RMA questions Flashcards
1
Q
which of the following body systems protects vital organs and gives body structure?
A
skeletal
2
Q
what position should the bevel of the needle be in before entering the vein?
A
facing upward
3
Q
the correct term for decrease in the number of circulating red blood cells is?
A
anemia
4
Q
the correct terms term that refers to the destruction of blood cells is?
A
hemolysis
5
Q
the correct term for white blood cells is?
A
leukocytes
5
Q
which specimen requires chilling during transfer to the lab?
A
arterial blood gases
5
Q
for blood glass collections which gage needles are most often used?
A
21G
6
Q
phlebotomy skills would not include?
A
handling patient correspondence
7
Q
what does CBC stand for?
A
complete blood count
8
Q
what is the functioning unit of the nervous system?
A
neuron
9
Q
what promotes the breakdown of glycogen back into glucose?
A
glucagon
10
Q
one group of inherited disorders marked by increased bleeding time is?
A
hemophilia
11
Q
at what angle should a venipuncture needle puncture the skin?
A
15 to 30 degrees
12
Q
where should blood never be collected from a patient?
A
AV shunt
13
Q
what test is used to diagnose whooping cough, croup, and pneumonia mainly in children?
A
NP culture
14
Q
the correct term for a cell that aids in the blood clotting process is?
A
platelets
15
Q
the middle and ring finger are the most common digits used to obtain a dermal puncture in adults?
A
TRUE
16
Q
the most common procedure for collecting many types of urine specimens is known as the?
A
midstream clean catch
17
Q
HIPPA is?
A
designed to keep personal health information private
18
Q
which is not a laboratory test that assesses for muscle disorders?
A
C&S
19
Q
hepatitis involves which organ?
A
liver
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)
21
Q
being free from contamination or germs is referred to as what term?
A
aspesis
22
Q
when collecting a blood sample to determine blood alcohol levles, what color tube should be used?
A
gray
23
implied consent from a patient to draw blood would be obtained by which action?
the patient extends their arm
24
if a sample needs to be diluted, what should be added?
diluent
25
a failure to fast when ordered can impact a blood sample in which of the following ways?
increasing its turbidity
26
potassium EDTA binds to what element in the blood?
calcium
27
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?
visit with your manager to verify the information and have it corrected
28
anchoring a vein properly requires which of the following actions?
placing the thumb of your free hand below the vein and stretching the skin.
29
the most common cause of contamination in blood cultures is which of the following?
improper site preperation
30
what is another name for thrombocyte?
platelet
31
inserting a needle at the point of divergence between veins can result in what?
an increased chance of hematoma
32
approximatley how many liters of blood is generally found the adult human body?
5 liters
33
a failure to allow alcohol to completley dry during site preperation can lead to what?
hemolysis
34
the process of maintaining control of a specimen from the point of collection until testing is complete is refered to as what?
chain of custody
35
which of the following is not required on a correctly completed requisition?
patient history
36
which is the proper sequence for proper sequence for putting on PPE?
gown, mask, gloves.
36
work place safety in a lab is governed by which agency?
(OSHA) occupational safety and health administration
37
when should sharps containers be disposed of?
when it is 3/4 full
38
the additive 3.2% sodium citrate results in what?
the prevention of clotting by binding calcium
39
prior to drawing from a sleeping patient, what should be done?
gently wake them up, and when they are ready, request they provide verification of their identity.
40
what type of draw is generally performed for patients in infancy?
heel stick
41
which of the following would not be required for a finger stick?
syringe
42
which of the following is a characteristic of capillaries?
they are found in every square inch of the human body
43
what action can prevent bruises from forming due to a blood draw?
applying firm pressure immediatley after and keeping a bandage on for several hours
44
which test order should be given the most priority?
STAT
45
which of the following is not a primary method of venipuncture?
lancet
46
why is blood drawn in a specific order?
to avoid cross-contamination of additives
47
when a sample is rejected for QNS, what is the appropriate response?
collect another sample with sufficent quanity
48
what is the first step in dealing with a patient that appears nervous?
assess their cause for concern and provide reassuarance
49
which of the following can reduce your risk of infection after being exposed to a bloodborne pathogen such as hepatitis b or HIV?
taking a post exposure prophylaxis
50
when a patients vein is small, thin, or fragile what would be the most appropriate equipment selecion?
syringe
51
which of the following needle gauge sizes has the largest bore (opening)?
18G
52
how long should a tube be pre-warmed in an incubator prior to collecting a warmed specimen, such as cold agglutinins?
30 minutes
53
which cleansing agent is not used on venipuncture for the blood collection of blood cultures or blood alcohol specimens?
isopropyl alcohol
54
what is an acceptable method of patient identification?
requesting the patient state their name and date of birth
55
if the patient indicates previous experiences of fainting during venipuncture, what should be done?
you may move them to an area in which they can lay down during the draw.
56
which of the following tests does not require fasting?
CBC complete blood count
57
what are the smallest veins in the human body?
venules
58
which of the following actions is standard practice when collecting a blood smear?
cleaning a slide with isopropyl alcohol and letting it dry
59
what is the smallest gauge needle to use in venipuncture?
23G
60
which test is not impacted by fasting?
blood culture
61
which of the following is not a standard vacuum tube size?
20ml
62
under what circumstances should a tube be prelabled?
never
63
how many unsuccessful attempts at venipuncture are allowed before seeking additional assistance is required?
2
64
for elderly patients, in which circumstances would a capillary puncture be be performed rather then venipuncture?
the patient has a tendency to form clots
65
what test requires that it be chilled in ice right after collection?
arterial gases, ammmonia, lactic acid, pyruvate, and ACTH
66
if one is used, when should the tourniquet be removed?
prior to withdrawal
67
what is the maximum depth a heel stick should penetrate?
2.0mm
68
in what location are nutrients and gasses exchanged in the body?
capillaries
69
septicemia can be detected by what type of test?
blood culture
70
which color tube needs to be filled completely?
blue
71
what can be done to make drawing esaier on a patient with rolling veins?
you can anchor the vein
72
when performing quality control checks, tubes should be discarded under which circumstances?
the stopper has small cracks
73
when should tubes be labeled?
after the draw, but before exiting the patients room
74
how long should you observe the site prior to bandaging
5 seconds
75
when washing your hands, why is it important to stand back from the sink?
contamination
76
which antiseptic should not be used on pre-term infants or those under 2 months of age?
chlorhexidine gluconate
77
when preparing to draw a gentamicin peak trough, what element should the phelebotomist pay particular attention to?
the timing instructions
78
what field is unnecessary on an infants blood sample label?
infants first name
79
which test requires the collection of both blood and urine at specific intervals?
glucose tolerance testing
80
which test requires the sample to be protected from light?
bilirubin
81
for adult patients, what is the maximum length lancet that should be used for a finger stick?
2.2 mm
82
if you experience a patient pumping their fists during a blood draw, what can you do?
polietly explain to then that this can elevate ionized calcium and potassium levels and request that they stop
83
during blood coagulation, what is formed?
a fibrin clot
84
the veins of patients undergoing chemotherapy are especially challenging for venipuncture due to what characteristics?
they are smaller, less elastic, and sometimes sclerosed
85
when performing a dermal puncture, where should the puncture be made?
perpendicular to the fingerprints
86
which blood vessels are single cell in thickness?
capillaries
87
to protect blood constitutes that are light sensitive, the phlebotomist should:
wrap the tube in aluminum foil after collection
88
which of the following vein is the most common second choice, after the median cubital vein, when drawing a blood sample?
cephalic
89
the most common HAI previously known as nosocomial laboratory infection is?
hepatitis
90
what test is used to diagnose hypoglycemia?
5 hour oral GTT
91
timed specimens are most frequently collected to monitor?
medication levels
92
what is the maximum amount of time an infant heel warming device should be applied for?
3-5minutes
93
what is the functional unit of the kidney known as?
medulla
94
what is the functional unit of the kidney known as?
medulla
95
what is the most common chemistry test performed by means of POCT?
glucose
96
plasma consists of what percentage of total blood volume?
45
