RMA questions Flashcards

1
Q

which of the following body systems protects vital organs and gives body structure?

A

skeletal

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2
Q

what position should the bevel of the needle be in before entering the vein?

A

facing upward

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3
Q

the correct term for decrease in the number of circulating red blood cells is?

A

anemia

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4
Q

the correct terms term that refers to the destruction of blood cells is?

A

hemolysis

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5
Q

the correct term for white blood cells is?

A

leukocytes

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5
Q

which specimen requires chilling during transfer to the lab?

A

arterial blood gases

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5
Q

for blood glass collections which gage needles are most often used?

A

21G

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6
Q

phlebotomy skills would not include?

A

handling patient correspondence

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7
Q

what does CBC stand for?

A

complete blood count

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8
Q

what is the functioning unit of the nervous system?

A

neuron

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9
Q

what promotes the breakdown of glycogen back into glucose?

A

glucagon

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10
Q

one group of inherited disorders marked by increased bleeding time is?

A

hemophilia

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11
Q

at what angle should a venipuncture needle puncture the skin?

A

15 to 30 degrees

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12
Q

where should blood never be collected from a patient?

A

AV shunt

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13
Q

what test is used to diagnose whooping cough, croup, and pneumonia mainly in children?

A

NP culture

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14
Q

the correct term for a cell that aids in the blood clotting process is?

A

platelets

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15
Q

the middle and ring finger are the most common digits used to obtain a dermal puncture in adults?

A

TRUE

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16
Q

the most common procedure for collecting many types of urine specimens is known as the?

A

midstream clean catch

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17
Q

HIPPA is?

A

designed to keep personal health information private

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18
Q

which is not a laboratory test that assesses for muscle disorders?

A

C&S

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19
Q

hepatitis involves which organ?

A

liver

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20
Q

if you encounter a hazardous chemical that you need more information about, where can you quickly and accuratley locate that information?

A

Material Safety Data Sheet (MSDS)

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21
Q

being free from contamination or germs is referred to as what term?

A

aspesis

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22
Q

when collecting a blood sample to determine blood alcohol levles, what color tube should be used?

A

gray

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23
Q

implied consent from a patient to draw blood would be obtained by which action?

A

the patient extends their arm

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24
Q

if a sample needs to be diluted, what should be added?

A

diluent

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25
Q

a failure to fast when ordered can impact a blood sample in which of the following ways?

A

increasing its turbidity

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26
Q

potassium EDTA binds to what element in the blood?

A

calcium

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27
Q

if you notice that the name of a patient is spelled differently on the requisition and a patients armband, what is the best course of action?

A

visit with your manager to verify the information and have it corrected

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28
Q

anchoring a vein properly requires which of the following actions?

A

placing the thumb of your free hand below the vein and stretching the skin.

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29
Q

the most common cause of contamination in blood cultures is which of the following?

A

improper site preperation

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30
Q

what is another name for thrombocyte?

A

platelet

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31
Q

inserting a needle at the point of divergence between veins can result in what?

A

an increased chance of hematoma

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32
Q

approximatley how many liters of blood is generally found the adult human body?

A

5 liters

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33
Q

a failure to allow alcohol to completley dry during site preperation can lead to what?

A

hemolysis

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34
Q

the process of maintaining control of a specimen from the point of collection until testing is complete is refered to as what?

A

chain of custody

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35
Q

which of the following is not required on a correctly completed requisition?

A

patient history

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36
Q

which is the proper sequence for proper sequence for putting on PPE?

A

gown, mask, gloves.

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36
Q

work place safety in a lab is governed by which agency?

A

(OSHA) occupational safety and health administration

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37
Q

when should sharps containers be disposed of?

A

when it is 3/4 full

38
Q

the additive 3.2% sodium citrate results in what?

A

the prevention of clotting by binding calcium

39
Q

prior to drawing from a sleeping patient, what should be done?

A

gently wake them up, and when they are ready, request they provide verification of their identity.

40
Q

what type of draw is generally performed for patients in infancy?

A

heel stick

41
Q

which of the following would not be required for a finger stick?

A

syringe

42
Q

which of the following is a characteristic of capillaries?

A

they are found in every square inch of the human body

43
Q

what action can prevent bruises from forming due to a blood draw?

A

applying firm pressure immediatley after and keeping a bandage on for several hours

44
Q

which test order should be given the most priority?

A

STAT

45
Q

which of the following is not a primary method of venipuncture?

A

lancet

46
Q

why is blood drawn in a specific order?

A

to avoid cross-contamination of additives

47
Q

when a sample is rejected for QNS, what is the appropriate response?

A

collect another sample with sufficent quanity

48
Q

what is the first step in dealing with a patient that appears nervous?

A

assess their cause for concern and provide reassuarance

49
Q

which of the following can reduce your risk of infection after being exposed to a bloodborne pathogen such as hepatitis b or HIV?

A

taking a post exposure prophylaxis

50
Q

when a patients vein is small, thin, or fragile what would be the most appropriate equipment selecion?

A

syringe

51
Q

which of the following needle gauge sizes has the largest bore (opening)?

A

18G

52
Q

how long should a tube be pre-warmed in an incubator prior to collecting a warmed specimen, such as cold agglutinins?

A

30 minutes

53
Q

which cleansing agent is not used on venipuncture for the blood collection of blood cultures or blood alcohol specimens?

A

isopropyl alcohol

54
Q

what is an acceptable method of patient identification?

A

requesting the patient state their name and date of birth

55
Q

if the patient indicates previous experiences of fainting during venipuncture, what should be done?

A

you may move them to an area in which they can lay down during the draw.

56
Q

which of the following tests does not require fasting?

A

CBC complete blood count

57
Q

what are the smallest veins in the human body?

A

venules

58
Q

which of the following actions is standard practice when collecting a blood smear?

A

cleaning a slide with isopropyl alcohol and letting it dry

59
Q

what is the smallest gauge needle to use in venipuncture?

A

23G

60
Q

which test is not impacted by fasting?

A

blood culture

61
Q

which of the following is not a standard vacuum tube size?

A

20ml

62
Q

under what circumstances should a tube be prelabled?

A

never

63
Q

how many unsuccessful attempts at venipuncture are allowed before seeking additional assistance is required?

A

2

64
Q

for elderly patients, in which circumstances would a capillary puncture be be performed rather then venipuncture?

A

the patient has a tendency to form clots

65
Q

what test requires that it be chilled in ice right after collection?

A

arterial gases, ammmonia, lactic acid, pyruvate, and ACTH

66
Q

if one is used, when should the tourniquet be removed?

A

prior to withdrawal

67
Q

what is the maximum depth a heel stick should penetrate?

A

2.0mm

68
Q

in what location are nutrients and gasses exchanged in the body?

A

capillaries

69
Q

septicemia can be detected by what type of test?

A

blood culture

70
Q

which color tube needs to be filled completely?

A

blue

71
Q

what can be done to make drawing esaier on a patient with rolling veins?

A

you can anchor the vein

72
Q

when performing quality control checks, tubes should be discarded under which circumstances?

A

the stopper has small cracks

73
Q

when should tubes be labeled?

A

after the draw, but before exiting the patients room

74
Q

how long should you observe the site prior to bandaging

A

5 seconds

75
Q

when washing your hands, why is it important to stand back from the sink?

A

contamination

76
Q

which antiseptic should not be used on pre-term infants or those under 2 months of age?

A

chlorhexidine gluconate

77
Q

when preparing to draw a gentamicin peak trough, what element should the phelebotomist pay particular attention to?

A

the timing instructions

78
Q

what field is unnecessary on an infants blood sample label?

A

infants first name

79
Q

which test requires the collection of both blood and urine at specific intervals?

A

glucose tolerance testing

80
Q

which test requires the sample to be protected from light?

A

bilirubin

81
Q

for adult patients, what is the maximum length lancet that should be used for a finger stick?

A

2.2 mm

82
Q

if you experience a patient pumping their fists during a blood draw, what can you do?

A

polietly explain to then that this can elevate ionized calcium and potassium levels and request that they stop

83
Q

during blood coagulation, what is formed?

A

a fibrin clot

84
Q

the veins of patients undergoing chemotherapy are especially challenging for venipuncture due to what characteristics?

A

they are smaller, less elastic, and sometimes sclerosed

85
Q

when performing a dermal puncture, where should the puncture be made?

A

perpendicular to the fingerprints

86
Q

which blood vessels are single cell in thickness?

A

capillaries

87
Q

to protect blood constitutes that are light sensitive, the phlebotomist should:

A

wrap the tube in aluminum foil after collection

88
Q

which of the following vein is the most common second choice, after the median cubital vein, when drawing a blood sample?

A

cephalic

89
Q

the most common HAI previously known as nosocomial laboratory infection is?

A

hepatitis

90
Q

what test is used to diagnose hypoglycemia?

A

5 hour oral GTT

91
Q

timed specimens are most frequently collected to monitor?

A

medication levels

92
Q

what is the maximum amount of time an infant heel warming device should be applied for?

A

3-5minutes

93
Q

what is the functional unit of the kidney known as?

A

medulla

94
Q

what is the functional unit of the kidney known as?

A

medulla

95
Q

what is the most common chemistry test performed by means of POCT?

A

glucose

96
Q

plasma consists of what percentage of total blood volume?

A

45