Comprehensive Phlebotomy Flashcards
1
Q
the study of blood and blood forming tissues is
A
Hematology
2
Q
which one of the following is NOT a component of a CBC
- rbc
- wbc
- esr
- hct
- hgb
A
ESR
3
Q
AFB is a test for= aide fast balli
A
Tuberculosis
4
Q
infernece by signs, inactions, or silence that consent has been granted is consent informed consent contact implied consent duty
A
Implied consent
5
Q
neglect or failue to perform an obligation is
A
Breach of Duty
6
Q
the latin phrase that means “Let the master Answer is”
A
respondeat superior
7
Q
the threar of bodily harm is tort neglience assualt battery fraud
A
Assult
8
Q
unauthorization publication of information about a patient is called an
A
Invasion of privacy
9
Q
touching a patient without consent is libel assault slander invasion of privacy battery
A
battery
10
Q
a patients permission to undergo treatment after he/she understands the risk and benefits is
A
informed consent
11
Q
if a phlebotomist does not se proper measures to prevent a fainting patient from falling, the phlebotomist is guilty of
A
Negligence
12
Q
which of the following does NOT have to be included on a chain of custody form? name of subject person to collect signature of person transporting name of person receiving specimen name of physican
A
name of physician
13
Q
the antecubital fossa is a/an
A
area formed at the inside bend of the elbow
14
Q
the destruction of red blood cells
A
hemolysis
15
Q
an accumulation of fluid in the tissues is
A
edema
16
Q
a sterile, disposable, sharp instrument used in dermal punctures is a
A
lancet
17
Q
a condition in which plasma enters the tissues resulting in higher then normal concentration of the cellular components of blood is called
A
hemoconcentration
18
Q
a collection of blood underneath the skin: edema hemolysis hematoma lymphostasis syncope
A
hematoma
19
Q
fainting is another term for
A
syncope
20
Q
which of following is NOT a part of the venipuncture needle: bevel shaft lumen barrel hub
A
Barrel
21
Q
which one of the following needles is used to draw a unit of bllod transfusion
A
gauge 17
22
Q
the needle size typically used for venipuncture on an adult is
A
21 gauge and 1 1/2 inch
23
Q
the most commonly used antiseptic is: bleach 10% bleach solution 50% isopropanol 70% isopropanol zephiran chloride
A
70% ispropanol
24
Q
the main advantage of evacuated system is
A
many test can be collected with only one vp
25
```
an adapter is also known as a/an:
cannula
fistula
vacuatainer tube
tourniquet
needle holder
```
needle holder
26
which one of the following tubes contains EDTA and ise used for CBC Draw
Lavender
27
the evacuated tube that collected serum is
red
28
which tube is used for collection of coagulation studies
light blue
29
which one of the following evacuted tubes is used to collect blood alcohol levels
grey
30
which one of the following evacuated tubes contains SPS
Yellow
31
the difference between a syringe needle and evacuted tube needle is
a syringe needle is not double sided
32
all VP begin with
a physicians requisition
33
Tourniquets should never be left on for more than
1 minute
34
if a tourniquet is left on longer than the recommended time what can happen
hemoconcentration
35
the most common site for VP is
antecubital fossa
36
```
what condition could happen if you draw blood from a mastectomy patient:
Hematoma
lymphostatis
edema
syncope
hemoconcentration
```
Lymphostasis
37
```
which one of the following is NOT a factor preventing VP from being done at a site?
Scar
edema
IV
Hematoma
Firmness of Vein
```
firmness of vein
38
the standard gauge needle used in the evacutated tube method is
21 gauge
39
which one of the following is filled first regardless of whether the evacutated tube method or the syringe method is used
blood culture tubes
40
```
which one of the following is NOT a method of performing VP:
winged infusion set
syringe
finger stick
evacutated tube
butterfly
```
Finger stick
41
the proper way of locating a vein for VP is
Palpation
42
which tube is containing sodium citrate has a ratio of blood to anticoagulation 9:1
Light Blue
43
which anticoagulation inhibtis the action of thrombin in the coagulation process
EDTA
44
```
which additive also inhibits glycoysis:
EDTA
Heparin
Sodium fluoride
potassium oxalate
Lithium iodoacetate
```
sodium fluoride
45
```
which anticoagulant prevents blood from clotting by binding clacium and prevents platelet aggregation?
EDTA
Heparin
Sodium fluoride
potassium oxalate
Lithium iodoacetate
```
EDTA
46
which tube contains both an anticoagulant and cell preservation (antiiglycolytic agent)?
grey
47
```
which anticoagulant preserves the shape of blodd cells:
sodium citrate
Heparin
Sodium fluoride
potassium oxalate
EDTA
```
EDTA
48
which is the method of choice used for obtaining blood from infants and children under the age of 2?
Dermal puncture
49
geriatric patients are
Elderly
50
```
which one of the following tests cannot be performed on a specimen from dermal puncture?
erythrocyte sedimentation rates
microhematocrits
blood glucose levels
blood slides for differentials
none
```
erythrocyte sedimentation rates
51
if a dermal puncture penetrates the bone , the incision could cause
ostemyelitis
52
finger punctures should not be performed on pt's under the age of
one
53
why should phlebotomists NOT use the very tip of the finger to make the puncture
bone is too close tot the skin
54
besided the thumb, which two fingers are NOT used for Finger puncture
index and fifth
55
the site is cleansed usind
70% isopropanol
56
a fasting specimen requires that the pt has had nothing to eat or drink other than wateer for how long?
8-12 hours
57
a 2 hour postprandial glucose test means
the test would take place 2 hours after eating
58
a blood and urine specimen is collected at 30 minutes and then at hourly intervals for the remainder of which one of the following test
glucose tolerance test=GTT
59
```
the bleeding time test is screening test that assesses the status of the pt's:
homeostatsis
hemostatsis
hemolysis
glycolysis
metastasis
```
hemostasis
60
which one of the following requires that a record be kept of the specimen from the time it was collected until after the lab test is performed
chain of custody
61
the bleeding time test assesses the pt's
ability to stop bleeding
62
```
which one of the following is NOT included in the CBC:
rbc
WBC
Platelet count
Arterial blood gases
differential
```
ARTERIAL blood gases
63
which one of the following can cause an elevation in the WBC count of a newborn infant?
Crying
64
```
which one of the following needs to remain near body temperature?
arterial blood gases
cold agglutinins
parathyroid hormone
lactic acid
gastrin
```
cold agglutinins
65
which one of the specimens is NOT sensitive to light
CBC
66
```
which one of the following is NOT part of the process of logging in:
name of pt
type of specimen
time specimen was tested
specimen number
ordered test
```
time specimen was tested
67
which one of the following is NOT a reason for rejection of a specimen by a clinical laboratory?
partially filled tubes
68
abbrevation QNS means: quatity not sufficent
there is not enoguh specimen to test
69
which one of the following is NOT a sign of Syncope
itching
70
which one of the following is NOT a cause of hematoma from a vp procedure?
- applying pressure to the site
- excessive probing with the needle to find the vein
- the needle is partially in
- the needle was penetrated all the way thru the vein
- the tourniquet was removed after needle was withdrawn
applying pressure to the site
71
which one of the following medication may cause bleeding froma vp site?
coumadin
72
EMLA is a/an
typical anestetic
73
a red blood cell is a/an
erythrocyte
74
```
a decrease in the normal number of platelets is:
erythrocytosis
leukocytosis
leukopenia
thrombocytopenia
thrombocytosis
```
thrombocytpenia
75
iron containing protein in red blood cells that transport oxygen and carbon dioxide is
hemoglobin
76
the straw-colored liquid portion of whole blood is
plasma
77
the liquid portion of the blood after it has clotted and fibrogen is gone is
serum
78
what makes up 90% of plasma
water
79
this coagulation test is used to monitor the effectiveness of coumadine therapy
prothrombin time= PTT
80
coagulation studies are drawn in what color top tube
light blue
81
how is plasma obtained
centerfuging a tube of blood that contains an anticoagulant
82
which one of the following is NOT one of the functions of the circulator system
transports of waster to cells
83
the heart beats approx how many beats per minute
70-80
84
asespsis mean
germ free
85
a unit of bloof is approx 63 ml of anticoagulant and how much of blood
450 ml
86
most stated require that all newborns be tested for
phenylketonuria=pku
87
which one of the following requires that a record be kept of specimen from the time it was collected until the lab test is performed
chain of custody
88
the bleeding time test assesses the pt's
ability to stop bleeding
89
the most common performed point of care test is a/an
glucose test
90
```
which one of the following is NOT included in the CBC?
RBC
WBC
Platelet Count
Arterial blood gases
Differential
```
Arterial Blood Gases
91
one characteristic unique to pediatric phlebotomy is that the phlebotomist must
communicate with both pt and parent/guardian about the procedure
92
the usual guideline for heel puncture perform on children is
under the age of 1 yr old or 20 pounds
93
```
in 1993 the FDA approved the used of which topical Anestetic?
STAT
DEA
EDTA
EMLA
AMA
```
EMLA
94
which one of the following test is required to be performed on newborms
PKU
95
```
which one of the following is NOT a physiologic change in the elderly that make VP Difficult?
blood vessels lose elasticity
" " become more fragile
skin cells become less elastic
loss of collagen
skin cells are replaced rapidly
```
Skin Cells are replaced rapidly
96
```
which one of the following Is NOT one of the guidelines for helping the hearing impaired pt?
speak slowly
rephrase statement
explain everything carefully
face pt when speaking
shout, so the pt can hear you
```
shout so the pt can hear you
97
drawing blood from pt w/out consent is
assualt and battery
98
when the pt is angry, which of the following statements would best diffuse the situation
Im sorry you are upset , lets see if we can solve the problem
99
```
which one of the following is NOT a concern when performing a VP on a Geriatric pt?
latrogenic anemia
sclerosed veins
hematoma
bruising
age spots
```
age Spots
100
```
which one of the following does NOT affect the specimen results?
kicking
age
geographic factors
skin color
diet
```
skin color
101
which one of the following can cause an elevation in the WBC count of a newborn
Crying
102
most laboratories strive for an in house delivery priod of
45 minutes
103
most labs strive for a tiime from collection until centerfugation of
1 hour
104
which one of the following needs to remain near body temperature
cold agglutinins
105
body temp in the celsius scale is
37 degrees
106
which one of the specimens is NOT part of the process of logging in?
time specimen was tested
107
which one of the specimens is NOT sensititive to light
CBC
108
```
which one of the following is NOT a reason for rejection of a specimen by a clinical lab?
hemolyzed tubes
partially filed
expired tubes
incorrect collection time
properly mixed tubes
```
properly mixed tubes
109
an inpatient or outpatient after fainting should not be left alone for atleast
15 minutes
110
which one of the following is NOT a cause of a hematome from a VP Procedure?
- applying pressure to the site
- excessive probing with the needle to find the vein
- the needle is partially in
- the needle was penetrated all the way thru the vein
- the tourniquet was removed after needle was withdrawn
Applying pressure to the cite
111
how long should pressure be applied to a VP site to stop bleeding
5 minutes
112
```
what is a very rare complication of VP?
fainting
bruising
seizures
sweeling
discomfort
```
Seizures
113
EMLA is a/an
Typical Anestetic
114
a red cell is a/an
erythrocyte
115
iron containing protein in red blood cells that transport oxygen and carbon dioxide is
hemoglobin
116
the straw-colored liquid portion of whole blood is
plasma
117
the liquid portion of the blood after it has clotted and fibrogen is gone is
serum
118
a specimen used when the physician requires urine sample taken at specific intervals during
timed specimen
119
a specimen ordered if the urine is going to be examined for microorganisms is a
Clean Catch midstream
120
anaerobic bacteria cannot live and grow in the presence of
oxygen
121
the tricuspid valve is located
between the right atrium and right ventricle
122
tachycardia is a heart rate above
100 beats per minute
123
the average normal blood pressure of an adult is
120/80
124
which vein is the most frequently used for VP
medical cubital
125
the hereditory blood diseasae in which there is a prolonged blood clotting time is called
hemophilia
126
swelling or mass of a blood caused by a break in a vessel in an organ, tissue, or beneath the skin is called a/an
hemaotoma
127
this is commonly known as a heart attack
myocardial infarction
128
the blood test for fatty substances in the blood is the
triglycerides
129
this is also known as a pacemaker of the heart
sinoatrial node
130
the issuance, by an offical body, of a certificate to a person indicatiing certain requirements to practive have been net is
certification
131
a credit granted to a participant at the complettion of a designated program is
continuing Education unit
132
always washing your hands between pt's is an example of which personal characteristic of a phlebotomists?
integrity
133
the ability to understand the feeling of another person w/out actually experiencing the pain or distress is
empathy
134
the ability to safe guard pt privacy,
confidentiallity
135
which of the following describes the moral duty
Ethics
136
Another word for reliabilty
dependability
137
the agency which rgulates specific guidelines for quality control, quality assurance, record keeping and personnal qualification is
CLIA
138
the accrediting agency for Hospitals and nursing homes
JCAHO
139
the agency which sets guidelines for safety in the workplace is
OSHA
140
phlebotomy mean
incission into a blood vessel
