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Phlebotomy > Patient care > Flashcards

Patient care Flashcards

1
Q

Which of the following is the best indication that a patient might be at risk of syncope?

A

Paleness and sweating

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2
Q

Why is it important for a phlebotomist to invert anticoagulant tubes?

A

To ensure proper mixing of blood and additive

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3
Q

Which of the following protects a patient’s information?

A

HIPPA

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4
Q

Which of the following needle sizes is NOT used for laboratory assays but for collection of donor units of blood?

A

18-gauge

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5
Q

How many minutes while collection of a urine sample should the phlebotomist take the temperature of the specimen?

A

Within 4 minutes

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6
Q

Quality control checklists ensure machines are inspected for compliance at time intervals specific to the equipment and _______.

A

Clinical application

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7
Q

Which of the following actions will most likely prevent a needle stick injury?

A

Replacing sharps container when they have reached their fill line

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8
Q

Which of the following pieces of information need to be on a laboratory requisition form before a phlebotomist should proceed with obtaining a blood specimen?

A

A specimen identification code

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9
Q

A patient is listening to a phlebotomist explain the venipuncture process before initiating the blood draw. The patient communicates their understanding but seems hesitant and confused. How should the phlebotomist handle the situation?

A

The phlebotomist should find another way to phrase the explanation and invite the patient to ask any clarifying questions

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9
Q

The additive in a Pink Top Tube used in blood banking is which of the following?

A

Potassium ethylenediaminetetraacetic acid (EDTA)

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10
Q

If a patient verbally or physically refuses a venipuncture procedure, the phlebotomist should do which of the following?

A

The phlebotomist should immediately report the refusal and actions taken to their supervisor

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11
Q

What is the recommended allowance for a total volume of blood drawn from a patient within a 24-hour period?

A

1% - 5%

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12
Q

Which of the following is the proper way a phlebotomist should dispose of a needle?

A

The phlebotomist should put it into a sharps container, SAFETY CAPPED, after withdrawing it from the patient’s arm.

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13
Q

When drawing blood from a patient who has a contagious pathogen, like COVID-19, which PPE provides the best protection for a phlebotomist?

A

Surgical mask

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14
Q

How should Vitamin B6 be transported in order to protect to protect its photosensitive nature?

A

It should be transported in an amber or brown-colored biohazard bag

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15
Q

Before asking permission to obtain a specimen from a patient, a phlebotomist should:

A

The phlebotomist should introduce themselves to the patient and any healthcare team members in the room

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16
Q

What is an ICD-10 code?

A

ICD-10 codes classify diagnoses and diseases

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17
Q

If a patient expresses that they often faint when getting their blood drawn, a phlebotomist should do which of the following?

A

The phlebotomist should perform the blood draw while the patient lies down

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18
Q

How many inversions of a Lavender Top Tube should be done before placing it in the specimen collection tray?

A

8 to 10 times

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19
Q

Which step of the blood draw should be done right before removing the needle from patient’s arm?

A

Getting a bandage ready for the patient

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20
Q

A phlebotomist witnesses a nurse receive a major electric shock from an instrument and immediately calls 911. What action should the phlebotomist have taken before calling 911?

A

The phlebotomist should have first shut down the instrument to cut off the source of the shock

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21
Q

The type of microorganism that causes disease is which of the following?

A

Pathogenic

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22
Q

Which interfacility conditions would require a phlebotomist to transport specimens in a closed container with ice packs?

A

If it is hot weather

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23
Q

Which color signifies “instability” in the National Fire Protection Association marking a system?

A

Yellow

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24
If a patient decided to go on a morning jog on their way to the facility, which precautions should a phlebotomist take before proceeding with the venipuncture?
The phlebotomist should reschedule the appointment for another day
25
An obese patient was sent to the laboratory for a complete blood count. Which of the following veins is most likely to be the only one that the phlebotomist can palpate?
Cephalic vein
26
Which of the following steps should a phlebotomist take if blood was drawn from the wrong patient?
The phlebotomist was should immediately report the incident to the supervisor for corrective action
27
Which of the following is the additive in the Red-Gray Speckled Top Tube, also known as a Gold Top Tube or SST Tube?
Thixotropic gel for serum separation
28
Where is the best draw site on a 9-month-old infant?
Either heel
29
When removing gloves after a procedure, which action best prevents contact with blood?
The phlebotomist should remove the first glove so that it turns inside out
30
Serum is the LIQUID portion of _______ blood.
Coagulated
31
Which of the following is true about OSHA standards and the hepatitis B vaccine?
Employers must offer the hepatitis B vaccine to their phlebotomist at no cost
32
When teaching a patient to collect a sputum sample at home, the MOST important direction to include would be which of the following?
The patient should be directed to spit into the container after taking a deep breath and coughing
33
Which of the following examples of questions is most appropriate to use when identifying a patient?
Would you please state and spell your full name and provide your date of birth?
34
Why should a phlebotomist use an amber-colored microcontainer when obtaining a bilirubin level from a newborn?
Bilirubin is photosensitive, and this tube protects the specimen from the light exposure
35
Hemolyzation occurs when a phlebotomist:
Uses and incorrect needle gauge
36
How many minutes should a phlebotomist rinse with water after receiving a chemical spill to exposed skin?
15 minutes
37
When the tourniquet is tied too tight, the capillaries in the area may rupture causing which of the following?
Petechiae
38
When explaining an at-home collection of a semen specimen to a patient, the phlebotomist should tell the patient to return within _____ to deliver the specimen to the lab?
1 hour
39
Where should the phlebotomist send a patient's laboratory results?
The phlebotomist should send the results to the patient's ordering provider
40
Which of the following actions should a phlebotomist advise a blood donor patient to take to ensure a quality collection?
To open and close their hand gently throughout the collection
41
What is the LIQUID portion of the anticoagulated blood?
Plasma
42
After setting up for a blood draw, a phlebotomist notices raised, red welts on patient's arm. Which of the following describes these welts?
Urticaria
43
Which three additives are ALL used to prevent coagulation?
EDTA, sodium citrate, and heparin
44
When using an evacuated tube system to obtain a blood specimen, what step should the phlebotomist perform after tying the tourniquet and cleaning the site?
The phlebotomist should now uncap the needle and isnpect it
45
What actions should a phlebotomist take if they have an allergy to latex?
The phlebotomist should wear nitrile gloves
46
Which of the following ensure that a phlebotomist is able to perform their job duties?
CLIA
47
A patient has signed a general consent form upon arriving at a clinic. The patient rolls up their sleeve and holds out their arm as the phlebotomist explains the procedure. What should the phlebotomist assume from this occur?
The phlebotomist should recognize this is a sign of implied consent from the patient
48
Who should a phlebotomist refer to when checking on medication peak levels for a patient to see when their last dose was taken, and verify that the medication schedule is accurate before blood collection?
The phlebotomist should ask the attending nurse
49
Blood is classified on the presence or absence of antigens on the surface of what?
Erythrocytes
50
How much blood is found in the average adult body?
5.0-7.0L
51
In which order should a phlebotomist take the below steps when they are accidentally stuck with a used needle?
Rinse the infused area with water first, then do the other steps in any order
52
When taking a blood sample to measure the trough level of a medication, a phlebotomist should:
Take the sample about 15 minutes before the patient receives the next dose of medication
53
When a phlebotomist centrifuges blood in a Gra Top Tube containing an anticoagulant, which is the resulting fluid portion?
Plasma
54
To avoid damaging test results, a tourniquet should not be left on a patients arm longer than:
60 seconds
55
According to OSHA requirements. a phlebotomist must replace a sharps container:
When the container is two thirds full
56
The needle should be inserted into the arm with the bevel facing into what direction?
Upwards
57
Why should a phlebotomist not transfer a specimen to a different labeled tube if they accidently mislabeled the first collection?
Because the collection tube already has a specific measure of additive that could be altered if the specimen was transferred into another tube
58
Which piece of information is critical for a phlebotomist to document when following a Chain of Custody guideline?
Identifying everyone who had possession of the specimen
59
What is the process by which blood vessels repair after injury?
Hemostasis
60
Which of the following would be best for the determination of blood acidity and blood gases?
Arterial blood
61
The most frequently occurring nosocomial (clinical setting acquired) infection for laboratory employees is which of the following?
Hepatitis B
62
When drawing blood from a patient who has pneumonia, which PPE provides BEST protection for a phlebotomist?
Mask
63
What term best describes a red blood cell that bursts because the plasma that attached to it was not a match?
Agglutination
64
When drawing blood from a patient who has active tuberculosis, which PPE provides the best protection for a phlebotomist?
N95 respirator
65
Which of the following is the total blood volume of an infant who weighs 3.3kg(7.3lb)?
300-350mL
66
Which of the following is the most critical mistake a phlebotomist can make?
Failing to properly identify the patient
67
Which of the following additives is requires in the tube when collecting specimen for a blood culture test?
Sodium polyanethol sulfonate
68
In what order should a phlebotomist remove their PPE after finishing a procedure?
Gloves, goggles, gown, mask
69
If a patient has recently had a mastectomy on their right side, the phlebotomist should draw blood from:
Left arm
70
If a patient were to complain of a sharp pain running up and down their arm during a blood draw, which of the following is the best action for a phlebotomist to take?
The phlebotomist should release the tourniquet and remove the needle
71
Postprandial means which of the following?
After a meal
72
When a phlebotomist is washing their hands, they should make sure to:
Use enough soap to form a lather
73
When blood is found in the urine of a patient, it is defined as which of the following?
Hematuria
74
A new phlebotomist is inserting a needle into a patient's arm to draw a blood sample when the patient suddenly jerks. The needle comes out of the vein and pierced the phlebotomist's index finger. Which of the following is the appropriate reaction?
The phlebotomist should wash the wound with soapy water as soon as possible and report the injury to their supervisor
75
The additive in a Light Blue Top Tube is which of the following?
Sodium citrate
76
The most important means of preventing the spread of infection is which of the following?
Hand washing
77
During a routine blood draw, which of the following veins should a phlebotomist attempt to draw from first?
Median cubital
78
Which is the most important piece of personal protective equipment for a phlebotomist to have on in an outpatient setting?
Gloves
79
Which of the following is a right under the patient's bill of rights?
The right to decline medical treatment
80
CDC is the abbreviation for which of the following?
Centers for Disease Control and Prevention
81
The vascular phase of hemostasis is characterized by which of the following reactions?
The blood vessels constrict in response to injury
82
When blood cultures are ordered on ana adult patient, which of the following material should the phlebotomist bring?
The phlebotomist should bring an aerobic bottle and an anaerobic bottle
83
A phlebotomist is asked to collect a specimen from a patient in the Oncology department. A patient in this department is most likely being treated for which of the following?
Cancer
84
If a patient has a syncopal episode during a blood draw, what should the phlebotomist do first?
The phlebotomist should remove the tourniquet, and then remove the needle
85
Which of the following is incorrect about the Lavender Top Tube?
It is used for coagulation studies
86
The boundaries for the approved area in performing heel punctures are which of the following?
The medial line extending from the great toe and lateral line extending from the fourth and fifth digit
87
The Joint Commission created patient safety goals to direct healthcare workers and facilities in:
Identifying patient safety risks
88
Which of the following actions should a phlebotomist take if they are with a patient when they notice the patient's laboratory results are ready?
The phlebotomist should send the results to the patient's provider
89
Blood cultures, also known as culture and sensitivity (C&S) testing, are taken to determine which of the following?
Presence of microorganisms in the blood
90
Every time a phlebotomist clocks in for their shift, they notice that the sharps container on the phlebotomy tray is overflowing. Which of the following is the appropriate reaction to the situation?
The phlebotomist should report the safety violation to the supervisor
91
Informed consent is defined as which of the following?
A patient gives voluntary permission for a medical procedure after receiving adequate information
92
Which of the following tests may be performed from capillary blood collection?
Complete blood count
93
Why should a phlebotomist avoid using earlobes as site for capillary blood collection?
This site can cause patients to feel nervous and their head may move around too much
94
Within which time period should phlebotomist collect a newborn PKU blood-spot test?
Within 72 hours of
95
Where is the tourniquet generally tied on a patient?
3-4'' above the draw site
96
Red blood cells are also called which of the following?
Erythrocytes
97
Which of the following antiseptics are the most appropriate if a phlebotomist has a patient who is allergic to alcohol?
Chlorhexidine
98
The function of thrombocytes is which of the following?
Clotting and repairing blood vessels
99
Which of the following venipuncture steps is in the appropriate order?
Assess the site, cleanse the site, remove the tourniquet

Phlebotomy (1 decks)

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