phlebotomy practice test
phlebotomy technician is collecting a blood specimen from a patient who has cutaneous diphtheria. Besides gloves, which of the following pieces of personal protective equipment should the technician wear?
gown
A phlebotomy technician receives a chemical splash to his forearm. After removing his contaminated clothing, which of the following is the minimum amount of time the technician should rinse the affected area?
15 min
To prevent hospital-acquired infections, a phlebotomy technician should clean items that have been contaminated by blood with a 1:10 dilution of which of the following substances and water?
Sodium hypochlorite
After exiting a patient's room, which of the following is the last piece of personal protective equipment (PPE) a phlebotomy technician should remove?
mask
A phlebotomy technician is preparing to draw blood from a patient who states that this is his first blood draw. Which of the following actions should the technician take?
Describe the procedure to the patient.
A phlebotomy technician is preparing to collect a blood specimen from a patient who signed a general informed consent form upon admission to the facility. Which of the following actions by the patient indicates implied consent for the venipuncture?
Rolling uo his shirtsleeve
A phlebotomy technician is following the Clinical and Laboratory Standards Institute's (CLSI) clinical laboratory workflow pathway. As part of the postexamination phase of this process, which of the following actions should the technician take?
Enter critical laboratory data.
When should a phlebotomy technician perform external liquid controls for quality control on a CLIA-waived glucose point-of-care test?
when a new lot number or kit is opens
A phlebotomy technician is preparing to collect a blood specimen from a small vein of an older adult patient. Which of the following actions should the technician take to keep the vein from collapsing?
Use a small needle for thr draw
A phlebotomy technician is preparing to collect a blood specimen from a patient who is allergic to alcohol. Which of the following antiseptic solutions should the technician use to prepare the insertion site?
Chlorhexidine
Which of the following actions should a phlebotomy technician take to maintain compliance with HIPAA?
Clear phone numbers from the fax machine.
A phlebotomy technician is using a glucose monitor for point-of-care testing of a patient who has been fasting for 12 hr. For which of the following results should the technician immediately notify the provider?
130 mg/dL
A phlebotomy technician is verifying a patient's identity before performing a venipuncture procedure. Which of the following information should the technician request from the patient?
The patient's full name and date of birth
After placing a tourniquet on a patient's arm, a phlebotomy technician notices small red spots below the tourniquet. Which of the following terms describes these spots?
Petechiae
A phlebotomy technician is applying a tourniquet prior to collecting a blood specimen from a patient. Which of the following actions should the technician take?
Tuck a partial loop of tourniquet underneath the tourniquet.
A phlebotomy technician has a requisition form for a series of tests on a patient's serum. The technician should select a collection tube that contains which of the following additives?
Thrombin
Which of the following sources for patient identification should a phlebotomy technician use in an inpatient setting?
Verbal and wristband
A phlebotomy technician is using the syringe method to obtain a blood culture specimen from an adult patient. Which of the following actions should the technician take?
Withdraw the blood into a sterile safety syringe.
A phlebotomy technician is interviewing a patient before performing a venipuncture. During the interview, the patient states that he lives nearby and ran to the facility to "get in some running time today." Which of the following precautionary actions should the technician take?
Have the patient rest comfortably for at least 15 min before the venipuncture.
A phlebotomy technician is performing a venipuncture using a winged infusion set. The red-topped tube fills, but the light blue-topped tube slows and does not fill completely. Which of the following actions should the technician take?
Insert a new light blue-topped tube to see if it will fill.
Which of the following is the best method for a phlebotomy technician to collect a blood specimen from an older adult patient who has fragile, easy-to-collapse veins?
Choose a syringe and butterfly assembly and transfer to an ETS tube.
A phlebotomy technician is using an evacuated needle holder and blood collection tubes to collect blood from a patient. Which of the following actions should the technician take?
Push the first collection tube gently into the holder.
A phlebotomy technician is using a point-of-care test system to determine a patient's WBC count. For which of the following results should the technician immediately notify the provider?
1.8/mm3
According to OSHA standards, which of the following vaccines must employers offer to their phlebotomists at no cost?
Hepatitis B
A phlebotomy technician is washing her hands at the beginning of her shift. Which of the following actions should the technician take?
Use enough soap to form a lather.
A phlebotomy technician is performing a total cholesterol point-of-care test for a patient. Which of the following findings should the technician immediately report to the provider?
300 mg/dL
A phlebotomy technician is preparing to draw blood from a patient in an inpatient setting. The patient extends his arm and turns his head away.
This action by the patient is an example of which of the following types of consent?
Implied consent
For which of the following reasons should a phlebotomy technician examine the antecubital areas in both of a patient's arms?
The median cubital vein could be more accessible on one side than the other.
According to standard precautions, a phlebotomy technician should take which of the following actions when shipping specimens to a reference laboratory in hot weather?
Place the specimens in a box with cold packs and a biohazard label.
A phlebotomy technician is collecting capillary blood drops on a filter paper card to screen a newborn for phenylketonuria. Which of the following actions should the technician take?
Apply blood to the printed side of the filter paper.
A provider has ordered a urine culture and sensitivity test. Which of the following types of urine collection should a phlebotomy technician obtain?
Clean-catch midstream
A phlebotomy technician is preparing to obtain a blood specimen from a patient for an erythrocyte sedimentation rate test. The technician should select a collection tube that has a top with which of the following colors?
Lavender
Which of the following actions should a phlebotomy technician take after collecting an ammonia specimen?
Place the specimen tube in an ice-water slurry.
A phlebotomy technician is preparing to obtain a blood specimen from a patient in an outpatient setting. Using standard precautions, which of the following pieces of personal protective equipment should the technician wear?
Gloves
A phlebotomy technician is preparing to obtain a blood specimen from a patient for thyroid studies. The technician should select a collection tube that has a top with which of the following colors?
Speckled
A phlebotomy technician is planning to collect a sputum specimen from a patient. Which of the following instructions should the technician give the patient?
"Breathe deeply and then cough up a specimen into the container."
A phlebotomy technician is preparing a patient for a routine venipuncture. Which of the following antiseptic solutions should the technician use?
Isopropyl alcohol
A phlebotomy technician should identify that which of the following is the first step in the blood collection procedure?
Test requisition
A phlebotomy technician is disposing of used supplies when he accidentally receives a needlestick injury. According to OSHA guidelines, which of the following actions should the technician take first?
Wash the puncture site with soap and water.
Prior to transport, which of the following specimens should a phlebotomy technician place in an ice bath within 30 min after collection?
Arterial blood gas
A phlebotomy technician is preparing several specimens for transport to the facility's laboratory. Which of the following specimens should the technician protect from bright light by placing it in an amber/brown biohazard bag for transport?
Vitamin B6
A phlebotomy technician is collecting a urine specimen from a patient for a pre-employment drug test. Which of the following actions should the technician take?
Verify that the specimen contains at least 45 mL of urine.
A phlebotomy technician should transport a semen sample at which of the following temperatures?
36° to 38° C
How frequently should a phlebotomy technician perform a quality control test on a glucometer in the laboratory?
Every day the meter is used
A phlebotomy technician uses alcohol to cleanse a venipuncture site. Before performing the venipuncture, the technician should allow the site to dry for which of the following reasons?
Alcohol requires time for antiseptic action to take effect.
A phlebotomy technician has collected a blood specimen from a patient who is in an isolation room. Which of the following pieces of personal protective equipment (PPE) should the technician remove first?
Gloves
For which of the following procedures should a phlebotomy technician follow chain of custody guidelines?
Paternity testing
A phlebotomy technician should select a tube that has which of the following anticoagulants to collect a sample for a PT/PTT test?
Sodium citrate
A phlebotomy technician is obtaining a blood specimen from a patient. The patient reports experiencing a sharp, painful, and tingling sensation going down her arm and into her hand. The technician should recognize that which of the following complications of venipuncture is occurring?
Nerve injury
A phlebotomy technician is preparing to perform a venipuncture on a patient who states, "I faint at the sight of blood." Which of the following positions is optimal for the patient's safety during the procedure?
Lying in a reclined position
A phlebotomy technician is preparing to collect a vancomycin peak level for a patient in an inpatient setting. Which of the following actions should the technician take prior to collecting the blood specimen?
Ask the attending nurse if the patient's vancomycin dose schedule is accurate.
A phlebotomy technician is preparing to collect a blood specimen from the antecubital site of a patient. Which of the following devices can be used to help stabilize the arm for the collection?
Phlebotomy wedge
A phlebotomy technician sees a coworker receive a major electrical shock from an instrument. Which of the following actions should the technician take first?
Shut off power to the instrument.
A phlebotomy technician has a requisition form to perform a chromosome analysis for a patient. The technician should select a collection tube that contains which of the following additives?
Heparin
A phlebotomy technician should select a tube that has which of the following additives when collecting a blood specimen for a CBC?
EDTA
A phlebotomy technician is preparing a peripheral blood smear from a patient's capillary blood. Which of the following actions should the technician take?
Use the second drop of blood that emerges from the puncture.
A phlebotomy technician is collecting a blood sample from a newborn who weighs 3 kg (6.6 lb). Which of the following amounts is the maximum volume of blood the technician can draw from this newborn at one time if the maximum allowable volume is 1%?
3 mL
A phlebotomy technician is preparing to dispose of contaminated sharps. According to OSHA standards, which of the following actions should the technician take?
Replace the sharps container when it is two-thirds full.
A phlebotomy technician is preparing to enter a patient's room to collect a blood specimen. Which of the following actions should the technician plan to take?
Communicate name and department affiliation to the patient.
A phlebotomy technician should identify that which of the following is an identifier for a specimen as long as it remains in the laboratory?
Accession number
Which of the following test results are affected when a phlebotomy technician uses povidone-iodine to cleanse a site for a dermal puncture?
Potassium
A phlebotomy technician is collecting a blood specimen from a patient who has pneumonia. Besides gloves, which of the following pieces of personal protective equipment should the technician wear?
Mask
A phlebotomy technician should use a capillary collection instead of a venipuncture in which of the following situations?
A patient's veins are inaccessible.
Which of the following personal protective equipment provides a phlebotomy technician with the best protection when drawing blood from a patient who has active tuberculosis?
N95 respirator
A phlebotomy technician has a mild sensitivity to latex. According to the National Institute for Occupational Safety and Health (NIOSH), which of the following actions should the technician take?
Wear nitrile gloves instead of latex gloves.
A phlebotomy technician is drawing a patient's blood when the patient states that she is becoming dizzy and light-headed. Which of the following actions should the technician take first?
Remove the tourniquet and needle.
A phlebotomy technician is preparing to draw a peak level for a medication that was administered orally to a patient. After verifying when the patient received the medication, how long should the technician wait prior to attempting the draw?
2 hr after administration
Which of the following collection tubes should a phlebotomy technician use when collecting for a routine chemistry test that requires serum?
SST
Which of the following actions is a phlebotomy technician required to take before leaving a patient's room?
Initial and mark the date and time on each tube drawn.
A phlebotomy technician is preparing to obtain a blood specimen to determine a patient's sodium level. The technician should select a collection tube that has a top with which of the following colors?
Green
A phlebotomy technician is reviewing a laboratory test requisition form before obtaining blood specimens from a patient. Which of the following actions should the technician take prior to performing the venipuncture?
Check the requisition form for duplicate test orders.
A phlebotomy technician is reviewing a laboratory requisition before obtaining blood specimens from a patient. The technician should verify that the requisition includes which of the following information?
A specimen identification code
A phlebotomy technician should comply with HIPAA to protect which of the following?
Patients' information
A phlebotomy technician is selecting a site to collect a blood specimen from a patient. After applying a tourniquet, the technician sees no apparent vein to use for the venipuncture. Which of the following actions should the technician take?
(I Have the patient dangle her arm for 1 to 2 min.
A phlebotomy technician is preparing to collect a blood specimen from a patient who had a right-sided mastectomy. Which of the following sites should the technician select?
Medial cubital vein in the left arm
A phlebotomy technician is performing a venipuncture for a patient who begins to seize. Which of the following actions should the technician take?
Discontinue the draw.
A phlebotomy technician is collecting a blood specimen from a patient. Which of the following techniques should the technician use to anchor the vein just before inserting the needle?
Use the thumb to anchor the vein 5 cm (2 in) below the puncture site.
A phlebotomy technician has a request to collect a routine CBC from a healthy 10-month-old infant. Which of the following collection sites should the technician select?
Either heel
A phlebotomy technician is preparing to perform a blood draw on a patient who had a left-sided mastectomy and has an IV on her right side. In which of the following locations should the technician perform the draw?
Below the IV
A phlebotomy technician is assembling the equipment he will need for collecting donor units of blood. Which of the following needle sizes should the technician select?
18-gauge
A phlebotomy technician observes a hematoma developing at the site of a venous blood draw. Which of the following actions should the technician take?
Release the tourniquet and stop the draw.
A phlebotomy technician is preparing to collect a patient's troponin T level. Which of the following troponin T levels should the technician immediately report to the provider?
0.3 ng/mL
For which of the following reasons should a phlebotomy technician centrifuge a serum specimen before transport to an outside reference laboratory?
Cells must be separated from the serum.
A phlebotomy technician is collecting a blood specimen from a patient. To avoid hemolysis, which of the following precautions should the technician take?
Ensure the alcohol at the insertion site has dried.
A phlebotomy technician should identify that the order of draw for capillary collections is different from venipuncture for which of the following reasons?
An increased rate of coagulation
Which of the following actions should a phlebotomy technician take to locate a vein using the warming technique?
Encase the warm towel in a plastic bag.
A phlebotomy technician is preparing to draw blood from a patient who has scabies. Which of the following pieces of personal protection equipment should the technician use?
Gown
A phlebotomy technician is collecting a blood specimen from a patient to measure the trough level of a medication. The technician should collect the specimen at which of the following times?
Within 15 min before the patient receives the next dose of medication
Which of the following tubes should a phlebotomy technician collect first when obtaining dermal samples?
Lavender top
When collecting a routine blood sample, which of the following veins should a phlebotomy technician attempt to draw from first?
Median cubital
A phlebotomy technician is removing his gloves after a venipuncture procedure. Which of the following actions should the technician take?
Remove the first glove so that it turns inside out during removal.
A phlebotomy technician is collecting blood from a patient for donation. The collection bag only fills halfway, and the vein collapses. Which of the following actions should the technician take?
Use a new collection bag to draw a new unit of blood.
An unconscious patient is brought to the emergency department, and several blood tests are ordered. A phlebotomy technician should collect the patient's blood because he has received which of the following types of consent?
Implied consent
A phlebotomy technician should identify that which of the following colors signifies a health hazard in the National Fire Protection Association
(NFPA) 704 Marking System?
Blue
A phlebotomy technician is preparing to perform a venipuncture for a 2-year-old child. The child asks if the blood draw will hurt. Which of the following statements should the technician make?
"You will feel a small prick."
A phlebotomy technician is preparing to perform a fingerstick for a patient. Which of the following actions should the technician take first?
Confirm the identity of the patient.
A phlebotomy technician is transporting blood specimens to a laboratory. Which of the following actions should the technician take?
Place the specimens in a lockable container.
A phlebotomy technician is preparing to draw blood from a patient's arm and observes a sore at the site where the tourniquet is to be placed.
Which of the following actions should the technician take?
Tie the tourniquet over the patient's sleeve.
After verifying a patient's identity, a phlebotomy technician sees that the patient's laboratory results are ready. Which of the following actions should the technician take?
Inform the patient to contact the ordering provider to obtain the results.
A phlebotomy technician is educating a patient about the at-home collection of a semen specimen. Which of the following statements by the patient indicates an understanding of the procedure?
"I will collect the specimen in a sterile container and return it to the lab within 1 hour."