Question 1

During dermal puncture, the first drop of blood is wiped away because it may be:

Accepted Answer

A)  diluted with tissue fluid. 
B)  already clotted. 
C)  too concentrated because blood has not been flowing. 
D)  contaminated with skin bacteria. 
A)  diluted with tissue fluid. 
B)  already clotted. 
C)  too concentrated because blood has not been flowing. 
D)  contaminated with skin bacteria.

Question 2

The Duke bleeding time method has been replaced with the template bleeding time because the template method:

Accepted Answer

A)  takes less time. 
B)  is not affected by medications. 
C)  is more standardized. 
D)  requires less specialized equipment. 
A)  takes less time. 
B)  is not affected by medications. 
C)  is more standardized. 
D)  requires less specialized equipment.

Question 3

A butterfly bandage and a regular bandage are applied after performing a bleeding time.

Accepted Answer

A) True 
 B)False

Question 4

When performing a blood smear from a finger stick, two smears are made.

Accepted Answer

A) True 
 B)False

Question 5

Which is the right way to handle specimens for filter paper neonatal screening tests?

Accepted Answer

A)  Stack specimens after drying 
B)  Dry specimens in sunlight 
C)  Suspend specimens horizontally to air-dry 
D)  Stack specimens while they are drying 
A)  Stack specimens after drying 
B)  Dry specimens in sunlight 
C)  Suspend specimens horizontally to air-dry 
D)  Stack specimens while they are drying

Question 6

Complications associated with skin puncture include: 
1. hemolysis due to alcohol
2. osteomyelitis
3. tissue fluid contamination
4. hematoma

Accepted Answer

A)  1 and 3 
B)  1, 2, and 3 
C)  1 only 
D)  4 only 
A)  1 and 3 
B)  1, 2, and 3 
C)  1 only 
D)  4 only

Question 7

Multiplication of parasites within red blood cells occurs in:

Accepted Answer

A)  anemia. 
B)  septicemia. 
C)  malaria. 
D)  leukemia. 
A)  anemia. 
B)  septicemia. 
C)  malaria. 
D)  leukemia.

Question 8

Elevated bilirubin levels are seen in neonates with underdeveloped livers.

Accepted Answer

A) True 
 B)False

Question 9

A suitable blood smear should:

Accepted Answer

A)  cover the entire slide. 
B)  have two thick ends. 
C)  dry within 5 minutes. 
D)  have a feathered edge. 
A)  cover the entire slide. 
B)  have two thick ends. 
C)  dry within 5 minutes. 
D)  have a feathered edge.

Question 10

When preparing a blood smear, the correct angle of the spreader slide is:

Accepted Answer

A)  10 to 20 degrees. 
B)  20 to 30 degrees. 
C)  30 to 40 degrees. 
D)  40 to 50 degrees. 
A)  10 to 20 degrees. 
B)  20 to 30 degrees. 
C)  30 to 40 degrees. 
D)  40 to 50 degrees.

Question 11

A patient is experiencing symptoms of fever and chills. Which of the following procedures might the phlebotomist be requested to perform?

Accepted Answer

A)  A template bleeding time 
B)  A Duke bleeding time 
C)  An ancillary glucose test 
D)  Collection of thick and thin blood smears 
A)  A template bleeding time 
B)  A Duke bleeding time 
C)  An ancillary glucose test 
D)  Collection of thick and thin blood smears

Question 12

The presence of air bubbles will most seriously affect a:

Accepted Answer

A)  bilirubin collected in a Caraway pipette. 
B)  complete blood count (CB
C)  collected in a microcollection tube. 
C)  hematocrit collected in a microtube. 
D)  platelet count collected in a Unopette. 
A)  bilirubin collected in a Caraway pipette. 
B)  complete blood count (CB
C)  collected in a microcollection tube. 
C)  hematocrit collected in a microtube. 
D)  platelet count collected in a Unopette.

Question 13

Preparation of a blood smear using a slide that is not clean will result in:

Accepted Answer

A)  streaks in the feathered edge. 
B)  holes in the smear. 
C)  a smear that is too thick. 
D)  ridges in the smear. 
A)  streaks in the feathered edge. 
B)  holes in the smear. 
C)  a smear that is too thick. 
D)  ridges in the smear.

Question 14

All of the following are acceptable dermal puncture sites except the:

Accepted Answer

A)  big toe on a 6-month-old infant. 
B)  arch of the foot. 
C)  heel of an infant. 
D)  index finger of an adult. 
A)  big toe on a 6-month-old infant. 
B)  arch of the foot. 
C)  heel of an infant. 
D)  index finger of an adult.

Question 15

The calcaneus is located at the:

Accepted Answer

A)  posterior of the heel. 
B)  arch of the foot. 
C)  plantar surface of the heel. 
D)  lateral curvature of the heel. 
A)  posterior of the heel. 
B)  arch of the foot. 
C)  plantar surface of the heel. 
D)  lateral curvature of the heel.

Question 16

A phlebotomist has a requisition to collect a bilirubin and a complete blood count (CBC) from a newborn. The phlebotomist collects the bilirubin first but is unable to fill the microcollection tube for the CBC. The phlebotomist performs a second puncture and finishes filling the tube for the CBC.
-How will the CBC collected by the phlebotomist be affected?

Accepted Answer

Hemolysis

Question 17

Excessive squeezing of a dermal puncture site can cause all of the following except:

Accepted Answer

A)  increased glucose levels. 
B)  tissue fluid contamination. 
C)  hemolysis. 
D)  bruising of the area. 
A)  increased glucose levels. 
B)  tissue fluid contamination. 
C)  hemolysis. 
D)  bruising of the area.

Question 18

The major concern when determining the order of draw for a dermal puncture is the:

Accepted Answer

A)  speed of specimen collection. 
B)  amount of blood needed. 
C)  ability to adequately mix the specimen. 
D)  adherence of platelets to the puncture site. 
A)  speed of specimen collection. 
B)  amount of blood needed. 
C)  ability to adequately mix the specimen. 
D)  adherence of platelets to the puncture site.

Question 19

A phlebotomist has a requisition to collect a bilirubin and a complete blood count (CBC) from a newborn. The phlebotomist collects the bilirubin first but is unable to fill the microcollection tube for the CBC. The phlebotomist performs a second puncture and finishes filling the tube for the CBC.
-Will the CBC results be (falsely) increased or decreased?

Accepted Answer

The answer of A phlebotomist has a requisition to collect...

Question 20

The acceptable amount of blood used to fill a filter paper circle for newborn screening tests is:

Accepted Answer

A)  one drop. 
B)  three drops. 
C)  0.5 mL. 
D)  1.0 mL. 
A)  one drop. 
B)  three drops. 
C)  0.5 mL. 
D)  1.0 mL.

During dermal puncture, the first drop of blood is wiped away because it may be:

The Duke bleeding time method has been replaced with the template bleeding time because the template method:

A butterfly bandage and a regular bandage are applied after performing a bleeding time.

When performing a blood smear from a finger stick, two smears are made.

Which is the right way to handle specimens for filter paper neonatal screening tests?

Complications associated with skin puncture include: 1. hemolysis due to alcohol 2. osteomyelitis 3. tissue fluid contamination 4. hematoma

Multiplication of parasites within red blood cells occurs in:

Elevated bilirubin levels are seen in neonates with underdeveloped livers.

A suitable blood smear should:

When preparing a blood smear, the correct angle of the spreader slide is:

A patient is experiencing symptoms of fever and chills. Which of the following procedures might the phlebotomist be requested to perform?

The presence of air bubbles will most seriously affect a:

Preparation of a blood smear using a slide that is not clean will result in:

All of the following are acceptable dermal puncture sites except the:

The calcaneus is located at the:

Excessive squeezing of a dermal puncture site can cause all of the following except:

The major concern when determining the order of draw for a dermal puncture is the:

The acceptable amount of blood used to fill a filter paper circle for newborn screening tests is:

Phlebotomy and the Health-Care Delivery System

The Clinical Laboratory

Regulatory, Ethical, and Legal Issues

Safety and Infection Control

Basic Medical Terminology

Basic Anatomy and Physiology

Circulatory System

Venipuncture Equipment

Routine Venipuncture

Venipuncture Complications and Preexamination Variables

Special Blood Collection

Quality Assessment and Management in Phlebotomy

Arterial Blood Collection

Point-Of-Care Testing

Additional Duties of the Phlebotomist

Filters

Exam 12: Dermal Puncture

During dermal puncture, the first drop of blood is wiped away because it may be:

The Duke bleeding time method has been replaced with the template bleeding time because the template method:

A butterfly bandage and a regular bandage are applied after performing a bleeding time.

When performing a blood smear from a finger stick, two smears are made.

Which is the right way to handle specimens for filter paper neonatal screening tests?

Complications associated with skin puncture include: 1. hemolysis due to alcohol 2. osteomyelitis 3. tissue fluid contamination 4. hematoma

Multiplication of parasites within red blood cells occurs in:

Elevated bilirubin levels are seen in neonates with underdeveloped livers.

A suitable blood smear should:

When preparing a blood smear, the correct angle of the spreader slide is:

A patient is experiencing symptoms of fever and chills. Which of the following procedures might the phlebotomist be requested to perform?

The presence of air bubbles will most seriously affect a:

Preparation of a blood smear using a slide that is not clean will result in:

All of the following are acceptable dermal puncture sites except the:

The calcaneus is located at the:

Excessive squeezing of a dermal puncture site can cause all of the following except:

The major concern when determining the order of draw for a dermal puncture is the:

The acceptable amount of blood used to fill a filter paper circle for newborn screening tests is:

Phlebotomy and the Health-Care Delivery System

The Clinical Laboratory

Regulatory, Ethical, and Legal Issues

Safety and Infection Control

Basic Medical Terminology

Basic Anatomy and Physiology

Circulatory System

Venipuncture Equipment

Routine Venipuncture

Venipuncture Complications and Preexamination Variables

Special Blood Collection

Quality Assessment and Management in Phlebotomy

Arterial Blood Collection

Point-Of-Care Testing

Additional Duties of the Phlebotomist

Filters