occult blood test? a) Broccoli and beets b) Dairy c) Citrus fruits d) Medicines like tylenol
a) Broccoli and beets
The medical assistant needs to aliquot a blood specimen. Which procedure is correct? a) Divide the specimen into several using a single use pipette b) Pour the specimen into several containers c) Group all specimens together with one label d) Freeze the specimens, allow to cool, then centrifuge
a) Divide the specimen into several using a single use pipette
Which of the following is the most common complication of venipuncture? a) Hematoma b) Hemolysis c) Hemoconcentration d) Hemophilia
a) Hematoma
Using a smaller needle for a venipuncture can cause red blood cells to burst, this is known as? a) Hemolysis b) Hemoconcentration c) Homeostasis d) Hemostasis
a) Hemolysis
Which of the following is correct regarding the collection of a newborn screening sample? a) Wipe away the first drop of blood before collecting sample b) The puncture should be performed on the 3rd or 4th digit of the hand c) Touch the card directly to the skin surface to collect sample d) Process the card immediately before the blood dries
a) Wipe away the first drop of blood before collecting sample
What is a special storage requirement for some samples? a) Wrapping in foil to protect from light b) Placing in a biohazard transport bag c) Including a requisition form d) Labeling with a patient name and ID number
a) Wrapping in foil to protect from light
Where should the CCMA anchor the vein for a venipuncture in the antecubital space? a) 1-2 inches above the site. b) 1-2 inches below the site. c) 3-4 inches above the site. d) 3-4 inches below the site.
b) 1-2 inches below the site.
What angle should you use a lancet during a capillary puncture? a) 45 degrees b) 90 degrees c) 10-15 degrees d) 30 degrees
b) 90 degrees
Which of the following is correct? a) Anchor the vein 3-4" below the draw site. b) Anchor the vein 1-2" below the draw site. c) Anchor the vein 3-4" above the draw site. d) Anchor the vein 1-2" above the draw site.
b) Anchor the vein 1-2" below the draw site.
Which of the following is the best choice for vein selection in obese patients? a) Median cubital b) Cephalic c) Basilic d) Brachial
b) Cephalic
What medical condition is monitored by measuring a Hemoglobin A1C (HbA1C)? a) Anemia b) Diabetes mellitus c) Hemophilia d) Hypertension
b) Diabetes mellitus
When the medical assistant is giving a patient instruction on how to collect a stool sample for ova and parasites, which is true? a) Do not eat cereal for two weeks prior to testing b) Do not use laxatives or antacids two weeks prior to testing c) Do not take thyroid medications the day of testing d) Do not drink orange juice 3 days before testing
b) Do not use laxatives or antacids two weeks prior to testing
Which of the following sets of items would be typically used during a venipuncture procedure to collect a blood sample from a patient? a) Tourniquet, alcohol swab, and gloves b) Evacuated tube, butterfly, and paper tape c) Syringe and needle, butterfly, and evacuated tube d) Cohesive wrap, povidone-iodine, and cold packs
b) Evacuated tube, butterfly, and paper tape
The medical assistant has been asked to screen the patient for anemia. Which of the following laboratory tests should the medical assistant anticipate confirming this diagnosis? a) Glucose b) Hemoglobin c) Calcium d) PT/INR
b) Hemoglobin
Which additive is typically found in green cap tubes used for blood gas collections? a) EDTA b) Heparin c) Clot activator d) No additive
b) Heparin
After disposal of the needle during venipuncture procedure, the very next step is: a) Apply alcohol to the site b) Label the tubes c) Centrifuge the tubes d) Document the procedure
b) Label the tubes
Which of the following tube stoppers should be drawn first according to the Clinical and Laboratory Standards Institute (CLSI) guidelines? a) Red b) Light blue c) Green d) Lavender
b) Light blue
Which of the following tubes would be filled FIRST according to the tests ordered in the skill lab's requisition form? a) Light green b) Light blue c) Lavender d) SST
b) Light blue
Which of the following describes the function of anticoagulant additives in vacutainer tubes? a) Promote blood clotting b) Prevent blood clotting c) Separate serum from plasma d) None of the above
b) Prevent blood clotting
To avoid hemoconcentration during venipuncture, which of the following actions should the medical assistant take? a) Apply an ice pack to the area b) Remove the tourniquet before 1 minute has elapsed c) Instruct the patient to keep the arm bent d) Insert the needle into the vein with the bevel down
b) Remove the tourniquet before 1 minute has elapsed
Which of the following is correct? a) The lancet should be placed in the biohazard bag. b) The lancet should be placed in the biohazard sharps container. c) The bandage wrapper and lancet top should be placed in the biohazard bag. d) The bloody gauze should be placed in the trash.
b) The lancet should be placed in the biohazard sharps container.
What is the purpose of the yellow tube in the order of draw? a) To test serum b) To prevent clotting and stabilize bacterial growth c) To collect blood for hematology testing d) To collect blood for coagulation testing
b) To prevent clotting and stabilize bacterial growth
What is the purpose of allowing a blood specimen to clot before centrifugation? a) To mix the additive with the blood b) To separate the liquid serum or plasma from the solid components c) To prevent contamination from other specimens d) To ensure proper labeling of the tube
b) To separate the liquid serum or plasma from the solid components
How should a specimen be divided when aliquoting? a) Pour the specimen from one tube to another b) Use a single-use pipette to transfer the specimen c) Wear a lab coat to protect from contamination d) Label the original tube with the new information
b) Use a single-use pipette to transfer the specimen
What is the most common gauge size for a blood collection needle? a) 18-20 b) 19-21 c) 21-22 d) 23-25
c) 21-22
What size needle is typically used for a butterfly draw? a) 21-25 gauge b) 20-21 gauge c) 25-26 gauge d) 12-20 gauge
c) 25-26 gauge
Which of the following is the correct placement of the tourniquet? a) 3-4" below the draw site b) 1-2" above the draw site c) 3-4" above the draw site d) 1-2" below the draw site
c) 3-4" above the draw site
How many times would you need to invert the final tube used in the skill lab? a) None b) 12-20 c) 4-10 d) 12-15
c) 4-10
A medical assistant should allow a serum specimen to stand for which of the following lengths of time to allow the specimen to clot before centrifuging? a) 2 hours b) 15 minutes c) 45 minutes d) 20 minutes
c) 45 minutes
How many times should a lavender top tube be inverted to mix the additive with the blood? a) 3-4 times b) 5 times c) 8-10 times d) Do not invert
c) 8-10 times
Which of the following would be considered a normal fasting glucose level? a) 10 b) 40 c) 90 d) 180
c) 90
What is the butterfly system in phlebotomy? a) A device used to measure blood pressure b) A type of needle used for blood transfusions c) A winged infusion set used for small, fragile veins d) A collection tube holder for multiple samples
c) A winged infusion set used for small, fragile veins
Which of the following would be correct during a venipuncture? a) Don sterile gloves b) Have 2 lancets prepared c) Ask the patient if they have any allergies d) Ask the patient how much water they have had that day
c) Ask the patient if they have any allergies
A finger stick blood for blood glucose will test blood from which of the following? a) Artery b) Vein c) Capillary d) Tissue
c) Capillary
Which blood collection method is used when only small amounts of blood are needed? a) Venipuncture b) Arterial puncture c) Capillary puncture d) Intravenous blood draw
c) Capillary puncture
Which of the following is correct? a) Clean the draw site with povidone iodine b) Clean the area in a proximal to distal motion c) Clean the area in circular motion moving outward d) Clean the area in a circular motion moving inward
c) Clean the area in circular motion moving outward
What is the correct course of action if the patient has not followed the dietary requirements for a venipuncture order? a) Draw the appropriate tubes and make a note in the patient's chart. b) Reschedule the patient's blood draw and office visit. c) Contact the provider for further instructions. d) Have the patient wait in the office drinking water for 4 hours.
c) Contact the provider for further instructions.
A medical assistant removes a needle from the antecubital space of a patient following a phlebotomy procedure and applies pressure to the site. Which of the following steps should the medical assistant take next? a) Apply a bandage b) Label tubes c) Dispose of needle d) Confirm the ordered tests
c) Dispose of needle
Which of the following fingers would you choose? a) Finger is calloused b) Finger is bruised c) Finger is cold d) Finger is scarred
c) Finger is cold
What is a key responsibility of a medical assistant when collecting blood specimens? a) Performing advanced diagnostic testing on the blood sample b) Administering medication to the patient prior to the procedure c) Following proper specimen collection and handling guidelines d) Providing emotional support to the patient after the procedure
c) Following proper specimen collection and handling guidelines
Which test shows packed red blood cells and how much of the blood is made up of red blood cells? a) HbA1C b) Glucose c) Hematocrit d) Hemoglobin
c) Hematocrit
What is the most common complication when failing to apply pressure after a blood draw? a) Infection b) Fainting c) Hematoma d) Nerve damage
c) Hematoma
Which of the following patient conditions puts them at risk for uncontrolled bleeding during a blood draw? a) High blood pressure b) Asthma c) Hemophilia or taking blood-thinning medication d) Diabetes
c) Hemophilia or taking blood-thinning medication
Which of the following describes the purpose of the glucose test in terms the patient would understand? a) It will show the level of "sugar control" over the last 3 months b) It will confirm the diagnosis of gestational diabetes c) It will measure the level of "sugar" in the blood d) It will test to see how thick the blood is
c) It will measure the level of "sugar" in the blood
Which of the following tubes would be filled LAST according to the tests ordered in the skill lab's requisition form? a) Light green b) Light blue c) Lavender d) Red
c) Lavender
What color tubes are needed and in what order must they be drawn for a CBC and PT/INR? a) Lavender and light blue b) Light green and light blue c) Light blue and lavender d) Light blue and light green
c) Light blue and lavender
Which of the following is the correct order of draw? a) Lavender, light blue, red b) Green, red, lavender c) Light blue, lavender, gray d) Red, lavender, green
c) Light blue, lavender, gray
Which of the following is the correct practice when instructing a patient about the phlebotomy procedure? a) "Make a fist and pump once." b) "Make a fist and pump twice." c) "Make a fist then open your hand." d) "Make a fist, but do not pump"
d) "Make a fist, but do not pump"
What is needed for proper labeling of a blood collection tube? a) Patient's name, date of birth, and ID number b) Collector's initials and collection time c) Collection date and patient's phone number d) All of the above
d) All of the above
What should you do after cleaning the site for a blood draw? a) Dry the site with gauze b) Blow on the site c) Fan the site d) Allow the site to air-dry
d) Allow the site to air-dry
A medical assistant is performing phlebotomy on an 80-year- old patient who has small veins. Which of the following venipuncture methods should the medical assistant use? a) Finger puncture b) Evacuated tube c) Heel stick d) Butterfly needle
d) Butterfly needle
What should you do when preparing a patient for a medical test or procedure? a) Skip verifying the patient's identity and move straight to explaining the procedure b) Confirm pretest preparation regardless of the patient's compliance c) Proceed with the procedure even if the patient expresses concerns about pain d) Explain the procedure and answer any questions, including the patient's preferred arm, and assure them of minimal, brief discomfort
d) Explain the procedure and answer any questions, including the patient's preferred arm, and assure them of minimal, brief discomfort
Which of the following is the purpose of inverting an evacuated tube after a medical assistant performs a venipuncture? a) To distribute serum during centrifugation b) To retrieve the liquid portion without cellular contamination of the specimen c) For proper separation of sodium heparin d) For proper mixing of the additive contained in the tube and the specimen
d) For proper mixing of the additive contained in the tube and the specimen
What is the correct technique for inserting a needle during a blood draw? a) Pump the needle before inserting it b) Insert the needle at a 45 - 60 degree angle c) Insert the needle slowly in a back and forth motion d) Insert the needle at a 15 - 30 degree angle with one smooth motion
d) Insert the needle at a 15 - 30 degree angle with one smooth motion
Which of the following pieces of equipment is required for a dermal puncture? a) Syringe b) Tourniquet c) Vacutainer d) Lancet
d) Lancet
What is the correct technique for removing a needle during a blood draw? a) Remove the needle slowly in a back and forth motion b) Do not cover the site with gauze before removing the needle c) Use two hands to deploy the safety device after removing the needle d) Remove the needle with one smooth motion and apply pressure to the site before deploying the safety device
d) Remove the needle with one smooth motion and apply pressure to the site before deploying the safety device
Which of the following supplies is NOT typically used during a capillary puncture procedure for blood collection? a) Gloves b) Alcohol pad c) 2 X 2 gauze squares d) Suture kit
d) Suture kit
Which of the following is not a piece of equipment needed for the procedure? a) Alcohol pads b) Sharps container c) Lancet d) Syringe
d) Syringe
In which of the following circumstances would be acceptable for the CCMA to draw blood in the left antecubital space? a) The patient has a left arm sleeve tattoo. b) The patient has a birth control implant in the upper left arm. c) The patient had a left mastectomy 20 years ago. d) The patient directs the CCMA to use the left arm.
d) The patient directs the CCMA to use the left arm.
Which tube would the medical assistant choose that contains serum separator gel? a) Lavender b) Green c) Gray d) Tiger top
d) Tiger top
Why is it important to confirm pretest preparation before proceeding with a medical test or procedure? a) To save time b) To avoid liability issues c) To make the patient feel comfortable d) To ensure accurate test results
d) To ensure accurate test results
What is the recommended method of cleansing the site before a procedure? a) Use soap and water b) Use 100% alcohol c) Use a back-and-forth motion d) Use 70% alcohol in a circular motion, from inside to outside, and allow the skin to air dry
d) Use 70% alcohol in a circular motion, from inside to outside, and allow the skin to air dry