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Phlebotomy Essentials 6th edition questions and answers verified 2024
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Phlebotomy Essentials 6th edition questions and answers verified 2024
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Phlebotomy Essentials 6th edition. ALLquizzes, ALL ch. tests, GRADED work,
NOT guesses. PLUS, the FULL NAHP
study guide
DA #1 QUIZ---GRADE: 100% - correct answer ✔DA #1 QUIZ---GRADE:
100%
1. hiring phleb, what credentials, professional qualities, & work ethics would
person have?
ANSWER: certification, professional demeanor, attitude, & dress/groom.
Outstanding work/personal set, always interested in training opportunities.
2. on rounds, phleb sees order to collect from Pt who lives in neighborhood.
Calls neighbor to let them know friend in hospital so neighbor can send
card/flower. proper?
ANSWER: No. HIPPA violation. Even if best friends, a violation of pt's rights to
disclose to anyone info about pt.
3. well-known person admitted, phleb collects blood from pt. upon return to
lab, checks computer for results. phleb knows info not to be shared, plans to
keep confidential. Explain consequences of such actions.
ANSWER: violation of HIPPA, job of phleb is to collect blood, never to get info
on pt. Unless more blood needs to be drawn, need to be connected to pt is
ZERO.
4. phleb must collect blood from elderly woman who's hard of hearing, broken
English, looks angry w/ attempt made to communicate. communication
barriers involved? best approach? How to tell she understands?
,ANSWER: Language is barrier, best option is find an interpreter, family
member or wait to do draw until communication is established. Unless test is
explained in picture form, and can be understood to gain consent, no work
should be performed unless a life/death situation or emergency.
5. requisition received in lab for STAT spec from INPT whos been in hospital a
few days. After carefully checking pt's ID, phleb tells pt order for blood to be
drawn immediately. pt says all phlebs are vampires, doesn't want to see
another one ever again. complains everyone poking somewhere w/
something, hes tired of it. How to handle situation?
ANSWER: would smile, and ask to sit in chair beside bed, make a little small
talk,
DA #2 QUIZ---GRADE: 100% - correct answer ✔DA #2 QUIZ---GRADE:
100%
1) out of 17 spec's phleb collected, 10 required redraws. What QA
implications? What actions might be taken to remedy situation?
ANSWER: Have phleb review guidelines/techniques for blood samples
2) CBC spec rejected by hematology dept. Tube filled completely, labeled
properly. What might have been reason for rejection?
ANSWER: no req form, Anticoags might be expired, not transported correctly
3) glucose spec forgotten, discovered 3 hours after draw. Should spec be
submitted or recollected?
ANSWER: No, don't submit, it's past the 2-hour window to test
4) new phleb criticized by super for not meeting 5 min/pt limit, told to increase
speed. next pt hesitant to extend arm, proceeds to force pt to cooperate,
,draws blood quickly w/o any explanation. What legal/ethical issues associated
w/ situation?
ANSWER: She should not do draw by force, she could be charged with
assault/battery. Unethical to be rushed, blood draw every 5 min not taking
pts/situations into consideration.
5) As phleb is redirecting /digging in pt's arm, adjacent vein spotted. Thinking
pt wont notice, she quickly withdraws needle and moves it to vein centimeters
away, w/o changing needles/explaining situation to pt. blood comes quickly,
phleb dismisses pt, satisfied, unaware of what happened. What are safety
issues, legal ramifications?
ANSWER: Once needle is removed, for whatever reason, not usable again,
could infect pt. Could be sued, safety of pt is most important.
6) phleb goes to ER to draw from unconscious, badly injured accident vic. An
anxious RN tells phleb to draw "rainbow", and blood alcohol level, adds she'll
send dr's orders to lab when she gets them. injured man doesn't have ID
band, phleb there when he arrived. How should phleb id pt in order to meet
NPSG's? Should phleb collect, or wait for dr's orders?
ANSWER:
DA #3 QUIZ---GRADE: 100% - correct answer ✔DA #3 QUIZ---GRADE:
100%
1) ped pt breaks out w/ measles day after being admitted to hospital w/
breathing problem. nosocomial infection?
ANSWER: Not a nosocomial infection, incubation period for measles 10-12
days, pt not in hospital long enough.
2) pt w/ pulmonary tuberculosis, type of precautions entering pt's room?
ANSWER: transmission-based
, 3) A lab worker sneezes, covers mouth w/ hand, reaches for Kimwipe knocks
over sharps container, stuck by needle fell out of sharps container. What
means of BBP transmission may be involved/safety rules violated, how
incident handled?
ANSWER: Sharps container not mounted securely, BBP exposure when
needle entered skin, wash skin with soap/water for 30 secs., file incident
report, follow workplace safety precautions, get tested, and any treatment
needed to be released to go back to work.
4) tertiary care hospital lab chronically understaffed in Phleb Dept. Employees
constantly asked to work ot, additional evening shifts, and many weekends.
"Time-off" very difficult to get approved. Describe ways stress might manifest
in employees, ways employees can manage.
ANSWER: Could start to have a weakened immune system, hypertension,
ulcers, migraines, and nervous breakdowns could eventually result. Can
manage stress levels by talking about problems with friends, family, exercise,
setting realistic goals, and relaxing throughout the day.
5) phleb working in spec processing area. Suddenly co-worker removing
specs from centrifuge collapses. phleb notices water leaking from sink next to
centrifuge. Describe steps necessary to safely provide assistance to co-
worker.
ANSWER: Use something non-conductive to pull plug of machine, call for
help, start CPR IF NEEDED, keep warm.
DA #4 QUIZ---GRADE: 100% - correct answer ✔DA #4 QUIZ---GRADE:
100%
1) word root "ped" has 3 different meanings. What are they, how correct
meaning determined?
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