Exam 2

1.

1 point

The only phlebotomist in an outpatient drawing center is not familiar with the test that a physician has ordered. What is the most appropriate action to take?

Send the patient to another drawing center.

Refer to the collection manual for instruction.

Draw both a serum and a plasma sample.

Call the physician's office for assistance.

2.

1 point

A fistula is a(n)

implanted port attached to an indwelling line.

special winged infusion set left in the patient's arm.

temporary fusion of an artery and a vein.

permanent fusion of an artery and a vein.

3.

1 point

It is not a good idea to collect a CBC specimen from a screaming infant because the

platelets are more likely to clump.

specimen will be more likely to hemolyze.

specimen will be hemoconcentrated.

white blood count may be falsely elevated.

4.

1 point

True or False? Glycolysis by erythrocytes and leukocytes in blood specimens can lower glucose values at a rate of up to 20 mg/dL per hour.

True

False

5.

1 point

True or False? Applying lip-balm in the lab is acceptable when an employee has chapped lips.

True

False

6.

1 point

A specimen arrives with less volume than is needed for the test. It will be noted why the specimen was rejected by using the abbreviation

7.

1 point

Which type of contact infection transmission involves transfer of an infective microbe to the mucous membranes of a susceptible individual by means of a cough or sneeze?

Direct

Fomites

Droplet

Indirect

8.

1 point

A pneumatic tube is a

tube connection between two computers.

pressurized air transportation system.

temporary computer data storage unit.

type of collection tube for blood gases.

9.

1 point

True or False? Peak levels of cortisol occur late in the afternoon.

True

False

10.

1 point

A national organization that sets standards for phlebotomy procedures is the

ASCP.

CLSI.

NCA.

NAACLS.

11.

1 point

True or False? "ASAP" or "Med Emerg" specimens must be attended to before routine specimens.

True

False

12.

1 point

The process of entering a password and gaining access to a computer is called

Interfacing

Accessioning

Networking

Logging On

13.

1 point

You have no choice but to draw a specimen from a site with a hematoma. Where should you obtain the specimen?

Distal to the hematoma.

None of the options is correct.

In the area of the hematoma.

Proximal to the hematoma.

14.

1 point

True or False? If a patient is complaining of a sharp radiating pain from the needle insertion site, the phlebotomist should hurry and finish the draw.

True

False

15.

1 point

Two phlebotomists are discussing a patient's condition in the elevator. THey are overheard by the patient's daughter. This is an example of

res ipsa loquitur.

failure to exercise due care.

improper or unskilled care.

invasion of privacy.

16.

1 point

Which instance may lead you to suspect that you have accidentally punctured an artery?

The blood pulses into the tube.

There is no way to tell.

A hematoma starts to from instantly.

The blood obtained is dark red.

17.

1 point

Which of the following collection circumstances is least likely to result in delayed clotting of a serum sample?

Patient is taking an anticoagulant medication.

Specimen is chilled soon after being collected.

Collection was difficult, hemolyzing red cells.

Patient has an elevated white blood cell count.

18.

1 point

A barcode is a

series of bars and spaces representing numbers or letters.

confidential computer code that is required by the HIPAA.

coded instruction needed to control computer hardware.

unique number given to each test request for ID purposes.

19.

1 point

True or False? Labeling of a specimen must be exact.

True

False

20.

1 point

What is the first thing the phlebotomist should do in the event of an accidental needlestick?

Leave the area so that the patient does not notice the injury.

Decontaminate the site and fill out an incident report.

Check the patient's medical records for BBP status.

Go to employee health service and get a tetanus booster.

21.

1 point

Which of the following represents improper aliquot preparation?

Covering or capping the aliquot tube immediately.

Removing the stopper behind a splash shield.

None of the above.

Carefully pouring the contents into the aliquot tube.

22.

1 point

According to standard first aid procedures, severe external bleeding is best controlled by

applying direct pressure.

applying a tourniquet.

raising the victim's head above the level of the injury.

keeping the injured area below the level of the heart.

23.

1 point

Three of the following conditions are reasons a specimen could be rejected for analysis. Which one is not?

An electrolyte specimen is hemolyzed.

A bilirubin specimen is icteric

A fasting glucose specimen is lipemic.

A CBC specimen contains clots.

24.

1 point

In what instance might a patient be placed in protective isolation?

The patient has hepatitis.

The patient has chickenpox.

The patient has severe burns.

The patient has tuberculosis.

25.

1 point

True or False? A good way to avoid lawsuits is to consistently perform venipunctures as rapidly as possible so as to get the results to the physician quickly.

True

False

26.

1 point

This organization develops standars for specimen handling and processing.

CDC.

CLSI.

CLIA.

FDA.

27.

1 point

True or False? A drug known to interfere with a urine test should be discontinued 48 to 72 hours prior to urine collection.

True

False

28.

1 point

You must draw a protime specimen from a patient with IVs in both arms. Which of the following is the best thing to do? Draw the specimen

from an ankle vein.

from an IV.

above an IV.

below an IV.

29.

1 point

Which of the following vascular access devices is placed in a peripheral vein for the purpose of blood collection and administration of medication?

Heparin lock.

Implanted port.

PICC.

Fistula.

30.

1 point

Vaccination against HBV involves

three doses of vaccine, each 3 months apart, then yearly doses thereafter.

a single dose of vaccine that normally confers immunity for a lifetime.

none of the above.

a dose of vaccine, another 1 month later, and a final dose 6 months later.

31.

1 point

When the additive from a tube "backwashes" into the patient, it is known as

32.

1 point

Class C fires

occur with flammable liquids.

involve combustible metals.

involve electrical equipment.

occur with ordinary materials.

33.

1 point

Some test specimens require immediate cooling in ice and water slurry to

prevent activation of cold agglutination.

prevent the specimen from clotting.

separate serum more completely.

slow down metabolic processes.

34.

1 point

An example of a QA indicator is

All phlebotomists will carefully follow universal precautions.

No eating, drinking, or smoking are allowed in laboratory work areas.

The blood culture contamination rate will not exceed the national rate.

Watching for the patient's implied consent before blood collection.

35.

1 point

The main principles involved in radiation exposure are

exposure time, radiation level, and glove use.

exposure time, distance, and shielding.

time of day, amount of radiation, and source.

time of day, distance, and eye protection.

36.

1 point

Examples of nosocomial infections include

when a patient is admitted with symptoms of Hanta virus.

when a catheter site of a patient in ICU becomes infected.

when a patient breaks out with measles the day after admission.

when a healthcare worker contracts hepatitis from a needle stick.

37.

1 point

The "standard of care" in the practice of phlebotomy is influenced by which of the following organizations?

The Health Insurance Privacy Agency

The Environmental PRotection Agency

The U.S. Food and Drug Administration

The Joint Commission.

38.

1 point

This is a source of preanalytical error that occurs before specimen collection.

Wrong collection time.

Dehydrated patient.

Mislabeled specimen.

Misidentified patient.

39.

1 point

True or False? A class A fire occurs when flammable liquids are involved.

True

False

40.

1 point

Malpractice is a claim of

breach of confidentiality.

improper treatment.

assault and battery.

invasion of privacy.