Warekois: Phlebotomy, 3rd Edition

Chapter 01: Introduction to Phlebotomy

Test Bank

MULTIPLE CHOICE

1.	What does the term phlebotomy actually mean?
a.	Removal of a vein	
b.	Incision of a vein	
c.	Testing of blood	
d.	Withdrawal of red blood cells	

ANS:	B
Phlebo- means “vein,” and -tomy means “to make an incision.”

DIF:	Cognitive Level: 1		REF:	p. 2

2.	What is the first step in routine blood collection?
a.	Select and prepare the site of collection.	
b.	Label the sample tubes.	
c.	Choose the appropriate equipment for collecting the sample.	
d.	Correctly and positively identify the patient.	

ANS:	D
The first step is always to identify the patient. All other steps occur after this.

DIF:	Cognitive Level: 2		REF:	p. 3

3.	Which of the following acronyms is not a certification agency for phlebotomists?
a.	ASCP	
b.	ASPT	
c.	AMT	
d.	NAACLS	

ANS:	D
NAACLS is an accrediting agency for schools. All other agencies certify phlebotomists, and some also certify professionals in other fields.

DIF:	Cognitive Level: 1		REF:	p. 5

4.	Which of the following terms is evidence that an individual has demonstrated proficiency in a particular area of practice?
a.	Accreditation	
b.	Approval	
c.	Certification	
d.	Standardization	

ANS:	C
Certification is evidence that an individual has demonstrated proficiency in a particular area of practice. Certification is awarded to an individual who has passed a voluntary proficiency examination given by a professional agency. Accreditation or approval is given to programs that train laboratory professionals according to specified standards.

DIF:	Cognitive Level: 1		REF:	p. 5

5.	A phlebotomist must ensure that the patient understands and agrees that his or her blood is going to be drawn. What is the name of this process?
a.	Confidentiality	
b.	Informed consent	
c.	Legality	
d.	Privacy	

ANS:	B
This process is the definition of informed consent. Confidentiality is the protection of private information.

DIF:	Cognitive Level: 1		REF:	p. 7

6.	The Health Insurance Portability and Accountability Act of 1996 regulates which of the following areas?
a.	Privacy of health information	
b.	Health insurance transfers on changing jobs	
c.	Informing patients of intended procedures	
d.	Phlebotomy training	

ANS:	A
HIPAA requires that health care agencies and personnel protect a patient’s private health information.

DIF:	Cognitive Level: 1		REF:	p. 7

7.	You have entered a patient’s room and explained that you need to draw blood, and the patient repeatedly refuses. What should you do?
a.	Attempt to draw it anyhow because the physician ordered the test.	
b.	Call for another phlebotomist to help you convince the patient.	
c.	Take the request form back to the laboratory after you have finished drawing your other patients.	
d.	Notify the patient’s physician according to the institution’s written policies.	

ANS:	D
A patient must give informed consent. Refusal indicates the patient does not give consent. Inform the patient’s physician who ordered the test and document your actions.

DIF:	Cognitive Level: 3		REF:	p. 7

8.	The term informed consent means:
a.	A patient must be informed of all intended treatments and risks before the treatment is performed.	
b.	A patient must inform the physicians concerning what procedures they need.	
c.	A nurse informed by the phlebotomist can overrule a patient’s refusal.	
d.	As long as the patient is informed, he or she cannot refuse a treatment.	

ANS:	A
Informed consent means having all pertinent information concerning the procedure and giving consent. Only the patient can give consent, except in the case of a minor or an incapacitated patient.

DIF:	Cognitive Level: 1		REF:	p. 7

9.	Which of the following is true?
a.	Phlebotomy is an ancient profession dating back at least 3500 years.	
b.	Phlebotomy is a new profession arising during World War II.	
c.	Phlebotomists today draw blood from patients for the same reasons as ancient phlebotomists.	
d.	Phlebotomy equipment has not changed since the original phlebotomists.	

ANS:	A
Phlebotomy originated at least 3500 years ago dating back to the ancient Egyptians. “Bleeding” patients was once thought to cure many illnesses. Today’s equipment is very different.

DIF:	Cognitive Level: 1		REF:	p. 2

10.	What state has led the way in state regulation of phlebotomy?
a.	California	
b.	Nevada	
c.	Oklahoma	
d.	Texas	

ANS:	A
California has had regulations for phlebotomy for many years. Some other states are now following suit, but many, such as Texas, still have no regulations in this area.

DIF:	Cognitive Level: 1		REF:	p. 5