Safety First
While the phlebotomist technician is using a centrifuge, the device catches fire. The technician should identify a centrifuge fire as which of the following classes of fire?
A. Class C
B. Class A
C. Class B
D. Class D
Class C
A phlebotomy technician is preparing to aliquot a blood specimen. Which of the following pieces of personal protective equipment are the minimum requirements for the technician to wear?
A. Face shield and gloves
B. Goggles and mask
C. Mask and gloves
D. Face shield and gown
A. Face shield and gloves
A phlebotomy technician is preparing to collect a specimen from a 3-year-old patient to perform a coagulation test. Which of the following collection methods should the technician use?
A. Winged butterfly system
B. Finger stick
C. Heel stick
D. Evacuated tube system
A. Winged butterfly system
A phlebotomy technician observes a glucometer reading 250 mg/dL. A second test is performed and returns a reading within the expected reference range. Which of the following circumstances could have caused the first result to be inaccurate?
A. The first drop of blood was used
B. Too little blood was used
C. The test strips were left open
D. Too much blood was used
D. Too much blood was used
Which of the following actions should a phlebotomy technician take when performing a blood culture collection?
A. Scrub the site with isopropyl alcohol for 1 min using back and forth motion
B. Cleanse the site to a diameter of approximately 2.54cm (1in.)
C. Palpate the vein after cleansing the site
D. Remove the tourniquet after 2 min
A. Scrub the site with isopropyl alcohol for 1 min using back and forth motion
While collecting a blood specimen, a phlebotomy technician notices the glass collection tube is cracked. Which of the following actions should the technician take?
A. Dispose of the tube in a sharps container
B. Wrap the tube in a pair of gloves and place in a trash can
C. Label the tube and send it to the laboratory
D. Discard the tube in a biohazard bag
A. Dispose of the tube in a sharps container
A phlebotomy technician is performing a venipuncture for a patient who has a wound infected with methicillin-resistant Staphylococcus aures (MRSA) and has been placed in isolation. Which of the following actions should the technician take once the procedure is complete?
A. Remove shove covers after leaving the room
B. Dispose of gloves after leaving the room
C. Dispose of gown before leaving the room
D. Clean the gown before leaving the room
C. Dispose of gown before leaving the room
Which of the following is the current procedure for medical professionals performing CPR on an infant?
A. 30 compressions, 3.8cm (1.5 in) deep
B. 30 compressions, 5.08cm (2 in) deep
C. 100 compressions, 5.08cm (2 in) deep
D. 100 compressions, 3.8cm (1.5 in) deep
A. 30 compressions, 3.8cm (1.5 in) deep
A phlebotomy technician is preparing to draw a patient’s blood when the patient informs him that she is taking warfarin. The technician should identify that the results of which of the following tests is affected by the medication?
A. HDL
B. Thyroid-stimulating hormone (TSH)
C. LDL
D. PT/INR
D. PT/INR
A phlebotomy technician is performing a blood alcohol test. Which of the following antiseptics should the technician use?
A. Ethanol
B. Chlorhexidine gluconate
C. Tincture of iodine
D. Isopropyl alcohol
B. Chlorhexidine gluconate
A phlebotomy technician experiences a needlestick injury while performing a draw. The technician is at greatest risk for exposure to which of the following bloodborne pathogens?
A. Hepatitis B (HBV)
B. Hepatitis A (HAV)
C. Human Immunodeficiency Virus (HIV)
D. Hepatitis C (HCV)
A. Hepatitis B (HBV)
A phlebotomy technician finishes performing a blood draw in an isolation room. Which of the following pieces of personal protective equipment should the technician remove first?
A. Mask
B. Gown
C. Gloves
D. Goggles
C. Gloves
A phlebotomy technician is preparing to perform a collection for a CBC for a 7-month-old infant. Which of the following equipment will the technician need?
A. Butterfly set with a 21-gauge needle and an EDTA evacuated tube
B. ETS system with a 25-gauge needle and an SST evacuated tube
C. Lancet with a 2-mm depth and an EDTA microcollection container
D. Syringe with a 21-gauge needle and an SST evacuated tube
C. Lancet with a 2-mm depth and an EDTA microcollection container
A phlebotomy technician is processing the blood sample of a patient who ate a meal of meat and cheese prior to the draw. Following centrifugation of the sample, which of the following finding should the technician expect?
A. The specimen will be lipemic
B. The specimen does not coagulate
C. The specimen is hemolyzed
D. The specimen has a buffy coat
A. The specimen will be lipemic
A phlebotomy technician is informing a patient about the procedure for collecting a blood culture. Which of the following information should the technician include?
A. “I will swab the area twice to make sure it is sterile”
B. “I am going to use an evacuated tube system to perform the draw”
C. “I am going to wait 15 seconds to let the antiseptic dry before I draw your blood”
D. “I will leave the tourniquet on longer, so we can collect enough blood for the testing”
A. “I will swab the area twice to make sure it is sterile”
A phlebotomy technician receives a splash of blood to the eyes while transferring serum into an isolator tube. Which of the following actions should the technician take first?
A. Rinse eyes with water
B. Notify his immediate supervisor
C. Disinfect his contact lenses with saline
D. Report to a health care provider
A. Rinse eyes with water
When testing patients for streptococcal pharyngitis, a phlebotomy technician should implement which of the following types of transmission-based precautions?
A. Contact
B. Standard
C. Airborne
D. Droplet
D. Droplet
A phlebotomy technician is collecting capillary blood from a patient for neonatal screening. Which of the following actions should the technician take to complete the newborn screening card?
A. Layer several drops on the printed and non-printed slide of the card
B. Smear the blood onto the printed circles of the card
C. Touch the paper to a drop of blood and saturate each circle on the card
D. Place multiple small drops on each circle of the card
C. Touch the paper to a drop of blood and saturate each circle on the card
A phlebotomy technician is performing a venipuncture for a potassium test, CBC, and glucose test. The technician has left the tourniquet on the patient for 3 min. which of the following outcomes should the technician expect?
A. Low iron level
B. High Potassium Level
C. High CBC level
D. Low potassium level
B. High Potassium Level
A phlebotomy technician is performing a venipuncture. After removing the needle cap, which of the following steps should the technician take?
A. Position the needle at a 40o angle above the puncture site
B. Perform a “C” hold over the intended puncture site
C. Anchor the vein 2.5 to 5cm (1 to 2 in) below the puncture site
D. Insert the needle quickly into the puncture site
C. Anchor the vein 2.5 to 5cm (1 to 2 in) below the puncture site
Which of the following solutions should a phlebotomy technician use to clean a cerebral spinal specimen spill?
A. Hydrogen peroxide
B. Povidone-iodine
C. Chlorine Bleach
D. Isopropyl Alcohol
C. Chlorine Bleach
A phlebotomy technician is preparing to perform a venipuncture for a patient who has pneumonia. Besides gloves, which of the following pieces of personal protective equipment should the technician wear?
A. Face mask
B. Gown
C. N95 respirator
D. Goggles
A. Face mask
A phlebotomy technician is collecting a blood culture from an infant who weighs 3kg (6.6 lb). The technician should identify that which of the following is the total blood volume for this infant?
A. 100 to 190 mL
B. 60 to 150 mL
C. 240 to 330 mL
D. 150 to 240 mL
C. 240 to 330 mL
A phlebotomy technician is performing a point-of-care hemoglobin test for a patient. Which of the following values should the technician report to the provider?
A. 12.5 g/dL
B. 16.8 g/dL
C. 9.2 g/dL
D. 18.0 g/dL
C. 9.2 g/dL
A phlebotomy technician is performing a blood collection for a patient who has edema in her right arm. Which of the following locations should the technician identify as the best vein choice for venipuncture?
A. Right side median cubital
B. Right side median cephalic
C. Left side basilic
D. Left side dorsal hand
D. Left side dorsal hand