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Phlebotomy Final > Study Guide > Flashcards

Study Guide Flashcards

1
Q

A test is ordered fasting to

A

Eliminate the effects of diet on test results

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2
Q

Going without food or drink except for water for 8-12 hours is defined as

A

Fasting

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3
Q

A basic step that can be taken to minimize any trauma associated with venipuncture is to

A

Choose the most skilled Phlebotomist to perform the venipuncture

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4
Q

To examine by touch or feel is to

A

Palpate

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5
Q

In most cases, needle insertion should be performed

A

Using a smooth steady motion forward

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6
Q

The reason a teat is ordered times is to

A

Draw it at the best time for accurate results.

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7
Q

Bending the arm up after venipuncture

A

Enables the site to quickly stop bleeding

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8
Q

The unique # assigned to a request is the

A

Accession #

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9
Q

Information represented by the bar code (patient ID) includes the patient’s

A

Medical records # & name

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10
Q

If a test is ordered STAT it may mean that the patient is in

A

Critical condition

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11
Q

Which of the following tests is commonly ordered STAT

A

Lytes

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12
Q

A pre-op patient

A

Will soon be going to surgery

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13
Q

A patient who is NPO

A

Cannot have any food or drink

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14
Q

An example for a test commonly ordered timed is

A

Glucose

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15
Q

Which liquid is acceptable to drink when one is fasting

A

Water

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16
Q

A common post-op test is

A

H&H

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17
Q

DNR means

A

Do not resuscitate

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18
Q

A patient says it’s not okay to draw their blood, you should

A

Determine what the problem is before proceeding

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19
Q

Which one of the tests is used to identify protein disorders that leads to nerve damage?

A

SPEP

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20
Q

Your patient is asleep, you should

A

Call out the patient’s name softly and shake the bed gently

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21
Q

There is a sign above the patient’s bed that says no blood draw in right arm but has an IV in left forearm. Where should you draw for a CBC?

A

A finger stick in the left hand

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22
Q

Lab results can be negatively affected if the phlebotomist while preparing to collect

A

Startles the person in their sleep

23
Q

In collecting a blood specimen from an unconscious patient it us unnecessary to

A

Move the patient to a special Phlembotomy collection area

24
Q

What do you do if a physician is in the room with a patient that has a test ordered STAT?

A

Introduce yourself and ask if you can draw the test STAT

25
Q

What us the best thing to do if the family or visitors are in the room?

A

Ask them to wait outside

26
Q

How do you verify that the person in 32B is John Doe

A

Ask for his name & DOB and match the lab requisition

27
Q

Your patient is cranky and rude to you, what do you do?

A

Be as professional as you can and collect the specimen in a normal way

28
Q

What is the most critical mistake a phlebotomist can make?

A

Misidentify the patient’s specimen

29
Q

Where is the best place yo apply the tourniquet?

A

3-4” above the venipuncture site

30
Q

A national organization that sets standards for phlebotomy procedures

A

CLSI

31
Q

Which of the following veins are in the proper order of vein selection for venipuncture?

A

Median cubicle, cephalic, basilic

32
Q

The difference between serum and plasma is

A

Plasma contains fibrinogen

33
Q

Which needle gauge has the smallest diameter

A

23

34
Q

Which tube contains EDTA

A

Lavender stopper

35
Q

If you centrifuge a specimen collected in a __ tube, the clear liquid portion is called serum

A

red stopper

36
Q

Which of the following tubes are in the proper order of draw for the evacuated tube method?

A

Light blue, red, green

37
Q

Which needle gauge is the standard needle for the evacuated tub method?

A

21 guage

38
Q

what special handling does a bilirubin specimen require?

A

Protect from light

39
Q

The BEST way to avoid reflux

A

Ensure the tube fills from the bottom up

40
Q

For which of the following tubes is the blood-to-anticoagulant ratio most critical?

A

Lavender stopper

41
Q

The recommended angle of needle insertion for routine venipuncture is

A

30 degrees or less

42
Q

The tourniquet must not be longer than

A

1 minute

43
Q

Which test may be elevated if collected from a screaming baby?

A

White blood count

44
Q

Capillary puncture blood more closely resembles

A

Arterial blood than venous blood

45
Q

The maximum allowable depth a lancer should penetrate during heel puncture is

A

2.0 mm

46
Q

When performing a GTT, the fasting specimen is collected at 0610. The patient is given the glucose beverage at 0613 and finishes at 0618. When is the 1-hour specimen collected?

A

0718

47
Q

Which of the following is an unsafe site for heel puncture?

A

Posterior curvature of the heel

48
Q

Damage to the red blood cells and release of hemoglobin into the serum or plasma is called

A

Hemolysys

49
Q

The silica in an SST

A

Activates and enhances clotting

50
Q

Which test is most affected by tissue fluid contamination

A

Protime

51
Q

What is the advantage of collecting STAT chemistries in green stopper tubes?

A

The test can be performed sooner

52
Q

Which anticoagulant inhibits formation

A

Heparin

53
Q

Which of the following tests is commonly ordered on patients with FUO?

A

Blood cultures

54
Q

The substance typically used to clean a site prior to routine venipuncture is

A

70% isopropyl alcohol

Phlebotomy Final (9 decks)

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