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Phlebotomy

The medical practice of drawing blood samples from patients, playing a crucial role in diagnostic testing, blood transfusions, and research.

venipuncture

blood

vein

needle

specimen

laboratory

draw

collection

hematology

medical

healthcare

phlebotomist

patient

safety

infection control

Anatomy is

  • The structure of the human body
  • The function of the human body
  • Homeostasis
  • None of the above

If someone is cyanotic their skin may appear ____________.

  • Flushed
  • Clammy
  • Bluish
  • Yellow/orange

Which tube does not contain EDTA?

  • Lavender tube tops
  • Pink plastic top tubes with special blood bank patient ID label
  • Pearl top tubes with thixotropic gel separator
  • Mottled green and gray topped tubes

Cortisol peaks late in the afternoon.

  • True
  • False

Which tube can be used to collect blood for a type and crossmatch?

  • ETS Gray top
  • Pink top EDTA
  • Royal Blue top
  • Serum seperator tube

In the "Patients Bill of Rights," the patient has the right to:

  • Refuse treatment
  • Not participate in experimental procedures.
  • Know the name of the phlebotomist
  • All of the above

The proper way to dispose of a needle is to:

  • Recap it and place it into a sharp container
  • Throw it recapped into a bio-hazard bag
  • Put it into a sharps container without recapping immediately after withdrawal from a patient.
  • Collect it in a cup and dispose of it later

Name types of infection

  • bacteria, fungus, virus, protozoon, rickettsia

An SST tube contains the additive:

  • Thrombin
  • EDTA
  • Clot activator
  • Na heparin

An NP culture swab is collected to help diagnose

  • Genetic defects
  • Encephalitis
  • Whooping cough
  • Strep throat

What does the phlebotomist look for when identifying a newborn?

  • The first and last name on the ID band
  • The hospital identification number and the last name
  • The date of birth
  • The mother's ID bracelet

What organ would a doctor be intested in if he ordered an ALP, AST, ALT, GTT and bilirubin?

  • Heart
  • Liver
  • Kidney
  • Spleen

The first phase of hemostasis is _________________.

  • Platelet phase
  • Vascular stage
  • Fibrinolysis
  • Coagulation stage

Blood cultures are collected in a ___________ tube.

  • Red
  • Yellow
  • Blue
  • Green

Factors to consider in site selection prior to a venipuncture are:

  • Scars or burns
  • Edema
  • Mastectomy
  • All of the above

Which of the following is not needed for a routine phlebotomy procedure?

  • Gloves
  • Tourniquet
  • Alcohol
  • Iodine

The number one vein of choice for venipuncture in the antecubital fossa is:

  • Basilic
  • Cephalic
  • Median cubital
  • Brachial

The term that means the rupturing of red blood cells is:

  • Hemostasis
  • Hemoglobin
  • Hemolysis
  • Hematoma

Which of the following is a safe area for infant heel puncture?

  • The area of the arch
  • The central area
  • The medial plantar surface
  • The posterior curvature

The pulmonic valve is situated between ____________________.

  • Upper and lower heart chambers
  • The right atrium and right ventricle
  • The right ventricle and pulmonary artery
  • None of the above

What personal protective equipment should be worn for each procedure?

  • Mask
  • Hat booties
  • Goggles
  • Gloves

When labeling tubes, the following information must be placed on them except:

  • Patient's name
  • Date
  • Time of draw
  • Patient's diagnosis
  • Phlebotomist's initials

For blood donation your donor has to have a Hematocrit HCT% higher than what?

  • 38%

What is the additive present in the green tube?

  • PPTs
  • Oxalate/fluoride
  • EDTA
  • Heparin

Lipemic bloodserum appears:

  • Bluish
  • Milky
  • Purple
  • Thick

The aorta is:

  • The major vein
  • The major artery
  • A peripheral artery
  • A systemic vein

The medical term for a fast heart rate is

  • tachycardia
  • bradycardia

Arteries have valves that prevent the blood from flowing back.

  • True
  • False

Which of the following blood vessels is listed in the proper order of blood flow?

  • Aorta, superior vena cave, vein
  • Arteriole, venule, capillary
  • Capillary, venule, vein
  • Remove impurities from the blood.

Veins have thinner walls than arteries.

  • True
  • False

Which additive is usually in a lavender tube?

  • Citrate
  • EDTA
  • Heparin
  • Oxalate

Which tube top will you use for Hematology Studies?

  • EDTA Lavender
  • K2 EDTA Pink
  • EDTA Royal Blue
  • SPS Yellow

What special handling does an ABG require?

  • Warming
  • Chilling
  • Shaking
  • Pre-warmed tubes

What is the first link in the chain of infection?

  • Portal of exit
  • Susceptible host
  • Agent

The most important step in a routine venipuncture.

  • Gathering equipment
  • Palpate veins
  • Identify patient
  • Tying the tourniquet

If a patient refuses treatment you should

  • Restrain him
  • Call 911
  • Tell your supervisor
  • Tell them it is their life

Vigorous mixing can activate platelet and shorten clotting times.

  • True
  • False

A drug known to interfere with urine tests should be discontinued 48-72 hours prior to the test.

  • True
  • False

How many minutes does normal coagulation take in a red topped tube?

  • 5-10
  • 30-60
  • 15-20
  • 60-90

Another name for blood in the urine:

  • Hematuria
  • Bacteriuria
  • PKU
  • Proteinuria

What tube is used for a WCB differential?

  • Lavender
  • Red
  • Green
  • Blue

There is a 9 to 1 ratio nof blood to anticoagulant in a light blue tube.

  • True
  • False

What is the additive present in the yellow sterile tube?

  • PSTs
  • Heparin
  • Blood cultures
  • None of the above

When a hematoma is forming, all of the following are acceptable except:

  • Adjust the needle depth
  • Remove the tourniquet
  • Ignore it and finish the collection
  • Remove the needle and apply pressure.

All patients are presumed to be infectious for ___________.

  • Blood borne pathogens
  • TB
  • Flu
  • Common cold

When performing a routine venipuncture, what is the normal angle of insertion between the needle and the skin?

  • 5 degrees
  • 15 degrees
  • 45 degrees
  • 60 degrees

Hemostasis is

  • The ability of the body to return to normal conditions under bleeding
  • The ability of the blood to clot whenever necessary
  • When a person has had an adequate sleep and has not eaten in 12 hours
  • The ability of the body to recognize an invading organism

How many times should a light-blue tube be inverted?

  • 2-3
  • 8-10
  • 5
  • 3-4

POC testing is done _____________.

  • At the patient's bed
  • In a medical lab
  • By a respiratory therapist only
  • With a larger needle

Serum is depleted of fibrogen.

  • True
  • False

If you fail to draw blood, you should do all the following except:

  • Drawback on the needle without coming out of the vein and redirect
  • Use your index finger to help locate the vein.
  • Massage the arm above the needle
  • Try another tube

The most common complication of phlebotomy.

  • Petechiae
  • Phlebitis
  • Hemoconcentration
  • Hematoma

Identify the anticoagulant for:Green top tube

  • Heparin

Chose TWO reasons why it is important for a doctor to ask about medical history

  • it is important to know about your allergies
  • the doctor can tell everyone about your medical history
  • it can help them diagnose your medical problem
  • you can become friends with the doctor

According to CLSI which tube is filled last when using a syringe?

  • EDTA
  • Heparin
  • Citrate
  • Sterile SPS

Tubes may lose their vacuum due to ______________________.

  • Manufacturing defects
  • Expired tube
  • A fine crack in the tube
  • All of the above

Repeated venipuncture in the same vein can cause:

  • Thrombus
  • Phlebitis
  • Hemolysis
  • Petechiae

What is the preferred site for venipuncture?

  • Thrombotic vein
  • Antecubital fossa
  • Elbow
  • Ulnar vein

The most critical step in phlebotomy is:

  • Cleansing the site
  • Patient identification
  • Proper needle length
  • Using the correct tube

What kind of blood do arteries and arterioles carry?

  • Deoxygenated
  • Oxygenated
  • Both
  • None of the above

Which among the following is NOT an anticoagulant?

  • Citrate
  • Fluoride
  • Oxalate
  • EDTA

What percentage of formed elements are erythrocytes?

  • 60%
  • 55%
  • 90%
  • 10%

How many points will be taken off of your late assignments when you turn in 2 days late?

  • 10 points
  • 20 points
  • 30 points
  • 15 points

The slanted tip of the needle that enters the vein is called the lumen.

  • True
  • False

What gauge multi-sample needle is considered to be standard?

  • 18
  • 20
  • 21
  • 23

A gray tube contains the additive:

  • Na citrate
  • Na heparin
  • Clot activator
  • Na fluoride

Test for this dept. are usually collected in a light blue tube.

  • Chemistry
  • Coagulation
  • Hematology
  • Microbiology

To disinfect a surface you can use boiling water or _______________.

  • Ammonia
  • Alcohol
  • Bleach
  • Betadine

Lavender tubes must be 2/3 full.

  • True
  • False

The O & P test is requested on what type of specimen?

  • SCF
  • Fecal matter
  • Ovary & Placenta
  • Amniotic fluid

What special handling does a cold agglutinin test require?

  • Ice bath
  • Sitz bath
  • Pre-warmed tubes
  • Chilling

Tiny red spots on the skin caused by the rupturing of capillaries are called _____________.

  • Phlebitis
  • Trauma
  • Petechiae
  • Pimples

If an infant is screaming during a CBC test the

  • Platelets may clump
  • Specimen may be hemoconcentrated
  • Specimen is more likely to hemolyze
  • WBC may be elevated

In a routine venipuncture the lavender tube should be drawn before the red tube.

  • True
  • False

Touching someone without permission is called____________.

  • Invasion of privacy
  • Battery
  • Sneaky
  • Sexual harrassment

Capillary puncture blood most closely resembles ____________.

  • Arterial blood
  • Venous blood

Lavender-top tubes are used to collect _______________.

  • Hematology tests
  • Chemistry tests
  • Immunology tests
  • None of the above

The process by which the body maintains a state of equilibrium is:

  • Homeostasis
  • Anabolism
  • Hemostasis
  • Metabolism

If a student must quarantine, are daily attendance and assignments still required?

  • yes
  • maybe
  • no

What is present in a gold top tube but not in a plastic red top tube?

  • Gel separator

When a tourniquet is left on too tight, capillaries may rupture, causing.

  • Rash
  • Pain
  • Uticaria
  • Petechiae

Which should not be done during vein selection?

  • Lowering the patient's arm
  • Patient pumping fist
  • Palpating the antecubital
  • Placing a warm towel on the arm.

The antiseptic of choice for routine phlebotomy is:

  • Tincture of iodine
  • 70% isopropyl alcohol
  • 70% methyl alcohol
  • Povidone iodine

The exchange of oxygen and carbon dioxide occurs in:

  • The capillaries
  • The alveoli
  • The bronchioles
  • All of the above

The component of a cell that is water is called:

  • DNA
  • Cytoplasm
  • Nucleus
  • Membrane

When a pathogen surrounds and engulfs, the process is called:

  • Microcytosis
  • Agranulocyte
  • Phagocytosis
  • Macrocytosis

What type of additive goes into Yellow Bacterial studies tube?

  • SPS

A clean catch test is collected in a:

  • Red tube
  • Royal blue tube
  • Sterile cup
  • Yellow tube

How many days can I miss before making up time for phlebotomy class?

  • 5
  • none
  • 2
  • 3

HIV test go into what type of Tube?

  • Green
  • Gray
  • Lt. Blue
  • Speckled red

What tube is used for ESR?

  • Red
  • Lavender
  • Green
  • Yellow

A person should sustain from eating for how many hours prior to a fasting blood test.

  • 8
  • 6
  • 12
  • 4

What tube does a testosterone test go into?

  • Red
  • Green
  • Gray
  • Lt. Blue

Another term used to describe a red blood cell is:

  • Leukocyte
  • Thrombocyte
  • Erythrocyte
  • Lymphocyte

How many inversions should be performed after collecting for SST tubes and plastic red top tubes?

  • 0
  • 3
  • 5
  • 8

A 'pulmonologist' is a doctor who works with

  • hearts
  • lungs
  • feet
  • blood

Lipid Profile Test goes in what tube?

  • Green
  • Red
  • Lavender
  • Orange

If a student is tardy more than twice, will it be considered a absent?

  • yes
  • no

What are the 3 components of a urinalysis?

  • Physical, chemical, microscopic exams
  • Gravity, clarity and color exams
  • Blood, protein and glucose exams
  • Hear, see and taste exam

Which collection tube must be filled 100% or it will be rejected by the lab?

  • Green Top Heparin
  • Yellow with SPD
  • Lt. Blue with sodium citrate
  • Red Serum no additive

Which is not a PPE?

  • Mask
  • Goggles
  • Room dividers
  • Glocves

What is the lifespan of a mature RBC?

  • 120 days
  • 100 days
  • 10 days
  • 15-20 days

The liquid portion of the blood is:

  • Serum
  • Hemoglobin
  • The sediment
  • Plasma

Medical Asepsis is the destruction of pathogens outside the body.

  • True
  • False

Which is not true off WBCs?

  • They are a defense mechanism
  • They are formed in bone marrow and lymph tissues
  • They are all the same size and shape
  • They are also called leukocytes

Where is the most common location for a skin puncture

  • Arm
  • Feet
  • Neck
  • Wrist

OSHA requires that health care professionals receive a vaccine for:

  • HAV
  • HBV
  • HCV
  • HPV

Homeostasis is:

  • The ability of the body to return to normal conditions under stress
  • The ability of the body to clot whenever necessary
  • When a person has had an adequate sleep and has not eaten in 12 hours
  • The ability of the body to recognize an invading organism

Which is NOT a reason the tourniquet is used?

  • To prevent veinous flow of blood
  • To make veins bulge
  • To make veins blue
  • To aid in vein location

The normal composition of blood is approximate:

  • 10% plasma, 90% formed elements
  • 55% plasma, 45% formed elements
  • 90% plasma, 10% formed elements
  • 45% plasma, 55% formed elements

The purpose of the Allen test is to:

  • Check for collateral circulation through the ulnar artery.
  • Check for a pulse in the brachial artery.
  • Check for a pulse in the radial artery.
  • Verify that you are in an artery and not a vein

A WBC Deferential Goes into what tube?

  • Red with an Aliquot
  • Lavender with a smear
  • Green with a chain of custody

Which tube would you use to measure lactic acid?

  • Red
  • Gray
  • Blue
  • Tiger top

A PBT is using a povidone Iodine swab for a capillary refill specimen. What should the PBT expect in the results

  • Increased potassium
  • Decreased Potassium
  • Increased Glucose
  • Decreases Glucose

Phlebotomy is:

  • A trained professional in blood drawing
  • The legal standards for a person who performs blood drawing skills
  • The process of drawing blood
  • All of the above

Name the additive that prevents glycolysis.

  • Tourniquet
  • Sodium fluoride
  • Potassium oxalate
  • EDTA

Which of the following is an accessory organ of the digestive system?

  • Heart
  • Lung
  • Liver
  • Ovary

Identify the anticoagulant for:Pink top tube

  • EDTA

Re-centrifugation of SST tubes results to a falsely increased level of LDH due to what process?

  • Clot activation
  • Clot retraction
  • Hemolysis
  • Fibrin formation

Which answer has the correct order of draw?

  • Heparin, Blood Culture, multi purpose, Sodium Citrate
  • multi purpose, ACD, Oxalate, Blood Culture, Sodium Citrate, Serum
  • Blood Culture, Sodium Citrate, Serum, Heparin, EDTA, Oxalate, ACD, and multi purpose
  • Blood Culture, Sodium Citrate, oxalate, multipurpose, Serum EDTA

What time is a student considered tardy?

  • 9:35
  • 9:25

Aspirin may affect a patient's:

  • HCG
  • CBC
  • Bleeding time
  • Heparin time

Which is NOT a common symptom of shock?

  • Clammy skin
  • Weak pulse
  • Blinking eyes
  • Shallow breathing

Blood culture tests can be done with a dermal puncture when venipuncture is not possible.

  • True
  • False

What is the best way to get in contact with your teacher outside of class time?

  • send email
  • send message on Remind
  • send a note with a friend
  • drive to New Tech

Glycolysis occurs faster in newborns.

  • True
  • False

An open wound can be a portal of entry in an infection chain.

  • True
  • False

What is the normal lifespan of an RBC?

  • 9-12 days
  • 120 days
  • 365 days
  • 45 days

Physiology is;

  • The structure of the human body
  • The function of the human body
  • Homeostasis
  • Hemostasis

When the body has adequate rest and no food for 12 hours it is said to be in the___________state.

  • Steady
  • Basal
  • Homestasis
  • Hemostasis

Name the four chambers of the heart.

  • Right atrium, Left atrium, Right ventricle, Left ventricle

What requirements are required for me to take the certification for Phlebotomy?

  • pass with 80% each 6 weeks and 30 successful venipunctures and 10 successful finger sticks

Which test may require a chain of custody?

  • Blood Culture
  • Crossmatch
  • Drug Screen
  • TDM

Taking aspirin is most likely going to effect a BT test.

  • True
  • False

What is the first course of action to follow if a patient begins to have a seizure?

  • Remove the tourniquet and the needle.
  • Notify the physician
  • Call for help
  • Insert a tongue depressor into the patient mouth

If you need to make up work, how many days do I have?

  • assignments are on google classroom
  • 1 + 1 rule including weekends
  • as long as I need
  • I will ask the teacher

Lavender, Yellow and Green tubes should all be inverted 8 times each.

  • True
  • False

Name the three layers of the heart.

  • Endocardium, Myocardium, Epicardium

Why do we need to wait for the SST sample to completely clot before doing centrifugation?

  • To prevent hemolysis
  • To prevent appearance of fibrin strands on the serum
  • To prevent release of intracellular analytes into the serum
  • Both B and C

What is another name for winged infusion sets?

  • Caterpillar
  • Dragonfly
  • Butterfly
  • Beetlebug

How many times should a red top tube be inverted?

  • 2
  • 5
  • 0
  • 8

Crooked or winding veins are also called ___________________.

  • Bad
  • Tortuous
  • Thrombotic
  • Sclerosed

Where do blood cells originate?

  • Heart
  • Lungs
  • Bone marrow
  • Capillaries

Sclerosed veins feel ______________.

  • Spongy
  • Cordlike
  • Movable
  • Square

What is the medial term for phlebotomy?

  • [No Answer]

Sodium Citrate have what color stoppers?

  • Light blue
  • Red
  • Lavender
  • Green

A light blue tube must be filled at least 90% full to ensure a quality specimen.

  • True
  • False

The following is a test of the respiratory system

  • ABGs
  • CSF
  • ETOH
  • UA

Choose the TWO medical terms talking about "bones"

  • anaemia
  • osteopathy
  • osteoporosis
  • leukaemia

Patient identification is an opportunity to correctly identify the patient and to put the patient at ease with the procedure.

  • True
  • False

Which is a test of the urinary system?

  • Cholinesterase
  • Creatine kinase
  • Creatinine clearance
  • Pleuracentesis

Hemostasis is defined as _______________.

  • Steady-state
  • Stoppage of food
  • Basil state
  • Stoppage of blood

Among the following anticoagulants, which one is the least soluble?

  • Sodium Citrate
  • Sodium Heparin
  • Sodium Fluoride
  • Potassium EDTA

Failing to provide reasonable standards of care causing someone to suffer an injury is know as ____________.

  • Trauma
  • Negligence
  • Tort
  • Battery

If the needle passes completely through the vein, you must pull it out of the arm and try another vein.

  • True
  • False

The needle should be inserted into the arm with the bevel facing.

  • Down
  • Make no difference
  • To either side
  • Up

What is a Hematology study?

  • Blood Alcohol Level
  • DNA
  • Anaerobic bacteria
  • CBC

Which of the following is an example of proxemics?

  • Eye contact
  • Facial expression
  • Personal hygiene
  • Zone of comfort

Which of the following techniques should be followed in performing all skin punctures?

  • Wipe the site with alcohol to increase the flow of blood
  • Apply a constant, repetitive pressure to increase blood flow
  • Use povidone-iodine to cleanse the skin surface.
  • Wipe away the first drop of blood

Veins that are hard and cord-like are called:

  • Thrombosed
  • Sclerosed
  • Collapsed
  • Tortuous

At what intervals should blood be blotted during a bleeding time test?

  • 15 seconds
  • 20 seconds
  • 30 seconds
  • 35 seconds

Thrombophlebitis is:

  • A synonym for emboli
  • Blood clot in the heart
  • Inflammation of a vein with a clot
  • Inflammation of the thyroid gland

A pad is used to correct the patient's clothing.

  • Flux
  • Chux
  • Tourniquet
  • Antiseptic

A Pt/INR goes into what type of tube?

  • Red
  • Orange
  • Lt. Blue
  • Royal Blue

What happens if you mix the tubes vigorously?

  • Hemoconcentration
  • Coagulation
  • Hemolysis
  • Specimen won't separate.

Breakage of red blood cells is called:

  • Hemolytic
  • Hemolysis
  • Hemoconcentration
  • Hemostasis

Which needle has the largest gauge?

  • 16
  • 21
  • 22
  • 23

Blood types are determined by the presence or absence of which of the following on RBCs.

  • Antigens
  • Antibodies
  • Chemicals
  • Hormones

Sodium citrate is present in a lavender top tube.

  • True
  • False

A CBC goes in which tube?

  • Lavender
  • Red
  • Pink
  • Green

In which organ is insulin produced?

  • Liver
  • Pancreas
  • Gall bladder
  • Kidney

What is the most important step in preventing infections?

  • Using tissues
  • Handwashing
  • Wearing gloves
  • Isolation

Name the additive present in the light blue tube.

  • Coagulation
  • PSTs
  • SSTs
  • Oxalate/fluoride

Sodium Citrate is the additive in which tube?

  • Red
  • Gray
  • Light blue
  • Green

Which of the following is the smallest needle?

  • 18 gauge
  • 19 gauge
  • 20 gauge
  • 21 gauge

Which of the following should never be the same on any two patients?

  • Patient ID
  • First Name
  • Last Name
  • Date of Birth

The relaxing phase of the cardiac cycle is:bradycardia

  • Bradycardia
  • Systole
  • Diastole
  • Infarction

A urine C & S is ordered to detect

  • Abnormal urine ph
  • Glucose overload
  • Kidney damage
  • Presence of UTI

Which of the following conditions/ practices can prevent NSI?I. Using needles with safety shieldII. Discouraging needle recappingIII. Disposing exposed needles and unwrapped glass shards into approved sharps containersIV. Wearing disposable non-latex gloves

  • I only
  • I and II
  • I, II, and III
  • I, II, III, and IV

Name the five modes of infection transmission.

  • Airborne, Contact, Droplet, Vector, Vehicle

The heart disorder characterized by fluid buildup in the lungs

  • Aortic stenosis
  • Bacterial endocarditis
  • Congestive heart failure
  • Myocardial infarction

When performing bleeding time, the blood pressure cuff should be inflated to:

  • 40mm Hg
  • 20mm Hg
  • 80mm Hg
  • 60mm Hg

Whats the normal salary for a phlebotomist

  • $10k-$20k
  • $50k-$62k
  • $30k-$45k
  • $21k-$27k

Which blood vessel is NOT part of systemic circulation?

  • Brachial artery
  • Cephalic vein
  • Pulmonary artery
  • Vena cava

The prefix "ab-" means

  • away from, or off
  • between
  • on top
  • too low

Give at least 3 preferred vein attributes

  • Large enough

Another name for RBC's:

  • Thrombocytes
  • Erythrocytes
  • Leukocytes
  • Phagocytes

What is the additive present in the light green tube?

  • PSTs
  • Blood cultures
  • Heparin
  • EDTA

When someone is in shock you should keep them cool.

  • True
  • False

Collecting urine by aspiration through the bladder wall

  • Suprapubic
  • Catheter
  • Pediatric
  • Amnio

Postprandial means ______________.

  • After eating
  • After sleeping
  • After blood testing
  • After midnight

Which of the following specimens are least likely to require special handling?

  • Bilirubin and Folate
  • Cholesterol and Uric Acid
  • Gastrin and Lactic Acid
  • Homocystine and renin

Which of the following would require the phlebotomist to use a HEPA respirator or N95 mask?

  • TB
  • Aids
  • HBV
  • Encephalitis

-------- is a collection of blood from a vein

  • Cover the puncture
  • Skin puncture
  • Venipuncture
  • Patience

Using a butterfly may be necessary if the vein collapses with the evacuated tube system.

  • True
  • False

Choose TWO facts that need to go on medical reports

  • eye colour
  • medical history
  • how many brothers you have
  • allergies

Fibrinogen is found in:

  • Serum
  • Plasma
  • Both serum and plasma
  • None of the above

The lavender tube contains

  • Na citrate
  • EDTA
  • SPS
  • Lithium heparin

Which WBC carries histamine?

  • Monocytes
  • Basophils
  • Eosinophils
  • Neutrophils

A patient who is known to have a transmissible blood disease is placed on:

  • Enteric isolation
  • Reverse isolation
  • Strict isolation
  • Blood and body fluid precautions

What is the size (in inches) of the needle routinely used for venipuncture?

  • 1-1.5
  • 2-3
  • 2.5-3
  • 2-2.58

The most critical aspect of blood culture collection is

  • Amount of specimen
  • Skin antisepsis
  • Specimen handling
  • The needle gauge

If a patient experiences syncope during a venipuncture, he has:

  • Fainted
  • Vomited
  • Laughed
  • Convulsed

When collecting a Blood culture with a butterfly into culture bottles, which is filled first?

  • Aerobic
  • Anaerobic

The following test orders for different patients have been received at the same time. Which test would you collect first?

  • Fasting glucose
  • ASAP CBC in ICU
  • STAT hemoglobin in ICU
  • STAT glucose in the ER

Which blood vessels carry blood that is high in oxygen?

  • Veins
  • Arteries
  • Venules
  • Vena Cava

Accumulation of fluid in the tissues.

  • Lipids
  • Edema
  • Fistula
  • Trauma

Which tube would be used for an electrolyte panel?

  • Lavender
  • Light blue
  • SST
  • Green

Which of the following is the reason for cleansing the first drop of blood in a dermal puncture?

  • To rid the sample of arterial blood.
  • To rid the specimen of fluid from tissue.
  • To rid the specimen of potassium.
  • All of the above are correct.

Which procedure is normally collected by a nurse or respiratory therapist?

  • Glucose Tolerance Test
  • Routine blood collection
  • Arterial Blood Gas
  • Capillary skin puncture

Which tube is drawn last in a standard venipuncture procedure?

  • Blood culture tube
  • Lavender
  • Light-blue
  • Red

The hormone detected in a positive pregnancy test is

  • ACTH
  • GH
  • HCG
  • TSH

A phlebotomist is:

  • A trained professional in blood drawing
  • The legal standards for a person who performs blood drawing skills
  • The process of drawing blood
  • All of the above

Leaving the tourniquet on too long may cause ________________.

  • Hemolysis
  • Hemoconcentration
  • Septicemia
  • Thromosis

A PBT is preparing to preform a venipuncture test for coagulations, WBC, pregnancy, and random glucose. Which of the following tubes would they use?

  • SPS, ACD, Sodium Citrate
  • Sodium Heparin, EDTA, SST
  • SPS, ACD, Sodium heparin
  • Sodium citrate, SST, EDTA

Glass particle in serum seperator tubes

  • Deter coagulation
  • Enhance clotting
  • Inhibit glycolysis
  • Prevent hemolysis

The first tube collected with a butterfly will underfill due to air in the line.

  • True
  • False

The endocardium is which layer of the heart.

  • Outer
  • Inner
  • Middle
  • Not defined

Which tube is sometimes called a serum separator tube?

  • Red
  • Red/gray
  • Light blue
  • Green

Which layer of the heart is the epicardium?

  • Inner
  • Middle
  • Outer
  • Undefined

The most common source of carry over problems is EDTA.

  • True
  • False

To check for trace elements a phebotomist would use a ______ tube.

  • Light blue
  • Royal blue
  • Tiger top
  • Yello

Whole blood collection for DNA analysis can go into which tubes? Select all that apply

  • Green (Heparin)
  • Yellow (ACD)
  • Yellow (SPS)
  • Gray (Oxalate)

What is the function of a leukocyte?

  • Carry oxygen to cells
  • Protect from infection
  • Ais in clot formation
  • None of the above

The left ventricle delivers oxygenated blood to the aorta.

  • True
  • False

Invert a tiger top tube ___ times.

  • 8
  • 0
  • 5
  • 4

Oxygen-poor blood enters the heart througfh the right atrium.

  • True
  • False

Microorganisms that cause diseases

  • Hereditary
  • Normal flora
  • Nonpathogens
  • Pathogenic

Which test requires a 24 hour urine specimen?

  • Creatnine Clearance
  • Culture and Sensitivity
  • Fibrin Split
  • Glucose tolerance test

A red top tube is usualy drawn for which lab department?

  • Hematology
  • Blood bank
  • Chemistry
  • Serology

A conscious hospital patient does not have an armband. The name and number on the door agree with the requisition. What should the phlebotomist do?

  • Ask the patient for verbal verification of his name.
  • Do not draw the patient until an armband has been applied.
  • Draw the patient and take the specimen to the lab
  • Draw the patient and then ask the nurse to identify the patient

Which is used for PT and PTT?

  • Red top
  • Green top
  • Light blue top
  • Gray top

When you explain the venipuncture procedure to the patient and they agree to the test it is called _______.

  • Getting the blood
  • Informed consent
  • Constant talking
  • HIPAA

What are phlebotomy soft skills?

  • Focus, Patience, Communication, Steady hand, Calm tone

When a patient has a highly contagious disease, he or she is placed in:

  • Enteric isolation
  • Reverse isolation
  • Strict isolation
  • Blood and body fluid precautions

When serum is _________ it is a clue that the patient is not fasting.

  • Hemoconcentrated
  • Hemolyzed
  • Jaundiced
  • Lipemic

Can you have long fingernails while attending this class?

  • yes
  • shouldn't extend longer than the tip of the finger

Which of the following should a phlebotomist not do when drawing blood from a child?

  • Use the patient identification process.
  • Explain the procedure
  • Tell the child that the procedure will not hurt.
  • During the draw, tell the child "just a few more second."

If I find out I am positive for COVID, who do I contact?

  • My teacher
  • mom
  • teacher and my campus nurse
  • the nurse

This organization develops standards for specimen handling and processing

  • CDC
  • CLIA
  • CLSI
  • FDA

An example of a nosocomial infection is

  • Catheter site of ICU patient becomes infected
  • Healthcare worker contracts HBV from a needlestick
  • Patient is admitted with chicken pox
  • Patient breaks out with measles one day after admission

A pink tube contains the additive.

  • EDTA
  • Clot activator
  • ACD
  • Nothing

A group of tests collected as one unit:

  • Group
  • Profile
  • STAT
  • Bunch

In therapeutic blood monitoring, the trough levels are tested ______________.

  • 30 minutes before the scheduled dose
  • 30 minutes after the scheduled dose
  • 2 hours postprandial
  • 2 hours diurnal

In the order of draw for capillary specimens, should you draw tubes with or without additives first?

  • Without
  • With

How many inches above the site should the tourniquet be tied?

  • 2-3
  • 3-4
  • 4-5
  • 1-2

Light blue tubes must be ____ full.

  • 2/3
  • Completely
  • 3/4
  • 1/2

The chamber of the heart that receives blood from the systemic circulation

  • Right atrium
  • Left atrium
  • Right ventricle
  • Left ventricle

The patient has hypoglycaemia. What does that mean?

  • There is too much sugar in the blood
  • The patient's breathing rate is very low
  • There is too little sugar in the blood
  • The patient has low blood pressure

What additives can you find in Royal Blue Tubes? Select all that apply

  • EDTA
  • Heparin
  • ACD
  • None

What is the diameter of the largest needle?

  • 18 gauge
  • 26 gauge
  • 20 gauge
  • 23 gauge

When a patient has high blood pressure, it is called ______tension

  • hyper

Bilirubin and Cold Agglutin Test should be drawn using what tubes? Select all that apply

  • Serum
  • Red
  • Lavender
  • Green

What is the additive present in the gray tube?

  • PPTs
  • Coagulation
  • Blood cultures
  • Oxalate/fluoride

A zone of comfort is an example of proxemics.

  • True
  • False

A patient in the Oncology Dept. is probably being treated for _______________.

  • Diabetes
  • Pregnancy
  • Phlebitis
  • Cancer

Which vein in the antecubital fossa is usually easiest to palpate in an obese patient?

  • Median cubital
  • Cephalic
  • Basilic
  • Ulnar

What is Phlebotomy

  • The process of collecting blood
  • Collects blood from a baby
  • Collects blood from animals
  • A person who draws their own blood

The master gland is:

  • Thymus
  • Thyroid
  • Pituitary
  • Thalamus

How many hours before a blood test should a patient discontinue the use of medications known to interfere with blood tests?

  • 1-4
  • 4-24
  • 24-36
  • 48-72

What part of the infant is a PKU test performed on?

  • Toe
  • Finger
  • Heel
  • Forehead

Which element prevents glycolysis?

  • EDTA
  • Heparin
  • Sodium Fluoride
  • Potassium oxalate

Misidentifying a patient specimen is the most critical error a phlebotomist can make.

  • True
  • False

Tubes containing additives should be inverted.

  • 3-4 times
  • 4-5 times
  • 5-10 times
  • Not be inverted

Which fluid is obtained by lumbar puncture.

  • Peritoneal
  • Pleural
  • Cerebrospinal
  • Synovial

Which among the following is considered an inappropriate site for phlebotomy?

  • Part of the basilic vein
  • Swollen arms caused by fluid trapped in the tissues
  • Veins that are not well anchored and are prone to movement during needle insertion
  • Arms with small veins

A green tube contains the additive:

  • ACD
  • Na fluoride
  • Thrombin
  • Na heparin

Which of the following veins in the arm are most subjected to venipuncture?

  • Basilic
  • Median Cubital
  • Brachial
  • Cephalic

The maximum recommended depth for a heel stick is 3.0mm or less.

  • True
  • False

Blood cultures are used to diagnose ________________.

  • Diabetes
  • FUO
  • FAQ
  • PT

Which additive does a red tube contain?

  • Na fluoride
  • Nothing
  • EDTA
  • Na heparin

An infection is:

  • A disease-causing microorganism
  • The invasion and growth of a pathogen
  • Always caused by bacteria.
  • Never caused by a virus.

What is the preferred antiseptic for venipuncture?

  • Betadine
  • Iodine
  • Isopropyl alcohol
  • Jack Daniels

Which tube top is used for STAT serum and how long should it clot?

  • orange, 5 min

Which test must be performed on whole blood?

  • BUN
  • CBC
  • CPK
  • PTT

Bacteria and parasites belong to which type of hazard?

  • Biologic
  • Chemical
  • Physical
  • Allergic

The first tube in the order of draw for cap specimens is lavender.

  • True
  • False

How many times can you retake a test or skill evaluation?

  • 3
  • 2
  • none
  • 1

Invert a gray tube __________ times.

  • 8
  • 5
  • 0
  • 4

The smallest blood vessel in the body where gas exchange takes place is a (an)

  • Capillary
  • Venule
  • Arteriole
  • Vein

Fluid aspirated from the peritoneal cavity.

  • Ascites
  • Gastric
  • Sputum
  • Synovial

All blood samples should be handled using universal safety precautions.

  • True
  • False

Contact, droplet and airborne are ____________.

  • Modes of transmission
  • Portals of exit
  • Portals of entry
  • Agents

The additive in a pink tube is:

  • ADP
  • SPS
  • Heparin
  • EDTA

Direct contact transmission is defined as ___________.

  • Blood to blood
  • Body fluid to blood
  • Skin to skin
  • Skin to object

Which laboratory section performs blood pregnancy tests?

  • Chemistry
  • Hematology
  • Serology
  • Blood bank

Sodium Fluoride preserves glucose for how many days?

  • 1
  • 2
  • 3
  • 4

What is the additive present in the red tube?

  • Heparin
  • EDTA
  • Blood cultures
  • None of the above

Sputum is collected to diagnose

  • Diptheria
  • H. pylori
  • Meningitis
  • Tuberculosis

The single most important means of preventing the spread of infection are:

  • Hand washing before and after contact with each patient
  • Identifying the disease being isolated
  • Wearing gloves when drawing infection patient
  • Wearing a mask into an isolation room

Which is the best tube for collecting an ethanol specimen?

  • EDTA
  • Heparin
  • Sodium citrate
  • Sodium fluoride

Which lab sectioin would analyze the C&S test?

  • Hematology
  • Immunology
  • Microbiology
  • Serology

The following were collected for a routine venipuncture. Which item is incorrect?

  • Tubes
  • Iodine swab
  • Touniquet
  • Safety needles

Name the three major veins for venipuncture.

  • Median cubital vein, Cephalic vein, Basilic vein

Name six elements of the chain of infection.

  • Infectious agent, Reservoir, Exit pathway, Means of transmission, Entry pathway, Susceptible host

-------- is a low concentration of red blood cells.

  • Anemia

Which tube is used for a sickle cell screen?

  • Red
  • Blue
  • Lavender
  • Green

The internal space of a blood vessel

  • Atrium
  • Lumen
  • Septum
  • Valve

What percent of your six weeks grade are tests and projects?

  • 10%
  • 45%
  • 25%
  • 50%

Identify the order of draw:I. PTTII. GlycohemoglobinIII. Serum CortisolIV. Blood culture

  • I, IV, II, III
  • I, II, III, IV
  • IV, I, III, II
  • IV, I, II, III

When are your supplies needed for the phlebotomy class?

  • Tuesday, Jan 12
  • Thursday, Jan 14

Veins are located deeper than arteries.

  • True
  • False

Which body plane divides the body in equal portions?

  • Frontal
  • Sagittal
  • Midsagittal
  • Transverse

Identify the anticoagulant for:Gray top tube

  • Oxalate

Name the two therapeutic types of phlebotomy.

  • Polycythemia, Hemochromatosis

What is the name of health care worker trained in collecting and testing blood specimens?

  • Radiologist
  • Veterinary
  • Phlebotomist
  • Cardiologist

The OGTT test diagnoses ______________.

  • High blood pressure
  • Cholesterol
  • Diabetes
  • Hemoglobin

The primary function of a red blood cell is:

  • Fight infections
  • Carry iron
  • Carry iodine
  • Carry hemoglobin

Which is not a reason for failure to collect blood?

  • Tube lost vacuum
  • Bevel of the needle against the vein side
  • Needle not fully in the vein
  • Patient drank too much liquid

A CBC would be sent to what lab section?

  • Chemistry
  • Hemotology
  • Microbiology
  • Serology

The ability of the body to achieve "steady state."

  • Anabolism
  • Catabolism
  • Hemostasis
  • Homeostasis

The breakdown and removal of a clot in the hemostasis process is ______________.

  • Coagulation
  • Fibrinolysis
  • Vascular
  • Aggregation

Which of the following conditions does emergency first aid treatment maintaining an open airway, control bleeding, and keeping the pt. warm until help arrives?

  • syncope
  • convulsions
  • vomiting
  • shock

Always recap your needle before putting it into the sharps container.

  • True
  • False

After drawing a blood specimen, it is acceptable to pour part of the sample into another tube only if they are the same colored tubes (ex: lavender tube into another lavender tube).

  • True
  • False

Can students wear artificial nails or acrylic overlays on nails?

  • no
  • yes

Where is blood collected, stored and prepared for transfusions?

  • Hematology
  • Blood Bank
  • Chemistry
  • Immunology

Universal donors are blood types:

  • O
  • A
  • AB
  • B

20%-40% of WBC are comprised of _______________.

  • Lymphocytes
  • Neutrophils
  • Basophils
  • Eosinophils

Latex sensitivity is an allergic reaction.

  • True
  • False

In a routine blolod draw the red tube is drawn before the green tube.

  • True
  • False

Choose the TWO medical terms that are talking about "skin"

  • dermatitis
  • osteopathy
  • phlebotomy
  • epidermis

The proper order for doning PPE

  • Gloves, gown, mask
  • Gown, gloves, mask
  • Gown, mask, gloves
  • Mask, gown, gloves

The name given to an infection that a patient acquires after admission to a healthcare facility is:

  • Communicable
  • Reportable
  • Nosocomial
  • Antibiotic-Resistant

To measure the diurnal variation of cortisol hormone, what kind of specimen would be required?

  • Timed
  • Fasting
  • Therapeutic
  • Blood culture

Which test is NOT a light-sensitive test?

  • Bilirubin
  • Beta-carotene
  • Porphyrins
  • Ammonia

Identify the anticoagulant for:Light blue top tube

  • Citrate

The mitral valve in the heart is also called the:

  • Pulmonary valve
  • Bicuspid valve
  • Aortic valve
  • Tricuspid valve

Which tube contains sodium citrate?

  • Light-blue
  • Red
  • Green
  • Yellow

What causes vacuum tubes to fill with blood?

  • Arterial blood pressure
  • Patient fist pumping
  • Tourniquet pressure
  • Tube vacuum

Which tube is used for Glucose and Alcohol (ethanol) testing?

  • Gray

The glucose tolerance test is used to help in the diagnosis of:

  • Blood gas
  • Diabetes
  • Hepatitis
  • Cancer

Permanent surgical connection between an artery and a vein.

  • Fistula
  • Fasting
  • Suture
  • Edema

A green top tube usually contains

  • EDTA
  • Citrate
  • Heparin
  • Oxalate

What should be done after the procedure?

  • Ask the patient to wrap their arm up
  • Cover the puncture site with bandage
  • Throw it away
  • Give it to the doctor

Microorganism cultures are collected in _____________tubes.

  • Light-blue
  • Royal blue
  • Green
  • Yellow

The proper way to insert a needle is with the bevel facing ____________.

  • Up
  • Down
  • Left
  • Right

The most commonly occurring complication in phlebotomy is:

  • Convulsions
  • Short draw
  • Hypovolemia
  • Hematoma

Red Or Serum tubes are used for Serology Test. What type of test could that include?

  • Chemistry,Electrolytes,LiverCBC

Capillary puncture reference ranges are higher for this analyte.

  • Calcium
  • Glucose
  • Phosphorus
  • Protein

Improper cleansing of a venipuncture site can cause:

  • Hematoma
  • Septicemia
  • Petechiae
  • All of the above are correct.

If you are visiting a phlebotomist, this doctor is going to examine your...

  • eyes
  • blood
  • skin
  • veins

A specimen may be rejected by the lab if:

  • The tube was not initialed.
  • The blood is hemolyzed.
  • The tube was not transported properly.
  • All of the above

Which would be considered a pre-analytical error?

  • Improper time of collection
  • Wrong order of draw
  • Faulty technique
  • Exposure to light

Name the three parts of the circulatory system.

  • Heart, Blood, blood vessels

Which tube is used for PTT?

  • Light blue
  • Green
  • Red
  • Gray

Which of the following is the best definition of destruction of red blood cells?

  • Hemolysis
  • Hemostasis
  • Homeostasis
  • Hemoglobin

The first drop of blood in a capillary puncture is the best for analysis.

  • True
  • False

A PBT is performing a capillary refill collection for a CBC, FSH, and Electrolyte tests. Which of the following is proper collection order?

  • Lavender Microcollection, Green Microcolleciton, red microcolleciton
  • Lavender Microcollection, red Microcolleciton, green microcolleciton
  • red Microcollection, LavenderMicrocolleciton, greenmicrocolleciton
  • red Microcollection, greenMicrocolleciton, Lavendermicrocolleciton

Lymph originates from

  • Joint fluid
  • Plasma
  • Serum
  • Tissue fluid

What practice can result to the most dangerous pre-analytical error?

  • Improper mixing of blood with additive
  • Tourniquet application for 5 minutes
  • Use of pre-labeled tubes
  • Incorrect transportation conditions

Reverse isolation is used for patients who have:

  • Whooping cough 百日咳
  • Immunodeficiency disorders
  • Hepatitis B
  • The flu

True or FalseShould phlebotomy wear gloves and lab coat?

  • True
  • False

What is the expected test result if tourniquet application was applied for more than 1 minute?

  • Falsely increased Sodium levels
  • Falsely decrease Sodium Levels
  • Both A and B
  • None of the above

The Good Samaritan Law allows health care workers to provide medical care above and beyond their normal field without being sued.

  • True
  • False

Ammonia Chemical Test would be done with a _______ tube.

  • Red
  • Yellow
  • Blue
  • Green

A yellow tube used as an alternate for blood cultures has the additive:

  • ACD
  • SPS
  • Clot activator
  • EDTA

Name the three types of blood vessels.

  • Arteries, Vein, Capillaries

The order of draw for venipuncture is: BC, blue, serum, green, EDTA, gray.

  • True
  • False

Which order of draw is correct?

  • Yellow, red, blue
  • Blue, gray, lavender
  • Red, green, lavender
  • Red, green, yellow

What is the additive present in the lavender tube?

  • EDTA
  • Coagulation
  • SSTs
  • None of the above

Name the two divisions of the laboratory.

  • Clinical analysis, Anatomical and surgical pathology

A light blue tube contains the additive:

  • Na citrate
  • Na heparin
  • SPS
  • EDTA

Fluoride, EDTA, and oxalate are additives used in what tube?

  • Light green tube
  • Yellow tube
  • Light blue tube
  • Gray tube

Another name for thrombocytes is______________.

  • White blood cells
  • Red blood cells
  • Platelets
  • Monocytes

What is the recommended depth of a heel puncture on an infant?

  • 2.0mm
  • 1.2mm
  • 3.0mm
  • .02mm

Which would be considered a post-analytical error?

  • Improper site preparation
  • Medication interferance
  • Failure to invert tubes
  • Improper use of serum separator

Another name for a blood bank is Hematology.

  • True
  • False

The test used to evaluate intrinsic pathway is called ____________.

  • PT
  • APTT
  • LMN
  • PX

Which represents the proper order of blood flow?

  • From arteries to veins to capillaries
  • From arterioles to capillaries to venules
  • From capillaries to arterioles to arteries
  • From veins to venules to capillaries
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