Chapter 13 Flashcards

1
Q
  1. which of the following sites is recommended to collect capillary blood gases on a newborn?
    A. Lateral posterior area of the heel
    B. Lateral anterior area of the elbow
A

A. Lateral posterior area of the heel.

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2
Q
  1. which of the following is the specimen of choice for testing the pH, pO2, and pCO2 of the blood?
    A. Arterial blood
    B. Venous blood
A

A. Arterial blood

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3
Q
  1. EMLA, sometimes used for pediatric venipuncture procedures is a:
    A. Local anesthetic applied with a small needle to the child’s area before venipuncture
    B. Topical anesthetic applied to the child’s arm before venipuncture
A

B. Topical anesthetic applied to the child’s arm before venipuncture

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4
Q
  1. The best location for performing venipuncture on a hospitalized 7 year old is:
    A. In a treatment room
    B. In his or her bed
A

A. In a treatment room

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5
Q
  1. The optimal depth of a fingerstick in a child is:
    A. Less than 0.24mm
    B. Less than 2.0mm
A

B. Less than 2.0mm

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6
Q
6. Physical frailties that may affect elderly individuals include:
A. Loss of taste, smell, and feeling 
B. Memory loss about taking medications 
C. Susceptibility of hypothermia 
D. All of the above
A

D. All of the above

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7
Q
7. Specimen collection n a patient’s home may involve unusual positioning of the patient. What is the preferred position or location from which to collect a blood specimen from a homebound patient?
A. In the bathroom of the patient’s home
B. Seated next to the kitchen table
C. In a comfortable, reclining position 
D. All of the above
A

C. In a comfortable, reclining position

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8
Q
  1. Transportation requirements or specimens collected from homebound patients include:
    A. Leakproof containers
    B. Riming efficiency in returning to the laboratory
    C. Cooling or heating accommodations
    D. All of the above
A

D. All of the above

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9
Q
9. Which of the following is an acceptable alternative to hand washing prior to Phlebotomy procedures? 
A. Wearing gloves 
B. Using extremely diluted bleach
C. Foam or cream disinfections
D. None of the above
A

C. Foam and cream disinfections

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10
Q
  1. Which of the following is a debilitating disease causing tremors, particularly in elderly individuals?
    A. Parkinson’s disease
    B. Anemia
A

A. Parkinson’s disease

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11
Q
  1. Which of the following is an emotional factor associated with aging process?
    A. Anemia
    B. Depression
A

B. Depression

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12
Q
12. Extra supplies and equipment are needed by home health care workers who collect specimens rom homebound patients that are not necessary for workers in a hospital. These include:
A. Biohazard container 
B. Hand disinfectant 
C. Map and wireless phone 
D. All of the above
A

C. Map and wireless phone

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13
Q
  1. Which of the following is a complication that can result from multiple deep heel sticks on an infant?
    A. Osteomyelitis
    B. Pneumonia
A

A. Osteomyelitis

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14
Q
  1. Which of the following is a commonly inherited disease that is detectable through a newborn screening process in neonates?
    A. Sickie cell disease
    B. Spinal bifida
A

A. Sickie cell disease

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15
Q
  1. The angel of the needle for scalp vein venipuncture of an infant should be:
    A. 20 degrees
    B. 15 degrees
A

B. 15 degrees

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16
Q
  1. After the blood collected from a heel stick is placed on the neonatal screening card, the card must dry in a horizontal position for a minimum of:
    A. 3 hours
    B. 4 hours
A

B. 4 hours

17
Q
  1. When a skin puncture s performed on an infant, which of the following specimens is collected first?
    A. Chemistry specimens
    B. Hematology specimens
A

B. Hematology specimens

18
Q
  1. Which of the following is needed for blood collection by skin puncture on an infant?
    A. Seraket tourniquet
    B. Puncture resistant sharps container
A

B. Puncture resistant sharps container

19
Q
  1. Blood spot testing neonatal screening disorders should be performed before the newborn is:
    A. 48 hours old
    B. 72 hours old
A

B. 72 hours old

20
Q
  1. Which of the following is an acceptable intervention to alleviate pain during venipuncture on a 5 year old child?
    A. EMLA
    B. Sucrose nipple
A

A. EMLA

21
Q
  1. Which is the preferred site for a heel stick?
    A. Anteromedical section of the best
    B. Medical or lateral section of the heel
A

B. Medical or lateral section of the heel

22
Q
  1. Which of the following disorders can be detected through neonatal screening?
    A. Cystic fibrosis
    B. Parkinson’s disease
A

A. Cystic fibrosis

23
Q
  1. Which of the following equipment is necessary for newborn screening blood collection?
    A. Disposable gloves
    B. Safety holder/ needle device
A

A. Disposable gloves

24
Q
  1. Which of the following gauge size should be used for the infant scalp venipuncture?
    A. 23 gauge
    B. 25 gauge
A

A. 23 gauge

25
Q
  1. Which of the following is true of congenital hypothyroidism?
    A. Screened for through the neonatal screening blood collection procedure
    B. Another term for Parkinson’s disease
A

A. Screened for through the neonatal screening blood collection procedure.

26
Q
  1. Cystic fibrosis is detected by the capillary blood gas test.

True or false

A

False

27
Q
  1. A minute metal filing and magnet are necessary for the capillary blood gas procedure.

True or false

A

True

28
Q
  1. EMLA is a topical anesthetic used after venipuncture in children.

True or false

A

False

29
Q
  1. Sucrose is effective in reducing pain and crying time during a blood collection procedure for an infant.

True or false

A

True

30
Q
  1. The EMLA application provides anesthesia for 45 minutes to 3 hours.

True or false

A

True

31
Q
  1. A 10 mL blood sample collected from a newborn is equivalent to 5 to 10 percent of the infant’s total blood volume.

True or false

A

True

32
Q
  1. An incision for a heel stick on an infant should not go deeper than 3.0mm.

True or false

A

False

33
Q
  1. Parkinson’s disease often occurs in elderly individuals.

True or false

A

True

34
Q
  1. A physical problem common in elderly individuals is loss of feeling.

True or false

A

True

35
Q
  1. The central area of the infant’s heel is the best site for a heel stick blood collection

True or false

A

False