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It covers topics including pre-operative type and crossmatch, interpretation of albumin/AST/ALT for liver versus kidney function, electrolyte identification, anticoagulant/preservative selection by tube color, and specimen handling such as avoiding lavender tubes before electrolytes. Additional questions address STAT chemistry tube choice, gentle inversion, venipuncture workflow under anxiety, antisepsis prior to testing, and timing considerations for patients receiving TPN.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":20,"@type":76,"position":81},"https://docshare.wps.com/document/exam/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/phlebotomy-final-exam-multiple-choice-questions/432763/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/phlebotomy-final-exam-multiple-choice-questions/432763.png","ImageObject",300,407,{"name":92,"@type":93},"4398046744996","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-17","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":29},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why might a type and crossmatch be ordered before hip replacement surgery?","Question",{"text":112,"@type":113},"Type and crossmatch is a common pre-operative test to determine blood compatibility and support safe transfusion planning if needed.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Which electrolyte set is considered correct among common options?",{"text":117,"@type":113},"Electrolytes typically include ions such as sodium (Na), potassium (K), chloride (Cl), and related components; select the option that lists these electrolytes together.",{"name":119,"@type":110,"acceptedAnswer":120},"Why should a lavender-top tube not be drawn prior to electrolytes?",{"text":121,"@type":113},"Lavender tubes can interfere with electrolyte results, leading to false elevations or depletions (e.g., sodium or potassium), so they should be avoided before electrolyte testing.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},432763,1790973125,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":66,"doc_module":4,"category_id":19,"category_name":20,"doc_title":65,"doc_description":67,"doc_content":133,"file_id":134,"file_url":135,"file_type":136,"file_size":137,"view_count":29,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":138,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144},4398046744996,"Phlebotomy Final Exam:  \nName:    \n1. Your patient is scheduled to have pre-operative testing. The morning prior to hip replacement surgery the client arrives at the lab for their tests. One of the blood tests is a type a cross match. You notice that they are fearful when they arrive. The patient asks you,“Why is the doctor ordering a type and cross match for me? Is he expecting me to lose a lot of blood?” Your best answer would be which of the following?  \na. This is a standardized and common test prior to many types of surgeries.  \nb. You seem to have some concerns regarding your upcoming surgery. This test is quite common for pre-operative surgeries. I would suggest that you contact your doctor and express your concerns.  \nc. Yes, it is quite common to lose a lot of blood, which is why it is important to know your blood type.  \n2. Albumin, AST, and ALT are tests that measure…  \na. Kidney function  \nb. Liver function  \nc. Immunoglobulins  \n3. Which of the following are considered electrolytes?  \na. Na, K, Phos, CO2  \nb. Bun, Bili Direct, CO2, Ca  \nc. Ca, Na, Cl, CO2  \nd. Cl, K, Na, CO2  \n4. The preservative K2EDAT (Potassium EDTA) is found in which of the following tubes?  \na. Red top  \nb. Blue top  \nc. Grey top  \nd. Lavender top  \n5. What is the reason that a Lavender top tube should not be drawn prior to drawing electrolytes?  \na. There will be a false elevation in sodium.  \nb. There will be a false elevation in potassium.  \nc. There will be a false depletion in sodium  \nd. There will be a false depletion in potassium  \n6. A gold top, tiger top tube and a red top tube are all SST’s.  \na. True  \nb. False  \n7. When drawing a stat CMP, the phlebotomist should choose to use which of the tubes?  \na. A Lithium Heparinized green top tube.  \nb. A Sodium Heparinized green top tube.  \nc. A yellow top tube.  \n8. The chemical in the bottom of gold tubes is which of the following?  \na. Glycolytic inhibitor and Na EDTA  \nb. Silicon gel  \nc. Na Fluoride  \n9. The purpose of gentle inversion is to help the blood.  \na. Clot  \nb. Keep from clotting  \nc. Form a matrix  \n10. You are inspecting the veins of your client while the tourniquet is on their arm. You are feeling nervous inside because you are unable to palpate a vein. Your client is getting nervous as well. Your best course of action would be which of the following?  \na. Smile, remove the tourniquet and explain that you are having a difficult time finding a vein in there arm and ask if you may attempt to inspect their other arm.  \nb. Explain to the client that they have bad veins in this arm and that you are going to inspect their other arm.  \nc. Get another phlebotomist.  \n11. It is always better to use Povadine iodine or Betadine when cleansing the skin prior to any venipuncture that requires blood for which tests?  \na. Glucose, and Hgb A1C  \nb. Blood Cultures  \nc. Fasting Glucose  \nd. All of the above  \n12. As a hospital phlebotomist you have to perform a venipuncture on a patient with TPN (total Parenteral Nutrition) drip. Knowing that this is a high glycemic infusion with lipids you would   \na. Shut off the IV for 20 minutes prior to drawing in the same arm.  \nb. Ask the nurse to shut off the IV for 15 minutes, record the medication infusing, and then draw on the arm opposite that has no IV ports.  \nc. Disconnect the line, flush with 20 mL NS, pull off waste blood, flush and then draw.  \n13. Your client is coming in for their regular Prothrombine Time draw. The client tells you that their doctor had to decrease their dose of   , because their INR levels were greater than   , and their PT was greater than   seconds.  \na. Heparin, 2.5, 55  \nb. Coumadin, 2.0, 65  \nc. Coumadin, 3.5, 85  \n14. Your client is scheduled for the blood test Hgb A1C. This is a test that    \na. measures the amount of glucose that is bound to the blood cell surface over 120 days.  \nb. Measures the amount of insulin produced by the pancreas over 120 days.  \nc. Measures the amount of glucose that is free floati","cbCaioZoMTccbB9d","https://ap.wps.com/l/cbCaioZoMTccbB9d","pdf",371900,25,"English","# Phlebotomy Final Exam\n## Pre-analytical testing and patient scenarios\n## Laboratory analytes, electrolytes, and specimen tube selection\n## Venipuncture technique, handling, and patient communication","[{\"question\":\"Why might a type and crossmatch be ordered before hip replacement surgery?\",\"answer\":\"Type and crossmatch is a common pre-operative test to determine blood compatibility and support safe transfusion planning if needed.\"},{\"question\":\"Which electrolyte set is considered correct among common options?\",\"answer\":\"Electrolytes typically include ions such as sodium (Na), potassium (K), chloride (Cl), and related components; select the option that lists these electrolytes together.\"},{\"question\":\"Why should a lavender-top tube not be drawn prior to electrolytes?\",\"answer\":\"Lavender tubes can interfere with electrolyte results, leading to false elevations or depletions (e.g., sodium or potassium), so they should be avoided before electrolyte testing.\"}]","Phlebotomy Final Exam - Multiple Choice Questions | PDF",1790661124,63]