Full Test 5 1. Which process reliably destroys all forms of microbial life, including bacterial spores, on surgical instruments?Deselect Answer Sterilization Low-level disinfection Antisepsis with alcohol Cleaning with detergent None Comment 2. A specimen ordered for ammonia testing should be handled how?Deselect Answer Left at room temperature Placed on ice and transported immediately Frozen after centrifugation Kept warm during transport None Comment 3. A patient scheduled for fasting blood work admits to drinking coffee that morning. What is the best next step?Deselect Answer Proceed with collection Document coffee intake and notify the provider or follow policy Cancel the test without notification Ask the patient to wait 30 minutes None Comment 4. In which situation is implied consent most appropriate?Deselect Answer An unconscious patient who needs immediate life-saving treatment A conscious patient who says they are unsure about surgery A routine blood draw for a competent outpatient When a family member verbally approves treatment None Comment 5. Under HIPAA, which of the following is an appropriate disclosure of a patient's protected health information?Deselect Answer Posting a patient's lab results on social media Sharing the patient's test results with their treating physician Discussing the patient's diagnosis in a public elevator Leaving a detailed lab report on a receptionist's desk None Comment 6. Which color tube is typically drawn for coagulation studies such as PT/INR?Deselect Answer Green Lavender Light blue Gray None Comment 7. A patient scheduled for fasting blood work admits to drinking coffee that morning. What is the best next step?Deselect Answer Proceed with collection Document coffee intake and notify the provider or follow policy Cancel the test without notification Ask the patient to wait 30 minutes None Comment 8. A patient has limited English proficiency. What is the most appropriate way to obtain informed consent?Deselect Answer Use a trained medical interpreter approved by the facility to explain the procedure and obtain consent Ask a bilingual family member in the room to translate Proceed after giving a written consent form in English Use gestures and simple words to get agreement None Comment 9. A phlebotomy technician receives a needlestick injury while drawing blood. What is the immediate first action the technician should take?Deselect Answer Wash the area thoroughly with soap and water and report the incident Squeeze the wound to remove blood and continue working Apply a tourniquet above the injury and wait for supervisor Cover the wound with a bandage and do not report if feeling fine None Comment 10. If a patient becomes faint or lightheaded during a blood draw, what is the most appropriate immediate action?Deselect Answer Speed up the draw to finish quickly Continue the draw and apply cold compress Ignore mild complaints and finish the procedure Stop the procedure, withdraw the needle, apply pressure, and have the patient sit or lie down None Comment 11. What is the maximum recommended time a tourniquet should remain on a patient before releasing to avoid hemoconcentration?Deselect Answer 2 minutes 1 minute 3 minutes 5 minutes None Comment 12. Which action most reduces contamination when collecting blood cultures?Deselect Answer Palpate the site after cleansing to locate the vein Blow on the site to speed drying Wipe the site dry with sterile gauze after antiseptic Use an appropriate antiseptic and allow it to air-dry completely before puncture None Comment 13. For cryoglobulin testing, what is the most appropriate specimen handling procedure to prevent false results?Deselect Answer Refrigerate immediately at 4°C Keep at room temperature until clot forms Keep the specimen at 37°C (warm) until clot/serum separation Freeze immediately None Comment 14. Which tube contains sodium fluoride and potassium oxalate to inhibit glycolysis and preserve glucose levels?Deselect Answer Green (heparin) tube Gray (sodium fluoride/potassium oxalate) tube Gold (SST) tube Lavender (EDTA) tube None Comment 15. Which action is LEAST acceptable for verifying a patient's identity prior to specimen collection?Deselect Answer Ask the patient to state and spell their full name and provide their date of birth Compare the patient's wristband information to the requisition or labels Ask the patient to confirm their name and date of birth while checking the wristband Use the room number alone as the patient's identifier None Comment 16. How should a technician transport a blood specimen to the laboratory to prevent leaks and contamination?Deselect Answer Place tube open-side up in a paper bag Seal primary tube, then place it in a leak-proof secondary container labeled with biohazard symbol Carry unsealed tubes in a tray covered by a cloth Transport multiple tubes together without separation None Comment 17. If a patient is unconscious and cannot state their name or date of birth, which two identifiers are acceptable for specimen labeling?Deselect Answer Room number and nurse's name Diagnosis and attending physician's name Wristband identifiers (name/MRN) and the requisition/medical record number Bed number and time of admission None Comment 18. To maximize detection of bacteremia and reduce contamination risk, what is the recommended blood culture collection approach?Deselect Answer One set from a single venipuncture site Four or more sets from the same site Two or more sets collected from separate venipuncture sites Multiple samples sequentially from the same puncture None Comment 19. If a patient begins to feel faint during a blood draw, what is the first action the phlebotomist should take?Deselect Answer Immediately remove the needle and tourniquet, and assist the patient to a safe position Apply more alcohol to the puncture site Hold the patient's arm down and complete the draw quickly Call for a supervisor and wait at the bedside without removing the needle None Comment 20. Why should blood collection tubes with additives be gently inverted immediately after filling?Deselect Answer To cool the specimen for transport To remove air bubbles for better centrifugation To speed up clot formation To thoroughly mix the blood with the tube's anticoagulant or separator additive None Comment 21. Which situation requires the use of gloves to protect both the patient and the healthcare worker?Deselect Answer When there is anticipated contact with blood, bodily fluids, mucous membranes, or non-intact skin Only when handling sterile surgical instruments When entering a patient's room for a routine conversation When administering oral medications that are in blister packs None Comment 22. A specimen ordered for ammonia testing should be handled how?Deselect Answer Left at room temperature Placed on ice and transported immediately Frozen after centrifugation Kept warm during transport None Comment 23. Which additive in a lavender-top tube prevents blood from clotting by chelating calcium?Deselect Answer Heparin Sodium fluoride EDTA Sodium citrate None Comment 24. A specimen ordered for ammonia testing should be handled how?Deselect Answer Left at room temperature Placed on ice and transported immediately Frozen after centrifugation Kept warm during transport None Comment 25. What is the most appropriate handling of an arterial blood gas (ABG) specimen after collection?Deselect Answer Leave at room temperature for 60 minutes Expose to air to allow oxygen exchange Centrifuge and separate plasma before transport Remove air bubbles, place on ice, and transport immediately None Comment 26. Which antiseptic is preferred for skin cleansing prior to collecting blood cultures to reduce contamination?Deselect Answer 70% isopropyl alcohol alone Povidone-iodine scrub for 15 seconds Hydrogen peroxide solution 2% chlorhexidine gluconate in 70% isopropyl alcohol None Comment 27. What is the best method to positively identify a patient before drawing blood?Deselect Answer Ask the patient their room number Check the wristband and ask the patient to state name and date of birth Rely on the patient's chart at the bedside Ask a nearby staff member to confirm identity None Comment 28. A specimen ordered for ammonia testing should be handled how?Deselect Answer Left at room temperature Placed on ice and transported immediately Frozen after centrifugation Kept warm during transport None Comment 29. Which device is generally BEST for drawing blood from small, fragile, or difficult veins (pediatric/elderly)?Deselect Answer Large-bore multisample needle (16-18 gauge) Syringe with a long straight needle Butterfly (winged infusion) needle with tubing High-vacuum evacuated tube needle only None Comment 30. When is the best time to obtain blood cultures in relation to administration of antibiotics?Deselect Answer Immediately after the first dose of antibiotics Only if fever persists after therapy Prior to the administration of antibiotics Timing does not affect culture yield None Comment 31. Who is typically authorized to give consent for medical treatment of a minor?Deselect Answer A neighbor who brings the child to the clinic The child's parent or legal guardian A schoolteacher who witnessed an injury Any adult family friend present at the visit None Comment 32. Which instruction is correct for obtaining a midstream (clean-catch) urine specimen?Deselect Answer Cleanse genital area, begin voiding, then collect midstream into a sterile container Void into container before cleansing Collect first morning urine without cleansing Keep container open at bedside to ventilate None Comment 33. During a venipuncture the patient becomes pale and dizzy and begins to faint. What should the phlebotomist do first?Deselect Answer Apply a cold compress and continue the draw Immediately remove the needle, apply pressure, lower the patient to a supine position and call for help Tell the patient to take deep breaths and keep drawing Leave the needle in and call for security None Comment 34. Which tube is typically used for a complete blood count (CBC)?Deselect Answer Light blue (sodium citrate) Lavender (EDTA) Green (heparin) Red (no additive) None Comment 35. Which technique helps minimize hemolysis during venipuncture?Deselect Answer Using a needle with a very small gauge unnecessarily Forcing blood through the needle Allowing alcohol to dry before puncture Shaking tubes to mix None Comment 36. If a blood bank specimen is visibly hemolyzed, what should be done?Deselect Answer Store at 4°C and test anyway Dilute and proceed Centrifuge longer and test plasma Reject and recollect per policy None Comment 37. Which skin antiseptic is preferred when collecting blood cultures from an adult to reduce contamination?Deselect Answer Chlorhexidine gluconate with alcohol Plain soap and water Normal saline wipe Hydrogen peroxide None Comment 38. Which class of fire extinguisher is appropriate for electrical fires involving energized equipment?Deselect Answer Class C Class A Class B Class D None Comment 39. What is the most appropriate method to positively identify a patient before drawing blood?Deselect Answer Ask the patient to state their full name and date of birth and compare to the requisition or wristband Confirm the patient's room number and proceed Ask a family member to confirm the patient's identity Use the patient's chart at the nurse's station without asking the patient None Comment 40. When should specimens be labeled to ensure correct patient identification?Deselect Answer After returning to the laboratory to avoid distractions In the hallway immediately after leaving the room At the bedside in the presence of the patient (or witness) immediately after collection When there is time later during your shift None Comment 41. If you experience an accidental needlestick from a contaminated needle, what should you do first?Deselect Answer Squeeze the puncture site to draw blood out and then continue working Delay reporting until the end of your shift Cover the wound with a sterile bandage and return to the patient Immediately wash the area with soap and water, report the incident to your supervisor, and seek medical evaluation per facility policy None Comment 42. When should a phlebotomist label a blood specimen tube?Deselect Answer After transporting the tube to the laboratory At the patient's bedside immediately after collection When the patient's chart is reviewed later Only if the sample is abnormal None Comment 43. Which collection tube is preferred for type and screen and crossmatch procedures?Deselect Answer Red top (no additive) Light blue (sodium citrate) Lavender or pink top containing EDTA Green top (heparin) None Comment 44. How long should a tourniquet be left in place during venipuncture to minimize hemoconcentration risk?Deselect Answer No longer than 1 minute before releasing or removing it At least 5 minutes to ensure a strong vein fill Until you have finished labeling the tubes Until the patient requests it to be removed None Comment 45. Which type of respiratory protection is required for airborne precautions (for diseases like tuberculosis)?Deselect Answer N95 respirator (fit-tested) Surgical mask Cloth mask Face shield only None Comment 46. Which technique helps minimize hemolysis during venipuncture?Deselect Answer Using a needle with a very small gauge unnecessarily Forcing blood through the needle Allowing alcohol to dry before puncture Shaking tubes to mix None Comment 47. Which tube or container should be collected first when performing a venipuncture that includes blood cultures and routine tubes?Deselect Answer EDTA (lavender top) tube Serum (red top) tube Light blue (citrate) coagulation tube Blood culture bottles None Comment 48. What is the correct way to dispose of a used hypodermic needle in a clinical setting?Deselect Answer Recap the needle and place it in the trash Place it uncapped immediately into a labeled, puncture-resistant sharps container Break the needle off and throw the parts away separately Rinse the needle and place it in a biohazard bag None Comment 49. Which technique helps minimize hemolysis during venipuncture?Deselect Answer Using a needle with a very small gauge unnecessarily Forcing blood through the needle Allowing alcohol to dry before puncture Shaking tubes to mix None Comment 50. A trough level is scheduled but the patient missed their dose. What is the appropriate action?Deselect Answer Collect anyway to avoid delaying the lab Give the missed dose and collect the trough immediately Reschedule without informing the provider Notify the nurse/provider because timing is affected and instructions are needed None Comment 51. While preparing to leave the room after venipuncture, what must the technician do if gloves are still on?Deselect Answer Keep gloves on until reaching the lab Remove gloves and perform hand hygiene Change gloves only Label tubes before removing gloves None Comment 52. When using an alcohol-based antiseptic to cleanse a venipuncture site, what should you do before inserting the needle?Deselect Answer Allow the site to air dry completely (about 30 seconds) Blot the site dry with gauze to speed up the process Wipe the area again with alcohol right before puncture Apply tourniquet over the wet site to hold it in place None Comment 53. A requisition lists Robert J. King, DOB 07/10/1975. The patient introduces himself as 'Roberto King' but gives the same DOB. What is the best action?Deselect Answer Proceed because the DOB matches Proceed and label tubes after leaving the room Stop and resolve the name discrepancy before collecting Use the spelling on the requisition and continue None Comment 54. For an infant heel stick, what is the commonly recommended maximum puncture depth to avoid injuring the calcaneus (heel bone)?Deselect Answer 5.0 mm 3.5 mm 2.0 mm 0.5 mm None Comment 55. Which technique helps minimize hemolysis during venipuncture?Deselect Answer Using a needle with a very small gauge unnecessarily Forcing blood through the needle Allowing alcohol to dry before puncture Shaking tubes to mix None Comment 56. While preparing to leave the room after venipuncture, what must the technician do if gloves are still on?Deselect Answer Keep gloves on until reaching the lab Remove gloves and perform hand hygiene Change gloves only Label tubes before removing gloves None Comment 57. Which vaccine is strongly recommended for healthcare workers who may be exposed to bloodborne pathogens?Deselect Answer Hepatitis A vaccine Tetanus vaccine Varicella (chickenpox) vaccine Hepatitis B vaccine None Comment 58. Which statement about an emancipated minor's ability to consent is correct?Deselect Answer Emancipated minors can never consent to their own care Emancipated minors can consent to medical treatment without parental permission Only parents can consent for emancipated minors Teachers may consent for emancipated minors None Comment 59. What is the correct cleanup procedure for a small fresh blood spill on a countertop in a phlebotomy area?Deselect Answer Wipe up with paper towel and discard in regular trash Cover with absorbent powder then wash with soap only Don gloves, disinfect with 10% bleach solution or EPA-registered disinfectant and allow proper contact time Let it dry and then sweep into a dustpan None Comment 60. Which antiseptic is commonly recommended to cleanse the skin before a routine venipuncture?Deselect Answer Full-strength hydrogen peroxide 70% isopropyl alcohol Plain water Chlorhexidine gluconate for all routine draws None Comment 61. A collected blood tube arrives at the lab with no patient identifier on the tube but a completed requisition form. What should the phlebotomist or technologist do?Deselect Answer Accept the tube since the requisition has the information Label the tube based on the requisition and process it Ask a coworker to initial the tube for identification Reject the specimen and request recollection with proper labeling None Comment 62. If a patient forgets to collect one void during a 24-hour urine collection, what should they be advised?Deselect Answer Estimate the missed volume Continue and just note the time Finish and mark collection incomplete Discard the collection and restart the entire 24-hour period None Comment 63. Which tube color is typically used for coagulation studies such as PT/INR?Deselect Answer Red top Lavender top Light blue top Green top None Comment 64. After using a needle to draw blood, what is the proper immediate action to take?Deselect Answer Dispose the uncapped needle immediately into an approved sharps container without recapping Recap the needle with two hands before disposal Place the needle into a regular lined trash can Bend or break the needle before disposal to prevent reuse None Comment 65. Which tube color is typically used for coagulation studies such as PT and aPTT?Deselect Answer Lavender (EDTA) Green (heparin) Gray (potassium oxalate/fluoride) Light blue (sodium citrate) None Comment 66. What is the maximum recommended time a tourniquet should remain tied on a patient during venipuncture?Deselect Answer 3 minutes 1 minute 5 minutes 10 minutes None Comment 67. If a patient becomes lightheaded and begins to faint during a blood draw, what should the phlebotomist do first?Deselect Answer Continue the draw to finish the collection Immediately remove the needle, apply pressure, and call for assistance Offer the patient a sweet drink while drawing Lower the needle deeper to increase flow None Comment 68. Which practice best reduces the risk of hemolysis when collecting and handling blood samples?Deselect Answer Use the largest needle available for faster flow Sharply shake tubes after collection to mix with anticoagulant Gently invert tubes the recommended number of times instead of vigorous shaking Force blood through a small-gauge syringe into tubes None Comment 69. Who is typically authorized to give consent for medical treatment of a minor?Deselect Answer A neighbor who brings the child to the clinic The child's parent or legal guardian A schoolteacher who witnessed an injury Any adult family friend present at the visit None Comment 70. When collecting blood cultures using a winged infusion set (butterfly), which bottle should be filled first to reduce the risk of introducing air into an anaerobic bottle?Deselect Answer Aerobic bottle first, then anaerobic Anaerobic bottle first, then aerobic Order does not matter Fill only one bottle None Comment 71. For an adult capillary (fingerstick) specimen, which site is generally preferred?Deselect Answer Tip of the thumb Lateral side of the middle or ring finger (distal segment) Center of the fingertip pad Pad of the index finger None Comment 72. Which antiseptic is preferred for skin cleansing prior to collecting blood cultures to reduce contamination?Deselect Answer 70% isopropyl alcohol alone Povidone-iodine scrub for 15 seconds Hydrogen peroxide solution 2% chlorhexidine gluconate in 70% isopropyl alcohol None Comment 73. Which issue would most likely require specimen recollection?Deselect Answer Correctly labeled specimen received warm Specimen slightly underfilled but acceptable Unlabeled specimen Specimen transported within stability time None Comment 74. Which method is the most reliable for positively identifying an outpatient before drawing blood?Deselect Answer Ask the patient to state their full name and date of birth and compare with the requisition Ask the patient a yes/no question such as 'Are you John Smith?' Use the room number listed on the appointment schedule Verify the name on the outside of the patient's chart without asking the patient None Comment 75. If blood contacts your mucous membranes (mouth or eyes), what should you do immediately?Deselect Answer Use alcohol-based hand rub on the area Blot the area with a tissue and monitor Delay action until you can see occupational health Flush the mucous membrane with water or saline immediately and report the exposure None Comment 76. If a blood or body fluid splashes into your eye at work, how long should you flush the eye with water or saline?Deselect Answer 30 seconds 1 minute 15 minutes 5 minutes None Comment 77. Which transmission-based precautions are required when collecting sputum from a patient suspected of active tuberculosis?Deselect Answer Standard precautions only Airborne precautions with an N95 respirator Droplet precautions with a surgical mask Contact precautions with gloves and gown None Comment 78. How long should a tourniquet remain on a patient during venipuncture to avoid hemoconcentration?Deselect Answer As long as necessary to find a vein No longer than one minute At least five minutes to dilate veins Until the first tube is completely filled None Comment 79. In the standard order of draw for venipuncture, which tube is typically collected immediately after blood culture bottles?Deselect Answer Lavender-top (EDTA) tube Light blue-top (sodium citrate) tube Green-top (heparin) tube Gray-top (potassium oxalate/sodium fluoride) tube None Comment 80. If a patient becomes faint or lightheaded during a blood draw, what is the most appropriate immediate action?Deselect Answer Speed up the draw to finish quickly Continue the draw and apply cold compress Ignore mild complaints and finish the procedure Stop the procedure, withdraw the needle, apply pressure, and have the patient sit or lie down None Comment 81. What is the most reliable method to identify a patient before performing venipuncture?Deselect Answer Verify the patient's room number Ask a family member to confirm the patient's name Ask the patient to state their full name and date of birth and compare with the wristband Rely on the name on the requisition form None Comment 82. A patient scheduled for fasting blood work admits to drinking coffee that morning. What is the best next step?Deselect Answer Proceed with collection Document coffee intake and notify the provider or follow policy Cancel the test without notification Ask the patient to wait 30 minutes None Comment 83. While preparing to leave the room after venipuncture, what must the technician do if gloves are still on?Deselect Answer Keep gloves on until reaching the lab Remove gloves and perform hand hygiene Change gloves only Label tubes before removing gloves None Comment 84. Which set of elements should be documented to demonstrate that informed consent was properly obtained?Deselect Answer Patient signature and the nurse's initials only Date and time only Procedure name only Patient name, date/time, procedure, explanation of risks/benefits/alternatives, patient's questions, signature, and witness if required None Comment 85. An infant in the nursery does not yet have a given name. Which identifiers should be used when collecting specimens?Deselect Answer Infant's nickname and birth weight Mother's room number and infant's length Nursery location and time of birth Mother's full name and the infant's date of birth None Comment 86. Which issue would most likely require specimen recollection?Deselect Answer Correctly labeled specimen received warm Specimen slightly underfilled but acceptable Unlabeled specimen Specimen transported within stability time None Comment 87. After completing a venipuncture with a needle, what is the correct immediate action for the used needle?Deselect Answer Recap the needle and place it in a biohazard bag Dispose of the needle immediately into a labeled sharps container without recapping Place the needle on the tray to be disposed of later Hand the uncapped needle to another staff member to dispose None Comment 88. Which issue would most likely require specimen recollection?Deselect Answer Correctly labeled specimen received warm Specimen slightly underfilled but acceptable Unlabeled specimen Specimen transported within stability time None Comment 89. What is the maximum recommended depth for a heel puncture in a newborn?Deselect Answer 0.5 mm 1.0 mm 2.0 mm 3.0 mm None Comment 90. When is the correct time to label blood collection tubes for a fasting glucose sample?Deselect Answer At the nurses' station after you return In the laboratory upon receipt After drawing and leaving the patient's room Immediately at the patient's bedside after collection None Comment 91. Which issue would most likely require specimen recollection?Deselect Answer Correctly labeled specimen received warm Specimen slightly underfilled but acceptable Unlabeled specimen Specimen transported within stability time None Comment 92. A patient has a history of fainting during venipuncture. What is the BEST action to minimize syncope risk?Deselect Answer Perform the draw with the patient standing Apply a strong tourniquet and draw quickly while sitting Use a small-gauge needle with patient seated upright Have the patient lie supine or reclined during the draw None Comment 93. What is the primary purpose of maintaining negative air pressure in an airborne infection isolation room?Deselect Answer To keep potentially contaminated air from flowing out into adjacent areas To provide extra oxygen for the patient To increase room temperature for pathogen control To limit staff access to the room None Comment 94. When using evacuated tubes, which tube should be drawn before EDTA to avoid contamination that could affect coagulation testing?Deselect Answer Light blue (sodium citrate) tube Gold/tiger-top (SST) tube Green (heparin) tube Gray (glucose) tube None Comment 95. If a patient has designated a durable power of attorney for healthcare, who makes medical decisions when the patient lacks capacity?Deselect Answer The agent the patient appointed in the durable power of attorney document The attending nurse without consulting others The primary physician automatically without consulting the agent Any adult family member regardless of the document None Comment 96. An infant in the nursery does not yet have a given name. Which identifiers should be used when collecting specimens?Deselect Answer Infant's nickname and birth weight Mother's room number and infant's length Nursery location and time of birth Mother's full name and the infant's date of birth None Comment 97. How long should you wash your hands with soap and water to appropriately remove pathogens during routine handwashing?Deselect Answer 5 seconds 10 seconds 20 seconds 60 seconds None Comment 98. After a splash of blood into the eyes during a procedure, what is the best immediate action?Deselect Answer Cover the eyes with sterile gauze and continue working Flush the eyes with water or sterile saline immediately Wait to see if irritation develops before taking action Apply antibiotic eye ointment without flushing None Comment 99. Which combination meets the 'two patient identifiers' standard for a routine blood draw?Deselect Answer Room number and attending physician name Patient's photo and hospital bed number Initials and time of arrival Patient's full name and date of birth None Comment 100. After cleaning up broken glassware that was contaminated with blood, what is the next required action?Deselect Answer Dispose of the cleaning materials in regular trash and continue work Rinse the area with water only and ignore documentation Store the contaminated glass for later disposal by housekeeping Report the incident, complete an exposure/incident report, and ensure waste was disposed as regulated/sharps waste None Comment 101. For a capillary heel stick on a newborn, what is the safest puncture site to avoid bone injury and nerve damage?Deselect Answer Center of the heel near the Achilles tendon Central plantar area of the heel Lateral OR medial plantar surface of the heel (avoid the center) Top (dorsal) surface of the foot None Comment 102. How should specimens that require cold transport (e.g., ammonia) be prepared for immediate transport?Deselect Answer Kept at room temperature in a padded carrier Placed in direct sunlight to warm briefly Placed in an ice-water slurry (crushed ice and water) or ice pack per protocol Stored upright in a refrigerator for 24 hours before transport None Comment 103. How many gentle inversions are recommended immediately after collection of an EDTA (lavender-top) tube to ensure proper mixing?Deselect Answer 1-2 inversions 3-4 inversions 5-7 inversions 8-10 inversions None Comment 104. Which of the following best describes standard precautions in clinical settings?Deselect Answer Use isolation only for symptomatic patients Wear a gown for all patient interactions Treat all blood and body fluids as potentially infectious and use appropriate PPE Only use gloves when blood is visible None Comment 105. What is the recommended safe method for handling a used hypodermic needle immediately after venipuncture?Deselect Answer Recap the needle using two hands before disposal Bend the needle before discarding Place it on a bedside tray for later disposal Activate the safety feature or use the one-handed scoop technique and dispose in a sharps container None Comment 106. A patient clearly refuses a blood draw but a family member insists the procedure be done. What is the best action for the phlebotomist?Deselect Answer Explain to the family that you must honor their request and proceed Ask the family member to sign a consent form and proceed Stop the procedure and notify the nurse or provider according to facility policy Tell the patient they must comply because a test was ordered None Comment 107. Which needle gauge is most commonly used for routine adult venipuncture?Deselect Answer 18 gauge 23 gauge 25 gauge 21 gauge None Comment 108. Which action best demonstrates that a patient has given valid informed consent?Deselect Answer The patient explains the procedure, risks, and alternatives and signs the consent form The patient nods once when the nurse asks if they agree A family member signs the form on behalf of the patient because they are present The chart shows a prior discussion but no signature was obtained None Comment 109. While preparing to leave the room after venipuncture, what must the technician do if gloves are still on?Deselect Answer Keep gloves on until reaching the lab Remove gloves and perform hand hygiene Change gloves only Label tubes before removing gloves None Comment 110. Which type of mask is appropriate for standard droplet precautions when working within about 3 feet of a coughing patient?Deselect Answer Surgical (procedure) mask N95 (respirator) Cloth mask No mask is needed if wearing gloves None Comment 111. Which hand hygiene is recommended immediately before putting on gloves to collect blood cultures if hands are not visibly soiled?Deselect Answer No hand hygiene is needed if gloves will be worn Wash with soap and water for at least 2 minutes Use an alcohol-based hand rub before donning gloves Apply hand lotion before gloving None Comment 112. Which preservative is commonly recommended for a 24-hour urine collection when measuring catecholamines (e.g., VMA)?Deselect Answer Sodium chloride No preservative needed Ethanol Hydrochloric acid to acidify and stabilize catecholamines None Comment 113. A competent patient refuses a recommended treatment. What should the healthcare team do first?Deselect Answer Document the refusal and proceed with treatment anyway Respect the patient's decision, document the refusal, and notify the provider Contact security to force treatment if it's in the patient's best interest Ignore the refusal because the team believes the treatment is necessary None Comment 114. When should blood collection tubes be labeled during the specimen collection process?Deselect Answer At the patient's bedside immediately after the specimen is drawn, with patient present Later in the lab after specimens are transported Before entering the patient's room so labels don't touch the patient Only if requested by the ordering physician None Comment 115. Which tube or container should be collected first when performing a venipuncture that includes blood cultures and routine tubes?Deselect Answer EDTA (lavender top) tube Serum (red top) tube Light blue (citrate) coagulation tube Blood culture bottles None Comment 116. When is the correct time to label blood collection tubes for a fasting glucose sample?Deselect Answer At the nurses' station after you return In the laboratory upon receipt After drawing and leaving the patient's room Immediately at the patient's bedside after collection None Comment 117. A patient scheduled for fasting blood work admits to drinking coffee that morning. What is the best next step?Deselect Answer Proceed with collection Document coffee intake and notify the provider or follow policy Cancel the test without notification Ask the patient to wait 30 minutes None Comment 118. In the standard order of draw for venipuncture, which tube is typically collected immediately after blood culture bottles?Deselect Answer Lavender-top (EDTA) tube Light blue-top (sodium citrate) tube Green-top (heparin) tube Gray-top (potassium oxalate/sodium fluoride) tube None Comment 119. What is the first step after sustaining a needlestick injury with a potentially contaminated needle?Deselect Answer Squeeze the wound to draw out blood and then cover it Finish your shift and report the incident at the end of the day Wash the area thoroughly with soap and water immediately Apply a topical antibiotic and ignore unless symptoms develop None Comment 120. Which personal protective equipment (PPE) is most important to protect the mucous membranes from splashes of blood during specimen processing?Deselect Answer Shoe covers Lead apron Disposable gloves Goggles or a face shield None Comment 1 out of 120
