Question 1

Which of the following is not a method of blood collection?

Accepted Answer

A)  Syringe draw.
B)  Intravenous infusion.
C)  Vacutainer draws.
D)  Butterfly syringe draw. B

Question 2

What does ARD stand for, and what is its purpose?

Accepted Answer

A)  Antibiotic recovery device. Used when testing for appropriate antibiotic therapy.
B)  Account receivable department. Used for billing purposes.
C)  Antibiotic removal device. Used when blood cultures are drawn after the patient has received antibiotics.
D)  None of the above. C

Question 3

Is it necessary to follow an order of draws when using micro-containers?

Accepted Answer

A)  What is a micro-container?
B)  No
C)  Yes C

Question 4

Kendra is preparing to perform an arterial puncture. What area of the patient's body should Pheona examine first for a suitable site?

Accepted Answer

A)  The antecubital area of both arms.
B)  The thumb side of the wrist.
C)  The brachial artery.
D)  The femoral artery.

Question 5

Phil is preparing to collect a blood specimen. During his examination of the patients arm for a potential site, Phil observes the presence of petechiae scattered across both of the patients' arms. Phil understands what this indicates. He proceeds with the venipuncture, allowing extra time to make sure the site has completely stopped bleeding before leaving the patient. Why did Phil do this?

Accepted Answer

A)  Petechiae indicate possible clotting problems.
B)  Petechia indicates possible blood pressure problems.
C)  Petechia indicates possible infectious disease.
D)  Petechia indicates possible areas of inflammation.

Question 6

Which term refers to the process through which the human body attempts to maintain internal stability in response to stimuli disturbing its normal condition?

Accepted Answer

A)  Hemostasis.
B)  Hemolysis.
C)  Homeostasis.

Question 7

Phil's patient just returned from a radiology test that included an IV injection of dye. Phil collects the blood specimen and notes the radiographic test and time it was performed on the requisition form. Why did Phil do this?

Accepted Answer

A)  To inform the lab of possible adulterants.
B)  To inform the lab of a procedure that may affect the blood test.
C)  To inform the lab of other departments involved in the patients care.
D)  To inform the lab of possible time delays.

Question 8

What is glycolysis?

Accepted Answer

A)  The additive used to preserve glucose in blood.
B)  The destruction of red blood cells.
C)  The process of breaking down glucose for energy.

Question 9

Phil is drawing for multiple tests: a CBC, PT & PTT, blood glucose level and thyroid panel. Phil recalls from class that collection tubes are drawn in order. Phil arranges the collection tubes in this order: lavender top, light blue top, gray top and SST/ tiger top. What (if anything) has Phil done wrong?

Accepted Answer

A)  Phil used too many tubes.
B)  Phil did not follow the order of draws. Correct order is: light blue top, SST/tiger top, lavender top, and gray top.
C)  Phil has not done anything wrong.
D)  Phil did not follow the order of draws. Correct order is: SST/tiger top, light blue top, lavender top, and gray top.

Question 10

Which is first in the order of draws, a SST or PST?

Accepted Answer

A)  Hey, trick question! It is the same tube, just a different name.
B)  PST is first.
C)  SST is first.
D)  Since there is not a risk of additive cross-contamination, the order of draw does not apply.

Question 11

Kendra is about to perform venipuncture on a patient who had a mastectomy on the right side. What special precautions should Kendra observe for this patient?

Accepted Answer

A)  Pheona should avoid the right arm.
B)  Pheona should keep the patient in a flat position.
C)  There are not any special precautions for this situation.

Question 12

What are the symptoms of a latex allergy?

Accepted Answer

A)  Skin redness, hives.
B)  Shortness of breath.
C)  Runny nose, watery eyes.
D)  All of the above.

Question 13

A 22-gauge needle would be appropriately used for which group of the following patients?

Accepted Answer

A)  Infants.
B)  Children.
C)  Senior adults.
D)  A and C.

Question 14

What is an automatic incision device used for?

Accepted Answer

A)  For surgical purposes.
B)  For bleeding time punctures.
C)  For arterial punctures.
D)  For difficult venous punctures.

Question 15

Phil has a stat draw. The patient and physician are in deep discussion when Phil enters the patients' room. He immediately leaves the room, respecting the patients' right to privacy. He plans to return after completing a routine draw from the patient across the hall. What (if anything) did Phil do wrong?

Accepted Answer

A)  Phil did not do anything wrong.
B)  Because it was a stat draw, Phil should interrupt the discussion by informing the physician an important stat draw is due, and draw the sample.
C)  Phil should introduce himself, explain to the patient and physician why he is in the room, and follow-up by asking if he may draw the specimen.
D)  Phil should stand quietly in the room until the discussion is over, and then draw the specimen.

Question 16

Phil is selecting a needle for a butterfly syringe, intended for drawing a blood specimen from a pediatric patient. His patient's veins are small, so he wants a small sized needle. He chooses a 23-gauge needle. Has Phil made the correct selection?

Accepted Answer

A) True 
 B)False

Question 17

Which colored top indicates a tube containing the additive EDTA?

Accepted Answer

A)  Light blue
B)  Dark blue
C)  Lavender
D)  Gray

Question 18

Which of the following is not a special consideration phlebotomists should consider when working with older adults?

Accepted Answer

A)  Mobility issues.
B)  Visual acuity.
C)  Provide a protective environment.
D)  Thin fragile veins.

Question 19

Phil has just successfully performed his first venipuncture using a syringe! He was careful not to pull up too quickly on the plunger when collecting the specimen or push it down too forcefully when transferring the blood from the syringe to the specimen container. What purpose do the special precautions used when performing a syringe serve?

Accepted Answer

A)  To prevent bacterial contamination.
B)  To prevent adulteration of the specimen.
C)  To prevent hemolysis.
D)  To prevent a needle stick accident.

Question 20

Phil is performing a heel puncture. He is inspecting the infant's heel for an appropriate puncture site. Phil gently, yet firmly, holds the infants heel, while imagining a V-shaped boundary line, with the center point at the back of the heel. Phil chooses his puncture site on the left side of the heel, on the outside of the V-shaped boundary line. What (if anything) has Phil done wrong?

Accepted Answer

A)  Phil should have chosen a site inside the V-shaped boundary.
B)  Phil should have inverted the V-shaped boundary line.
C)  Phil should have used a circle-shaped boundary line.
D)  Phil did not do anything wrong.

Exam 5: Phlebotomy