Test Flashcards
what temperature should a semen sample be transported?
a. 36-38 degrees
b. 40 degrees
c. 25 degrees
d. none
a. 36-38 degrees C
Which of the following would result in a grossly hemolyzed specimen?
a. butterfly adapter
b. incorrect needle gauge
c. centrifugate before 2 hours
d. not inverting the tubes 8 times
b. Incorrect needle gauge
Which of the following is proper procedure after collecting ammonia specimen?
a. Place in a biohazard bag
b. Place specimen in ice water slurry (or cup of ice)
c. Keep at room temperature
d. none
b. Place specimen in ice water slurry (or cup of ice)
A phlebotomist is preparing to draw blood from a patient in the hospital. The patient extend his arm and turns head away- Which consent does this indicate?
a. consent
b. Implied consent
c. no consent
d. none
b. Implied consent
Why should a phlebotomist document volume of blood drawn from a patient?
a. osteochondritis due to blood taken
b. Iatrogenic anemia could be a result of too much blood taken
c. only a and b
d. none
b. Iatrogenic anemia could be a result of too much blood taken
A 69 year old unconscious patient is brought to the ER. Several blood test are ordered. The phlebotomist collects blood under
a. complied consent
b. no consent
c. Implied consent
d. none
c. Implied consent
Which of the following actions are appropriate when labeling specimens
a. Label the specimens when the patient leaves
b. Label the specimens at the time of collection in front of the patient
c. Label the specimens before goes to the lab
d. none
b. Label the specimens at the time of collection in front of the patient
Before collecting blood on a patient, the phlebotomist notices there is not wrist band on wrist. There is one on the IV pole. what do you do?
a. Don’t draw until nurse puts an arm wrist on the patient
b. Draw the blood and wait for the nurse to put the arme wrist
c. leave the patient and come back later
d. none
a. Don’t draw until nurse puts an arm wrist on the patient
Which is the appropriate form of identification in a patient setting?
a. Picture ID and verbal
b. Wrist band only
c. Verbal and wrist band
d. none
c. Verbal and wrist band
A blood specimen is rejected by lab with QNS as the reason. Why?
a. The specimen was insufficient not enough blood
b. The specimen was cold
c. The specimen had more blood than needed
d. none
a. The specimen was insufficient not enough blood
Which of the following is the best method to prevent internal or external bleeding from venipuncture site after needle is removed?
a. Apply pressure to prevent leakage of blood into the tissues
b. Apply pressure bending the arm
c. Apply pressure with a gauze for 2 minutes
d. none
a. Apply pressure to prevent leakage of blood into the tissues
A physician orders a STAT but phlebotomists forget to fill out the patient ID number. What is appropriate procedure for an improperly labeled specimen when received in the lab?
a. Lab cancelled the test
b. Lab rejects the mislabeled specimen
c. Lab rejects the specimen and request a new draw
d. None
b. Lab rejects the mislabeled specimen
A phlebotomist is performing venipuncture and the patient begins to seize . what is the correct action?
a. continue the draw and ask for help
b. discontinue the draw
c. only a and b
d. none
b. Discontinue the draw
Which is the best method to collect a blood specimen from an older adult patient who has fragile, easy to collapse veins?
a. Use the buterfly assembly
b. Choose a syringe and butterfly assembly
c. Choose the butterfly assembly and the ETS tubes
d. none
b. Choose a syringe and butterfly assembly
The order of draw for capillary collections is different than venipuncture because
a. it is for small veins
b. Increased risk of coagulation - platelets start to form
c. can obtain minimum blood to prevent iatrogenic anemia
d. none
b. Increased risk of coagulation - platelets start to form
Upon entering a patients room for routine blood draw , the phlebotomist notices a clergy member is with the patient. What should you do?
a. draw the blood while the clergy is there
b. Return later after drawing other patients
c. leave the requisition form with the nurse
d. none
b. Return later after drawing other patients
A phlebotomist notices a hematoma developing at the site of venipuncture. The phlebotomist should ?
a. Stop the draw
b. Release the tourniquet and stop the draw
c. Release the tourniquet and continue with the draw
d. none
b. Release the tourniquet and stop the draw
A phlebotomist working in an infertility clinic and the patient is to submit a semen specimen. The phlebotomist should tell the patient..
a. as soon as you collect the specimen, keep it close to your body and bring it right away
b. as soon as you collect the specimen, bring it to the lab
c. you need to provide the specimen in the lab
a. as soon as you collect the specimen, keep it close to your body and bring it right away
After placing the tourniquet on a patients arm, the phlebotomist notices small red spots below the tourniquet.
a. hematoma
b. hemolysis
c. petechiae
d. none
c. Petechiae
The phlebotomist should examine the antecubital veins of both arms because
a. The median cubital may not be accessible
b. The median cubital may be more accessible on one side than the other
c. The median cubital may be bigger in one side than the other
d. none
b. The median cubital may be more accessible on one side than the other
What is the appropriate cleanser to clean the meatus for a clean catch urine specimen?
a. Isopropyl 70%
b. Benzalkonium chloride
c. Idoine povidone
d. none
b. Benzalkonium chloride
which of the following is appropriate to use when collecting for a chemistry test that requires serum?
a. Red tube
b. Lavender/red
c. Tiger tubes
d. SST / red gel tube
d. SST / red gel tube
Which is the best tube for collecting an ethanol specimen?
a. Sodium heparin
b. Sodium fluoride
c. Sodium citrate
d. Potassium oxalate
b. Sodium fluoride
A group of tests collected as one unit
a. Unit
b. Profile
c. Compound
d. none
b. Profile
what is the normal span of an RBC?
a. 120 days
b. 150 days
c. 100 days
d. none
a. 120 days
The internal space of a blood vessel
a. endothelium
b. Adventitia
c. lumen
d. none
c. lumen
what is another name for winged infusion sets?
a. vacutainer
b. butterfly
c. ETS
d. none
b. butterfly
The left ventricle delivers oxygenated blood to the aorta
a. true
b. false
a. True
Tiny red spots on the skin cause from the rupture of capillaries are called
a. eczema
b. phlebitis
c. petechiae
d. cancer
c. Petechiae
The hormone detected in a positive pregnancy test is
a. HCG
b. UCG
c. AKG
d. none
a. HCG
The proper order of donning PPE
a. goggles, mask, gloves
b. gown, mask, gloves
c. gloves, mask, gown
d. none
b. Gown, mask, gloves,
Which fluid is obtained by lumbar puncture
a. synovial fluid
b. Cerebrospinal fluid
c. secretion fluid
d. spinal fluid
b. Cerebrospinal fluid
The most common source of carry over problem is EDTA
a. true
b. false
a. True
Arteries have valves that prevent the blood from flowing back
a. true
b. false
b. False
A drug known to interfere with urine tests should be discontinued 48-72 hours prior to the test?
a. true
b. false
a. True
Which of the following is the best definition of destruction of red blood cells?
a. hematoma
b. hemoconcentration
c. hemolysis
d. none
c. Hemolysis
The purpose of an antiglycolytic agent is
a. inhibit the glucose
b. increase the glucose
c. preserve the glucose
d. none
c. Preserve glucose
What additive is usually in the lavender tube?
a. SPS
b. Sodium citrate
c. EDTA
d. ACD
c. EDTA
Where the blood cells originate?
a. Blood stream
b. bone marrow
c. spine
d. none
b. Bone marrow
Which WBC carries histamine?
a. Eosinophils
b. Basophils
c. Neutrophils
d. none
b. Basophils
which of the following veins in the arm are most subjected to venipuncture
a. basilic
b cephalic
c. median cubital
d. radial
c. Median cubital
If someone is cyanotic their skin may appear
a. reddish
b. bluish
c. greenish
d. yellowish
b. Bluish
An example of nosocomial infection is
a. Catheter site of ICU patient becomes lose
b. Catheter site of ICU patient becomes infected
c. Catheter site of ICU patient becomes cleaned
d. none
b. Catheter site of ICU patient becomes infected
The relaxing phase of the cardiac cycle is Bradycardia
a. Systole
b. Diastole
c. Mitral
d. Cardiac
b. Diastole
The left ventricle delivers oxygenated blood to the aorta.
a. True
b. False
a. True
Ammonia chemical test would be done with a _____________ tube?
a. Light blue
b. Green
c. Lavender
d. Gray
b. Green
Cortisol peaks late in the afternoon
a. True
b. False
b. False
POC testing is done where?
a. At the hospital
b. In the doctors office
c. The patients bed
d. At the laboratory
c. The patients bed
Which tube is sometimes called a serum separator tube?
a. Lavender/Pink
b. Red/Gray
c. Green/Grey
d. Red/yellow
b. Red/Gray
Blood cultures are collected in ____________ tube
a. Light blue
b. Green
c. Yellow
d. Red
c. Yellow
Which is a test of the urinary system?
a. BUN
b. Creatinine clearance
c. CBC
d. Urine analysis
b. Creatinine clearance
According to CLSI which tube is filled last when using a syringe?
a. Sodium citrate
b. EDTA
c. Heparin
d. SPS
b. EDTA
Which is not a reason for failure to collect blood?
a. Patient fasted
b. Patient is under blood thinners
c. Patient drank too much liquid
d. Patient is in the hospital
c. Patient drank too much liquid
The first phase of hemostasis is
a. Phlebitis
b. Vascular stage
c. Hemolysis
d. Hematoma
b. Vascular stage
Glass particle in serum separator tubes
a. Enhance clotting
b. Stop clotting
c. Clear clotting
d. Anticoagulate
a. Enhance clotting
Which layer of the heart is the epicardium?
a. Inner
b. Outer
c. Middle
d. None
b. Outer
Test for this dept are usually collected in a light blue tube
a. Coagulation
b. Chemistry
c. Immunology
d. None
a. Coagulation
An NP culture swab is collected to help diagnose…
a. Brucellosis
b. COVID 19
c. Whooping cough
d. None
c. Whooping cough
Which would be considered a pre analytical error?
a. Improper time of collection
b. Short draw of specimen
c. Test the specimen in the morning
d. None
a. Improper time of collection
At what intervals should blood be bottled during bleeding time test?
a. 60 seconds
b. 30 seconds
c. 45 seconds
d. 60 seconds
b. 30 seconds
Latex sensitivity is an allergic reaction
a. True
b. False
a. True
Repeated venipuncture in the same vein can cause
a. Tachycardia
b. Phlebitis
c. Hematoma
d. None
b. Phlebitis
Which body plane divides the body in equal portions?
a. Transverse
b. Frontal
c. Mid sagital
d. Sagital
c. Midsagital
A urine C & S is ordered to detect
a. Presence of bacteria
b. Prescence of UTI
c. Prescence of vaginal infections
d. none
b. Prescence of UTI
Fluid aspirated from the peritoneal cavity
a. Monocites
b. Ascites
c. peritoneal
d. none
b. Ascites
Which test is not light sensitive test?
a. bilirubin
b. BAC
c. Ammonia
d. none
c. Ammonia
Invert a tiger top tube _________ times
a. 8 times
b. 10 times
c. 12 times
d. none
a. 8
A green top tube usually contains
a. EDTA
b. Potassium oxalate
c. Sodium citrate
d. Heparin, sodium lithium
d. Heparin, sodium lithium
Veins have thinner walls than arteries
a. true
b. false
a. true
The test used to evaluate intrinsic pathway is called
a. PT
b. PTT
c. APTT
d. PT and PTT
c. APTT
A patient state she is a difficult draw and requests a skin puncture, the test is a PTT. What should you do?
a. use a capillary tube
b. use the dermal puncture and put in light blue tube
c. use a syringe and transfer to a light blue tube
d. use a butterfly and transfer to light blue
c. Use a syringe and transfer to a light blue tube
Which of the following procedural steps for a finger stick should the phlebotomist do first?
a. ask the patient for their ID
b. confirm the patients ID
c. verify the patient ID with the wristband
d. none
b. Confirm the patient ID
A phlebotomist is drawing blood from a patient and observes red spots, which of the following is an appropriate action for the phlebotomist to take?
a. Apply pressure while collecting blood
b. Stop the draw
c. Apply pressure after collecting the specimen
d. Apply pressure once the tourniquet is on
c. Apply pressure after collecting the specimen