Deck 4: Safety and Infection Control

Question 1

Phlebotomists may easily encounter a chemical hazard in the laboratory when:

A) passing through the Chemistry department.
B) preparing 24-hour urine specimen containers that require a preservative.
C) plugging microhematocrit tubes drawn by fingerstick.
D) drawing blood from a patient in the Oncology unit.

Answer 1

B

Question 2

A patient with tuberculosis would be placed in:

A) protective isolation.
B) body fluid isolation.
C) droplet isolation.
D) airborne isolation.

Answer 2

D

Question 3

Biohazardous materials include all of the following except:

A) organic chemicals.
B) plasma.
C) wound cultures.
D) cerebrospinal fluid.

Answer 3

A

Question 4

The document designed to protect phlebotomists from contacting hepatitis is the:

A) Material Safety Data Sheets.
B) Chemical Hygiene Plan.
C) procedure manual.
D) Bloodborne Pathogen Exposure Control Plan.

Question 5

Proper handwashing includes all of the following except:

A) rubbing to create a lather.
B) using warm water.
C) rinsing hands in a downward position.
D) using a paper towel to turn the water on.

Question 6

In addition to changing gloves between every patient, phlebotomists should also:

A) change their lab coats.
B) disinfect the phlebotomy tray.
C) double-bag the specimens.
D) wash their hands.

Question 7

Antibody titers are performed on phlebotomists to detect immunity to all of the following except:

A) tetanus.
B) hepatitis B.
C) rubella.
D) chicken pox.

Question 8

The purpose of protective isolation is to protect:

A) a compromised patient from infection.
B) the phlebotomist after a needlestick.
C) the patient from family conflicts.
D) the phlebotomist from infection.

Question 9

The term universal precautions refers to:

A) universal blood donors.
B) mixing organic chemicals under a hood.
C) wellness clinics available to everyone.
D) treating all specimens as infectious.

Question 10

An infection contracted by a patient while in the hospital is termed:

A) antibiotic-resistant.
B) staphylococcal.
C) nosocomial.
D) unfortunate.

Question 11

To complete the chain of infection, all of the following are required except a:

A) source.
B) contaminated surface.
C) mode of transmission.
D) host.

Question 12

Specimens collected from patients in contact isolation should be:

A) collected in duplicate.
B) double-bagged.
C) delivered to microbiology.
D) collected wearing sterile gloves.

Question 13

Personal protective equipment (PPE) should be put on in the following order:

A) gloves, gown, and mask.
B) mask, gloves, and gown.
C) gown, mask, and gloves.
D) gloves, mask, and gown.

Question 14

An employer who fails to provide sufficient personal protective equipment (PPE) for employees may be fined by the:

A) Occupational Safety and Health Administration (OSHA).
B) Centers for Disease Control and Prevention (CDC).
C) Clinical and Laboratory Standards Institute (CLSI).
D) Food and Drug Administration (FDA).

Question 15

The first thing a phlebotomist should do when preparing to enter an isolation room is:

A) put on gloves.
B) read the isolation sign.
C) assemble the equipment.
D) check with the nursing station.

Question 16

Personal protective equipment (PPE) should be removed:

A) before leaving an isolation room.
B) without touching the outside of the PPE.
C) before double-bagging the specimen.
D) without touching the inside of the PPE.

Question 17

A phlebotomist draws an outpatient without wearing gloves. The outpatient displays a badge and cites the laboratory for not following the law. The outpatient is an employee of the:

A) Centers for Disease Control and Prevention (CDC).
B) National Fire Protection Association (NFPA).
C) Occupational Safety and Health Administration (OSHA).
D) Joint Commission (JC).

Question 18

Transmission-based precautions isolation categories include all of the following except:

A) blood and body fluids.
B) contact.
C) airborne.
D) droplet.

Question 19

The recommended disinfectant for blood and body fluid contamination is:

A) sodium hydroxide.
B) antimicrobial soap.
C) hydrogen peroxide.
D) sodium hypochlorite.

Question 20

A phlebotomist who observes a rash on the hands when gloves are removed:

A) should avoid washing hands in warm water.
B) may have developed a latex allergy.
C) should report this to a supervisor.
D) both B and C

Question 21

The code word PASS refers to:

A) storage of volatile chemicals.
B) operation of a fire extinguisher.
C) labeling of hazardous material.
D) the presence of radioactive material.

Question 22

When combining chemicals:

A) water must be added to acid.
B) acid must be added to water.
C) the specified order should be followed.
D) both B and C

Question 23

A phlebotomist who accidentally spills acid on his or her arm should immediately:

A) neutralize the acid with a base.
B) consult the Material Safety Data Sheets (MSDS) for carcinogenic information.
C) hold the arm under running water for 15 minutes.
D) wrap the arm in gauze and go to the emergency department.

Question 24

A class ABC fire extinguisher contains:

A) water.
B) acid.
C) sand.
D) dry chemicals.

Question 25

To comply with the current Bloodborne Pathogens Standard, phlebotomists must:

A) discard sharps only into containers attached to the wall.
B) activate the needle protection device before removing the needle from the adapter.
C) decontaminate needle adapters between each patient.
D) activate the needle protective device and discard the needle and the adapter.

Question 26

If a fire is discovered, the phlebotomist should do all of the following except:

A) pull the fire alarm.
B) use an appropriate fire extinguisher.
C) evacuate leaving the door open.
D) evacuate using the stairs.

Question 27

The system used by firefighters when a fire occurs in a laboratory is the:

A) Material Safety Data Sheets (MSDS).
B) National Fire Protection Association (NFPA).
C) Rescue-alarm-contain-extinguish (RACE).
D) Pull-aim-squeeze-sweep (PASS).

Question 28

The first thing to do when encountering a fire is to:

A) sound the fire alarm.
B) use the fire extinguisher.
C) evacuate the area.
D) remove anyone in danger.

Question 29

The type of isolation category that always requires a gown to be worn is:

A) contact.
B) airborne.
C) blood and body fluid.
D) droplet.

Question 30

Centrifuging an uncapped specimen may produce a biologic hazard in the form of:

A) vectors.
B) sharps contamination.
C) aerosols.
D) specimen contamination.

Question 31

A phlebotomist who is pregnant should not collect specimens from patients:

A) receiving chemotherapy.
B) receiving radiation therapy.
C) in labor and delivery.
D) in the nursery.

Question 32

The Needlestick Safety and Prevention Act requires employers to:

A) allow phlebotomists to work flexible schedules.
B) involve phlebotomists in the selection of safety devices.
C) provide phlebotomists with plastic capillary tubes.
D) test phlebotomists annually for hepatitis B and HIV.

Question 33

In the chain of infection, a fomite represents which of the following:

A) an infection almost ready to jump to a new host.
B) a mite or other arthropod.
C) equipment and other objects soiled with blood or body fluids.
D) a patient identified as having a particular infection.

Question 34

Before cleaning up a chemical spill, the phlebotomist should consult the:

A) Material Safety Data Sheets (MSDS).
B) procedure manual.
C) laboratory director.
D) National Fire Protection Association (NFPA) manual.

Question 35

When encountering a person receiving an electrical shock from an ungrounded piece of equipment, the phlebotomist should never:

A) move the person away from the equipment.
B) turn off the circuit breaker.
C) use a glass container to move the equipment.
D) call to other people in the room.

Question 36

A phlebotomist who receives an accidental needlestick should immediately:

A) be given zidovudine.
B) receive an injection of hepatitis B immune globulin (HBIG).
C) notify a supervisor.
D) both B and C

Question 37

Following an accidental needlestick, the phlebotomist should be tested for all of the following except:

A) hepatitis B virus (HBV).
B) human immunodeficiency virus (HIV).
C) hepatitis A virus (HAV).
D) hepatitis C virus (HCV).

Question 38

Which is not a criteria for protective gowns?

A) They must be made of cotton.
B) They must cover the entire body.
C) They must have long sleeves.
D) They must have tightly fitting cuffs.

Question 39

In which isolation category should a phlebotomist remove personal protective equipment (PPE) after leaving the patient's room?

A) Contact
B) Protective
C) Droplet
D) Blood and body fluid

Question 40

Phlebotomists must be provided with free immunization for:

A) hepatitis C.
B) hepatitis A.
C) hepatitis B.
D) HIV.

Question 41

Alcohol-based hand sanitizers may be used as a substitute for handwashing:

A) only in blood donation center.
B) only in certain patient care area such as oncology or obstetrics and gynecology
C) at any time.
D) when the hands are not visibly contaminated with blood or other body fluid.

Question 42

The majority of nosocomial infections, or those acquired in a health-care setting, are caused by which of the following:

A) personnel not following established infection control procedures.
B) blood transfusions carrying hepatitis.
C) contaminated surgical instruments.
D) radiation from radiology procedures.

Question 43

A phlebotomist who observes a rash on the hands when gloves are removed should apply hand lotion more frequently.

Question 44

Match the type of burning material to the appropriate type of fire.
a.Class A
d.Class D
b.Class B
e.Class E
c.Class C
Combustible metal

Question 45

It is safe to store volatile chemicals in an explosion-proof refrigerator.

Question 46

Gloves should be pulled over the cuffs of a gown.

Question 47

When removing personal protective equipment (PPE), begin:

A) with the item of PPE that is the most contaminated.
B) with the item closest to your head and proceed downward.
C) with the largest item and proceed to the smallest.
D) with the gloves because they are potentially the most contaminated.

Question 48

When lifting heavy items, phlebotomists should not bend their knees.
Matching

Question 49

Match the type of burning material to the appropriate type of fire.
a.Class A
d.Class D
b.Class B
e.Class E
c.Class C
Paper

Question 50

Post-exposure prophylaxis (PEP) should be initiated within 24 hours for maximum benefit.

Question 51

A phlebotomist who has a contagious disease can only work with outpatients.

Question 52

Match the type of burning material to the appropriate type of fire.
a.Class A
d.Class D
b.Class B
e.Class E
c.Class C
Organic chemicals

Question 53

Phlebotomists should not wear open-toed shoes while working.

Question 54

Needle safety devices should be activated using both hands.

Question 55

Match the type of burning material to the appropriate type of fire.
a.Class A
d.Class D
b.Class B
e.Class E
c.Class C
Electrical

Question 56

Radiation dosage measuring devices must be worn by personnel working with radioactive substances:

A) in Oncology patient care areas only.
B) in Radiology only.
C) in Phlebotomy only.
D) in the laboratory or in Radiology where such substances are used routinely.