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Phlebotomy Test > Comprehensive Phlebotomy > Flashcards

Comprehensive Phlebotomy Flashcards

1
Q

the study of blood and blood forming tissues is

A

Hematology

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2
Q

which one of the following is NOT a component of a CBC

  • rbc
  • wbc
  • esr
  • hct
  • hgb
A

ESR

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3
Q

AFB is a test for= aide fast balli

A

Tuberculosis

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4
Q 
infernece by signs, inactions, or silence that consent has been granted is 
consent
informed consent
contact
implied consent 
duty
A

Implied consent

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5
Q

neglect or failue to perform an obligation is

A

Breach of Duty

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6
Q

the latin phrase that means “Let the master Answer is”

A

respondeat superior

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7
Q 
the threar of bodily harm is
tort
neglience
assualt
battery
fraud
A

Assult

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8
Q

unauthorization publication of information about a patient is called an

A

Invasion of privacy

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9
Q 
touching a patient without consent is
libel 
assault
slander
invasion of privacy 
battery
A

battery

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10
Q

a patients permission to undergo treatment after he/she understands the risk and benefits is

A

informed consent

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11
Q

if a phlebotomist does not se proper measures to prevent a fainting patient from falling, the phlebotomist is guilty of

A

Negligence

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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

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13
Q

the antecubital fossa is a/an

A

area formed at the inside bend of the elbow

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14
Q

the destruction of red blood cells

A

hemolysis

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15
Q

an accumulation of fluid in the tissues is

A

edema

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16
Q

a sterile, disposable, sharp instrument used in dermal punctures is a

A

lancet

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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

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18
Q 
a collection of blood underneath the skin:
edema
hemolysis
hematoma
lymphostasis
syncope
A

hematoma

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19
Q

fainting is another term for

A

syncope

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20
Q 
which of following is NOT a part of the venipuncture needle:
bevel
shaft
lumen
barrel
hub
A

Barrel

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21
Q

which one of the following needles is used to draw a unit of bllod transfusion

A

gauge 17

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22
Q

the needle size typically used for venipuncture on an adult is

A

21 gauge and 1 1/2 inch

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23
Q 
the most commonly used antiseptic is:
bleach
10% bleach solution
50% isopropanol
70% isopropanol
zephiran chloride
A

70% ispropanol

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24
Q

the main advantage of evacuated system is

A

many test can be collected with only one vp

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25
Q 
an adapter is also known as a/an:
cannula
fistula
vacuatainer tube
tourniquet
needle holder
A

needle holder

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26
Q

which one of the following tubes contains EDTA and ise used for CBC Draw

A

Lavender

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27
Q

the evacuated tube that collected serum is

A

red

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28
Q

which tube is used for collection of coagulation studies

A

light blue

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29
Q

which one of the following evacuted tubes is used to collect blood alcohol levels

A

grey

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30
Q

which one of the following evacuated tubes contains SPS

A

Yellow

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31
Q

the difference between a syringe needle and evacuted tube needle is

A

a syringe needle is not double sided

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32
Q

all VP begin with

A

a physicians requisition

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33
Q

Tourniquets should never be left on for more than

A

1 minute

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34
Q

if a tourniquet is left on longer than the recommended time what can happen

A

hemoconcentration

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35
Q

the most common site for VP is

A

antecubital fossa

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36
Q 
what condition could happen if you draw blood from a mastectomy patient:
Hematoma
lymphostatis
edema
syncope
hemoconcentration
A

Lymphostasis

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37
Q 
which one of the following is NOT a factor preventing VP from being done at a site?
Scar
edema
IV
Hematoma
Firmness of Vein
A

firmness of vein

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38
Q

the standard gauge needle used in the evacutated tube method is

A

21 gauge

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39
Q

which one of the following is filled first regardless of whether the evacutated tube method or the syringe method is used

A

blood culture tubes

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40
Q 
which one of the following is NOT a method of performing VP:
winged infusion set
syringe
finger stick
evacutated tube
butterfly
A

Finger stick

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41
Q

the proper way of locating a vein for VP is

A

Palpation

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42
Q

which tube is containing sodium citrate has a ratio of blood to anticoagulation 9:1

A

Light Blue

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43
Q

which anticoagulation inhibtis the action of thrombin in the coagulation process

A

EDTA

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44
Q 
which additive also inhibits glycoysis:
EDTA
Heparin
Sodium fluoride
potassium oxalate 
Lithium iodoacetate
A

sodium fluoride

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45
Q 
which anticoagulant prevents blood from clotting by binding clacium and prevents platelet aggregation?
EDTA
Heparin
Sodium fluoride
potassium oxalate 
Lithium iodoacetate
A

EDTA

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46
Q

which tube contains both an anticoagulant and cell preservation (antiiglycolytic agent)?

A

grey

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47
Q 
which anticoagulant preserves the shape of blodd cells:
sodium citrate
Heparin
Sodium fluoride
potassium oxalate 
EDTA
A

EDTA

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48
Q

which is the method of choice used for obtaining blood from infants and children under the age of 2?

A

Dermal puncture

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49
Q

geriatric patients are

A

Elderly

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50
Q 
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
A

erythrocyte sedimentation rates

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51
Q

if a dermal puncture penetrates the bone , the incision could cause

A

ostemyelitis

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52
Q

finger punctures should not be performed on pt’s under the age of

A

one

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53
Q

why should phlebotomists NOT use the very tip of the finger to make the puncture

A

bone is too close tot the skin

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54
Q

besided the thumb, which two fingers are NOT used for Finger puncture

A

index and fifth

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55
Q

the site is cleansed usind

A

70% isopropanol

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56
Q

a fasting specimen requires that the pt has had nothing to eat or drink other than wateer for how long?

A

8-12 hours

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57
Q

a 2 hour postprandial glucose test means

A

the test would take place 2 hours after eating

58
Q

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

A

glucose tolerance test=GTT

59
Q 
the bleeding time test is screening test that assesses the status of the pt's:
homeostatsis
hemostatsis
hemolysis
glycolysis
metastasis
A

hemostasis

60
Q

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

A

chain of custody

61
Q

the bleeding time test assesses the pt’s

A

ability to stop bleeding

62
Q 
which  one of the following is NOT included in the CBC:
rbc
WBC
Platelet count
Arterial blood gases
differential
A

ARTERIAL blood gases

63
Q

which one of the following can cause an elevation in the WBC count of a newborn infant?

A

Crying

64
Q 
which  one of the following needs to remain near body temperature?
arterial blood gases
cold agglutinins
parathyroid hormone
lactic acid
gastrin
A

cold agglutinins

65
Q

which one of the specimens is NOT sensitive to light

A

CBC

66
Q 
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
A

time specimen was tested

67
Q

which one of the following is NOT a reason for rejection of a specimen by a clinical laboratory?

A

partially filled tubes

68
Q

abbrevation QNS means: quatity not sufficent

A

there is not enoguh specimen to test

69
Q

which one of the following is NOT a sign of Syncope

A

itching

70
Q

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
A

applying pressure to the site

71
Q

which one of the following medication may cause bleeding froma vp site?

A

coumadin

72
Q

EMLA is a/an

A

typical anestetic

73
Q

a red blood cell is a/an

A

erythrocyte

74
Q 
a decrease in the normal number of platelets is:
erythrocytosis
leukocytosis
leukopenia
thrombocytopenia
thrombocytosis
A

thrombocytpenia

75
Q

iron containing protein in red blood cells that transport oxygen and carbon dioxide is

A

hemoglobin

76
Q

the straw-colored liquid portion of whole blood is

A

plasma

77
Q

the liquid portion of the blood after it has clotted and fibrogen is gone is

A

serum

78
Q

what makes up 90% of plasma

A

water

79
Q

this coagulation test is used to monitor the effectiveness of coumadine therapy

A

prothrombin time= PTT

80
Q

coagulation studies are drawn in what color top tube

A

light blue

81
Q

how is plasma obtained

A

centerfuging a tube of blood that contains an anticoagulant

82
Q

which one of the following is NOT one of the functions of the circulator system

A

transports of waster to cells

83
Q

the heart beats approx how many beats per minute

A

70-80

84
Q

asespsis mean

A

germ free

85
Q

a unit of bloof is approx 63 ml of anticoagulant and how much of blood

A

450 ml

86
Q

most stated require that all newborns be tested for

A

phenylketonuria=pku

87
Q

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

A

chain of custody

88
Q

the bleeding time test assesses the pt’s

A

ability to stop bleeding

89
Q

the most common performed point of care test is a/an

A

glucose test

90
Q 
which  one of the following is NOT included in the CBC?
RBC
WBC
Platelet Count
Arterial blood gases
Differential
A

Arterial Blood Gases

91
Q

one characteristic unique to pediatric phlebotomy is that the phlebotomist must

A

communicate with both pt and parent/guardian about the procedure

92
Q

the usual guideline for heel puncture perform on children is

A

under the age of 1 yr old or 20 pounds

93
Q 
in 1993 the FDA approved the used of which topical Anestetic?
STAT
DEA
EDTA
EMLA
AMA
A

EMLA

94
Q

which one of the following test is required to be performed on newborms

A

PKU

95
Q 
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
A

Skin Cells are replaced rapidly

96
Q 
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
A

shout so the pt can hear you

97
Q

drawing blood from pt w/out consent is

A

assualt and battery

98
Q

when the pt is angry, which of the following statements would best diffuse the situation

A

Im sorry you are upset , lets see if we can solve the problem

99
Q 
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
A

age Spots

100
Q 
which  one of the following does NOT affect the specimen results?
kicking
age
geographic factors
skin color
diet
A

skin color

101
Q

which one of the following can cause an elevation in the WBC count of a newborn

A

Crying

102
Q

most laboratories strive for an in house delivery priod of

A

45 minutes

103
Q

most labs strive for a tiime from collection until centerfugation of

A

1 hour

104
Q

which one of the following needs to remain near body temperature

A

cold agglutinins

105
Q

body temp in the celsius scale is

A

37 degrees

106
Q

which one of the specimens is NOT part of the process of logging in?

A

time specimen was tested

107
Q

which one of the specimens is NOT sensititive to light

A

CBC

108
Q 
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
A

properly mixed tubes

109
Q

an inpatient or outpatient after fainting should not be left alone for atleast

A

15 minutes

110
Q

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
A

Applying pressure to the cite

111
Q

how long should pressure be applied to a VP site to stop bleeding

A

5 minutes

112
Q 
what is a very rare complication of VP?
fainting
bruising
seizures
sweeling
discomfort
A

Seizures

113
Q

EMLA is a/an

A

Typical Anestetic

114
Q

a red cell is a/an

A

erythrocyte

115
Q

iron containing protein in red blood cells that transport oxygen and carbon dioxide is

A

hemoglobin

116
Q

the straw-colored liquid portion of whole blood is

A

plasma

117
Q

the liquid portion of the blood after it has clotted and fibrogen is gone is

A

serum

118
Q

a specimen used when the physician requires urine sample taken at specific intervals during

A

timed specimen

119
Q

a specimen ordered if the urine is going to be examined for microorganisms is a

A

Clean Catch midstream

120
Q

anaerobic bacteria cannot live and grow in the presence of

A

oxygen

121
Q

the tricuspid valve is located

A

between the right atrium and right ventricle

122
Q

tachycardia is a heart rate above

A

100 beats per minute

123
Q

the average normal blood pressure of an adult is

A

120/80

124
Q

which vein is the most frequently used for VP

A

medical cubital

125
Q

the hereditory blood diseasae in which there is a prolonged blood clotting time is called

A

hemophilia

126
Q

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

A

hemaotoma

127
Q

this is commonly known as a heart attack

A

myocardial infarction

128
Q

the blood test for fatty substances in the blood is the

A

triglycerides

129
Q

this is also known as a pacemaker of the heart

A

sinoatrial node

130
Q

the issuance, by an offical body, of a certificate to a person indicatiing certain requirements to practive have been net is

A

certification

131
Q

a credit granted to a participant at the complettion of a designated program is

A

continuing Education unit

132
Q

always washing your hands between pt’s is an example of which personal characteristic of a phlebotomists?

A

integrity

133
Q

the ability to understand the feeling of another person w/out actually experiencing the pain or distress is

A

empathy

134
Q

the ability to safe guard pt privacy,

A

confidentiallity

135
Q

which of the following describes the moral duty

A

Ethics

136
Q

Another word for reliabilty

A

dependability

137
Q

the agency which rgulates specific guidelines for quality control, quality assurance, record keeping and personnal qualification is

A

CLIA

138
Q

the accrediting agency for Hospitals and nursing homes

A

JCAHO

139
Q

the agency which sets guidelines for safety in the workplace is

A

OSHA

140
Q

phlebotomy mean

A

incission into a blood vessel

Phlebotomy Test (1 decks)

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