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Phlebotomy CMA Flashcards

1
Q

Whole body mostly consists of which of the following?

a. Water
b. Soluble
c. Cells
d. Tissue.

A

Water.

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2
Q

Professional negligence is also called which of the following?

a. Malpractice.
b. Malfunction.
c. Malice.
d. Arbitration.

A

malpractice.

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3
Q

Which of the following is the most important for phlebotomists to keep in mind during their daily routine in medical settings?

a. Burglary.
b. Confidentiality.
c. Privilege granted to a physician.
d. Consent.

A

confidentiality.

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4
Q

Which department performs chemical screening tests on urine samples.

a. Coagulation.
b. Hematology.
c. Microbiology.
d. Urinalysis.

A

D.

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5
Q

Which department monitors warfarin therapy?

a. Coagulation.
b. Chemistry.
c. Immunology.
d. Microbiology.

A

coagulation.

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6
Q

Which type of blood cell is responsible for defense and immunity?

a. Red blood cells.
b. White blood cells.
c. Platelets.
d. Macrophages.

A

white blood cells.

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7
Q

The liquid portion of a blood specimen. Without an anticoagulation is known as which of the following terms?

a. Plasma.
b. Serum.
c. Cellular components.
d. Oxygenated blood.

A

serum.

(Plasma is the liquid portion of blood.)

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8
Q

Which is the scrubbing of instruments with special brushes and detergents to remove blood, mucus, etcetera, called.?

a. Sterilization.
b. Disinfection.
c. Sanitization.
d. Distillation.

A

Sanitization.

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9
Q

Which of the following processes involves a soaking or wiping process and inhibits the activity of disease causing organisms?

a. Sanitizing.
b. Disinfection.
c. Sterilization.
d. Treated with antiseptics.
.

A

Disinfection

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10
Q

What is the term for the process that is used for cleaning supplies that come in contact with external body tissues or an open wound that involves the use of heat? Or Steam. And an autoclave.?

a. Sterilization.
b. Disinfection.
c. Sanitization.
d. Surgical asepsis.

A

Sterilization.

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11
Q

Which blood tests include WBC, RBS, hemoglobin, and hematocrit?

a. PTT.
b. HGB, HCT.
c. Blood typing.
d. CBC.

A

e. CBC.

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12
Q

What is the most common blood type?

a. A.
b. B.
c. AB.
d. O.

A

O.,

45% of the population have this type.

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13
Q

What are small red spots on a patient’s skin due to blood clotting abnormalities, referred to as?

a. Hemo concentration.
b. Petechiae
c. Hemolysis.
d. Syncope

A

B

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14
Q

Decrease in plasma volume with an increased concentration of cells and larger molecules is referred to as which of the following terms.

a. Scoliosis.
b. Hemolysis
c. Hemotherapy.
d. Hemoconcentration.

A

Hemoconcentration.;

This is a decrease in plasma volume, With an increased concentration of cells and larger molecules -could be caused by squeezing., probing or prolonged tourniquet application

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15
Q

If it turns out is applying for longer than 3 minutes, which of the following analytes would most likely become falsely elevated?

a. Parathyroid hormone.
b. Potassium.
c. Bilirubin.
d. GGT.

A

Potassium.,

plasma, cholesterol, iron, lipid, protein and potassium levels will be falsely elevated if tourniquet is too tight or prolonged.

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16
Q

A hospitalized patient may not be identified by which of the following means.

a. Patients chart.
b. Nurse.
c. Patients arm band.
d. Verbal confirmation by the patient.

A

Patients chart.,

a patient’s arm band and verbal confirmation are acceptable ways of patient ID, according to the Joint Commission.

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17
Q

The most common Sites for venipuncture are in which of the following areas?

a. The dorsal side of the wrist.
b. The antecubital area of the arm.
c. The middle finger.
d. The middle forearm.

A

The antecubital area of the arm.

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18
Q

When would using a butterfly needle be beneficial?

a. Perform in heel punctures.
b. Performing routine venipuncture in healthy adults.
c. When handling geriatric patients.
d. When handling patients who have prominent muscles.

A

When handling geriatric patients.

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19
Q

What effect does warming the site have on venipuncture?

a. Prevents veins from rolling.
b. Makes blood flow more quickly.
c. Causes hemoconcentration.
d. Increases localized blood flow.

A

Increases localized blood flow.

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20
Q

Diagnosis and treatment of diseases characterized by joint inflammation is part of which medical specialty.

a. Rheumatology.
b. Dermatology.
c. Gastroenterology.
d. Internal medicine.

A

Rheumatology.

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21
Q

The total amount of blood pumped out of the heart in one minute is known as which of the following terms?

a. Systolic pressure.
b. Cardiac output.
c. Diastolic pressure.
d. Systematic circulation.

A

Cardiac output.

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22
Q

Deceitful practice or false portrayal of facts, either by words or conduct, is the definition of which of the following terms.

a. Battery
b. Fraud.
c. Discovery.
d. Negligence.

A

Fraud.

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23
Q

Inflammation of a vein in conjunction with formation of blood clot is known as which of the following terms.

a. Atherosclerosis.
b. Thrombophlebitis.
c. Vasculitis.
d. Phlebos clerosis..

A

Thrombophlebitis.

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24
Q

Which of the following is an abnormal finding in the blood?

a. Antibodies.
b. Bacteria.
c. Blood cells.
d. Platelets.

A
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25
Q

What is another term for prefilled syringe?

a. Tuberculin syringe.
b. Hypodermic syringe.
c. Insulin syringe.
d. Cartridge.

A

Cartridge.

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25
Q

Which of the following is a common route for the administration of peritoneal medication?

a. Topical.
b. Transdermal.
c. Injection.
d. Rectal.

A

Injection.-This Not only to injections but to always drugs are administered other than via the gastrointestinal tract.

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26
Q

Which of the following muscles is commonly used for intramuscular injections to the infant?

a. Deltoid.
b. Internal oblique.
c. External oblique.
d. Vascus Lateralis.

A

D.

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27
Q

What is a function of hemoglobin?

a. Stimulate red Bone marrow.
b. Fight off infection.
c. Carry oxygen from the lungs and to carry carbon dioxide from the tissues to the lungs.
d. Help destroy bacteria, toxins and viruses.

A

C

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28
Q

Guidelines used to monitor all aspects of patient care are known as which of the following terms.

a. IQCP Tools.
b. QA indicators.
c. Pi standards.
d. QC deficiencies.

A

QA indicators.-Are specific markers that can measure quality, Adequacy, accuracy, timeliness and customer satisfaction.

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29
Q

Performing one’s duties in the same manner as any other reasonable and prudent person with the same experience in training is referred to as which of the following terms.?

a. Standard of care.
b. Required care.
c. Resp ipsa loqutior
d. Vicarious Liability.

A

Standard of care.

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30
Q

Single order that is administered immediately and usually written for emergencies is known as which of the following terms.?

a. STAT order.
b. Standing Order.
c. Routine order.
d. PRN. Order.

A

A

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31
Q

As a very busy phlebotomist misidentifies the patient when collecting A specimen for transfusion preparation. The possible misdiagnosis of blood type could cause a patients death. If above bottomless. Action results in injury, This wrongful act is known as which of the following terms.?

a. Assault.
b. Battery.
c. Fraud.
d. Negligence.

A

Negligence.- is a violation of a duty to exercise reasonable skill and care in performing a task.

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32
Q

Which of the following is a phlebotomy QA procedure?

a. Checking needles for blunt tips and small barbs.
b. Keeping a record of employee paid sick leave.
c. Recording chemistry instrument maintenance.
d. Tracking all of the laboratory OSHA violations.

A

A.- procedure is a plan for ensuring the quality of all areas of the labs technical and support functions.

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33
Q

Which of the following tests is most likely used to test for inflammation, infectious disease, and Malignant Neoplasms.?

a. Amylase
b. R BC count.
c. ESR.
d. AST.

A

ESR.-Used to test for collagen disease., inflammation, disease and rheumatoid arthritis.

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34
Q

Which of the following is the best way to prepare routine blood specimen tubes for transportation to an off site lab?

a. Place the tubes in an iced slurring.
b. Wipe each tube with alcohol.
c. Seal the tubes and plastic bags.
d. Wrap the tubes in requisitions.

A

Seal the tubes in plastic bag.-With a biohazard logo.

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35
Q

Which of the following scenarios is an example of a Phlebotomist. Negligence.?

a. Fails to report significant changes in a patient’s condition.
b. Forgets to sign out at the nurses station. When draws are complete
c. Is unable to obtain a specimen from a very combative patient
d. Missed the vein and has to redirect twice to complete the draw

A

Negligence is a violation of a duty to exercise reasonable skill and care. In performing a task. Answer is A.

36
Q

Which of the following specimen is least likely to require special handling?

a. Cholesterol
b. Bilirubin
c. Gastrin
d. Homocysteine

A

Cholesterol.

-Bilirubin specimens must be protected from light

Gastrin and Homocysteine should be chilled in an ice slurry.

37
Q

Critical values test values that are considered life threatening are also known as which of the following terms.

a. Panic values
b. At risk values
c. For alarm values
d. Stable values

A

Panic values.

38
Q

Which of the following would be a pre analytic error related to specifying storage?

a. Exposure to light
b. Faulty technique
c. Inadequate fast
d. Under- filled tube.

A

Exposure to light.

39
Q

Which type of precautions would be used for a patient who has pulmonary tuberculosis?

a. Airborne
b. Droplet
c. Contact
d. Reverse

A

Airborne.

40
Q

What is an abbreviation for the virus that causes acquired Immune Deficiency Syndrome?

a. HAV
b. HBV
c. HCV
d. HIV.

A

HIV.

41
Q

Which of the following choices describes a person who has recovered from a particular virus and has developed Antibodies against that virus.?

a. A carrier ‘s
b. Immune
c. Infectious
d. Susceptible

A

Immune.

41
Q

Which of the following is an example of a disease require droplet isolation?

a. Percusses
b. Rubella
c. Scabies
d. Varicella.

A

Percusses.

42
Q

What word is used to describe the breakdown of red blood cells?

a. Erthma
b. Erthrocytosis
c. Hemostasis.
d. Hemolysis.

A

Hemolysis.

43
Q

What does the lab abbreviation PT stand for?

a. Partial thromboplastin
b. Patient temperature
c. Prothrombin time
d. Prenatal

A

C

44
Q

Which of the following stopper colors identify a tube used for coagulation testing?

a. Green
b. Lavender
c. Light blue
d. Red.

A

Light blue.-contains anticoagulant sodium citrate.

45
Q

How does heparin prevent blood from clotting?

a. By activating calcium
b. By binding calcium
c. By. Chelating Thrombin.
d. By Inhibiting thrombin.

A

D.

46
Q

What is the purpose of a antiglycolytic?

a. It enhances the clotting process
b. It inhibits the electrolyte Breakdown.
c. It preserves glucose.
d. It prevents clotting.

A

It preserves glucose.

47
Q

Which of the following choices would result in lipemia?

a. High fat content from the blood
b. Improper specimen handling
c. Increase number of platelets
d. Specimen hemoconcentration

A

High fat content from the blood.- lipid is a presence of increased fat in the blood.

48
Q

A patient with a high degree of jaundice has which of the following symptoms

a. Burning and Piqua
b. Edemas Extremities
c. Himalayas specimens
d. Yellow skin and sclera
.

A

D.- This is a condition in Characteristic by increase bilirubin in the blood and sclera(Whites of the eyes.) Giving the patient a yellow appearance

49
Q

What is Lymphatasis?

a. Impaired secretion of lipid fluid
b. Obstruction of the flow of Lymph.
c. Reduce lymphocyte production
d. Stoppage of lymphoid functions.

A

B.

50
Q

What is Venus Stasis?

a. Back flow of tissue fluid into a vein
b. Part of the normal coagulation process
c. Stoppage of the normal venous blood flow
d. Vein collapse from excessive pressure.

A

Stoppage of the normal Venus Blood flow.

51
Q

Hemo concentration from prolonged. Tourniquet application increases Which of the following?

a. Non filterable analytes
b. Blood plasma volume.
c. PH and oxygen levels
d. Specimen hemolysis.

A

Non filterable analytes -This is a condition which plasma and small filterable components of the blood pass through the walls of the blood vessels into the tissues, decreasing blood plasma volume and concentrating and therefore increasing. Non filterable or suspended blood components such as red blood cells.

52
Q

What is the difference between NPO and fasting?

a. Fasting is no food and NPO is no water
b. Fasting allows the patient to drink water whereas NPO does not
c. NPO requires that the patient drink water whereas fasting does not
d. NPO. And fasting are the same thing

A

B.

53
Q

Which of the following are the best specimens to use for establishing inpatient reference ranges for blood tests

a. Basil state specimen
b. Fasting specimen
c. Post-PRADIAL Specimen.
d. Steady state specimen and

A

A.-Inpatient reference ranges for laboratory tests are typically established using basal state specimens to eliminate the effects of diet, exercise and other factors on results.

54
Q

Which of the following is true when using a phlebotomy needle that does not have a safety feature?

a. It cannot be used for any venous puncture procedure
b. It must be used with a holder that has a safety feature
c. It requires immediate recapping, capping after venipuncture
d. It should be removed from the holder. Before disposal

A

B.

55
Q

Why should a laboratory report form state that a specimen has been collected by Capillaries Punctures?

a. For equipment inventory control purposes
b. So other tests will be capillary collections
c. Because results can vary by specimen source. Next line to satisfy liability insurance requirements

A

C.

56
Q

Which of the following items is unnecessary when performing a routine venous puncture

a. Disinfectant
b. Evacuate tubes
c. Safety needles
d. Tourniquet

A

A. Dash. There should be antiseptics.

57
Q

Which tubes must be first in the order of draw

a. Blood culture
b. Coagulation tubes
c. Heparin tubes
d. Serum separator tubes

A

Blood tubes- Tubes or containers for specimens such as. Blood cultures must be collected in a sterile manner, are always first in the order of draw.

58
Q

Which of the following is a national organization that sets standards for phlebotomy procedures?

a. ASCP
b. NAACLS.
c. NC A.
d. CLS I.

A

D.

59
Q

Which of the following is not a phlebotomist duty

a. collecting blood specimens
b. performing laboratory computer operations
c. starting Iv’s
d. Transporting specimens to the laboratory

A

C

60
Q

Which type of contact? Infection transmission involves transferring of an infecting microbe to the mucus membrane of a susceptible individual by means of a cough or sneeze.?

a. Direct
b. Droplet
c. ForMITES
d. Indirect.

A

B.

61
Q

Which of the following is a task of the respiratory system

a. ABG
b. CSF
c. TSH
d. UA.

A

A.

62
Q

Which of the following are the receiving chambers of the heart?

a. Atria
b. Chordae tendineae
c. Vena cava.
d. Ventricles.

A

A.

63
Q

How is an individual’s blood type determined?

a. Whether an antibody is present or absent on the red blood cells
b. Whether an antibody is present or absent. On the white blood cells
c. Whether or not an antigen is present on the red blood cells
d. whether or not an antigen present on the white blood cells.

A

C

64
Q

Which of the following bands is not an anticubicle vein?

a. Basilic
b. Cephalic
c. Femoral.
d. Median cubital

A

C

65
Q

Which needle gauge Has the highest lumen.

a. 18
b. 20
c. 21
d. 22.

A

A.

66
Q

Which government agency regulates the quality of gloves worn when performing Phlebotomy procedures?

a. CDC/ HIPAC
b. FDA
c. JCAHO
d. OSHA

A

B

67
Q

The test performed in Which of the following departments are collected in a tube with a light blue stopper?

a. Chemistry
b. Hematology
c. Coagulation
d. Microbiology

A

Coagulation

68
Q

And tourniquet should never be left on for more than how long

a. 30 seconds
b. 45 seconds
c. One minute
d. 3 minutes

A

One minute

69
Q

You draw a pro time specimen from a patient with Ivs in both arms. Which is the following location, the best place to draw the specimen

a. Above an ID
b. Below an ID
c. from an ankle vein
d. From an IV

A

Below in IV

70
Q

What is PKU?

a. A contagious condition caused by the lack of phenylalanine.
b. A hereditary inability to metabolize phenylalanine
c. An inquired condition caused by the lack of phenylalanine
d. An inherited condition caused by the lack of thyroid hormone.

A

B.

71
Q

Which task requires strict skin antisepsis processes before specimen collection?

a. Blood Culture
b. BUN.
c. CBC.
d. Typing and cross.

A

A

72
Q

Which of the following tests may require special Chain of Custody documentation when collected?

a. Blood culture.
b. Cross match.
c. Drug screen.
d. T DM.

A

Drug screen.

73
Q

Which of the following is the hormone that is detected in positive urine pregnancy tests?

a. HCTH.
b. GH.
c. HCG.
d. TSH.

A

HCG.

74
Q

A tube containing heparin is collected, between which two tubes listed below.

a. A blood culture and before a serum tube.
b. 8 citrate additive tube and a serum tube.
c. EDTA tube and glycoltic inhibitor tube.
d. A serum tube and EDTA tube.

A

D.

75
Q

Which fluid is obtained by lumbar puncture?

a. Cerebrospinal.
b. Peritoneal.
c. Pleural.
d. Synovial

A

A

76
Q

What statement describes proper centrifuge operation?

a. Centrifuge serum specimens before they have a chance to clot.
b. Never centrifuge both serum and plasma specimens in the same centrifuge.
c. Place tubes of equal size and volume opposite one another.
d. Remove stoppers before placing tubes in the centrifuge.

A

C

76
Q

What kind of Blood study includes examining the blood for its total number of formed elements and cell morphology.?

a. Serology.
b. Immune hematology.
c. Hematology.
d. Hematocrit.

A

Hematology.-
hem means blood. Which involves cell counts., WBC differentials., heaving globins, hematocrits, PT, ESR, platelet counts. And the appearance of blood cells. Cell morphology is the analysis of the structure, size, and shape of RBC, WBC and platelets.

77
Q

Why is a urine C&S typically ordered to detect?

a. Abnormal urine pH.
b. Glucose. spillage into the urine.
c. Kidney damage.
d. Presence of UTI.

A

Presence of UTI.

78
Q

Which of the following best describes the type of analysis used when processing blood for transfusions?

a. Hematological.
b. Clinical chemical
c. Serological.
d. Immunohematological.

A

D.

79
Q

What is the female normal range for a hematic reading?

a. 32% to 41%.
b. 37% to 47%.
c. 40% to 45%.
d. 42% to 52%.

A

37% to 47%.

-for men 40% to 52%. This test measures the percentage of packed RBC’s in a blood sample

80
Q

Blood would be used for what kind of testing? If it was collected in a vacuum tube containing no additives?

a. Hematology tests.
b. Electrolyte studies.
c. Blood chemistries.
d. Arterial blood gases.

A

Blood chemistries.-

Blood collected for quantitative testing and is performed using the serum component of whole blood. Some examples of testing are cholesterol, GTT, BUN, calcium, and potassium. Red top tubes are used to clot the blood because they do not contain an anticoagulant.

81
Q

Blood would be used for what kind of testing if it was collected in a vacuum tube containing EDTA?

a. Hematology test.
b. Blood chemistries.
c. Coagulation studies.
d. Lactic analysis.

A

Hematology tests.-

EDTA is found in lavender top tubes. The most common hematology test performed. Is CBC.

82
Q

Which blood type is considered the universal recipient?

a. O positive.
b. O negative.
c. AB positive.
d. AB negative.

A

AB positive.-

This blood type has both A&B antigens and has RH antibodies. This means the type can donate only to other AB positive blood types, but can receive blood from all other blood types.

83
Q

Which of the following commonly used disinfectant is used in the medical field and found to be effective against bloodborne pathogens?

a. Radiation.
b. Bleach.
c. Dry heat.
d. Ethylene oxide

A

Bleach.-Ratio. 1: 10.

84
Q

Which organization developed the guidelines for universal Precautions.?

a. EPA.
b. FDA.
c. CDC.
d. OSHA.

A

CDC.

85
Q

When would the capillary blood sample be diluted with tissue fluid?

a. If it is immersed in cold water.
b. If the first job is discarded.
c. If the finger is squeezed excessively.
d. If the signs of the finger are gently rubbed.
.

A

C.-

Capillary puncture releases a small amount of blood. Once some puncture site has been decided upon, gently milk the patients finger towards the tip. Keep the patient’s hand lower than the heart level. Puncture the patient’s skin, and use steady pressure. If the droplet is forming slowly. Avoid milking, excessive squeezing of the patient’s fingers because it can cause hemolysis.

CMA Tests (5 decks)

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