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phlebotomy study guide Questions & Answers
100% Correct(LATEST UPDATE 2024)
when drawing blood on an outpatient, what is the next positive identification to ask for after obtaining DOB? A. photo ID B. SSN C. correct spelling of name D. medical record number - ANSWERA. photo ID A patient has a requisition for a urine test. The patient asks to have their blood drawn. They intend to call the physician's office when they leave to fax the orders. What should the phlebotomy technician do? A. call the physician before the draw to request and obtain orders B. draw the blood and confirm with the physician after the draw C. look in the computer at patient history to see what labs have been done in the past D. mark the labs that the patient ordered on the requisition - ANSWERA. call the physician before the draw to request and obtain orders The phlebotomy technician initiates a blood draw after receiving verbal consent from the patient. What kind of consent has been given? A. Informed B. Implied C. Expressed D. Manifest - ANSWERC. Expressed The physician orders an erythrocyte sedimentation rate (ESR) lab test. Which tube should the phlebotomy technician use? A. Red B. SST/Gold C. Green
D. Lavender - ANSWERD. Lavender Patient A is in the waiting room and has been waiting for a phlebotomy technician for 15 minutes. Patient B is in the waiting room waiting for a phlebotomy technician for 5 minutes. Both patients require a CBC with differential. The STAT box on Patient B's requisition is checked. What should the phlebotomist do first? A. draw blood from patient A using SST/gold top tube B. draw blood from patient B using a lavender top tube C. draw blood from patient B using SST/gold top tube D. draw blood from patient A using a lavender top tube - ANSWERB. draw blood from patient B using a lavender top tube A requisition form requires a phlebotomist to draw blood for an hgA1C and lipid panel. How should the phlebotomy technician draw blood from the patient to meet this requirement? A. grey top then SST/gold top B. grey top then lavender top C. lavender top then SST/gold top D. SST/gold top then lavender top - ANSWERD. SST/gold top then lavender top A phlebotomy technician is ready to perform venipuncture on a patient for labs the physician has ordered. What should the phlebotomy technician do first? A. gather the supplies B. identify the patient C. room the patient D. position the patient - ANSWERB. identify the patient A phlebotomy technician enters a patient's room to draw blood and notices the patient's date of birth on the ID band is different from the date of birth on the requisition form. How should the phlebotomy technician handle this situation? A. telephone the physician to verify the patient B. delay drawing the blood until the issue with the ID band is resolved C. change the ID band to match the requisition
- typewritten - ANSWERA. Layperson's What type of consent is required for a patient who is injured and unable to respond? A. Assumed consent B. Expressed consent C. Implied consent D. Informed consent - ANSWERC. Implied consent A phlebotomy technician receives an inpatient lab order. Upon entering the room, the technician observes an unconscious patient with family present. What should the technician do to verify the patient to the order, prior to the blood draw? A. ask the nurse B. use the patient ID band C. use the white board in the room D. ask the family member in the room - ANSWERB. use the patient ID band Which of the following does a requisition form include? A. ICD 10 code: B. Known allergies C. Implied consent D. Informed consent - ANSWERA. ICD 10 code: Which form of consent should be obtained when providing venipuncture services to a conscious patient? A. Implied consent B. Informed consent C. Expressed consent D. Telephonic consent - ANSWERC. Expressed consent Which of the following should be used when a patient presents with a latex allergy? A. Nitrile
B. Latex C. Cotton D. Plastic - ANSWERA. Nitrile A phlebotomy technician is entering a patient's room to draw blood after just drawing blood from a patient with a cold.What should the phlebotomy technician do before coming in contact with a new patient? A. Apply gloves. B. Ask the patient to wear a mask. C. Wash hands with soap and water. D. Use a bleach wipe on equipment - ANSWERC. wash hands with soap and water The phlebotomy technician is drawing a patient that has been tested positive for tuberculosis. What PPE protocol should the phlebotomy technician do next? A. send the patient back to the waiting room B. ask another phlebotomy technician to draw C. put on an N95 respirator mask and gloves D. wash their hands and draw the patient - ANSWERC. put on an N95 respirator mask and gloves A phlebotomy technician completes a draw inside a patient's room. As the technician is walking out they notice a stop sign on the door that reads "isolation". What should the phlebotomy technician do? A. return to the lab and do not continue with the next draw B. follow procedures per protocol next time C. notify the supervisor and follow the exposure protocol D. let the physician know not to write orders for the patient - ANSWERC. notify the supervisor and follow the exposure protocol A phlebotomy technician needs to perform a STAT draw on the floor. The patient (...) precautions. How should the phlebotomy technician dress for this procedure?
- gown, gloves, and a mask B. shoe covers, gloves, and gown C. mask, gloves, and shoe covers
A. All patients are healthy and may be infected with blood-borne pathogens B. all patients are unhealthy and may be infected with blood-borne pathogens C. all patients are healthy and have no blood-borne pathogens D. all patients have an allergy to blood-borne pathogens - ANSWERB. all patients are unhealthy and may be infected with blood-borne pathogens A phlebotomy technician recognizes a patient they are about to draw. They make a Facebook post regarding the patient. Which regulation has been violated? A. OSHA B. PHI C. HIPPA D. MSDS - ANSWERC. HIPPA A phlebotomy lechnician was drawing bood for a young child when the child jerked and the phlebotomy technician was poked. The phlebotomy technician continued about their work day. What standard procedure should the phlebotomy technician have followed? A. Test the child's blood for the presence of infectious diseases B. Ask the parents if the child has any known blood borne pathogens C. Wash the exposed area then report exposure to their supervisor D. Request for the doctor to inform them about the child's lab results - ANSWERC. Wash the exposed area then report exposure to their supervisor A laboratory clerk receives a call requesting labs to be faxed from a wellness center. The lab clerk has yet to receive patient record consent. The clerk sends the fax What protocol has been violated? A. Patient Bill of Rights B. HIPAA C. CLIA D. PHI - ANSWERB. HIPPA The patient asks the phlebotomy technician to give them results of their blood draw two weeks ago. What response should the phlebotomist give the patient? A. Tell the patient their results as quietly as possible.
B. Tell the patient you CANNOT give the results and refer them to the physician C. Tell the patient there is NO way to look it up because too much time has passed D. Print out the results for the patient. - ANSWERB. Tell the patient you CANNOT give the results and refer them to the physician A law enforcement officer comes to the lab to collect blood on a patient that had boei seopat Me RSbefore. The officer asks the phlebotomy technician to release all related specimens on the patient. What should the phlebotomy technician do? A. Aliquot the specimen samples in half, and give the officer half to keep the other half for the lab B. Call the patient and tell them a law enforcement officer wants to collect their blood specimen C. Have the officer fill out a Release of Specimen form and obtain identification. D. Do NOT give the officer the specimen samples without a warrant to protect HIPAA - ANSWERD. Do NOT give the officer the specimen samples without a warrant to protect HIPAA
- A phlebotomy technician has a computer screen open that displays personal information about a patent. The phlebotomy technician walks away without securing the screen.What has been violated? A.PPE B. OSHA C. MSDS D. HIPPA - ANSWERD. HIPPA A phlebotomy technician is inoculating blood cultures but fails to use the shield. As the needle is being pushed into the bottle, a spray of blood catches the phlebotomy technician in the eyes. What should the phlebotomy technician do next? A.Rub their eyes with a paper towel. B. Wash with soap and water. C. Flush the eyes for 15 minutes at the eyewash station. D. Contact the lab supervisor to report exposure. - ANSWERC. Flush the eyes for 15 minutes at the eyewash station. The phlebotomy technician is drawing blood from a patient who is very difficult to stick. While trying to dispose of the butterfly, the safety is unsecured. The needle sticks the phlebotomy technician. What should the phlebotomy technician do next?
B. Cleanse the area with antibacterial soap and water (1:10). C. Cleanse the area with bleach (1:10): D. Cleanse the area with 70% alcohol. - ANSWERC. Cleanse the area with bleach (1:10) A phlebotomy technician draws a patient and removes one glove to assist with applying the bandage.What compliance rule has been broken? A. OSHA's blood borne pathogen standards B. CDC's blood borne pathogen standards C. Local and state blood borne pathogen standards D. Company blood borne pathogen standards - ANSWERB. CDC's blood borne pathogen standards Technician fails to look for nonverbal cues or listen for verbal refusal. How were the patient's rights violated? A. Assault B. Invasion of privacy C. Battery D. Code of ethics - ANSWERC. Battery A phlebotomy technician is certified in Minnesota and wants to practice in California. Who will oversee this process? A. OSHA B. CLIA C. Federal Government D. State Government - ANSWERd. state government Company X provides goggles, lab coats, and gloves for all phlebotomy technicians. This personal protective equipment is provided in compliance with which entity? A. State Government В. Occupational Safely and Health Administration C. Centers for Disease Control D. Local Government - ANSWERB. Occupational Safely and Health Administration A Lab Manager is trying to reduce costs and has instructed all phlebotomy technicians to start disinfecting the adapters and tourniquets so they can be reused. A phlebotomy technician states to
their supervisor several lines that they are uncomfortable with this practice. The technician calls to have the facility inspected. What agency did the phlebotomy technician call? A. CLSI B. NAACLS C. OSHA D. CDC - ANSWERA. CLSI A phlebotomy technician successfully draws blood from a difficult patent. The nurse requests that the phlebotomy technician start an IV because the technician has been so successful with the difficult draw. What should the phlebotomy technician do next? A. Start the IV for the nurse B. Work with the nurse to start the IV together. C. Explain to the nurse that IVs are out of the scope of practice D. Ask the charge nurse for permission to start an IV. - ANSWERC. Explain to the nurse that IVs are out of the scope of practice A phlebotomy technician approaches an inpatient room with an irate patient screaming, "I don't know you" and demands to see the phlebotomy technician. The patient refuses testing. How should the phlebotomy technician handle this situation? A. Explain the importance of the test to the patient. B. Immediately introduce himself/herself to the patient and identify the patient information C. Leave the room and explain to the patient that a nurse will be notified of the refusal. D. Leave the room and request the previous phlebotomy technician to perform the draw - ANSWERA. Explain the importance of the test to the patient. A phlebotomy technician is called to collect blood cultures in the emergency room. What special handling should the phlebotomy technician perform with the sterile bottles? A. Clean bottle tops for 30 seconds and let dry completely before transfer. B. Invert bottles 8-10 times to properly mix the additives C. Attach the bottles directly to the hub to fill as with a vacutainer device. D. Let blood clot completely before it enters the bottles. - ANSWERA. Clean bottle tops for 30 seconds and let dry completely before transfer.
D. Explain to the patient that they might pass out or feel faint. - ANSWERA. Explain the whole procedure in easy to understand terms. A padent is scheduled for a 3-hour glucose test. The patent states that they are unsure of the details and are anxious about having it performed. How should the phlebotomy technician communicate with the patient? A. Inform the patient about the procedure and make sure they are fasting B. offer the patient a pamphlet about glucose testing C. Tell the patient that they are a diabetic. D. Tell the patient that their physician will explain the procedure. - ANSWERA. Inform the patient about the procedure and make sure they are fasting What is the order of the last four steps to end a venipuncture? A. Tube, tourniquet, cotton ball, safety cap B. Tourniquet, tube, safety cap, cotton bal C. Tube, tourniquet, safety cap, cotton ball D. tourniquet , tube, cotton ball, safety cap - ANSWERD. tourniquet , tube, cotton ball, safety cap A patient receives a stool for guaiac card during a visit to the physician. The patient brings the card to the lap because they felt rushed and misunderstood what must be done. What should the phlebotomy technician do to educate the patient? A. Discuss the instructions and diet restrictions with the patient. B. Send the patient back to the physician's office. C. Ask the patient to read the instructions. D. Call the physician's office to inform them about the patient. - ANSWERA. Discuss the instructions and diet restrictions with the patient. A physician orders the following labs on a patent: CBC, APTT, CMP. D-DIMER. In which order should the draw be completed? A. SST/GOLD, BLUE, LAV, BLUE B. BLUE, BLUE, GREY, SST/GOLD C. BLUE, BLUE, SST/GOLD, LAV D. LAV, BLUE, BLUE, SST/GOLD - ANSWERC. BLUE, BLUE, SST/GOLD, LAV
When a patient is in a "basal state", what have they refrained from for an extended period of time? A. Calories B. Tobacco C. Exercise D. Sleep - ANSWERA. calories A phlebotomy technician needs to perform a venipuncture on a child who is less than 2 years old. The phlebotomy technician must use a butterfly needle to collect the sample. What is the suggested vein for the phlebotomy technician to collect the sample? A. Median cubital B. Dorsal hand C. Cephalic D. Scalp. - ANSWERA. median cubital A patient who is ready for a blood draw informs the phlebotomy technician that they have very tough skin. How should the phlebotomy technician draw blood for this patient? A. Request the patient to pump their fist. B. Check both arms and feel for an adequate site. C. Palpate and use the anatomy of the arm for vein location. D. Perform a blind stick until the vein is found. - ANSWERA. Request the patient to pump their fist The phlebotomy technician notices a large scar on the patient's antecubital area on the same side the nurse has requested the blood draw to be performed. What should the phlebotomy technician do? A. Perform the venipuncture through the scar. B. Request more information about the scar. C. Locate a vein in the opposite arm. D. Perform a dorsal hand draw. - ANSWERC. Locate a vein in the opposite arm. A neonate needs to have a bilirubin and a BMP drawn. The heels have been stuck multiple times to prevent injury to the calcaneus bone. The parents are irate with the multiple heel sticks. Where should the phlebotomy technician obtain the specimen? A. Perform venipuncture.
C. The right foot D. The left hand - ANSWERD. The left hand A geriatric patient has large bruises on their arms due to several blood draws over a period of 3 days in the hospital. A new phlebotomy technician enters the room to perform a venipuncture and has a difficult time finding a suitable vein. The technician identifies a vein above the IV in the hand.What is the appropriate action for the phlebotomy technician to take? A. Perform the venipuncture because it is far enough away from the IV. B. Pause the IV and draw the blood after 15 minutes. C. Ask a nurse to pause the IV and draw the blood after 5 minutes. D. Ask a nurse to pause the IV and draw the blood after 15 minutes. - ANSWERD. Ask a nurse to pause the IV and draw the blood after 15 minutes. A patient who is an active IV drug user comes into the lab for an HIV screening. The patient has extensive scar tissue and collapsed veins. The phlebotomy technician visually notices track marks and vein damage on both arms.What technique should the phlebotomy technician use to obtain the draw? A. Use the track marks on the patient to find a usable vein. B. Ask the patient where they usually inject the IV drugs. C. Ask the patient where they usually have blood drawn. D. Use the anatomy of the arm and perform a blind stick. - ANSWERB. Ask the patient where they usually inject the IV drugs. A 6 week cid baby is brought in for work. The order is for a bilirubin, BMP, and CBC what site should be used for the draw? A. Scalp B. Antecubital C. Heel D. Finger sick - ANSWERC. Heel
