NCCT Phlebotomy Technician
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- 1.The forearm vein most commonly used for venipuncture is the?
- A.
Median cubital
- B.
Basilic
- C.
Cephalic
- D.
Radial
- 2.The smallest veins in the human body are known as?
- A.
Venules
- B.
Villi
- C.
Bronchioles
- D.
Lymph glands
- 3.The aorta branches into smaller divisions called arteries, which in turn branch into even smaller divisions called?
- A.
Capillaries
- B.
Venules
- C.
Lymph glands
- D.
Arterioles
- 4.The heart, lymphatic organs, and blood vessels are in the _________________system.
- A.
Respiratory
- B.
Cardiovascular
- C.
Digestive
- D.
Urinary
- 5.Characteristics of capillaries include?
- A.
Having thin-walls
- B.
Forming microscopic pathways
- C.
Connecting arterioles with venules
- D.
All of the above
- 6.Within the capillaries, blood cell functions include?
- A.
Releasing oxygen
- B.
Binding carbon dioxide
- C.
Eliminating waste
- D.
All of the above
- 7.The suffix -URIA at the end of a medical term refers what body fluid?
- A.
Blood
- B.
CSF
- C.
Urine
- D.
Synovial fluid
- 8.The study of blood is known as?
- A.
Hematology
- B.
Hematoxylin
- C.
Hemoglobin
- D.
Hemolysis
- 9.The liver, stomach, mouth and pancreas are in the ___________________system.
- A.
Reproductive
- B.
Digestive
- C.
Muscular
- D.
Sensory
- 10.The most important step to ensure accuracy in sample collection is?
- A.
Recording the time accurately
- B.
By always wearing gloves
- C.
Keeping the patient supine
- D.
Identifying the patient properly
- 11.The bladder, urethra, kidneys, and ureters are in the _____________system.
- A.
Urinary
- B.
Reproductive
- C.
Respiratory
- D.
Muscular
- 12.When you send specimens in the mail, the label should state?
- A.
Biohazardous materials
- B.
In case of breakage, send to CDC
- C.
Address of lab
- D.
All of the above
- 13.When you send blood tubes by mail for analysis in a watertight container, they should be enclosed in?
- A.
Secure certified mail envelope
- B.
Overnight envelope
- C.
Second durable watertight container
- D.
Paper box
- 14.Contaminated laundry should be_______________where it was soiled.
- A.
Destroyed at the location
- B.
Transported away from the location
- C.
Disinfected or discarded at the location
- D.
Bagged or containerized at the location
- 15.A specific eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or other potentially infectious materials that results from the performance of an employees duties is called?
- A.
Hazardous exposure
- B.
Occupational hazard
- C.
Unfortunate incident
- D.
Exposure incident
- 16.In the health care field when all evaluated services and the results compare with accepted standards, principles of _________________ have been used.
- A.
Quality assurance
- B.
Regulatory bodies
- C.
Networking
- D.
Management
- 17.The federal government requires that specimens are transported or shipped in?
- A.
Paper containers
- B.
Watertight containers
- C.
Cardboard containers
- D.
Egg crate containers
- 18.The classification the physician's office laboratory (POL) falls into will be determined by?
- A.
Complexity of laboratory tests performed
- B.
Number of employees warking there
- C.
Ratio of male to female employees
- D.
Length of time in operation
- 19.Tests that basically pose insignificant risks to patients if errors occur in the test performance are called?
- A.
Waived tests
- B.
Level I laboratory tests
- C.
Level II laboratory tests
- D.
None of the above
- 20.To use a physical-chemical procedure to destroy all microbial life including highly resistant bacterial endospores is to?
- A.
Eradicate
- B.
Sterlize
- C.
Toxify
- D.
Acid wash
- 21._______________is the single most important source of HIV and HBV in the workplace.
- A.
Semen
- B.
Saliva in dental procedures
- C.
Pleural fluid
- D.
Blood
- 22.OSHA requires that training and educational infomation on bloodborne pathogens be provided to hospital or clinical employees___________.
- A.
In large workplaces only
- B.
If anyone has had an accident
- C.
At no cost to them
- D.
Only if they request it
- 23.All workers whose jobs involve participation in tasks or activities with exposure to blood or other body fluids, to which universal percautions apply, should be vaccinated with a __________ vaccine.
- A.
Human immunodeficiency
- B.
Hepatitis C
- C.
Hepatitis B
- D.
Small pox
- 24.After they are used, disposable syringes and needles, scalpel blades and other sharp items, should be placed in_______________containers for disposal.
- A.
OSHA
- B.
Sanitized
- C.
Puncture-resistant
- D.
Biodegradable
- 25.Broken glassware that may be contaminated should be picked up by?
- A.
An environmental control specialist
- B.
Someone who's not afraid to do it
- C.
Mechanical means (broom/dustpan)
- D.
End of shift
- 26.____________are contaminate objects that can penetrate the skin including, but not limited to needles, scapels, broken glass, broken capillary tubes, and exposed ends of dental wires.
- A.
Infectious waste materials
- B.
Disposable devices
- C.
Contaminated Sharps
- D.
Dangerous incisors
- 27.Reasonable possibility of skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious materials that may result from the performance of an employee's regular duties is termed?
- A.
Occupational exposure
- B.
Bioharzardous probability
- C.
Job-related infestation
- D.
Professional acquisition
- 28.All of the following are examples of "Personal Protective Equipment" except_______.
- A.
Uniforms
- B.
Gloves
- C.
Aprons
- D.
Masks
- 29.If blood does not appear in an evacuated tube upon venipuncture, a phlebotomist's first course of action should be to?
- A.
Pop the tourniquet and tie it tighter
- B.
Pull the needle out and start over
- C.
Slightly reposition the needle
- D.
Push the needle further up the lumen
- 30.A patient in reverse isolation has been so places because s/he _________________,
- A.
Needs protection from others carrying infection
- B.
Has tuberculosis or a similar respiratory disease
- C.
Needs to keep all blood and body fluids away from staff
- D.
Has no infection in a wound or atop the skin
- 31.A phase of laboratory testing that refers to test orders, test collection and test sample preparation are all part of the ________________phase.
- A.
Exponential
- B.
Pre-analytical
- C.
Testing
- D.
Post-prandial
- 32.The study of all aspects of disease in the body is known as?
- A.
Phlebotomy
- B.
Hematology
- C.
Histology
- D.
Pathology
- 33.The artery located in the groin, lateral to the femur bone, which is used as an alternative site for arterial blood gas collections is the?
- A.
Radial
- B.
Ulnar
- C.
Carotid
- D.
Femoral
- 34.The federal law that was expanded in 2000 to protect the confidentiality of electronically stored health information is abbrediated as?
- A.
CLIA
- B.
EPA
- C.
HIPAA
- D.
OSHA
- 35.A 24-hour urine specimen must be kept_______.
- A.
At room temperature
- B.
Warm
- C.
Refrigerated
- D.
Frozen
- 36.A chronic disease in which the pancreas fails to secrete enough insulin is called?
- A.
Diabetes mellitus
- B.
High blood pressure
- C.
Renal disease
- D.
AIDS
- 37.The purpose of the bleeding time test is to assess___________.
- A.
Platelet plug formation in the capillaries
- B.
The pressure of the blood vessesl
- C.
Elasticity in the major blood vessels
- D.
The amount of blockage in the veins
- 38.Diurnal rhythms refer to variations in the body's functions or fluids that occur during_____________.
- A.
Nighttime
- B.
Every 24 hours
- C.
Cyclically once per month
- D.
Sleep
- 39.Another name for red blood cells is?
- A.
Platelets
- B.
Leukocytes
- C.
Bone marrow
- D.
Erythrocytes
- 40.EMLA is an emulsion of lidocaine and prilocaine that can be used to ___________.
- A.
Sterlize a venipuncture site
- B.
Anticoagulate whole blood
- C.
Topically anestetize a draw site
- D.
Put a phlebotomy patient under
- 41.An appropriate means of communicating with a patient who is profoundly hearing impaired might include.
- A.
Trying to speak a little louder
- B.
Talking only to a hearing relative
- C.
Using written communication
- D.
Ignoring the patient entirely
- 42.Some suggested methods for controlling on the job stress during phlebotomy might include?
- A.
Reading the newspaper while working
- B.
Drinking lots of coffee
- C.
Taking deep breaths if anxious
- D.
Screaming to rid oneself of anger
- 43.In performing phlebotomy on children, it is best to?
- A.
Talk softly and gently
- B.
Enlist the help of parents
- C.
Tell the truth if asked
- D.
All of the above
- 44.In approaching an elderly patient, it is appropriate to call the patient by name using?
- A.
Miss, Mrs, or Mr.
- B.
His/her first name
- C.
His/her nick name
- D.
Something like "honey"
- 45.A patient who is making a fist and frowing is exhibiting ____________ body language.
- A.
Positive
- B.
Compliant
- C.
Excited
- D.
Uncooperative
- 46.A rubber or plastic tube used to drain or inject flui through a body opening is called?
- A.
Injection
- B.
Venipuncture
- C.
Catheter
- D.
None of the above
- 47.Each and every patient is entitled to _______________ as a part of his/her patient rights.
- A.
Respect and complete care
- B.
What he can afford
- C.
How much insurance he has
- D.
What his family can afford
- 48.Conduct, courtesy, and manners, customary in the medical profession, is called?
- A.
Ethics
- B.
Judgment
- C.
Tort
- D.
Medical etiquette
- 49.Redirecting a needle during venipuncture is sometimes necessary when _________/
- A.
The vein was not properly anchored
- B.
The patient moves unexpectedly
- C.
Blood flow starts, and then stops
- D.
All of the above
- 50.The branch of study of moral issues, questions, and problems arising in the practice of medicine and biomedical research is called?
- A.
Bioethics
- B.
Litigation
- C.
Biocommunication
- D.
Privileged communication
- 51.Forcing venipuncture on a patient who has refused it would be considered?
- A.
Assault
- B.
Battery
- C.
Slander
- D.
Contributory negligence
- 52.A phlebotomist who attempts to draw blood without sufficient training could be accused of ________________ if the procedure is performed incorrectly, causing harm to the patient.
- A.
Duty of care
- B.
Abandonment
- C.
Negligence
- D.
Incompetence
- 53.Permission granted by a person voluntarily (and in his right mind) is ?
- A.
Consent
- B.
Litigation
- C.
Breach
- D.
Duty of care
- 54.Failure to do something a reasonable person would do under ordinary circumstances, or doing something a resonable person would not do under ordinary circumstances thereby causing harm to another person is called?
- A.
Malpractice
- B.
Negligence
- C.
Slander
- D.
Defamation
- 55.Information given by a patient to medical personnel that cannot be disclosed without consent constitutes?
- A.
Duty of care
- B.
Negligence
- C.
Judgment
- D.
Privileged communicatioon
- 56.A violation of a person's right no to have his or her name, photograph, or private affairs made public without giving consent is?
- A.
False imprisonment
- B.
Malpractice
- C.
Invasion of privacy
- D.
Statute
- 57.The ability to see things from another person's point of view is?
- A.
Consent
- B.
Ethics
- C.
Sympathy
- D.
Empathy
- 58.Negligence by a professional person is called?
- A.
Invasion of privacy
- B.
Slander
- C.
Malpractice
- D.
Tort
- 59.Law protects the health worker if it can be determined that he or she acted reasonably as compared with fellow workers; this is called?
- A.
Negligence
- B.
Resonable care
- C.
Duty of care
- D.
Statute
- 60.According to OSHA, a contaminated needle may be safely discarded into a __________.
- A.
Hard sided trash can
- B.
Sharps container
- C.
Plastic cup
- D.
All of the above
- 61.In most hospitals, a phlebotomist with a cough may draw blood from a patient provided the _________________.
- A.
Patient is not in reverse isolation
- B.
Phlebotomist wears a mask
- C.
Phlebotomist does not have a fever
- D.
All of the above
- 62.When drawing blood from pediatric inpatients, a phlebotomist can increase safety for the patients by?
- A.
Getting help to hold the patient securely during the draw
- B.
Using a smaller bore needle and smaller collection tubes
- C.
Making sure the dedrails are left raised if found that way
- D.
All of the above
- 63.To eliminate bacteria from the skin of a bacterial culture venipuncture site, ____________ is sometimes used in addition to alcohol in the skin cleansing process.
- A.
Chlorine bleach
- B.
Iodine
- C.
Asprin
- D.
Ammonia
- 64.The term that refers to right and wrong conduct is?
- A.
Empathy
- B.
Sympathy
- C.
Ethics
- D.
Rights
- 65.A vein might be prone to collapse if the _____________.1. vacuum tube is too large for vein2. syringe plunger was pulled back to quickly3. vacuum tube lost it vacuum4. tourniquet was too tight
- A.
1,2,3,4
- B.
1,2,3
- C.
1, 2
- D.
3,4
- 66.An unlawful threat or attempt to do bodily injury to another is?
- A.
Litigation
- B.
Assault
- C.
Crime
- D.
Libel
- 67.When performing heelsticks on infants in a hospital nursery, it is important never to?
- A.
Wash your hands
- B.
Share supplies from one infant to another
- C.
Wake up a sleeping infant
- D.
Touch the infant in any way
- 68.The most prevalent type of nosocomial infections are those of the ____________.
- A.
Skin
- B.
Digestive tract
- C.
Gastrointestinal tract
- D.
Urinary tract
- 69.Phlebotomists have a statistically greater chance of contracting __________ in a work-related incident than they do of contracting AIDS.
- A.
Mononucleosis
- B.
Hepatitis
- C.
Cancer
- D.
Strep throat
- 70.Hemolysis would cause rejection of a sample collected for ______________ testing.
- A.
Potassium
- B.
Pregnancy
- C.
Rubella
- D.
Pyruvate
- 71.When delivering blood samples to a laboratory, they should always be transported ______.
- A.
Inside sealed plastic bags
- B.
Inside triple-sealed plastic bags
- C.
Inside brown paper sacks
- D.
Individually boxed
- 72.If a biohazard spills in the laboratory, a phlebotomist should first try to?
- A.
Call a physician to the site
- B.
Wash his or her hands
- C.
Contain the spill safely
- D.
Pull the fire alarm
- 73.The ___________ must be followed exactly whenever drawing patient test samples that may be used in a legal proceeding.
- A.
Chain of command
- B.
Chain of custody
- C.
Standard deviation
- D.
Coefficient of variation
- 74.Which of these test samples are light sensitive?
- A.
Arterial Blood gases
- B.
Ammonia
- C.
Bilirubin
- D.
ACTH
- 75.The anticoagulant SPS (sodium polyanetholesulfonate) is recommended for use in blood cultures because it ______________.
- A.
Is less expensive than most
- B.
Has a longer hal-life than most
- C.
Does not inhibit bacterial growth
- D.
Is completely biodegradable
- 76.Before entering an inpatient room if the door is closed, the phlebotomist should always?
- A.
Knock
- B.
Ask for permission to enter
- C.
Check for isolation signage
- D.
All of the above
- 77.Before entering designated isolation rooms, phlebotomists should always ___________.
- A.
Put on masks and foot coverings
- B.
Put on gowns and tie them
- C.
Call a nurse or physician
- D.
Check requirements on signs
- 78.The single most important means of preventing the spread of infection in a hospital is by?
- A.
Wearing gowns
- B.
Hand washing
- C.
Using disposables
- D.
Keeping rooms clean
- 79.If a blood sample should be collected 2 hours post-prandial, the phlebotomist should collect the sample _________.
- A.
2 hours after a meal
- B.
2 hours before bedtime
- C.
2 hours after wake-up
- D.
2 hours before a meal
- 80.The anticoagulant EDTA works by _______.
- A.
Binding calcium
- B.
Binding prothrobin
- C.
Inactivating thrombin
- D.
Lysis of red blood cells
- 81.A pre-warming technique may be used to _____________.
- A.
Keep the patient warm during phlebotomy
- B.
Warm the vacuum tubes for testing
- C.
Increase patient's tendency to bleed
- D.
Separate plasma from formed elements
- 82.Knowing when to collect peak and through levels is important when drawing?
- A.
Blood cultures
- B.
Therapeutic drugs
- C.
Cortisol levels
- D.
Estrogen levels
- 83.The role of all anticoagulants is ultimately to prevent formation of?
- A.
Fibrin
- B.
Factor VII
- C.
Platelets
- D.
Collagen
- 84.If the tourniquet is not released before the needle is withdrawn from the arm during venipuncture, this will most likely result in ________.
- A.
Bleeding from the site
- B.
Syncope in the phlebotomist
- C.
Bruising at the base of the arm
- D.
Inaccurate test results
- 85.If a patient is prone to syncope during venipuncture, the phlebotomist should?
- A.
Cancel the order entirely
- B.
Tie the tourniquet tighter
- C.
Watch in case of fainting
- D.
Use caffeine as a stimulant
- 86.A tube of blood that arrives in the laboratory without a label must be?
- A.
Labeled by the phlebotomist
- B.
Labeled by the doctor
- C.
Labeled by the nurse
- D.
Rejected automatically
- 87.Skin punctures may be indicated for use when?
- A.
The patient is an infant, toddler or preschooler
- B.
Only a small amount of blood is needed
- C.
Patient veins need to be preserved for IV therapy
- D.
All of the above
- 88.All specimens should be labeled with _________.
- A.
Patient's name (and numeric ID)
- B.
Date and time the specimen was drawn
- C.
Collector's initials
- D.
All of the above
- 89.When performing a skin puncture, squeezing the finger too tightly may dilute the blood with _______________ and ruin the test.
- A.
Swab particles
- B.
Alcohol
- C.
Skin particles
- D.
Tissue fluid
- 90.One test often used to assess hemostasis before surgery is ___________.
- A.
Blood culture
- B.
Hemoglogin
- C.
Platelet count
- D.
Bleeding time
- 91.One possible cause of unexpected clotting in an anticoagulated blood tube might be?
- A.
Insufficient mixing
- B.
Unbalanced centrifuge
- C.
Traumatized specimen
- D.
Incomplete filling of the tube
- 92.When performing a venipuncture, position the bevel of the needle ________.
- A.
Facing up
- B.
Facing down
- C.
Turned sideways
- D.
None of the above
- 93.The purpose of doing blood cultures is to detect?
- A.
Anemia
- B.
Cholesterol
- C.
Cancer
- D.
Septicemia
- 94.Anticoagulants are used to __________.
- A.
Fighting infection
- B.
Prevent blood from clotting
- C.
Neutralize stomach acid
- D.
Inhibit bacterial growth
- 95.White blood cells help the body by __________.
- A.
Crying oxygen to the tissue
- B.
Collecting waste products
- C.
Defending against foreign invaders
- D.
Assisting in hemostasis
- 96.Platelets help the circulation by __________.
- A.
Carying oxygen
- B.
Collecting waste products
- C.
Participating in hemostasis
- D.
Defending against foreign invaders
- 97.When blood seeps into the surrounding fissue during a venipuncture, a __________ may form.
- A.
Petechia
- B.
Carbuncle
- C.
Hematoma
- D.
Hemolysis
- 98.In a patient with a clotting disorder, pressure should be applied to the puncture site for at least _____________ after venipuncture to insure blood stoppage.
- A.
3 minutes
- B.
5 minutes
- C.
7 minutes
- D.
10 minutes
- 99.Use a __________ - topped evacuated tube for collection of blood for a CBC test.
- A.
Black
- B.
Lavender
- C.
Red
- D.
Blue
- 100.Use a _________________ - topped evacuated tube for collection of blood for electrolyte testing.
- A.
Yellow
- B.
Blue
- C.
Red
- D.
Lavender
- 101.Use a _________________ - topped evacuated tube for collection of blood for cholesterol testing.
- A.
Red
- B.
Yellow
- C.
Blue
- D.
Lavender
- 102.Sodium citrate is an anticoagulant of choice for coagulation studies because it protects ___________,
- A.
Clotting factors
- B.
Red blood cells
- C.
White blood cells
- D.
Enzyme inhibitors
- 103.The trachea, nose, lungs and pharynx are in the ___________system.
- A.
Respiratory
- B.
Skeletal
- C.
Nervous
- D.
Sensory
- 104.The sebaceous glands, skin, hair, and nails are in the _______________ system.
- A.
Nervous
- B.
Cardiovascular
- C.
Integumentary
- D.
Sensory
- 105.The body system that is a primary regulator of hormones is the ___________system.
- A.
Reproductive
- B.
Endocrine
- C.
Integumentary
- D.
Cardiovascular
- 106.Neutrophils, eosinophils, basophils, lymphocytes and monocytes are types of __________,
- A.
Coagulation factors
- B.
Anticoagulants
- C.
Red blood cells
- D.
White blood cells
- 107.The common name for the thrombocyte is the ___________,
- A.
Red blood cell
- B.
White blood cell
- C.
Platelet
- D.
Bone marrow
- 108.The liquid portion of an anticoagulated blood sample is know as _________.
- A.
Serum
- B.
Clot
- C.
Plasma
- D.
Hematocrit
- 109.The instrument that measures blood pressure is called a _________________.
- A.
Sphygmomanometer
- B.
Hydration barometer
- C.
Temperature probe
- D.
Co-oximeter
- 110.An artery can be distiguished from a vein because an artery will be __________.
- A.
Harder
- B.
A different color
- C.
Pulsating
- D.
Softer
- 111.Lancets are used to collect blood samples by ___________.
- A.
Venipuncture
- B.
Arterial puncture
- C.
Venous accession devices
- D.
Capillary or skin puncture
- 112.Oral glucose tolerance test is used for detection of _______________,
- A.
Hepatitis
- B.
Diabetes
- C.
Mononucleosis
- D.
AIDS
- 113.The abbreviation VAD is commonly used in hospitals to refer to?
- A.
Venous anesthetic devices
- B.
Venous access devices
- C.
Various anesthetic devices
- D.
Variable antiseptic dilutions
- 114.To determine the size of the needle, remember that the higher the guage, the ____________.
- A.
Longer the needle length
- B.
Smaller the needle bore
- C.
Shorter the needle length
- D.
Larger the leedle bore
- 115.Adult capillary punctures most often involve use of the _______________ finger(s).
- A.
Second (index)
- B.
Second and third (index and middle)
- C.
Third and fourth (middle and ring)
- D.
Little (fifth)
- 116.A centrifuge is used in a clinical labortory setting to _____________.
- A.
Sort tubes of different colors
- B.
Store tubes at correct temperatures
- C.
Measure blood oxygen levels
- D.
Separate liquid from cells in blood
- 117.When preparing a blood smear directly from a skin puncture, it is best to _________.
- A.
Use plastic slides instead of glass
- B.
Make it as thick as possible
- C.
Wipe away the first drop of blood
- D.
Add sodium citrate to the blood
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