Chapter 9 Flashcards

1
Q

Peak levels of which analyze typically occur around 08:00 hours?

A. Bilirubin
B. Cortisol
C. Eosinophil
D. Glucose

A

B. Cortisol

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2
Q

Which of these test are most affected if the patient is not fasting?

A. CBC and protime
B. Glucose and triglycerides
C. RA and cardiac enzymes
D. Blood culture and thyroid profile

A

B. Glucose and triglycerides

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3
Q

Veins that feel hard and cord like when palpated may be…

A. Collapsed
B. Fistulas
C. Thrombosed
D. Venules

A

C. Thrombosed

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4
Q

Tiny red spot that appear on a patients arm when the tourniquet is applied are a sign that the

A. Patient is allergic to nitrile
B. Patient has anemia
C. Site may bleed excessively
D. Veins are sclerosed

A

C. Site may bleed excessively

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5
Q

When the arm of the patient is swollen with excess fluid, the condition is called…

A. Edema
B. Hemolysis
C. Icterus
D. Syncope

A

A. Edema

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6
Q

Which situation would be most likely to allow reflux to occur during venipuncture.

A. Filling the tube stopper end first.
B. Lateral redirection of the needle
C. Tourniquet release on blood flow
D. Using the wrong order of draw.

A

A. Filling the tube stopper end first.

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7
Q

A patient complains of extreme pain when you insert the needle during a venip attempt. The pain does not subside, but the patient does not feel any numbness or burning sensation. You know the needle is in the vein because the blood is flowing into the tube. You have only 2 tubes to fill, and the first one is almost full. What should you do?

(A.) Ask the patient if he/she wants you to continue the draw.
(B.) Discontinue the draw and attempt collection at another site.
(C.) Distract the patient with small talk and continue the draw.
(D.) Tell the patient to hang in there as you only have 1 tube left.

A

B. Discontinue the draw and attempt collection at another site.

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8
Q

A patient has several short lengths of IV- type tubing protruding from the chest. This is most likely a(n)

A. A-line
B. CVC
C. Port
D. PICC

A

B. CVC

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9
Q

Which situation can result in hemoconcentration?

(A.) Drawing a large tube with a small needle
(B.) Leaving the tourniquet on for over 1 minute.
(C.) Mixing the specimen too vigorously.
(D.) Partially filling a normal-draw tube.

A

B. Leaving the tourniquet on for over 1 minute.

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10
Q

You are in the process of collecting a specimen by venipuncture. You hear a hissing sound, there is a spurt of blood into the tube, and blood flow stops. What has most likely happened?

A. Collapsed vein
B. Needle went too deep
C. Reflux of tube contents
D. Tube vaccume escaped

A

D. Tube vaccume escaped.

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11
Q

Most test results reference ranges are values for …

A. Healthy individuals
B. Patients who are ill
C. People of the same age.
D. Specific disorders

A

A. Healthy individuals

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12
Q

If a venipuncture fails to draw blood and the phlebotomist senses a slight vibration of the needle, this could be a sign that the needle…

A. Is up against a valve
B. Penetrated a nerve
C. Struck a hematoma
D. Went through the vein

A

A. Is up against a valve.

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13
Q

A arm that is paralyzed

A. Has no muscle function
B. Has sensory damage also
C. Us a permanent condition
D. Is the result of a stroke

A

A. Has no muscle function

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14
Q

A bariatric phlebotomy chair is designed fir individuals who are …

A. Apt to faint
B. Mentally ill
C. Overweight
D. Paralyzed

A

C. Overweight.

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15
Q

An AV fistula is most commonly used for

A. Chemotherapy
B dialysis access
C. Drawing blood
D. Fluid infusion

A

B. Dialysis access

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16
Q

Which situation can hemolyze a specimen?

A. Drawing a large tube with a 23ga. 🦋
B. Forceful aspiration of blood with a syringe
C. Horizontal transportation of tubes of blood
D. All of the above

A

D. All of the above

17
Q

Which type of therapy can Increase bilirubin levels?

A. Acetaminophen pills
B. Blood pressure medications
C. Chemotherapy drugs
D. Oral contraceptives

A

A. Acetaminophen pills

18
Q

Pseudoanemia can be caused by …

A. A change in position from standing to lying down
B. Drawing a blood specimen through an IV valve.
C leaving the tourniquet on longer than one minute
D. Using too large of a needle to collect a specimen

A

A. A change in position from standing to lying down.

19
Q

Creatinine clearance is a measure of..

A. Glucose metabolism
B. Kidney function
C. Liver function
D. Muscular activity

A

B. Kidney function

20
Q

Drugs that interfere with blood tests should be stopped or avoided for…

A. 4-48 hrs
B. 8-12 hrs
C. 12-36 hrs
D. 48-72 hrs

A

A. 4-48 hrs