Phlebotomy Test Prep

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Phlebotomy Test Prep - Quiz

This Prep test is directed to those taking their phlebotomy exam. If you can pass this, you "should" pass the exam. Good Luck. AG


Questions and Answers
  • 1. 

    The abbreviation EDTA is:

    • A.

      Ethylenedopominetetraacidic acitate

    • B.

      Ethylenediaminetetraacetic acid

    • C.

      Evacuated Drug Test Authority request slip

    • D.

      For a Pink top tube ONLY

    Correct Answer
    B. Ethylenediaminetetraacetic acid
  • 2. 

    What additive is in a Glass Red top tube?

    • A.

      Na Heparin

    • B.

      Na Citrate 3.2%

    • C.

      K Oxalate Sodium Fluoride

    • D.

      May or may not have a silicone coating

    Correct Answer
    D. May or may not have a silicone coating
  • 3. 

    Plasma makes up what percent (average) of total blood volume?

    • A.

      45%

    • B.

      25%

    • C.

      55%

    • D.

      75%

    Correct Answer
    C. 55%
  • 4. 

    Wearing gloves from patient to patient will protect you, saves time and eliminates the need to constantly wash your hands.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
  • 5. 

    Bands (Stab Cells) are?

    • A.

      Streptococci in a chain producing a stabbing pain to the patient.

    • B.

      Sickle-cell RBC's.

    • C.

      Immature neutrophils.

    • D.

      All Granulocytes banded together.

    Correct Answer
    C. Immature neutrophils.
  • 6. 

    It is important to correctly perform the order of draw because?

    • A.

      The patient always comes first, and it is designed to be more comfortable to the patient.

    • B.

      More blood is required if the order of draw is not followed.

    • C.

      The last tube drawn always makes the patient stop bleeding.

    • D.

      The accuracy of tests may be effected if the correct order of draw is not followed.

    Correct Answer
    D. The accuracy of tests may be effected if the correct order of draw is not followed.
  • 7. 

    What is another name for a Platelet?

    • A.

      Hemocyte

    • B.

      Erythrocyte

    • C.

      Thrombocyte

    • D.

      Plateocyte

    Correct Answer
    C. Thrombocyte
  • 8. 

    Inappropriate sites for venipuncture are:

    • A.

      Arm on side of mastectomy.

    • B.

      Vein under scarred tissue.

    • C.

      Sites above an IV cannula or arm with blood transfusion.

    • D.

      Hematoma or Edema.

    • E.

      Arms with Fistulas or Grafts.

    • F.

      All of the above.

    Correct Answer
    F. All of the above.
  • 9. 

    Hand sanitizer can be used to eliminate the need for hand washing.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
  • 10. 

    The correct description of Veins and venous blood is:

    • A.

      Veins are thick walled, have flow chambers, carry oxygenated blood to the heart with the exception of the pulmonary artery with has de-oxygenated blood.

    • B.

      Veins are darker than arteries and give off a pigment which makes them blue.

    • C.

      Veins are thin walled, have valves, carry de-oxygenated blood to the heart with the exception of the pulmonary vein with has oxygenated blood.

    • D.

      Veins carry RBC's and arteries carry WBC's.

    • E.

      None of these answers are correct.

    Correct Answer
    C. Veins are thin walled, have valves, carry de-oxygenated blood to the heart with the exception of the pulmonary vein with has oxygenated blood.
  • 11. 

    You are to do a CBC, CA-125 serum test, and PTT. What is the correct order of draw?

    • A.

      CBC, CA-125 then PTT (Lavender, Gold, Light Blue)

    • B.

      PTT, CA-125, then CBC (Light blue, Gold, Lavender)

    • C.

      CA-125, CBC then the PTT (Gold, Lavender then the Light blue sodium Citrate tube)

    • D.

      Red top throw away tube, Gold, Light blue then the lavender.

    Correct Answer
    B. PTT, CA-125, then CBC (Light blue, Gold, Lavender)
  • 12. 

    Improper patient identification and the incorrect tests performed are very common mistakes.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
  • 13. 

    Leukocytes are?

    • A.

      Like Erythrocytes, only white in color.

    • B.

      Produce the oxygen needed for hemostasis.

    • C.

      Named after Dr. Leuko who discovered them back in 1492.

    • D.

      Granular or Agranular and some can be called phagocytes.

    Correct Answer
    D. Granular or Agranular and some can be called phagocytes.
  • 14. 

    What is the MOST important step before moving on to the next patient as far as infection control is concerned?

    Correct Answer
    Hand washing
    Washing hands
    must wash hands
    Wash hands
  • 15. 

    A Butterfly set is also called a:

    • A.

      Mosquito set.

    • B.

      Extension tube device.

    • C.

      Winged Infusion Set.

    • D.

      Geriatric access device.

    Correct Answer
    C. Winged Infusion Set.
  • 16. 

    What color tube contains Na heparin and is used for serum lead determination?

    • A.

      Pink

    • B.

      Navy Blue

    • C.

      White with black Zebra stripes

    • D.

      Brown

    Correct Answer
    D. Brown
  • 17. 

    What should be placed in a plastic "Sharps" disposal device?

    • A.

      Bloody 2x2's and Band-Aids.

    • B.

      Used needles and tube holders.

    • C.

      Bloody gloves.

    • D.

      All the above.

    Correct Answer
    B. Used needles and tube holders.
  • 18. 

    A tourniquet should not remain on the patient for longer than:

    • A.

      1 minute

    • B.

      3 to 5 minutes, and only if the test requires enhanced hemoconcentration.

    • C.

      4 minutes without an ice pack, 7 minutes with an ice pack.

    • D.

      6 minutes, then cell death occurs after that.

    Correct Answer
    A. 1 minute
  • 19. 

    What is Hemoconcentration?

    • A.

      A procedure to enhance a blood test with more blood elements by leaving the tourniquet on for over 3 minutes.

    • B.

      When a patient hyperventilates due to the pain caused by a tourniquet and needle.

    • C.

      An increase in the number of RBCs resulting from either a decrease in plasma volume or increased production of RBCs.

    • D.

      When veins begin to produce antibodies due to the tourniquet placement.

    Correct Answer
    C. An increase in the number of RBCs resulting from either a decrease in plasma volume or increased production of RBCs.
  • 20. 

    What is the most common blood test and what color tube is used?

    • A.

      Plasma series / Yellow

    • B.

      Hematology / Lavender.

    • C.

      Serology / Green and Light green.

    • D.

      Blood Culture / Gold tube.

    Correct Answer
    B. Hematology / Lavender.
  • 21. 

    When should a Phlebotomist access a jugular vein?

    • A.

      If a pediatric hand vein is too small.

    • B.

      When a geriatric patient with frail veins has good jugular vein distention.

    • C.

      If the Registered Nurse orders it to be done and assists you.

    • D.

      All of the above

    • E.

      None of the above.

    Correct Answer
    E. None of the above.
  • 22. 

    What are the three main veins used for routine venipuncture?

    • A.

      The Antecubital, the Cephalgia, and the median basilica.

    • B.

      The Cephalic, The Basilica and the Median cubital.

    • C.

      The brachial, the ulnar and radial.

    • D.

      The lateral, medial, and anterior Tunica.

    Correct Answer
    B. The Cephalic, The Basilica and the Median cubital.
  • 23. 

    What is the best insertion angle for inserting the needle for venipuncture.

    • A.

      7 to 10 degrees

    • B.

      35 to 49 degrees

    • C.

      15 to 30 degrees.

    • D.

      Not lower than 30 degrees and no more than 50 degrees.

    Correct Answer
    C. 15 to 30 degrees.
  • 24. 

    You have made two attempts to obtain a sample without success. What should you do?

    • A.

      Have someone else do it.

    • B.

      Use a distended jugular vein.

    • C.

      Use a 10.0 gauge lancet and obtain your samples. Stay 5 minutes until the bleeding stops.

    • D.

      Keep probing until you obtain what you need.

    Correct Answer
    A. Have someone else do it.
  • 25. 

    What is Syncope?

    • A.

      A gradual loss of consciousness due to insufficient blood supply in the veins.

    • B.

      A loss of consciousness due to insufficient blood sugar.

    • C.

      A loss of consciousness that may be due to simple emotional stress or a life threatening neuro-cardiogenic etiology.

    • D.

      A sudden but temporary loss of consciousness due to insufficient blood supply to the brain.

    • E.

      Both A and B

    • F.

      Both C and D

    Correct Answer
    F. Both C and D
  • 26. 

    What is the best vein to attempt on a Obese patient?

    • A.

      Cephalic

    • B.

      Basilica

    • C.

      Antecubital

    • D.

      Brachial Fossa or Jugular

    Correct Answer
    A. Cephalic
  • 27. 

    What is the most common occurring lab-acquired infection?

    • A.

      Hepatitis A

    • B.

      Hepatitis B

    • C.

      Meningitis

    • D.

      AIDS

    Correct Answer
    B. Hepatitis B
  • 28. 

    Under which circumstance should you place a patient into the recovery position?

    • A.

      When the patient stops breathing and has no pulse.

    • B.

      When the patient states they are going to vomit.

    • C.

      When the patient faints, injuries their spine, then stops breathing.

    • D.

      If the patient is breathing and has no spinal injury.

    Correct Answer
    D. If the patient is breathing and has no spinal injury.
  • 29. 

    Chemicals used in the work place should be found listed in the chemical's:

    • A.

      ATF

    • B.

      MSDS

    • C.

      PDR

    • D.

      HIPAA

    Correct Answer
    B. MSDS
  • 30. 

    In order to properly identify a patient, and testing, a phlebotomist must?

    • A.

      State the patients name off the lab request, ask when the patient last received a test, and confirm the room number.

    • B.

      Read the patients name and date of birth off the chart, ask the patient if they agree, ask when the patient last received a test, and confirm the room number.

    • C.

      Ask the patient to state their name, ask their date of birth, ask what is wrong with them or ask the patients CNA.

    • D.

      Ask the patient to state their name, ask their date of birth, check the chart/arm-band and request form.

    Correct Answer
    D. Ask the patient to state their name, ask their date of birth, check the chart/arm-band and request form.
  • 31. 

    Which of the following is an appropriate site for capillary blood collection?

    • A.

      Ear lobe (Lobule)

    • B.

      Upper arm (Deltoid)

    • C.

      Heal (Lateral and Medial)

    • D.

      Anterior palm (Base of first digit)

    • E.

      Both A and C

    • F.

      All of the above

    Correct Answer
    E. Both A and C
  • 32. 

    Dysuria means:

    • A.

      Micturition

    • B.

      Decreased output of urine

    • C.

      Painful or difficult urination

    • D.

      Inability to retain urine

    • E.

      Increased output of urine

    Correct Answer
    C. Painful or difficult urination
  • 33. 

     A Light blue stopper indicates that a collection tube:

    • A.

      Is sterile for serum tests

    • B.

      Is to be used only for capillary punctures

    • C.

      Contains sodium citrate

    • D.

      Contains EDTA

    Correct Answer
    C. Contains sodium citrate
  • 34. 

    The color for an evacuation tube that does not contain an additive is:

    • A.

      Red

    • B.

      Gray

    • C.

      Lavender

    • D.

      Yellow

    • E.

      Red and black

    Correct Answer
    A. Red
  • 35. 

    A creatine kinase test is done to help diagnose which of the following conditions?

    • A.

      Infection or leukemia

    • B.

      Kidney disorder

    • C.

      Cancer

    • D.

      Muscular dystrophies and heart disease

    • E.

      Spinal fluid and CNS infection

    Correct Answer
    D. Muscular dystrophies and heart disease
  • 36. 

    What position should the patient's arm be when drawing blood in phlebotomy?

    • A.

      Bent at the elbow

    • B.

      Level with the heart

    • C.

      Hanging down

    • D.

      Slightly elevated to prevent fainting

    • E.

      Slightly downward

    Correct Answer
    E. Slightly downward
  • 37. 

    Urine that is too acidic could indicate?

    • A.

      Incontinence

    • B.

      Gout

    • C.

      Renal failure

    • D.

      Diabetes

    • E.

      UTI

    Correct Answer
    B. Gout
  • 38. 

    Albumin found in urine may indicate?

    • A.

      Heart failure

    • B.

      Renal disease

    • C.

      Hypertension

    • D.

      Liver cirrhosis

    • E.

      Systemic lupus

    • F.

      All of the above

    Correct Answer
    F. All of the above
  • 39. 

    What does QNS stand for?

    • A.

      Quality Not Stated

    • B.

      Quinine Normal Saturation

    • C.

      Quantity Not Sufficient

    • D.

      Question Not Stated

    Correct Answer
    C. Quantity Not Sufficient
  • 40. 

    Urticaria may indicate?

    • A.

      Upper Respiratory infection

    • B.

      An allergic reaction

    • C.

      Spontaneous skin infection

    • D.

      Hyperthermia

    Correct Answer
    B. An allergic reaction
  • 41. 

    Angioedema is?

    • A.

      A vascular reaction involving the deep dermis or subcutaneous tissue with localized edema.

    • B.

      Is the inflammation of a vein with blood clot formation inside the vein at the site of the inflammation.

    • C.

      Is something that blocks the blood flow in a blood vessel such as a gas bubble, a blood clot, or a fat globule.

    • D.

      The material, consisting of blood and cellular debris from the uterus, discharged during menstruation.

    Correct Answer
    A. A vascular reaction involving the deep dermis or subcutaneous tissue with localized edema.
  • 42. 

    What can cause a acute allergic reaction to your patient? 

    • A.

      Latex gloves

    • B.

      Medication

    • C.

      Shellfish

    • D.

      Insect venom

    • E.

      Dyes

    • F.

      All of the above

    • G.

      Only C and D

    Correct Answer
    F. All of the above
  • 43. 

    Which of the following is the pathology of excessive red blood cell production?

    • A.

      Erythropoiesis

    • B.

      Polycythemia

    • C.

      Polyuria

    • D.

      RBC mismatch disorder

    Correct Answer
    B. Polycythemia
  • 44. 

    What test is required for a newborn to test for a genetic disorder of metabolism?

    • A.

      Hepatitis B

    • B.

      HIV/AIDS

    • C.

      Phenylketonuria

    • D.

      Blood Glucose level

    Correct Answer
    C. Phenylketonuria
  • 45. 

    An infection contracted in a hospital or other health care facility is termed?

    • A.

      Nosocomial infection

    • B.

      MRSA infection

    • C.

      Epidemic infection

    • D.

      (ITI) Insurance tort infection

    • E.

      White coat syndrome

    Correct Answer
    A. Nosocomial infection
  • 46. 

    Which of the following suffixes means “inflammation”?

    • A.

      -trophy

    • B.

      -iasis

    • C.

      -desis

    • D.

      -osis

    • E.

      -itis

    Correct Answer
    E. -itis
  • 47. 

    Which of the following prefixes and matched meaning is correct?

    • A.

      Micro / large

    • B.

      Antero / back

    • C.

      Peri / around

    • D.

      Hypo / above

    • E.

      Endo / over

    Correct Answer
    C. Peri / around
  • 48. 

    When the combining form cyan / o is used, it means?

    • A.

      Poisonous to the skin

    • B.

      The skin is dry and red

    • C.

      The Central Nervous System is involved

    • D.

      The object is blue

    • E.

      None of the above

    Correct Answer
    D. The object is blue
  • 49. 

    The prefix intra- means?

    • A.

      Within

    • B.

      Above and beyond

    • C.

      Below and proximal

    • D.

      Beside and lateral

    • E.

      Between, open and keep separated

    Correct Answer
    A. Within
  • 50. 

    Ren / o and Nephr / o both refer to which of the following?

    • A.

      The brain

    • B.

      The spine or peripheral nervous system

    • C.

      The kidneys

    • D.

      The urinary bladder

    Correct Answer
    C. The kidneys

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