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Most important step in venipuncture? ✔✔Patient identification What is PPE? ✔✔Personal Protective Equipment What is the best way to let a clean site dry? ✔✔Air dry OSHA requires all phlebotomist to be trained regarding what? ✔✔Blood borne pathogens and needle saftey All specimens are considered hazardous and infectious so we must use what? ✔✔Universal and or Standard precautions What organization should be contacted regarding employee safety and unsafe working conditions? ✔✔OSHA (occupational safety and health administration
Phlebotomy Practice Test with actual
Questions & Answers/ latest
update 2025 100% Pass (graded
A+)
What does MSDS mean and what is it part of? ✔✔Material Safety Data Sheet (right to know law) What color tube, and additive is used for CBC, Hct, Hgb, Sed rate? ✔✔Lavender, EDTA Which tube has no additive? ✔✔Red What color tube and which additive is used for protime and APTT? ✔✔Lt. Blue, sodium citrate What is the ratio of blood to additive in a light blue tube? ✔✔9 to 1 Which additive is the best choice for an ethanol specimen? ✔✔Na fluoride What color tube is an ethanol specimen drawn in? ✔✔Grey In case of a needle stick accident you should? ✔✔Cleanse the site, get patient information if able, and notify your supervisor
When used for decontamination, the dilution for bleach in water should be what? ✔✔10% bleach, 90% water Which point of care test is done to determine a platelet plug formation? ✔✔Bleeding time (also known as platelet function assay) Where in the wrist area are ABGs done and which artery? ✔✔Outer aspect of the wrist and from the radial artery Which are the smallest vessels in the body? ✔✔Capillaries Which are the smallest veins in the body? ✔✔Venules The respiratory system is responsible for? ✔✔Breathing and the exchange of oxygen and carbon dioxide Common site cleanser for a venipuncture is? ✔✔70% isopropyl alcohol
When anticoagulated blood is spun down in the centrifuge, how does it separate? ✔✔Plasma (top), buffy coal = WBCs & platelets (middle), Red blood cells (bottom) MSDS is part of the? ✔✔Right to Know Law When you leave the patient's room, make sure that? ✔✔Everything is returned to where you found it including the bed rails, (up if up, down if down) What is the difference between serum and plasma? ✔✔Serum= the fluid portion of clotted blood Plasma= fluid portion of unclotted blood which contains all of its clotting factors (fibrinogen) Empathy is? ✔✔The Validation of a persons feelings QA indicators are what? ✔✔Measurable factors System that filters, eliminates wastes, regulates water balance is the? ✔✔Urinary system
The most prevalent work related acquired infection in the laboratory is? ✔✔Hepatitis B Fibrin strands may be present in serum because? ✔✔It was centrifuged What should you do if the information is not correct on the patient's I.D bands/requisitions? ✔✔Do not draw the blood until the patient is properly identified/banded If a patient who is legally responsible for himself says NO to a blood draw, what should you do? ✔✔Do not draw Two forms of outpatient I.D are? ✔✔Spelling name and birthdate Bursting capillaries cause small red pin-point clusters are known as? ✔✔Petechiae Reverse or protective isolation is for the protections of? ✔✔Immuno-compromised patients What is the name of the system used for unidentified patients? ✔✔Special 3 part I.D system
What is the most common complications of phlebotomy? ✔✔Hematoma What happens when the tourniquet is on to long? ✔✔Hemoconcentration How do you transport Bilirubin? ✔✔By protecting it from light What test is ordered to determine PH and blood gas? ✔✔Arterial Blood Gases (ABGs) What test would be ordered to detect hematuria? ✔✔Urinalysis What test would be ordered if the patient is suffering from FUO? (fever of unknown origin) ✔✔Blood Cultures What tube is used for STAT electrolytes and what is the additive? ✔✔Green top and Heparin is the additive Sample mailers have a few distinctive warnings to their label. They are? ✔✔Biohazard sign, send to CDC in case of breakage, name and address of sender and receiver
Define negligence vs. malpractice? ✔✔Negligence is failure to exercise due care Malpractice is negligence by a professional Sedrate or ESR is drawn on what color tube? ✔✔Lavender Which PPE will keep you the safest when body substance or wounds are present? ✔✔Gloves What has to be supplied by chemical manufacture according to the Right to Know Law? ✔✔MSDS (Material Safety Data Sheet) Parenteral transmission means infection can enter through everything except? ✔✔The digestive tract Does the tourniquet need to be on the entire time? ✔✔No, its the phlebotomist call In what direction is a concentric circle? ✔✔Center to periphery What test is ordered to confirm hyper or hypoglycemia? ✔✔GTT
If something is easily combustible what color and number would you expect to see? ✔✔Red- 4 IF a moderate health hazard would exist what color and number would you expect to see? ✔✔Blue- 2 If you do not let the cleaners dry before performing a blood culture you might get what? ✔✔Contaminated specimen/false positive. Skin prep is the #1 contamination of a blood culture How many ml would be in a typical 24-hour urine container? ✔✔2000ml or 2L How do you transport cold agglutinin after collection? ✔✔At body temperature Cardio vascular system includes? ✔✔Heart and vessels It is your job as a part of being a health professional to? ✔✔Make your patient as comfortable and at ease as possible
Every year laboratory employees must take a test to demonstrate what? ✔✔Competence What should you do if you get blood on a requisition or on the side of a tube? ✔✔Wipe off with disinfectant Positive body language is? ✔✔Being sure of yourself, being confident. It is not being irate or cowering. Which fingers are used for skin puncture, most often? ✔✔Third and fourth digits. Leg and foot draws can only be done? ✔✔With a doctor order If you are drawing for a CBC, and having difficulty because of vein damage or bruising, it is acceptable to get the blood by which method? ✔✔Skin puncture; "finger stick"; capillary draw What could cause "failure to obtain blood" ✔✔Missing the vein altogether, not going deep enough, or going through the vein
Urinary track infection is the most common? ✔✔Nosocomial infection What is the most common size needle used for venipuncture? ✔✔ 21 gauge Which is larger 18 or24? ✔✔ 18 When using additive tubes, when should you start the mixing process? ✔✔Immediately What is the additive in a grey top tube? ✔✔Na fluoride and K oxalate What is the additive in additive in a green top tube? ✔✔Heparin TDM means therapeutic drug monitoring. It is important to know the? ✔✔Time of the last dose The feathered edge of a smear is how many layers thick? ✔✔One layer What is the first step in phlebotomy? ✔✔Introduction and explanation
Services and results that meet accepted standards are? ✔✔Quality Assurance Extracting too much blood especially from infants could put the patient in danger of becoming what? ✔✔Anemic What would you do if you found two or three requisitions from different doctors for the same order? ✔✔Make sure that they are not duplicates The nurse asks you to go to room 312 and draw Robert Jones. When you get to 312 the patient's arm band says Roger Jones. What would you do? ✔✔Nothing until you get the correct I.D confirmed What is Hemostasis? ✔✔The ability to stop bleeding. In order to ensure Hemostasis all of these must be in good working order/have the proper amount? ✔✔All the vessels, coagulation factors, and the platelets Q.N.S. Stands for? ✔✔Quantity non-sufficient
Which part of the analytical process are phlebotomists involved in? ✔✔The preanalytical Doing the right thing when nobody is looking is? ✔✔Integrity AIDS stands for what? ✔✔Acquired Immune Deficiency Syndrome What happens if a specimen is misplaced for several days at room temp? ✔✔You must re-draw One thing the healthcare industry did to lessen the spread of infection? ✔✔They started using disposable equipment Name the 3 types of blood cell? ✔✔Erythocytes, leukocytes, thrombocytes Parents sometimes get a prescription for a topical anesthetic for their child, which is called? ✔✔EMLA Which cell is the transport cell? ✔✔RBC transports oxygen and nutrients
What five things must be on a specimen label? ✔✔Pt. name, Pt. #, date of specimen, time specimen was taken in military time, and initials of person performing the lab What might cause clotting of an anticoagulated specimen? ✔✔Insufficient mixing If red blotches appears after a tourniquet is applied of skin is in contact with gloves. What would you suspect? ✔✔The patient might have a latex allergy If you are collecting blood and the patient stops breathing, what would you do? ✔✔Stop everything and call for help TB isolation requires what? ✔✔N95 respirator, gown and gloves (all airborne isolation's require these) What would you do with expired tube? ✔✔Discard them Why would you put a stick in a centrifuged specimen? ✔✔To check for presence of Fibrin (serum only)
A family member wants family records. Who regulates this matter? ✔✔The patient must give written permission for medical personnel to release information. The confidentiality law that regulates this is HIPAA You have a trauma and a timed test. Which should you do first? ✔✔Trauma, then the timed test Why do you use a N95 for TB patients? ✔✔Because TB is an airborne mycobacteria What is another name for a "winged apparatus"? ✔✔Butterfly needle The joint commission is responsible for what? ✔✔Requires healthcare institutions to have an infection control program in place. QA, medical record protocol How many hours does the patient fast for a GTT? (Glucose Tolerance Test) ✔✔8 to 12 hours How many draws are needed for a GTT? ✔✔TWO, plus the number of hours for the test Who is the Director of the Laboratory? ✔✔The Pathologist
