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Phlebotomy > Basics of Phlebotomy > Flashcards

Basics of Phlebotomy Flashcards

1
Q

What is the civilian time equivalent of 1448?

A

2:48pm

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2
Q

What services must be present in a healthcare facility to be considered a hospital?

A

Organized medical staff
Therapeutic and diagnostic services
Permanent inpatient beds with 24-hour nursing services

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3
Q

What consent is applicable after the patient comes to the laboratory, sleeves rolled up, with the physician’s order?

A

Informed Consent

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4
Q

What Terms about blood is defined correctly?

A

Apheresis is the removal of whole blood from a patient or donor.
Coagulation is the process by which a clot forms in the blood.
Blood doping is the injection of blood cells or blood substitutes to increase athletic endurance by boosting the blood stream’s oxygen-carrying capacity.

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5
Q

What is to be done after a patient adamantly refuses to have his/her blood drawn?

A

Notify the physician and nurse, then wait for further instructions.

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6
Q

What does the prefix Lysis Mean?

A

Combine

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7
Q

What describes a suffix as an element of a word?

A

Follows the root of the word.

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8
Q

What is the primary responsibility of a phlebotomist?

A

Controlling preanalytical variables

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9
Q

What about identifying a patient and verifying the name and date of the patient’s birth is correct?

A

The Patient must be actively involved in the identification process.
You must ask the patient to state his or her full name and date of birth.
According to the CLSI guideline GP33-A, you can ask the patient to spell the last name.

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10
Q

What is the process that involves the regulation of a specific variable in any system within the body of an organism and is defined as the overall well-being of the body?

A

Homeostasis

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11
Q

What is true about the history of the bloodletting?

A

Egyptians, Greeks and Romans used bloodletting to rid the human body of evil, while the Mesopotamians and Mayans used it for ritualistic purposes.

In the fifth century, Greeks helped bloodletting become an actual medical procedure, allowing it to spread through other civilized areas.

The ultimely death of the first United States President, George Washington, was thought to be excessive bloodletting. He died in 1799 after 9 pints of blood were taken to treat a throat infection.

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12
Q 
Unlabeled Specimens
Improper Specimen Storage
Contaminated Urine Specimens
Incorrect timing of blood draw
Blood Clot in the anticoagulated tube
Incorrect blood volume (to little or to much)

Many Factors are involved when the lab rejects a specimen. How many factors of those above are the reason for specimen rejection?

A
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13
Q

Which of the following does not carry oxygenated blood?

A

Pulmonary Artery

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14
Q

What is incorrect about nonverbal communication?

A

Nonverbal communication is limited, and phlebotomists can learn much about patients’ feelings by verbal communication

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15
Q

What is a heart disorder characterized by fluid buildup in the lungs?

A

Congestive heart failure

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16
Q

What is the military equivalent of 11:28am?

A

1128

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17
Q

Which double membrane-bound organelle found in all eukaryotic organisms is responsible for the production of ATP where it is most abundantly found?

A

Mitochondria

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18
Q

What is the process where the body maintains a state of equilibrium?

A

Homeostasis

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19
Q

What is the purpose of the pulmonary (respiratory) system?

A

Carry oxygen to and from the lungs

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20
Q 
AHA: American Hospital Association
AMA: American Medical Association
CHC: Community Health Center
EHR: Electronic Health Record
PCP: Primary Care Physician
PHI: Protected Health Information
PHR: Personal Health Record
PHS: Public Health Service
PSC: Patient Service Centers

How many acronyms about the Health Care Structure given above are correct?

A

9

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21
Q

What is the name of the cells, which are also known as white blood cells (WBCs), found in the immune system responsible for protecting the body from foreign invaders and infectious diseases?

A

Leukocyte

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22
Q

What Laboratory analyses for urologic disorders can be performed by microbiology?

A

C&S

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23
Q

What is the smallest blood vessel?

A

Capillary

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24
Q

Define Thrombocyte

A

A platelet that is important for blood clotting

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25
Q

What is a white blood cell?

A

A colorless or white cell in the blood with a nucleus and cytoplasm

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26
Q

What is whole blood?

A

Blood where none of the elements (white blood cells, red blood cells, and platelets) have been removed.

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27
Q

What are the symptoms of the latex allergy?

A

Skin Redness
Difficulty Breathing
Runny nose, Itchy eyes

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28
Q

What abbreviation is not on the Joint Commission “Do Not Use” list?

A

MP

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29
Q

What is defined as the failure to act consistently with the accepted standard care?

A

Negligence

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30
Q

What refers to the “malpractice” of healthcare?

A

Professional Negligence

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31
Q

What chamber chamber does blood come from going to the aorta?

A

Left Ventricle

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32
Q

What is the name of the system that monitors institutions that train professionals?

A

Accreditation

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33
Q

Define Blood Culture

A

A laboratory test used to check for bacteria or other microorganisms in a blood sample.

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34
Q

Define Chemical reagent strip testing

A

a urine collection method that may be ordered to diagnose urinary tract infection or to evaluate the effectiveness of drug thereapy

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35
Q

What is Culture and Sensitivity?

A

a test performed to test for infections

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36
Q

What laboratory tests is not helpful in the diagnosis of HIV infection?

A

APTT

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37
Q

What is the meaning of the prefix anti-?

A

Against

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38
Q

What is not found in whole blood?

A

Casts

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39
Q

What is true when performing a dermal puncture?

A

The puncture must be perpendicular to the whorls of the fingerprints

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40
Q

What is the thick muscle layer of the heart?

A

Myocardium

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41
Q

What kinds of consequences requires a change of custody for a specimen?

A

Legal

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42
Q

What organizations prepares the guidelines and principles of laboratory practice to assure the quality and integrity of phlebotomy?

A

CLSI: The Clinical and Laboratory Standards Institute

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43
Q

What is not an example of medical negligence?

A

The phlebotomist fails to obtain a specimen from a combative patient.

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44
Q

How long does it take for the body to replace 500mL of blood?

A

6-8 weeks

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45
Q

What part of a call contains the chromosomes or genetic material?

A

Nucleus

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46
Q

What is required for the patients result to be legally released in public?

A

Provide written consent

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47
Q

What is the site where most gas exchange between blood and tissue takes place?

A

Capillaries

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48
Q

What are valid laboratory abbreviations?

A

LIS: Laboratory information system
MLS: Medical Laboratory Scientist
GLPs: Good Laboratory Practices

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49
Q

What does the abbreviation “NPO” mean?

A

Nothing by mouth

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50
Q

What defines the structure and determines the meaning of a medical term?

A

Suffix first, prefix next, and root word last

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51
Q

Define Hemolysis

A

The destruction of red blood cells

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52
Q

Define Hematoma

A

the collection of blood underneath the skin, also known as a bruise

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53
Q

Define Hemoconcentration

A

the excessive accumulation of blood into an area of the body, usually caused by a tourniquet left on too long or a patient pumping there fist.

54
Q

What Abbreviations about blood is correct?

A

BAC: Blood Alcohol concentration
BBP: Bloodborne Pathogen
ACT: Activated clotting time

55
Q

What is true when you communicate verbally with a patient?

A

Use nonmedical terms so a patient understands

Never give false reassurance to patients such as “it won’t hurt”

Explain the procedure to gain the confidence and cooperation of the patients

56
Q

What term refers to the volume percentage of packed red blood cells in a blood sample?

A

Hemocrit

57
Q

Define Antibody

A

A type of protein the immune system produces to neutralize a threat of some kind.

58
Q

Define Antigen

A

any substance capable of inducing a specific immune response and triggering an antibody’s production specific to that substance.

59
Q

Define Immunocompromised

A

the impairment of the immune response usually due to the disease, medication, therapy, or surgery.

60
Q

What are the responsibilities of the Bureau of the Fiscal Service or commonly known as Fiscal Services, which is an agency of the United States federal government?

A

Admitting, medical records, and billing

61
Q

What are the legal responsibility of a phlebotomist while does there job?

A

Follow the standard of care

Maintain patient confidentiality

Maintain the integrity of the doctor-patient relationship

62
Q

What does TSH stand for in phlebotomy?

A

Thyroid Stimulating Hormone

63
Q

Define Accession

A

The process of recording in the order it was received

64
Q

Define Requistion

A

The form which is used to enter the test orders

65
Q

Define Bedside Manner

A

The behavior of a healthcare provider toward a patient

66
Q

What is required in the patient’s requisition of information?

A

Patients Full Name
Ordering Physicians’ Name
Type of test to be performed

67
Q

What medication does not interfere with the bleeding time test?

A

Ethanol

68
Q

What is the significant difference between plasma and serum?

A

Plasma contains fibrinogen; the serum does not

69
Q

What prefix does thromb- refer to?

A

Clotting

70
Q

What is not a proper telephone protocol?

A

Hang up on angry callers

71
Q

What explanation about touching is not correct?

A

Phlebotomist’s touching to the patient is kind of social touching

72
Q

What is the meaning of the suffix -tomy?

A

Study of

73
Q

What is the real definition of minor?

A

Has not reached the age of majority

74
Q

What is the principal defense against a malpractice suit?

A

Showing that the standard of care was followed

75
Q

Which dept is responsible for studying the diagnosis, cause, treatment, and prevention of blood-related diseases, mostly responsible for conducting complete blood count (CBC)

A

Hematology Dept

76
Q

What are the duties of a phlebotomist?

A

Providing patients with containers for the collection of random samples.

Always confirming with the patients that they have understood the instructions.

Providing instructions to the health-care provider’s office personnel when it is requested.

77
Q

What is the blood volume of an infant weighing 6 lbs?

100ml of blood is usually measure for every kilogram

A

270ML

78
Q

What does lymph originate from?

A

Tissue Fluid

79
Q

In Phlebotomy, what does the abbreviation PP stand for?

A

Post-Prandial

80
Q

What is not right about the serum and plasma?

A

Plasma is obtained after the clotting of blood, while serum is derived before the blood’s coagulation

81
Q

What is the plural form of atrium?

A

Atria

82
Q

What other department is also allowed to draw arterial blood gases aside from the laboratory?

A

Respiratory Therapy Dept

83
Q

What agency is handling all disaster situations?

A

FEMA

84
Q

If a phlebotomist ignores the refusal or forcibly tries to collect a sample from a patient who refuses to have blood draw, what charges can he/she be accused of?

A

Assault and Battery

85
Q

What lab abbreviation defines the laboratory word “PT”

A

Prothrombin Time

86
Q

What is the functional unit of the nervous system that is an electrically excitable cell that transmits and processes information using electrical and chemical signals?

A

Nueron

87
Q

What is the chemistry dept section usually associated with drug analysis since they are concerned with studying the detection, nature, and adverse effects of different chemicals on living organisms?

A

Toxicology

88
Q

Define Unopette System

A

a method for diluting blood when preparing it for counting blood cells

89
Q

What test can use the Unopette System?

A

Hematology

90
Q

What is a medical field that involves the use of radioisotopes to perform tests for the diagnosis and treatment of diseases?

A

Nuclear Medicine

91
Q

Under the HIPAA act, what element is not necessarily considered a piece of protected health information?

A

Patient’s employment records

92
Q

What chamber does the deoxygenated blood enter?

A

Right Atrium

93
Q

What case will most probably let the patient feel in control?

(under the right to refuse treatment, medication, blood work)

A

Agree with the patient that it is his right to refuse to have a blood specimen drawn

94
Q

What must they consult, if phlebotomists want to compare previous patient data with current patient data?

A

Delta Check

95
Q

What kinds of information can be disclosed according to the patients rights?

A

All Health-related information

96
Q

Define Hemochromatosis

A

High Iron count, iron overload

97
Q

Define Sickle Cell Anemia

A

Abnormal hemoglobin, inherited red blood cell disorder

98
Q

Define Polycythemia Vera

A

High red blood cell county, the bone marrow makes to many read blood cells

99
Q

What is listed in the proper order of blood flow?

A

Capillary, venule, vein

100
Q

What part of the circulatory system does the exchange of gas occur and is considered the smallest type of blood vessel that is only one layer thick?

A

Capillaries

101
Q

What things are right about anticoagulants?

A

The most common side effect of treat with anticoagulant medicine is bleeding.

Anticoagulants such as heparin or warfarin (Coumadin) slow down your body’s process of making clots.

They’re given to people at high risk of getting clots to reduce their chances of developing severe condition such as strokes or heart attacks.

102
Q

What body organs is mainly affected in a person with a pulmonary disease?

A

Lungs

103
Q

What type of muscle is found on the walls of blood vessels?

A

Visceral

104
Q

What does not have a valve?

A

Capillaries

105
Q

Which test is collected first during a dermal puncture?

A

Blood Smear

106
Q

What is the time interval that is the typical result for an average bleeding time (BT)?

A

2-10 Minutes

107
Q

What causes the P waves in an ECG?

A

Atrial Contractions

108
Q

What solution can produce a 1:10 solution of bleach?

A

10mL bleach to 90mL of water

109
Q

What finger is commonly used and preferred for capillary collection?

A

Ring finger

110
Q

Norma is scheduled for a blood test. The procedure indicates that the volume ratio for the serum to the specimen is 1:1. The requires 3mL of serum. The lab, then, requires that the amount of blood be collected should be 250% of the needed specimens volume.

What tube size should be used to collect the specimen?

A

15mL

111
Q

Gerry, a phlebotomist, has a patient who refuses to have blood drawn from him.

What action should be taken?

A

He should ensure that he notifies the patients doctor promptly

112
Q

Define Superior

A

Higher

113
Q

Define Inferior

A

Lower

114
Q

Define Anterior

A

Toward the Front

115
Q

Define Posterior

A

Toward the rear

116
Q

Define Medial

A

Toward the Middle, close to the center of the body

117
Q

Define Lateral

A

Toward the Side, away from the center of the body

118
Q

A phlebotomist ignores a patient who refuses a procedure and continues to prepare for the process.

What can the phlebotomist be accused of?

A

Assault

119
Q

A typical adult has an average blood volume of 70mL per kilogram. The blood volume varies depending on many aspects like diet and family history.

What is an average man’s blood volume if he weighs 130pds?

A

4.1 L

120
Q

What orange system does the hematopoiesis occur?

A

Skeletal System

121
Q

How many MM/CM is the maximum depth of a heel puncture?

A

2.0 mm

122
Q

What is a blood test that is usually handled by the coagulation dept that measures the time the blood takes to clot and check if medicine used to prevent blood clots work?

A

Prothrombin Times

123
Q

Where are heel sticks usually located?

A

At the lateral or medial borders of the plantar surface

124
Q

What lab test should be performed to screen pancreatitis?

A

Serum amylase

125
Q

What percent of the total blood volume is constituted by plasma?

A

55%

126
Q

What leukocytes protects the body by ingesting or phagocytosing harmful foreign particles such as dead cells and bacteria?

A

Neutrophils

127
Q

What is produced with the help of Helper T Cells?

A

Antibodies

128
Q

Where does a tort originate?

A

Civil Action

129
Q

What is the allowed maximum elapsed time between the time a sample is collected and the time the plasma or serum is separated from the formed elements?

A

2 Hours

130
Q

What type of tissue supports, connects, binds, or separates organs and other tissues from each other?

A

Connective Tissue

Phlebotomy (2 decks)

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