Phlebotomy Exam Bank
Course Introduction
This course provides comprehensive instruction in the principles and practices of phlebotomy, focusing on the collection, processing, and transportation of blood specimens for laboratory analysis. Students will learn about safety protocols, infection control, patient interactions, and proper techniques for venipuncture and capillary punctures. Emphasis is placed on understanding the anatomy and physiology of the circulatory system, identification of suitable veins, handling of specimens, and prevention of pre-analytical errors. The course combines classroom instruction with hands-on laboratory experience to prepare students for certification and successful entry into the healthcare field as skilled phlebotomists.
Recommended Textbook
The Phlebotomy Textbook 3rd Edition by Susan King Strasinger
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16 Chapters
1205 Verified Questions
1205 Flashcards
Source URL: https://quizplus.com/study-set/3960 Page 2
Chapter 1: Phlebotomy and the Health-Care Delivery System
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59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/79393
Sample Questions
Q1) A phlebotomist who is teaching members of the nursing service how to correctly perform phlebotomy is participating in:
A) accreditation.
B) certification.
C) cross-training.
D) both A and C.
Answer: C
Q2) Phlebotomists may be employed in a physician's office laboratory (POL).
A)True
B)False
Answer: True
Q3) Which of the following is a valid reason to discourage phlebotomists from wearing long or dangling jewelry, including earrings:
A) patients may confuse these with religious symbols and become uncomfortable.
B) reflections from these may interfere with patient monitoring equipment.
C) these kinds of jewelry may contribute significantly to fatigue in the phlebotomist.
D) such jewelry can be grabbed by a patient or become tangled in printers.
Answer: D
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Chapter 2: The Clinical Laboratory
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67 Verified Questions
67 Flashcards
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Sample Questions
Q1) Which of the following pairings is wrong?
A) icteric and yellow.
B) lipemic and cloudy.
C) hemolyzed and red.
D) fasting and cloudy.
Answer: D
Q2) The two major areas of the clinical laboratory are:
A) chemistry and hematology.
B) cytology and histology.
C) anatomical and clinical.
D) urinalysis and microbiology.
Answer: C
Q3) All of the following are tests that measure cardiac risk except:
A) alkaline phosphatase.
B) cholesterol.
C) triglycerides.
D) high-density lipids.
Answer: A
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Chapter 3: Regulatory, Ethical, and Legal Issues
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84 Verified Questions
84 Flashcards
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Sample Questions
Q1) Glucose and sodium values on a previously normal patient become markedly elevated when collected at 1500. An investigation of this situation discovers that the:
A) patient had just eaten dinner.
B) patient was on antibiotics.
C) specimen was collected in a red stopper tube.
D) specimen was collected above an intravenous line.
Answer: D
Q2) A phlebotomist participates in and successfully completes training in the use of wireless communication devices and bar code scanners to permit positive patient identification and specimen labeling at the patient's bedside. Which of the following Joint Commission Patient Safety Goals is most applicable to this activity?
A) Reduce the Risk of Healthcare-Associated Infections
B) Improving the Effectiveness of Communication among Healthcare Givers
C) Encourage Patients' Active Involvement in Their Own Case as a Patient Safety Strategy
D) Improving the Accuracy of Patient Identification
Answer: D
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Chapter 4: Safety and Infection Control
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56 Verified Questions
56 Flashcards
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Sample Questions
Q1) Biohazardous materials include all of the following except:
A) organic chemicals.
B) plasma.
C) wound cultures.
D) cerebrospinal fluid.
Q2) Following an accidental needlestick, the phlebotomist should be tested for all of the following except:
A) hepatitis B virus (HBV).
B) human immunodeficiency virus (HIV).
C) hepatitis A virus (HAV).
D) hepatitis C virus (HCV).
Q3) The document designed to protect phlebotomists from contacting hepatitis is the:
A) Material Safety Data Sheets.
B) Chemical Hygiene Plan.
C) procedure manual.
D) Bloodborne Pathogen Exposure Control Plan.
Q4) A phlebotomist who observes a rash on the hands when gloves are removed should apply hand lotion more frequently.
A)True
B)False
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Chapter 5: Basic Medical Terminology
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) patell/o
A)Blood
B)Blue
C)Death
D)Intestine
E)Joint
F)Knee cap
G)Muscle
H)Pus
I)Stone
J)Uterus
Q2) The purpose of a combining form is to:
A) identify the body system.
B) aid in pronunciation.
C) change the meaning of a word.
D) define the root word.
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Chapter 6: Basic Anatomy and Physiology
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139 Verified Questions
139 Flashcards
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Sample Questions
Q1) Body temperature is maintained by the heat produced in muscle:
A) contraction.
B) relaxation.
C) insertion.
D) origin.
Q2) The largest part of the brain is the:
A) cerebrum.
B) cerebellum.
C) medulla oblongata.
D) pons.
Q3) The pigment that gives skin color is:
A) melanin.
B) heparin.
C) sebum.
D) keratin.
Q4) The thigh bone joins the knee at the:
A) distal end.
B) proximal end.
C) medial point.
D) inferior point.
Page 8
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Chapter 7: Circulatory System
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58 Verified Questions
58 Flashcards
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Sample Questions
Q1) Right ventricle
A)1
B)2
C)3
D)4
E)5
F)6
G)7
Q2) A transfusion reaction will occur if a person with type A blood is given donor blood that is type A.
A)True
B)False
Q3) The large vein that returns blood from the head, neck, thorax, and upper limbs to the right atrium of the heart is the:
A) aorta.
B) inferior vena cava.
C) carotid artery.
D) superior vena cava.
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Chapter 8: Venipuncture Equipment
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68 Verified Questions
68 Flashcards
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Sample Questions
Q1) Which of the following tubes must always be completely filled?
A) Gray
B) Light blue
C) Red
D) Pink
Q2) The purpose of sodium fluoride in gray stopper tubes is to:
A) prevent hemolysis.
B) prevent clotting.
C) preserve glucose.
D) maintain cellular morphology.
Q3) If a needle has not been used it can be recapped.
A)True
B)False
Q4) Blood cultures may be collected in:
A) yellow stopper tubes containing SPS.
B) yellow stopper tubes containing ACD.
C) yellow/gray stopper tubes containing thrombin.
D) plain, sterile red stopper tubes.
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Chapter 9: Routine Venipuncture
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61 Verified Questions
61 Flashcards
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Sample Questions
Q1) Insert the needle.
A)1
B)2
C)3
D)4
E)5
F)6
G)7
H)8
Q2) Cleanse the site.
A)1
B)2
C)3
D)4
E)5
F)6
G)7
H)8
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Chapter 10: Venipuncture Complications and Preexamination Variables
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93 Verified Questions
93 Flashcards
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Sample Questions
Q1) Central venous access devices (CVADs) are threaded into the superior vena cava.
A)True
B)False
Q2) Recent strenuous exercise may affect the results of tests for:
A) creatinine and creatine kinase.
B) bilirubin and alanine transaminase (ALT).
C) glucose and blood urea nitrogen (BUN).
D) amylase and uric acid.
Q3) Which of the following patient conditions will prolong the time it takes to stop the bleeding from a venipuncture site?
A) Low blood pressure
B) Low blood sugar
C) Patient taking Coumadin
D) Patient taking vitamin K
Q4) When performing a venipuncture, if blood does not immediately enter the tube, the needle should be withdrawn.
A)True
B)False
Page 12
Q5) How can the phlebotomist collect a specimen from patient A?
Q6) Where should the phlebotomist collect the specimen from patient C?
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Chapter 11: Special Blood Collection
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66 Verified Questions
66 Flashcards
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Sample Questions
Q1) The ideal time for collecting a blood culture is:
A) just before the patient's temperature spikes.
B) after antibiotics have been given.
C) when the patient's white blood cell (WBC) count is the highest.
D) when the patient's temperature is the highest.
Q2) Plasma cortisol levels are scheduled to be drawn between 0800 and 1000 because:
A) patients must be in a basal state.
B) patients must not be fasting.
C) cortisol exhibits diurnal variation.
D) cortisol is only produced during the morning.
Q3) Extra care may have to be taken when positioning the arm of patients with:
A) Alzheimer disease.
B) arthritis.
C) paralysis.
D) both B and C
Q4) When performing a glucose tolerance test (GTT), the fasting blood specimen is tested before the patient drinks the glucose.
A)True
B)False
Q5) Where should the phlebotomist collect these specimens?
Page 14
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Chapter 12: Dermal Puncture
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126 Verified Questions
126 Flashcards
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Sample Questions
Q1) Microcollection tubes containing separation gel are available.
A)True
B)False
Q2) Capillary punctures on newborns are performed on the: A) index finger.
B) plantar area of the heel.
C) back of the heel.
D) earlobe.
Q3) Will the CBC results be (falsely) increased or decreased?
Q4) How will an infant with a falsely negative phenylketonuria (PKU) test be affected?
Q5) During dermal puncture, the first drop of blood is wiped away because it may be: A) diluted with tissue fluid.
B) already clotted.
C) too concentrated because blood has not been flowing.
D) contaminated with skin bacteria.
Q6) If the bleeding time is prolonged, will the phlebotomist be late collecting the bilirubin? Why or why not?
Q7) Is it important to collect the bilirubin at 1100? Why or why not?
Q8) What is the significance of the blue band?
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Chapter 13: Quality Assessment and Management in Phlebotomy
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99 Verified Questions
99 Flashcards
Source URL: https://quizplus.com/quiz/79381
Sample Questions
Q1) After collecting several evacuated tubes from a patient, the phlebotomist receives a pager message to go to the intensive care unit (ICU) immediately and draw several stats. Because of this page, he or she forgets to properly invert the tubes just collected. Which of the following tests is most likely to be affected by this action?
A) Activated partial thromboplastin time (APTT) in a sodium citrate tube
B) Glucose in a plain red top tube
C) Ionized calcium in a plain red top tube that remains sealed
D) CO<sub>2</sub> in a plain red top tube that remains sealed
Q2) Within an institution, a quality management system (QMS) is designed to coordinate activities in achieving which of the following goals:
A) reduction of medical errors.
B) all are correct.
C) staff competence and efficiency.
D) ensure quality results.
Q3) The Lean System originated in what industry?
A) The construction industry in the United States
B) The automobile manufacturing industry in Japan
C) The health-care industry in Japan
D) The automobile manufacturing industry in the United States
Page 16
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Chapter 14: Arterial Blood Collection
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) Capillary blood drawn from a site that has been warmed:
A) closely resembles venous blood.
B) tends to clot rapidly.
C) may be contaminated.
D) closely resembles arterial blood.
Q2) An alternate pathway capable of supplying blood to an area if the main pathway is obstructed is referred to as:
A) circulatory bypass.
B) collateral circulation.
C) shunt circulation.
D) an arterial fistula.
Q3) Which of the following arterial puncture complications would cause a patient to lose consciousness rapidly?
A) Arteriospasm
B) Nerve damage
C) Vasovagal reaction
D) Hemorrhage
Q4) The color of arterial blood is dark red.
A)True
B)False
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Chapter 15: Point-Of-Care Testing
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59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/79379
Sample Questions
Q1) To determine the proper maintenance of a Glucometer, the phlebotomist should:
A) attend a proficiency class.
B) read the package insert.
C) contact the manufacturer.
D) consult with another phlebotomist.
Q2) Transcutaneous bilirubin testing:
A) is an invasive procedure.
B) cannot be used to monitor the need for an exchange transfusion.
C) is not recommended as a screening procedure.
D) is performed on the plantar surface of the heel.
Q3) Point-of-care testing (POCT) cholesterol testing is performed primarily:
A) to monitor patients in the intensive care unit (ICU).
B) following transplant surgery.
C) on patients taking steroids.
D) as a health screening test.
Q4) Package inserts can be interchanged between kits from different manufacturers.
A)True
B)False
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Chapter 16: Additional Duties of the Phlebotomist
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69 Verified Questions
69 Flashcards
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Sample Questions
Q1) A rehabilitated heroin user is an acceptable blood donor.
A)True
B)False
Q2) When a patient has a unit of blood drawn prior to surgery with the understanding that the unit may be given back during surgery, the collection is called:
A) therapeutic.
B) replacement.
C) transfusion.
D) autologous.
Q3) When a semen specimen is delivered to the laboratory, the phlebotomist should:
A) place the specimen in the refrigerator.
B) record the time of delivery.
C) place the specimen in an incubator.
D) record the time of collection.
Q4) Accessioning refers to:
A) a test performed in the chemistry section.
B) organization of requisition slips for morning sweeps.
C) assigning of identification numbers and distribution of specimens.
D) processing of specimens requiring special handling.
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