Test 1 Flashcards

1
Q

Red blood cells, white blood cells, and platelets are known as the

A

the formed elements

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Regulation of body heat occurs in the _______ system

A

muscular

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The physician order says to puncture the skin, which of the following would the phlebotomist perform?

Select one:
a. Venipuncture
b. Dermal puncture
c. Phlebotomy
d. Cut down

A

B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What system maintains balance between water, salts and acids?

A

Urinary system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Of the following, which is the least desirable, vein to use for venipuncture?

Select one:
a. median cubital vein.
b. cephalic vein.
c. basilic vein.
d. median cephalic vein.

A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

The process of clotting is called

A

coagulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is the abbreviation for the blood group system?

A

ABO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Laboratory tests used to assess the endocrine system include all of the following except:

Select one:
a. Aldosterone
b. B type natriuretic peptide
c. Cortisol
d. Erythropoietin

A

B type natriuretic peptide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which of the following is a digestive enzyme commonly tested for in the laboratory?

A

lipase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Which of the following body systems provides support and allows the body to move?

A

skeletal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

The insertion of a needle into a vein for the purpose of withdrawing blood is

A

phlebotomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Oxia, capnia, pnea, and spiro are word parts that refer to what body system?

A

Respiratory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Cardiac muscle is stimulated by what type of nervous system?

A

autonomic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

another name for platelet is

A

thrombocyte

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Pulmonary circulation refers to the

A

blood flow to the lungs and back to the heart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

The majority of CO2 is transported through the circulatory system from tissue cells to the lungs as

A

bicarbonate ions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Red blood cells are known as

A

erythrocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

“RESPONDEAT SUPERIOR” is Latin for

A

Let the master answer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

If a patient feels threatened by the phlebotomist, he or she may bring suit under civil law for

A

assault

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

In a court trial involving a phlebotomy-related nerve injury, a phlebotomy supervisor is asked to testify regarding the proper angle of needle insertion for a venipuncture. What angle range should the supervisor indicate?

A

15- 30 degrees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

A civil wrong committed against a person or property that causes physical injury or damage to someone’s property or that deprives someone of his or her personal liberty and freedom is called

A

tort

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Which one of the following is sufficient proof that deviation from a standard of care has occurred?

A

documentation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

If a phlebotomist fails to exercise the level of care expected of any reasonable phlebotomist, the phlebotomist could be charged with

A

negligence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

At the end of a labor and delivery nurse’s shift, a nurse leaves a woman in labor before the nurse’s replacement arrives. What kind of negligence does this constitute?

A

abandonment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Malpractice lawsuits are part of ____ law.

A

civil

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

When a physician is terminating the care of a patient, physician is

A

withdrawing from the case

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

A process in which the opposing sides in a legal course of action, choose a person outside of the court system, with special knowledge in the field, to hear and decide a dispute is

A

arbitration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What type of consent exists when an emergency procedure such as CPR is provided?

A

Implied consent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

when a patient’s leg healed incorrectly because of the way the cast had been applied is an example of _____ cause

A

direct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Blood specimens should be drawn according to standards of the

A

Clinical and Laboratory Standards Institute (CLSI)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

A patient has come in for a blood draw. The phlebotomist cleanses the patient’s skin with a Betadine® swab and notices that the patient’s skin has turned red and bumpy. What question should the phlebotomist have asked prior to the cleansing?

A

do you have an allergy to iodine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

When using ergonomic principals when lifting, always

A

bend knees, keep back straight, do not stoop

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Gloves worn for phlebotomy should be changed

A

Between each patient contact

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Which of the following is an allergen commonly present in blood collection equipment?

A

Latex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Personnel drawing blood must follow Standard Precautions, which include all of the following except

Select one:
a. wearing appropriate personal protective equipment.
b. hand washing only when soap is available.
c. using needles with safety devices.
d. proper disposal of used needles.

A

B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Where is the most appropriate place in a clinical setting to find information on a substance’s hazards and recommended safety precautions?

A

The MSDS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Which of the following statements is inaccurate with regard to the use of gloves when drawing blood?

Select one:
a. Gloves prevent contamination of the hands when handling blood or body fluids.
b. Gloves only protect the wearer against the transmission of viruses.
c. Gloves help prevent the transfer of infectious microorganisms from one patient to another.
d. Gloves prevent the transfer of microorganisms from the phlebotomist’s hands to the patient.

A

B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

What is the first step the phlebotomist should take if the patient faints or vomits during a venipuncture?

A

Stop the procedure immediately

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

__________ precautions reflects the concept that all patient blood and body fluids are contaminated?

A

universal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

which fire extinguishers should be used when a fire occurs in or near electrical equipment?

A

class C or class ABC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

The federal law designed to protect patient health information is

A

Health insurance portability and accountability act

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Which agency should a medical facility contact for proper information regarding the disposal of medical waste?

A

OSHA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

The chain of infection requires____

A

a susceptible host

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

National Patient and Safety Goals (NPSGs) are developed and maintained by

A

The Joint Commission

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Personal protective equipment (PPE) includes which of the following items?

A

gowns, aprons, or gloves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

A phlebotomist would help to prevent needle sticks by

A

using OSHA approved safety needles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

Healthcare facilities achieve the greatest reduction in accidental exposures by requiring a combination of which of the following?

A

safe products and safe practices

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

There are many routes by which phlebotomists can be exposed to biohazards. Which of the following is not a common biohazard exposure route?

A

hand sanitizers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

The physical transfer of an infectious agent to a susceptible host through close or intimate contact is

A

direct contact transmission

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

A machine that can send documents rapidly to locations outside the office is the

A

fax machine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

is the home phone number required to be on a requisition form

A

No

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

What is an important reason to use proper labeling of laboratory specimens?

A

To help avoid testing delays

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

Which of the following devices answers calls for you and separates requests into categories so you can answer them efficiently?

A

automated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

A caller listening to a recorded menu and, in response, pressing a number on the telephone keypad is an example of using

A

an automated menu

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

The processed information or data generated by a computer to be received by the user is referred to as

A

output

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

Which of the following information on a specimen label is not optional?

Select one:
a. Computerized barcode
b. Laboratory accession number
c. Volume of anticoagulant tube
d. Time specimen was collected

A

D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q

What is the study of an individual’s concept and use of space?

A

proxemics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
58
Q

what would be scanned by a laboratory to identify patient or specimen

A

barcode

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
59
Q

Some fax machines use thermal paper, which

A

reacts to heat and electricity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
60
Q

Which of the following would be used to store data outside the CPU?

A

Universal Serial Bus (USB)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
61
Q

The physician orders peak and trough blood specimens for therapeutic drug monitoring of a drug taken orally. You collect the peak specimen at the appropriate time. You should then instruct the patient to return for the trough specimen

A

Just before the patient takes their next dose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
62
Q

When you are on the phone with a caller and you need to pick up another call, it is appropriate to

A

ask the first caller if they can be placed on hold while you find out what the other caller needs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
63
Q

_______ is verbal or nonverbal evidence that an individual received and understood a message

A

feedback

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
64
Q

Facial expressions made by the phlebotomist are an example of

A

non-verbal communication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
65
Q

A patient calls on the phone that is very angry over a laboratory error. Which of the following responses would be best made by the phlebotomist?

Select one:
a. “I can’t help you when you’re angry. Please call back when you calm down”
b. “I’m sorry. I’m sorry. I’m sorry.”
c. “I understand why you are upset. Let me see what I can do.”
d. “Please calm down. I can’t help you until you are reasonable.”

A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
66
Q

When the phlebotomist identifies with their patient’s feelings or thoughts, they are exhibiting

A

empathy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
67
Q

The process of communication occurs in a loop. Which of the following is not included in the communication feedback loop?

Select one:
a. Message
b. Sender
c. Feedback
d. Trust

A

D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
68
Q

Language limitations, cultural diversity, and hearing loss are examples of

A

barriers to communication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
69
Q

A telephone is ringing in an area of the laboratory in which the phlebotomy technician is the only person present. The technician should

A

answer the phone and immediately transfer to the proper department

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
70
Q

A phlebotomist who completes all work and documents all of the day’s activities before leaving for the day is demonstrating

A

professionalism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
71
Q

Insurance companies refer to what groups as primary care physicians?

A

family practitioners and internist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
72
Q

The world’s largest publisher of scientific and medical information is the

A

American Medical Association

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
73
Q

Which of the following use their eyes and hands to identify structural problems while supporting the body’s natural tendency toward health and self-healing?

A

Doctors of Osteopathy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
74
Q

When a patient with the flu describes how he has been unable to sleep, the empathic phlebotomist most appropriately responds with

Select one:
a. “I feel sorry for you.”
b. “It will get better soon.”
c. “I know how the flu can disrupt sleep.”
d. “You cannot expect to sleep when you are sick.”

A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
75
Q

Which specialists reads electrocardiograms (ECGs) for hospital laboratories?

A

Cardiologist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
76
Q

Hemoglobin and hematocrit are analyzed in what department

A

hematology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
77
Q

Which of the following would require the most attention when scheduling specimen collection assignments?

Select one:
a. 24-hour urine specimens
b. Random urine specimens
c. Tolerance test specimens Correct
d. Urine culture and sensitivity specimen

A

C; tolerance test specimens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
78
Q

The term used to describe when the body is still at rest, approximately 12 hours after the last intake of food, exercise, or activity is the

A

basal state

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
79
Q

A physician must be consulted prior to performing a venipuncture or capillary puncture on

A

a prior mastectomy patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
80
Q

the most common type of urine sample that may be obtained at any time of the day?

A

random urine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
81
Q

How long does the College of American Pathologists (CAP) recommend discontinuing drugs that interfere with blood tests prior to a procedure

A

4-24 hours

82
Q

The branch of surgery that works to maintain function of the musculoskeletal system is called

A

Orthopedics

83
Q

Bilirubin concentration decreases by what amount following one hour of exposure to light?

A

50%

84
Q

What is the name for finding employment opportunity information by talking with other people?

A

Networking

85
Q

A medical subspecialty that focuses on the diagnosis and treatment of patients with conditions resulting from an unexpected medical crisis or accident is

A

Emergency medicine

86
Q

residual urine is

A

urine that remains in the bladder after urination

87
Q

The standard urine value for protein is

A

Negative

88
Q

Which of the following is the most common injury occurring during venipuncture if the procedure is NOT performed according to standards?

A

Nerve injuries or hematoma

89
Q

What is POCT?

A

Point of care testing

90
Q

Exposure to light decreases concentrates in certain specimens. These specimens must be protected from light to prevent analytical errors. Which of the following needs to be protected from light?

A

Ammonia

91
Q

What type of catheter is used to collect specimens or to instill medications?

A

Straight

92
Q

Which of the following is a point of care test (POCT) used in diagnosing problems with hemostasis?

A

Bleeding times

93
Q

The guaiac card occult blood test is commonly performed on what type of sample?

A

Stool

94
Q

what is the single, most important factor in collecting an uncontaminated blood culture?

A

Proper collection site preparation

95
Q

The most common venipuncture site is located in which one of the following areas?

A

Antecubital area of the arm

96
Q

Which of the following sections is found in the Anatomical Pathology section of the clinical laboratory?

A

Cytology

97
Q

Which urine collection method is most suitable for culture and sensitivity testing of microbes?

A

Midstream clean catch specimen

98
Q

What type of catheter used for wound drainage, leads into the bladder ?

A

Drainage

99
Q

If a small-bore needle is used with a large-volume tube to collect a blood sample, what if anything will likely take place with respect to the sample?

A

Hemolysis

100
Q

Which type of catheter is inserted after plastic repair of the ureter and must remain in place for at least a week after surgery?

A

Splinting

101
Q

Which of the following are associated with the procedure during which a sterile plastic tube is inserted to provide urinary drainage?

A

Catheterization

102
Q

Arterial blood collected in a plastic syringe for arterial blood gas (ABG) testing that may be delayed in testing should be transported to the laboratory:

A

In an ice slurry

103
Q

A minimum of _____ of a sputum specimen is needed for an acid-fast bacillus (AFB) test?

A

3-5mL

104
Q

What amount of residual urine is considered abnormal

A

70 cc

105
Q

Blood specimens that need to be shipped off-site by mail systems must be packaged in accordance with the

A

FAA & DOT

106
Q

A sweat sample collected by forearm stimulation with the use of pilocarpine nitrate is a process known as

A

iontophoresis

107
Q

A pregnant patient who tells you that she is having pain during urination or in the kidney area may be experiencing

A

urinary infection or kidney stones

108
Q

When an outpatient reports a history of syncope the phlebotomy technician should

A

require the patient to lie down during the venipuncture

109
Q

What is proper collection of a sputum specimen

A

Mucus is coughed up from deep in the lung and expel sputum into a sterile cup

110
Q

A urine sample collected for a glucose tolerance test (GTT) must contain what additional information on the label?

A

Time of collection

111
Q

Catheterization is performed for what reason?

A

To obtain a sterile urine specimen and to relieve urinary retention

112
Q

A specimen that requires chilling for transport to the lab should be placed in

A

a container immersed in a slurry of crushed ice and water.

113
Q

Testing for human chorionic gonadotropin assesses the status of

A

pregnancy in women

114
Q

A quality fasting urine specimen is collected

A

8 hours after eating

115
Q

Urinary tract infections are the most prevalent __________ infections

A

nosocomial

116
Q

pneumatic tube is used when

A

transporting patient specimens to the hospital laboratory

117
Q

A postprandial specimen is collected

A

Directly after a meal is consumed

118
Q

what is the best technique to employ if blood is not obtained upon needle insertion?

A

Gently advance the needle or gently pull back slightly

119
Q

The phlebotomist has to prepare a blood smear for a leukocyte alkaline phosphatase (LAP). What is the correct procedure?

Select one:
a. Perform the skin puncture and touch the slide to first drop of blood
b. Perform the skin puncture and smear the slide with the first drop of blood
c. Perform the skin puncture, wipe away the first drop of blood and then touch the slide to the next drop of blood
d. Perform the skin puncture, wipe the first drop and then get a large drop and place in center of slide and place a cover slip over the drop

A

C

120
Q

The term calcaneus refers to

A

the heel bone in the foot

121
Q

An anticoagulant is used when collecting a sample for a blood glucose test because its ability to inhibit glycolysis. What colored stopper would be found on an evacuated blood collection tube used for this purpose

A

Gray

122
Q

A falsely decreased blood alcohol level may be obtained if

A

The tube is only partially filled

123
Q

Which of the following is of primary importance in preventing rolling veins during venipuncture?

a. Tightly apply tourniquet
b. Selecting median cubital vein
c. Using 23 gauge needle
d. Anchoring the vein while inserting the needle.

A

D

124
Q

When blood collected in a syringe must be placed in evacuated tubes it is best if

A

a blood transfer device is attached to the syringe

125
Q

To avoid contamination when should the needle cap be removed?

A

Just prior to performing the puncture

126
Q

A fully-stocked phlebotomy tray readily accessible to the phlebotomy technician while performing venipuncture should include which of the following?

a. Needles of various sizes
b. Needle holder/adapter
c. Evacuated blood collection tubes
d. All of the above

A

D

127
Q

The color-coded tube that is most frequently associated with hematological tests is

A

Lavender

128
Q

Which of the following situations would most likely trigger hematoma formation?
a. Removing the tourniquet before removing the needle.
b. Filling the evacuated tube only half full.
c. Removing the needle while the tourniquet is still on the arm. Correct
d. Applying too much pressure on a puncture site

A

C

129
Q

What color evacuated tube would be commonly used for coagulation testing?

A

Light blue

130
Q

Which of the following would be the very first step in performing a routine venipuncture on a patient?
a. Identify the patient Incorrect
b. Identify yourself
c. Explain the procedure
d. Apply the tourniquet

A

B

131
Q

If additive contamination occurred from an EDTA evacuated tube, what test would potentially be affected?

A

Potassium levels

132
Q

The phlebotomist has prepared the patient’s arm and found the basilic vein. Has the phlebotomist selected the preferred vein site for venipuncture?

A

No, the medial cubital vein is preferred

133
Q

Specimens are scheduled for collection at specific times for different reasons. Which of the following is most likely not a factor?
a. Measuring the body’s metabolism of the test substance
b. The substance exhibits diurnal variation Incorrect
c. Patients must be tested 2 hours before meals
d. To determine blood levels of medications prior to next dose

A

C

134
Q

What abnormal color will be observed in serum collected from a patient with jaundice due to elevated bilirubin levels?

A

Yellow

135
Q

Which of the following conditions would be most likely cause hemoconcentration?

A

Dehydration

136
Q

The anticoagulant heparin is used in tubes with tops of what color?

A

Green

137
Q

The phlebotomist would collect a blood sample in a tube containing the anticoagulant sodium citrate (which inhibits glycolysis) for which type of laboratory test?

A

Erythrocyte Sedimentation Rate (ESR)

138
Q

Serum tube, heparin tube, EDTA tube proper draw sequence?

A

Yes

139
Q

After the last tube is filled, which of the following is done next?

A

Filled tube is removed from the holder

140
Q

A serum or plasma specimen containing abnormally increased fatty substances from animal or vegetable origin is described as

A

Lipemic

141
Q

What instrument may be used when trying to visualize the veins during venipuncture?

A

Venoscope

142
Q

By bracing the hand while holding the needle assembly against the patients arm you prevent

A

excess needle movement

143
Q

a hematoma, and arm with and IV and an arm with a fistula are all areas where…

A

blood should not be collected

144
Q

A blood sample is needed from a dialysis patient is it acceptable to draw from the hand vein

A

yes

145
Q

If a vein feels hard and thready like when palpated, then this vein may be

A

sclerosed

146
Q

A basal-state specimen, used to establish reference ranges for inpatients, is best collected

A

early in the morning, after fasting for 12 hours

147
Q

As the phlebotomist, you have just completed drawing the last blood sample tube, you place gauze over the puncture site, remove the needle from the arm, activate the needle safety device and then release the tourniquet before applying pressure. Is this the correct sequence of steps?

A

No the tourniquet should be released first before the gauze pad is place over the puncture site

148
Q

What antiseptic should the phlebotomy technician use to collect a blood culture?

A

Chlorhexidine gluconate

149
Q

A skin puncture is preferred over a venipuncture when the patient

A

has severe burns.

150
Q

which anticoagulants is found in a green-topped blood collection vacuum tube?

A

sodium/lithium heparin

151
Q

Having patient bend elbow to apply pressure can cause

A

hematoma formation

152
Q

NPO status of the patient and time of last meal is required to be on the label of a blood bank specimen

A

False

153
Q

Apply firm pressure to the site of an arterial blood draw for how long

A

3-5 minutes

154
Q

It is mandatory the patients phone number is on a label of a blood specimen collected for blood transfusion testing?

A

False

155
Q

When a patient states that he or she has a needle phobia, the phlebotomist should

A

Have patient lay down during procedure

156
Q

Which of the following tubes is normally used to collect a serum sample?

A

red top

157
Q

You have to draw a 7 year old child for some blood work, what would be the best approach you should use when it is a child getting blood drawn?

A

Explain what you are going to do in simple terms and ask the child for his or her cooperation.

158
Q

When blood is inoculated into blood culture bottles using a butterfly apparatus the is aerobic or the anaerobic bottle to be filled first?

A

aerobic bottle in inoculated first.

159
Q

The main reason not to use expired evacuated tubes for blood specimen collection is

A

they may exhibit incomplete filling.

160
Q

The phlebotomist has a patient who has no known allergies and in preparing the venipuncture site the phlebotomist uses iodine to clean the site. Is this the best antiseptic to use and the most commonly used antiseptic used to prepare a routine venipuncture site on a patient with no known allergies?

A

No, the phlebotomist should use 70% isopropyl alcohol.

161
Q

The most common antiseptic for routine blood collection is

A

70% isopropyl alcohol

162
Q

is placing a gauze pad over the venipuncture site and holding pressure for 5 to 15 minutes the correct procedure to stop bleeding?

A

yes

163
Q

Preanalytical errors are mistakes made when?

A

before laboratory testing.

164
Q

A phlebotomist most likely not use a butterfly for which of the following patients?
a. An elderly patient with thin skin
b. A wiggling child
c. A patient with resilient and bouncy veins
d. A patient with small, thin veins

A

C

165
Q

Older patients are more prone to hematoma formation because

A

their veins have decreased elasticity

166
Q

Partial penetration of the upper wall of a vein may

A

allow blood to leak into subcutaneous tissue by way of the needle bevel

167
Q

To prevent glycolysis, which additive is used?

A

Sodium Fluoride

168
Q

Which of the following would be first in the sequence of performing a finger stick procedure?
a. Sanitize hands and put on gloves.
b. Clean and air-dry the puncture site.
c. Select the puncture/incision site.
d. Warm the puncture/incision site.

A

A

169
Q

Proper identification of a coherent adult inpatient includes

A

ask the patient their name and check the identification band that is physically attached to the patient.

170
Q

Blood smears made from EDTA specimens must be prepared within ____ hour of collection.

A

one

171
Q

An individual comes in for an autologous donation, what is this person coming to do

A

Donating their own blood for their own use

172
Q

Color coding indicates a needle’s

A

gauge

173
Q

A collapsed vein will cause a

A

cessation of blood flow

174
Q

The liquid portion of an anticoagulated blood specimen is called

A

plasma

175
Q

If serum is left to remain on the blood clot for more than one hour, which of the following most likely will occur?

A

Serum glucose levels decrease

176
Q

Swelling caused from blood leaking from a blood vessel is

A

hematoma

177
Q

The most critical part of a blood culture collection is

A

skin antisepsis of the collection site

178
Q

When is a phlebotomist allowed to use ankle veins to draw blood?

A

With a physician’s order

179
Q

Petechiae are tiny, non raised red spots on a patient’s skin when the tourniquet is applied. This indicates, that

A

the venipuncture site may bleed excessively

180
Q

If blood begins to flow and then stops when an evacuated tube is pushed into the needle the most likely cause is the

A

bevel of the needle resting against the vein wall.

181
Q

You have properly prepared the antecubital venipuncture site, you have the correct collection device and enter the vein at a 20 degree angle. Is this the proper angle of insertion?

A

No, 30 degrees is the correct angle for the needle to be inserted into the skin

182
Q

The heel is the recommended site for collection of capillary puncture specimens on infants and the phlebotomist is going to stick in the posterior curvature of the heel. Is this correct?

A

No the medial plantar surface of the heel is the best site to prevent possible bone damage

183
Q

what is the most critically affected analyte in a hemolyzed specimen

A

Potassium

184
Q

What is the preferred method for infant blood collection?

A

Capillary

185
Q

Which of the following actions could cause the formation of a hematoma?

A

The needle penetrates all the way through the vein

186
Q

Following venipuncture, which of the following should be applied to the venipuncture site?

A

Clean, sterile gauze pad

187
Q

When palpating, a vein having which one of the following characteristics would be most appropriate to select for venipuncture?

A

Bouncy

187
Q

Alcohol should be allowed to dry completely prior to skin puncture to

A

prevent lysis of red blood cells

188
Q

During venipuncture, a hematoma may result from which of the following?

A

Needle bevel is partially inserted into a vein

189
Q

Prior to bandaging the puncture site the phlebotomist should

A

examine the site for bleeding

190
Q

When a patient develops syncope during a venipuncture, the phlebotomist should first

A

remove the tourniquet and needle and then call for help.

191
Q

When is a phlebotomist allowed to perform a venipuncture on an ankle vein?

A

When all other options have been exhausted and the physician has given approval

192
Q

How long should a tourniquet be placed around a patient’s arm?

A

No more than one minute

193
Q

How far above the venipuncture site should the tourniquet be wrapped around the arm?

A

3 to 4 inches

194
Q

The color-coded tube that is most frequently associated with coagulation tests is

A

light blue

195
Q

Why is it necessary to wipe the first drop of blood away when performing a capillary procedure?

A

to eliminate excess tissue fluid; To reduce interstitial fluid contamination

196
Q

When performing a capillary blood collection, the first blood drop is wiped away because

A

the first drop typically has more tissue fluid

197
Q

If a patient is critical or an antibiotic needs to be given right away, and two blood culture sets are collected

A

When more than one set of blood cultures are ordered to be collected at the same time, the second set should be obtained from a separately prepared site on the opposite arm if possible

198
Q

Which substance has a higher concentration in capillary blood than in venous blood?

A

Glucose is normally higher in capillary blood compared to venous blood and Potassium, Calcium and Total Protein are normally lower

199
Q

The process by which complex substances are broken down into simple substances is called

A

Catabolism