Phlebotomy Quiz 2

1. When performing a venipuncture, the tourniquet must not remain on the arm for more than ____ at a time.

10 seconds

1 minute

5 minute

10 minute

2. After finishing a blood draw, the phlebotomist must document___________

Who drew the sample

The time of draw

The date of draw

All answers are correct

3. Which of these human body systems is primarily involved with breathing?

Reproductive

Respiratory

Nervous

Digestive

4. If a patients breathing stops unexpectedly during blood collection, the phlebotomist should _______.

Continue the collection until complete and then call for help

Stop the collection and call for help

Shake the patient vigorously

Wait for a few minutes to see if it restarts automatically

5. Which PPE best protects a health care worker from contagion when touching body substances, mucous membranes, or skin wounds?

Mask

Alcohol

Glove

Respirator

6. After a needlestack accident during a blood collection, the injured phlebotomist cleans the puncture site with alcohol and then reports to work for the remainder of the day. what step was omitted?

Cleaning the area with iodine also

Reporting the incident to the supervisor

Checking the patient chart

Asking the patients HIV status

7. Routine venipuncture draw site commonly cleansed with a 70% solution of _________

Hypochlorite

Iodine

Methyl alcohol

Isopropyl alcohol

8. If a bed rail must be lowered for an inpatient venipuncture on a 6 year old child, upon completion of blood collection the phlebotomist should_______________

Leave the rail down so the child cna get in/out of bed

Ask the patient what his/her preference would be

Return the rail to the position prior to the draw

Do whatever the phlebotomist thinks is best

Give the child a treat (lollipop, snickers, etc)

9. If raised , red skin blotches begin to form immediately as the tourniquet is tied to a patients arm. what should be the phlebotomists next course of action?

Ignore them, as they will dissapear when the tourniguet is released

Remove the tourniquet and handle as a possible latex reaction

Continue with the draw, but notify the physician immediately afterward

The patent is probably just chiled, normal reaction to stress

10. When preparing a blood smear directly from a skin puncture, it is best to ________________

Put the patients finger directly on the side and push down

Pull blood up into a syringe and make the slide from the needle

Wipe away the first drop of blood and then make the slide

Clean the glass slide with sterile water just before making it.

11. Most blood culture draws require sample collection in _________

Anaerobic and aerobic media tubes/bottles

CO@ media tubes / bottles

Sterile saline

Goats milk

12. Communications between physician and pateint are considered prviledged, which means that medical records are _______

Confidential in nature and protected

Not pen to the patients themselves

Freely open to insurance companies

Accessible any health care worker

13. The right to know law requires that all cyhemical manufacturers supply ______ to those who sue their products.

Free fire extinguishers

Disposable containers

Material safety data sheets (MSDS)

Radioactive warning signs

14. Health care workers can demonstrate an awareness of safety in hospital corridors by_________

Turning corners carefully to avoid collision

Quickly reporting items that require clean up

Granting right of way to patients and emergencies

All answers are correct

15. An artery in the wrist that can be used for blood gas collection is the __________-

Jugular

Radial

Popliteal

Femoral

16. Containers used to dispose of sharps must have all these characteristics EXCEPT which one?

Mold resistance

Spill proof

Tamper proof

Puncture resistance

17. When performing venipuncture on patients with very frail skin or excessive arm hair, one way to increase patient comfort is to ________

Rub collection site with moisturizing lotion

Perform collection in the wrist or foot

Use cold compresses after the collection

Tie tourniquets over clothing if possible

18. Whats consideration should be made in performing phlebotomy on a patient with severe burns?

Venipuncture should never be used in a burn patient

Select a venipuncture location directly on a scarred tissue

Look for a venipuncture site in undamaged, unscarred skin

Cleanse the site with iodine to reduce chance of infection

19. A lipid panel provides the most useful information to the physicians if it is drawn _________.

Without a tourniquet

Along with electrolytes

Right after a fatty meal

While a patient is fasting

20. As a measure of ongoing quality contril phlebotomists should examine anticoagulated collection tubes for ______

Hazard warnings

Expiration dates

Visible powder

Glass integrity

21. Specimen collection areas should be decontaminated regularly with fresh bleach solutions that have been diluted_________ with water.

1:5

1:10

1:20

1:100

22. Before performing a venipuncture the collection site is cleansed in a circular motion that moves _______.

From periphery to center

From center to periphery

Clockwise and inward

Counterclockwise

23. Tubes used for ______ tests must have a 9:1 ratio of blood to anticoagulant to be accepted the lab.

Coagulation

Chemistry

Blood bank

Complete blood count

24. When anticoagulated blood is centrifuged_________ will be spun to the bottom of the tube.

White blood cells

Red blood cells

Plasma

Platelet clumps

25. One possible cause for finding fibrin strands in serum tubes after centrifugation might be __________________.

Centrifuging for too long

Centrifuging before it has clotted

Centrifuging at too high speed

Centrifuging after long delay

26. Which of the following steps will minimize aerosol microbial contamination in a laboratory?

Keep room doors open

Closing centrifuge lids

Banning the use of spray

Wearing gloves at all times

27. Which of these is NOT an example of parenteral transmission of an infection?

Infection through a hangnail

Eyehand contamination

Needlestick injury

Drinking contaminated water

28. The national fire protection association labels would use which color and number to indicate a chemical is easily dispersed in air and will burn readily?

Red 4

White 2

Red 1

Yellow 3

29. When drawing blood using anticoagulated tubes the phlebotomist must remember ALL BUT WHICH ONE of these collection requirements?

Mix adequately to keep the blood from clotting

Fill the tubes with blood until all vaccum is exhausted

Fill in correct order to avoid cross contamination

Keep the tourniquet tied until the last tube is filled

30. What type of additive is most commonly used for collection an ethanol specimen?

Sodium flouride

Sodium citrate

Red top with no additive

EDTA

31. Which of the following is the most likely to cause contamination during blood culture collection?

Letting the cleansing agents dry between steps

Cleansing the tube / bottle tops just like the site

Repalpitationg the draw site with prepped finger

Rushing the drying process between cleansings

32. Tiyn clots may appear in an anticoagulated tube due to _______

Insufficient mixing

Centrifuging too slowly

An inadequate amount of blood

Traumatized platelets

33. To confirm diabetes mellitus or hypoglycemia, a ______ may be ordered.

Postprandial sucrose test

Lactose intolerance test

Hemoglobin AIC test

Glucose tolerance test

34. If the venipuncture site begins to swell as blood is being drawn from a patients arm, it is best_______

Rotate the needle to position is better inside the vein

Finish the draw but apply pressure quickly afterward

Release the torunoquet remove the needle and apply pressure

Apply pressure above the puncture site and finish the draw

Submit