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Phelbotomy Final Revewi > ch 7 > Flashcards

ch 7 Flashcards

1
Q

The request for a laboratory procedure can be ordered by all of the following individuals EXCEPT:

Physician

Physician assistant

Nurse practitioner

Medical laboratory scientist

A

Medical laboratory scientist

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2
Q

Bedside manner may include all of the following EXCEPT:

Using medical terms

Confident behavior

Neat, clean appearance

Respect toward the patient

A

Using medical terms

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3
Q

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

A

State their first name

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4
Q

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

A

Talk to the patient through the curtain

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5
Q

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

A

parent

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6
Q

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

A

Collect the specimen while the patient is asleep

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7
Q

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

A

All of these

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8
Q

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

A

law

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9
Q

he threat of bodily harm to another or “reasonable apprehension of bodily harm” is known as:

Assault

Battery

Malice

Libel

A

Assault

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10
Q

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

A

Battery

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11
Q

Four elements must all be present for a malpractice case. They include all of the following EXCEPT:

Duty

Damages

Direct cause

Dishonesty

A

Dishonesty

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12
Q

The burden of proof in malpractice cases is on the ____________.

defendant

physician

plaintiff

phlebotomist

A

plaintiff

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13
Q

The Patient Care Partnership was formerly known as:

The Patient’s Bill of Rights

Right to Know Act

Universal Standards

Exposure Control Plan

A

The Patient’s Bill of Rights

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14
Q

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

A

Establishment of a payment plan

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15
Q

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

A

Informed consent

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16
Q

If a patient does not understand English, the phlebotomist must:

Use hand gestures

Demonstrate the procedure

Locate an interpreter

Talk loudly

A

Locate an interpreter

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17
Q

A chain of custody is required for the following EXCEPT:

Urine drug screen

Legal blood alcohol

HIV testing

Complete Blood Count (CBC)

A

Complete Blood Count (CBC)

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18
Q

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

A

Implied consent

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19
Q

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

a 65 year old patient who is having surgery

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20
Q

Phlebotomists will interact with patients that have infectious diseases. Examples of these diseases include all of the following EXCEPT:

Leukemia

Tuberculosis

Hepatitis

AIDS

A

Leukemia

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21
Q

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

A

two

22
Q

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

A family member

23
Q

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

A

Document the discrepancy and take corrective action

24
Q

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

A barcode on the identification band on the patient’s wrist

25
Q

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

A

Go to the nurse’s station to check the location of the patient

26
Q

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

A

All of these

27
Q

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

A

Therapeutic drug level

28
Q

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

A

All of these

29
Q

Patient factors affecting laboratory results include all the following EXCEPT:

Gender

Age

Geographic location

Height

A

Height

30
Q

Examples of laboratory results that vary by altitude and geographic location include all of the following EXCEPT:

RBC count

Hemoglobin

Lead

Cholesterol

A

Cholesterol

31
Q

____________ can be out of balance during profuse or heavy sweating and dehydration.

Lipids

Glucose

Electrolytes

Hormones

A

Electrolytes

32
Q

________________ occurs when patients are dehydrated (decrease in plasma water) and many substances in the blood will be increased.

Hemodilution

Hemoconcentration

Vasoconstriction

Analytic error

A

Hemoconcentration

33
Q

Which of the following does NOT result in hemoconcentration?

Water intoxication

Persistent vomiting

Diabetic acidosis

Inadequate fluid intake

A

Water intoxication

34
Q

_______________ is an increase in plasma water that may result in decreased levels of substances in the blood.

Hemoconcentration

Hemodilution

Vasoconstriction

Dehydration

A

Hemodilution

35
Q

Which of the following does NOT result in hemodilution?

Diarrhea

Salt retention syndromes

Infusion of massive amounts of intravenous fluids

Water intoxication

A

Diarrhea

36
Q

Which of the following can result in changes in the blood level of analytes?

Posture

Exercise

Stress

All of these

A

All of these

37
Q

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

A

Leading a sedentary lifestyle

38
Q

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

A

basal state

39
Q

_______ is the variation during different times throughout the day of an analyte.

Diurnal rhythm

Basal state

Fasting

Postprandial

A

Diurnal rhythm

40
Q

The term postprandial is defined as:

After eating

Another term for fasting

Prior to the next dose

After the dose

A

After eating

41
Q

The most common dietary restriction that affects specimen collection is:

Eating meat

Smoking

Eating carbohydrates

Fasting

A

Fasting

42
Q

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

A

Patient does not have insurance

43
Q

A fasting specimen may be required for which of the following:

Glucose

Creatinine

Calcium

Phosphorus

A

Glucose

44
Q

The presence of a large amount of fatty compounds in blood after a meal makes a specimen:

Lipemic

Icteric

Hemolyzed

Diluted

A

Lipemic

45
Q

The appearance of normal serum should be:

Clear and yellow

Cloudy and yellow

Milky and orange

Turbid and colorless

A

Clear and yellow

46
Q

Substances the phlebotomist has no control over are known as:

Dietary substances

Interfering substances

Herbal substances

Vitamin supplements

A

Interfering substances

47
Q

STAT tests must be performed within ________ of collection.

30 minutes

one hour

two hours

three hours

A

one hour

48
Q

The LIS system allows connectivity with each of the following EXCEPT:

HIS

Laboratory analyzers

Physician offices

Patient computer

A

Patient computer

49
Q

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

A

any authorized personnel

50
Q

The ___ is an electronically stored record of patient health information.

LIS

EHR

HIPAA

HIS

A

EHR

51
Q

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

A

All of these

52
Q

Computerized physician order entry is abbreviated as:

CZOE

CPOR

CPOE

PPOE

A

CPOE

Phelbotomy Final Revewi (12 decks)

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