Ascp Phlebotomy Tech Practice Test

Front 1

Which of the following is part of the standard protocol when doing a bleeding time?

Back 1

A butterfly type bandage is used

Front 2

When collecting blood using a syringe, samples should be placed into evacuated tubes in the following order:

Back 2

Blue, Lavender, Red

Front 3

The outer layer of the heart is:

Back 3

Epicardium

Front 4

A platelet count of 650,000 per cubic millimeter is termed:

Back 4

Thrombocytosis

Front 5

A phlebotomist with 6 collection orders for patients in the hospital receives a hand written laboratory order for STAT glucose after completing the fourth phlebotomy. The phlebotomist should:

Back 5

Collect the STAT glucose, deliver it to the lab, then return to perform the other 2 collections.

Front 6

Point of care testing (POCT) occurs:

Back 6

At the patient's bedside

In the emergency department

In patient's homes

(All of the above)

Front 7

Quality control for point of care (POC) must be performed:

Back 7

Each day of use

Front 8

Special considerations for phlebotomist on an elderly person would most likely include:

Back 8

Decreasing the angle of penetration of the venipuncture needle

Front 9

A body fluid that should be protected from light before analysis for bilirubin is:

Back 9

Amniotic fluid

Front 10

Skin puncture on an infant should be done on the plantar surface of the heel, median to an imaginary line extending from the middle of the great toe to the heel or lateral to an imaginary line extending between the fourth and fifth toes to the heel to avoid injury to the:

Back 10

Bone

Front 11

The most important part of blood collection procedure is:

Back 11

Skin antisepsis

Front 12

Vein carry:

Back 12

Deoxygenated blood to the heart

Front 13

When collecting blood from an artery for arterial blood gases, it is not necessary to pull back the plunger of the syringe because:

Back 13

Arterial blood is under pressure from the contraction of ventricles.

Front 14

A specimen for a peak gentamycin level should be collected:

Back 14

30-40 minutes after the administration of the drug

Front 15

A plasma protein that is not present in serum is:

Back 15

Fibrinogen

Front 16

If a patient indicated that he/she is not fasting, the phlebotomist should:

Back 16

Ask the patient's nurse if the sample should be connected at this time.

Front 17

When performing a skin puncture, which specimen should be collected last?

Back 17

Heparin micro collections tubes

Front 18

During the venipuncture procedure, place the phlebotomy tray

Back 18

Within easy reach on a bedside table

Front 19

Blood samples collected on filter paper for newborn screening tests should not be hung to dry to avoid:

Back 19

Concentration of blood toward the end of the filter paper

Front 20

Chain of custody protocol must be followed when collecting a forensic sample to ensure that:

Back 20

The integrity of the specimen is accounted for.

Front 21

Blood specimens collected for carotene analysis should be:

Back 21

Protected from light

Front 22

Blood specimens collected for prothrombin testing must be analyzed within:

Back 22

24 hours of collection

Front 23

When collecting blood for plasma renin activity testing, the blood must be transported:

Back 23

In ice water

Front 24

The right ventricle of the heart pumps blood into the:

Back 24

Lungs

Front 25

Leukocyctes are responsible for:

Back 25

Defending the body against bacteria and viruses

Front 26

The appropriate course of action for a STAT order is to:

Back 26

Send the tubes to the lab immediately upon collection

Front 27

A finger stick sample for hemoglobin must be collected from a patient whole middle finger is broken and bandaged. The next best choice is for the finger stick is the:

Back 27

Ring finger

Front 28

When testing for a prothrombin (PT) with a (POC) instrument, the on board controls (OBC) will:

Back 28

Be accepted by a bar code range

Front 29

A patient who had a mastectomy cannot have blood collected in the arm on the same side as the mastectomy, due to:

Back 29

Lymphodema - swelling of the lymph nodes causing infection.

Front 30

All testing on cerebral spinal fluid should be performed within 1 hour of collection because cytolysis is dependent on:

Back 30

Temperature

Front 31

A phlebotomist used a vacutainer system to collect blood specimens for the following lab tests:

Back 31

CBC, PT, and Activated Partial Thromboplastin (APPT)

Front 32

The OSHA bloodborne pathogen standard states that:

Back 32

Both the needle and holder must be discarded together

Front 33

Collecting blood from a vascular access device (VAD) can result in:

Back 33

Colonized bacteria that accumulates around the line can be pulled into the line when used for a blood collection

Front 34

A patient has an unstable anticubital vein. The next best choice to use for phlebotomy would be the :

Back 34

Dorsal side of the hand

Front 35

The left ventricle pumps blood into the heart itself and the circulation via this:

Back 35

Aortic artery

Front 36

The principle component of plasma is:

Back 36

Water

Front 37

A patient seeks care at the ER department with a tempurature of 101. A thorough history and physical exam revealed no cause f the patient's high temperature. Blood culture speciments should be collected:

Back 37

2 blood cultures at intervals of 45-60 minutes, 2 more at 24-48 hours

Front 38

A fasting urine specimen is:

Back 38

The 2nd urine specimen of the day

Front 39

An activated thromboplastin (APPT) and factor VIII assay are requested on a patient with hemophilia. The appropriate course of action is to:

Back 39

Hold pressure on the collection site for 15-20 minutes.

Front 40

When obtaining a routine blood sample and a vein is not evident, a blood pressure cuff may be used at the following level:

Back 40

60-80

Front 41

Removal of more than 10% of an infant's blood volume at one time may cause:

Back 41

Cardiac Arrest

Front 42

During a trial in which forensic samples were used as evidence, it was noted that method validation for linearity limits were not performed for the drug based testing. The evidence is:

Back 42

Unacceptable due to questionable linearity limits

Front 43

A blood sample for carotene analysis should be labeled and:

Back 43

Wrapped in foil

Front 44

When a patient seeks care at the ER department because of complaints of chest pain, acute myocardial infarction (AMI) specimens measuring cardiac marker must be collected:

Back 44

When patient arrives, as well as 2-4, 6-8, and 12 hours later

Front 45

Specimens for cold agglutinin analysis was collected and placed in a 37 degree incubator. The specimen is unacceptable because:

Back 45

The sample should have been warmed for 30 minutes

Front 46

Specimens for daily chemistry testing were placed into the centrifuge. Upon starting to spin, the centrifuge began to shake. This could be due to:

Back 46

An imbalance in tubes

Front 47

The best way to prevent mislabeling of a tube is to:

Back 47

Label blood tubes immediately after collectiing

Front 48

Requirements for personal protective equipment, chemistry, hazards, reactivity, and health hazards are found in:

Back 48

Material Safety Data Sheets

Front 49

A phlebotomist must select the appropriate method of obtaining blood sample after considering the patient's:

Back 49

Age and sample requirements

Front 50

When preparing to collect a sample for an arterial stick the artery can be recognized by:

Back 50

It's pulse

Front 51

If a sample is delayed en-route to the chemistry lab, the glycolytic action of the cells will primarily affect tests for :

Back 51

Glucose, phosphorus, and enzymes