Final Assessment Q&A's Flashcards
use this deck to study and pass your state exam
Blood banking is performed in what laboratory department?
Immunohematology
Serology
Chemistry
Hematology
Immunohematology
Which RBC antigen determines a patient’s Rh blood type?
B
C
A
D
D
Which of the following are traits exhibited daily by a professional?
A Integrity, apprehensive, compassionate, dependable
B Integrity, confident, compassionate, disloyal, ethical
C Integrity, confident, compassionate, dependable
D Integrity, apprehensive, indifferent, disloyal, immoral
C Integrity, confident, compassionate, dependable
In what form is most of the carbon dioxide transported in the blood?
Carbon monoxide
Carbon dioxide
Bicarbonate anions
Carbonic acid
Bicarbonate anions
How is a microbe that is sensitive to an antibiotic show this on an agar plate?
Hemolysis under the disk
Microbe grows up to the disk
Ring of no growth around the disk
The agar changes color
Ring of no growth around the disk
A __________ is a set of procedures and guidelines that uses values, actions, and choices to help determine right from wrong.
TORT Actions
Standard Operating Procedure
Code of Ethics
Patient’s Bill of Rights
Code of Ethics
If a stat test is ordered and a patient is not in his/her room, what should you do?
Postpone the collection
Locate the patient
Wait in the patient’s room until he or she returns
Leave the request at the nurse’s station
Locate the patient
The lower the CV, the more __________ the test procedure.
Unreliable
Precise
Accurate
Reliable
Precise
What is the most abundant electrolyte in the body?
Calcium
Sodium
Chloride
Potassium
Calcium
When explaining a blood culture procedure to the patient, which statement is appropriate information to provide to the patient?
A. “I will swab the area twice to ensure that is sterile for the procedure”
B. “I will clean the area, but I do not need to let it dry before the procedure”
C. “I’m going to leave the tourniquet on for 2 minutes before performing the blood draw”
D. “I will be drawing the blood from your fingertip”
“I will swab the area twice to ensure that is sterile for the procedure”
Which is the best course of action if a control value falls outside of the acceptable range when using a glucometer?
Report to a supervisor then run a patient sample
Notify the patient that they cannot be tested today
Take correct action and repeat the control
Run a patient sample
Take correct action and repeat the control
When completing a butterfly draw on a pregnant patient, the phlebotomist accidentally scratches the top of her hand through the glove as the needle is withdrawn. What should be done next?
A. Wash it off but do not report it because it is a superficial wound
B. Complete an accidental exposure report after performing first aid
C. Do not worry about it because the patient is pregnant and not a risk
D. Get a complete history on the patient to give to the laboratory supervisor
Complete an accidental exposure report after performing first aid
Which of these is an example of an analyte?
Calcium
Colorimetric
Serum
Glucometer
Calcium
Which ions are used when calculating the anion gap?
Cl, HCO3, NaCl, H2CO3
Na, K, Cl, HCO3
Cl, HCO3, Ca, Mg
Na, K, Ca, Mg
Na, K, Cl, HCO3
The primary source of energy in the body are __________.
Electrolytes
Carbohydrates
Proteins
Lipids
Carbohydrates
How does HIPAA define PHI?
Protected Health Information
Public Health Information
Prohibited Health Information
Pertinent Health Information
Protected Health Information
Which is the best method for collecting a 24-hour urine specimen?
A. Discard the first morning specimen and collect all specimens, including the second morning first void
B. Collect the first morning void, collect all specimens, and discard the second morning void
C. Collect the first and second morning voids and discard all specimens in between
D. Discard the first and second morning voids and collect all specimens in between
A. Discard the first morning specimen and collect all specimens, including the second morning first void
What laboratory department monitors therapeutic drugs?
Toxicology
Immunology
Endocrinology
Hematology
Toxicology
Producing the same test result over and over again is an example of __________.
Precision
Accuracy
Reliability
Luck
Precision
Non-consensual touching may be considered __________.
Malpractice
Slander
Assault
Battery
Battery
Which of the following is too small to be seen under a standard laboratory microscope?
Yeast
Fungus
Bacteria
Virus
Virus
Which of the following is the smallest needle?
19 Gauge
21 Gauge
20 Gauge
18 Gauge
21 Gauge
A __________ could be caused by deterioration of reagents used in testing.
Trend downward
Sudden shift
Gradual shift
Trend upward
Trend downward
Violations of patient privacy or security are managed by what Federal entity?
OSHA
CLIA
CMS
HHS
HHS - Health and Human Services
Which urine specimen is the most concentrated with the highest specific gravity?
Random
24-Hour
Midstream clean catch
First morning void
First morning void
A polymerase chain reaction (PCR) test amplifies and measures __________.
ATP
DNA
Antibodies
Antigens
DNA
What is the best way to draw blood from a sleeping patient?
Refuse to draw and return after they awaken
Ask the nurse for permission to draw them while asleep
Draw as quickly as possible so as to not wake them
Gently wake them first
Gently wake them first
What is the best way to draw blood from a sleeping patient?
A. Refuse to draw and return after they awaken
B. Ask the nurse for permission to draw them while asleep
C. Draw as quickly as possible so as to not wake them
D. Gently wake them first
Gently wake them first
The federal law that requires employers to provide a safe and healthy working environment is __________.
OSHA
CLSI
TORT
CLIA
OSHA
Which of the following is true about confirmation testing?
They are moderate or high complex tests
Which of the following would most likely contaminate a reagent?
Using tap water to reconstitute
The physician has ordered coagulation studies and chemistry tests. Which of the following should the phlebotomist recognize as the correct order of draw?
Light Blue followed by a Red-Topped Tube
Iatrogenic anemia is caused by __________.
Drawing too much blood
When using a CoaguCheck coagulation point-of-care analyzer, how soon after pricking the patient’s finger must the blood be applied to the test strip?
Within 15 seconds
For a laboratory to pass an external proficiency test, it must fall within __________.
2 SD
What is the difference between an oral glucose challenge test and a postprandial glucose test?
Oral glucose challenge drinks a glucose solution, and a post-prandial eats a meal
The patient’s requisition indicates blood cultures, CBC, and blood sugar. Which of the following should the phlebotomist recognize as the correct order of draw?
Yellow, Lavender, Gray
Which of these is an advantage to point-of-care testing?
Smaller blood samples required
An absorbance spectrophotometer relies on __________.
Color change
Which of the following PPE must a phlebotomist use when performing a skin puncture or venipuncture in the physician office laboratory?
Gloves
What would render a blood specimen collected for a CBC unusable?
Hemolysis
Which quality calculation shows the variability of a test procedure?
Coefficient of variation (CV)
Platelets are also called __________.
Thrombocytes
Which of the following is the best technique when a physician calls for PHI on a patient?
Place the caller on hold while looking up the information
Which is true about critical values?
They are life threatening
What is the greatest source of error in the laboratory?
Transcribing the wrong result
If a waived test is modified, it is classified as __________.
High complex
Information such as the patient’s address, phone number, and diagnosis is considered __________.
PHI - protected health information
PPM laboratory tests may be performed only by __________.
Physicians
Autoverification checks for __________.
Critical values
Which of the following is the breakdown and removal of a clot?
Fibrinolysis
How should specimens for proficiency testing be handled by the medical laboratory assistant?
In the laboratory’s regular workload
Tourniquets should be placed __________ inches above the venipuncture site.
3-4
What is the normal pH of blood?
7.35-7.45
Which is a correct term to use when entering ICD codes?
Diagnosed
Aseptic refers to __________.
Being free of disease-causing microbes
In order to be reimbursed by a federal agency, the laboratory must do what?
Have a current CLIA certificate
What is the primary difference between serum and plasma?
Plasma contains fibrinogen
Which is the most reliable form of communication?
Facial expressions
A WBC Differential is performed on a(n) __________.
Microscope
While in the middle of a difficult draw, the patient states that she feels like she is going to faint. Which action should be taken?
Stop the procedure and have the patient put their head down; apply a cold compress
Which is being accessed in the antecubital space with venipuncture?
Vein
The phlebotomist should use which angle of insertion when performing venipuncture?
15-30 degrees
Which of the following procedures is appropriate for preparing blood and other potential infectious materials for transport?
Place the materials in a leakproof container
Light-blue-topped tubes contain which of the following anticoagulant additive?
Sodium citrate
When should new supplies be ordered?
When minimum stocking levels are met
Normal values always fall within the laboratory’s __________.
Reference range
When is the best time to gather and assemble phlebotomy supplies for use?
In front of the patient
The study of blood is __________.
Hematology
__________ have known values and are used to check that the testing system is working properly.
Controls
Immediately upon opening a new test kit the medical laboratory assistant should __________.
Initial and date the kit
Which of these is most important when using a centrifuge?
Balance the tubes
If a tourniquet is left in place too long, which of the following might the phlebotomist cause?
Hemoconcentration
The bloodborne pathogen standard imposes requirements on employers of workers who may be exposed to __________.
Blood
Which of the following should the phlebotomist use to clean up a blood or cerebrospinal fluid spill?
Chlorine bleach
Keeping expired reagents in the laboratory violates what law?
CLIA
A control value plotted just below the +3SD line on a Levey-Jennings chart is said to be __________.
Out of control
Adjusting the workspace to reduce stress on the musculoskeletal system is known as __________.
Ergonomics
Which of the following is an examination error?
Storing reagents at the wrong temperature
If a blood pressure cuff is used as a tourniquet, to what pressure is it inflated?
Just below the patient’s diastolic pressure