test practice Flashcards
1
Q
What does OSHA deal with?
A
Safety
2
Q
OSHA:
A
They have contact precautions
3
Q
DON
A
your gown before you enter the room
4
Q
DOFF
A
your gown before exiting the room
5
Q
droplet precautions
A
make sure you have a mask on
6
Q
Universal/ Standard precautions:
A
Assume everyone is infected
7
Q
HIPAA:
A
Protects patients privacy, never give out any of your login info to another worker
8
Q
What’s the best thing to prevent infection?
A
Wash your hands
9
Q
Toxicology or alcohol drug screen, paternity test
A
Remember chain of custody
10
Q
Never erase during paper charting
A
put a line through it and initial it and write error
11
Q
Anchor the vein
A
1-2 inches below the insertion site, When you anchor it helps minimize vein movement
12
Q
accidental needle stick (protocol)
A
Wash it with soap and water
Go and tell your direct supervisor
13
Q
What is the proper angle insertion?
A
15-30 degrees
14
Q
If you have a chemical spill what book do you need to look at?
A
SDS (Safety Data Sheets)
15
Q
Iatrogenic Anemia-
A
Rapid or severe blood loss in premature infants
16
Q
Fasting:
A
Patient can not eat or drink for 8-12 hours
17
Q
If a patient is on Warfarin what do we need to be cautious about when taking blood?
A
Warfarin is a blood thinner so they will have an increased bleeding time, and also watch for bruising
18
Q
Bilirubin
A
is a light sensitive blood draw. It needs to be put in a light sensitive bag
19
Q
When you have a patient that needs blood cultures done you are most likely looking for
A
Bacteremia
20
Q
At a 45 degree angle what could happen?
A
You could go through the vein
21
Q
What is your first vein choice?
A
Median cubital
22
Q
What cleaning agent do you use on the skin?
A
70% isopropyl alcohol, If they are allergic to alcohol you use chlorhexidine
23
Q
What kind of consent is someone giving when they put out their arm?
A
Implied
24
Q
If you walk in and a patient is considered in shock what do you need to do?
A
Maintain an open airway
25
The patient is now coding what position they need to be in for CPR?
Supine
26
A Phlebotomy wedge helps
make the patient more comfortable
27
What gauge of needle should you have for blood donations?
16-18 gauge
28
A blood glucose monitor needs to have
DAILY quality controls done
29
When you ask a patient when their last dose of medication was you are figuring out the
Therapeutic Drug Monitoring
30
Negligence is
failure to demonstrate proper care with results of injury
31
If you receive a critical value and the doctor's office is closed you need to
call the doctor's office from home
32
Glucose:
Fasting test
33
How deep is an infant heel stick?
2.0 mm
34
Bilateral section of the plantar heel
(The sides of the heel)
35
How many times does EDTA need to be inverted?
8-10 times
36
How many times does a gold top need to be inverted?
5 times and 30 minute blood clot time
37
order if draw(simplifided)
Citrate
Heparin
EDTA
Fluoride
38
If a person has a right mastectomy your first choice will be
from the left antecubital
39
If a person has a right side shunt and left arm IV you will do a
capillary finger stick on the left hand
40
STAT lab tests need to be
done first
41
What is the typical gauge needle for a butterfly?
23 gauge and you hold the wings to insert a butterfly needle
42
What blood draw needs to be put on ice?
Ammonia, Lactic Acid, Arterial Blood Gas (ABG)
43
When you clean a puncture site you need to let it
air dry
44
A tube works by having
the vacuum in it and the vacuum is negative pressure
45
How do you perform a blood smear?
Hold the glass piece at a 30 degree angle and wipe it across
46
If you use an expired tube they could have
loss of vacuum
47
If you have a diabetic patient and you miss getting their blood twice you need to go
and find someone else
48
If a patient refuses you need to
explain the procedure and make sure they understand
49
Educating a patient a collecting a sputum you need to tell them
to take a deep breath and cough
50
If a patient has bilateral scars your best next option is
the dorsal hands
51
After procedure to keep the patient safe you will
raise the siderails back up
52
You need to check the temperature of urine within
4 minutes of collection time
53
Glass slides go into
sharps container
54
which of the following test results are affected when a phlebotomy technician uses povidone-iodine to cleanse a site for a dermal puncutre?
potassium
55
a phlebotomy technician should select a tube that has which of the following anticoagulants to collect a sample for a PT/PTT test?
sodium citrate
56
which of the following tubes should a phlebotomy technician collect first when obtaining dermal samples?
lavender top
57
a phlebotomy technician is preparing several specimens for transport to the facilitys lab. which of the following specimens should the technician protect from bright light by placing it in an amber/brown biohazard bag for transport?
vitamin B6
58
a phlebotomy technician is collecting blood from a patient for donation. the collection bag only fills halfway, and the vein collapses. which of the following actions should the technician take?
use a new collection bag to draw a new unit of blood
59
a phlebotomy technician is applying a tourniquet prior to collecting a blood specimen from a patient. which of the following actions should the technician take?
tuck a partial loop of tourniquet underneath the tourniquet
60
a phlebotomy technician uses alcohol to cleanse a venipuncture site. before performing the venipuncture, the technician should allow the site to dry for which of the following reasons?
alcohol requires time for antiseptic action to take effect
61
a phlebotomy technician should identify that which of the following colors signifies a health hazard in the National Fire Protection Association (NFPA) 704 Marketing System?
blue
62
a phlebotomy technician is preparing to obtain a blood specimen from a patient for thyroid studies. the technician should select a collection tube that has a top with which of the following colors?
speckled
63
a phlebotomy technician has a requisition form to perform a chromosome analysis for the patient. the technician should select a collection tube that contains which of the following additives?
heparin
64
a phlebotomy technician is preparing to enter a patients room to collect a blood specimen. which of the following actions should the technician plan to take?
communicate name and department affiliation to the patient
65
a phlebotomy technician is preparing to draw a peak level for a medication that was administered orally to a patient. after verifying when the patient received the medication, how long should the technician wait prior to attempting the draw?
15min after administration
66
a phlebotomy technician is drawing a patients blood when the patient states that she is becoming dizzy and light-headed. which of the following actions should the technician take first?
remove the tourniquet and needle
67
to prevent hospital-acquired infections, a phleb. tech should clean items that have been contaminated by blood with a 1:10 dilution of which of the following substances and water?
sodium hypochlorite
68
a phleb tech is following the CLSI clinical laboratory workflow pathway. as part of the postexamination phase of this process, which of the following actions should the technician take?
enter critical laboratory data
69
a phleb tech is selecting a site to collect a blood specimen from a patient. after applying a tourniquet, the tech sees no apparent vein to use for the venipuncture. which of the following actions should the technician take
have the patient dangle their arm for 1 to 2 mins
70
which of the following actions is a phleb tech required to take before leaving a patients room?
initial and mark the date and time on each tube drawn
71
a phleb tech has a requisition form for a series of tests on a patients serum. the technician should select a collection tube that contains which of the following additives?
thrombin
72
a phleb tech is transporting blood specimens to a lab. which of the following actions should the tech take?
place the specimens in a lockable container
73
a phleb tech should transport a semen sample at which of the following temperatures?
36-38 celsius
74
which of the following actions should a phleb tech take to locate a vein using the warming techniques?
encase the warm towel in a plastic bag
75
a phleb tech should identify that which of the following is an identifier for a specimen as long as it remains in the lab?
accession number
76
what tube is used for ESR?
lavender
77
which of the following is the best method for a phlebotomy technician to collect a blood specimen from an older adult patient who has fragile, easy to collapse veins?
choose a syringe and butterfly assembly and transfer to an ETS tube
78
a phleb tech is collecting blood specimens from a patient for multiple blood assays. the tech should fill the tube that has which of the following additives first?
sodium citrate
79
which of the following actions should a phleb tech take after collecting an ammonia specimen?
place the specimen tube in an ice-water slurry
80
a phleb tech should identify that which of the following phrases is represented by the abbreviation "SD" ?
standard deviation
81
for which of the following tests should a phleb tech follow chain of custody guidelines?
blood alcohol
82
a phleb tech should identify that which of the following series of venipunctures steps is in the appropriate order?
assess the site, cleanse the site, and insert the needle
83
a phleb tech is collecting a blood specimen from a patient for blood cultures. which of the following additives do the blood collection tubes require?
sodium polyantheol sulfonate
84
used to see veins through the skin using a special light
hand immobilizer
85
for which of the following reasons should a phleb tech document the total volume of blood drawn from a patient?
to determine if the patient is at risk for developing latrogentic anemia
86
a phleb tech is preparing to perform a lactic acid test. which of the following actions should the technician take?
collect the specimen in a gray-topped tube
87
the joint commission recommends using the patient's full name and which of the following pieces of information to ensure accurate inpatient identification?
medical record number
88
blood cultures have been ordered on an adult patient in an intensive care unit. a nurse calls a phlebotomy technician to bring the appropriate materials. which of the following materials should the phleb tech bring?
an aerobic bottle and an aerobic bottle
89
a phleb tech is preparing to perform a blood draw when the patient states that he is severely allergic to latex. which of the following actions should the technician take?
use a blood pressure cuff and inflate it to 40 mm Hg
90
a phleb tech is using a POCT system to determine a patients WBC count. for which of the following results should the techn immediately notify the physician?
1.8/mm3
91
Which of the following regulations ensures that a phleb tec is proficient to perform job duties and responsibilities
CLIA
92
normal fasting glucose
70 to 110 mg/dL
93
A phlebotomy tec is collecting a urine specimen from a patient for a pre-employment drug test. which of the following actions should the technician take?
verify that the specimen contains at least 45mL of urine
94
which of the following actions by phlebotomy tec can result in grossly hemolyzed specimen?
using an incorrect needle gauge
95
a tec should identify that which of the following is one of the joint Commission 2016 national patient safety goal?
identify patients correctly
