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Phlebotomy > Section 2 Knowledge Assessment > Flashcards

Section 2 Knowledge Assessment Flashcards

1
Q

The sweat electrolytes/chloride test is typically used to screen for __________.
A Cystic fibrosis
B Multiple sclerosis
C Osteoporosis

A

A Cystic fibrosis

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2
Q

Capillary blood is a mixture of which of the following?
A Arteriole, venule and interstitial fluid
B Interstitial fluid and arteriole blood
C Arteriole blood and interstitial fluid

A

A Arteriole, venule and interstitial fluid

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3
Q

After receiving a physician’s order with a requisition for a trough and peak level, which procedure should the phlebotomist follow as most appropriate?
A Check with the patient’s nurse to get the time of the administration of the medication
B Ask the patient when they last took their medication
C Ask the physician

A

Check with the patient’s nurse to get the time of the administration of the medication

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4
Q

After drawing one vial of blood, the phlebotomist must centrifuge the specimen for the short-turn-around time test request before continuing with the rest of the morning’s draws. Which is the appropriate method to complete centrifugation?
A. Don’t put anything on the opposite side
B Place a water-filled tube across from the blood specimen
C Draw a second sample and place on the opposite side

A

C Place a water-filled tube across from the blood specimen

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5
Q

How many blood types are there?
A. 2
B. 3
C. 4

A

C. 4
Explanation: types A, B, AB, and O. AB can receive any type of blood and O can donate to any blood type.

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6
Q

Which of the following blood collection methods requires the phlebotomist to use a device to transfer the blood to an evacuated tube before transporting to the laboratory?
A Butterfly
B Evacuated tube
C Syringe

A

C Syringe

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6
Q

An extremely small blood vessel located within the tissue of the body is known as which of the following?
A Capillary
B Dermal
C Antecubital

A

A Capillary

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6
Q

For which of the following conditions are dermal punctures appropriate?
A Venous thrombosis
B Obesity
C Fragile veins
D. b and c

A

D. b and c

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6
Q

The laboratory received a specimen that did not contain enough serum to perform the required blood test. How is this reported?
A. Q
B QS
C QNS

A

C QNS
Explanation: Quantity not sufficient

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7
Q

Where do blood cells originate?
A. RBCs
B. Bone marrow
C. Platelets

A

B. Bone marrow

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8
Q

A semen analysis must be __________.
A. refrigerated
B. frozen
C. delivered to the lab within 30 minutes of collection

A

C. delivered to the lab within 30 minutes of collection

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9
Q

You have an order for a maternal panel that includes ABO Rh blood typing that will be performed in which department?
A. Blood bank
B. Hematology
C. Immunology

A

A. Blood bank

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10
Q

What is the normal pH of blood?
A 7.35-7.45
B 7.35-7
C 7.45-8

A

A 7.35-7.45

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11
Q

Which of the following blood types is identified as a universal recipient?
A O
B AB
C A

A

B AB

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12
Q

When providing instructions to a patient to collect a sputum sample, which of the following is the most appropriate direction?
A “You should provide the specimen in the morning before eating or drinking”
B Provide a specimen after eating and drinking in the morning
C Provide a specimen and do a mid stream clean catch

A

A “You should provide the specimen in the morning before eating or drinking”

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13
Q

A pregnancy urine specimen in typically collected __________.
A in the evening
B in the morning
C before bed

A

B in the morning

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14
Q

A 72-hour stool specimen is collected to determine __________.
A Fat quantities
B Occult stool
C Alcohol levels

A

A Fat quantities

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15
Q

The Phlebotomy Tech is sharing tips with the new Phlebotomy Tech to decrease specimen rejection rate due to hemolysis. What tips are offered?
A Allow alcohol to dry completely on the skin before inserting the needle
B Gently invert or rotate specimen containers
C Allow time for capillary action to occur when filling a micro-container
D All of the above

A

D All of the above

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16
Q

When performing point-of-care testing, the phlebotomist must perform quality control on a new package of test strips as a part of which of the following?
a Pre-analytic variables
b analytic variables
c post analytic variables

A

a Pre-analytic variables

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17
Q

All of the following except __________ may result in prolonged bleeding at the puncture site.
a Coumadin
b vitamin k
c vitamin e

A

vitamin k

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18
Q

Which artery is most frequently used for ABG collection?
a Dorsalis pedis
b Radial

A

b Radial

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19
Q

Which of the following procedures is appropriate for preparing blood and other potential infectious materials for transport?
a Place the materials in a leakproof container
b bring an ice slurry along
c bring rubber bands to keep the samples together

A

a Place the materials in a leakproof container

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20
Q

Within what time should the patient drink the glucose solution required for a GTT?
a 5 minutes
b 10 minutes
c 15 minutes

A

a 5 minutes

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21
Q

One of the first detectable signs of renal disease is __________.
a Bilirubinuria
b Proteinuria

A

b Proteinuria

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22
Q

After a patient received a dose of Lithium 30 minutes previously, the phlebotomist will draw which of the following levels?
a - peak
b - trough

A

a - peak

23
Q

Which information must match on the patients ID band and the requisition?
a ID number
b Patient’s name
c DOB
d All of the above

A

d All of the above

24
Q

What is an increase in WBC count?
a Leukopenia
b Leukocytosis

A

Leukocytosis

25
Q

Hemostasis is defined as
Hint: stasis means to stop

A

Stoppage of blood

26
Q

When preparing a blood smear slide, which of the following actions should the phlebotomy technician take?
A Label the slide prior to collection of the sample
or
B Touch the slide to the second drop of blood

A

B Touch the slide to the second drop of blood

27
Q

Another name for thrombocyte is which of the following?
Platelets
or
Blood cells

A

Platelets

28
Q

If the phlebotomist is preparing to complete a blood draw and the last red topped tube is expired, what should be done to complete the blood draw with a red-topped tube?

A

Dispose of the expired tube and obtain another

29
Q

The phlebotomist is drawing which of the following tests for a patient being screened for diabetes mellitus?
A Glucose
B CBC
C Blood culture

A

A Glucose

30
Q

When instructing a patient to collect a urine specimen for a culture and sensitivity test, what statement would be the proper instructions provided by the phlebotomist?

A

“You will need to provide a midstream clean-catch specimen”

31
Q

If the patient is very anxious about the pain he or she expects to feel, what should the phlebotomist do?
A. Try calming the patient
or
B. A topical anesthetic cream may be applied one hour before

A

B. A topical anesthetic cream may be applied one hour before

32
Q

If a urine specimen cannot be analyzed within 1 hour, what is the best course of action?

A

Refrigerate the specimen

33
Q

What does CBC represent?

A

Complete blood count

34
Q

You attempted two venipunctures on a patient without success. The patient tells you it’s okay to try again. What should you do?

A

Find another phlebotomist to complete the draw

35
Q

The Phlebotomy Tech is collecting blood from a finger-stick. He is concerned he may not have collected enough blood and is worried he may have to re-stick the patient. He is able to squeeze out a few more drops of blood by squeezing and milking the fingertip. What, if anything, was done wrong, and why?

A

The phlebotomist should not squeeze and milk the site; fluid from the fingertip tissue may be squeezed into the specimen

36
Q

A phlebotomy technician has received a urine drug screen specimen with a temperature of 26.8⁰ C (80.2⁰F). What actions should be taken?

A

Have the patient provide another sample under observation

37
Q

When performing a blood collection for pregnancy, random glucose, WBC, and coagulation, in which order should the tubes be selected by the phlebotomist for the blood draw?
A SST, sodium heparin, and sodium citrate
B SPS, sodium heparin, and sodium citrate
C ETDA, SPS, and sodium heparin
D Sodium citrate, SST, and EDTA

A

D Sodium citrate, SST, and EDTA

38
Q

Casts in a urine specimen develop in what part of the urinary tract?
A Bladder
B Renal
C Urethra
D Ureters

A

B Renal

39
Q

Crying causes an increase in __________.
A WBC count
B Platelet count
C Bilirubin
D Creatinine

A

A WBC count

40
Q

A new Phlebotomy Tech is gathering equipment for an arterial puncture. She has gathered the following equipment: heparin solution of 1,000 IU per ml, container of water, betadine wipes, sterile needle, and syringe. What else is needed for this puncture?

A Requisition form
B Tubes
C Sterile gauze
D Alcohol wipes

A

C Sterile gauze

41
Q

When transporting a cryoglobulin sample to the laboratory, which of the following temperatures should the specimen be kept for proper handling?
A 21⁰ C (69.8⁰F)
B 0⁰ C (32⁰F)
C 37⁰ C (98.6⁰F)
D 4⁰ C (39.2⁰F)

A

C 37⁰ C (98.6⁰F)

42
Q

After preparing for venipuncture and uncapping the needle to begin the procedure, which step should the phlebotomy technician take next?

A Anchor the vein above and below the site
B Hold a gauze pad over the needle
C Remove the tourniquet
D Position the needle at a 40-degree angle

A

A Anchor the vein above and below the site

43
Q

A 2-hour postprandial test is used to test for __________.

A Blood alcohol
B Medication levels
C Diabetes mellitus

A

C Diabetes mellitus

44
Q

If an unlabeled specimen is received in the laboratory, which of the following actions will the phlebotomy technician need to take?

A Hand write a label and process and unlabeled specimen
B Have the laboratory technician label the specimen
C Re-collect the unlabeled specimen
D Print a label and process the unlabeled specimen

A

C Re-collect the unlabeled specimen

45
Q

To obtain a sputum specimen, which of the following steps are part of the procedure that the phlebotomist must complete when a requisition is received for this non-blood collection?

A Instruct the patient to cough deeply and expectorate into the container
B Swab the back of the throat
C Smear the sample onto a microscopic slide
D Instruct the patient to spit saliva into the container

A

A Instruct the patient to cough deeply and expectorate into the container

46
Q

Hematomas can be caused by __________.

A Removing the tourniquet before withdrawing the needle
B Removing the tourniquet after removing the needle
C Withdrawing the needle before removing the last tube
D Withdrawing the needle too quickly

A

B Removing the tourniquet after removing the needle

47
Q

The new Phlebotomy Tech has just successfully performed her first venipuncture using a syringe. She was careful not to pull up too quickly on the plunger when collecting the specimen or push it down too forcefully when transferring the blood from the syringe to the specimen container. What do these special precautions prevent?

A Adulteration of the specimen
B Hemolysis
C Bacterial contamination
D A needlestick accident

A

B Hemolysis

48
Q

Which of the following should the phlebotomist provide to the patient for a random urine specimen?

A Sterile Container
B 24-hour container
C Clean container
D Any of the above

A

C Clean container

49
Q

If a tourniquet is left on for longer than 1 minute, which can the phlebotomist expect to see when drawing blood for a potassium test, CBC, and glucose test?

A Low potassium level
B High CBC level
C Low iron level
D High potassium level

A

D High potassium level

50
Q

Tourniquets should be placed __________ inches above the venipuncture site.
A 1-2 inches
B 2-3 inches
C 3-4 inches

A

3-4 inches

51
Q

Blood culture collection involves __________.

A an aerobic sample
B an anaerobic sample
C both samples

A

C both samples

52
Q

What is the purpose of the clinical laboratory?
A accurate analysis of specimens
B collection of correct specimens for correct tests
C physician notification of results
D all of the above

A

D all of the above

53
Q

Which is the required specimen for occult blood test?
A plasma
B serum
C feces

A

C feces

54
Q

To collect a cold agglutinin sample, which action should the phlebotomist take?

A Pack the specimen tube in ice before collection
or
B Warm the specimen tube for 30 minutes before collection

A

B Warm the specimen tube for 30 minutes before collection

55
Q

A group of inherited disorders marked by increased bleeding times is known as __________.

A

Hemophilia

56
Q

Which type of urine specimen requires that the patient first urinate into the toilet then into the collection cup?
A Midstream clean-catch specimen
OR
B First morning pee

A

A Midstream clean-catch specimen

57
Q

When instructing a patient to collect a urine specimen for a culture and sensitivity test, which statement best demonstrates the proper information provided by the phlebotomist?

A “You must fast prior to collecting the specimen”
or
B “You will need to provide a midstream clean-catch specimen”

A

B “You will need to provide a midstream clean-catch specimen”

58
Q

A catheterized urine sample may be collected __________.
A By the physician or specially trained personnel
B When the midstream clean-catch is not available
C When the patient is unable to produce a specimen
D All of the above

A

D All of the above

Phlebotomy (17 decks)

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