問題一覧
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#1 ~ Which of the following tests would be ordered for a patient with a fever of unknown cause?
Blood Culture (Blood CX)
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#2 ~ Several filled lavender tubes fall and break, Causing a large biological spill. You should respond by?
Spreading a fluid control solidifier
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#3 ~ A hematoma is most likely to be caused by?
Removing the needle before releasing the tourniquet
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#4 ~ A cholesterol test should be collected while the patient is in which state?
Fasting
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#5 ~ Which of the following veins is commonly the easiest to palpate in an obese patient?
Cephalic
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#6 ~ What is the proper method of identifying an outpatient prior to collecting blood ?
Ask the patient to state his/her full name
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#7 ~ A patient refuses a blood draw but the phlebotomist draws it anyway He/she is guilty of ?
Battery
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#8 ~ Which of the following is required to effectively identify a patient ?
A&B. (Patients Name & Date of Birthday)
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#9 ~ A physician orders a bilirubin level on an infant with neonatal jaundice Which of the following is required to ensure specimen integrity?
Protect the specimen from light
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#10 ~ A phlebotomist explains the procedure to the patient, who then nods and extends her arm. This is an example of ?
Implied consent
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#11 ~ A phlebotomist draws a green top tube and shakes it vigorously. Which of the following is a likely complication ?
Hemolysis
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#12 ~ A 16 to 18 Gauge needle would be used during which of the following procedures ?
Blood donation collection
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#13 ~ Universal Precautions are mandated by which agency ?
OSHA
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#14 ~ A phlebotomist introduces herself and identifies the patient. Which is the next step ?
Check the orders
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#15 ~ Which of the following tubes contains EDTA ?
Lavender
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#16 ~ Which of the following blood tests requires the specimen to be placed on ice immediately after collection ?
A & B (Lactic Acid & Ammonia)
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#17 ~ Which of the following scenarios describes assault ?
Threatening to sedate the patient if he does't hold still
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#18 ~ A physician orders a test requiring a stool specimen. The phlebotomist should provide the patient with what instructions ?
Empty the bladder before defecating
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#19 ~ An ammonia test would be collected into which tube?
Green, on ice
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#20 ~ A patient with which of the following infections would be placed under contact precautions ?
Clostridium difficile
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#21 ~ A chemistry panel/profile would be collected into which tube ?
Tiger Top
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#22 ~ Evacuated blood collection tubes should be labelled at which step in the procedure ?
After the specimen is collected, but before leaving the room
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#23 ~1~ Which of the following requires rapid specimen transport?
Semen specimen for fertility counseling
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#23 ~2~ which Sclerotic of the Following. describe a vein ?
one that is hard and cord- like
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#24 ~ Collection of which of the following specimens would require the patient to expectorate into a container ?
Sputum
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#25 ~ HIPPA guidelines are designed to protect a patient's ?
Privacy
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#26 ~ Which of the following allows collection of multiple blood samples in a single venipuncture ?
Evacuated tubes
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#27 ~ What is the purpose to the tourniquet during a routine venipuncture ?
To make the veins easier to palpate
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#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
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#29 ~ A patient is admitted under "Contact Precautions" for an infection. What PPE is required before entering the patient's room ?
Gown and Gloves
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#30 ~ which of the Following increases the risk of a needle Completely through a vein during a venipuncture ?
inserting the needle at 50° angle
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#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
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#32 ~ Skipping which of the following steps causes the greatest potential harm to the patient ?
Patient identification
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#33 ~ A physician orders a fasting blood glucose test. The patient should be fasting for ?
8 - 12 hours
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#34 ~ Which situation might indicate that a needle has gone completely through a vein ?
The tube suddenly stops filling
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#35 ~ A Prothrombin Time is collected into which tube ?
Light Blue
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#36 ~ When multiple tubes are required, they should be collected in which order ?
Yellow, Blue, Red, Green, Lavender, Gray
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#37 ~ Additive reflux can result from which of the following pre-analytical errors ?
Drawing tubes in the wrong order
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#38 ~ Specimen collection for a Lipid Profile requires which of the following equipment ?
Tourniquet, multi-sample needle, hub, tiger top tube
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#39 ~ Which of the following are collected into a lavender top tube ?
Both A & B (CBC & Erythrocyte Sedimentation Rate (ESR)
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#40 ~ Which gauge needle should be used when performing a venipuncture on an infant ?
23 G
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#41 ~ Which of the following does not need to be disposed of in a sharps container ?
Bloody gloves
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#42 ~ The ER calls you to draw STAT CBC, Chemistry Panel, and PT. Which tubes would you draw ?
Blue, Green, Lavender
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#43 ~ A hematoma can be identified by observing which of the following ?
Rapidly developing swelling at the puncture site
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#44 ~ Which of the following is necessary for an ammonia test ?
A green-top tube
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#45 ~ All of the Following should be present on a specimen label except ?
Patient gender
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#46 ~ Which of the following tests require that the specimen be protected from light?
B and C. (Bilirubin & Vitamin B6)
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#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
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#48 ~ A swab for microbiology wound culture should be labeled with which information?
Site of specimen collection
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#49 ~ Which of the following is the vein of choice for routine venipuncture ?
Median Cubital
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#50 ~ A phlebotomist drops a tube, resulting in a biological spill. The site must be ?
Disinfected
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#51 ~ The term "syncope" refers to
Fainting or loss of consciousness
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#53 ~ 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
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#54 ~ Which of the following places an infant at risk of osteochondritis?
Puncturing the heel deeper than 2.0 mm
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#55 ~ A phlebotomist prepares to collect multiple capillary tubes from a dermal puncture. Which tube is collected first?
EDTA
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#56 ~ The time of the last anticoagulation medicine dose should be checked prior to collection of blood for which test?
A
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#57 ~ A hematoma can be identified by observing which of the following?
Rapidly developing swelling at the puncture site
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#58 ~ Skipping which of the following steps causes the greatest potential harm to the patient?
Patient identification
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#59 ~ A Prothrombin Time is collected into which tube?
Light Blue
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#60 ~ Which of the following requires rapid specimen transport?
Semen specimen for fertility counseling
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#61 ~ A PKU test is collected with which of the following?
Filter paper
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#62 ~ A patient is discovered in the hall unconscious and pulseless. The phlebotomist should perform
CPR
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#63 ~ Which of the following could result in iatrogenic anemia?
Drawing too much blood
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#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
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#65 ~ If a patient has undergone a left mastectomy, what is the preferred venipuncture site?
Right antecubital
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#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
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#67 ~ Which of the following blood tests requires the specimen to be placed on ice immediately after collection?
A & B. (Lactic Acid & Ammonia)
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#68 ~ Which of the following is required to effectively identify a patient?
A & B. (Patient name & Date of Birth)
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#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
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#70 ~ Which aspect of specimen labeling helps prevent errors?
Ensure handwriting is legible
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#71 ~ Which test would require the patient collect stool in a cup, taking care to avoid urine in the specimen?
Ova & Parasites
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#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
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#73 ~ All of the following tube additives will prevent clotting EXCEPT
Thrombin
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#74 ~ Why do blood collection tubes have expiration dates?
The vacuum grows weaker as the tube gets older
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#75 ~ A phlebotomist receives duplicate orders for a patient? How should he/she proceed?
Call the ordering physician for clarification
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#76 ~ If a patient is allergic to iodine, what can be used to sterilize the skin prior to drawing a blood culture?
Chlorhexidine
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#77 ~ Which of the following scenarios describes assault?
Threatening to sedate the patient if he does't hold still
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#78 ~ Which symptom may precede syncope during a venipuncture procedure?
Dizziness
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#79 ~ A lab technician finishes performing a CBC differential. Where should the microscope slide be placed?
Sharps container
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#80 ~ Which test would be collected into a tube containing sodium citrate?
PT & PTT
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#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
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#82 ~ During a routine lab inspection, which of the following would monitor issues pertaining to mechanical safety?
Equipment maintenance logs
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#83 ~ If a patient reports a fear of needles, the lab personal should:
Ask the most experienced phlebotomist the perform the venipuncture
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#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
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#85 ~ A doctor orders a fecal test for an infant. How should the stool specimen be collected?
From the infant's diaper
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#86 ~ A patient is being tested for blood alcohol level. What should be used to cleanse the puncture site?
Chlorhexidine
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#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
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#88 ~ After collecting blood and removing the needle, the phlebotomist should ?
Apply pressure to the puncture site and engage the safety cover
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#89 ~ A physician orders a CBC with peripheral blood smear. Which of the following characteristics should the glass slide have?
A feathered edge
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#90 ~ A laboratory requisition should contain all of the following information except ?
Patient's insurance provider
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#91 ~ Which of the following most commonly increase the difficulty of collecting blood from elderly patients ?
Poor peripheral circulation
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#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
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#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 ?
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#94 ~ Which document contains information on each chemical used in the laboratory?
MSDS
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#95 ~ Accidentally inserting the needle completely through the vein increases the risk of which complication?
Hematoma
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#96 ~ Which of the following describes proper site cleansing prior to venipuncture?
Wipe with alcohol in a spiral from the inside to the outside
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#97 ~ When performing a heel stick on an infant for PKU screening ?
Wipe away the first drop of blood
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#98 ~ A lavender tube should be inverted how many times after collection?
8-10
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#99 ~ Which of the following tests requires the blood to dry before performing the test ?
PKU Screening
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#100 ~ All point-of-care blood glucose monitors being used in a healthcare facility must have QC measurements performed ?
Daily