Mednotes

I. Study Questions

1. Which of the following may be an additional duty 2. The Primary benefit of hospital
Of phlebotomist in today’s healthcare system? decentralization is:
a. performing patient vital signs a. increased efficiency
b. transporting samples to the laboratory b. increased training of personal
c. performing dermal punctures c. decreased patient complaints
d. selecting sample collection equipment d. decreased diagnostic testing

3. Which of the following DOES NOT represent 4. A phlebotomist who is responding

a professional phlebotomist?
a. attending a continuing education program
b. organizing requisitions before leaving the laboratory
c. exhibiting overconfidence
d. volunteering to take on an extra duty
appropriately a cultural diversity will:
a. speak in the patient’s native language
b. be able to stereotype patients
c. be sensitive to the patient’s reactions
d. quickly examine the patient’s arm

5. Effective communication includes: 6. All of the following actions make patients

a. verbal feel that you care about them EXCEPT;
b. nonverbal a. smiling at them
c. listening b. introducing yourself
d. all of the above c. looking directly at them
d. avoiding eye contact
7. All of the following are barriers to verbal 8. Good telephone etiquette includes all of
communication EXCEPT; the following EXCEPT;
a. hand signals a. checking for an emergency before putting
b. hearing impairment someone on hold
c. using medical jargon b. stating your name and department when
d. non-English speaking patient answering the phone
c. repeating a request back to the caller
before hanging up
d. immediately transferring a call to the
correct department
9. A phlebotomist who takes an examination 10. The hospital department that is responsible
Prepared by a national phlebotomy agency is for sterile supplies is:
seeking: a. housekeeping
a. continuing education b. central supply
b. certification c. engineering
c. accreditation d. sterilization
d. membership
12. The implementation of DRGs has
11. A phlebotomist working for an organization a. increased of the length of hospital stays
That performs highly specialized testing is b. increased the need for home health care
Employed by a: c. decreased the opportunities for phlebotomist
a. group practice d. reference laboratory d. decreased the need for rehabilitation facilities
b. health maintenance organization
c. specialty clinic

Clinical Situations
1. The phlebotomy supervisor at Healthy Hospital holds a meeting to tell the staff that the phlebotomy department is going to be decentralized.
a. How could this affect the working location of the phlebotomist?
b. How might this affect the duties of the phlebotomist?
c. What is the major benefit for Healthy Hospital of decentralizing phlebotomy?
d. Th phlebotomy supervisor will be teaching classes on phlebotomy. Who might be attending the classes?

2. The phlebotomy supervisor receives the following complains. State possible causes for the complaints.
a. A very sick person mistakenly calls the laboratory instead of the emergency department and is put on hold for 10 minutes.
b. The emergency department calls the laboratory requesting a STAT blood culture. The phlebotomist arrives in the emergency department
without the necessary equipment.
c. A patient’s daughter overhears a phlebotomist talking about her mother in the cafeteria.
d. A patient with limited understanding of English is given instructions to return to the laboratory the next morning for a fasting blood
collection. The patient shows up drinking a high carbohydrate energy drink.
II. Study Questions

1. Which of the following laboratory section is in 2. Which of the following laboratory personnel is
Duded in the anatomical area of the laboratory? An MD?
a. microbiology a. pathologist
b. histology b. laboratory administrator
c. immunology c. technical supervisor
d. urinalysis d. medical technician

3. A phlebotomist reports first to the 4. Which of the following test would be delivered
To the chemistry section?
a. laboratory administrator a. CBC
b. technical supervisor b. Gram stain
c. medical technician c. bilirubin
d. laboratory director d. type and screen

5.A prothrombin time (PT) test is performed in: 6. Which of the following test is NOT part
a. coagulation of a CBC?
b. immunology a. red blood cell count
c. microbiology b. platelet count
d. chemistry c. sedimentation rate
d. differential
7. Plasma differs from serum in that: 8. The clinical laboratory section that performs serum testing to
Detect antibodies to hepatitis viruses is:
a. serum contains fibrinogen a. hematology
b. serum is obtained by centrifugation
c. plasma contains fibrinogen b. chemistry
d. plasma is obtained by centrifugation
c. blood bank

d. immunology

9. The routine urinalysis includes all of the 10. All the following are found in whole blood Except:
Following EXPECT;

a. physical examination a. casts

b. culture and sensitivity b. white blood cells
c. chemical testing c. red blood cells
d. microscopic examination d. platelets

12. A sentinel event would be most likely caused by delivery of a mislabeled tube to:
11. Testing of stools for parasites is performed in a. coagulation
a. hematology b. hematology
b. microbiology c. immunology
c. immunology d. blood bank
d. urinalysis

Clinical Situations
1.A phlebotomist with a high school diploma has completed a structured phlebotomy program and obtained national certification. After
working in a hospital for a yea, the phlebotomist asks the phlebotomy supervisor how he or she can continue with a clinical laboratory carrer.
a. What would be the quickest education and training route the supervisor could recommend?
b. What would be the next step in education and training for this person’s advancement?
c. How might specialist certification help this person’s career?
d. Name two categories of educational courses that could help this person’s advancement to a laboratory manager.

2. State whether the following situations are acceptable or not acceptable procedure and explain your answer
a. A phlebotomist delivering a sample to the urinalysis section is instructed to place the sample in the refrigerator.
b. A histology technician is examining Pap smears to detect cancerous cells
c. A phlebotomist delivers a gel serum separator tube to the blood bank for a type and crossmatch
d. A phlebotomist is asked to deliver a urine sample to microbiology for a C & S.
e. A phlebotomist working in a POL is performing dipstick urinalysis.
f. A phlebotomist delivers a CBC to the section.