Phlebotomy Exam Test 4

Front 1

The appropriate anticoagulant used to coat a syringe for collecting arterial blood gas is:

Back 1

Heparin

Front 2

A patient in the intensive care unit had indwelling lines for fluid and medication. A chemistry panal was ordered. The correct procedure for collecting blood from an indwelling line is:

Back 2

To discard the first 5 mls

Front 3

A sample was collected 24 hours ago in a red topped tube and sent to the chemistry lab for testing. This morning the physician requested that a manganese test be done. This trace metal is:

Back 3

Stable at room temperature for 7 days

Front 4

A specimen that was difficult to collect was sent to the lab for an activated partial prothrombin and the results were prolonged. The patient was not on any medication. A repeat sample was collected and the results were normal. A possible explanation for the first abnormal result may have been due to the first tube being:

Back 4

Under collected, causing excess anticoagulant

Front 5

A patient in the intensive care unit is infected with methicillin resistant staphyloccous aureus (MRSA). The proper personal protective equipment to be worn when collecting blood from this patient is:

Back 5

A gown and gloves

Front 6

A patient that is scheduled for a 2 hour glucose tolerance test drinks the glucose beverage and complains of feeling nauseated. The patient vomits 75 minutes into the test. The phlebotomist should:

Back 6

Stop the test, it is complete.

Front 7

A patient needs to submit a urine test for a routine drug screen but is unable to provide a urine sample. The patient is instructed to drink up to 24 oz of water in 2 hours. Another sample is obtained but it is insufficient quantity. The lab should:

Back 7

Discard the urine sample and cancel the test.

Front 8

A patient is being monitored for diabetes. While hypoglycemia is diagnosed with a fasting blood speciment, diabetes is monitored with:

Back 8

2 hour postprandial

Front 9

To best preserve the urinary sediment in a 24 hour urine specimen, the preservative of choice are:

Back 9

Boric Acid and Thymol

Front 10

For a 24 hour urine specimen to be handled appropriately it should include:

Back 10

The total volume of urine collected

Front 11

A sample collected by syringe for coagulation testing should not be placed into a vacutainer tube by piercing the cap because of:

Back 11

Hemolysis of red blood cells

Front 12

Contaminated sharps must be placed in a puncture resistant container that displays:

Back 12

The biohazard symbol

Front 13

A patient comes to the outpatient phlebotomy area to have blood collected. The patient is on AZT, and the test is ordered for CD4. The phlebotomist assumes the patient is HIB infected and should:

Back 13

Practice standard procedures routinely used for collecting blood.

Front 14

Which of the following could be an application of bar code utilization in the post analytical phase?

Back 14

Maintaining frozen specimen storage

Front 15

A patient's results were abnormal for the following tests: Potassium, calcium, uric acid, biliruben. It was noted that the sample was collected by finger stick. A possible source of error is:

Back 15

Using betadine to clean the site

Front 16

NCCLA recommends when performing a heel stick on a newborn the site to be warmed:

Back 16

42 degrees C for 3 minutes

Front 17

The best vein for venipunture is the:

Back 17

Median Cubital

Front 18

The trough value of a drug is collected:

Back 18

Prior to the patient receiving the drug

Front 19

A patient sample that was difficult to collect had a CBC with abnormally high red blood cells (RBCs) and hemoglobin values. Upon collection the results were normal. This could be a result of:

Back 19

Prolonged tourniquet application

Front 20

Failure of a phlebotomist to provide standard care is:

Back 20

Malpractice

Front 21

The loosened skin seen in a geriatric patient is directly:

Back 21

The result of loss of supportive connective tissue

Front 22

Post exposure prophylaxis (PEP) for exposure to HIV is most effective when started:

Back 22

1-2 hours

Front 23

According to NCCLS, an IV bleeding time should be stopped after:

Back 23

15 minutes

Front 24

Blood cultures containing ARD/resin would be collected:

Back 24

On patients receiving antibiotics

Front 25

If a patient had fragile veins that appear likely to collapse during phlebotomy, the best system to use to blood collection is a:

Back 25

Syringe

Front 26

When performing a venipuncture on a 65 year old patient with good veins, the phlebotomist should choose with gauge needle for the vein?

Back 26

21 gauge

Front 27

A patient is recumbent is:

Back 27

Supine

Front 28

A patient in the emergency department must have blood alcohol collected to be used in court in relationship to drunk driving charges. The site should be cleansed with:

Back 28

Betadine

Front 29

If a patient is receiving tissue plasminogen activator (tPA), blood may be collected:

Back 29

Only with the physicians approval

Front 30

The inner lining of the heart is known as the:

Back 30

Endocardium

Front 31

Which of the following should be collected as a whole blood specimen?

Back 31

HLA typing

Front 32

A patients blood glucose was tested at the Point of Care. The result exceeded the established range for the POTC equipment. The first course of action would be:

Back 32

To repeat the test

Front 33

If a glucose ordered is "postprandial," the sample should be collected:

Back 33

After eating

Front 34

The best way for a phlebotomist to verify a person's name is to:

Back 34

Check their wrist band

Front 35

The main function of the circulatory system is to provide:

Back 35

Transportation

Front 36

Which of the following statements best describes a vein?

Back 36

It contains structures called valves

Front 37

When handling body fluids, universal precautions should be used:

Back 37

At all times

Front 38

A blood sample is to be collected from the patient. The patient has an IV in the right arm and a full cast on the left arm. In order to collect the sample:

Back 38

Ask the nurse to shut off the IV and collect the blood below the IV site.

Front 39

A nurse agrees to collect a blood sample from a patient's indwelling. The nurse submits the very first syringe from the indwelling line. The phlebotomist would:

Back 39

Ask the nurse to collect a second syringe of blood from the line and use this sample to fill your collection tubes.

Front 40

The safe area for a heel puncture on an infant's heel is/are:

Back 40

The most medial or lateral portion of the plantar surface

Front 41

Which of the following conditions would create an adverse effect on the quality of a finger stick blood specimen?

Back 41

Swollen fingers

Front 42

Which of the following analytes would be affected if the sample were exposed to light:

Back 42

Bilirubin

Front 43

Which of the following arteries in the leg is recommended for collection of blood for arterial blood gases?

Back 43

Femoral

Front 44

A phlebotomist is collecting blood samples from 6 patients. The requisition for the first patient requires a sample to be collected for a blood gas. While collecting blood from the remainder of the patients, the best way to store/transport the samples would be:

Back 44

In ice water

Front 45

When collecting a blood sample from the elderly, frail patient, sometimes the best method is to collect from the back of the patient's hand. The best collection device to use in this situation is:

Back 45

A syringe

Front 46

Upon entering the ER department, a physician has just completed collecting a blood sample. The physician recaps the needle using a one handed scoop method and discards the needle into the regular trash container lined with plastic. The physician labels the specimen and hands them to the nurse. The error observed was:

Back 46

A collection needle should NEVER be disposed of in a regular trash container

Front 47

A method that is inaccurate but precise would be presented on a bulls eye target as:

Back 47

Tight scatter off the bulls eye

Front 48

A conscious hospital patient is not wearing an identification armband. The name and room number on the door agree with the information on the lab requisition. The next step is to:

Back 48

NOT collect the patient's blood until an armband is placed on the patient's arm.

Front 49

Blood is carried away from the heart to the rest of the body via:

Back 49

Arteries

Front 50

When collecting blood from adolescents, the phlebotomist should:

Back 50

Answer all questions the adolescent might ask