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Phlebotomy Practice Exam (Hartman's Phlebotomy Textbook)

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Last updated about 1 year ago
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Question 1
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Question 2
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Question 18
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Question 46
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Question 47
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Question 48
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Question 49
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Question 50
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If a PBT receives a paper requisition with no tests marked they should
Look at the diagnosis code for a clue about what tests may be needed
Draw an EDTA tube, a heparin tube, and a serum tube to cover a wide range of tests
Contact the provider for clarification
Ask the patient which tests were ordered
In addition to wearing gloves, what PPE should a PBT wear when drawing blood from a patient who has an airborne illness such as COVID-19?
A face shield
A gown
A surgical mask
An N95 respirator (or similar high quality mask)
Which of the following should be done before a PBT selects equipment for a blood draw?
Labels should be placed on tubes
The patient should be greeted and properly identified
The patient should be asked to sign a consent form for the blood draw
The patient should tell the PBT which tests are ordered
Which lancet size should be used for a capillary puncture on a 5-year-old child?
0.85 mm
1.5 mm
2.2 mm
2.5 mm
Which of these tubes contain an anticoagulant additive?
Tiger top and green top
Green top and light blue top
Gray top and orange top
What is the highest priority priority for a PBT when a patient faints or has a seizure during a blood draw?
Preventing injury to the patient
Completing the draw
Preventing damage to the lab equipment
Removing the tube that was filling
Which of the following is true of tearing the fingertip off of a glove before palpating a patient's vein?
It is a good way to improve the PBT's ability to find an appropriate site
It should only be done if the PBT cannot feel the vein through the glove
It contaminates the skin if the site has already been cleaned
It should only be done if the PBT has lost track of which vein she was going to use
A patient has orders for a CBC and a lipid panel. Which of these would be appropriate to draw?
1 lavender tube
1 red tube
1 light blue tube and 1 green top tube
1 lavender tube and 1 tiger-top tube
In the situation in question 8, which tube is drawn first?
Lavender
Tiger top
Light blue
Green
Which of the following is considered a unique identifier?
First name
Last name
Room number
Date of birth
Quality control checks on point-of-care devices are usually performed
Before each use
After each use
Daily
Weekly
A patient who has a phobia of needles refuses a blood draw. Which response by the PBT is best?
"Ok. I can just tell your doctor she won't be able to find out what's wrong with you."
"I understand. Is there anything I can do to make it easier for you so we could get the tests the doctor ordered for you?"
"You signed a consent form. Can't you just look away or something?"
"I'm afraid I can't let you leave without getting this draw done."
Which of these sets of equipment would be best for a 75-year-old cancer patient?
18-gauge straight needle and evacuated tubes
21-gauge straight needle and evacuated tubes
23-gauge butterfly needle and evacuated tubes
23-gauge butterfly needle and syringe with transfer device
A PBT has selected a patient's basilic vein as a venipuncture site. When the needle is inserted the patient tells the PBT he feels a tingling sensation in his arm. What should the PBT do?
Remove the needle immediately
Tell the patient the procedure will be over quickly
Adjust the needle gently forward and backward to see if the sensation goes away
Tell the patient it is fine as long as there is no pain
Which of these is a good choice for collecting a specimen for a CMP?
Green top or tiger top
Gray top or yellow top
Lavender top or yellow top
A PBT working in a hospital is asked by a charge nurse to draw blood from the foot of a patient who has burns on her arms and hands. What should the PBT do?
Complete the draw
Ask the nurse to help with the draw
Ask the nurse if there is a written doctor's order for the draw
Ask the patient for confirmation and consent
Which of these situations can cause hemoconcentration?
The patient eating a fatty meal before a blood draw
Leaving the tourniquet in place for more than 1 minute
The PBT choosing a needle with too high gauge
The PBT probing for a vein
A requisition notes that the patient's blood should be drawn 1 hour after he takes a dose of medication. The blood is likely being tested for
Peak medication levels
Trough medication levels
The presence of drugs of abuse
The medication's effect on red blood cell count
A hospital patient is having PT/INR tested daily. Yesterday PBT Jacob performed capillary puncture on the ring finger of the patient's right hand. Which of the following is a good possibility for today's puncture?
The pinky finger of the right hand
The ring finger of the right hand
The thumb of the right hand
The ring finger of the left hand
Which of these antiseptics contains alcohol and is generally not used when drawing blood for alcohol level testing?
Chlorhexidine gluconate
Povidone iodine
Tincture of iodine
Antiseptic soap and water
PBT Angel is performing venipuncture on a patient who is obese. Which of these choices best describes how he should approach this blood draw?
Ask the patient to let their arm hang down for 3-5 minutes before selecting a vein; consider using a blood pressure cuff as a tourniquet; ask the patient where blood draws have been successful in the past; use a longer needle
Ask the patient to pump their fist before selecting a vein; consider using a blood pressure cuff as a tourniquet; insert the needle at a 90 degree angle
Rub the patient's arm vigorously before selecting a vein; consider using a belt as a tourniquet; flick the patient's skin right before inserting the needle; use a longer needle
Ask the patient if they would mind having blood taken by finger stick rather than venipuncture
If a PBT draws blood from 25 different patients in a day, how many pairs of gloves will the PBT use?
1-8 pairs
9-17 pairs
18-24 pairs
25 or more pairs
Filter paper is used to collect a __________ specimen for __________ testing.
Venipuncture, infant metabolic
Capillary, infant metabolic
Venipuncture, glucose
Capillary, glucose
Which of these lists the correct order of preference for venipuncture site selection?
Cephalic vein, basilic vein, median cubital vein
Median cubital vein, cephalic vein, basilic vein
Basilic vein, cephalic vein, median cubital vein
Median cubital vein, basilic vein, cephalic vein
Which of the following is a set of of federal regulations regarding the staffing and operation of clinical laboratories?
CLIA
CLSI
CDC
HIPAA
What equipment should be used for venipuncture on a patient who is 43 years old, healthy and has veins that appear to be of normal size and easy to locate?
An18-gauge straight multisample needle and evacuated tubes
A 21-gauge straight multisample needle and evacuated tubes
A 21-gauge butterfly needle and syringe/transfer device
A 23-gauge butterfly needle and syringe/transfer device
A PBT's supervisor reminds her to use a discard tube before drawing a light blue tube with a butterfly needle. Why would this be necessary?
Because the air needs to be removed from the butterfly tubing to ensure the correct amount of blood is inserted in the tube
Because the anticoagulant in the tube will contaminate the venipuncture site
Because the blood will clot in the tube if the initial blood isn't wasted
Which of the following may be prevented by anchoring a patient's vein below the insertion site?
Blown vein
Rolling vein
Collapsed vein
Incomplete insertion into the vein
Which anticoagulant tube contains a reversible agent and allows lab technicians to perform clotting time tests on a specimen?
Oxalate tube
Heparin tube
EDTA tube
Citrate tube
A patient rolling up his sleeve and stretching out his arm is an example of
Express consent
Informed consent
Implied consent
Documented consent
How long can a tourniquet be left on a patient's arm before it must be removed?
30 seconds
60 seconds
2 minutes
5 minutes
Considering the collection tubes needed for each of these tests, which specimen would be drawn first?
Fasting blood glucose
D-dimer (related to coagulation)
C-reactive protein
Serum iron
Which of these patients should be called for a blood draw first?
A patient having peak medication levels tested who took the drug by mouth 30 minutes ago
A patient doing a glucose tolerance test who drank the glucose beverage 15 minutes ago
A patient whose requisition is marked ASAP
A patient who has not been fasting and whose requisition is marked routine
The volume of microcollection tubes is best measured in
Microliters
Liters
Cubic centimeters
Ounces
Using too small a venipuncture needle, pulling a syringe plunger back too forcefully, and excessively "milking" the finger during capillary collection can all result in
Lipemic specimens
Icteric specimens
Hemoconcentrated specimens
Hemolyzed specimens
When a lab uses specimen labels printed from an electronic requisition, the PBT
Will initial the tubes and mark them with the time and date after collection before dismissing the patient
Will initial the tubes and ask the patient to sign them after collection
Will initial the tubes and mark them with the patient's initials before calling the patient
Does not need to write anything on the tubes
In which of these situations might a point-of-care testing device not be disinfected after each use?
The device stays in the patient's room and is only used by that patient
The device is only used on patients who have been confirmed to not have blood borne illnesses
The device is used on patient who share the same diagnosis
The device is made of microbe resistant material
A pregnant patient with blood type A who is Rh-negative may have complications if she is carrying a fetus with which of these blood types?
O-
AB-
B-
A+
Which of these is an acceptable capillary puncture site for a newborn infant?
Arch of the foot
Big toe
Outside bottom of heel
Third or fourth finger of either hand
A specimen that must be protected from light may be wrapped in __________ if an amber tube is not available.
Plastic wrap
Foil
Masking tape
A coin sleeve
After performing a finger stick blood glucose test on a patient, a PBT realizes the test strip is expired. What should she do?
Repeat the test with an unexpired strip, taking blood from the same puncture site
Repeat the test with an unexpired test strip, taking blood from a new puncture site on the same finger
Repeat the test with an unexpired strip, taking blood from a new puncture site on a different finger
Note in the LIS (laboratory information system) that the test was performed with an expired strip
What are two common vein formations in the antecubital fossa?
"A" and "B" formations
"H" and "M" formations
"X" and "Y" formations
"I" and "II" formations
Which tube is filled first during a capillary collection?
Nonadditive tube
Capillary blood gas tube
EDTA tube
Heparin tube
After how many unsuccessful attempts to draw blood should a PBT ask for help from a supervisor?
1
2
3
4
Which of these choices describes one way in which blood culture collections are different from routine venipuncture collections?
The patient is placed in a supine (laying face up) position
A nurse or other licensed professional must be present
The venipuncture site is not cleaned as thoroughly
The tops of the collection devices are cleaned
When a tiger-top tube is centrifuged, what are the resulting layers?
Clotted blood cells, separator gel, serum
Red blood cells, buffy coat, plasma
Clotted blood cells, buffy coat, serum
Red blood cells, separator gel, plasma
A PBT who works as a substitute at different facilities arrives for a new assignment. The station where he is assigned to work has a standard phlebotomy chair, a bariatric chair, a stool for the PBT, and a well-stocked supply cabinet between the chairs. There are biohazardous waste & standard trash cans close to the door. Across the room there is a counter with a sink, a centrifuge and other processing equipment, and a sharps container. What should be changed?
The centrifuge should be in another area
The chairs should be immediately next to each other
There is no need for a regular trash can
The sharps container should be within arm's reach of the phlebotomy chairs
What happens first when a blood vessel is damaged?
Platelets are activated and begin plugging the wound
A platelet and fibrin mesh is formed
The blood vessel constricts
An enzyme called plasmin is released
Which of the following is the most common type of blood cell?
Lymphocytes
Erythrocytes
Granulocytes
Leukocytes
The Occupational Safety and Health Administration (OSHA) is a federal government agency that protects workers from
Hazards on the job
Lawsuits
Verbal abuse from patients
Unfair employment practices