Full Test 1 1. 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 2. 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 3. 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 4. A patient states they did not follow fasting instructions for a lipid panel. What is the most appropriate action?Deselect Answer Collect the specimen and note non-fasting status Cancel the test without notifying anyone Follow facility policy and notify appropriate personnel before collection Collect only one tube to reduce error None Comment 5. During venipuncture, blood flow suddenly stops after the first tube begins filling. The needle has not moved. What is the best action?Deselect Answer Remove the needle immediately and reattempt Slightly reposition the needle without withdrawing Replace the evacuated tube Ask the patient to clench their fist repeatedly None Comment 6. 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 7. 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 8. A phlebotomy technician sustains a needlestick injury after activating the safety device. What should be done next?Deselect Answer Continue working and report later Immediately wash the area and report per exposure protocol Apply pressure only Discard the needle and leave the area None Comment 9. 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 10. Which personal protective equipment is required when entering a room under droplet precautions?Deselect Answer Surgical mask N95 respirator Powered air-purifying respirator (PAPR) Positive-pressure suit None Comment 11. 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 12. 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 13. Which additive in a lavender-top tube prevents blood from clotting by chelating calcium?Deselect Answer Heparin Sodium fluoride EDTA Sodium citrate None Comment 14. 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 15. A patient states they did not follow fasting instructions for a lipid panel. What is the most appropriate action?Deselect Answer Collect the specimen and note non-fasting status Cancel the test without notifying anyone Follow facility policy and notify appropriate personnel before collection Collect only one tube to reduce error None Comment 16. A toddler cannot state their name or DOB. What is the best way to confirm the child's identity before drawing blood?Deselect Answer Check the room number and proceed Ask the parent or legal guardian to state the child's full name and date of birth and compare to the requisition Use the child's height and weight from the chart Verify by the color of the patient's bracelet only None Comment 17. During a 24-hour urine collection, how should the urine be stored until returned to the lab?Deselect Answer Room temperature in a warm place Add formalin routinely Direct sunlight to keep it warm Refrigerate or keep on ice throughout the 24 hours None Comment 18. 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 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. A phlebotomy technician sustains a needlestick injury after activating the safety device. What should be done next?Deselect Answer Continue working and report later Immediately wash the area and report per exposure protocol Apply pressure only Discard the needle and leave the area None Comment 21. 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 22. 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 23. 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 24. 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 25. 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 26. 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 27. Which personal protective equipment is required when caring for a patient on airborne precautions (e.g., tuberculosis)?Deselect Answer Surgical mask only Face shield only Gown and gloves only Fit-tested N95 respirator or higher-level respirator None Comment 28. 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 29. When following droplet precautions, which PPE should a technician wear when working within 3 feet of the patient?Deselect Answer N95 respirator Surgical mask Gown and shoe covers Powered air-purifying respirator (PAPR) None Comment 30. 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 31. 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 32. 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 33. For a heel stick on a newborn, which site is considered the safest and preferred?Deselect Answer Plantar surface near the heel center Dorsal surface of the foot Great toe (big toe) Lateral or medial plantar surface of the heel None Comment 34. 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 35. 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 36. During venipuncture, blood flow suddenly stops after the first tube begins filling. The needle has not moved. What is the best action?Deselect Answer Remove the needle immediately and reattempt Slightly reposition the needle without withdrawing Replace the evacuated tube Ask the patient to clench their fist repeatedly None Comment 37. What is the proper procedure for disposing of unused or excess hazardous cleaning chemicals?Deselect Answer Pour them into the sink with extra water Follow the facility's chemical waste disposal procedures and the SDS Mix different chemicals together to neutralize them Throw the bottle into regular trash after rinsing None Comment 38. 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 39. 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 40. 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 41. Which specimen issue would most likely require rejection according to standard laboratory policy?Deselect Answer Slight hemolysis in a serum tube Correctly labeled specimen received warm Unlabeled specimen Specimen collected near the end of stability time None Comment 42. 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 43. 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 44. Which practice is correct when drawing a specimen for PT/INR testing?Deselect Answer Use a purple-top EDTA tube Fill a light-blue sodium citrate tube to proper volume (9:1 ratio) and invert gently Collect in a green-top heparin tube and freeze immediately Allow the specimen to clot before centrifuging None Comment 45. A phlebotomy technician sustains a needlestick injury after activating the safety device. What should be done next?Deselect Answer Continue working and report later Immediately wash the area and report per exposure protocol Apply pressure only Discard the needle and leave the area None Comment 46. 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 47. A patient states they did not follow fasting instructions for a lipid panel. What is the most appropriate action?Deselect Answer Collect the specimen and note non-fasting status Cancel the test without notifying anyone Follow facility policy and notify appropriate personnel before collection Collect only one tube to reduce error None Comment 48. Before collecting a specimen from a patient, what is the first and essential step the collector must perform?Deselect Answer Verify the patient's identity using two patient identifiers Label the specimen container before confirming patient identity Begin collection immediately to avoid delays Ask a family member to confirm the patient's diagnosis None Comment 49. 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 50. 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 51. Which specimen issue would most likely require rejection according to standard laboratory policy?Deselect Answer Slight hemolysis in a serum tube Correctly labeled specimen received warm Unlabeled specimen Specimen collected near the end of stability time None Comment 52. 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 53. Which handling requirement is necessary for a bilirubin specimen?Deselect Answer Immediate freezing Protection from light Transport at room temperature only Centrifuge within 4 hours None Comment 54. 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 55. Which practice is most likely to cause hemolysis of a blood specimen?Deselect Answer Allowing alcohol to fully air-dry before puncture Vigorously shaking the collection tube Using the correct needle gauge for the patient Applying gentle inversion to mix additives None Comment 56. 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 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 is the correct disposal method for a used disposable lancet after a capillary puncture?Deselect Answer Place it in the regular trash inside a sealed bag Dispose directly into a puncture-resistant, labeled sharps container Recap it and put it back in the supply tray Rinse it and place in biohazard bag with fluids None Comment 59. 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 60. 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 61. Which of the following is an example of an engineering control designed to reduce exposure to bloodborne pathogens?Deselect Answer Use of needleless IV systems and safety-engineered sharps Wearing gloves when drawing blood Receiving the hepatitis B vaccine Washing hands after glove removal None Comment 62. What is the proper patient preparation for a fasting blood glucose or OGTT baseline draw?Deselect Answer Consume a high-sugar snack one hour before Begin immediately after a heavy meal Fast for 8-12 hours prior to the baseline draw Perform vigorous exercise immediately before None Comment 63. 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 64. After completing a venipuncture with a used needle, what should the technician do immediately with the needle?Deselect Answer Recap the needle once and dispose in trash Lay the needle on a tray for later disposal Bend the needle to prevent reuse and then discard Do not recap; immediately dispose the used needle in a puncture-resistant sharps container None Comment 65. Which handling requirement is necessary for a bilirubin specimen?Deselect Answer Immediate freezing Protection from light Transport at room temperature only Centrifuge within 4 hours None Comment 66. Which handling requirement is necessary for a bilirubin specimen?Deselect Answer Immediate freezing Protection from light Transport at room temperature only Centrifuge within 4 hours None Comment 67. 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 68. 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 69. Which needle gauge is most commonly used for routine adult venipuncture?Deselect Answer 18 gauge 23 gauge 25 gauge 21 gauge None Comment 70. During venipuncture, blood flow suddenly stops after the first tube begins filling. The needle has not moved. What is the best action?Deselect Answer Remove the needle immediately and reattempt Slightly reposition the needle without withdrawing Replace the evacuated tube Ask the patient to clench their fist repeatedly None Comment 71. 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 72. 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 73. A phlebotomy technician sustains a needlestick injury after activating the safety device. What should be done next?Deselect Answer Continue working and report later Immediately wash the area and report per exposure protocol Apply pressure only Discard the needle and leave the area None Comment 74. 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 75. 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 76. 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 77. 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 78. 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 79. 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 80. 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 81. When is handwashing with soap and water preferred over alcohol-based hand sanitizer?Deselect Answer After touching intact skin and no fluids are present After caring for a patient with Clostridioides difficile (C. difficile) infection Before putting on gloves Only at the beginning and end of a shift None Comment 82. Why is a standard surgical mask considered inadequate for protecting health-care workers from airborne infections?Deselect Answer It is too expensive for routine use It cannot be reused It does not filter small airborne particles nor form a tight face seal It covers the mouth but not the eyes None Comment 83. A trough level for a therapeutic drug is ordered. When should the specimen be collected?Deselect Answer Immediately before the patient's next scheduled dose 30 minutes after the dose is administered Two hours after the dose is given At any random time None Comment 84. 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 85. 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 86. 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 87. 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 88. Which specimen issue would most likely require rejection according to standard laboratory policy?Deselect Answer Slight hemolysis in a serum tube Correctly labeled specimen received warm Unlabeled specimen Specimen collected near the end of stability time None Comment 89. 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 90. Where should used needles and other sharps be disposed immediately after use?Deselect Answer In a regular trash can with a plastic bag In a puncture-resistant sharps container at the point of use On a tray to be disposed of later by housekeeping Placed back into the original packaging and stored None Comment 91. 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 92. What is the purpose of an immediate-spin (IS) crossmatch?Deselect Answer Detect delayed hemolytic transfusion reactions Detect IgG alloantibodies at 37°C Screen for bacterial contamination Rapidly detect ABO incompatibility when urgent transfusion is needed None Comment 93. A patient states they did not follow fasting instructions for a lipid panel. What is the most appropriate action?Deselect Answer Collect the specimen and note non-fasting status Cancel the test without notifying anyone Follow facility policy and notify appropriate personnel before collection Collect only one tube to reduce error None Comment 94. A blood sample shows an unexpectedly high potassium result. Which preanalytical issue most likely caused this?Deselect Answer Prolonged tourniquet application Patient fasting Delayed refrigeration Hemolysis of the specimen None Comment 95. 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 96. During venipuncture, blood flow suddenly stops after the first tube begins filling. The needle has not moved. What is the best action?Deselect Answer Remove the needle immediately and reattempt Slightly reposition the needle without withdrawing Replace the evacuated tube Ask the patient to clench their fist repeatedly None Comment 97. What is the proper way to transport a specimen from a patient's room to the laboratory?Deselect Answer Place in a leak-proof, labeled specimen container inside a sealed biohazard bag before transport Carry the specimen open in a tray to prevent spills Leave the specimen on the nursing station counter for pickup Place specimen in the patient's bedside drawer until the lab picks it up None Comment 98. 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 99. 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 100. A patient refuses to have blood drawn. What is the best immediate action for the phlebotomist?Deselect Answer Explain consequences until the patient consents Respect the refusal, document it, and notify the ordering provider Ask another staff member to persuade the patient Perform the draw quickly while the patient is distracted None Comment 101. 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 102. If you experience a needlestick injury while at work, what is the immediate correct action you should take?Deselect Answer Finish the task and report it at the end of your shift Wash the area with soap and water and report the incident immediately Suck the wound to remove blood and then apply a bandage Apply a tourniquet above the site to stop bleeding None Comment 103. 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 104. 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 105. 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 106. 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 107. Which handling requirement is necessary for a bilirubin specimen?Deselect Answer Immediate freezing Protection from light Transport at room temperature only Centrifuge within 4 hours None Comment 108. 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 109. 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 110. 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 111. Which practice is the single most effective way to prevent the spread of infections in healthcare settings?Deselect Answer Performing proper hand hygiene (handwashing or alcohol-based rub) Wearing gloves for all patient interactions Cleaning floors once per shift Prescribing antibiotics for all suspected infections None Comment 112. 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 113. 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 114. 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 115. 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 116. 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 117. Which vaccine is specifically recommended and often offered free to healthcare workers to prevent a bloodborne infection?Deselect Answer Influenza vaccine Varicella (chickenpox) vaccine Hepatitis B vaccine MMR vaccine None Comment 118. 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 119. 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 120. Which specimen issue would most likely require rejection according to standard laboratory policy?Deselect Answer Slight hemolysis in a serum tube Correctly labeled specimen received warm Unlabeled specimen Specimen collected near the end of stability time None Comment 1 out of 120
