Scenarios
A phlebotomy technician working in a laboratory has received six filled evacuated tubes, one of which is missing a label. Which of the following actions should the technician take?
A- print a barcoded label for the unlabeled specimen
B- process the unlabeled specimen as it was received.
C- recollect the unlabeled specimen
D- hand-write a label for the unlabeled specimen
C- recollect the unlabeled specimen
Which of following is the purpose of effective communication in health care?
A- to socialize with patients
B- to reduce the need for tech
C- to increase billing rates
D- to minimize errors and enhance efficiency
D- to minimize errors and enhance efficiency
Which of the following would cause a chemistry specimen to be rejected for testing?
A- hemolysis
B- insufficient labeling
C- clotting
D- placing in biohazard bag
A- hemolysis
Damage to the RBCs results in the leakage of hemoglobin into the fluid part of the specimen.
A technician is preparing serum samples for centrifugation. How many minutes should the technician allow the serum samples to stand before loading them into the centrifuge?
A-10 mins
B-15 mins
C-30 mins
D- 25 mins
C-30 mins
Which of the following is the role of a laboratory information system(LIS)?
A- to maintain a laboratory's employee schedule
B- to mange patient appointments
C- to handle tasks related to processing and reporting laboratory tests
D- to train new healthcare staff
C- to handle tasks related to processing and reporting laboratory tests
A phlebotomy technician is preparing to obtain a forensic specimen to determine a patients blood alcohol level. Which information should the technician include on the chain of custody of the form?
A- date and time of specimen collection
B-method and date of specimen collection
C- witness name and signature
D- attorney's name and signature
A- date and time of specimen collection
Which of the following explains the role of a phlebotomist in a clinical laboratory setting?
A- collect, prepare and transport specimens
B-crossmatch blood specimens for transfusions
C- relay test results to patients
D- interpert and relay test results
A- collect, prepare and transport specimens
A phlebotomy technician should refrigerate which of the following specimens for blood collection?
A- lactic acid
B- cryofibrinogen
C-bilirubin
D-cold agglutinins
A- lactic acid
cryofibrinogen and cold agglutinins- This specimens must be kept at body temperature
Bilirubin- is sometimes refrigerated
Which of the following actions should phlebotomy technician take when collecting a urine specimen for drug testing?
A- assume implied consent from patient
B- implement sterile technique to obtain the specimen
C-use the patients social security card for identification
D- seal the specimen in a tamper evident container
D- seal the specimen in a tamper evident container
Which one of the following tubes needs to be drawn first?
A-Pink
B-Green
C-Gold
D-Tiger Top
C- Gold
Which of the following actions must a phlebotomist take if a centrifuge malfunctions during use?
A- continue the cycle and report issue when complete
B- turn it off and unplug it
C- turn it off, unplug it and notify a supervisor
D- turn it off and on, unplug it and take notes of it
C- turn it off, unplug it and notify a supervisor
A phlebotomy technician is preparing to load two tubes into a centrifuge. Which of the following actions should the technician take?
A- place tubes of unequal volume adjacent to each other
B- place tubes of equal volume adjacent to each other
C-place tubes of unequal volume across from each other
D-place tubes of equal volume across from each other
D-place tubes of equal volume across from each other
Which of the following explain chain of custody for a blood specimen?
A- process of collecting blood from a patient
B- documentation of a specimen's history from collection to result publication
C- the document from a blood collection
D-guidelines for disposing of a blood specimen
B- documentation of a specimen's history from collection to result publication
A phlebotomy technician has received a urine drug testing with a thermometer reading of 29.4 C(85 F). Which of the following actions should they take?
A- requite the patient to provide a blood sample
B- have the patient provide another urine specimen under observation
C-accept the specimen for processin
D- ask the patient if the specimen was altered
B- have the patient provide another urine specimen under observation
A fresh urine specimen for drug testing must be 90°F to 100°F (32°C to 38°C)
A pink test tube has which of the following additives?
A-SPS
B- EDTA
C- ACD
D- Thrombin based clot activator
B- EDTA
Why must a technician transport all tubes vertically with the stopper intact?
A- to ensure the specimen divides equally in the tube
B- to prevent clots from sticking to the stopper and to aid in clot formation
C- to make it easier to stack the tubes in the laboratory
D- to ensure the tubes have been inverted
B- to prevent clots from sticking to the stopper and to aid in clot formation
A phlebotomy technician is performing a POCT glucose test for a patient and receives a glucometer reading of 46 mg/dL. Which finding should the technician expect the patient to exhibit?
A- slow heartbeat
B- rapid heartbeat
C- rapid breathing
D- slow breathing
B- rapid heartbeat
A glucometer reading of 46 mg/dL indicates hypoglycemia (low blood sugar), as the standard threshold for low blood sugar is generally below 70 mg/dL. When blood sugar levels drop this low, the body triggers a "fight-or-flight" response, releasing adrenaline (epinephrine)
A female patient is being referred to a reproductive specialist. Which of the following blood tests would phlebotomy technician release to the referring personnel?
A- LDL and HDL
B- CRP and BNP
C- FSH and LH
D- PSA AND CBC
C- FSH and LH
An FSH (follicle-stimulating hormone) test measures the level of this pituitary hormone in the blood to evaluate fertility, menstrual irregularities, ovarian reserve, and pituitary disorders
An LH (luteinizing hormone) test measures the level of LH in blood or urine to assess fertility, ovulation, or pituitary/gonadal function.
A phlebotomy tech. is transporting a cryoglobulin specimen to the lab. Which temperature should they keep the specimen?
A- 37 C
B- 0 C
C- 21 C
D- 4 C
A- 37 C
It is recommended to be at body temperature.
What is CLSI
The Clinical and Laboratory Standards Institute
What must you do if you do not have a bag that protect an specimen from light?
Wrap it in aluminum foil
Why must you balance a centrifuge before using it?
to prevent damage to centrifuge and specimens
A technician is preparing to draw a blood specimen that must be protected from light. Which test would that be?
Bilirubin
What is aliquoting?
A specific portion of the specimen designated for testing.
A lavender test goes to which department?
Hematology