ch 7 Flashcards
The request for a laboratory procedure can be ordered by all of the following individuals EXCEPT:
Physician
Physician assistant
Nurse practitioner
Medical laboratory scientist
Medical laboratory scientist
Bedside manner may include all of the following EXCEPT:
Using medical terms
Confident behavior
Neat, clean appearance
Respect toward the patient
Using medical terms
When greeting a patient, the phlebotomist should first:
Ask the patient for identification
State the procedures the physician ordered
State their first name
Ask to see the patient’s arm
State their first name
If a curtain is pulled around the patient’s bed, the phlebotomist should:
Talk to the patient through the curtain
Pull the curtain back
Leave and come back later
Ask for assistance from the nurse
Talk to the patient through the curtain
For most purposes the consent of a ________ for a child patient is enough informed consent to proceed with the procedure.
parent
nurse
physician
respiratory therapist
parent
If a patient is asleep, the phlebotomist should do the following EXCEPT:
Collect the specimen while the patient is asleep
Gently nudge the bed to wake the patient
Talk in a soft manner
Avoid turning the light on
Collect the specimen while the patient is asleep
Having knowledge of how law and ethics applies to the phlebotomy profession will allow the phlebotomist to:
Function at a high level
Provide competent healthcare
Avoid legal entanglements
All of these
All of these
A ______ is a rule of conduct or action prescribed or formally recognized as binding or enforced by a controlling authority.
law
code of ethics
moral philosophy
civil suit
law
he threat of bodily harm to another or “reasonable apprehension of bodily harm” is known as:
Assault
Battery
Malice
Libel
Assault
he action that causes bodily harm to another or bodily contact made without permission, such as drawing blood without the patient’s consent, is:
Assault
Battery
Malice
Libel
Battery
Four elements must all be present for a malpractice case. They include all of the following EXCEPT:
Duty
Damages
Direct cause
Dishonesty
Dishonesty
The burden of proof in malpractice cases is on the ____________.
defendant
physician
plaintiff
phlebotomist
plaintiff
The Patient Care Partnership was formerly known as:
The Patient’s Bill of Rights
Right to Know Act
Universal Standards
Exposure Control Plan
The Patient’s Bill of Rights
The Patient Care Partnership outlines the following EXCEPT:
Right to refuse care
Establishment of a payment plan
Right to be treated with respect
Records are considered to be confidential
Establishment of a payment plan
Before drawing blood, the phlebotomist must inform the patient of the procedure. This is known as:
Bill of Rights
Informed consent
Universal Standards
Right to Know
Informed consent
If a patient does not understand English, the phlebotomist must:
Use hand gestures
Demonstrate the procedure
Locate an interpreter
Talk loudly
Locate an interpreter
A chain of custody is required for the following EXCEPT:
Urine drug screen
Legal blood alcohol
HIV testing
Complete Blood Count (CBC)
Complete Blood Count (CBC)
If the patient offers an arm or hand for the phlebotomy procedure, this is interpreted as:
Informed consent
Chain of custody
Implied consent
Lack of consent
Implied consent
Which patient may refuse consent to a procedure?
a 15 year old patient whose parents have given consent
a mentally impaired patient unable to understand the procedure
a patient who has been ordered by law to have a procedure
a 65 year old patient who is having surgery
a 65 year old patient who is having surgery
Phlebotomists will interact with patients that have infectious diseases. Examples of these diseases include all of the following EXCEPT:
Leukemia
Tuberculosis
Hepatitis
AIDS
Leukemia
The National Patient Safety Goals as established by The Joint Commission recommend the use of ______ patient identifiers before blood samples are obtained.
one
two
three
four
two
If the patient is unable to state his or her name, what other source is acceptable?
Another phlebotomist
The laboratory manager
A family member
The admissions clerk
A family member
Once a discrepancy is resolved with regard to the spelling of a patient’s name either on the arm band or on the laboratory requisition, what action should the phlebotomist take?
Document the discrepancy and take corrective action
No additional documentation is required
Notify the phlebotomy supervisor
Notify the patient’s physician
Document the discrepancy and take corrective action
Acceptable additional items for patient identification include:
An identification band taped to the foot of the bed
An identification card taped to the wall above the bed
A barcode on the identification band on the patient’s wrist
An identification card taped to the d
A barcode on the identification band on the patient’s wrist
The phlebotomist goes to a patient’s room to collect a STAT blood specimen. The patient is not in the assigned room. What should the phlebotomist do?
Go to the nurse’s station to check the location of the patient
Return to the laboratory without notifying the nurse
Check with the radiology department
Wait for patient to return
Go to the nurse’s station to check the location of the patient
Which of the following patients would require special considerations by the phlebotomist?
A two-year-old patient
An unconscious patient
A psychiatric patient
All of these
All of these
Documentation of the time of collection is especially important for which of the following specimen types?
Therapeutic drug level
Routine complete blood count
Random glucose level
Blood bank specimen
Therapeutic drug level
Essential role(s) of the phlebotomist include:
Proper identification of patients and specimens
Ensuring quality of the specimen
Documenting all pertinent information
All of these
All of these
Patient factors affecting laboratory results include all the following EXCEPT:
Gender
Age
Geographic location
Height
Height
Examples of laboratory results that vary by altitude and geographic location include all of the following EXCEPT:
RBC count
Hemoglobin
Lead
Cholesterol
Cholesterol
____________ can be out of balance during profuse or heavy sweating and dehydration.
Lipids
Glucose
Electrolytes
Hormones
Electrolytes
________________ occurs when patients are dehydrated (decrease in plasma water) and many substances in the blood will be increased.
Hemodilution
Hemoconcentration
Vasoconstriction
Analytic error
Hemoconcentration
Which of the following does NOT result in hemoconcentration?
Water intoxication
Persistent vomiting
Diabetic acidosis
Inadequate fluid intake
Water intoxication
_______________ is an increase in plasma water that may result in decreased levels of substances in the blood.
Hemoconcentration
Hemodilution
Vasoconstriction
Dehydration
Hemodilution
Which of the following does NOT result in hemodilution?
Diarrhea
Salt retention syndromes
Infusion of massive amounts of intravenous fluids
Water intoxication
Diarrhea
Which of the following can result in changes in the blood level of analytes?
Posture
Exercise
Stress
All of these
All of these
All of the following conditions can result in an increased white blood cell count EXCEPT:
Strenuous exercise
Stress
Excessive crying by an infant
Leading a sedentary lifestyle
Leading a sedentary lifestyle
A patient who is at rest and has been fasting for at least 12 hours is said to be in _________.
basal state
diurnal variation
diurnal rhythm
diabetic acidosis
basal state
_______ is the variation during different times throughout the day of an analyte.
Diurnal rhythm
Basal state
Fasting
Postprandial
Diurnal rhythm
The term postprandial is defined as:
After eating
Another term for fasting
Prior to the next dose
After the dose
After eating
The most common dietary restriction that affects specimen collection is:
Eating meat
Smoking
Eating carbohydrates
Fasting
Fasting
Sometimes phlebotomists need to note patient information on the laboratory requisition. Examples of this would include the following EXCEPT:
Last time patient ate
Last time patient smoked
Patient is non-fasting
Patient does not have insurance
Patient does not have insurance
A fasting specimen may be required for which of the following:
Glucose
Creatinine
Calcium
Phosphorus
Glucose
The presence of a large amount of fatty compounds in blood after a meal makes a specimen:
Lipemic
Icteric
Hemolyzed
Diluted
Lipemic
The appearance of normal serum should be:
Clear and yellow
Cloudy and yellow
Milky and orange
Turbid and colorless
Clear and yellow
Substances the phlebotomist has no control over are known as:
Dietary substances
Interfering substances
Herbal substances
Vitamin supplements
Interfering substances
STAT tests must be performed within ________ of collection.
30 minutes
one hour
two hours
three hours
one hour
The LIS system allows connectivity with each of the following EXCEPT:
HIS
Laboratory analyzers
Physician offices
Patient computer
Patient computer
The interconnectedness of an LIS system may mean that all patient data can be viewed by _______ connected to the system.
nurses
physicians
phlebotomists
any authorized personnel
any authorized personnel
The ___ is an electronically stored record of patient health information.
LIS
EHR
HIPAA
HIS
EHR
The purpose of the EHR is to:
Provide secure, real-time access to patient-centered information
Reduce delays in planning and treatment
Document phlebotomist initials, and date and time of specimen collection
All of these
All of these
Computerized physician order entry is abbreviated as:
CZOE
CPOR
CPOE
PPOE
CPOE
