Questions and Answers
WhichAofAtheAfollowingAactionsAshouldAtheAphlebotomistAtakeAtoAdecreaseAtheApotentialAforAhe
molysisAofAbloodAspecimenAinAanAEDTAAtube?
A.AStoreAtheAtubeAinAtheArefrigeratorAafterAtheAspecimenAhasAbeenAcollected
B.AUseAaA25AgaugeAneedleAorAsmallerAtoAcollectAtheAspecimenA
C.AAllowAtheAtubeAtoAstandAforA20AminutesApriorAtoAprocessing
D.AGentlyAinvertAtheAtubeAafterAcollectingAtheAspecimenA-
AAnswerAGentlyAinvertAtheAtubeAafterAcollectingAtheAspecimen
SinceAanAEDTAAtubeAcontainsAanticoagulant,AitAisAimportantAtoAimmediatelyAmixAtheAbloodAasA
soonAasAitAisAcollectedAtoAensureAthatAitAdoesn'tAclot.ATheAphlebotomistAshouldAgentlyAinvertAt
heAtubeAafterAcollectingAtheAspecimenAtoAmaintainAspecimenAintegrityAandApreventAruptureAofA
RBC'sAinAtheAsample.
SmallAredAspotsAappearAnearAtheAtourniquetAonAaApatient'sAarm.AThisAisAMOSTAlikelyAanAindi
cationAof
A.AaAcollapsedAvein.
B.AaAhematoma.
C.Apetechiae.
D.Aedema.A-AAnswerAPetechiaeA
SmallAredAspotsAnearAtheAtourniquetAonAaApatient'sAarmAareAmostAlikelyAindicativeAofApetechi
ae.APetechiaeAareAsmall,Ared,Anon-
raisedAspotsAthatAappearAinAresponseAtoApressureAfromAtheAtourniquet.
WhichAofAtheAfollowingAisAoutsideAtheAscopeAofApracticeAforAaAphlebotomist?
A.AVerifyingAequipmentAfunctionAonApointAofAcareAtestingAusingAaAcontrol.
B.APrioritizingAcollectionsAbasedAonAorderArequests.
C.ARecordingAqualityAcontrolAresultsAonAaAlogAsheet.
D.APerformingACLIAAhighAcomplexityAtests.A-AAnswerAPerformingACLIAAhighAcomplexityAtests
CLIAArefersAtoAtheAClinicalALaboratoryAImprovementAAmendment,AwhichAspecifiesApersonnelArequi
rementsAforAperformingAlaboratoryAtestingAbasedAuponAtheirAcomplexity.AModerateAandAhighAco
,mplexityAtestingAareAoutsideAtheAscopeAofApracticeAforAaAphlebotomist.AMedicalAassistantsAmay
AperformACLIA-waivedAtesting,AsuchAasAPointAofACareATesting,AwithAproperAtraining.
IfAaAphlebotomistAhasAquestionsAaboutAdisposingAofAoutdatedAhazardousAchemicals,AwhereAshoul
dAsheAlookAtoAfindAthisAinformation?
A.AHIPAA
B.AMSDS
C.ACLIA
D.ANIOSHA-AAnswerAMSDS
AAMaterialASafetyADataASheetA(MSDS)AisAaAhazardousAchemicalAreference.AItAprovidesAhealthcar
eAworkersAwithAproceduresAforAworkingAwithAsubstancesAsafetyAtoAensureAregulatoryAcompliance
.
WhenAinsertingAaAneedleAduringAvenipuncture,AtheAbevelAshouldAbeAinAwhichAofAtheAfollowingA
positionsAinArelationAtoAtheAvein?
A.AUp
B.ADown
C.ALeft
D.ARightA-AAnswerAUp
WhichAofAtheAfollowingAisAanAexampleAofAaApre-
analyticalAerrorAmadeAatAtheAtimeAofAcollection?
A.ADelayAinAtransporting
B.AFailingAtoAmixAtubes
C.AIncompleteArequisition
D.AWaitingAtoAcentrifugeA-AAnswerAFailingAtoAmixAtubesA
IfAtheAbloodAisAnotAwellAmixedAwithAtheAanticoagulant,ApartialAclottingAcanAoccurAleadingAtoA
microscopicAfibrinAstrandsAandAinaccurateAtestAresults.
WhichAofAtheAfollowingAisAtheAappropriateAbloodAcollectionAdeviceAforAobtainingAaAbloodAspotA
collectionAonAanAinfant?
A.ASyringe
B.ALancet
,C.AMicro-collectionAcontainer
D.AEvacuatedAtubeA-AAnswerALancet
PKUAisAaAneonatalAscreeningAtestAcollectedAonAaAblotAcard.ATheArecommendedAmethodAofAbloo
dAcollectionAonAinfantsAlessAthanAaAyearAoldAisAviaAcapillaryA(thusAeliminatingAtheAvenipunctur
eAchoices)
AAphlebotomistAhasAordersAtoAcollectAbloodAspecimensAfromAaApatientAwhoAhasAIVsAinAhisArig
htAforearmAandAinAtheAleftAantecubitalAarea.AWhereAshouldAtheAphlebotomistAcollectAaAvenousA
bloodAspecimen?
A.ATheAmiddleAorAringAfingerAofArightAhand
B.AInAtheAantecubitalAareaAofAtheArightAarm
C.AAboveAtheAIVAinAtheAleftAarm
D.ADistalAtoAtheAIVAinAtheAleftAarmA-AAnswerADistalAtoAtheAIVAinAtheAleftAarm
DrawingAinAtheAantecubitalAareaAofAtheArightAarmAorAaboveAtheAIVAinAtheAleftAarmAwouldAle
adAtoAcontaminationAofAtheAsampleAwithAtheAfluidAbeingAadministered.ATheAtestAresultsAwould
AthenAreflectAtheAcontentsAofAtheAfluidAorAdiluteAtheAanalyteAtoAbeAmeasured.AIncorrectApatien
tAtreatmentAmightAresult.AInAthisAcase,AtheAsafestAplaceAtoAdrawAwouldAbeAdistalAtoA(awayAfr
om)AtheAIVAleftAarm.ATheAmiddleAorAringAfingerAcouldAbeAusedAforAaAdermalApunctureAbutAn
otAforAvenousAblood.
WhichAofAtheAfollowingAactionsAisAanAexampleAofAcomplianceAwithAQualityAControlA(QC)Aguideli
nesAforAphlebotomy?
A.ACheckAcontrolsAonAurinalysisAreagentAstripsAdaily.
B.AEnsureAsuppliesAinAvenipunctureAtraysAareAnoAmoreAthanAoneAmonthAbeyondAtheAexpiration
Adate.
C.AEnsureAreusableAsuppliesAinAvenipunctureAtraysAareArecycled.
D.ACheckAglucometerAcontrolsAmonthly.A-
AAnswerACheckAcontrolsAonAurinalysisAreagentAstripsAdaily.
ProperAQualityAControlAensuresAaccuracyAandAreliabilityAofAtestAresultsAwhileAdetectingAandAeli
minatingAerrors.AItAisAanAimportantAcomponentAofApatientAcareAtoAmakeAsureAresultsAareAaccu
rate,AthereforeAitAisAimportantAtoAcheckAcontrolsAonAurinalysisAdipsticksAdaily.
, AApatientAonAcoumadinAtherapyAisAatAtheAlabAforAaAweeklyAcoagulationAtest.AWhichAofAtheAfo
llowingAtubesAshouldAtheAphlebotomistAcollectAforAthisAtest?
A.ARedAtop
B.ALavenderAtop
C.ALightAblueAtop
D.AGreenAtopA-AAnswerALightABlueATop
SodiumAcitrateA(lightAblueAtopAtube)AisAtheAanticoagulantAofAchoiceAforAcoagulationAstudiesAsuc
hAasAPT/INRA(Protime/InternationalANormalizationARatio)AbecauseAitAdoesAnotAbindAtoAcalciumA
orAinactivateAheparin,AwhichAmayAbeArequiredAtoAbeApresentAinAsuchAtesting
WhileAperformingAaAvenipuncture,AtheAphlebotomistAremovesAtheAfilledAtubes,AbutAforgetsAtoAre
moveAtheAtourniquetApriorAtoAneedleAwithdrawal.AWhichAofAtheAfollowingAisAtheAMOSTAlikelyAr
esult?
A.ASyncope
B.AHemoconcentratedAspecimen
C.AHematoma
D.AHemolyzedAspecimenA-AAnswerAHematomaA
AAhematomaAisAaAlargeApainfulAbruiseAatAtheApunctureAsite,AcausedAorAcreatedAbyAbloodAseep
ingAintoAtheAsurroundingAtissues,AoneAofAtheAcausesAisAtheAdelayAinAtourniquetAreleaseAandAp
ullingAtheAvacuumAtubeAout.ASinceAtheAtourniquetAisAcausingAtheAveinsAtoAbulgeAthisAwillAprev
entAquickAclotting,AandAcauseAbruising.
TheAphlebotomistAisAeducatingAtheApatientAonAfastingAdietArequirementsApriorAtoAaAglucoseAtole
ranceAtest.AWhichAofAtheAfollowingAisAtheAminimumAtimeAframeAtheApatientAmustAremainAfasti
ngAbeforeAtheAstartAofAtheAtest?
A.13-24Ahours
B.A8-12Ahours
C.A1-2Ahours
D.A3-4AhoursA-AAnswerA8-12Ahours
ToAensureAaccuracyAofAtheAbloodAtestAresults.AGumAchewing,AeatingAmints,Aand/orAsmokingAar
eAnotAallowed.ASipsAofAwaterAmayAbeApermittedAdependingAonAproviderANPOApolicy.