Blood Collection for Healthcare Professionals A Short
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Chapter 1. Introduction to Blood Collection
Multiple Choice
1. For purposes of accreditation, clinical laboratories may be inspected by which of the
following?
A. College of American Pathologists (CAP)
B. Clinical and Laboratory Standards Institute (CLSI)
C. Occupational Safety and Health Administration (OSHA)
D. Centers for Disease Control and Prevention (CDC)
ANS: A
TOP: Clinical laboratory regulation
DIF: Level 1
OBJ: 1.3
2. An agency that assures quality care by hospitals is
A. The Joint Commission (TJC)
B. Centers for Disease Control and Prevention (CDC)
C. Occupational Safety and Health Administration (OSHA)
D. College of American Pathologists (CAP)
ANS: A
TOP: Clinical laboratory regulation
DIF: Level 1
OBJ: 1.3
3. The agency that provides proficiency testing for the laboratory is the
A. Health Maintenance Organization (HMO)
B. Preferred Provider Organization (PPO)
C. College of American Pathologists (CAP)
D. Diagnosis-Related Group (DRG)
ANS: C
TOP: Clinical laboratory regulation
DIF: Level 1
OBJ: 1.3
4. Which of the following occurs before testing of a specimen?
A. Preexamination variables
B. Postexamination variables
C. Management variables
D. Examination variables
ANS: A
TOP: Quality management variables
DIF: Level 1
OBJ: 1.2
5. The program established by a healthcare organization to guarantee quality patient care is
A. Quality control
B. Accreditation
C. Quality management
D. Continuous quality improvement
ANS: C
TOP: Quality management variables
DIF: Level 1
OBJ: 1.5
6. Which of the following are preexamination variables associated with blood collection?
A. Collecting specimens
B. Reporting results
C. Storing specimens after testing
D. Documenting results
ANS: A
TOP: Quality management variables
DIF: Level 2
OBJ: 1.2
7. The Health Insurance Portability and Accountability Act (HIPAA) primarily affects blood
collectors when they are
A. Processing specimens for shipment
B. Entering laboratory results into the computer
C. Scheduling patients for laboratory tests
D. Reporting test results to healthcare providers
ANS: D
TOP: Documentation
DIF: Level 1
OBJ: 1.3
8. Under the Health Insurance Portability and Accountability Act (HIPAA), written consent by
the patient is required to
A. Perform point-of-care testing (POCT)
B. Report test results to healthcare providers
C. Generate electronic requisitions
D. Send specimens to a reference laboratory
ANS: B
TOP: Documentation
DIF: Level 1
OBJ: 1.3
9. Patients who extend their arms after a blood collector has explained a venipuncture procedure
are
A. Giving informed consent
B. Waiving malpractice claims
C. Giving implied consent
D. Giving informed consent and waving malpractice claims
ANS: C
TOP: Legal issues
DIF: Level 2
OBJ: 1.3
10. A blood collector could be held legally responsible for
A. Collecting blood for a comprehensive metabolic panel (CMP)
B. Causing injuries when a patient faints
C. Reporting results
D. Sending specimens to the lab
ANS: B
TOP: Legal issues
DIF: Level 2
OBJ: 1.3
11. Which of the following is not required to complete the chain of infection?
A. Source
B. Host
C. Mode of transmission
D. Healthcare-associated infection (HAI)
ANS: D
TOP: Biological hazards
DIF: Level 1
OBJ: 1.4
12. An infection contracted by a patient while in the hospital is termed
A. Antibiotic-resistant
B. Staphylococcal
C. Healthcare-associated infection
D. Unfortunate
ANS: C
TOP: Biological hazards
DIF: Level 1
OBJ: 1.4
13. The recommended disinfectant for blood and body fluid contamination is
A. Sodium hydroxide
B. Antimicrobial soap
C. Hydrogen peroxide
D. Sodium hypochlorite
ANS: D
TOP: Biological hazards
DIF: Level 1
OBJ: 1.4
14. Which of the following is not a transmission-based precautions isolation category?
A. Droplet
B. Contact
C. Reservoir
D. Airborne
ANS: C
TOP: Biological hazards
DIF: Level 1
OBJ: 1.4
15. A patient with tuberculosis would be placed in
A. Protective isolation
B. Body fluid isolation
C. Droplet isolation
D. Airborne isolation
ANS: D
TOP: Biological hazards
DIF: Level 1
OBJ: 1.4
16. In addition to changing gloves between every patient, blood collectors should also
A. Change their lab coats
B. Disinfect the blood collection tray
C. Double-bag the specimens
D. Sanitize their hands
ANS: D
TOP: Biological hazards
DIF: Level 2
OBJ: 1.4
17. Which of the following can happen if a tube breaks during centrifugation and the centrifuge
is not covered?
A. Vectors will be sprayed.
B. Rotor heads will be adjusted.
C. Aerosols will be sprayed.
D. Specimen will be contaminated.
ANS: C
TOP: Biological hazards
DIF: Level 2
OBJ: 1.4
18. What percent of laboratory error occurs in the preexamination phase of testing?
A. 46
B. 48
C. 56
D. 58
ANS: C
TOP: Quality management
DIF: Level 1
OBJ: 1.1
19. The Needlestick Safety and Prevention Act requires employers to
A. Allow blood collectors to work flexible schedules
B. Involve blood collectors in the selection of safety devices
C. Provide blood collectors with glass capillary tubes
D. Test blood collectors annually for hepatitis B and HIV
ANS: B
TOP: Sharp hazards
DIF: Level 1
OBJ: 1.4
20. Which of the following should a blood collector not be tested for after an accidental
needlestick?
A. Hepatitis B virus (HBV)
B. Human immunodeficiency virus (HIV)
C. Hepatitis C virus (HCV)
D. Rubella
ANS: D
TOP: Sharp hazards
DIF: Level 2
OBJ: 1.4
21. The majority of healthcare-associated infections 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
ANS: A
TOP: Biological hazards
DIF: Level 2
OBJ: 1.4
22. Alcohol-based hand sanitizers may be used as a substitute for handwashing
A. Only in a blood donation center
B. Only in certain patient care areas such as oncology, obstetrics, and gynecology
C. At any time
D. When the hands are not visibly contaminated with blood or other body fluid
ANS: D
TOP: Biological hazards
DIF: Level 2
OBJ: 1.4
23. Chain of custody refers to the
A. Method of infection control
B. Patient identification procedures
C. Documentation of handling for legal specimens
D. Collection of specimens for employment physicals
ANS: C
TOP: Legal considerations
DIF: Level 1
OBJ: 1.3
24. What is it called when a portion of a specimen is placed into a separate tube?
A. Centrifuging
B. Aliquoting
C. Coagulating
D. Lysing
ANS: B
TOP: Specimen processing and transport
DIF: Level 2
OBJ: 1.4
25. Which of the following is necessary when operating the centrifuge?
A. Firmly securing the lid before operating
B. Making sure the centrifuge is off-balance
C. Walking away without checking the centrifuge for excessive vibration
D. Making sure the specimens are directly next to each other
ANS: A
TOP: Specimen processing and transport
DIF: Level 1
OBJ: 1.4
26. A major safety concern when processing specimens is
A. Ensuring the tubes are equally balanced in the centrifuge
B. Using blood transfer systems
C. Autoclaving specimens
D. Checking the volume of specimens
ANS: A
TOP: Specimen processing
DIF: Level 2
OBJ: 1.4
27. The evacuated tube system (ETS) needle holder is
A. Disposed of in the general trash after removing the collection needle
B. Disposed of as a unit with the collection needle into a red bag
C. Disposed of as a unit with the collection needle into a sharps container
D. Made of a grade of plastic that does not require disposal in a sharps container
ANS: C
TOP: Safety precautions
DIF: Level 2
OBJ: 1.4
28. Which of the following should you not do when a tube breaks in a centrifuge?
A. Immediately stop the centrifuge.
B. Leave it plugged in.
C. Apply gloves before clean-up.
D. Disinfect the centrifuge after the broken glass has been removed.
ANS: B
TOP: Specimen processing
DIF: Level 2
OBJ: 1.5
29. Which of the following is a NIOSH-approved respirator?
A. N59
B. M59
C. N95
D. S02
ANS: C
TOP: Respirators
DIF: Level 1
OBJ: 1.4
30. Standard precautions include all of the following except
A. Wearing PPE
B. Changing gloves between patients
C. Sanitizing hands only if soiled
D. Observing isolation practices
ANS: C
TOP: Healthcare-associated infections
DIF: Level 1
OBJ: 1.5
31. Which of the following types of consent is most common in blood collection?
A. Expressed
B. Informed
C. Consent for minors
D. Implied
ANS: D
TOP: Patient consent
DIF: Level 1
OBJ: 1.3
32. Which of the following types of consent is required primarily for invasive procedures?
A. Expressed
B. Implied
C. Informed
D. Consent for minors
ANS: A
TOP: Patient consent
DIF: Level 1
OBJ: 1.3
33. All of the following are primary goals of HIPAA legislation except
A. Provide easier detection of fraud and abuse
B. Guarantee the privacy of mentally incompetent patients only
C. Reduce paperwork by requiring electronic data transactions
D. Protect workers with preexisting conditions from losing healthcare coverage when changing
jobs
ANS: B
TOP: HIPAA
DIF: Level 2
OBJ: 1.3
True/False
34. Post-exposure prophylaxis (PEP) should be initiated within 24 hours for maximum benefit.
ANS: True
TOP: Sharp hazards
DIF: Level 1
OBJ: 1.4
35. The Needlestick Safety and Prevention Act was enacted in 2004.
ANS: False
TOP: Sharp hazards
DIF: Level 2
OBJ: 1.4
36. Quality management is a process that guarantees accurate test results, timely delivery of
specimens to the laboratory, and quality patient care.
ANS: True
TOP: Quality management
DIF: Level 1
OBJ: 1.5
37. Centers for Medicare and Medicaid Services (CMS) is the laboratory regulating agency that
is made up of laboratory, industry, and government personnel.
ANS: False
TOP: Clinical laboratory regulation
DIF: Level 1
OBJ: 1.3
38. Masks are worn to protect against inhalation of droplets containing microorganisms from
infective patients.
ANS: True
TOP: Mask, goggles, and face shields
DIF: Level 1
OBJ: 1.4