Safety & Compliance
What should the technician record in the quality control record?
Date of battery change
Which of the following is an example of proper patient identification?
Compare the wristband to the laboratory order sheet, and ask the patient to spell his/her name
What should you do if you enter a patients room in the hospital and no wrist band is on?
Notify the nurse to replace
A phlebotomy technician receives a forensic specimen. The technician should verify that which of the following specimen information matches the requisition form?
case number
A female patient is being referred to a reproductive specialist. What test results should be released to the personnel?
FSH and LH
When performing blood alcohol test, which antiseptic should you use?
Chlorhexidine Gluconate
Which of the following types of urine collection is required for culture and sensitivity testing?
Clean-catch midstream specimen
A phlebotomy technician is collecting a specimen to test a patients lithium level following a recent dose of medication. Which of the following levels should the technician collect?
Peak
Using a syringe method to collect a blood culture set, a PTT, and a CBC test. What is the correct order of draw?
anaerobic bottle, aerobic bottle, light blue topped tube, EDTA
A phlebotomy technician calls a medical assistant to inquire about a laboratory requisition. What information is required on a laboratory requisition?
Patient identification number
A phlebotomy tech experiences a needle-stick injury while performing a venipuncture, what information should the tech include in the online sharps injury log?
The department where the injury occurred
What is the only common analyte that decreases due to exercise and stress?
Hemoglobin
A patient has never had his blood drawn before. When explaining venipuncture procedure, which of the following would be an appropriate statement?
It may hurt. Tell me if it does.
A rapid strep test uses how many swabs?
2 - one for the rapid and one to send for culture
A phlebotomy technician has received a urine drug test specimen with a thermometer reading of 29.4ﾟC (85ﾟF). What should you do?
Have the patient provide another urine specimen under observation
If any glass tubes are cracked what should you do?
Dispose of the tube in a sharps container
The most important step in any routine sample collection is:
Identifying the patient
For which of the following tests would a first voided morning urine specimen be collected
Pregnancy
Blood cultures, PTT, and testosterone levels are being drawn what is the correct order for collection?
Yellow-topped tube, blue-topped tube, red-topped tube
A phlebotomy technician notices that the volume of blood required to fill the test order by the patient's endocrinologist exceeds the recommended draw amount for the day. Which the following actions should the technician take?
Contact the patient's endocrinologist
HDL blood, cholesterol, and troponin belong to which department?
Chemistry
For which type of veins is the butterfly system not appropriate?
Veins that are palpated easily on a healthy adult patient
When performing quality control checks, tubes should be discarded under which circumstances?
The stopper has small cracks
A phlebotomy technician is instructing a patient about how to collect a fecal specimen at home. What should you instruct the patient?
"Do not mix urine with the fecal sample."
A phlebotomy technician is preparing to draw a blood specimen that must be protected from light. What specimen is this?
Bilirubin
What solution should a phlebotomist use when cleaning up a cerebral spinal fluid spill?
soduim hypochlorite (Chlorine bleach)
A phlebotomy technician accidentally punctures the patient's artery. What action should you take?
Apply pressure to the area for at least 5 minutes.
What can cause a low blood pH level?
Leaving a tourniquet on for longer than one minute
What is the main difference between a T-spot and a PPD test for tuberculosis?
The patient does not have to return to the lab to have a t-spot test results read.
What is a unique feature of a sample bag?
two pockets - one for the order or requisition and the other for the samples
What bloodborne pathogen are you most at risk for contracting during a needle stick injury?
Hepatitis B
A phlebotomy technician is performing a venipuncture through a hematoma. What should you expect to see in the specimen?
Hemolysis
What is iatrogenic anemia
anemia caused by drawing too much blood from a patient
What is the proper storage method for a 24-hr urine collection container?
In the patient's refrigerator during the 24 hr collection period
How can you protect a sample from light?
Use a amber colored tube or transport bag, wrap the sample in foil
3 weeks to 1 year
What additive does the red-mottled or tiger-top blood collection tube contain?
Clot activator and polymer gel
Which technique is used to anchor the veins on the back of the patient's hand?
Non-dominant thumb pull the skin over the knuckes
How many collection wipes are preferred when collecting a clean catch midstream urine from a female patient?
Three
What is the purpose of centrifuging samples?
to separate the blood elements.
What is the goal of standard precautions?
to reduce the risk of transmission of microorganisms from both recognized and unrecognized sources of infection
What does "trough level" refer to?
the lowest level or amount of a substance in the blood
When preparing to perform a draw on a pediatric patient, it is important to?
Never lie to the child, explain the procedure in terms the child can understand and be honest
What is the proper location for a capillary puncture on a newborn?
The sides of the heel, never the arch or center of the heel, these pose risk for bone infection and nerve damage.
What is the best temperature needed to maintain a sputum sample?
room temperature
Which organization requires that every business have a workplace safety manual?
Occupational Safety and Health Administration (OSHA)
Why can two partially filled light blue tubes NOT be combined?
It doubles the amount of addative
What is the needed length of time a patient is asked to fast before a fasting blood test?
8-12 hours
Corticosteroids, serum iron and cortisol levels all change naturally throughout the day, this is referred to as what?
Diurnal
When should samples be labeled?
after collecting the samples, before leaving the patient