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Phlebotomist
  • Gloria Herrera

  • 問題数 120 • 1/4/2023

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    問題一覧

  • 1

    #34 ~ Which situation might indicate that a needle has gone completely through a vein ?

    The tube suddenly stops filling

  • 2

    #73 ~ All of the following tube additives will prevent clotting EXCEPT

    Thrombin

  • 3

    #27 ~ What is the purpose to the tourniquet during a routine venipuncture ?

    To make the veins easier to palpate

  • 4

    #106 ~ If a phlebotomist is accidentally stuck with a contaminated needle, the first step is to ?

    Wash the area with soap and water

  • 5

    #66 ~ A potential blood donor has a mild fever prior to the phlebotomy procedure. What is the appropriate course of action?

    Ask the donor to return when he/she has recovered

  • 6

    #102 ~ The maximum volume of blood that can be safely withdrawn is what percent of a patient's body weight ?

    5%

  • 7

    #20 ~ A patient with which of the following infections would be placed under contact precautions ?

    Clostridium difficile

  • 8

    #107 ~ Which of the following information would be contained within the MSDS ?

    How to safely clean a particular chemical spill

  • 9

    #70 ~ Which aspect of specimen labeling helps prevent errors?

    Ensure handwriting is legible

  • 10

    #60 ~ Which of the following requires rapid specimen transport?

    Semen specimen for fertility counseling

  • 11

    #61 ~ A PKU test is collected with which of the following?

    Filter paper

  • 12

    #58 ~ Skipping which of the following steps causes the greatest potential harm to the patient?

    Patient identification

  • 13

    #42 ~ The ER calls you to draw STAT CBC, Chemistry Panel, and PT. Which tubes would you draw ?

    Blue, Green, Lavender

  • 14

    #54 ~ Which of the following places an infant at risk of osteochondritis?

    Puncturing the heel deeper than 2.0 mm

  • 15

    #96 ~ Which of the following describes proper site cleansing prior to venipuncture?

    Wipe with alcohol in a spiral from the inside to the outside

  • 16

    #56 ~ The time of the last anticoagulation medicine dose should be checked prior to collection of blood for which test?

    A

  • 17

    #46 ~ Which of the following tests require that the specimen be protected from light?

    B and C. (Bilirubin & Vitamin B6)

  • 18

    #119 ~ Which needle would be most appropriate for a venipuncture on the dorsal hand?

    Butterfly needle

  • 19

    #82 ~ During a routine lab inspection, which of the following would monitor issues pertaining to mechanical safety?

    Equipment maintenance logs

  • 20

    #40 ~ Which gauge needle should be used when performing a venipuncture on an infant ?

    23 G

  • 21

    #23 ~1~ Which of the following requires rapid specimen transport?

    Semen specimen for fertility counseling

  • 22

    #108 ~ While collecting a specimen for a blood culture, the phlebotomist wipes the site with alcohol and if forget to apply iodine. Which of the following is likely to result?

    False Positive

  • 23

    #94 ~ Which document contains information on each chemical used in the laboratory?

    MSDS

  • 24

    #39 ~ Which of the following are collected into a lavender top tube ?

    Both A & B (CBC & Erythrocyte Sedimentation Rate (ESR)

  • 25

    #17 ~ Which of the following scenarios describes assault ?

    Threatening to sedate the patient if he does't hold still

  • 26

    #55 ~ A phlebotomist prepares to collect multiple capillary tubes from a dermal puncture. Which tube is collected first?

    EDTA

  • 27

    #86 ~ A patient is being tested for blood alcohol level. What should be used to cleanse the puncture site?

    Chlorhexidine

  • 28

    #31 ~ which of the following is not a violation of HIPPA guidelines ?

    Discussing patient information with a coworker who is also caring For the patient

  • 29

    #98 ~ A lavender tube should be inverted how many times after collection?

    8-10

  • 30

    #62 ~ A patient is discovered in the hall unconscious and pulseless. The phlebotomist should perform

    CPR

  • 31

    #8 ~ Which of the following is required to effectively identify a patient ?

    A&B. (Patients Name & Date of Birthday)

  • 32

    #3 ~ A hematoma is most likely to be caused by?

    Removing the needle before releasing the tourniquet

  • 33

    #115 ~ Most pre-analytical errors occur at which step?

    Patient identification

  • 34

    #21 ~ A chemistry panel/profile would be collected into which tube ?

    Tiger Top

  • 35

    #28 ~ Which of the following is most appropriate if a patient has a running IV in the right hand ?

    Perform the draw on the left antecubital area

  • 36

    #57 ~ A hematoma can be identified by observing which of the following?

    Rapidly developing swelling at the puncture site

  • 37

    #49 ~ Which of the following is the vein of choice for routine venipuncture ?

    Median Cubital

  • 38

    #23 ~2~ which Sclerotic of the Following. describe a vein ?

    one that is hard and cord- like

  • 39

    #97 ~ When performing a heel stick on an infant for PKU screening ?

    Wipe away the first drop of blood

  • 40

    #47 ~ A patient with recurrent cystitis has an order for urine culture. The patient should be given all of the following instructions EXCEPT ?

    Collect the initial stream of urine

  • 41

    #45 ~ All of the Following should be present on a specimen label except ?

    Patient gender

  • 42

    #112 ~ Which of the following tubes must be inverted 5 times, then allowed to clot for 30 minutes before centrifuging ?

    SST

  • 43

    #5 ~ Which of the following veins is commonly the easiest to palpate in an obese patient?

    Cephalic

  • 44

    #43 ~ A hematoma can be identified by observing which of the following ?

    Rapidly developing swelling at the puncture site

  • 45

    #88 ~ After collecting blood and removing the needle, the phlebotomist should ?

    Apply pressure to the puncture site and engage the safety cover

  • 46

    #10 ~ A phlebotomist explains the procedure to the patient, who then nods and extends her arm. This is an example of ?

    Implied consent

  • 47

    #93 ~ Which of the following is a appropriate greeting prior to a venipuncture procedure ?

    Hello, my name is Judy and I'm from the lab. I've come to collect the blood your doctor ordered. Can you please tell me your name ?

  • 48

    #37 ~ Additive reflux can result from which of the following pre-analytical errors ?

    Drawing tubes in the wrong order

  • 49

    #104 ~ Which of the following is required for a test to be CLIA-waived ?

    The test carries little to no risk to the patient if performed erroneously

  • 50

    #89 ~ A physician orders a CBC with peripheral blood smear. Which of the following characteristics should the glass slide have?

    A feathered edge

  • 51

    #36 ~ When multiple tubes are required, they should be collected in which order ?

    Yellow, Blue, Red, Green, Lavender, Gray

  • 52

    #83 ~ If a patient reports a fear of needles, the lab personal should:

    Ask the most experienced phlebotomist the perform the venipuncture

  • 53

    #33 ~ A physician orders a fasting blood glucose test. The patient should be fasting for ?

    8 - 12 hours

  • 54

    #48 ~ A swab for microbiology wound culture should be labeled with which information?

    Site of specimen collection

  • 55

    #2 ~ Several filled lavender tubes fall and break, Causing a large biological spill. You should respond by?

    Spreading a fluid control solidifier

  • 56

    #84 ~ A patient has an order for a CBC and Lactic Acid level. The phlebotomist should draw:

    A Lavender tube at room temperature and a Grey tube on ice

  • 57

    #113 ~ Which of the following can result in hemolysis ?

    Excessively and aggressively squeezing the finger during a dermal puncture

  • 58

    #69 ~ If a patient has undergone double/bilateral mastectomy, how should the phlebotomist determine which arm to select for venipuncture?

    Contact the physician for instructions

  • 59

    #64~ A physician orders a CBC on a young child. What determines whether a heel stick can be performed vs a venipuncture?

    The age and level of development of the child

  • 60

    #101 ~ When performing a fingerstick, the lancet should be oriented ?

    Across the fingerprint

  • 61

    #105 ~ When drawing with a syringe, which can help prevent accidental needle sticks ?

    Using a blood transfer device

  • 62

    #51 ~ The term "syncope" refers to

    Fainting or loss of consciousness

  • 63

    #118 ~ Which of the following is drawn first in the correct order of draw?

    Blood Cultures

  • 64

    #91 ~ Which of the following most commonly increase the difficulty of collecting blood from elderly patients ?

    Poor peripheral circulation

  • 65

    #6 ~ What is the proper method of identifying an outpatient prior to collecting blood ?

    Ask the patient to state his/her full name

  • 66

    #92 ~ A phlebotomist cleanses a puncture site, the patient clenches his fist, and the needle is inserted. When blood begins to flow, the patient should be instructed to ?

    Relax his hand

  • 67

    #50 ~ A phlebotomist drops a tube, resulting in a biological spill. The site must be ?

    Disinfected

  • 68

    #16 ~ Which of the following blood tests requires the specimen to be placed on ice immediately after collection ?

    A & B (Lactic Acid & Ammonia)

  • 69

    #12 ~ A 16 to 18 Gauge needle would be used during which of the following procedures ?

    Blood donation collection

  • 70

    #80 ~ Which test would be collected into a tube containing sodium citrate?

    PT & PTT

  • 71

    #13 ~ Universal Precautions are mandated by which agency ?

    OSHA

  • 72

    #4 ~ A cholesterol test should be collected while the patient is in which state?

    Fasting

  • 73

    #71 ~ Which test would require the patient collect stool in a cup, taking care to avoid urine in the specimen?

    Ova & Parasites

  • 74

    #76 ~ If a patient is allergic to iodine, what can be used to sterilize the skin prior to drawing a blood culture?

    Chlorhexidine

  • 75

    #67 ~ Which of the following blood tests requires the specimen to be placed on ice immediately after collection?

    A & B. (Lactic Acid & Ammonia)

  • 76

    #32 ~ Skipping which of the following steps causes the greatest potential harm to the patient ?

    Patient identification

  • 77

    #19 ~ An ammonia test would be collected into which tube?

    Green, on ice

  • 78

    #15 ~ Which of the following tubes contains EDTA ?

    Lavender

  • 79

    #22 ~ Evacuated blood collection tubes should be labelled at which step in the procedure ?

    After the specimen is collected, but before leaving the room

  • 80

    #79 ~ A lab technician finishes performing a CBC differential. Where should the microscope slide be placed?

    Sharps container

  • 81

    #109 ~ Which of the following is the responsibility of the lab personnel performing an blood analysis ?

    Reporting the results to the ordering physician

  • 82

    #103 ~ Which type of requisition is generally considered to be the most accurate ?

    Automated

  • 83

    #7 ~ A patient refuses a blood draw but the phlebotomist draws it anyway He/she is guilty of ?

    Battery

  • 84

    #117 ~ Which of the following is the smallest, most microscopic vessel?

    Capillary

  • 85

    #29 ~ A patient is admitted under "Contact Precautions" for an infection. What PPE is required before entering the patient's room ?

    Gown and Gloves

  • 86

    #14 ~ A phlebotomist introduces herself and identifies the patient. Which is the next step ?

    Check the orders

  • 87

    #63 ~ Which of the following could result in iatrogenic anemia?

    Drawing too much blood

  • 88

    #85 ~ A doctor orders a fecal test for an infant. How should the stool specimen be collected?

    From the infant's diaper

  • 89

    #35 ~ A Prothrombin Time is collected into which tube ?

    Light Blue

  • 90

    #78 ~ Which symptom may precede syncope during a venipuncture procedure?

    Dizziness

  • 91

    #111 ~ Under-filling of which of the following tubes can result in hemolysis ?

    Gray

  • 92

    #72 ~ A phlebotomist collects a lavender tube using a multi-sample needle and hub. After collection, the phlebotomist should

    Gently invert the tube in a figure-eight motion 8-10 times

  • 93

    #120 ~ An ammonia test would be collected into which tube?

    Green

  • 94

    #90 ~ A laboratory requisition should contain all of the following information except ?

    Patient's insurance provider

  • 95

    #18 ~ A physician orders a test requiring a stool specimen. The phlebotomist should provide the patient with what instructions ?

    Empty the bladder before defecating

  • 96

    #110 ~ During a venipuncture, a patient begins to experience a seizure. The phlebotomist should ?

    Secure the needle, then clear the area around the patient

  • 97

    #1 ~ Which of the following tests would be ordered for a patient with a fever of unknown cause?

    Blood Culture (Blood CX)

  • 98

    #41 ~ Which of the following does not need to be disposed of in a sharps container ?

    Bloody gloves

  • 99

    #81 ~ A patient has an order for a 24-hour urine test that requires a preservative. Which should NOT be included in the instructions to the patient?

    Urinate directly into the container

  • 100

    #87 ~ A patient being treated for pneumonia is ordered to have a sputum culture. When should the specimen be collected?

    First thing in the morning