Phlebotomy Review Questions

Ladies study the homework questions chapters 1-11 and these questions and this will prepare you for the National Exam

Please remember your homework for tomorrow? Write down the steps in the video

Please bring your affidavit notarized on Wednesday or you won’t be able to test

I am scheduling a clinical for Saturday and Sunday this week for extra practice Saturday 11-1 and Sunday 9-11

See you Wednesday! Have faith in your self ladies you can do it!!

1. Which of the following veins in the arm is most subject to Venipuncture?
   1. Antecubital vein
   2. Basilica vein
   3. Median cubital vein
   4. Cephalic vein
2. Which of the following is correct for ending a Venipuncture procedure?
   1. Remove the needle, apply pressure
   2. Remove the tourniquet, remove the needle, and apply pressure
   3. Remove the tourniquet, remove the tub, remove the needle
   4. Remove the tourniquet, remove the tube, remove the needle, and apply pressure
3. All the following information must be on the tube label, except:
   1. Patient’s name
   2. Date
   3. Time of collection
   4. Diagnosis
4. Blue stopper tubes are used primarily for the following assay: a. CBCb. Glucose c. PT
   d. RPR
5. Sodium heparin is anticoagulant found in which of the following tubes?a. Blue
   b. Green
   c. Lavender d. Red
6. All of the following statements are true except:
   1. Gray-stoppered tubes are used for blood glucose tests
   2. Gray-stoppered tubes are used for CBC and WBC tests
   3. Lavender –stoppered tubes are used for CBC, WBC, and platelet testing
   4. Red-stoppered tubes are used for many tests including serum enzymes
7. When performing a Venipuncture, the needle should be inserted with the bevel:a. Up
   b. Down
   c. Medially d. Laterally
8. How far above the site of draw is the tourniquet placed?
   1. 5-7 inches
   2. 4-6 inches
   3. 3-4 inches
   4. 1-2 inches

9. Which needle has the smallest gauge?a. 23 b. 18 c. 21 d. 16
10. What does the term sterile mean?
    1. Another word for septic
    2. To clean with betadine
    3. Free from all living organism
    4. Clean
11. What does GTT stands for?
    1. Gastric tolerance test
    2. Great thyroid test
    3. Drop tolerance test
    4. Glucose tolerance test
12. What is a FBS?
    1. Random blood sugar
    2. Fasting blood sugar
    3. Fibrinogen split product
    4. Blood sugar
13. Define Phlebitis:
    1. Inflammation of a vessel
    2. Sclerosed vein
    3. Patency of the vein
    4. Inflammation of the vein
14. The additive in a green-top collection tube is:
    1. Lithium/Sodium heparin
    2. Potassium oxalate
    3. Sodium citrate
    4. EDTA

16. The phlebotomist identifies a patient in a clinic laboratory facility by: a. Asking the patient his/her name
    b. Checking the patient’s ID bracelet
    c. Asking the family members to identify the patientd. Simply looking at the phlebotomy requisition
17. If a patient refuses a Venipuncture procedure, the phlebotomist should:
    a. Inform the patient that he will still be responsible to pay for procedure anyway

b. Have patient restrained
c. Inform the patient he must leave the facility
d. Immediately report the refusal and actions taken to the nurse

18. Gloves should be worn
    1. During all venipuncture’s and capillary punctures
    2. For HIV positive patients only
    3. Only in cases of isolation
    4. Only when in the laboratory
19. Which of the following is true?
    1. A phlebotomist must use both verbal and nonverbal communication
    2. It is acceptable to show displeasure with a patient when his or her family ispresent
    3. Looking at your watch is an acceptable way to communicate to a patient thatyou have work to do
    4. Tell patient that you are a student and just learning
20. Which of the following is a technical error in phlebotomy?
    1. Convulsions
    2. Fainting
    3. Hematoma
    4. Missing a vein
21. Another name for erythrocytes is:
    1. Lymphocytes
    2. Platelets
    3. Red blood cells
    4. White blood cells
22. Perhaps the single most important step in phlebotomy is:
    1. Cleansing the site
    2. Patient identification
    3. Using clean needle
    4. Using proper evacuated tube
23. Which of the following is the vein of choice for Venipuncture?
    1. Basillic
    2. Cephalic
    3. Median cubital
    4. Pulmonary
24. The bevel of the needle should be in which position prior to entering a vein?
    1. Facing down
    2. Facing towards the side
    3. Facing upwards
    4. It really doesn’t matter as long as the Venipuncture is performed quickly

25. Which of the following steps are in the proper order?
    1. Remove the needle, release the tourniquet, apply pressure
    2. Apply pressure, release the tourniquet, remove the needle
    3. Remove the needle, apply pressure, release the tourniquet
    4. Release the tourniquet, remove the needle, apply pressure
26. All of the following are vaccine-preventable diseases EXCEPT:
    1. AIDS
    2. Hepatitis B
    3. Polio
    4. Mumps
27. This system gives the body structure and protects vital organs
    1. Integumentary system
    2. Muscular system
    3. Skeletal system
    4. Vascular system
28. All of the following may be required of a phlebotomist EXCEPT
    1. Donor blood collections
    2. Injections
    3. Specimen preparation
    4. Therapeutic phlebotomies
29. This collection round is routine in all hospitals
    1. Early morning
    2. Late afternoon
    3. Mid-morning
    4. Noon time
30. Venipuncture should be avoided on the same side of a patient as a mastectomy because
    1. Patience may be embarrassed
    2. Patients are more susceptible to infection
    3. Venipuncture is more painful
    4. It is acceptable to collect blood from either arm
31. Green-stoppered tubes may be used for the following laboratory test EXCEPT:
    1. Ammonia
    2. CBC
    3. Chromosome analysis
    4. HLA typing
32. Nosocomial infections are those that are:
    1. Acquired during a period of hospitalization
    2. Acquired in the womb before birth
    3. Symptomatic at the time of admission
    4. Transmitted by pets in the home

33. When performing a Venipuncture on a patient with small veins, the best size of needle to use is:
    1. 16 gauge
    2. 18 gauge
    3. 20 gauge
    4. 22 gauge
34. Gloves are required for:
    a. Transporting specimens to the lab
    b. A new phlebotomist performing Venipuncture
    c. An experienced phlebotomist performing a Venipuncture d. All of the above
35. It is necessary to control the depth of a dermal puncture device during capillary collection in order to:
    1. Puncture an artery
    2. Control excessive clotting
    3. Avoid puncturing a bone
    4. Avoid bacterial contamination
36. To prevent puncturing a bone, the puncture depth should not exceed _____, especially when performing heel sticks on infants.
    1. 2.4 mm
    2. 2.0 mm
    3. 2.8 mm
    4. None of the above
37. The correct sequence or order of draw is as follows:
    1. Green, lavender, gray
    2. Gray, lavender, green
    3. Lavender, gray, green
    4. None of the above
38. There are at least four major items needed when correctly filling out the label on a tube of blood:
    1. Patient’s name, date, time, phlebotomist initials
    2. Patient’s name, date, time, and test to be performed
    3. Name, date, test to be performed, physician’s name
    4. None of the above
39. All of the following are situations in which an arm vein should not be used except:
    1. Both arms are edematous
    2. An IV is running in the patient’s only arm
    3. Both arms are badly burned
    4. Both arms are strapped

40. When a patient develops syncope during a Venipuncture, the phlebotomist should first:
    1. Lower the patient’s head
    2. Immediately remove the needle and call for help
    3. Complete the Venipuncture as quickly as possible
    4. None of the above
41. In general, what is the maximum number of times you should stick a patient?
    1. One time
    2. Two times
    3. Three times
    4. Unlimited
42. The angle at which you enter the vein should be:
    1. Bevel up at 15° angle
    2. Bevel up at 45° angle
    3. Bevel down at a 15° angle
    4. Bevel down at a 45° angle
43. During finger stick collection, excessive milking can cause:
    1. Irritation at the site
    2. Excessive bleeding
    3. Contamination of the specimen with tissue fluid
    4. Contamination of the specimen with milk
44. During a Venipuncture, if the area surrounding the vein begins to swell, you should first:
    1. Take the needle out of the arm
    2. Probe to get back into the vein
    3. Remove the tourniquet
    4. Finish collecting the specimens needed, then apply ice
45. The most important step in performing a Venipuncture is:
    1. Removing the tourniquet before taking the needle out
    2. Drawing the correct amount of blood
    3. Inserting the needle in the vein properly
    4. Identifying the patient
46. No armband is present on an inpatient. What should the phlebotomist do?
    1. Leave and do not collect the specimen
    2. Draw blood specimen anyway
    3. Ask the patient’s nurse to put an armband on the patient
    4. Go to the nurse’s station and make an armband, then place it on the patient yourself
47. The vein most frequently used for venipuncture is the:
    1. Brachial artery
    2. Cephalic
    3. Median cubital
    4. Saphenous

48. To produce a rounded drop of blood, finger punctures should be made:
    1. Before the alcohol is dry
    2. Across the fingerprint
    3. Along or on the fingerprint
    4. On the index finger
49. Which statement describes proper centrifuge operation?
    1. Centrifuge specimens within five minutes of collection
    2. Balance specimens by placing tubes of equal size and volume opposite eachother
    3. Never centrifuge plasma specimens with serum specimens
    4. Remove tops from tubes before centrifuging
50. What test may be affected most if the patient is not fasting
    1. CBC and prothrombin
    2. Glucose and triglycerides
    3. Blood culture and bleeding time
    4. Blood gases and microhematocrit
51. The primary purpose of cleansing the venipuncture site is to:
    1. Reduce the number of normal flora a the selected puncture site
    2. Increase the site by which you draw blood
    3. Create a barrier for the microbes
    4. None of the above
52. Anaerobic means:
    1. Air loving
    2. Nothing to eat
    3. Room air
    4. Without air
53. The aseptic collection of blood cultures requires that the skin be cleaned with:
    1. Soap and water
    2. 70% alcohol and then 90% alcohol
    3. 70%-95% alcohol and then 2% iodine
    4. 95% alcohol only
54. Which of the following is true concerning bleeding time
    1. The test performed to assess platelet function
    2. A stopwatch is started a the same time the puncture is made
    3. You touch only the drop of blood, not the skin, with the filter paper
    4. All of the above
55. When making a blood smear, the angle used to make the smear is:
    1. 10 degrees
    2. 20 degrees
    3. 30 degrees
    4. 45 degrees

56. The term phlebotomy comes from Greek words that translate to mean:
    1. Draw blood
    2. Cut vein
    3. Drain blood
    4. Dermal cut
57. Phlebotomy may be used to help treat which of the following medical conditions?

1. Polycythemia
2. Diabetes
3. Hypertension
4. Anemia

58. The main duty of a phlebotomist is to:
    1. Interpret laboratory values
    2. Evaluate blood specimens
    3. Process blood specimens
    4. Collect blood specimens
59. If a phlebotomist failed to properly identify a patient and blood was drawn on the wrong patient, this would be considered an act of:
    1. Malpractice
    2. Assault and battery
    3. Negligence
    4. Consent
60. CLIA classifies laboratories based on:
    1. Number of employees
    2. Size of laboratory
    3. Number of test performed
    4. Complexity of test performed
61. Which of the following is current CDC guideline for infection control?
    1. Universal Precautions
    2. Standard Precautions
    3. Body Substance Isolation
    4. Waived Precautions

62. A license phlebotomist must obtain ________before he or she draws a patient’s blood:

2. Hepatitis B vaccination
3. Certification
4. Consent

63. If your hands are visibly soiled, you can:

1. Use an alcohol-based hand run
2. Perform hand washing
3. Wear gloves
4. Perform phlebotomy

64. Customer service would least likely include the following:a. Flexibility
    2. Professionalism
    3. Common courtesy
    4. Complexity
65. Which of the following is the most frequent source of nosocomial infections?
    1. Direct or indirect contact
    2. HIV
    3. Airborne particles
    4. Droplet particles
66. According to guidelines, the depth of a heal stick lancet should be no more than:
    1. 1mm
    2. 1.5 mm
    3. 2mm
    4. 2.4 mm
67. Why should the first drop of blood be wiped during a dermal puncture?
    1. To remove any interstitial fluid contamination
    2. To limit the amount of blood released
    3. To increase the amount of blood released
    4. To decrease the possibility of blood borne pathogen transmission
68. What is the most serious error a phlebotomist can make?
    1. Inappropriate attire
    2. Inappropriate attitude
    3. Failure to identify a patient correctly
    4. Failure to inform the patient of what to expect
69. What will happen if a tourniquet is left on to long?
    1. Hemoconcentration
    2. Excess bleeding
    3. Site infection
    4. Specimen contamination
70. The term used to describe incision of the vein_______________________ a. Basillicb. Pulmonary c. Vein
    d. Phlebotomy