Phelebotomy Answers 01 2018

Started on Sunday, March 4, 2018, 3:34 PM
State Finished
Completed on Sunday, March 4, 2018, 5:28 PM
Time taken 1 hour 53 mins
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Question 1 Complete clotting of a blood specimen can take up to

Correct Select one:
Mark 1 out of 1
a. 10 minutes at room temperature
Flag question
Question text b. 30 minutes at room temperature
c. 30 minutes at refrigeration temperature
d. 2 hours at room temperature
Feedback
30 minutes at room temperature.
Question 2 A falsely decreased blood alcohol level may be obtained if

Correct Select one:
Mark 1 out of 1 a. blood is collected in a gray stopper tube.
Flag question
b. the site is cleansed with Zephiran Chloride.
Question text
c. the tube is only partially filled.
d. the tube is overfilled.
Feedback
Alcohol is volatile, so the tube must be filled until the vacuum is exhausted, if
not then will get a falsely decreased alcohol level.
REFERENCE: Schaub Di Lorenzo,M. & Strasinger, S.K. (2010).BLOOD
COLLECTION-A Short Course (2nd edition.) Philadelphia, PA 19103:F.A.
Davis Company, PAGE 82-84.
Feedback
The correct answer is: the tube is only partially filled.
Question 3 What is the correct procedure to stop the bleeding at a venipuncture site?
Correct Select one:
Mark 1 out of 1 a. Apply an alcohol prep pad to the site and apply pressure
Flag question
b. Have the patient bend their arm and hold it there for 15 minutes
Question text
c. Place a gauze pad over the site and hold pressure for 5 to 15 minutes
d. Apply a cotton ball to the site and hold
Feedback
Place a gauze pad over the site and hold pressure for 5 to 15 minutes
Question 4 The phlebotomist would collect a blood sample in a tube containing the
Incorrect
anticoagulant sodium citrate (which inhibits glycolysis) for which type of
Mark 0 out of 1
Flag question laboratory test?
Question text Select one:
a. Electrolytes
b. Blood Glucose
c. Ionized Calcium
d. Erythrocyte Sedimentation Rate (ESR)
Feedback
Sodium Citrate is the anticoagulant of choice for ESR testing.
Reference: Turgeon, M. (2007). Linne & Ringsrud’s Clinical Laboratory
Science. (5th ed). St Louis: Mosby Elsevier, p 51
The correct answer is: Erythrocyte Sedimentation Rate (ESR)
Question 5 Heparinized plasma is preferred over serum for some chemistry tests.
Incorrect Heparin prevents clotting by
Mark 0 out of 1 Select one:
Flag question
a. binding calcium.
Question text
b. inactivating thrombin.
c. preventing glycolysis.
d. none, plasma requires blood to clot.
Feedback
Heparin inactivates the blood-clotting factor thrombin in vivo and in vitro.
Science. (5th ed). St Louis: Mosby Elsevier, p 51.
The correct answer is: inactivating thrombin.
Question 6 Proper identification of a coherent adult inpatient includes

Correct Select one:
Mark 1 out of 1 a. ask the patient their name.
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b. check the identification band that is physically attached to the patient.
Question text
c. both (a) and (b).
d. none needed; the nurse will verify the identification for you.
Feedback
The correct answer is: both (a) and (b).
Question 7 When performing a heel puncture on an infant, proper technique includes
Correct Select one:
Mark 1 out of 1 a. having the parent or guardian hold the infant’s foot so the phlebotomist
Flag question
can perform the puncture.
Question text
b. firmly holding the puncture device in place on the skin until blood appears.
c. placing the lancet flat against the skin on the medial or lateral plantar
surface of the heel.
d. not discarding the puncture device until blood appears so the device could
be used again to ensure a good puncture.
Feedback
The correct answer is: placing the lancet flat against the skin on the medial or
lateral plantar surface of the heel.
Question 8 When blood collected in a syringe must be placed in evacuated tubes it is
Correct
best if
Mark 1 out of 1
Flag question Select one:
Question text a. the needle safety device is deactivated.
b. the tube tops are removed.
c. a blood transfer device is attached to the syringe.
d. the tubes are pierced directly with the needle that is attached to the
syringe.
Feedback
The correct answer is: a blood transfer device is attached to the syringe.
Question 9 Which of the following would be first in the sequence of performing a finger
Incorrect stick procedure?
Mark 0 out of 1
Select one:
Flag question
a. Sanitize hands and put on gloves.
Question text
b. Clean and air-dry the puncture site.
c. Select the puncture/incision site.
d. Warm the puncture/incision site.
Feedback
Proper hand hygiene plays a major role in infection control by protecting the
phlebotomist, the patient and others from contaminatination, therefore
sanitize hands and put on gloves would be first.
Reference: McCall, R.E., & Tankersley, C.M. (2012). Phlebotomy Essentials.
(5th Ed.). Philadelphia: Lippincott Willimas & Wilkins, page 333.
The correct answer is: Sanitize hands and put on gloves
A serum or plasma specimen from a patient with severe lipemia would visibly
Question 10 appear
Incorrect Select one:
Mark 0 out of 1
a. clear.
Flag question
b. icteric.
Question text
c. milky.
d. yellow.
Feedback
Lipids do not dissolve in water and thus high levels of lipids are visible in
serum or plasma, causing it to appear milky or turbid.
(5th Ed.), Philadelphia: Lippincott Willimas & Wilkins, page 286.
The correct answer is: milky.
Question 11 The color-coded tube that is most frequently associated with coagulation tests
Correct is
Flag question
a. light blue
Question text
b. lavender
c. green
d. red
Feedback
The correct answer is: light blue
Question 12 The phlebotomist has prepared the patient’s arm and found the basilic vein.
Correct Has the phlebotomist selected the preferred vein site for venipuncture?
Mark 1 out of 1
Select one:
Flag question
a. No, the medial cubital vein is preferred
Question text
b. No, the femoral vein is preferred
c. No, the cephalic vein is preferred
d. No, the radial vein is preferred
Feedback
The correct answer is: No, the medial cubital vein is preferred
Specimens are scheduled for collection at specific times for different reasons.
Question 13 Which of the following is most likely not a factor?
Mark 0 out of 1
a. Measuring the body’s metabolism of the test substance
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b. The substance exhibits diurnal variation
Question text
c. Patients must be tested 2 hours before meals
d. To determine blood levels of medications prior to next dose
Feedback
Measuring the body’s metabolism of the test substance, determining the
substance diurnal variation and determining blood levels of medications prior
to the next dose are all reasons for collecting specimens at specific times.
The patient being tested 2 hours before meals is not a factor for collecting a
blood specimen at a specific time.
Davis Company; PAGE 82-84.
The correct answer is: Patients must be tested 2 hours before meals
Question 14 A blood sample is needed from a dialysis patient. Which of the following is an
Incorrect acceptable procedure?
Flag question
a. Draw from the vein with a cannula
Question text
b. Draw from the vein with a fistual
c. Draw from a hand vein
d. Either (a) or (b) would be acceptable
Feedback
Never draw through a cannula or fistula; draw from a hand vein.
The correct answer is: Draw from a hand vein
Question 15 How far above the venipuncture site should the tourniquet be wrapped around
Correct the arm?
Flag question
a. 1 to 2 inches
Question text
b. 3 to 4 inches
c. 5 to 6 inches
d. A tourniquet should not be used on a patient’s arm for venipuncture
Feedback
The correct answer is: 3 to 4 inches
Question 16 If additive contamination occurred from an EDTA evacuated tube, what test
Correct would potentially be affected?
Flag question
a. White blood cell count
Question text
b. Differential cell count
c. Potassium level
d. Red cell morphology
Feedback
The correct answer is: Potassium level
Question 17 During venipuncture, a hematoma may result from which of the following?
Correct Select one:
Mark 1 out of 1 a. Needle is occluded
Flag question
b. Needle bevel is against a vein wall
Question text
c. Needle bevel is partially inserted into a vein
d. Patient has coagulation problems
Feedback
The correct answer is: Needle bevel is partially inserted into a vein
Question 18 The main reason not to use expired evacuated tubes for blood specimen
Correct collection is
Flag question
a. they may exhibit incomplete filling.
Question text
b. the manufacturer will not ensure that they are still sterile.
c. they will crack during centrifugation.
d. the bar code on the label will not read properly.
Feedback
The correct answer is: they may exhibit incomplete filling.
Question 19 Swelling caused from blood leaking from a blood vessel is

Correct Select one:
Mark 1 out of 1 a. edema.
Flag question
b. sclerosis.
Question text
c. thrombosis.
d. hematoma.
Feedback
The correct answer is: hematoma.
Question 20 A basal-state specimen, used to establish reference ranges for inpatients, is

Correct best collected
Flag question
a. anytime, because the patient is confined to the hospital.
Question text
b. early in the morning, after fasting for 12 hours.
c. in the morning, immediately following breakfast .
d. anytime a patient is fasting.
Feedback
The correct answer is: early in the morning, after fasting for 12 hours.
Question 21 What instrument may be used when trying to visualize the veins during
Correct venipuncture?
Flag question
a. Otoscope
Question text
b. Venoscope
c. Ophthalmoscope
d. Cystoscope
Feedback
The correct answer is: Venoscope
Question 22 Which of the following tubes is normally used to collect a serum sample?
Correct Select one:
Mark 1 out of 1
a. Green top
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b. Purple top
Question text
c. Red Top
d. Blue top
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The correct answer is: Red Top
Question 23 A postprandial specimen is collected

Mark 0 out of 1
a. directly after a meal is consumed.
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b. two hours after a meal is consumed.
Question text
c. directly before a meal is consumed.
d. while the patient is fasting.
Feedback
Postprandial specimens are collected immediately after a meal is consumed.
The correct answer is: directly after a meal is consumed
Question 24 The anticoagulant heparin is used in tubes with tops of what color?
Correct Select one:
Mark 1 out of 1 a. Light blue
Flag question
b. Lavender
Question text
c. Green
d. Red
Feedback
The correct answer is: Green
Question 25 Which of the following techniques is best to employ if blood is not obtained
Incorrect upon needle insertion?
Flag question
a. Gently advance the needle or gently pull back slightly
Question text
b. Discontinue
c. Redirecting the needle to the side
d. Remove needle and call doctor
Feedback
If sample is not obtained immediately upon needle insertion, it is best to
change position of needle by gently pulling back a bit if needle has penetrated
too far in to the vein or if not far enough then gently advance the needle.
Davis Company, PAGE 69.
The correct answer is: Gently advance the needle or gently pull back slightly
Question 26 Preanalytical errors are mistakes made

Correct Select one:
Mark 1 out of 1 a. only by the phlebotomist.
Flag question
b. before laboratory testing.
Question text
c. during laboratory testing.
d. after laboratory testing.
Feedback
The correct answer is: before laboratory testing
Question 27 Which of the following represents the proper sequential draw from first to
Correct last?
Flag question
a. Serum tube, heparin tube, EDTA tube
Question text
b. Blue-top tube, EDTA tube, sterile tube
c. Serum tube, sterile tube, blue top tube
d. EDTA tube, serum tube, sterile tube
Feedback
The correct answer is: Serum tube, heparin tube, EDTA tube
Question 28 What is the preferred method for infant blood collection?
Mark 0 out of 1 a. Cut down
Flag question
b. Evacuated
Question text
c. Winged
d. Capillary
Feedback
The preferred method to collect blood from an infant is by caplillary.
Reference: Booth, K. A. & Mundt, L. (2011). Phlebotomy – A Competency-
Based Approach (3 ed.). (Chpt. 8, pg 221) New York, NY: McGraw Hill.
The correct answer is: Capillary
Question 29 You have to draw a 7 year old child for some blood work, what would be the
Correct best approach you should use when it is a child getting blood drawn?
Mark 1 out of 1
Select one:
Flag question
a. Have a colleague restrain the child while you collect the specimen.
Question text
b. Offer the child a toy if he or she let’s you draw the sample.
c. Explain what you are going to do in simple terms and ask the child for his
or her cooperation.
d. Let the child know that this won’t hurt and will only take a few seconds.
Feedback
The correct answer is: Explain what you are going to do in simple terms and
ask the child for his or her cooperation.
Question 30 A phlebotomist most likely not use a butterfly for which of the following
Correct patients?
Mark 1 out of 1
Select one:
Flag question
a. An elderly patient with thin skin
Question text
b. A wiggling child
c. A patient with resilient and bouncy veins
d. A patient with small, thin veins
Feedback
The correct answer is: A patient with resilient and bouncy veins
Question 31 If additive contamination occurred from an EDTA evacuated tube, what test
Incorrect would potentially be affected?
Flag question
a. White blood cell count
Question text
b. Differential cell count
c. Potassium level
d. Red cell morphology
Feedback
Potassium level is affected if there is contamination of the EDTA additive.
The correct answer is: Potassium level
Question 32 Following venipuncture, which of the following should be applied to the

Correct venipuncture site?
Flag question
a. Cotton ball
Question text
b. Ace7 bandage
c. Alcohol wipe/pad
d. Clean, sterile gauze pad
Feedback
The correct answer is: Clean, sterile gauze pad
Question 33 What abnormal color will be observed in serum collected from a patient with
Correct jaundice due to elevated bilirubin levels?
Flag question
a. Red-pink
Question text
b. Yellow
c. Milky white
d. Clear
Feedback
The correct answer is: Yellow
Question 34 What color evacuated tube would be commonly used for coagulation testing?
Correct Select one:
Mark 1 out of 1 a. Lavender
Flag question
b. Light blue
Question text
c. Green
d. Yellow
Feedback
The correct answer is: Light blue
If a patient is critical or an antibiotic needs to be given right away, and two
Question 35 blood culture sets are collected
Mark 0 out of 1
a. every 30 minutes.
Flag question
b. before, during and after antibiotics administered.
Question text
c. immediately from two different sites.
d. before, during and after fever spikes.
Feedback
When more than one set of blood cultures are ordered to be collected at the
same time, the second set should be obtained from a separately prepared
site on the opposite arm if possible.
The correct answer is: immediately from two different sites.
Question 36 Hemoconcentration of a specimen can be avoided by

Correct Select one:
Mark 1 out of 1 a. cleansing the site properly.
Flag question
b. applying the tourniquet loosely.
Question text
c. removing the tourniquet within 1 minute.
d. applying the tourniquet tightly.
Feedback
The correct answer is: removing the tourniquet within 1 minute.
Question 37 How long should a tourniquet be placed around a patient’s arm?
Correct Select one:
Mark 1 out of 1 a. No more than one minute
Flag question
b. Approximately four minutes
Question text
c. Until the needle is removed
d. Until the entire venipuncture is complete
Feedback
The correct answer is: No more than one minute
Question 38 To avoid contamination when should the needle cap be removed?

Correct Select one:
Mark 1 out of 1 a. When setting up the equipment
Flag question
b. Upon finding the venipuncture site
Question text
c. Just prior to performing the puncture
d. When applying the tourniquet
Feedback
The correct answer is: Just prior to performing the puncture
Question 39 To prevent glycolysis, which additive is used?
Mark 0 out of 1 a. Sodium Fluoride
Flag question
b. EDTA
Question text
c. Heparain
d. Sodium Citrate
Feedback
Sodium Fluoride is the most common antiglycolytic agent preventing
glycolysis.
Reference: McCall, R. & Tankersley, C. (2012). Phlebotomy Essentials. (5th
ed). Philadelphia: Lippincott Williams & Wilkins, p 219.
The correct answer is: Sodium Fluoride
Question 40 Which substance has a higher concentration in capillary blood than in venous
Incorrect blood?
Flag question
a. Potassium
Question text
b. Calcium
c. Total Protein
d. Glucose
Feedback
Glucose is normally higher in capillary blood compared to venous blood and
Potassium, Calcium and Total Protein are normally lower.
The correct answer is: Glucose
Question 41 A serum or plasma specimen containing abnormally increased fatty

Correct substances from animal or vegetable origin is described as
Mark 1 out of 1 Flag Select one:
question
a. lipemic.
Question text
b. anemic.
c. icteric.
d. hemolyzed.
Feedback
The correct answer is: lipemic.
Question 42 The phlebotomist places the blood specimen in circles on special filter paper,
Correct for what test?
Flag question
a. Cholesterol
Question text
b. Bilirubin
c. BUN
d. PKU
Feedback
The correct answer is: PKU
Question 44 By bracing the hand while holding the needle assembly against the patients
Incorrect arm you
Flag question
a. decreases patient discomfort.
Question text
b. prevent excess needle movement.
c. decreases the possibility of hemolysis.
d. allows tubes to be filled quicker.
Feedback
The bracing of the hand that’s holding the needle assembly against the
patient’s arm, will prevent excess needle movement.
The correct answer is: prevent excess needle movement.
Question 45 Which of the following is an accurate statement regarding the handling of

Incorrect specimens?
Flag question
a. Protect light-sensitive specimens when testing for the analyte bilirubin, as
Question text
concentrations of that analyte may decrease in value up to 25% after 5 hours.
b. Blood smears made from EDTA specimens must be prepared within 1
hour of collection.
c. Chilling specimens speeds up the metabolic process and destroys
analytes.
d. An EDTA specimen for erythrocyte sedimentation rate must be analyzed
within the first hour of collection.
Feedback
Blood smears made from EDTA specimens must be prepared within 1 hour of
collection is the only accurate statement.
The correct answer is: Blood smears made from EDTA specimens must be
prepared within 1 hour of collection.
Question 46 Which of the following actions could cause the formation of a hematoma?
Correct Select one:
Mark 1 out of 1 a. Inadvertently hitting the nerve
Flag question
b. The needle penetrates all the way through the vein
Question text
c. The patient was taking acetaminophen
d. The tourniquet is too loose on the patient’s arm
Feedback
The correct answer is: The needle penetrates all the way through the vein
Question 47 When a patient states that he or she has a needle phobia, the phlebotomist
Correct should
Mark 1 out of 1
Select one:
Flag question
a. have the patient lie down during the procedure.
Question text
b. let the patient chew on a piece of candy or gum.
c. show the patient how small the needle is.
d. let the patient handle the equipment prior to the procedure.
Feedback
The correct answer is: have the patient lie down during the procedure.
Prior to bandaging the puncture site the phlebotomist should
Question 48 Select one:
Incorrect a. thank the patient.
Mark 0 out of 1
b. instruct a fasting patient to eat.
Flag question
c. examine the site for bleeding.
Question text
d. apply pressure for at least 5 minutes.
Feedback
The venipuncture site should be examined for bleeding prior to bandaging the
puncture site.
The correct answer is: examine the site for bleeding.
Which of the following is of primary importance in preventing rolling veins
Question 49 during venipuncture?
Correct Select one:
Mark 1 out of 1
a. Tightly apply tourniquet
Flag question
b. Selecting median cubital vein
Question text
c. Using 23 gauge needle
d. Anchoring the vein while inserting the needle
Feedback
The correct answer is: Anchoring the vein while inserting the needle
The most common antiseptic for routine blood collection is
Correct
a. povidone-iodine
Mark 1 out of 1
b. 70% isopropyl alcohol
Flag question
c. 5.25% sodium hypochloride
Question text
d. antibacterial soap and water
Feedback
The correct answer is: 70% isopropyl alcohol
Question 51 You have properly prepared the antecubital venipuncture site, you have the
Incorrect corrrect collection device and enter the vein at a 20 degree angle. Is this the
Mark 0 out of 1 proper angle of insertion?
Flag question
Select one:
Question text
a. No, 10 degrees is the correct angle for the needle to be inserted into the
skin
b. No, 30 degrees is the correct angle for the needle to be inserted into the
skin
c. No, 45 degrees is the correct angle for the needle to be inserted into the
skin
d. No, 90 degrees is the correct angle for the needle to be inserted into the
skin
Feedback
30 degrees gives the right angle to properly access the vein; any more or less
could slide the bevel along the vessel wall or puncture the vein.
The correct answer is: No, 30 degrees is the correct angle for the needle to
be inserted into the skin
If the plunger on the syringe is pulled back too fast:
Incorrect a. The patient will feel a stinging sensation
Mark 0 out of 1
b. The specimen may be hemolyzed
Flag question
c. The patient will develop a hematoma
Question text
Feedback
When using a syringe to draw a blood sample, if the plunger is pulled back
too fast the speciment may be hemolyzed.
The correct answer is: The specimen may be hemolyzed
Question 53 A collapsed vein will cause a

Correct Select one:
Mark 1 out of 1 a. cessation of blood flow.
Flag question
b. greater flow of blood.
Question text
c. patient to faint.
d. vein to hemorrhage.
Feedback
The correct answer is: cessation of blood flow.
The most critical part of a blood culture collection is
Incorrect a. filling the two media vials adequately.
Mark 0 out of 1
b. skin antisepsis of the collection site.
Flag question
c. the selection of the collection site.
Question text
d. timing of the second set of cultures.
Feedback
Skin antisepsis, the destruction of microorganisms on the skin is a critical part
of the blood collection procedure.
Question 55 What information would NOT be indicated on the label of a blood bank
Correct specimen?
Mark 1 out of 1 Flag Select one:
question
a. Patient’s date of birth
Question text
b. NPO status of the patient and time of last meal
c. Date and time of specimen collection
d. Patient’s full name including middle initial
Feedback
The correct answer is: NPO status of the patient and time of last meal
Question 56 When performing a capillary blood collection, the first blood drop is wiped
Correct away because
Flag question
a. it helps to visualize the puncture site.
Question text
b. you can tell where to place the capillary tube.
c. the first drop may clot faster.
d. the first drop typically has more tissue fluid.
Feedback
The correct answer is: the first drop typically has more tissue fluid.
Alcohol should be allowed to dry completely prior to skin puncture to

Incorrect
a. prevent stinging
Mark 0 out of 1
b. prevent dilution of the sample
Flag question
c. prevent lysis of red blood cells
Question text
d. allow formation of a round drop of blood
Feedback
Chapter 10, Page 343; McCall, R.E. & Tankersley, C.M.(2003). Phlebotomy
Essentials, 3rd. Ed. Philadelphia: Lippincott Williams & Wilkins.
The correct answer is: prevent lysis of red blood cells
Question 58 When is a phlebotomist allowed to perform a venipuncture on an ankle vein?
Mark 0 out of 1 a. Never
Flag question
b. When a patient has IV in both arms
Question text
c. During an emergency
d. When all other options have been exhausted and the physician has given
approval
Feedback
A phlebotmist is allowed to perform a venipuncture on an ankle veinwhen all
other options have been exhausted and the doctor has given permission.
REFERENCE: Booth, K.A. & Mundt,L. (2012).PHLEBOTOMY-A Competency
based approach( 3rd edition.) McGraw-Hill Higher Education, Page 218.
The correct answer is: When all other options have been exhausted and the
physician has given approval
Question 59 Which of the following is proper care of a patient following collection of an
Incorrect arterial blood specimen?
Mark 0 out of 1
Select one:
Flag question
a. Have the patient to apply pressure immediately to the puncture site.
Question text
b. Ask the patient to check the site after 3 minutes to see if there is any
bleeding.
c. Apply firm pressure to the puncture site for a minimum of 3-5 minutes.
d. Request that the patient applies pressure on the site until a nurse comes
to check the site for bleeding.
Feedback
The patient should be allowed to apply the pressure, instead the phlebotomist
should apply firm pressure to the puncture site for a minimum of 3-5 minutes.
The correct answer is: Apply firm pressure to the puncture site for a minimum
of 3-5 minutes.
Question 60 The color-coded tube that is most frequently associated with hematological
Incorrect tests is
Flag question
a. red
Question text
b. green
c. lavender
d. light blue
Feedback
The correct answer is: lavender
Question 61 An anticoagulant is used when collecting a sample for a blood glucose test
Correct because its ability to inhibit glycolysis. What colored stopper would be found
Mark 1 out of 1
on an evacuated blood collection tube used for this purpose?
Flag question
Question text
Select one:
a. blue top
b. yellow top
c. red top
d. light gray top
e. green top
Feedback
The correct answer is: light gray top
Question 62 A fully-stocked phlebotomy tray readily accessible to the phlebotomy
Correct technician while performing venipuncture should include which of the
Mark 1 out of 1 following?
Flag question
Select one:
Question text
a. Needles of various sizes
b. Needle holder/adapter
c. Evacuated blood collection tubes
d. All of the above
Feedback
The correct answer is: All of the above
Question 63 The phlebotomist has to prepare a blood smear for a leukocyte alkaline
Incorrect phosphatase (LAP). What is the correct procedure?
Flag question
a. Perform the skin puncture and touch the slide to first drop of blood
Question text
b. Perform the skin puncture and smear the slide with the first drop of blood
c. Perform the skin puncture, wipe away the first drop of blood and then
touch the slide to the next drop of blood
d. Perform the skin puncture, wipe the first drop and then get a large drop
and place in center of slide and place a cover slip over the drop
Feedback
The correct procedure to prepare a blood smear for a leukocyte alkaline
phosphatase is to cleanse the puncture site, perform the skin puncture, wipe
away the first drop of blood; then touch a slide to the next drop of blood; next
hold the slide with the blood drop between the thumb and forefinger, while
pulling the spreader slide back to the edge of the blood drop before pushing
the spreader slide away from the drop in one smooth motion.
ed). Philadelphia: Lippincott Williams & Wilkins, p 348-350.
The correct answer is: Perform the skin puncture, wipe away the first drop of
blood and then touch the slide to the next drop of blood
Question 64 The liquid portion of an anticoagulated blood specimen is called

Mark 0 out of 1 a. serum
Flag question
b. plasma
Question text
c. oxygenated blood
d. cellular components
Feedback
Essentials, 3rd. Ed. Philadelphia: Lippincott Williams & Wilkins. Plasma is the
liquid portion of anticoagulated blood specimen.
The correct answer is: plasma
Question 65 Which of the following is not mandated to be on a label of a blood specimen
Incorrect collected for blood transfusion testing?
Flag question
a. Patient’s phone number
Question text
b. Patient's full name
c. Patient’s date of birth
d. Phlebotomist’s initials
Feedback
Labeling requirements for blood bank specimens includes the patient's full
name, hospital ID, date of birth, room numbet and the phlebotomist must
initial the blood tube in case there is a transfusion reaction investigation. The
Patient's phone number is not required to be on the tube.
The correct answer is: Phlebotomist’s initials
Question 66 The term calcaneus refers to

Correct Select one:
Mark 1 out of 1 a. an abnormal reaction of the vessel walls that stops blood flow.
Flag question
b. an infection of the blood.
Question text
c. the heel bone in the foot.
d. the sole of the foot.
Feedback
The correct answer is: the heel bone in the foot.
Question 67 Which of the following is the most critically affected analyte in a hemolyzed
Incorrect specimen?
Flag question
a. Potassium
Question text
b. Albumin
c. Total Protein
d. Calcium
Feedback
Potassium is critically affected by hemolysis.
The correct answer is: Potassium
Question 68 Areas from which blood should not be collected include all the following with
Incorrect the exception of
Flag question
a. a Basilic vein.
Question text
b. a hematoma.
c. an arm with an IV.
d. an arm with a fistula.
Feedback
The Basilic vein is an acceptable site for a venipuncture, all the the others are
unacceptable.
Davis Company, page 46-48.
The correct answer is: a Basilic vein.
Question 69 Partial penetration of the upper wall of a vein may
Correct Select one:
Mark 1 out of 1 a. increase protein
Flag question
b. alter the trough level
Question text
c. affect the cell volume
d. allow blood to leak into subcutaneous tissue by way of the needle bevel
Feedback
The correct answer is: allow blood to leak into subcutaneous tissue by way of
the needle bevel
Question 70 Older patients are more prone to hematoma formation because
Correct Select one:
Mark 1 out of 1 a. they have smaller veins.
Flag question b. tourniquets must be tied tighter.
Question text c. their veins have decreased elasticity.
d. they have difficulty making a fist.
Feedback
The correct answer is: their veins have decreased elasticity.
Question 71 If blood begins to flow and then stops when an evacuated tube is pushed into
Incorrect the needle the most likely cause is the
Flag question
a. use of 21 gauge needle.
Question text
b. angle of the tube is too high.
c. bevel of the needle resting against the vein wall.
d. tourniquet is too loose.
Feedback
Causes for a tube not filling correctly include the vein collapsing, vacuum in
tube is lost, the bevel of the needle is resting against the vein wall or needle
penetrated the vein.
Davis Company, PAGE 65-66.
The correct answer is: bevel of the needle resting against the vein wall.
Question 72 Which of the following conditions would be most likely cause

Correct hemoconcentration?
Flag question
a. Hyperglycemia
Question text
b. Lipemia
c. Proteinuria
d. Dehydration
Feedback
The correct answer is: Dehydration
If serum is left to remain on the blood clot for more than one hour, which of
Question 73 the following most likely will occur?
Mark 0 out of 1
a. Serum glucose levels increase
Flag question
b. Serum glucose levels decrease
Question text
c. Serum potassium levels increase
d. Serum potassium levels decrease
Feedback
RBCs in the blood clot would continue to metabolize glucose resulting in
decreased values. Potassium values should not be affected.
The correct answer is: Serum glucose levels decrease
Question 74 An individual comes in for an autologous donation, what is this person coming
Correct to do?
Flag question
a. Needs to have their blood drawn
Question text
b. Donating their own blood for their own use
c. Have a fasting blood test
d. Donating blood for a family member
Feedback
The correct answer is: Donating their own blood for their own use
Question 75 Which of the following would be the very first step in performing a routine
Incorrect venipuncture on a patient?
Flag question
a. Identify the patient
Question text
b. Identify yourself
c. Explain the procedure
d. Apply the tourniquet
Feedback
The first step, when you need to perform a routine venipunture on a patient, is
first identify yourself, then identify the patient properly by checking the
patient’s identification.
Based Approach (3 ed.). (Chpt. 8, pg 202)
The correct answer is: Identify yourself
Question 76 A skin puncture is preferred over a venipuncture when the patient
Mark 0 out of 1 a. is severely dehydrated.
Flag question
b. has chronic poor circulation.
Question text
c. is extremely cold.
d. has severe burns.
Feedback
Severe burns is appropriate; the other choices are not due to the difficulty of
blood flow through the extremities.
Reference: Kiechle, F. (Ed) (2007). So You’re Going to Collect a Blood
Specimen: An Introduction to Phlebotomy. (12th ed). College of American
Pathologists, p 36.
The correct answer is: has severe burns
Question 77 When is a phlebotomist allowed to use ankle veins to draw blood?
Mark 0 out of 1 a. Never
Flag question
b. If no other sites are available
Question text
c. After two unsuccessful attempts at other sites
d. With a physician’s order
Feedback
An ankle draw is only permitted with a physician order.
Based Approach (3 ed.); Chpt. 8, pg 209; New York, NY: McGraw Hill.
The correct answer is: With a physician’s order
Question 78 Why is it necessary to wipe the first drop of blood away when performing a
Correct capillary procedure?
Flag question
a. To help increase the blood flow
Question text
b. To eliminate alcohol contamination
c. To reduce interstitial fluid contamination
d. To decrease the pain
Feedback
The correct answer is: To reduce interstitial fluid contamination
Question 79 What antiseptic should the phlebotomy technician use to collect a blood
Incorrect culture?
Mark 0 out of 1
Select one:
Flag question
a. Peroxide
Question text
b. Witch hazel
c. Isopropyl alcohol
d. Chlorhexidine gluconate
Feedback
Ernst, D.J. (2005). Applied Phlebotomy. Philadelphia: Lippincott Williams &
Wilkins.
The correct answer is: Chlorhexidine gluconate
Question 80 The primary reason for using a syringe transfer device is to
Mark 0 out of 1
a. safely transfer blood from a syringe into ETS tubes.
Flag question
b. ensure that the proper amount of blood can be supplied to the lab.
Question text
c. provide an easy method to separate the packed cells from the plasma.
d. reduce the amount of time required to get the blood from a syringe to an
evacuated tube.
Feedback
The primary reason to use a syringe transfer device is to safely transfer blood
from a syringe into ETS tubes.
The correct answer is: safely transfer blood from a syringe into ETS tubes
Question 81 After the last tube is filled, which of the following is done next?
Mark 0 out of 1 a. Filled tube is removed from the holder
Flag question
b. Needle is withdrawn from the arm
Question text
c. Gauze is placed over the needle
d. Pressure is applied to the site
Feedback
The sequence after the last tube is drawn is to remove the tube from the
holder, place gauze over puncture site, remove the needle, activate the safety
feature and apply pressure.
REFERENCE : Schaub Di Lorenzo,M. & Strasinger, S.K. (2010).BLOOD
The correct answer is: Filled tube is removed from the holder
Question 82 Which of the following situations would most likely trigger hematoma
Correct formation?
Flag question
a. Removing the tourniquet before removing the needle.
Question text
b. Filling the evacuated tube only half full.
c. Removing the needle while the tourniquet is still on the arm.
d. Applying too much pressure on a puncture site.
Feedback
The correct answer is: Removing the needle while the tourniquet is still on the
arm.
Question 83 The phlebotomist has a patient who has no known allergies and in preparing
Correct the venipuncture site the phlebotomist uses iodine to clean the site. Is this
Mark 1 out of 1
the best antiseptic to use and the most commonly used anticeptic used to
Flag question
prepare a routine venipuncture site on a patient with no known allergies?
Question text
Select one:
a. Yes, tincture of iodine is the best antisdseptic.
b. No, the phlebotomist should use 5.25% sodium hypochlorite.
c. No, the phlebotomist should use 70% isopropyl alcohol.
d. No, the phlebotomist should use hydrogen peroxide.
Feedback
The correct answer is: No, the phlebotomist should use 70% isopropyl
alcohol.
Question 84 How are bottles for a blood culture test filled when collecting blood through a
Incorrect butterfly needle?
Flag question
a. Anaerobic bottle, then aerobic bottle
Question text
b. Aerobic bottle, then anaerobic bottle
c. Only fill the aerobic bottle
d. Only fill the anaerobic bottle
Feedback
The aerobic bottle is collected first due to possible air in the tubing that could
be introduced into the bottles.
The correct answer is: Aerobic bottle, then anaerobic bottle
Question 85 Leaving tubes filled with blood in a rack without mixing will cause
Mark 0 out of 1 a. hemolysis.
Flag question
b. hemoconcentration.
Question text
c. contamination.
d. clotting.
Feedback
Tubes filled with blood left in a rack will cause clotting, unless the tube has an
additive in it and was mixed appropriately.
Reference: Booth, K. A. & Mundt, L. (2011); Phlebotomy – A Competency-
Based Approach (3 ed.), Chpt. 9, pg 256; New York, NY: McGraw Hill.
The correct answer is: clotting.
Question 86 Catheterization is performed for which of the following reasons?
Correct Select one:
Mark 1 out of 1
a. To obtain a specific gravity measurement
Flag question
b. To obtain a sterile urine specimen and to relieve urinary retention
Question text
c. To obtain a random urine specimen
d. To prevent urinary infection
Feedback
The correct answer is: To obtain a sterile urine specimen and to relieve
urinary retention
Question 87 Residual urine is
Mark 0 out of 1 a. the leakage of urine despite voluntary control of urination.
Flag question
b. urine that is collected over a 24-hour period.
Question text
c. urine remaining in the bladder after voiding.
d. urine that is normally voided.
Feedback
Residual urine is the urine remaining in the bladder after voiding.
Reference: Booth, K., Whicker, L., Wyman, T., Moaney-Wright, S. (2011);
Medical Assisting Administrative and Clinical Procedures with Anatomy and
Physiology; (4th Ed); Mcgraw-Hill, New York; page 1097.
The correct answer is: urine remaining in the bladder after voiding.
Question 88 When transporting specimens from the patient unit down to the hospital
Incorrect laboratory which of the following systems is used?
Flag question
a. Evacuated
Question text
b. Courier
c. Pneumatic tube
d. Mail
Feedback
Pneumatic tube systems transport blood from the hospital unit to the
laboratory. Courier and or mail is used if the laboratory is not on site.
Based Approach (3 ed.), Chpt. 9, pg 240. New York, NY: McGraw Hill.
The correct answer is: Pneumatic tube
Question 89 What is the primary reason that additive tubes should be gently inverted and
Correct not vigorously mixed?
Mark 1 out of 1
Select one:
Flag question
a. To save the phlebotomist time and energy.
Question text
b. To avoid hemolyzing the blood specimen.
c. To avoid breaking the collection tube.
d. To avoid leakage of blood from the collection tube.
Feedback
The correct answer is: To avoid hemolyzing the blood specimen.
Question 90 Alcohol pads are not used when collecting a blood alcohol specimen because
Incorrect the practice will
Flag question
a. prevent the blood from clotting.
Question text
b. be considered invalid if presented in court.
c. cause patient allergies.
d. cause contamination of the site.
Feedback
Alcohols pads are not used to collect a blood alcohol specimen due to the fact
that the alcohol pad will interfer with the results and the test will be considered
invalid if presented in court.
Based Approach (3 ed.), Chpt. 9, 249, New York, NY: McGraw Hill.
The correct answer is: be considered invalid if presented in court
Question 91 Which of the following factor is important in the collection of a sputum
Incorrect specimen used for an acid-fast bacillus (AFB) test?
Flag question
a. Collect a mid day specimen
Question text
b. Wait at least 4 hours after eating before collecting a specimen
c. A minimum of 3-5 mL of sputum is required for testing
d. A minimum of 1 mL of sputum is needed to test
Feedback
A minimum of 3-5 mL of sputum is required for testing in order for the
laboratorian to obtain the best result.
The correct answer is: A minimum of 3-5 mL of sputum is required for testing
Question 92 Which urine collection method is most suitable for culture and sensitivity
Correct testing of microbes?
Remove flag
a. Regular voided specimen
Question text
b. Midstream specimen
c. Midstream clean-catch specimen
d. 24-hour urine specimen
Feedback
The correct answer is: Midstream clean-catch specimen
Question 93 A urine sample collected for a glucose tolerance test (GTT) must contain what
Correct additional information on the label?
Flag question
a. Patient’s initials
Question text
b. Patient’s telephone number
c. Time of collection
d. Location of collection
Feedback
The correct answer is: Time of collection
The guaiac card occult blood test is commonly performed on what type of
Question 94 sample?
Correct Select one:
Mark 1 out of 1 a. Sputum
Flag question b. Stool
Question text c. Throat Swab
d. Urine
Feedback
The correct answer is: Stool
The addition of which preservative allows urine to be stored at room
Question 95 temperature while still providing results comparable to refrigerated urine?
Mark 0 out of 1
a. Toluene
Flag question
b. Formaldehyde
Question text
c. Acetic acid
d. Boric acid
Feedback
Research shows the boric acid provides results comparable to refrigerated
urine. The other preservatives listed provide more specified preservation.
The correct answer is: Boric acid
Question 96 Which fluid is usually obtained by a physician through a lumbar puncture and
Correct must be processed through the laboratory “stat”?
Flag question
a. Cerebrospinal fluid
Question text
b. Gastric fluid
c. Seminal fluid
d. Synovial fluid
Feedback
The correct answer is: Cerebrospinal fluid
Blood specimens that need to be shipped off-site by mail systems must be
Question 97 packaged in accordance with the
Mark 0 out of 1
a. FAA and DOT.
Flag question
b. FAA and FDA.
Question text
c. CDC and FDA.
d. CDC and FAA.
Feedback
Specimens sent to off-site locations by courier or postal systems must be
packaged and transported according to the Department of Transportation
(DOT) and the Federal Aviation Administration (FAA).
(5th Ed.); Philadelphia: Lippincott Willimas & Wilkins; page 423.
The correct answer is: FAA and DOT.
Question 98 ‘Chemical and microscopic changes that invalidate the results obtained from
Incorrect a urine specimen if the urine is kept at room temperature for what period of
Mark 0 out of 1 time?
Flag question
Select one:
Question text
a. 30 minutes
b. 2.5 hours
c. 5 minutes
d. 1 hour
Feedback
Urine speciments that can not be transported or analyzed promptly can be
held at room temperature and protected from light for up to 2 hours.
The correct answer is: 1 hour
Question 99 Which of the following is the most common injury occurring during
Correct venipuncture if the procedure is NOT performed according to standards?
Flag question
a. Diaphoresis
Question text
b. Nerve injuries or hematoma
c. Loss of patient consciousness
d. Insertion of needle at a 15º - 30º angle
Feedback
The correct answer is: Nerve injuries or hematoma
The guaiac card occult blood test is commonly performed on what type of
Question 100 sample?
Correct Select one:
Mark 1 out of 1
a. Sputum
Flag question
b. Stool
Question text
c. Throat Swab
d. Urine
Feedback
The correct answer is: Stool
Question 101 If a small-bore needle is used with a large-volume tube to collect a blood
Correct sample, what if anything will likely take place with respect to the sample?
Mark 1 out of 1
Select one:
Flag question
a. Hemochromatosis
Question text
b. Hemoconcentration
c. Hemolysis
d. Nothing will happen
Feedback
The correct answer is: Hemolysis
Question 102 A specimen that requires chilling for transport to the lab should be placed in
Mark 0 out of 1
a. an ice chest with cubes of ice.
Flag question
b. a container with frozen ice packs.
Question text
c. a container immersed in a slurry of crushed ice and water.
d. an ice chest with crushed ice.
Feedback
Specimens that require chilling should be completely immersed in a slurry of
crushed ice and water and either tested immediately or refrigerated upon
arrival in the laboratory. Large cubes or chunks of ice without water added do
not allow adequate cooling of the entire specimen.
(5th Ed.); Philadelphia: Lippincott Willimas & Wilkins; page 425.
The correct answer is: a container immersed in a slurry of crushed ice and
water.
Question 103 A major advantage of point of care testing (POCT) is
Mark 0 out of 1 a. faster turnaround time (TAT).
Flag question
b. lower cost.
Question text
c. ease of use.
d. ease of billing.
Feedback
POCT can be more costly and more difficult to perform than standard
laboratory tests; therefore, faster TAT is the best answer.
The correct answer is: faster turnaround time (TAT).
Question 104 Forcing syringe - drawn specimens into evacuated tubes may cause
Correct Select one:
Mark 1 out of 1 a. hemoconcentration.
Flag question
b. hemolysis.
Question text
c. clotting.
d. inaccurate mixing of the specimen.
Feedback
The correct answer is: hemolysis.
Question 105 What is POCT?
Correct Select one:
Mark 1 out of 1
a. Physician ordered chemistry test
Flag question
b. Patient-operated cholesterol test
Question text
c. Point-of-care testing
d. Personnel occupational care training
Feedback
The correct answer is: Point-of-care testing
Question 106 With adequate fluid intake, the average adult daily urine output is ____ mL
Incorrect per 24 hours.
Mark 0 out of 1
Select one:
Flag question
a. 460
Question text
b. 720
c. 1000
d. 1250
Feedback
The average adult daily urine output is 1250 mL per 24 hours.
The correct answer is: 1250The correct answer is: Aliquot
Question 107 What type of catheter is used to collect specimens or to instill medications?
Mark 0 out of 1 a. Splinting
Flag question
b. Retention
Question text
c. Straight
d. Urethral
Feedback
The catheter used to collect specimens or to instill medications is a straight
catheter.
The correct answer is: Straight
Question 108 What is one of the first signs of liver disease?
Correct Select one:
Mark 1 out of 1 a. Glycosuria
Flag question
b. Anuria
Question text
c. Bilirubinuria
d. Phenylketonuria
Feedback
The correct answer is: Bilirubinuria
Question 109 A pregnant patient who tells you that she is having pain during urination or in
Correct the kidney area may be experiencing
Mark 1 out of 1
Select one:
Flag question
a. a urinary infection or kidney stones.
Question text
b. preeclampsia.
c. diabetes mellitus.
d. weak bladder muscles.
Feedback
The correct answer is: a urinary infection or kidney stones.
Question 110 The most common venipuncture site is located in which one of the following
Correct areas?
Flag question
a. Middle finger
Question text
b. Middle forearm
c. Dorsal side of the wrist
d. Antecubital area of the arm
Feedback
The correct answer is: Antecubital area of the arm
Question 111 What type of catheter used for wound drainage, leads into the bladder ?
Mark 0 out of 1
a. Drainage
Flag question
b. Straight
Question text
c. Indwelling
Feedback
The drainage catheter is used for wound drainage and leads into the bladder.
The correct answer is: Drainage
Question 112 What is the term used to describe a portion of a specimen used for testing,
Incorrect usually prepared by transferring some of the specimen into other tubes with
Mark 0 out of 1
the same identification information?
Flag question
Select one:
Question text
a. Aliquot
b. Aerosol
c. Analyte
d. Allotment
Feedback
An aliquot is the portion of a specimen used for testing.
The correct answer is: Aliquot
Question 113 Which of the following nosocomial infections are most prevalent?
Mark 0 out of 1 a. Wound infections
Flag question
b. Dermal infections
Question text
c. Urinary tract infections
d. Respiratory tract infections
Feedback
Essentials, 3rd. Ed. Philadelphia: Lippincott Williams & Wilkins. Urrinary tract
infections are the most prevalent nosocomial infections.
The correct answer is: Urinary tract infections
Question 114 A quality fasting urine specimen is collected
Mark 0 out of 1 a. anytime.
Flag question
b. prior to any meal.
Question text
c. one hour after meals.
d. 8 hours after eating.
Feedback
A fasting urine specimen is the second specimen collected after a period of
fasting.
(5th Ed.); Philadelphia: Lippincott Willimas & Wilkins, page 439.
The correct answer is: 8 hours after eating.
Question 115 If levels of blood components fluctuate according to circadian cycle, it means
Correct that fluctuations occur
Mark 1 out of 1 Flag
Select one:
question
a. every 12 hours.
Question text
b. in a 24 hour cycle.
c. during the day.
d. during darkness, at night.
Feedback
The correct answer is: in a 24 hour cycle.
Question 116 Which of the following would require the most attention when scheduling
Incorrect specimen collection assignments?
Flag question
a. 24-hour urine specimens
Question text
b. Random urine specimens
c. Tolerance test specimens
d. Urine culture and sensitivity specimen
Feedback
Tolerance tests typically require collection of urine at specific times. The
traditional standard glucose tolerance test (GTT) requires individual urine
specimens collected serially at specific times that correspond with the timing
of blood collection.
(5th Ed.); page 439; Philadelphia: Lippincott Willimas & Wilkins.
The correct answer is: Tolerance test specimens
Question 117 Insurance companies refer to what groups as primary care physicians?
Correct Select one:
Mark 1 out of 1
a. cardiologists and orthopedists
Flag question
b. pathologists and psychiatrists
Question text
c. family practitioners and internists
d. gerontologists and endocrinologists
Feedback
The correct answer is: family practitioners and internists
Question 118 A medical subspecialty that focuses on the diagnosis and treatment of
Correct patients with conditions resulting from an unexpected medical crisis or
Mark 1 out of 1
accident is
Flag question
Select one:
Question text
a. internal medicine.
b. emergency medicine.
c. family practice.
d. gerontology.
Feedback
The correct answer is: emergency medicine.
Question 119 Which of the following is the nation's largest network of institutional health-
Incorrect care providers?
Flag question
a. American Hospital Association
Question text
b. American Medical Association
c. American Pharmaceutical Association
d. American College of Physicians
Feedback
The American Hospital Association is the nation’s largest network of
institutional health-care providers.
Reference: Booth, K., Whicker, L., Wyman, T., Moaney-Wright, S. (2011).
Physiology, pg. 38; (4th Ed). Mcgraw-Hill, New York.
The correct answer is: American Hospital Association
Question 120 A phlebotomist enters a patient’s room to draw a routine blood specimen and
Incorrect a member of the clergy is visiting the patient. What should the phlebotomist
Mark 0 out of 1 do?
Flag question
Select one:
Question text
a. Ask the clergy member to leave for a few minutes and come back later.
b. Report to the nurses that the patient is busy and the blood cannot be
drawn as ordered.
c. Ask the patient to call the laboratory when ready for the blood draw.
d. Draw another patient and check back with the patient to see if he or she is
available.
Feedback
If a physician or a member of the clergy is with the patient, don't interrupt.
The patient's time with these individuals is private and limited. If the draw is
not stat, timed or other urgent priority, go draw another patient and check
back after that. If that is the only patient, wait outside the room for a few
minutes or go back to the lab and draw the specimen on the next sweep.
The correct answer is: Draw another patient and check back with the patient
to see if he or she is available.
Question 121 In therapeutic drug level testing, the “peak level” refers to which, if any, of the
Incorrect
following?
Mark 0 out of 1
Question text a. The lowest concentration of a drug
b. The mid-level concentration of a drug
c. The highest concentration of a drug
d. There is no “peak level” associated with therapeutic drug monitoring
Feedback
The correct answer is: The highest concentration of a drug
Question 122 Which of the following is the most common type of urine sample that may be
Incorrect
obtained at any time of the day?
Mark 0 out of 1
Question text a. timed urine specimen
b. random urine specimen
c. first morning urine specimen
d. clean-catch midstream urine specimen
Feedback
Random urine specimens can be collected at any time.
Physiology. (4th Ed). Mcgraw-Hill, New York; page 1094.
The correct answer is: random urine specimen
Question 123 The timing for a glucose test begins
Incorrect
Select one:
Mark 0 out of 1
Flag question a. when the fasting specimen is drawn.
Question text b. when the test results are completed.
c. when the patinet finishes drinking the glucose.
d. 30 minutes after the patient finishes drinking the glucose.
Feedback
Timing begins as soon as the patient finishes drinking the glucose.
REFERENCE: Schaub Di Lorenzo,M. & Strasinger, S.K. (2010), BLOOD
COLLECTION-A Short Course (2nd edition.); PAGE 82; Philadelphia, PA
19103:F.A. Davis Company.
The correct answer is: when the patinet finishes drinking the glucose.
Question 124 Which of the following specialists reads electrocardiograms (ECGs) for
Correct
hospital laboratories?
Mark 1 out of 1
Question text a. Cardiologists
b. Gastroenterologists
c. Anesthetist
d. Phlebotomist
Feedback
The correct answer is: Cardiologists
Question 125 Which urine specimen is collected after a night of sleep and contains greater
Correct
concentrations of substances?
Mark 1 out of 1
Question text a. first morning urine specimen
b. random urine specimen
c. timed urine specimen
d. clean-catch midstream urine specimen
Feedback
The correct answer is: first morning urine specimen
Question 126 When blood is collected from a patient, the serum should be separated from
Incorrect
the blood cells as quickly as possible to avoid
Mark 0 out of 1
Question text a. glycolysis
b. hemolysis
c. hemostasis
d. hemoconcentration
Feedback
Page 480; McCall, R.E. & Tankersley, C.M.(2003). Phlebotomy Essentials,
3rd. Ed. Philadelphia: Lippincott Williams & Wilkins.
The correct answer is: hemolysis
Question 127 The need for ____ occurs when a physician's schedule changes to include
Correct
evening and weekend hours.
Mark 1 out of 1
Question text a. communication skills
b. empathy
c. proper judgement
d. flexibility
Feedback
The correct answer is: flexibility
Question 128 Which of the following is associated with quickly evaluating circumstances,
Correct
solving problems, and taking action?
Mark 1 out of 1
Question text a. flexibility
b. critical thinking
c. empathy
d. attention to detail
Feedback
The correct answer is: critical thinking
Question 129 The branch of surgery that works to maintain function of the musculoskeletal
Correct system is called
Flag question a. Urology.
Question text b. Orthopedics.
c. Pediatics.
d. Neurology.
Feedback
The correct answer is: Orthopedics.
Question 130 Some drugs may cause changes to certain blood analytes. When a
Incorrect
phlebotomist observes that medication was administered just prior to blood
Mark 0 out of 1
Flag question collection, the phlebotomist should
a. postpone the blood draw for several hours.
b. note the observation on the requisition.
c. not draw the blood.
d. do nothing with respect to the observation.
Feedback
Phlebotomists can play a role in the effort to prevent or recognize and
eliminate drug interferences affecting the laboratory results by noting on the
requisition when they observed medication being administered prior to blood
collection.
The correct answer is: note the observation on the requisition.
Question 131 A patient calls on the phone that is very angry over a laboratory error. Which
Correct
of the following responses would be best made by the phlebotomist?
Mark 1 out of 1
Question text a. “I can’t help you when you’re angry. Please call back when you calm
down”
b. “I’m sorry. I’m sorry. I’m sorry.”
c. “I understand why you are upset. Let me see what I can do.”
d. “Please calm down. I can’t help you until you are reasonable.”
Feedback
The correct answer is: “I understand why you are upset. Let me see what I
can do.”
Question 132 Language limitations, cultural diversity, and hearing loss are examples of
Correct
Select one:
Mark 1 out of 1
Flag question a. verbal communication.
Question text b. non-verbal communication.
c. active listening.
d. barriers to communication.
Feedback
The correct answer is: barriers to communication.
Question 133 Anything that distorts a message in any way or interferes with the
Correct
communication process is called
Mark 1 out of 1
Question text a. timing.
b. body language.
c. noise.
d. rapport.
Feedback
The correct answer is: noise.
Question 134 The most effective way to determine whether you are communicating
Correct
negatively is to
Mark 1 out of 1
Question text a. ask for feedback.
b. observe yourself in the mirror.
c. speak clearly.
d. observe body language.
Feedback
The correct answer is: ask for feedback
Question 135 Which of the following is an example of a barrier to communication?
Correct Select one:
Mark 1 out of 1 a. Hearing loss
Flag question
b. Asking a patient to make a fist prior to a blood draw.
Question text
c. Using terms the patient can understand
d. Restating instructions to a patient
Feedback
The correct answer is: Hearing loss
Question 136 The physician orders peak and trough blood specimens for therapeutic drug
Correct
monitoring of a drug taken orally. You collect the peak specimen at the
Mark 1 out of 1
Flag question appropriate time. You should then instruct the patient to return for the trough
Question text specimen
Select one:
a. two hours after the peak specimen.
b. at the same time tomorrow.
c. just after the patient takes their next dose.
d. just before the patient takes their next dose.
Feedback
The correct answer is: just before the patient takes their next dose.
Question 137 A telephone is ringing in an area of the laboratory in which the phlebotomy
Incorrect
technician is the only person present. The technician should
Mark 0 out of 1
Question text a. allow the telephone to ring and be answered by voice mail, with no call
transferring
b. answer the telephone and immediately transfer the call to the proper
department
c. answer the telephone and leave the call on hold until the receptionist picks
up the call
d. forward the call to the laboratory technician working at the bench
Feedback
Page 28; Ernst, D.J. (2005). Applied Phlebotomy. Philadelphia: Lippincott
Williams & Wilkins.
Feedback:
The correct answer is: answer the telephone and immediately transfer the call
to the proper department
Question 138 Which of the following is an example of body language?
Correct
Select one:
Mark 1 out of 1
Flag question a. Informing a patient that he/she is going to have his/her blood drawn and
Question text that it may hurt.
b. Asking a patient to make a fist prior to a blood draw.
c. Calling the lab to confirm information on a blood draw.
d. Observing a patient’s facial expressions during blood draw.
Feedback
The correct answer is: Observing a patient’s facial expressions during blood
draw
Question 139 The process of communication occurs in a loop. Which of the following is not
Correct included in the communication feedback loop?
Flag question
a. Message
Question text
b. Sender
c. Feedback
d. Trust
Feedback
The correct answer is: Trust
Question 140 Which of the following items would not be located on the laboratory requisition
Correct
form?
Mark 1 out of 1
Question text a. Ordering physician’s name
b. Type of test ordered
c. Amount of blood to obtain
d. Date test is to be performed
Feedback
The correct answer is: Amount of blood to obtain
Question 141 Which of the following information does not necessarily need to be on a
Correct
laboratory requisition form?
Mark 1 out of 1
Question text a. Home phone number
b. Ordering physician
c. Patient’s name and date of birth
d. Type of test performed
Feedback
The correct answer is: Home phone number
Question 142 One of the most important pieces of communication equipment in a medical
Incorrect
practice is the
Mark 0 out of 1
Question text a. facsimile machine.
b. telephone.
c. pager.
d. computer.
Feedback
The telephone is the most important piece of communication equipment in a
medical practice. The computer is next most important piece of equipment
used for communication in a medical practice.
Physiology. (4th Ed); page 103; Mcgraw-Hill, New York.
The correct answer is: telephone.
Question 143 How does an automated menu system save time and effort in a medical
Incorrect office?
Flag question
a. The message is automatically given to the physician.
Question text
b. Telephone calls are screened to determine which messages can wait until
the physician returns to the office.
c. Calls do not have to be answered as they come in because a block of time
is reserved to listen and respond to messages.
d. It provides an immediate response to each and every phone call.
Feedback
The automated menu system saves time and effort in the medical office as
the caller can select the correct person or department they need to speak to
directly instead of being put on hold while an operator transfers them to the
correct person.
Physiology, (4th Ed); page 106; Mcgraw-Hill, New York.
The correct answer is: It provides an immediate response to each and every
phone call.
Question 144 A small device that is activated by a telephone signal and displays the caller's
Correct telephone number in a small window is
Flag question
a. a switchboard.
Question text
b. a photocopier.
c. a pager.
d. an automated menu.
Feedback
The correct answer is: a pager.
Question 145 When the laboratory computer connects to interact with the main hospital
Correct
intranet it is called
Mark 1 out of 1
Question text a. randon-access memory.
b. middleware.
c. interfacing.
d. logging on.
Feedback
The correct answer is: interfacing.
Question 146 Some fax machines use thermal paper, which
Correct
Select one:
Mark 1 out of 1
Flag question a. does not fade over time.
Question text b. is thicker than plain paper.
c. reacts to heat and electricity.
d. is permanent, so copies never have to be made.
Feedback
The correct answer is: reacts to heat and electricity
Question 147 The processed information or data generated by a computer to be received
Incorrect
by the user is referred to as
Mark 0 out of 1
Question text a. input.
b. output.
c. software.
d. storage.
Feedback
Output describes the process information or data generated by the computer
to be received by the user or someone in another location.
(5th Ed.); page 414; Philadelphia: Lippincott Williams & Wilkins.
The correct answer is: output.
Question 148 Which of the following would be scanned by a laboratory to identify a patient
Correct
or specimen?
Mark 1 out of 1
Question text a. Software
b. Password
c. Bar code
d. Read-only memory
Feedback
The correct answer is: Bar code
Question 149 Instead of using a switchboard, telephone calls may be routed by
Correct
Select one:
Mark 1 out of 1
Flag question a. an automated menu.
Question text b. an answering machine.
c. voice mail.
d. a pager.
Feedback
The correct answer is: an automated menu.
Question 150 What is an important reason to use proper labeling of laboratory specimens?
Incorrect
Select one:
Mark 0 out of 1
Flag question a. To help avoid testing delays
Question text b. To aid in proper patient billing
c. To satisfy the requirements of HIPAA
d. To separate the patient specimens
Feedback
Proper labeling helps avoid testing delays, which can compromise patient
care.
(5th Ed.); page 436; Philadelphia: Lippincott Williams & Wilkins.
The correct answer is: To help avoid testing delays
d. Plastic
Feedback
The correct answer is: Latex
Question 151 The physical transfer of an infectious agent to a susceptible host through
Correct close or intimate contact is
Flag question
a. fomite transmission.
Question text
b. direct contact transmission.
c. vehicle transmission.
d. indirect contact transmission.
Feedback
The correct answer is: direct contact transmission.
Question 152 A patient has come in for a blood draw. The phlebotomist cleanses the
Correct
patient’s skin with a Betadine® swab and notices that the patient’s skin has
Mark 1 out of 1
Flag question turned red and bumpy. What question should the phlebotomist have asked
Question text prior to the cleansing?
Select one:
a. Are you feeling ok?
b. Do you have any allergy to iodine?
c. Do you have any allergy to alcohol?
d. No questions are to be asked as the Betadine® will turn the skin red
Feedback
The correct answer is: Do you have any allergy to iodine?
Question 153 Which one of the following is a primary function of isolation procedures?
Incorrect
Select one:
Mark 0 out of 1
Flag question a. Keep the hospital clean
Question text b. Provide protective equipment
c. Provide education to hospital employees
d. Prevent transmission of communicable diseases
Feedback
Preventing transmission of communicable diseases is the primary function of
isolation procedure.
Reference: Chapter 3, Page 80; McCall, R.E. & Tankersley, C.M.(2003).
Phlebotomy Essentials, 3rd. Ed. Philadelphia: Lippincott Williams & Wilkins.
The correct answer is: Prevent transmission of communicable diseases
Question 154 Healthcare facilities achieve the greatest reduction in accidental exposures by
Correct
requiring a combination of which of the following?
Mark 1 out of 1
Question text a. Syringes and needles
b. Safe products and safe practices
c. Sharps containers at the point of use
d. Modified tube holders and modified needles
Feedback
The correct answer is: Safe products and safe practices
Question 155 In the Diamond Identification System used by the National Fire Protection
Correct
Association (NFPA), the color red denotes
Mark 1 out of 1
Question text a. health hazards.
b. flammability.
c. reactivity warning.
d. other hazards.
Feedback
The correct answer is: flammability
Question 156 Which agency should a medical facility contact for proper information
Correct
regarding the disposal of medical waste?
Mark 1 out of 1
Question text a. CDC
b. CLIA
c. OSHA
d. DEA
Feedback
The correct answer is: OSHA
Question 157 Where is the most appropriate place in a clinical setting to find information on
Incorrect a substance’s hazards and recommended safety precautions?
Flag question
a. The bottle’s label
Question text
b. The Internet
c. The MSDS
d. The NFPA
Feedback
While some of this information may be found in the other choices, the MSDS
is the best answer since it is the most comprehensive and comes directly
from the manufacturer.
ed). Philadelphia: Lippincott Williams & Wilkins., p 94.
The correct answer is: The MSDS
Question 158 The agency that investigates and manages the control of various diseases is
Correct Select one:
Mark 1 out of 1 a. FAA.
Flag question
b. FDA.
Question text
c. CDC.
d. CMS.
Feedback
The correct answer is: CDC
Question 159 Blood specimens should be drawn according to standards of the
Incorrect
Select one:
Mark 0 out of 1
Flag question a. College of American Pathologists (CAP)
Question text b. Clinical and Laboratory Standards Institute (CLSI)
c. Centers for Disease Control and Prevention (CDC)
d. Occupational Health and Safety Administration (OSHA)
Feedback
Reference: Chapter 3, Page 185; Ernst, D.J. (2005). Applied Phlebotomy.
Philadelphia: Lippincott Williams & Wilkins.
The correct answer is: Clinical and Laboratory Standards Institute (CLSI)
Question 160 Which of the following is an allergen commonly present in blood collection
Correct
equipment?
Mark 1 out of 1
Question text a. Vinyl
b. Nirile
c. Latex
d. Plastic
Feedback: The correct answer is: Latex

Question 161 A voluntary, nongovernmental agency charged with establishing standards for
Incorrect the operation of hospitals is
Flag question
a. American Society for Clinical Laboratory Sciences.
Question text
b. Public Health Service.
c. The Joint Commission.
d. Center for Medicare and Medicaid Services.
Feedback
The Joint Commission is a voluntary , nongovernmental agency charged with,
among other things, establishing standards for the operation of hospitals and
other health-related facilites and services.
ed); page 40; Philadelphia: Lippincott Williams & Wilkins
The correct answer is: Center for Medicare and Medicaid Services.
Question 162 National Patient and Safety Goals (NPSGs) are developed and maintained by
Correct
Select one:
Mark 1 out of 1
Flag question a. the Joint Commission.
Question text b. College of American Pathologists.
c. Centers for Medicare and Medicaid Services.
d. Clinical and Laboratory Standards Institute.
Feedback
The correct answer is: the Joint Commission.
Question 163 When dealing with patients who suspect that they have a latex allergy the
Correct phlebotomist should use
Flag question
a. non-latex products.
Question text
b. the product the office uses no matter what it’s composition.
c. the product the physician orders.
d. latex products because they are cheaper and there is no documented
reaction.
Feedback
The correct answer is: non-latex products
Question 164 Which of the following reflects the concept that all patient blood and body
Correct fluids are contaminated?
Flag question a. Protective, or reverse Precautions
Question text b. Drainage/secretion Precautions
c. Respiratory Precautions
d. Universal Precautions
Feedback
The correct answer is: Universal Precautions
Question 165 The chain of infection requires which one of the following?
Correct
Select one:
Mark 1 out of 1
Flag question a. An implant
Question text b. A clot formation
c. A closed fracture
d. A susceptible host
Feedback
The correct answer is: A susceptible host
Question 166 Personal protective equipment (PPE) includes which of the following items?
Correct
Select one:
Mark 1 out of 1
Flag question a. CPUs
Question text b. Notebooks and paper
c. Clipboards for requisitions
d. Gowns or aprons, and gloves
Feedback
The correct answer is: Gowns or aprons, and gloves
Question 167 Which of the following statements is inaccurate with regard to the use of
Correct
gloves when drawing blood?
Mark 1 out of 1
Question text a. Gloves prevent contamination of the hands when handling blood or body
fluids.
b. Gloves only protect the wearer against the transmission of viruses.
c. Gloves help prevent the transfer of infectious microorganisms from one
patient to another.
d. Gloves prevent the transfer of microorganisms from the phlebotomist’s
hands to the patient.
Feedback
The correct answer is: Gloves only protect the wearer against the
transmission of viruses.
Question 168 Gloves worn for phlebotomy should be changed
Correct Select one:
Mark 1 out of 1 a. between each patient contact.
Flag question
b. only after getting soiled or torn.
Question text
c. only after contact with a patient with a known infectious disease.
d. only to answer the phone or take a break.
Feedback
The correct answer is: between each patient contact.
Question 169 Which of these statements accurately describes the various classes of fire
Correct extinguishers?
Flag question
a. Class A extinguishers use soda and acid or water to cool the fire.
Question text
b. Class B extinguishers use soda to smother the fire.
c. Class C extinguishers use water to cool the fire.
d. Class D extinguishers use acid or water to smother the fire.
Feedback
The correct answer is: Class A extinguishers use soda and acid or water to
cool the fire
Question 170 Phlebotomists should clean and sanitize all work surfaces at the end of each
Correct
shift with
Mark 1 out of 1
Question text a. 5% bleach solution (1:20).
b. 10% bleach solution (1:10).
c. 50% bleach solution (1:2).
d. concentrated bleach.
Feedback
The correct answer is: 10% bleach solution (1:10)
Question 171 A process in which the opposing sides in a legal course of action, choose a
Correct
person outside of the court system, with special knowledge in the field, to
Mark 1 out of 1
Flag question hear and decide a dispute is
a. a tort.
b. consent.
c. a subpoena.
d. arbitration.
Feedback
The correct answer is: arbitration.
Question 172 In a court trial involving a phlebotomy-related nerve injury, a phlebotomy
Correct
supervisor is asked to testify regarding the proper angle of needle insertion
Mark 1 out of 1
Flag question for a venipuncture. What angle range should the supervisor indicate?
a. 15º - 30º
b. 35º - 40º
c. 40º - 45º
d. 50º - 55º
Feedback
The correct answer is: 15º - 30º
Question 173 What type of tort exists if a patient is charged for services that were not
Correct
performed?
Mark 1 out of 1
Question text a. Breach
b. Fraud
c. Battery
d. Assault
Feedback
The correct answer is: Fraud
Question 174 A ____ is a rule of conduct established and enforced by an authority or
Correct
governing body, such as the federal government.
Mark 1 out of 1
Question text a. principle
b. law
c. tort
d. policy
Feedback
The correct answer is: law
Question 175 At the end of a labor and delivery nurse's shift, a nurse leaves a woman in
Correct
labor before the nurse's replacement arrives. What kind of negligence does
Mark 1 out of 1
Flag question this constitute?
a. delay in treatment
b. poor judgment
c. direct cause
d. abandonment
Feedback
The correct answer is: abandonment
Question 176 If a phlebotomist fails to exercise the level of care expected of any reasonable
Correct
phlebotomist, the phlebotomist could be charged with
Mark 1 out of 1
Question text a. negligence.
b. breach of confidentiality.
c. fraud.
d. invasion of privacy.
Feedback
The correct answer is: negligence.
Question 177 Adhering to a code of ethics in the healthcare professions helps you
Incorrect
Select one:
Mark 0 out of 1
Flag question a. avoid legal entanglements.
Question text b. function at the highest possible professional level.
c. provide competent and compassionate healthcare.
d. provide competent and compassionate healthcare, function at the highest
possible professional level and avoid legal entanglements.
Feedback
Adhering to a code of ethics helps on providing competent and
compassionate healthcare, one to function at the highest possible level and
thus avoid legal entanglements.
REFERENCE: Booth, K.A. & Mundt,L. (2012).PHLEBOTOMY-A Competency
based approach ( 3rd edition.); page 140-141; McGraw-Hill Higher Education.
The correct answer is: provide competent and compassionate healthcare,
function at the highest possible professional level and avoid legal
entanglements
Question 178 A healthcare professional that stops care without providing an equally
Incorrect
qualified substitute can be charged with
Mark 0 out of 1
Question text a. neglect.
b. delayed treatment.
c. breach of duty.
d. abandonment.
Feedback
Abandonment is what a healthcare professional, who stops the care of a
patient without providing an equally qualified substitute, can be charged with.
Physiology; (4th Ed); page 49; Mcgraw-Hill, New York.
The correct answer is: abandonment.
Question 179 Which of the following is demonstrated when a patient's leg healed incorrectly
Correct
because of the way the cast had been applied?
Mark 1 out of 1
Question text a. indirect cause
b. possible cause
c. accidental cause
d. direct cause
Feedback
The correct answer is: direct cause
Question 180 A physician is said to have been ____ if a patient shows that the physician
Incorrect
failed to comply with the standards of the profession.
Mark 0 out of 1
Question text a. liable
b. in breach of contract
c. derelict
d. in arbitration
Feedback
Derelict is defined as something abandoned or negligent in duty, thus a
physician that failed to comply with the standards of the profession is said to
have been derelict.
Physiology; (4th Ed); page 49; Mcgraw-Hill, New York.
The correct answer is: derelict
Question 181 What charge can be brought against a phlebotomist who attempts to collect a
Correct
blood specimen without the patient’s consent?
Mark 1 out of 1
Question text a. Assault
b. Battery
c. Direct injury
d. Negligence
Feedback
The correct answer is: Battery
Question 182 A written court order addressed to a specific person, requiring that person's
Correct
presence in court at a specific time, is
Mark 1 out of 1
Question text a. a contract.
b. a subpoena.
c. an agent.
d. an agreement.
Feedback
The correct answer is: a subpoena.
Question 183 The prefix endo- means
Correct
Select one:
Mark 1 out of 1
Flag question a. over.
Question text b. surface.
c. within.
d. between.
Feedback
The correct answer is: within.
Question 184 The CDC implemented two levels of precautions to prevent healthcare-
Incorrect
acquired infections. The first precaution level is
Mark 0 out of 1
Question text a. isolation.
b. HIV.
c. HBV.
d. standard.
Feedback
The first tier, standard precautions, specifies precautions to use in caring for
all patients regardless of diagnosis or presumed infection status.
Based Approach (3 ed.). (page 38) New York, NY: McGraw Hill.
The correct answer is: standard.
Question 185 The symbol Δ means
Correct
Select one:
Mark 1 out of 1
Flag question a. increased.
Question text b. decreased.
c. cold.
d. heat.
Feedback
The correct answer is: heat.
Question 186 Which of the following body systems provides for CO2 and O2 exchange?
Correct
Select one:
Mark 1 out of 1
Flag question a. Nervous
Question text b. Muscular
c. Respiratory
d. Reproductive
Feedback
The correct answer is: Respiratory
Question 187 The abbreviation HAI stands for
Incorrect
Select one:
Mark 0 out of 1
Flag question a. Health Acquired Infections.
Question text b. Health Associated Infections.
c. Health Associated Injuries.
d. Health Aquired Injuries.
Feedback
The abbreviation HAI stands for Health Associated Infections.
Based Approach (3 ed.). (page 23) New York, NY: McGraw Hill.
The correct answer is: Health Associated Infections.
Question 188 Each of the following tests are used to evaluate urinary system function
Correct EXCEPT
Flag question a. BUN
Question text b. Creatinine
c. Glucose
d. Osmolality
Feedback
The correct answer is: Glucose
Question 189 The prefix hyper- refers to something that is
Correct
Select one:
Mark 1 out of 1
Flag question a. high.
Question text b. low.
c. equal.
d. within.
Feedback
The correct answer is: high
Question 190 The liver and pancreas are part of which body system?
Incorrect
Select one:
Mark 0 out of 1
Flag question a. Digestive system
Question text b. Endocrine system
c. Urinary system
d. Respiratory system
Feedback
The Digestive system includes the liver and pancreas.
REFERENCE : Booth, K.A. & Mundt,L. (2012).PHLEBOTOMY-A
Competency based approach( 3rd edition.) McGraw-Hill Higher Education,
PAGE 82-83.
The correct answer is: Digestive system
Question 191 A small, calibrated glass tube that holds a precise volume of fluid is called a
Correct
Select one:
Mark 1 out of 1
Flag question a. lancet.
Question text b. capillary puncture.
c. micropipette.
d. venipuncture.
Feedback
The correct answer is: micropipette
Question 192 White blood cells are known as
Incorrect
Select one:
Mark 0 out of 1
Flag question a. lymphocytes.
Question text b. monocytes.
c. leukocytes.
d. erythrocytes.
Feedback
The white blood cells are know as leukocytes. The lymphocytes are the
second most numerous white blood cells and the monocytes are normally the
largest white blood cells.
Based Approach (3 ed.); page 114; New York, NY: McGraw Hill.
The correct answer is: leukocytes.
Question 193 The liquid portion of blood is
Correct
Select one:
Mark 1 out of 1
Flag question a. plasma.
Question text b. serum.
c. fibrinogen.
d. packed cells.
Feedback
The correct answer is: plasma.
Question 194 Which of the following are granular leukocytes that produce the chemical
Incorrect
histamine and aid the body in controlling allergic reactions and other
Mark 0 out of 1
Flag question exaggerated immunologic responses?
a. Eosinophils
b. Basophils
c. Lymphocytes
d. Neutrophils
Feedback
Basophils and Eosinophils are granular leukocytes but only Basophils release
histamine.
Reference: Blesi, M., Wise, B. and Kelley-Arney, C. (2012). Medical Assisting
Administrative and Clinical Competencies. (7th Ed). Delmar Cengage
Learning, New York, page 476.
The correct answer is: Basophils
Question 195 Which of the following is a protein that contains iron and is the main
Correct
component of erythrocytes?
Mark 1 out of 1
Question text a. Leukocytes
b. Plasma
c. Hemoglobin
d. Platelets
Feedback
The correct answer is: Hemoglobin
Question 196 Which of the following body systems provides support and allows the body to
Incorrect
move?
Mark 0 out of 1
Question text a. Reproductive
b. Muscular
c. Digestive
d. Skeletal
Feedback
Essentials, 3rd. Ed. Philadelphia: Lippincott Williams & Wilkins. Skeletal
system provides support nad allows the body to move.
The correct answer is: Skeletal
Question 197 Blood that carries only the A antigen contains

Incorrect
Select one:
Mark 0 out of 1
Flag question a. anti-B antibodies
Question text b. anti-A antibodies
c. both anti-A and anti-B antibodies
d. neither anti-A or anti-B antibodies
Feedback
Blood type A contains the anti-B antibodies.
Reference: Blesi, M., Wise, B. and Kelley-Arney, C. (2012). Medical Assisting
Administrative and Clinical Competencies, (7th Ed), page 452; Delmar
Cengage Learning, New York.
The correct answer is: anti-B antibodies
Question 198 Which of the following represents an accurate statement regarding the
Incorrect
circulatory system?
Mark 0 out of 1
Question text a. Arteries carry blood to the heart.
b. Systemic circulation refers to the coronary blood flow to the heart.
c. Pulmonary circulation refers to the blood flow to the lungs and back to the
heart.
d. Arteries have valves that help keep blood flowing toward the heart.
Feedback
The pulmonary circulation carries blood from the right ventricle of the heart to
the lungs to remove carbon dioxide and pick up oxygen; the oxygenated
blood is then returned to the left atrium of the heart.
(5th Ed.), Philadelphia: Lippincott Williams & Wilkins; page 161.
The correct answer is: Pulmonary circulation refers to the blood flow to the
lungs and back to the heart.
Question 199 What system maintains balance between water, salts and acids?
Correct
Select one:
Mark 1 out of 1
Flag question a. Digestive system
Question text b. Integumentary system
c. Respiratory system
d. Urinary system
Feedback
The correct answer is: Urinary system
Question 200 The protein involved in clotting is
Correct
Select one:
Mark 1 out of 1
Flag question a. plasma.
Question text b. hematocrit.
c. pyrogen.
d. fibrinogen.
Feedback
The correct answer is: fibrinogen.

Phelebotomy Answers 01 2018

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Started on Sunday, March 4, 2018, 3:34 PM

Question 1 Complete clotting of a blood specimen can take up to

Question 2 A falsely decreased blood alcohol level may be obtained if

Question 6 Proper identification of a coherent adult inpatient includes

Question 19 Swelling caused from blood leaking from a blood vessel is

Question 20 A basal-state specimen, used to establish reference ranges for inpatients, is

Question 23 A postprandial specimen is collected

Question 26 Preanalytical errors are mistakes made

Question 32 Following venipuncture, which of the following should be applied to the

Question 36 Hemoconcentration of a specimen can be avoided by

Question 38 To avoid contamination when should the needle cap be removed?

Question 41 A serum or plasma specimen containing abnormally increased fatty

Question 45 Which of the following is an accurate statement regarding the handling of

Question 53 A collapsed vein will cause a

Alcohol should be allowed to dry completely prior to skin puncture to

Question 64 The liquid portion of an anticoagulated blood specimen is called

Question 66 The term calcaneus refers to

Question 72 Which of the following conditions would be most likely cause

Feedback: The correct answer is: Latex

Question 197 Blood that carries only the A antigen contains

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