Final Flashcards
Proof of participation in workshops to upgrade skills required by some agencies to renew certification is called?
Continuing Education Units (CEUs)
What is an example of a confirming response to a patient?
I understand how you must be feeling right now.
A phlebotomist who gets the specimen for the doctor even if he or she must take shortcuts exhibiting what type of behavior?
Unprofessionalism
Drawing a patient’s blood without his or her permission can result in a charge of?
Assault and Battery
Two phlebotomists in an elevator are discussing a patients condition. They are overheard by the patient’s daughter. This is an example of?
Invasion of Privacy
A national organization that sets standards for phlebotomy procedures is?
Clinical and Laboratory Standards Institution
The Joint Commission’s Sentinel Event QI program policy is designed to do what?
Establishing standards for the operations of hospitals.
What is an example of negative kinesics?
Frowning
Which analyte test result will be adversely affected by chilling?
Potassium
The “standard of care” in the practice of phlebotomy is influenced by what organization?
Joint Commission
A specimen was mislabeled on the floor. The phlebotomist is required to fill out an incident report form. Are suggestions for new guidelines a part of the report?
No
According to standard first aid procedures, severe external bleeding is best controlled by?
Applying Direct Pressure
Vaccination against HBV involves these 3 steps?
- A dose of vaccine
- Another a month later
- Then 6 months later
Protecting patients who are highly susceptible to infection is the purpose of this type of isolation?
Protective Isolation
What is the proper order for putting on the following protective clothing?
Gown, Mask,Gloves
What is the FIRST thing the phlebotomist should do in the event of an accidental needlestick?
Wash site with water and soap for 30 seconds.
When a catheter site of a patient in ICU becomes infected, this type of infection has occurred?
Nosocomial
If a patient suffers from severe burns, they may require this type of isolation.
Protective Isolation
Which type of contact infection transmission involves the transfer of an infective microbe to the mucous membranes of a susceptible individual by means of a cough or sneeze?
Droplet
What does the suffix of the term “glycolysis” mean?
Breakdown
The medical term for white blood cell is?
Leukocytes
The abbreviation PP means
Post-Prandial ( After meal)
The abbreviation “ESR” means?
Erythrocyte Sedimentation Rate
What term means “condition of clotting”?
Thrombosis
The word elements of the term “polycythemia” mean?
Blood Condition of many cells
What does “hyper” in the word “hypernatremia” mean, and what type of word element is it?
“Too much”
Maintaining electrolyte balance is a function of which system?
Urinary System
The ability of the body to repair and maintain itself to achieve a “steady state” defines what term?
Homeostasis
An ABG system of which system?
Respiratory
The layer(s) of the skin containing blood vessels is/are the (y)?
Dermis and Subcutaneous
The avascular layer(s) of the skin is the?
Epidermis
Which gland is often called the “master gland” of the endocrine system?
Pituitary Gland
Estrogen and Progesterone are hormones produced in which system?
Endocrine
The function of the left ventricle is to deliver “what” to “where”?
Receives oxygenated blood from the left atrium and pumps it into the aorta
The receiving chambers of the heart are these?
Atriums
A graphic record of the heart’s electrical activity during the cardiac cycle is a/n?
ECG
A blood clot circulating in the bloodstream is called a/an?
Embolus
The first response in the hemostatic process in vivo is?
Vasoconstriction
How can you visually tell serum from plasma?
You can’t
Hemostasis is defined as?
Stoppage of bleeding
What are the 3 main antecubital veins?
Basilic, Medial, Cephalic
What is the proper blood-to-additive ratio for a light-tube collected for a coagulation test?
9: 1
Blood: Additive
Out of needles with gauges 18-23, which needle gauge has the largest lumen?
18
A tube with a green stopper normally contains what additive?
Heparin
The purpose of the antiglycolytic agent is to do this…
Preserve glucose (prevents glycolysis breakdown)
What are the most important two factors in choosing which gauge needle to use for venipuncture?
Condition and Size
Which additive is usually present in a tube with a lavender stopper?
EDTA
Heparin prevents blood from clotting by doing this..
Inhibiting Thrombin Formation
A request is given to draw a specimen from an inpatient by the name of John Doe. An acceptable way to confirm the patient’s identity is to do these two things.
Match ID badge and Verbal statement
Tell a child that won’t hurt before obtaining their blood specimen demonstrates this………
Poor technique
What is the most critical error a phlebotomist can make?
Misidentifying a patient or specimen
What would be the system of choice to identify laboratory specimens from an unconscious, unidentified woman in the emergency room?
Accession Number
The patient asks if the specimen about to be draw is for a diabetes test. How should the question be answered?
It’s better if you ask your doctor.
The first step in the testing process begins when the healthcare provider does this….
Order Test
If a venipuncture site is still bleeding after 5 minutes the phlebotomist should do what?
Notify Nurse or Doctor
This could happen if you collect a CBC specimen from a screaming infant?
White Blood Count (WBC) might falsely be elevated
You have no choice but to draw a specimen from a site with a hematoma. Where should you obtain the specimen?
Below the site
A phlebotomist has attempted twice to draw partial thromboplastin time (PTT) specimen from a patient with difficult veins. Both times the phlebotomist has been able to draw only a partial tube. What should the phlebotomist do?
Ask a co-worker
What possibly happened when blood pulses into tube>
You hit an artery
If blood is drawn too quickly from a small vein, the vein will have a tendency to?
Vein collapsed
When a test requires a fasting specimen, but the serum is ________, is a clue that the patient was not fasting?
Limpemic
Filling the tube from the bottom up is the best way to avoid this…
Reflux
What is the Clinical and Laboratory Standards Institute (CLSI) recommended maximum depth of heel puncture?
2mm
Why are EDTA specimens obtained before other specimens when collected by skin puncture?
To minimize the effects of platelets clumping
The purpose of wiping away the first drop of blood during skin puncture is to?
To avoid Tissue Fluid going into specimen.
Capillary puncture blood reference ranges are higher for which analyte?
Glucose
It is necessary to control the depth of the lancet insertion during infant capillary puncture to avoid injuring what?
Heel Bone
What causes a microhematocrit tube to fill with blood?
Capillary Action
Explain the correct capillary puncture technique?
Wipe the first drop of blood; middle and ring are the only fingers to poke
Which test(s) can result in fatal consequences if the patient is misidentified?
Type and crossmatch
Which test requires strict skin antisepsis procedures before specimen collection?
Blood Culture
When performing GTT, the timing should begin when?
After the patient is done drinking beverage
When collecting a blood culture specimen directly from a butterfly into blood culture bottles, which should be filled first?
Aerobic
Skin asepsis is the most critical aspect of this type of collection…
Blood Culture [floral prep]
A 2- hour postprandial specimen should be drawn when?
2 hours after a meal
Would misreporting a patient’s results be considered a preanalytical error?
No
According to CLSI, what is the maximum time limit for separating serum or plasma from cells?
2 hours
For proper centrifuge operation, how should the tubes be balanced?
Directly across and equal volume.
Carefully pouring the contents into an aliquot tube is the proper way to prepare an aliquot
NO
What type of specimens must be processed before routine specimens? Stat? ASAP? Timed?
All the above
What is the recommended procedure for collecting a 24-hour urine sample?
Voiding the first, collect the rest & next morning
*Refrigerate samples
What fluid is obtained by lumbar puncture?
Cerebrospinal Fluid
What additional information is typically required when labeling a nonblood specimen?
Type and Source
A urine C&S is typically ordered to detect the presence of what?
UTI
Sputum samples are typically collected to diagnose what?
Tuberculosis
The first artery choice for ABG collection is this….
Radial
When performing the Allen test, which artery is released first?
Ulnar
Why is heparin used in ABG specimen collection?
Heparin is the medicine for blood clots
- Thinner
- Prevents blood clots
What is the proper needle insertion angle for radial artery puncture?
30 to 45 degrees
The site for radial artery puncture is located in which part of the body?
Wrist
Which test involves intravenous administration of histamine or pentagastrin?
Gastric Analysis
A first morning specimen is preferred for HCG testing because of what?
More concentrated
Which fecal test may require a 72- hour stool collection?
Urobilinogen
Allowing the patient to pump their fist during the vein selection process is good for the specimen?
False
How can you tell that you are in a vein when using a needle and a syringe?
Flash of Blood
What is the best way for a newly trained phlebotomist to handle a venipuncture on a patient with needle phobia?
Get an experienced phlebotomist
A phlebotomist starts to perform a venipuncture. As the needle touches the skin, the patient moves his arm. The phlebotomist is startled and pulls the needle away from the arm. How should the phlebotomist proceed after apologizing to the patient?
Terminate and start over
With which other hospital department would the laboratory coordinate therapeutic drug monitoring?
Pharmacy
Which department is responsible for administering oxygen therapy?
Respiratory
