Deck 6: Patient Identification and Specimen Requirements

Question 1

When the laboratory scientists have questions concerning a specimen, the most helpful information contained on the specimen label is:

A) a computerized barcode
B) laboratory accession number
C) phlebotomist's identification
D) test status (stat or RT)

Answer 1

phlebotomist's identification

Question 2

A patient located in which of the following settings may not be expecting to have his/her blood collected, and therefore become anxious at your arrival?

A) A patient in a hospital setting.
B) A nursing home patient.
C) An outpatient who brings a lab test order from his physician.
D) A patient in the emergency room who may need a transfusion.

Answer 2

A nursing home patient.

Question 3

Which of the following must be present for an action to be considered negligence? (choose all that apply)

A) The patient is owed a duty of care
B) There is a breach in the duty of care
C) There is a recognizable injury to the patient
D) A breach in duty must be the direct cause of an injury
E) All of the above

Answer 3

All of the above

Question 4

What liquid is acceptable to drink when fasting? (choose all that apply)

A) Water
B) Milk
C) Fruit juice
D) Black coffee

Question 5

Which of the following tests are most often a timed specimen? (choose all that apply)

A) Therapeutic drug monitoring.
B) Toxicology for lead levels.
C) Triglycerides and other lipids.
D) Triponin and other heart enzymes.

Question 6

Two specimens for James Smith were delivered to a hospital laboratory from the same client facility. Upon investigation, it is discovered that the physician's office did see two patients who are both named James Smith. What other information should have been available to help distinguish these specimens? (choose all that apply)
i. Unique identifier number
ii. Laboratory accession number
iii. Patient's date of birth
iv. Patient's hair color

A) i and ii
B) ii and iv
C) i and iii
D) ii and iii

Question 7

Blood collection for therapeutic drug monitoring requires (choose all that apply)

A) standard venipuncture procedure
B) sterile technique be followed
C) use of alternate antiseptic
D) chain-of custody procedure

Question 8

A specimen collected for a "peak-level"TDM must be drawn (choose all that apply)
i. midway between doses of a drug
ii. just before the next dose is given
iii. at its highest serum concentration
iv. at its lowest serum concentration

A) i and ii
B) ii and iv
C) i and iii
D) ii and iii

Question 9

A specimen collected for a "trough-level"TDM must be drawn (choose all that apply)
i. midway between doses of a drug
ii. just before the next dose is given
iii. at its highest serum concentration
iv. at its lowest serum concentration

A) i and ii
B) ii and iv
C) i and iii
D) ii and iii

Question 10

A specimen to assess drug toxicity is collected (check all that apply)
i. midway between doses of a drug
ii. just before the next dose is given
iii. at its highest serum concentration
iv. at its lowest serum concentration

A) i and ii
B) ii and iv
C) i and iii
D) ii and iii

Question 11

A specimen to assess therapeutic concentration is collected
i. midway between doses of a drug
ii. just before the next dose is given
iii. at its highest serum concentration
iv. at its lowest serum concentration

A) i and ii
B) ii and iv
C) i and iii
D) ii and iii

Question 12

A blood specimen to assess a patient's basal state is collected

A) at a specific time of day
B) first thing in the morning
C) late in the afternoon
D) twice during the day

Question 13

A blood specimen to assess a patient's fasting blood levels is collected

A) at a specific time of day
B) first thing in the morning
C) late in the afternoon
D) twice during the day

Question 14

A blood specimen to assess a patient's postprandial blood levels would be collected

A) at a specific time of day
B) first thing in the morning
C) late in the afternoon
D) twice during the day

Question 15

A blood specimen to assess a patient's blood level of a diurnal analyte would be collected

A) at a specific time of day
B) first thing in the morning
C) late in the afternoon
D) twice during the day

Question 16

For which of the following tests is blood most often collected at a specified time after the patient has finished eating a meal?

A) basal state
B) diurnal variation
C) postprandial
D) therapeutic monitoring

Question 17

-The specimen in this image was just removed from the centrifuge and appears

A) hemolyzed
B) icteric
C) lipemic
D) normal

Question 18

-The specimen in this image was just removed from the centrifuge and indicates that the

A) patient may be in basal state
B) patient is smoking cigarettes
C) patient was not fasting
D) centrifuge is malfunctioning

Question 19

-The specimen in this image was just removed from the centrifuge and appears

A) hemolyzed
B) icteric
C) lipemic
D) normal

Question 20

-The specimen in this image was just removed from the centrifuge and indicates that the

A) patient may be in basal state
B) patient is smoking cigarettes
C) patient was not fasting
D) centrifuge is malfunctioning

Question 21

The specimen in this image was just removed from the centrifuge and appears

A) hemolyzed
B) icteric
C) lipemic
D) normal

Question 22

-Which specimen in this image indicates that the patient was not fasting?

A) Image A
B) Image B
C) Image C

Question 23

-Which specimen in this image appears normal?

A) Image A
B) Image B
C) Image C

Question 24

The object in this image is used to

A) locate a suitable vein
B) perform glucose testing
C) take the patient's temperature
D) verify patient identity

Question 25

-Which specimens are labeled properly? (choose all that apply)

A) Image A
B) Image B
C) Image C
D) Image D

Question 26

-Which specimens are labeled in a way that may cause delay in testing? (choose all that apply)

A) Images A, B, D
B) Images B, C, D
C) Images C, D, A
D) Images C, A, B

Question 27

When should this sticker be affixed to a specimen?

A) when collecting specimens for timed tests.
B) when specimens are collected from critically ill patients
C) when test results are needed as soon as possible
D) when test results are needed immediately

Question 28

-In this image, what is represented by the times labeled as "A"? (choose all that apply)
i. timing midway between doses of a drug
ii. timing just before the next dose is given
iii. drug level at its highest serum concentration
iv. drug level at its lowest serum concentration

A) i and ii
B) ii and iv
C) i and iii
D) ii and iii

Question 29

-In this image, what is represented by the times labeled as "B"? (choose all that apply)
i. timing midway between doses of a drug
ii. timing just before the next dose is given
iii. drug level at its highest serum concentration
iv. drug level at its lowest serum concentration

A) i and ii
B) ii and iv
C) i and iii
D) ii and iii

Question 30

Who may order a blood test? (choose all that apply)

A) any heath care worker
B) health care provider
C) the patient
D) ward or unit clerk

Question 31

How may laboratory tests be requested? (choose all that apply)

A) electronically entered on computer
B) phone order by health care provider
C) using a laboratory requisition form
D) written order on a prescription pad
E) All of the above

Question 32

A laboratory accession number is (choose all that apply)
i. a number that is assigned to an order in the sequence received
ii. the patient's identification number
iii. used to track the progress of the test
iv. usually includes the Julian date

A) i, ii, and iii
B) i, iii, and iv
C) ii, iii, and iv
D) i, ii, and iv

Question 33

Information on the specimen label that is considered optional includes (choose all that apply)
i. A bar code
ii. Patient's physician name
iii. Specimen collection time and date
iv. Type of tube collected

A) i and ii
B) ii and iv
C) i and iv
D) ii and iii

Question 34

Information on the specimen label that is considered mandatory includes (choose all that apply)
i. A bar code
ii. Patient's physician name
iii. Specimen collection time and date
iv. Type of tube collected

A) i and ii
B) ii and iv
C) i and iii
D) ii and iii

Question 35

Every specimen label must include the following patient information. (choose all that apply)

A) date of birth
B) location (if inpatient)
C) medical record number
D) name
E) All of the above

Question 36

When collecting specimens from a child put him at ease by

A) insisting that the parents are not present during the procedure.
B) not talking to him during the procedure.
C) talking to him directly and briefly explaining the procedure.
D) telling him that the procedure will not hurt at all.

Question 37

You are attempting to identify an elderly patient who does not respond to your questions. The reason may be that she (choose all that apply)

A) cannot hear you due to loss of hearing
B) does not understand English
C) is confused about where she is
D) is heavily medicated

Question 38

Comatose patients

A) cannot identify themselves, so you cannot collect a specimen from them.
B) do not need to be spoken to at any time during specimen collection procedure.
C) may be able to hear you speak to them and should be informed of your presence and the procedure.
D) must have someone present to approve the specimen collection procedure.

Question 39

What information may be shared with patients who ask what tests you are collecting blood for? (choose all that apply)

A) the name of the test(s)
B) the reason such tests would be ordered
C) the name of the ordering physician
D) the time the tests are expected to be finished

Question 40

You are collecting specimens from infants in the hospital's nursery and the last baby on your list has been crying during the entire time you were collecting specimens from other infants. How should you proceed?

A) Ask a nurse to hold the infant still during the collection.
B) Collect the specimen because the infant is already crying and probably will not notice the puncture.
C) Play with the baby until he calms down, then perform the procedure.
D) Inform the baby's nurse that you will need to return to collect the baby's blood after he has been calm for at least an hour.

Question 41

A rule of conduct or action prescribed or formally recognized as binding or enforced by a controlling authority is a

A) bedside manner
B) code of ethics
C) duty
D) law

Question 42

A set of written rules, procedures, or guidelines that examines values, actions, and choices to help determine right from wrong is a

A) bedside manner
B) code of ethics
C) duty
D) law

Question 43

A patient perceives that a phlebotomist will cause harm, he might go to court with a claim of

A) assault
B) battery
C) breach of duty
D) negligence

Question 44

A patient who did not want his blood collected, but was drawn anyway might go to court with a claim of

A) assault
B) battery
C) breach of duty
D) negligence

Question 45

The action of a phlebotomist repeatedly probing for a vein is a (choose all that apply)
i. damage or injury
ii. derelict action
iii. direct cause
iv. duty that is breached

A) i and ii
B) ii and iv
C) i and iii
D) ii and iii

Question 46

A nerve is nicked as a phlebotomist repeatedly probes for a vein. This could result in (choose all that apply)

A) damage or injury
B) derelict action
C) direct cause
D) duty that is breached

Question 47

If the action of a phlebotomist repeatedly probing for a vein is linked to pain or inability to use the arm it is a

A) damage or injury
B) derelict action
C) direct cause
D) duty that is breached

Question 48

Depending on the requirements of the facility the phlebotomist may document specimen collection information by (choose all that apply)
i. handwriting information onto a log sheet
ii. bar-coding information into an LIS
iii. typing the information into an HIS
iv. verbally informing the health care provider

A) i, ii, and iii
B) i, iii, and iv
C) ii, iii, and iv
D) i, ii, and iv

Question 49

To be in compliance with HIPAA, phlebotomists should (choose all that apply)

A) allow patient's family members access to the laboratory's computer.
B) close the door to the patient's room after entering.
C) discuss interesting patient situations with coworkers.
D) keep logged on to the computer so that they don't waste time logging in and out.

Question 50

If a phlebotomist accesses information that she does not need to know to perform her job, she may be subject to (choose all that apply)

A) disciplinary action
B) dismissal
C) legal action
D) monetary fine
E) All of the above