Chapter 4

Question 1

A hereditary blood disease marked by greatly prolonged blood coagulation time is known as:
	 A. Hemophilia	
	 B. Hematoma	
	 C. Hemoconcentration	
	 D. Hemostasis

Answer 1

A. Hemophilia

Question 2

Microtubes should not be overfilled because:
A. There is not enough anticoagulant for the increased volume of blood
B. There is not enough blood in infants
C. Blood will clot immediately
D. The test will give false results

Answer 2

A. There is not enough anticoagulant for the increased volume of blood

Question 3

Venipuncture procedures are more difficult in geriatric patients because their skin is:
	 A. Thinner	
	 B. Thicker	
	 C. Dryer	
	 D. More sensitive

Answer 3

A. Thinner

Question 4

The arterial blood gas test measures all of the following, except:
	 A. The pH	
	 B. The partial pressures of oxygen	
	 C. The hemoglobin A1c	
	 D. The bicarbonate concentration

Answer 4

C. The hemoglobin A1c

Question 5

If a nerve is contacted during venipuncture, what symptom occurs?
	 A. Bleeding	
	 B. Vasospasm	
	 C. Painful burning sensation	
	 D. Anaphylactic shock

Answer 5

C. Painful burning sensation

Question 6

Yellowish color of the skin is referred to as:
	 A. Cyanosis	
	 B. Erythema	
	 C. Ecchymosis	
	 D. Jaundice

Answer 6

D. Jaundice

Question 7

What should you keep monitoring if a patient says they are feeling faint?
	 A. Forehead temperature	
	 B. Axillary temperature	
	 C. Nosebleed	
	 D. Vital signs

Answer 7

D. Vital signs

Question 8

Patients have the right to refuse:
	 A. To pay their bill	
	 B. Any procedures	
	 C. Procedures involving CPR	
	 D. To stop smoking in the doctor's office

Answer 8

B. Any procedures

Question 9

The arterial blood gas test is commonly performed via one of two tests – the pH-stat and:
	 A. The alpha-stat test	
	 B. The beta-stat test	
	 C. The gamma-stat test	
	 D. The delta-stat test

Answer 9

A. The alpha-stat test

Question 10

In children younger than 2 years of age, for blood collection, the items used include a butterfly collection set and a needle gauge of:
	 A. 21	
	 B. 23	
	 C. 27	
	 D. 30

Answer 10

B. 23

Question 11

Excessive bilirubin is dangerous in newborn babies, and may cause permanent damage of which of the following organs?
	 A. Liver	
	 B. Kidneys	
	 C. Brain	
	 D. Pancreas

Answer 11

C. Brain

Question 12

Which of the following amounts of blood is needed for the optimal recovery of microorganisms in adult blood culture?
	 A. 2 mL	
	 B. 5 mL	
	 C. 10 mL	
	 D. 25 mL

Answer 12

C. 10 mL

Question 13

For collection of blood from psychiatric patients, which of the following individuals will be present during the procedure to assist in any way needed?
	 A. Physician	
	 B. Pharmacist	
	 C. Nurse	
	 D. Spouse

Answer 13

C. Nurse

Question 14

The only patients usually put into restraints when they are uncooperative are:
	 A. Extremely ill patients	
	 B. Children	
	 C. Adults	
	 D. The elderly

Answer 14

B. Children

Question 15

Using the brachial artery for blood collection may increase the risk for:
	 A. Intense bleeding	
	 B. Fainting	
	 C. Heart attack	
	 D. hematoma

Answer 15

D. hematoma

Question 16

To an uncooperative patient, how should the procedure be explained?
	 A. Loudly	
	 B. Softly	
	 C. Quickly	
	 D. Step by step

Answer 16

D. Step by step

Question 17

A vein may collapse because of an evacuated tube that is:
	 A. Empty	
	 B. Too large	
	 C. Too small	
	 D. Full

Answer 17

B. Too large

Question 18

Certain states in the United States routinely test newborns for which of the following infectious agents?
	 A. Hepatitis C	
	 B. Toxoplasma	
	 C. Measles	
	 D. Syphilis

Answer 18

B. Toxoplasma

Question 19

Which of the following should you never do when a patient feels faint?
A. Guide the patient to the floor
B. Talk to the patient
C. Leave the room to notify the physician or nurse
D. Immediately remove the needle from the patient’s arm

Answer 19

C. Leave the room to notify the physician or nurse

Question 20

What should be placed between an ice pack and the patient's skin?
	 A. Towel or sheet	
	 B. Heat pack	
	 C. Ice slurry	
	 D. Bandage

Answer 20

A. Towel or sheet

Question 21

Which of the following may resemble veins in obese patients?
	 A. Myomas	
	 B. Globules	
	 C. Acne	
	 D. Small cysts

Answer 21

B. Globules

Question 22

If a patient continues to bleed after venipuncture, what should you do with his or her affected arm?
	 A. Lower it below heart level	
	 B. Put a tourniquet on it	
	 C. Raise it above heart level	
	 D. Put an ice pack on it

Answer 22

C. Raise it above heart level

Question 23

If a patient is having a seizure, which of the following must you avoid?
A. Putting anything into the mouth
B. Staying calm
C. Removing the needle and tourniquet
D. Applying pressure to the venipuncture site

Answer 23

A. Putting anything into the mouth

Question 24

What is a sign that shows an artery has been punctured instead of a vein?
A. The blood will flow into the tube and have a dark red color
B. The blood will only drip into the tube
C. The blood will spurt into the tube and clot immediately
D. The blood will spurt into the tube and have a bright red color

Answer 24

D. The blood will spurt into the tube and have a bright red color

Question 25

Severe allergic responses may require treatment with a:
	 A. Latex-based ointment	
	 B. Topical ointment	
	 C. Systemic medication	
	 D. Suppository

Answer 25

C. Systemic medication