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Phelbotmy > QUESTIONS NATIONAL > Flashcards

QUESTIONS NATIONAL Flashcards

1
Q

Which of the following is the best method to collect a blood specimen from an older adult patient who has fragile easy-to-collapse veins

a. choose a butterfly assembly utilizing a regular ETS tube
b. choose a butterfly assemble and utilize a pediatric tube
c. chose a syringe and butterfly assembly and transfer to an ETS tube

A

c. chose a syringe and butterfly assembly and transfer to an ETS tube

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2
Q

Which of the following is the total blood volume of a 3.3 kg infant
A. 250 to 490 mL
B. 350 to 390 mL
C. 215 to 330 mL

A

C. 215 to 330 mL

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3
Q

The order of draw for capillary collections is different than venipuncture because of

a. the risk of hemoconcentration
b. an increased rate of coagulation
c. the smaller size of samples

A

b.an increased rate of coagulation

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4
Q

What is the complete order of draw for venipuncture

A
  1. Blood culture bottles or light yellow tube stopper
  2. Light blue (sodium citrate)
  3. Serum tubes (red, gold or spectled)
  4. Green (Heparin)
  5. Lavender or purple (EDTA)
  6. Gray (sodium fluoride and potassium oxalate)
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5
Q

Which of the following is the term for a donation of a patients own blood for an upcoming surgery

a. autonomic donation
b. presurgical donation
c. autologous donation

A

c. autologous donation

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6
Q

Which of the following test results are affected when povidone iodine is used to cleanse the site for a dermal puncture?

a. glucose
b. blood urea nitrogen
c. potassium

A

c. potassium

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7
Q

When should a phlebotomist follow chain of custody

A. Paternity testing
B. Glucose test
C. Urine test

A

A. Paternity testing

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8
Q

A phlebotomist must centrifuge a serum specimen before shipment to an outside reference laboratory because

a. cells must be separated from the serum
b. cells will hemolyze
c. platelets must be separated from the serum

A

a. cells must be separated from the serum

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9
Q

A phlebotomist must invert anticoagulant tubes to prevent which of the following?

a. Hemolysis
b. clotting
c. hemoconcentration

A

b. clotting

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10
Q

A phlebotomist must choose the correct tube color and additive for the corresponding

a. laboratory test
b. order of draw
c. priority status

A

a. laboratory test

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11
Q

Which of the following is potential consequence of mislabeling a blood bank specimen?

a. a transfusion reaction
b. a medical transcription error
c. a pharmaceutical reaction

A

a. a transfusion reaction

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12
Q

When should a phlebotomist perform external liquid controls for quality control one CLIA waived point of care test

a. with every patient
b. every week the test is performed
c. when a new lot number or kit is opened

A

c. when a new lot number or kit is opened

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13
Q

which of the following actions would result in a grossly hemolyzed specimen?

a. applying the tourniquet too close to the draw site
b. an incorrect needle gauge
c. an incorrect order of draw

A

b. an incorrect needle gauge

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14
Q

At what temperature should a semen sample be transported by the phlebotomist

a. 21 to 23 degrees C
b. 25 to 30 degrees C
c. 36 to 38 degrees C

A

c. 36 to 38 degrees C

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15
Q

What is the complete order of draw for Capillary Collection

  1. Blood gas collection (Purple)
  2. Green (Heparin)
  3. Any other additive specimens
  4. Serum (Red or gold cap tubes - no additives)
A
  1. Blood gas collection (Purple)
  2. Green (Heparin)
  3. Any other additive specimens
  4. Serum (Red or gold cap tubes - no additives)
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16
Q

According to standard precautions what is the procedure for shipping specimens to a reference laboratory in hot weather
A. Place in a box with bubble wrap and biohazard label
B. Place in a padded envelope with cold packs and biohazard label
C. Place in a box with cold packs and a biohazard label

A

C. Place in a box with cold packs and a biohazard label

17
Q

What should be used to cleanse the urinary meatus in a clean-catch urine collection?

a. Hydrogen peroxide
b. benzalkonium chloride
c. povidone iodine

A

b. benzalkonium chloride

18
Q

What should a phlebotomist tell a patient who is submitting a semen sample for analysis

a. “as soon as you collect the specimen, keep it next to your body. We will need to submit it right away for testing.”
b “ Leave the semen sample at the front desk for delivery to the laboratory at the end of the day.”
c. “You’ll have to talk to the lab techs about collecting that sample. They do all the testing”

A

a. “as soon as you collect the specimen, keep it next to your body. We will need to submit it right away for testing.”

19
Q

Which of the following is the proper procedure after collecting an bilirubin specimen

a. protect specimen tube from light
b. keep the specimen tube warm
c. keep the specimen at body temperature

A

a. protect specimen tube from light

20
Q

Which of the following actions is appropriate for preparing a peripheral blood smear?

a. place a drop of blood the size of a dime on center of slide
b. place 1 mm drop of blood 1/2 in. from edge of slide
c. place 1 mm drop of blood on center of slide

A

b. place 1 mm drop of blood 1/2 in. from edge of slide

21
Q

Which of the following is the first step in the blood collection procedure?

a. test requisition
b. patient identification
c. test accession

A

a. test requisition

22
Q

Which of the following quest is most important to ask the patient prior to collecting a metabolic panel?

A. When was the last time you ate?
B. When did you last exercise?
C. When was the last time you used the bathroom?

A

A. When was the last time you ate?

23
Q

When should the code on glucose cuvette or strips be compared to the code on the glucose meter

a. after a new package is opened
b. when a patient is tested
c. at the beginning of the shift

A

b. when a patient is tested

24
Q

A patient states she is a difficult draw and requests a skin puncture. The test ordered is a PTT. What should the phleb. perform

A

A syringe draw transferred into a light blue vacutainer

25
Q

When preparing for transport, which of the following specimens must be placed into an ice bath with in 30 minutes

A. Arterial blood gases
B. Bilirubin
C.Ogtt

A

A. Arterial blood gases

26
Q

The phleb draws a CBC at the physicians office at 1800. The laboratory closed at 1730 and will not process specimens again until 0500. What is proper temp. for preserving the specimen

a. 37-39 C
b. 15-30 C
c. 2-10 C

A

c. 2-10 C

27
Q

Which of the following is appropriate when collecting for a chemistry test that requires serum?

a. SST
b. EDTA
c. SPS

A

a. SST

28
Q

Which of the following is the next step after removing the needle from the patients arm

a. ask the patient to open the fist.
b. remove the tourniquet
c. engage the needle safety device

A

c. engage the needle safety device

29
Q

Phlebotomists must comply with which of the following OSHA requirements specific to venipuncture procedure?

a. wear gloves with blood anticipated
b. recap contaminated venipuncture device
c. report a blood exposure incident to the supervisor

A

a. wear gloves with blood anticipated

30
Q

When preforming a venipuncture on a patient of average weight which of the following is a correct technique for needle insertion

A. Insert needle until it meet resistance
B. Insert until a change in resistance
C. Insert an inch and a half

A

B. Insert until a change in resistance

31
Q

Which of the following is the proper cleansing procedure for routine venipuncture

A. Cleanse the site in an outward spiral
B. Cleanse the site with scrubbing motion
C. Cleanse the site in an inward spiral

A

A. Cleanse the site in an outward spiral

Phelbotmy (8 decks)

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