Chapter 1-10

1. In the event of a body fluid splash in the eyes, the victim should immediately

Call the paramedics

Flush eyes with water for 10 minutes

Go to the emergency room

Wipe the eyes with a tissue

2. The medical term for red blood cell is

Erythrocyte

Hepatocyte

Leukocyte

Thrombocytes

3. Which of the following is proper telephone technique?

Be careful of the tone of voice used and keep answers simple

Do not identify yourself in case there are problem later

Listen carefully; do not take notes because it takes too much time

Wait for the phone to ring three or four times so as not to appear anxious

4. Failure to exercise "due care" is

Assault

Battery

Invasion of privacy

Negligence

5. The law that established national standards for the electronic exchange of protected health information is

CLIA

HIPAA

OSHA

PHS

6. The specialty that treats disorders of old age is called

Cardiology

Gerontology

Pathology

Psychiatry

7. The microbiology department in the laboratory performs

Compatibility testing

Culture and sensitivity testing

Electrolyte monitoring

Enzyme-linked immunoassay

8. The abbreviation for the routine hematology test that includes hemoglobin, hematocrit, red blood count, and white blood count determinations is called

CBC

CDC

CPK

CRP

9. A young adult comes to an outpatient lab to have his blood drawn. What should the phlebotomist know before drawing this patient's blood?

Age of majority in the state

Date of birth of the patient

Name of the patient

All of the above

10. Which of the following is an accessory organ of the digestive system?

Heart

Liver

Lung

Ovary

11. Of the following tubes or containers, which is filled last in the recommended order of draw?

Blood culture bottle

Lavender top

Light-blue top

Red top

12. Which of the following is required requisition information?

Ordering physician's name

Patient's first and last name

Type of test to be performed

All of the above

13. If a patient adamantly refuses to have blood drawn, you should

Convince the patient to cooperate

Notify the patient's nurse or physician

Restrain the patient and collect the specimen

Write a note to the physician

14. The department in the hospital that records brain waves for diagnosis is

Electroneurodiagnostics

Occupational therapy

Physical therapy

Radiology

15. Informed consent means that a

Nurse has the right to perform a procedure on a patient even if the patient refuses

Patient agrees to a procedure after being told of the consequences associated with it

Patient has the right to look at all his or her medical records

Phlebotomist tells the patient what is ordered and the implication of the test results

16. Which of the following items is PPE?

Biohazard bag

Countertop splash shield

Nonlatex gloves

Sharps container

17. Which part of gastr/o/enter/o/logy is the suffix?

Enter

Gastr

Logy

O

18. The abbreviation NPO means

Negative patient outcome

New patient only

No parenteral output

Nothing by mouth

19. The preferred vein for veinipuncture in the "H" pattern is the

Accessory cephalic

Basilic

Cephalic

Median cubital

20. An institution that provides inpatient services is a

Clinic

Day-surgery

Doctor's office

Hospital

21. A prefix

Comes before a word root and modifies its meaning

Establishes the basic meaning of a medical term

Follows a word root and adds to or changes its meaning

Makes pronunciation of the term easier

22. To what part of the body does the word root hepat refer?

Head

Heart

Liver

Stomach

23. The process by which the body maintains a state of equilibrium is

Anabolism

Catabolism

Homeostasis

Venostasis

24. When the arm of the patient is swollen with excess fluids, the condition is called

Edema

Hemoconcentration

Icterus

Syncope

25. Which of the following conditions disqualifies a site for capillary puncture?

Cyanotic

Edematous

Swollen

All of the above

26. Safe working conditions are mandated by

CDC

HazCom

JCAHO

OSHA

27. All of the following items are aypically used to perform routine veinipuncture except

Disinfectant

Evacuated tubes

Safety needle

Tourniquet

28. What causes evacuated tubes to fil with blood automatically?

Arterial pressure

Fist pumping by the patient

Pressure created by the tourniquet

Tube vacuum

29. The "e" is promounced separately in

Diastole

Syncope

Systole

All of the above

30. You are about to perform routine venipuncture on a patient with no known allergy to antiseptics. Which of the following substances would you use to clean the site?

5.25% sodium hypochlorite

70% isopropyl alcohol

Antibacterial soap and water

Povidone-iodine

31. Lavender-top tubes are most commonly used to collect

Chemistry tests

Coagulation specimens

Hematology tests

Immunology tests

32. A butterfly is typically used for

Coagulation specimens

Difficult and hand veins

Drawing from the basilic vein

All of the above

33. After cleaning the venipuncture site with alcohol, the phlebotomist should

Allow the alcohol to dry completely

Fan the site to help the alcohol dry

Dry the site with a regular gauze pad or cotton ball

Insert the needle quickly before the alcohol has a chance to dry

34. Which types of patient is most likely to have an arteriovenous fistula or graft?

Arthritic

Dialysis

Hospice

Wheelchair bound

35. A factor that contributes to the phlebotomist's professional image is

A pleasant smile and a positive attitude

National certification

Personal hygiene

All of the above

36. Which of the following is an example of proxemics?

Eye contact

Facial expressions

Personal hygiene

Zone of comfort

37. State and federally funded insurance is called

ASCP

HIPPA

Medicaid

PPO

38. The single most important means of preventing the spread of infection is

Proper hand antisepsis

Wearing a mask

Wearing gloves

Infection cannot be prevented

39. The principles of right and wrong conduct as they apply to professional problem are called

Certification

Esteem

Ethics

Torts

40. All of the following examples of potential exposure to bloodborne pathogens involves a parenteral route of transmission expept

A phlebotomist who cuts his hand on a broken tube of blood

Blood leaking through the glove of a phlebotomist who has badly chapped hands

Someone chewing gum while collecting blood specimens

The technician in specimen processing rubbing her eye without washing her hands

41. Evaluation of the endocrine system involves

Blood gas studies

Drug monitoring

Hormone determinations

Spinal fluid analysis

42. The purpose of the pulmonary system is to

Carry blood to and from the lungs

Carry nutrients to the cells

Deliver blood to the systemic system

Remove impurities from the blood

43. A heart disorder characterized by fluid buildup in the lungs is called

Aortic stenosis

Bacterial endocarditis

Congestive heart failure

Myocardial infarction

44. The most frequently occurring lab-acquired infection is

HBV infection

HIV infection

Syphilis

Tuberculosis

45. Cystitis means

Blueness of the skin

Cellular infection

Inflammation of the bladder

Pertaining to a cell

46. The spinal cord and brain are covered by protective membranes called

Meninges

Neurons

Papillae

Viscera

47. The longest vein and the largest artery in the body in that order are

Cephalic and femoral

Great saphenous and aorta

Inferior vena cava and brachial

Pulmonary and femoral

48. Blood collection tubes are labeled

As soon as the test order is received

Before the specimen is collected

Immediately after specimen collection

Whenever it is most convenient

49. What is the best approach to use on an 8-year-old chlid who needs to have blood drawn?

Explain what you are going to do in simple terms and ask the child to cooperate

Have someone restrain the child to avoid resistance and collect the specimen

Offer the child a treat or toy, but only if he or she doesn't cry

Tell the child that it won't hurt and that it will only take a few seconds

50. ______________are set up to monitor all aspects of laboratory work.

GLPs

Quality indicators

Sentinel events

Trresholds

51. Phlebotomists are involved in the Joint Commission's performance measurements in the area of myocardial infarction in what way?

Collecting specimens for blood cultures at specified times

Collecting specimens for timed tests for cardiac enzymes

Processing specimens for pneumonia testing

Reporting pregnancy testing results

52. You are asked to collect a specimen from an inpatient. The patient is not wearing an ID band. What do you do?

Ask the patient's name and collect the specimen if it matches the requisition

Ask the patient's nurse to put an ID band on the patient before you draw the specimen

Identify the patient by the name card on the door

Refuse to draw the specimen and cancel the request

53. An inpatient is eating breakfast when you arrive to collect a fasting glucose. What is the best thing to do?

Consult with the patient's nurse to see if the specimen should be collected

Draw the specimen quickly before the patient finishes eating

Draw the specimen and write

Fill out form stating that you didn't collect the specimen because the patient wasn't fasting

54. Which one of the following is used as a monitor or quality indicator for the process of "test requesting"?

Accuracy of ordering

Safety

Transit time

Wristband evaluation

55. What does the suffix -algia mean?

Between

Condition

Disease

Pain

56. Which part of a cell contains the chromosomes or genetic material?

Cytoplasm

Golgi apparatus

Nucleus

Organelles

57. An individual's blood type (A, B, AB, or O) is determined by the presence or absence of which of the following on the red blood cells?

Antigens

Antibodies

Chemicals

Hormones

58. Skin puncture is typically performed on adults when

Patients have thrombotic tendencies

There are no accessible veins

Veins need to be saved for other procedures

All of the above

59. Which of the following is a proper skin puncture procedure?

Clean the site thoroughly with povidone-iodine

Milk the site to keep the blood flowing freely

Puncture parallel to the grooves of the fingerprint

Wipe away the first drop of blood

60. Distance, time, and shielding are principles of

BBP safety

Electrical safety

Fire safety

Radiation safety

61. The transverse plane divides the body

Diagonally into upper and lower portions

Horizontally into upper and lower portions

Vertically into front and back portions

Vertically into right and left portions

62. Lymph originates from

Joint fluid

Plasma

Serum

Tissue fluid

63. Which of these tests are most affected if the patient is not fasting?

CBC and protime

Glucose and triglycerides

RA and cardiac enzymes

Blood culture and thyroid profile

64. A delta check refers to

Checking the wristband with the requisition

Comparing current test results with previous one

Documenting all of the QC controls

Infection control precautions

65. Reverse isolation may be used for

A pediatric patient with measles

An adult patient with the flu

A patient with a urinary tract infection

A patient with severe burns

66. When taking a blood pressure, the systolic pressure is the pressure reading when the

Artery is compressed and blood flow is cut off

Cuff is completely deflated

First heart sounds are heard as the cuff is deflated

Muffled sound is heard as the cuff is deflated

67. Veins that feel hard and cordlike when palpted may be

Collapsed

Fistulas

Thrombosed

Venules

68. Which of the following situations involves a nosocomial infection?

A patient admitted to the hospital with a severe urinary tract infection

An employee who contracts HBV from a needle stick

A patient in ICU whose surgical wound becomes infected

A baby in the nursery with congenital herpes infection

69. The thick muscle layer of the heart is called the

Endocardium

Epicardium

Myocardium

Pericardium

70. Most gas exchange between blood and tissue takes place in the

Arterioles

Capillaries

Pulmonary vein

Venules

71. Which of the following tubes can be used to collect a serum specimen?

Light-blue top

Green top

PST

Red top

72. Which of the following tests requires an arterialized specimen?

Bilirubin

CBGs

Electrolytes

Glucose

73. Early equipment used for bloodletting includes all of the following except the

Fleam

Hemostat

Lancet

Leech

74. Necessary elements of risk management are all of the following except

Education

Evaluation

Identification

Obligation

75. A national organization that develops guidelines and sets standards for laboratory procedures

CAP

CLSI

JCAHO

NAACLS

76. Which of the following abbreviations is on the current Joint Commission "Do Not Use" list?

Cc

IU

ML

UTI

77. The chamber of the heart that receives blood from the systemic

Left atrium

Left ventricle

Right atrium

Right ventricle

78. Which of the following situations can result in hemoconcentration?

Leaving the tourniquet on longer than a minute

Mixing the specimen too vigorously

Partially filling a normal draw tube

Using a needle that is too small for size of the tube

79. Which of the following is a proper way to clean up a small blood spill that has dried on a counter top?

Moisten the spill with a disinfectant before carefully absorbing it with a paper towel

Rub the spot with an alcohol pad; then wipe the area again with a clean alcohol pad

80. To destroy transient microorganisms when washing hands, use

Antiseptic soap

Bleach solution

Plain soap

All of the above

81. A QA program monitors

Indicators

Outcomes

Procedures

Threshold values

82. The statute of limitations timing can begin on any of the following except

On the day the negligent act took place

The day of last medical treatment

The first day of counseling with a lawyer

When the injury was discovered

83. Specimen collection and processing area surfaces should be cleaned with

70% isopropyl alcohol

1:10 bleach solution

Soap and water

Any of the above

84. Which is the correct sequence of events after blood vessel injury?

Platelet aggregation, vasoconstriction, fibrin clot formation

Vasoconstriction, platelet aggregation, fibrin clot formation

Vasodilation, platelet adhesion, fibrin clot formation

Fibrinolysis, platelet adhesion, vasoconstriction

85. A tourniquet is uesd in venipuncture to

Concentrate the specimen

Keep the vein from collapsing

Make a vein easier to find and enter

All of the above

86. Which statement is true of syringe venipuncture?

A syringe is sometimes used for veins that collapse easily

A syringe is the recommended way to collect most blood specimens

The best way to fill a syringe is to pull to plunger all the way back when you see the

There is no way to tell when the needle is in the vein when using a syringe

87. After inserting a butterfly needle, the phlebotomist needs to "seat" it, meaning

Have the patient make a tight fist to keep the needle in place

Keep the skin taut during the entire procedure

Push the needle up against the back wall of the vein

Slightly thread the needle within the lumen of the vein

88. The blood specimen for this test is placed in circles on special filter paper

Bilirubin

CBGs

PKU

Malaria

89. The physician employer of a phlebotomist who injures a patient during a blood draw is used is sued for negligence. This is an example of

Assault and battery

Fraud

Respondeat superior

Vicarious liability

90. What type of muscle lines the walls of blood vessels?

Cardiac

Skeletal

Striated

Visceral

91. Which statement is not true? Sebaceous glands

Are also called oil glands

Help lubricate the skin

Secrete sebum

Are part of the endocrine system

92. Which of the following is most likely to cause reflux during venipuncture?

Allowing the tube to fill from the stopper end first

Lateral redirection of the needle

Releasing the tourniquet as soon as blood flows freely into the tube

Using the wrong order of draw

93. You are in the process of collecting a specimen by venipuncture. You hear a hissing sound, there is a spurt of blood into the tube, and blood flow stops. What has most likely happened?

Reflux has occurred

The needle has gone through the back of the vein

The tube has lost its vacuum

The vein has collapsed

94. ____________is the largest healthcare standards-setting body in the world.

CAP

CLSI

JCAHO

NAACLS

95. Which of the following is described as an anuclear, biconcave disk?

Erythrocyte

Granulocyte

Leukocyte

Thrombocyte

96. The tourniquet should be released

As soon as blood flow is established

Before the needle is removed from the arm

Within 1 minute of application

All of the above

97. A patient complains of extreme pain when you insert the needle during a venipuncture attempt. The pain does does not subside, but the patient does not feel any numbness or burning flowing sensation. You know the needle is in the vein because the blood is flowing into the tube. You only have two tubes to fill, and the first one is almost full. What should you do?

Ask the patient if he or she wants you to continue the draw

Discontinue the draw and attempt collection at another site

Distract the patient with small talk and continue the draw

Tell the patient to hang in there as you only have one tube left

98. If collected by capillary puncture, which test specimen is collected first?

CBC

Electrolytes

Glucose

Phosphorus

99. Which of the following is a dudy of a phlebotomist?

Analyze specimens for hematology

Chart patient results

Obtain blood pressures and temperatures of patients

Perform laboratory computer operations

100. Which of the following blood vessels are listed in the proper order of blood flow?

Aorta, superior vena vava, vein

Arteriole, venule, capillary

Capillary, venule, vein

Vein, venule, capillary

101. Which additive prevents glycolysis?

EDTA

Heparin

Potassium oxalate

Sodium fluoride

102. The initials for the title granted after successful completion of the National Credentialing Agency phlebotomy examination are

CLP1b

CLT

CPT

PBT

103. The concentration of this substance is higher in capillary blood than in venous blood

Blood urea nitrogen

Carotence

Glucose

Total protein

104. The CLIA federal regulations are administered by

CAP

CLSI

CMS

COW

105. The ECG show P waves due to

Atrial contractions

Delayed contraction

Recovery of the electrical charge

Ventricular contraction

106. Which of the following is proper procedure when dealing with an elderly patient?

Address your questions to an attendant if the patient has a hearing problem

Speak very loudly so that the patient can hear you

Tie the tourniquet extra tightly to make the vein more prominent

Make certain adequate pressure is held over the site until bleeding is stopped

107. Which of the following laboratory professionals is specified by CLIA'88 as responsible for adminstration of a clinical area?

Clinical laboratory scientist

Clinical laboratory technician

Laboratory manager

Technical supervison

108. Peak levels of this analyte typically occur at about 0800.

Bilirubin

Cortisol

Eosinophil

Glucose

109. A patient has several short lengths of IV style tubing protruding from his chest. This is most likely a/an

A-line

CVC

Implanted port

PICC

110. Tiny red spots that appear on a patient's arm when the tourniquet is applied are a sign that the

Patient is allergic to latex

Patient is anemic

Site may bleed excessively

Tourniquet is too tight

111. What book describes the necessary steps to follow in patient preparation?

Collection manual

Infection control manual

Procedure manual

Safety manual

Chapter 1-10

1. In the event of a body fluid splash in the eyes, the victim should immediately

2.

What first name or nickname would you like us to use?

2. The medical term for red blood cell is

3. Which of the following is proper telephone technique?

4. Failure to exercise "due care" is

5. The law that established national standards for the electronic exchange of protected health information is

6. The specialty that treats disorders of old age is called

7. The microbiology department in the laboratory performs

8. The abbreviation for the routine hematology test that includes hemoglobin, hematocrit, red blood count, and white blood count determinations is called

9. A young adult comes to an outpatient lab to have his blood drawn. What should the phlebotomist know before drawing this patient's blood?

10. Which of the following is an accessory organ of the digestive system?

11. Of the following tubes or containers, which is filled last in the recommended order of draw?

12. Which of the following is required requisition information?

13. If a patient adamantly refuses to have blood drawn, you should

14. The department in the hospital that records brain waves for diagnosis is

15. Informed consent means that a

16. Which of the following items is PPE?

17. Which part of gastr/o/enter/o/logy is the suffix?

18. The abbreviation NPO means

19. The preferred vein for veinipuncture in the "H" pattern is the

20. An institution that provides inpatient services is a

21. A prefix

22. To what part of the body does the word root hepat refer?

23. The process by which the body maintains a state of equilibrium is

24. When the arm of the patient is swollen with excess fluids, the condition is called

25. Which of the following conditions disqualifies a site for capillary puncture?

26. Safe working conditions are mandated by

27. All of the following items are aypically used to perform routine veinipuncture except

28. What causes evacuated tubes to fil with blood automatically?

29. The "e" is promounced separately in

30. You are about to perform routine venipuncture on a patient with no known allergy to antiseptics. Which of the following substances would you use to clean the site?

31. Lavender-top tubes are most commonly used to collect

32. A butterfly is typically used for

33. After cleaning the venipuncture site with alcohol, the phlebotomist should

34. Which types of patient is most likely to have an arteriovenous fistula or graft?

35. A factor that contributes to the phlebotomist's professional image is

36. Which of the following is an example of proxemics?

37. State and federally funded insurance is called

38. The single most important means of preventing the spread of infection is

39. The principles of right and wrong conduct as they apply to professional problem are called

40. All of the following examples of potential exposure to bloodborne pathogens involves a parenteral route of transmission expept

41. Evaluation of the endocrine system involves

42. The purpose of the pulmonary system is to

43. A heart disorder characterized by fluid buildup in the lungs is called

44. The most frequently occurring lab-acquired infection is

45. Cystitis means

46. The spinal cord and brain are covered by protective membranes called

47. The longest vein and the largest artery in the body in that order are

48. Blood collection tubes are labeled

49. What is the best approach to use on an 8-year-old chlid who needs to have blood drawn?

50. ______________are set up to monitor all aspects of laboratory work.

51. Phlebotomists are involved in the Joint Commission's performance measurements in the area of myocardial infarction in what way?

52. You are asked to collect a specimen from an inpatient. The patient is not wearing an ID band. What do you do?

53. An inpatient is eating breakfast when you arrive to collect a fasting glucose. What is the best thing to do?

54. Which one of the following is used as a monitor or quality indicator for the process of "test requesting"?

55. What does the suffix -algia mean?

56. Which part of a cell contains the chromosomes or genetic material?

57. An individual's blood type (A, B, AB, or O) is determined by the presence or absence of which of the following on the red blood cells?

58. Skin puncture is typically performed on adults when

59. Which of the following is a proper skin puncture procedure?

60. Distance, time, and shielding are principles of

61. The transverse plane divides the body

62. Lymph originates from

63. Which of these tests are most affected if the patient is not fasting?

64. A delta check refers to

65. Reverse isolation may be used for

66. When taking a blood pressure, the systolic pressure is the pressure reading when the

67. Veins that feel hard and cordlike when palpted may be

68. Which of the following situations involves a nosocomial infection?

69. The thick muscle layer of the heart is called the

70. Most gas exchange between blood and tissue takes place in the

71. Which of the following tubes can be used to collect a serum specimen?

72. Which of the following tests requires an arterialized specimen?

73. Early equipment used for bloodletting includes all of the following except the

74. Necessary elements of risk management are all of the following except

75. A national organization that develops guidelines and sets standards for laboratory procedures

76. Which of the following abbreviations is on the current Joint Commission "Do Not Use" list?

77. The chamber of the heart that receives blood from the systemic