Phlebotomy Training Final Exam

1. Which of the following action could cause the formation of a hematoma?

2. A basal-state specimen, used to establish reference ranges for inpatients, is best collected

3. When is Phlebotomist allowed to perform a venipuncture on and ankle vein?

4. A falsely decreased blood alcohol level may be obtained if

5. During venipuncture, a hematoma may result from which of the following?

6. Older patients are more prone to hematoma formation because

7. Which of the following represents the proper sequential draw from first to last?

8. Areas from which blood should not be collected included all the following with the exception of

9. If additive contamination occurred from an EDTA evacuated tube, what test would

10. Prior to bandaging the puncture site the phlebotomist should

11. Following venipunture, which of the following should be applied to the venipuncture

12. Which of the following is of primary importance in preventing rolling veins during venipuncture

13. When performing a capillary blood collection, the first blood drop is wiped away because

14. Alcohol should be allowed to dry completely prior to skin puncture to

15. An anticoagulant is issued when collecting a sample for a blood glucose test because its ability to inhibit glycolysis. What colored stopper would be found on an evacuated blood collection tube used for this purpose?

16. Which of the following is the most appropriate procedure when preparing a patient for blood specimen collection?

17. Which substance is higher concentration in capillary blood than in venous blood?

18. Which of the following would be the very first step in performing a routine venipuncture on a patient?

19. When is a phlebotomist allowed to use ankle veins to draw blood?

20. When a patient states that heor she has a needle phobia, the phlebotomist should

21. The phlebotomist has to prepare a blood smear for leukocyte alkaline phosphatase (LAP). What is the correct procedure?

22. A serum or plasma specimen containing abnormally increased fatty substances from animal or vegetable origin is described as

23. The phlebotomist would collect a blood sample in a tube containing the anticoagulant sodium citrate (which inhibits glycolysis) for which type of laboratory test?

24. Which of the following is the most critically affected analyte in a hemolyzed specimen?

25. A phlebotomist most likely not use butterfly for which of the following patients?

26. The term calcaneus refers to

27. What color evacuated tube would be commonly used for coagulation testing?

28. What antiseptic should the phlebotomy technician use to collect a blood culture?

29. Specimens are scheduled for collection at specific times for different reasons. Which of the following is most likely

30. An individual comes in for an autologous donation, what is this person coming to do?

31. The most critical part of a blood culture collection is

32. You have properly prepared the antecubital site; you have the correct collection device and enter the vein at a 20 degree angle. Is this the proper angle of insertion

33. You have to draw a 7 year old child for some blood work, what would be the best approach you should use when it is a child getting blood drawn?

34. When performing a heel puncture on an infant, proper technique includes

35. When blood is inoculated into blood culture bottles using a butterfly apparatus the

36. A skin puncture is preferred over a venipuncture when the patient

37. If blood begins to flow and then stops when an evacuated tube is pushed in the needle the most likely cause is the

38. To avoid contamination when should the needle cap be removed?

39. A collapsed vein will cause a

40. A blood sample is needed from dialysis patient. Which of the following is an acceptable procedure?

41. The liquid portion of an anticoagulated blood specimen is called

42. The heel is the recommended site for collection of capillary puncture specimens on infants and phlebotomist is going to stick in the posterior curvature f the heel. Is this correct?

43. Which of the following would be first in the sequence of performing a finger stick procedure?

44. The main reason not to use expired evacuated tubes for blood specimen collection is

45. A postprandial specimen is collected

46. Preanalytical errors are mistakes made

47. If a patient is critical or an antibiotic needs to be given right away, and two blood cultures sets are collected

48. Which of the following is proper care of a patient following collection of an arterial blood specimen

49. Color coding indicates a needles

50. A serum or plasma specimen from a patient with a sever lipemia would visibly appear

51. As the phlebotomist, you have just completed drawing blood sample tube; you place gauze over the puncture site, remove the needle from the arm, activate the needle safety device and then release the tourniquet before applying pressure. Is this the correct sequence of steps?

52. Hemoconcentration of a specimen can be avoided by

53. Proper identification of a coherent adult patient includes

54. Which of the following tubes is normally used to collect a serum sample?

55. What abnormal color will be observed in serum collected from a patient with jaundice due to elevated bilirubin levels?

56. The most common antiseptic for routine blood collection is

57. The phlebotomist gas a patient who has known allergies and preparing the venipuncture site phlebotomist uses iodine to clean the site. Is this the best antiseptic to use and the most commonly used antiseptic to prepare a routine venipunture site on a patient with no known allergies?

58. When palpating, a vein having which one of the following characteristics would be most appropriate to select for venipuncture?

59. Completing clotting of blood specimen can take up to

60. How far above the venipuncture site should the tourniquet be wrapped around the arm?

61. If addictive contamination occurred from EDTA evacuated tube, what test would potentially be affected?

62. After the last tube is filled, which of the following is done next?

63. When is a phlebotomist allowed to use ankle veins to draw blood?

64. Which of the following conditions would be most likely to cause hemoconcentration?

65. What is the preferred method of infant blood collection?

66. Which of the following situations would most likely trigger hematoma formation?

67. Why is it necessary to wipe the first drop of blood away when performing a capillary procedure?

68. The primary reason for suing a syringe transfer device is to

69. When blood collected in a syringe must be placed in evacuated tubes it is best if

70. Petechiae are tiny, non raised red spots on a patient’s skin when the tourniquet is applied. This indicated that

71. Which of the following is not mandated to be on a label of a blood specimen collected for blood transfusion testing?

72. If serum is left to remain on the blood clot for more than one hour, which if the following most likely will occur?

73. The phlebotomist has prepared the patient’s arm and found the basilica vein. Has the phlebotomist selected the preferred vein site for venipuncture?

74. Which of the following anticoagulants is found in a green-topped blood collection vacuum tube?

75. To prevent glycolysis, which additive is used?

76. The phlebotomist places the blood specimen in circles on special filter paper, for what test?

77. When a patient developed syncope during a venipunture, the phlebotomist should first:

78. The color-coded tube that is most frequently associated with hematological tests is

79. What is the correct procedure to stop the bleeding at a venipuncture site?

80. What instrument may be used when trying to visualize the veins during venipuncture?

81. Partial penetration of the upper wall of a vein may

82. Heparinized plasma is preferred over serum from some chemistry tests. Heparin prevents clotting by

83. The anticoagulant heparin is used in tubes with tops of what color?

84. What amount of residual urine is considered abnormal?

85. Which is one of the first signs of liver disease?

86. Blood cultures are performed to test for

87. Which of the following is the single, most important factor in collecting an uncontaminated blood culture?

88. What type of catheter is used to collect specimens or instill medications?

89. Which type of catheter is inserted after plastic repair of the ureter and must remain in place for at least a week after surgery

90. What is the term used to describe a portion of a specimen used for testing, usually prepared by transferring some of the specimen into other tubes with the same identification information?

91. The most common venipunture site is located in which one of the following areas?

92. Blood specimens that need to be shipped off-site by mail systems must be packaged in accordance with the

93. A major advantage of point of care testing (POCT) is

94. Exposure to light decreases concentrates in certain specimens. These specimens must be protected from light to prevent analytical errors. Which of the following needs to be protected from light?

95. A pregnant patient who tells you that she is having pain during urination or in the kidney area may be experiencing

96. A tube not completely filled may interfere with test results because

97. The preferred specimen collection method for a culture and sensitivity urine test is

98. Which of the following is a point of care test (POCT) used in diagnosing problems with hemostatlis?

99. Which of the following best describes the proper collection of sputum specimen?

100. Careful site selection and limited needle relocation helps to prevent