Question 1

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?&#10;A) Confidentiality&#10;B) Informed consent&#10;C) Legality&#10;D) Privacy

Accepted Answer

Informed consent is the process of ensuring that the patient understands and agrees to a medical procedure, including the possible risks and benefits. This is a crucial step in ensuring that patients are fully informed and that their autonomy and rights are respected.

Question 2

What is the first step in routine blood collection?&#10;A) Select and prepare the site of collection.&#10;B) Label the sample tubes.&#10;C) Choose the appropriate equipment for collecting the sample.&#10;D) Correctly and positively identify the patient.

Accepted Answer

Correctly and positively identifying the patient is the most important and essential first step in routine blood collection to ensure that the correct patient is being tested, and prevent any potential errors or adverse events. Only after this step, the collector can proceed with selecting the appropriate site, equipment and labeling the sample tubes.

Question 3

Which of the following is true?&#10;A) Phlebotomy is an ancient profession dating back at least 3500 years.&#10;B) Phlebotomy is a new profession arising during World War II.&#10;C) Phlebotomists today draw blood from patients for the same reasons as ancient phlebotomists.&#10;D) Phlebotomy equipment has not changed since the original phlebotomists.

Accepted Answer

Phlebotomy is an ancient profession dating back at least 3500 years.

Question 4

You have entered a patient's room and explained that you need to draw blood, and the patient repeatedly refuses. What should you do?&#10;A) Attempt to draw it anyhow because the physician ordered the test.&#10;B) Call for another phlebotomist to help you convince the patient.&#10;C) Take the request form back to the laboratory after you have finished drawing your other patients.&#10;D) Notify the patient's physician according to the institution's written policies.

Accepted Answer

It is important to respect a patient's decision to refuse any type of medical procedure, including blood draws. The best course of action would be to notify the patient's physician according to the institution's policies, who can then discuss the importance of the test with the patient and come to a mutual decision. It is important to document the patient's refusal and the actions taken in the medical record. It is not appropriate to attempt to draw the blood against the patient's will or to try to convince them with another phlebotomist, as this violates the patient's right to autonomy and informed consent. Taking the request form back to the laboratory without drawing the blood is also not appropriate, as it leaves the patient's medical needs unaddressed, and could potentially delay necessary treatment.

Question 5

The term informed consent means:&#10;A) A patient must be informed of all intended treatments and risks before the treatment is performed.&#10;B) A patient must inform the physicians concerning what procedures they need.&#10;C) A nurse informed by the phlebotomist can overrule a patient's refusal.&#10;D) As long as the patient is informed, he or she cannot refuse a treatment.

Accepted Answer

Informed consent is the process by which a healthcare provider informs a patient about their medical condition, the proposed treatment and alternative options, and the potential risks and benefits of each option. The patient must then provide their voluntary agreement to proceed with the treatment, having understood the information provided. It is important to note that a patient has the right to refuse any treatment, even after giving their initial consent.

Question 6

Which of the following acronyms is not a certification agency for phlebotomists?&#10;A) ASCP&#10;B) ASPT&#10;C) AMT&#10;D) NAACLS

Accepted Answer

NAACLS is an accrediting agency for educational programs in clinical laboratory sciences, not a certification agency for phlebotomists.

Question 7

Which of the following terms is evidence that an individual has demonstrated proficiency in a particular area of practice?&#10;A) Accreditation&#10;B) Approval&#10;C) Certification&#10;D) Standardization

Accepted Answer

Certification is a process by which an individual has demonstrated knowledge, skills, and abilities in a particular area of practice. Accreditation refers to an organization or program meeting a set of standards. Approval refers to an organization or program meeting minimum requirements. Standardization refers to developing and implementing consistent practices or methods.

Question 8

The Health Insurance Portability and Accountability Act of 1996 regulates which of the following areas?&#10;A) Privacy of health information&#10;B) Health insurance transfers on changing jobs&#10;C) Informing patients of intended procedures&#10;D) Phlebotomy training

Accepted Answer

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) regulates the privacy of health information.

Question 9

What does the term phlebotomy actually mean?&#10;A) Removal of a vein&#10;B) Incision of a vein&#10;C) Testing of blood&#10;D) Withdrawal of red blood cells

Accepted Answer

Phlebotomy specifically refers to the incision or puncture of a vein for the purpose of drawing blood. It does not involve removal of a vein or withdrawal of red blood cells, and while testing of blood may occur after the blood is drawn, it is not the primary meaning of the term.

Question 10

What state has led the way in state regulation of phlebotomy?&#10;A) California&#10;B) Nevada&#10;C) Oklahoma&#10;D) Texas

Accepted Answer

California has been a leader in state regulation of phlebotomy since it enacted its first phlebotomy certification law in 2003. This law required all phlebotomists to be certified, and also established standards for phlebotomy training programs. Since then, California has continued to update and improve its regulations, including requiring continuing education for phlebotomists and expanding the scope of practice for certified phlebotomy technicians.

Deck 1: Introduction to Phlebotomy