Term
Which of the following is the suffix meaning blood?
a) -cyte
b) -emla
c) -globin
d) -itis |
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Definition
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Term
The literal meaning of the word hemolysis is________________.
a) blood breaking down
b) blood being red
c) Jacking red cells
d) serum being red |
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Definition
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Term
PT is the lab abbreviation for which of the following tests?
a) Partial thromboplastin
b) platelet time
c) ProteinC
d) Prothrombin time |
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Definition
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Term
When a patient's arm is swollen with excess fluids, this is called________________.
a) edema
b) jaundice
c) thrombosis
d) scaring |
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Definition
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Term
The patient you are preparing to draw blood from has three good veins in the antecubital area. Which vein is the best one to use?
a) Basilic
b) Brachial
c) Cephalic
d) Median cubital |
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Definition
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Term
The liquid portion of an anticoagulated blood specimen is called________________.
a) clotted
b) plasma
c) platelet-free
d) serum |
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Definition
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Term
What is a nosocomial infection?
a) It is an infection acquired at school
b) It is an infection acquired in the healthcare facility
c) It is MRSA (methicillin-resistant Staphylococcus aureus)
d) It is an infection acquired through an accidental needlestick |
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Definition
| b) It is an infection acquired in the healthcare facility |
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Term
Which of the following is not a single-use only item?
a) Needles
b) Tourniquets
c) Tube holders
d) Winged infusion sets |
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Definition
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Term
What is the name of the equipment used to separate plasma or serum from red blood cells?
a) Autoclave
b) Centrifuge
c) Hemocytometer
d) Spectrophotometer |
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Definition
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Term
Which of the following is a true statement regarding safe use of tube holders and needles?
a) After removing and disposing the needle; clean the tube holder with an alcohol pad
b) Discard the tube holder and needle together as a unit into a sharps container
c) Manually unscrew the needle from the tube holder so the tube holder can be reused
d) Use the sharps container to hold the needle while it is unscrewed from the holder |
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Definition
| b) Discard the tube holder and needle together as a unit into a sharps container |
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Term
Needles are color-coded to indicate their________________.
a) bevel angle
b) length
c) manufacturer
d) gauge |
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Definition
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Term
According to CLSI standards, what is the maximum recommended depth for heel punctures?
a) 1.0mm
b) 1.7mm
c) 2.0mm
d) 2.6mm |
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Definition
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Term
Which color tube stopper indicates a blood collection tube containing sodium heparin?
a) Green
b) Black
c) Purple
d) Yellow |
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Definition
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Term
Which of the following is not part of the evacuated blood collection system?
a) Evacuated tubes
b) Multi-sample needle
c) Syringe
d) Tube holder |
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Definition
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Term
Which of the following is not a restriction for a patient having a glucose tolerance test?
a) Chewing gum
b) Drinking coffee
c) Drinking water
d) Eating mints |
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Definition
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Term
When a lipid panel is ordered, the patient should be________________.
a) Fasting for at least 12 hours with water allowed
b) No restrictions, in a basal state
c) Fasting for 8 hours with no water
d) Fasting for 12 hours with no water |
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Definition
| a) Fasting for at least 12 hours with water allowed |
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Term
What is the key principle of Universal Precautions?
a) Gloves and gowns are all an individual needs to protect him and others from blood and body fluids
b) Only patients in isolation rooms are considered to have potentially infectious blood and body fluids
c) The blood and body fluids of all individuals are considered potentially infectious
d) The Human Immunodeficiency Virus (HIV) is the most important blood born pathogen |
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Definition
| c) The blood and body fluids of all individuals are considered potentially infectious |
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Term
In the healthcare setting, HBV, HCV, and HIV can be transmitted by________________.
a) sharps injuries
b) splash of blood/body fluids to the mucous membranes
c) touching non-intact skin without vinyl/latex gloves
d) All answers are correct |
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Definition
| d) All answers are correct |
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Term
Needlestick injuries can be prevented by________________.
a) activating the blood collection safe needle device immediately before placing in the sharps disposal container
b) always recapping needles by hand
c) emptying sharps disposal containers only when they are filled to the top
d) using safe needle devices and following the instructions for proper use |
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Definition
| d) using safe needle devices and following the instructions for proper use |
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Term
When should sharps containers be closed, sealed, and made ready for disposal?
a) When the container is half-full
b) When the container is 3/4 full
c) When the sharps are an inch from the top
d) When the container is full |
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Definition
| b) When the container is 3/4 full |
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Term
You receive an accidental needlestick injury. When do you report this injury?
a) At the end of the work shift
b) After seeing your personal physician
c) Immediately
d) The next day before starting work |
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Definition
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Term
When numbers are entered into the color squares of the symbol below, it is used to warn individuals of________________hazards.
a) blood born pathogen
b) chemical
c) poison
d) radiation |
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Definition
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Term
Antisepsis is a technique used on________________.
a) equipment
b) medical instruments
c) skin
d) surgical dressings |
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Definition
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Term
In which of the following situations is it unacceptable to use an alcohol based hand rub?
a) After contact with a patient's intact skin
b) After removing gloves that are not visibly contaminated
c) Before eating
c) Before direct patient contact |
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Definition
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Term
The transmission based isolation category Airborne Precautions is used when a patient is known or suspected to have________________.
a) gangrene
b) hepatitis A
c) influenza
d) tuberculosis |
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Definition
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Term
Which of the following blood borne diseases is most likely to be transmitted by needle stick
in the United States?
a) Chagas disease
b) Hepatitis C
c) Hepatitis D
d) Viral hemorrhagic fevers |
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Definition
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Term
The term pre-analytical in phlebotomy means______________.
a) malfunctions in laboratory instrumentation
b) incorrectly reported patient test results
c) variables affecting the specimen before lab testing
d) failure to perform quality control testing |
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Definition
| c) variables affecting the specimen before lab testing |
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Term
A patient experiences severe shooting pains in his arm when you are drawing blood from the basilic vein. What most likely has happened?
a) The median nerve has been punctured or nicked
b) The patient is developing a hematoma
c) The patient is having a heart attack
d) The vein has collapsed |
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Definition
| a) The median nerve has been punctured or nicked |
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Term
The hematology supervisor tells you that the CBC specimen you collected is clotted and it needs to be redrawn. What is the most likely reason that the specimen is clotted?
a) The anticoagulant in the tube was outdated and no longer worked effectively
b) The patient has DIC and the blood was clotted before entering the tube
c) You did not mix the blood and anticoagulant in the tube sufficiently
d) You waited 30 minutes before delivering the tube to the laboratory |
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Definition
| c) You did not mix the blood and anticoagulant in the tube sufficiently |
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Term
Which of the following is most appropriate to use when drawing from a small vein in the hand of an elderly patient?
a) 21-gauge needle with syringe and small volume evacuated tubes
b) 21-gauge needle with tube holder and large volume evacuated tubes
c) 23-gauge winged infusion set with small volume evacuated tubes
d) 25-gauge winged infusion set with large volume evacuated tubes |
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Definition
| c) 23-gauge winged infusion set with small volume evacuated tubes |
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Term
A patient had a mastectomy on the right side five years ago. What do you do to obtain the blood specimens?
a) Use either arm as the mastectomy incision has healed
b) Use the arm with the best veins
c) Use the left side as blood is never collected from the side with a mastectomy
d) Use the left side as drawing blood from the right side would be too painful |
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Definition
| c) Use the left side as blood is never collected from the side with a mastectomy |
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Term
You are drawing blood from an outpatient who begins to feel faint. What is the recommended course of action?
a) Place an ammonia inhalant under the patient's nose and call for help
b) Remove the needle and lower the patient's head between his/her legs
c) Have the patient breathe deeply and continue with the collection
d) Remove the needle and call a "Code Blue" for emergency assistance |
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Definition
| b) Remove the needle and lower the patient's head between his/her legs |
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Term
Hemoconcentration may be caused by___________.
a) prolonged application of tourniquet
b) leaving the needle in the arm too long
c) thrombosis in the vein
d) obesity in the patient |
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Definition
| a) prolonged application of tourniquet |
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Term
Which of the following could result in a hemolyzed blood specimen?
a) Inserting a needle into a site where the alcohol has air dried
b) Mixing the blood with the additive/anticoagulant by shaking
c) Pulling back on a syringe plunger with gentle pressure
d) Using a 21-gauge needle to fill a 10 mL red top tube |
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Definition
| b) Mixing the blood with the additive/anticoagulant by shaking |
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Term
What should you do if there is blood on the outside of the tube you have just filled with blood?
a) Discard the tube and redraw the patient
b) Pour the blood into a new tube
c) Put a bio-hazard sticker on the tube
d) Wipe the outside of the tube with disinfectant |
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Definition
| d) Wipe the outside of the tube with disinfectant |
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Term
Which of the following is NOT a competency for a phlebotomist?
a) Selects appropriate site for blood collection
b) Uses medical terminology correctly c) Evaluates a possible source of error
d) Operates a hematology blood analyzer |
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Definition
| d) Operates a hematology blood analyzer |
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Term
Which of the following could result in a lawsuit being filed against a phlebotomist?
a) Inserting the needle at an incorrect angle
b) Excessive probing after missing a vein
c) Mislabeling blood tubes
d) All of the above |
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Definition
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Term
Considering patient safety, which of the following is the most dangerous phlebotomy practice?
a) Recapping the needle after venipuncture
b) Not wearing gloves during the phlebotomy procedure
c) Collecting a timed sample 5 minutes late
d) Labeling the empty collection tubes before collection |
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Definition
| d) Labeling the empty collection tubes before collection |
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Term
Per CLSI, the number of unsuccessful venipuncture attempts by an individual phlebotomist should be______________.
a) as many as needed
b) no more than two
c) established by the medical staff
d) determined on a case-by-case basis |
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Definition
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Term
An elderly patient is slowly getting back into bed, the phlebotomist shows appropriate nonverbal communication skills by_______________.
a) glancing repeatedly at the clock
b) stifling a yawn or sigh
c) offering the patient assistance
d) fidgeting with the phlebotomy tray |
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Definition
| c) offering the patient assistance |
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Term
A patient refused to have his blood drawn. With the help of two other phlebotomists to restrain the patient, you draw his blood. This is an example of which one of the following legal concepts?
a) Assault and battery
b) HIPAA
c) Informed consent
d) Invasion of privacy |
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Definition
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Term
The first drop of blood that forms following a skin puncture should be_____________.
a) bright red
b) hemolyzed
c) Wiped away
d) All of the above |
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Definition
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Term
Which of the following organizations requires employees to be assessed for competency?
a) CAP
b) COLA
c) The Joint Commission
d) All of the above |
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Definition
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Term
When performing patient identification procedures, you confirm that the patient's first and last name are the same on the requisition as on the wristband. The birth date (the second identifier used at your facility) has the same month and same day but the year is 1947 instead of 1945. Is it acceptable to collect blood on this patient?
a) No, all identification discrepancies must be resolved before drawing blood
b) No, you cannot draw blood until the nurse comes in and visually identifies the patient
c) Yes, it is obviously a typographical error made by the admitting clerk
d) Yes, only one identifier must match exactly before drawing blood |
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Definition
| a) No, all identification discrepancies must be resolved before drawing blood |
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Term
You need to draw blood on Fred Jones in Room 303. How do you verify that the patient is the correct Fred Jones?
a) Ask him, "Are you Fred Jones?" If he says yes, you have verification
b) Ask him to state his name and date of birth, and match it to the requisition
c) Check his ID band; if it says Fred Jones, you have verification
d) Have the nurse verify the patient's name for you |
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Definition
| b) Ask him to state his name and date of birth, and match it to the requisition |
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Term
You need to collect 5 mL of blood on an 18 month old. Which of the following veins is recommended for use?
a) Basilic
b) Cubital
c) Dorsal hand
d) Median cubital |
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Definition
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Term
Cleansing the skin with Betadine® for a skin puncture may interfere with the analysis of_______________.
a) bilirubin
b) cholesterol
c) hemoglobin
d) sedrate |
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Definition
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Term
When performing a microcollection procedure, the best way to increase blood flow is to_____________.
a) perform two punctures consecutively
b) pre-warm the site
c) scrape the blood drops into the container
d) use firm pressure to squeeze the site |
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Definition
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