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#102 ~ The maximum volume of blood that can be safely withdrawn is what percent of a patient's body weight ?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