Phlebotomy Exam Flashcards

1
Q

the additive in the SST collection tube is

A

thixotropic gel for serum separation

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2
Q

the proper order of draw for a PT/PTT, CBC, HIV, and cardiac enzymes using a multi-draw method is

A

blue, red, green, lavender

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3
Q

blood in urine

A

hematuria

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4
Q

the boundaries for the approved area in performing heel punctures are

A

the median line extending from the great/big toe and the lateral line extending from the 4th and 5th toe

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5
Q

a group of test requested as one unit is called a

A

profile

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6
Q

this complication results from repeated venipuncture of the same vein

A

phlebitis

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7
Q

which of the following is the best definition for the destruction of red blood cells

A

hemolysis

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8
Q

when the body has had adequate rest and no food for at least 12 hours, it is said to be in

A

basal state

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9
Q

if a patient has an IV line in the arm, the phlebotomy tech should

A

draw blood from the opposite limb

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10
Q

how far above the site of draw is the tourniquet placed

A

3-4 inches

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11
Q

the additive in the gray collection tube

A

potassium oxalate

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12
Q

how much blood is found in the average adult body

A

5 liters

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13
Q

what step should the phlebotomist take if blood was drawn from the wrong person

A

immediately report the incident to the supervisor

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14
Q

a patient was rushed to the ER because of dehydration due to severe vomiting. the physician orders a state electrolyte. what color tube is needed?

A

green

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15
Q

which of the following is not part of a CBC

A

PTT

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16
Q

what is the best sample for the determination of blood PH and blood gases

A

arterial blood

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17
Q

the antiglycolytic agent that maintains glucose stability for 3 days is

A

sodium flouride

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18
Q

what tube is used for PT and PTT

A

blue

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19
Q

red top tubes are also called “plain” tubes. blood collected in these tubes are allowed to clot by normal coagulation process, which takes how long?

A

30-60 minutes

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20
Q

what is the most common complication from phlebotomy?

A

hematoma

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21
Q

a butterfly is another name for a

A

winged infusion set

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22
Q

a patient came to the clinic for a low grade fever of one month duration. as part of the lab work up, the physician ordered an ESR

A

lavender

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23
Q

the PKU test is used to diagnose deficiencies. the most common clinically encountered inborn error of metabolism. it is performed on

A

a newborn’s heel

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24
Q

the additive in the light blue collection tube is

A

sodium citrate

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25
Q

when the tourniquet is tied too tight, the capillaries in the area may rupture causing

A

petechiae

26
Q

red blood cells are also called

A

leukocytes

27
Q

OSHA regulation requires that all health care personnel exposed to blood and other bodily fluids must receive a vaccination against

A

HBV

28
Q

the proper way to dispose of a needle is to

A

place in sharps container, without recapping, immediately after withdrawing the needle from the patients arm

29
Q

which vein is used for obese patients

A

cephalic

30
Q

the vacuum draw of the evacuated tube decreases with

A

age

31
Q

the phlebotomist was sent to the patient’s room to draw blood for a coagulation study

A

draw a red top tube before the light blue top

32
Q

which needle has the smallest gauge: 21,23,18,16

A

23

33
Q

what is the correct way for ending a venipuncture procedure

A

remove the tourniquet, remove the tube, remove the needle and apply pressure

34
Q

which vein in the arm is most commonly used for venipuncture

A

median cubital

35
Q

the phlebotomist identifies a patient in the clinical lab facility by

A

asking the patient name

36
Q

all of the following info must be on the specimen sample except: name, date, time of collection, diagnosis

A

diagnosis

37
Q

the tube of choice for glucose testing

A

gray

38
Q

a patient has been taking aspirin for arthritis. what is most likely to be affected by it

A

bleeding time

39
Q

microorganisms that cause disease

A

pathogens

40
Q

if a patient refused venipuncture procedure

A

immediately report the refusal and actions taken to the nurse

41
Q

every spring, mrs. watts suffers from severe allergies. what would be the picture of her WBC differential count

A

increased basophils

42
Q

Which of the following is incorrect about the lavender-top tube?
A. It contains a anticoagulant which binds to calcium
B. It is used to collect a specimen for a complete blood count
C. It must be inverted several times immediately after drawing to ensure uniform mixing of blood and anticoagulant.
D. It is used to collect specimen for coagulation studies

A

it is used to collect a specimen for coagulation studies

43
Q

the additive in a green tube is

A

lithium heparin/sodium heparin

44
Q

what barrier protections must a phlebotomist use when performing skin puncture or venipuncture

A

gloves

45
Q

Which of the following is right under the Patient’s Bill of Rights?
A. Decline medical treatment
B. Know the Medical Status of family members in the hospital
C. Refusal to pay for medical treatment
D. Escort your specimens to and from the laboratory

A

decline medical treatment

46
Q

the recommended depth of an infant heel puncture should not exceed

A

2.0mm

47
Q

what can occur when the tourniquet is left on too long

A

hemoconcentration

48
Q

a test involving multiple collections of blood and urine over specified time

A

gtt

49
Q

a hematoma can be prevented if

A

pressure is placed on the venipuncture site until the bleeding stops

50
Q

the additive in the pink/lavender collection tube is

A

edta

51
Q

a specimen for blood lead level/poison is drawn in a

A

royal blue tube

52
Q

before a blood collection is made, the donor should have what test checked

A

hgb, hct

53
Q

a patient experiencing hypoglycemia is experiencing

A

low glucose

54
Q

one three occasions, blood from mr. burns turned out hemolyzed. mr. burns is perfectly healthy and has no known disease that may explain the hemolyzed sample. what could be the possible cause

A

using a 25 gauge needle

55
Q

when making blood smear, the goal is

A

get feather edges

56
Q

what procedure is usually performed by a nurse or respiratory therapist

A

abg

57
Q

if a finger is excessively milked during a skin puncture, the results will be

A

hemolysis and contamination of the specimen with tissue fluids

58
Q

what should the phlebotomist tech do first when a patient is having a syncopal/fainting episode while venipuncture is being performed

A

remove the needle from the arm

59
Q

blood cultures are usually performed to

A

diagnose/discover infectious microorganisms

60
Q

standard precaution and transmission based precautions are control measures aimed at preventing the spread of disease at which point of the chain of infection

A

portal of exit