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1

Which organization has a list of entry-level phlebotomist competencies that are addressed in the chapter?

National Healthcareer Association (NHA)

American Society of Phlebotomy Technicians (ASPT)

National Phlebotomy Association (NPA)

National Association for Accreditation of Clinical Laboratory Sciences (NAACLS)

National Association for Accreditation of Clinical Laboratory Sciences (NAACLS)

2

Which of the following categories would be an inpatient setting?

Acute-care hospital

Mobile blood-donation van

Home health agency

Emergency care centers

Acute-care hospital

3

Which of the following is one of a phlebotomist's clinical duties?

Manipulate small objects, tubes, and needles

Use medical terminology appropriate for patients and coworkers

Print/collate/distribute laboratory requisitions and reports

Withdraw blood into the correct containers/tubes in the correct order

Withdraw blood into the correct containers/tubes in the correct order

4

It is best to transport routine blood specimens to the laboratory within:

45 minutes.
2 hours.
1 hour.
4 hours.

45 minutes.

5

Which of the following actions helps the phlebotomist to listen actively?

Use an encouraging phrase like "You can tell me about that later."

Avoid excessive eye contact

Plan your next remark while the patient is speaking

Notice body language

Notice body language

6

Which of the following is recommended to reduce collection errors and ensure quality in the phlebotomy services?

Silent pauses in the conversation to mentally review what has been said

A periodic review of the laboratory's collection procedures and policies

Role-reversal exercises for internal and external stakeholders

An annual review of insurance companies and employers that pay for services

A periodic review of the laboratory's collection procedures and policies

7

Approximately how many minutes does it take for a specimen without additives to clot?

10
30
60
15

30

8

Which term describes anemia that results when excessive amounts of blood are taken from a patient?
Diabetic
Hemolytic
Iron deficiency
Iatrogenic

Iatrogenic

9

Which phase of the laboratory process involves the duty of requesting a repeat blood test?

Analytical
Specimen processing
Preanalytical
Postanalytical

Postanalytical

10

Maintaining Quality Control on phlebotomy supplies and equipment is part of which phase of laboratory testing?

Postexamination
Examination
Preanalytical
Postanalytical

Preanalytical

11

Which statement about medical malpractice insurance is TRUE?

Health care staff in the hospital or clinical laboratory is always covered by a blanket malpractice insurance policy.

As a hospital employee, phlebotomists are represented by the hospital's attorney in malpractice cases.

All health care workers should examine the possibility of malpractice suits and the need for malpractice insurance from a personal standpoint.

Only physicians can be sued for medical malpractice; other health care workers are considered "legally immune."

All health care workers should examine the possibility of malpractice suits and the need for malpractice insurance from a personal standpoint.

12

Which term means a set of principles or values based on religious or moral teachings that guide a person's actions?

Ethics
Laws
Maxims
Standards

Ethics

13

Nasir is a 15-year-old patient at the hospital. Who has the right to release his laboratory results?

The laboratory supervisor
The physician
Only the patient
The patient's parent/guardian

The patient's parent/guardian

14

________ is failure to provide proper care, resulting in injury to others.

Negligence

15

What is defined as "failure to provide proper care, resulting in injury to others"?

Slander
Assault
Negligence
Criminal action

Negligence

16

The legal term for improper care of a patient by a member of the health care team resulting in injury to the patient is:
battery.
assault.
litigation.
malpractice.

malpractice.

17

A phlebotomist let her friend use her institutional ID password to log on to the laboratory computer to check her mother's laboratory test results. This is:

okay because her friend is also a phlebotomist in the clinical laboratory and an employee of the health care institution.

okay because it is her mother.

a violation of FDA.

a violation of HIPAA.

a violation of HIPAA.

18

What percentage of laboratory errors occur during the preanalytical (specimen collection and handling) phase?

75%
45%
63%
33%

75%

19

Which term refers to the conduct of the average health care worker in the community?

Standard of care
Implied consent
Discovery
Informed consent

Standard of care

20

Daria is a phlebotomist who became infected with HIV due to a needlestick that happened at work during a patient blood draw. She will probably be covered by workers' compensation benefits as long as she can demonstrate:

that she was properly trained.

a causal connection between her infection and her employment.

that no malpractice has occurred.

an ethical basis for her claim.

a causal connection between her infection and her employment.

21

Which common issues in lawsuits against health care providers could be avoided by returning the patient's bed rails to the raised position after blood collection?

Failure to monitor training and education

Failure to ensure patient safety

Documenting and reporting of incidents

Improper treatment and performance of treatment

Failure to ensure patient safety

22

Professional negligence in blood collection is:

informed consent.
malice.
implied consent.
malpractice.

malpractice.

23

What is a nonmedical reason for which medical records are used?

Monitor continuous patient care

Record of illness and treatment

Communication between physician and the health care team

Quality improvement

Quality improvement

24

All of the following are ways to avoid malpractice litigation EXCEPT:

regularly participating in continuing education programs.
properly handling all HIPAA communications without violation.
disposing of laboratory tests in the regular trash.
obtaining consent for the collection of blood specimens.

disposing of laboratory tests in the regular trash.

25

Which of the following might result in a negligence law suit for a health care worker such as a phlebotomist?

Discontinuing blood draw when patient faints
HIPAA training and signed agreement
Emotional distress
Providing lab results to the patient

Emotional distress

26

A 4-year-old girl who refused to have her blood collected was locked in a room by a health care worker and was forced to have her blood collected. This is an example of:

informed consent.
misdemeanor.
invasion of privacy.
assault and battery.

assault and battery.

27

The federal regulations that are enforced to ensure the quality and accuracy of clinical laboratory testing is covered by:

HIPAA.
Food and Drug Administration (FDA).
Environmental Protection Agency (EPA).
CLIA.

CLIA.

28

Before a patient's laboratory test results can legally be released, the patient must:

express verbal consent over the telephone or in person.

provide written consent.

provide his/her attorney's consent.

tell his/her physician or nurse practitioner that it is okay.

provide written consent.

29

Which of the following covers the privacy and confidentiality of every patient's medical information?
EPA
FDA
HIPAA
CLIA

HIPAA

30

CLIA essentially applies to:

every clinical laboratory testing facility in the United States.

those clinical laboratories in hospitals with more than 200 beds.

those clinical laboratories in health care institutions with more than 500 beds.

every clinical laboratory testing facility in the United States that has molecular diagnostic procedures.

every clinical laboratory testing facility in the United States.