NCCT Flashcards
Within the capillaries, blood cell functions include
- releasing oxygen
- Binding carbon dioxide
- Eliminating waste
The heart, lymphatic organs, and blood vessels are in the _____ system
Cardiovascular
The suffix -URIA at the end of the medical term refers to what body fluid?
Urine
The study of blood is known as
Hematology
The liver, stomach, mouth and pancreas are in the _____ system
Digestive
The most important step to ensure accuracy in sample collection is
Identifying the patient properly
The bladder, urethra, kidneys, and ureters are in the _____ system
Urinary
The trachea, nose, lungs and pharynx are in the _____ system
Respiratory
The sebaceous glands, skin hair and nails are in the _____ system
Integumentary
The body system that is a primary regulator of hormones is the _____ system
Endocrine
Neutrophils, eosinophils, basil fills, lymphocytes and monocytes are types of
White blood cells
The common name for the thrombocyte is the
Platelet
The liquid portion of an anti-coagulated blood sample is known as
Plasma
The instrument that measures blood pressure is called a
Sphygmomanometer
An artery can be distinguished from a vein because an artery will be
Pulsating
Lancets are used to collect blood samples by
Capillary or skin puncture
The abbreviation VAD is commonly used in hospitals to referred to
Venous access devices
To determine the size of the needle, remember that the higher the gauge, the
Smaller the needle bore
Adult capillary puncture is most often involve the use of the ______ fingers
Third and fourth (middle and ring)
A centrifuge is used in a clinical laboratory setting to
Separate liquid from cells in blood
The oral glucose tolerance test is used for detection of
Diabetes
Use a _______–topped evacuated tube or collection of blood or a CBC test
Lavender
Use a _____–topped evacuated to book collection of blood for electrolyte testing
Red
Use a ______–topped evacuated tube for collection of blood for cholesterol testing
Red
Sodium citrate is an anticoagulant of choice for coagulation studies because it protects
Clotting factors
When preparing a blood smear directly from a skin puncture, it is best to
Wipe away the first drop of blood
The purpose of doing blood cultures is to detect
Septicemia
Anticoagulants are used to
Prevent blood from clotting
White blood cells help the body by
Defending against foreign invaders
Platelets help the circulation by
Participating in hemostasis
When blood seeps into the surrounding tissue during a venipuncture, a _____ may form
Hematoma
In a patient with a clotting disorder, pressure should be applied to the puncture site or at least ______ after veinipuncture to ensure blood stoppage
5 minutes
Skin punctures may be indicated for use when
- The patient is an infant, toddler, or preschooler
- only a small amount of blood is needed
- Patient veins need to be preserved for IV therapy
All specimens should be labeled with
- Patients name (and numeric ID)
- Date and time the specimen was drawn
- Collectors initials
When performing a skin puncture, squeezing the finger to tightly made dilute the blood with _______and ruin the test
Tissue fluid
One test often used to assess hemostasis before surgery is
Bleeding time
One possible cause of unexpected clotting in an anti-coagulated blood tube might be
Insufficient mixing
When performing a venipuncture, position the bevel of the needle
Facing up
If blood does not appear in an evacuated tube upon venipuncture, a phlebotomist first course of action should be to
Slightly re-position the needle
Redirecting a needle during venipuncture is sometimes necessary when
- The vein was not properly anchored
- The patient moves unexpectedly
- Blood flow starts, and then stops
A vein might be prone to collapse if the
- Vacuum tube is too large for the vein
* Syringe plunger was pulled back too quickly
Hemolysis would cause rejection of a sample collection for _____ testing
Potassium
If a patient is prone to syncope during venipuncture, the phlebotomist should
Watch in case of fainting
A tube of blood that arrives in the laboratory without a label must be
Rejected automatically
If a blood sample should be collected 2 hours post-prandial, the phlebotomist should collect the sample
2 hours after a meal
Knowing when to collect peak and trough levels is important when drawing
Therapeutic drugs
A pre-warming technique may be used to
Increase patient’s tendency to bleed
The role of all anticoagulants is ultimately to prevent formation of
Fibrin
The anticoagulant EDTA works by
Binding calcium
If the tourniquet is not released before the needle is withdrawn from the arm during venipuncture, this will most likely result in
Bleeding from the site
Which of these test samples are light-sensitive?
Bilirubin
The ______must be followed exactly when ever drawing patient test samples that may be used in a legal proceeding
Chain of custody
The anticoagulant SPS (sodium polyanetholesulfonate) Is recommended for use in blood cultures because it
Does not inhibit bacterial growth
Before entering an inpatient room if the door is closed, the phlebotomist should always
- knock
- ask for permission to enter
- check for isolation signage
Before entering designated isolation rooms, phlebotomists should always
Check requirements on signs
The single most important means of preventing the spread of infection in a hospital is by
Hand washing
The most prevalent type of nosocomial infections are those of the
Urinary tract
Phlebotomists have a statistically greater chance of contracting ______ in a work-related incident then they do a contracting AIDS
Hepatitis
AIDS is caused by
HIV virus
When performing heelsticks on infants in a hospital nursery, it is important never to
Share supplies from one infant to another
When delivering blood samples to a laboratory they should always be transported
Inside sealed plastic bags
If a biohazard spills in the laboratory, a phlebotomist should first try to
Contained the spill safety
According to OSHA, it contaminated needle may be safely discarded into a
Sharps container
In most hospitals, a phlebotomist with a cop may draw blood from a patient provided the
- Patient is not in reverse isolation
- Phlebotomist wears a mask
- Phlebotomist does not have a fever
When drawing blood from pediatric inpatients, a phlebotomist can increase safety for the patients by
- Getting help to hold the patient securely during the draft
- Using a smaller bore needle and smaller collection tubes
- Making sure the bedrails are left raised if found that way
To illuminate bacteria from the skin of a bacterial culture venipuncture site, ______ is sometimes used in addition to alcohol in the skin cleansing process
Iodine
The term that refers to right and wrong conduct is
Ethics
An unlawful threat or attempt to do bodily injury to another is
Assault
Law protects the health worker if it can be determined that he or she acted reasonably as compared with fellow workers; this is called
Reasonable care
Negligence by a professional person is called
Malpractice
The ability to see things from another persons point of view is
Empathy
A violation of a person’s right to not have his or her name, photographs, or private affairs made public without consent is
Invasion of privacy
Information given by a patient to medical personnel that cannot be disclosed without consent constitutes
Privileged communication
Failure to do something a reasonable person would do under ordinary circumstances, or doing something a reasonable person would not do under ordinary circumstances thereby causing harm to another person is called
Negligence
Permission granted by a person voluntarily (and in his right mind) is
Consent
A phlebotomist who attempts to draw blood without sufficient training could be accused of _____ If the procedure is performed in correctly, causing harm to the patient
Incompetence
Forcing venipuncture on a patient who has refused it would be considered
Battery
The branch of study of moral issues, questions, and problems arising in the practice of medicine and biomedical research is called
Bioethics
Conduct, courtesy, and manners, customary in the medical profession, is called
Medical etiquette
Each and every patient is entitled to _____ as a part of his/her patient rights
Respect and complete care
Some suggested methods for controlling on the job stress during phlebotomy might include
Taking deep breaths if anxious
And appropriate means of communicating with a patient who is profoundly hearing impaired might include
Using written communication
In performing phlebotomy on children, it is best to
- talk softly and gently
- enlist the help of parents
- tell the truth if asked
In approaching an elderly patient, it is appropriate to call the patient by name using
Miss,Mrs., or Mr.
A patient who is making a fist and frowning is exhibiting _____ body language
Uncooperative
A rubber or plastic tube used to drain or inject fluid through a body opening is called
Catheter
A 24-house urine specimen must be kept
Refrigerated
A chronic disease in which the Pancreas fails to secrete enough insulin is called
Diabetes Mellitus
The purpose of the bleeding time test is to assess
Platelet plug formation in the capillaries
Diurnal rhythms refer to variations in the body’s functions or fluids that occur during
Every 24 hours
EMLA is an emulsion of lidocaine and prilocaine that can be used to
Topically anesthetize a draw site
Another name for red blood cells is
Erythrocytes
The artery located in the groin, lateral to the femur bone, which is used as an alternative site for arterial blood gas collections is the
Femoral
The federal law that was expanded in 2000 to protect the confidentiality of electronically stored health information is abbreviated as
HIPAA
The study of all aspects of disease in the body is known as
Pathology
The phase of laboratory testing that refers to test orders, test collection and test sample preparation are all part of the ____ phase
Pre-analytical
A patient in reverse isolation has been so pleased because S/he ____
Needs protection from others carrying infection
OSHA requires that training and educational information on blood-borne pathogen’s be provided to hospital or clinical employees
At no cost to them
All workers whose jobs involve participation in tasks or activities with exposure to blood or other body fluids, to which universal precautions apply should be vaccinated with a _____ vaccine
Hepatitis B
After they are used, disposable syringe is and needles, scalpel blades and other sharp items, should be placed in _______containers for disposal
Puncture-resistant
Broken glassware that may be contaminated should be picked up by
Mechanical means (broom/dustpan)
Contaminated laundry should be _____ where it was soiled
Bagged or containerized at the location
______Are contaminated objects that can penetrate the skin including, but not limited to needles, scalpels, broken glass, broken capillary tubes, and exposed end of dental wires
Contaminated sharps
Reasonable possibility of skin, I, mucous membranes, or parenteral contact with blood or other potentially infectious materials that may result from the performance of an employee’s regular duties is termed
Occupational exposure
All of the following are examples of “Personal Protective Equipment” except
a) uniforms
b) gloves
c) aprons
d) masks
Uniforms
To use a psychical-chemical procedure to destroy all microbial life including highly resistant bacterial endospores is to
Sterilize
______Is the single most important source of HIV and HBV in the workplace
Saliva and dental problems
When you send blood tubes by mail for analysis and a water tight container, they should be enclosed in
Second durable watertight container
When you send specimens in the mail, the label should state
- biohazardous materials
- in case of breakage, send to CDC
- address of lab
