Full Test 7 1. During venipuncture, blood flow slows significantly after the first tube. What is the best corrective action?Deselect Answer Remove the needle immediately Apply additional vacuum pressure Gently adjust the needle position Ask the patient to pump their fist None Comment 2. After collecting a blood specimen for bilirubin testing, what must you do to preserve an accurate result?Deselect Answer Place the specimen in a lighted area to keep it warm Protect the specimen from light by wrapping it or using an amber container Freeze the specimen immediately Shake the tube vigorously None Comment 3. Which action should a phlebotomy technician take immediately after a blood draw to maintain safety compliance?Deselect Answer Carry used supplies to the lab Activate the needle safety device and dispose of sharps properly Remove gloves after leaving the room Label tubes at the nurses' station None Comment 4. Why must food be kept out of specimen or laboratory storage areas labeled for specimens only?Deselect Answer Food can be stored there if it is in a sealed container Food helps maintain refrigerator temperature stability Food is allowed as long as it is labeled with the technician's name Storing food risks cross-contamination and violates infection-control policies None Comment 5. 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 6. Which handling issue is most likely to cause specimen rejection?Deselect Answer Properly labeled specimen transported promptly Specimen gently inverted after collection Unlabeled specimen Specimen kept within stability limits None Comment 7. 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 8. Why should the venipuncture site not be palpated after the antiseptic has dried?Deselect Answer It increases discomfort more than before cleansing It removes antiseptic and makes venipuncture difficult It can reintroduce skin flora and contaminate the specimen It causes vasoconstriction reducing blood flow None Comment 9. During venipuncture, blood flow slows significantly after the first tube. What is the best corrective action?Deselect Answer Remove the needle immediately Apply additional vacuum pressure Gently adjust the needle position Ask the patient to pump their fist None Comment 10. Which storage temperature range is appropriate for most routine blood specimens before testing?Deselect Answer Frozen at -20°C Warmed to 37°C Refrigerated at 2-8°C Left at ambient temperatures above 25°C None Comment 11. 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 12. 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 13. 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 14. Before inoculating blood culture bottles, what is the proper preparation of the bottle septum?Deselect Answer Remove the cap and touch the septum with a sterile glove Cleanse the rubber septum with alcohol/antiseptic and allow it to dry Wipe the septum with sterile saline Leave the septum untouched None Comment 15. 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 16. A patient scheduled for laboratory testing reports dizziness upon arrival. What is the most appropriate first step?Deselect Answer Proceed with the draw while monitoring Ask the patient to stand upright Seat or position the patient safely before collection Cancel the test without explanation None Comment 17. Where is the proper place to remove a disposable N95 respirator after caring for a patient on airborne precautions?Deselect Answer While still inside the patient room during care In the patient room but next to the sink Outside the patient room after closing the door, then perform hand hygiene In the hallway with the door open None Comment 18. 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 19. Which vein is typically the first choice for routine venipuncture in the antecubital fossa?Deselect Answer Cephalic vein Basilic vein Dorsal metacarpal vein Median cubital vein None Comment 20. Which specimen requires protection from light during handling?Deselect Answer Glucose Bilirubin Potassium Hemoglobin None Comment 21. When is the best time to label blood collection tubes with the patient's identifiers?Deselect Answer After transporting the tubes to the laboratory At the nurse's station before going to the bedside At the bedside immediately after the specimen is collected When the specimen is logged into the computer system None Comment 22. When should you wash your hands with soap and water instead of using an alcohol-based hand rub?Deselect Answer When hands are visibly soiled or after caring for a patient with Clostridioides difficile infection Before touching a patient if you wore gloves previously Immediately after donning sterile gloves When wearing jewelry on your hands None Comment 23. 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 24. 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 25. 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 26. Which action should a phlebotomy technician take immediately after a blood draw to maintain safety compliance?Deselect Answer Carry used supplies to the lab Activate the needle safety device and dispose of sharps properly Remove gloves after leaving the room Label tubes at the nurses' station None Comment 27. Which bedside check is most important immediately before starting a blood transfusion?Deselect Answer Verify patient identity vs ID band and blood unit label (and confirm verbally when possible) Record blood pressure 30 minutes after starting Flush IV line with heparin Set transfusion rate before identifying patient None Comment 28. If a patient refuses a blood draw after proper explanation, what should the phlebotomist do FIRST?Deselect Answer Restrain the patient Respect refusal, document it, and notify the provider/nurse Call security Draw anyway because the test is ordered None Comment 29. When transporting patient specimens to the laboratory, what is the most important step to ensure specimen integrity?Deselect Answer Ensure specimens are properly labeled, sealed, and transported in appropriate containers Remove labels to protect patient privacy during transport Combine multiple specimens in one bag to save space Transport specimens without temperature control so they reach the lab faster None Comment 30. 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 31. An inpatient's wrist ID band is present but hanging loose and about to fall off. What should the phlebotomy technician do?Deselect Answer Go ahead and draw because the band is still readable Have the patient hold the band while drawing Write the patient's name on the requisition and proceed Notify nursing so a new or secure wristband can be applied before collection None Comment 32. What is the most appropriate initial method to verify a patient's identity immediately before drawing blood?Deselect Answer Confirm with the patient's room number Ask the patient to state their full name and date of birth Ask a family member to confirm the patient's name Compare to the requisition only None Comment 33. For airborne precautions against tuberculosis, which respiratory protection is recommended?Deselect Answer Surgical mask Face shield N95 respirator Cloth mask None Comment 34. Which color tube is typically drawn for coagulation studies such as PT/INR?Deselect Answer Green Lavender Light blue Gray None Comment 35. 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 36. Which laboratory result is most likely to be falsely elevated by hemolysis?Deselect Answer Potassium Sodium Hemoglobin on a non-automated test Platelet count None Comment 37. 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 38. When is the correct time to label a blood specimen tube?Deselect Answer After delivering it to the lab Before drawing any blood away from the patient At the patient's bedside immediately after the draw When there is time later during the shift None Comment 39. 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 40. 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 41. A patient scheduled for laboratory testing reports dizziness upon arrival. What is the most appropriate first step?Deselect Answer Proceed with the draw while monitoring Ask the patient to stand upright Seat or position the patient safely before collection Cancel the test without explanation None Comment 42. Which of the following is NOT an acceptable second identifier when collecting an inpatient specimen?Deselect Answer Hospital-assigned medical record number Patient's full name and date of birth Barcode or patient ID number from the wristband Room number None Comment 43. In the venipuncture order of draw, when should blood culture bottles be collected relative to other tubes?Deselect Answer After EDTA tubes After coagulation tubes Last, after all additive tubes Before collecting other tubes None Comment 44. 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 45. A patient with suspected measles should be placed in which type of room to prevent spread of infectious aerosols?Deselect Answer Positive-pressure protective room Negative-pressure airborne infection isolation room Standard semi-private room with curtains Open ward with increased ventilation None Comment 46. If you accidentally touch the inside of a sterile urine cup or sterile swab container before collection, what is the correct action?Deselect Answer Discard the contaminated container and use a new sterile container Wipe the inside with alcohol and proceed Ask the patient to rinse the container before collection Continue; a quick touch will not affect the specimen None Comment 47. 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 48. 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 49. 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 50. You notice the wristband DOB does not match the DOB on the requisition and the patient confirms the requisition DOB is incorrect. What is the correct action?Deselect Answer Collect the specimen now and note the discrepancy Correct the requisition yourself and proceed Obtain the patient's signature approving the change and draw Do not collect; resolve the discrepancy with nursing/registration before collecting None Comment 51. 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 52. Which of the following is the correct policy regarding recapping needles after use?Deselect Answer Recap using two hands to secure the cap Do not recap; immediately dispose of the needle in a sharps container without recapping Recap and store for later disposal if the container is full Recap and hand off to another trained employee for disposal None Comment 53. 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 54. 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 55. Which specimen requires protection from light during handling?Deselect Answer Glucose Bilirubin Potassium Hemoglobin None Comment 56. 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 57. Which additive in a lavender-top tube prevents blood from clotting by chelating calcium?Deselect Answer Heparin Sodium fluoride EDTA Sodium citrate None Comment 58. During which situation is wearing a surgical mask (not respirator) indicated?Deselect Answer When performing procedures likely to generate splashes or sprays of blood or body fluids For care of patients under airborne precautions When sterile technique is not required and no splashes are expected To replace hand hygiene between patients None Comment 59. Which handling issue is most likely to cause specimen rejection?Deselect Answer Properly labeled specimen transported promptly Specimen gently inverted after collection Unlabeled specimen Specimen kept within stability limits None Comment 60. Which action is a common cause of hemolysis in a blood specimen?Deselect Answer Forcefully shaking or vigorously mixing tubes after collection Using the correct gauge needle and gentle inversion Allowing the alcohol to dry before puncture Applying gentle pressure to the puncture site after collection None Comment 61. Which of the following is the correct first step when removing contaminated gloves to avoid contaminating your hands?Deselect Answer Peel off both gloves at the same time by pulling at the cuffs Wash your hands before removing the gloves Grasp the outside of one glove at the wrist and peel it off, holding it in the gloved hand Touch the outside of the glove with bare hands to quickly remove it None Comment 62. 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 63. Which handling issue is most likely to cause specimen rejection?Deselect Answer Properly labeled specimen transported promptly Specimen gently inverted after collection Unlabeled specimen Specimen kept within stability limits None Comment 64. Which respiratory protection is required for healthcare personnel entering the room of a patient with confirmed airborne tuberculosis?Deselect Answer Surgical mask N95 respirator or higher-level respirator Face shield only No respiratory protection if the patient is masked None Comment 65. During venipuncture, blood flow slows significantly after the first tube. What is the best corrective action?Deselect Answer Remove the needle immediately Apply additional vacuum pressure Gently adjust the needle position Ask the patient to pump their fist None Comment 66. 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 67. What is the safest immediate method for disposing of a used hypodermic needle after drawing blood?Deselect Answer Recap the needle and place it in the trash Remove the needle from the syringe and discard it separately Place the needle directly into a puncture-resistant sharps container without recapping Flush the needle down the sink None Comment 68. Which of the following must always be included on a blood bank specimen label?Deselect Answer Room number and date only Last name and sex only Ordering physician and test name only Full name, DOB/unique ID, date/time of collection, and collector's initials None Comment 69. Which preanalytical error is most likely to cause a falsely elevated potassium result?Deselect Answer Allowing the specimen to clot for 24 hours Transporting the sample on ice Underfilling a sodium citrate tube Hemolyzing the specimen (small needle, vigorous shaking, excessive force) None Comment 70. Which specimen requires protection from light during handling?Deselect Answer Glucose Bilirubin Potassium Hemoglobin None Comment 71. 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 72. 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 73. 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 74. 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 75. If you sustain a needlestick injury at work, what should you do immediately?Deselect Answer Try to squeeze out blood and apply a tourniquet Ignore it if the source patient appears healthy Wait until the end of the shift to report it Wash the area with soap and water and report the incident according to facility protocol None Comment 76. Which color tube is typically drawn first when collecting blood for coagulation studies?Deselect Answer Light blue (sodium citrate) Green (heparin) Lavender (EDTA) Gray (oxalate/flouride) None Comment 77. 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 78. 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 79. 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 80. Which practice is required when collecting a blood sample for legal blood alcohol testing (e.g., DUI cases)?Deselect Answer Chilling on ice immediately at bedside Following chain-of-custody procedures with documentation and secure transport Using any antiseptic if labeled correctly Drawing two tubes and discarding one None Comment 81. 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 82. Which statement about the hepatitis B vaccine for healthcare workers is correct?Deselect Answer It is optional and rarely recommended for clinical staff It is recommended for healthcare personnel and should be offered by the employer, ideally before occupational exposure It provides immediate lifetime immunity after one dose It must be given only after a documented exposure to blood None Comment 83. 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 84. Which vein is the preferred site for routine antecubital venipuncture because it is well-anchored and accessible?Deselect Answer Median cubital vein Cephalic vein Basilic vein Dorsal venous network of the hand None Comment 85. During venipuncture, blood flow slows significantly after the first tube. What is the best corrective action?Deselect Answer Remove the needle immediately Apply additional vacuum pressure Gently adjust the needle position Ask the patient to pump their fist None Comment 86. Before performing a venipuncture, what is the best method to verify a patient's identity?Deselect Answer Ask a family member in the room to confirm the patient's name Ask the patient to state their full name and date of birth and compare with the requisition Rely on the patient's room number and bed label Use the name on the patient chart without asking the patient None Comment 87. 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 88. 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 89. If a patient faints (syncope) during venipuncture, the phlebotomist should FIRST:Deselect Answer Stop the procedure, remove the needle, and lower the patient to a safe position Finish the draw quickly before the patient loses consciousness Call security to restrain the patient Apply a warm compress to the site and continue None Comment 90. 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 91. For which situation is a chain-of-custody form typically required?Deselect Answer Routine fasting glucose testing for clinical care Specimen being transferred between floors within the same facility for routine testing Forensic or legal drug testing where specimen integrity must be documented Daily quality-control checks of laboratory equipment None Comment 92. 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 93. 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 94. What is the correct sequence for donning personal protective equipment for airborne precautions?Deselect Answer Mask/respirator, gloves, gown, goggles Gown, mask/respirator, goggles/face shield, gloves Gloves, gown, mask, goggles Goggles, gloves, gown, mask None Comment 95. 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 96. Which action should a phlebotomy technician take immediately after a blood draw to maintain safety compliance?Deselect Answer Carry used supplies to the lab Activate the needle safety device and dispose of sharps properly Remove gloves after leaving the room Label tubes at the nurses' station None Comment 97. 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 98. A patient scheduled for laboratory testing reports dizziness upon arrival. What is the most appropriate first step?Deselect Answer Proceed with the draw while monitoring Ask the patient to stand upright Seat or position the patient safely before collection Cancel the test without explanation 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. Which specimen requires a clotting period and separation by centrifugation prior to testing?Deselect Answer EDTA whole blood for CBC Sodium citrate plasma for coagulation tests Serum collected in a red-top or SST tube Whole blood for blood cultures None Comment 101. When should a phlebotomist label collected specimen tubes for outpatient draws?Deselect Answer After returning to the lab to save time at the bedside Before drawing the specimen to prepare labels in advance At the patient bedside immediately after collection, before leaving the patient When handing the tubes to a courier None Comment 102. 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 103. 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 104. Under standard precautions, when are gloves specifically indicated?Deselect Answer Only when performing surgical procedures Only when the patient has a known infection When contact with blood, body fluids, mucous membranes, or nonintact skin is possible Only when handling sterilized instruments None Comment 105. Which handling issue is most likely to cause specimen rejection?Deselect Answer Properly labeled specimen transported promptly Specimen gently inverted after collection Unlabeled specimen Specimen kept within stability limits None Comment 106. Two patients in the same unit share the same first and last name. Before drawing blood from one of them, the phlebotomist should:Deselect Answer Use the room number to identify the correct patient Ask the family which one to draw Use the last four digits of the SSN only Verify two identifiers such as full name, DOB or medical record number and check the wristband None Comment 107. 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 108. What is the proper immediate action after completing a venipuncture and removing the needle?Deselect Answer Recap the needle and place it on the bench Hand the uncapped needle to a coworker for disposal Place the needle in a regular trash bin inside a plastic bag Activate safety device if present and immediately dispose of the needle in a designated puncture-resistant sharps container None Comment 109. Which action should a phlebotomy technician take immediately after a blood draw to maintain safety compliance?Deselect Answer Carry used supplies to the lab Activate the needle safety device and dispose of sharps properly Remove gloves after leaving the room Label tubes at the nurses' station None Comment 110. Which specimen requires protection from light during handling?Deselect Answer Glucose Bilirubin Potassium Hemoglobin None Comment 111. 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 112. 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 113. 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 114. A patient scheduled for laboratory testing reports dizziness upon arrival. What is the most appropriate first step?Deselect Answer Proceed with the draw while monitoring Ask the patient to stand upright Seat or position the patient safely before collection Cancel the test without explanation None Comment 115. Which action is essential when handling forensic (chain-of-custody) specimens?Deselect Answer Store them with routine lab specimens to save space Open and aliquot them before documentation to speed processing Document all transfers, secure the specimen, and obtain signatures for each person who handled it Allow family members to transport the specimen if requested None Comment 116. What is the maximum recommended time a tourniquet should remain tied on a patient's arm during venipuncture?Deselect Answer 5 minutes 1 minute 3 minutes 10 minutes None Comment 117. A specimen arrives at the lab with obvious hemolysis. What is the most appropriate action?Deselect Answer Centrifuge at a higher speed to reduce hemolysis effects Analyze the sample and annotate the report Dilute the sample and proceed with testing Request a recollection of the specimen None Comment 118. 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 119. 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 120. 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 1 out of 120
