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phlebotomy > test practice > Flashcards

test practice Flashcards

1
Q

What does OSHA deal with?

A

Safety

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2
Q

OSHA:

A

They have contact precautions

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3
Q

DON

A

your gown before you enter the room

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4
Q

DOFF

A

your gown before exiting the room

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5
Q

droplet precautions

A

make sure you have a mask on

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6
Q

Universal/ Standard precautions:

A

Assume everyone is infected

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7
Q

HIPAA:

A

Protects patients privacy, never give out any of your login info to another worker

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8
Q

What’s the best thing to prevent infection?

A

Wash your hands

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9
Q

Toxicology or alcohol drug screen, paternity test

A

Remember chain of custody

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10
Q

Never erase during paper charting

A

put a line through it and initial it and write error

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11
Q

Anchor the vein

A

1-2 inches below the insertion site, When you anchor it helps minimize vein movement

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12
Q

accidental needle stick (protocol)

A

Wash it with soap and water

Go and tell your direct supervisor

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13
Q

What is the proper angle insertion?

A

15-30 degrees

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14
Q

If you have a chemical spill what book do you need to look at?

A

SDS (Safety Data Sheets)

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15
Q

Iatrogenic Anemia-

A

Rapid or severe blood loss in premature infants

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16
Q

Fasting:

A

Patient can not eat or drink for 8-12 hours

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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

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18
Q

Bilirubin

A

is a light sensitive blood draw. It needs to be put in a light sensitive bag

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19
Q

When you have a patient that needs blood cultures done you are most likely looking for

A

Bacteremia

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20
Q

At a 45 degree angle what could happen?

A

You could go through the vein

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21
Q

What is your first vein choice?

A

Median cubital

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22
Q

What cleaning agent do you use on the skin?

A

70% isopropyl alcohol, If they are allergic to alcohol you use chlorhexidine

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23
Q

What kind of consent is someone giving when they put out their arm?

A

Implied

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24
Q

If you walk in and a patient is considered in shock what do you need to do?

A

Maintain an open airway

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25
Q

The patient is now coding what position they need to be in for CPR?

A

Supine

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26
Q

A Phlebotomy wedge helps

A

make the patient more comfortable

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27
Q

What gauge of needle should you have for blood donations?

A

16-18 gauge

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28
Q

A blood glucose monitor needs to have

A

DAILY quality controls done

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29
Q

When you ask a patient when their last dose of medication was you are figuring out the

A

Therapeutic Drug Monitoring

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30
Q

Negligence is

A

failure to demonstrate proper care with results of injury

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31
Q

If you receive a critical value and the doctor’s office is closed you need to

A

call the doctor’s office from home

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32
Q

Glucose:

A

Fasting test

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33
Q

How deep is an infant heel stick?

A

2.0 mm

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34
Q

Bilateral section of the plantar heel

A

(The sides of the heel)

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35
Q

How many times does EDTA need to be inverted?

A

8-10 times

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36
Q

How many times does a gold top need to be inverted?

A

5 times and 30 minute blood clot time

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37
Q

order if draw(simplifided)

A

Citrate
Heparin
EDTA
Fluoride

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38
Q

If a person has a right mastectomy your first choice will be

A

from the left antecubital

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39
Q

If a person has a right side shunt and left arm IV you will do a

A

capillary finger stick on the left hand

40
Q

STAT lab tests need to be

A

done first

41
Q

What is the typical gauge needle for a butterfly?

A

23 gauge and you hold the wings to insert a butterfly needle

42
Q

What blood draw needs to be put on ice?

A

Ammonia, Lactic Acid, Arterial Blood Gas (ABG)

43
Q

When you clean a puncture site you need to let it

A

air dry

44
Q

A tube works by having

A

the vacuum in it and the vacuum is negative pressure

45
Q

How do you perform a blood smear?

A

Hold the glass piece at a 30 degree angle and wipe it across

46
Q

If you use an expired tube they could have

A

loss of vacuum

47
Q

If you have a diabetic patient and you miss getting their blood twice you need to go

A

and find someone else

48
Q

If a patient refuses you need to

A

explain the procedure and make sure they understand

49
Q

Educating a patient a collecting a sputum you need to tell them

A

to take a deep breath and cough

50
Q

If a patient has bilateral scars your best next option is

A

the dorsal hands

51
Q

After procedure to keep the patient safe you will

A

raise the siderails back up

52
Q

You need to check the temperature of urine within

A

4 minutes of collection time

53
Q

Glass slides go into

A

sharps container

54
Q

which of the following test results are affected when a phlebotomy technician uses povidone-iodine to cleanse a site for a dermal puncutre?

A

potassium

55
Q

a phlebotomy technician should select a tube that has which of the following anticoagulants to collect a sample for a PT/PTT test?

A

sodium citrate

56
Q

which of the following tubes should a phlebotomy technician collect first when obtaining dermal samples?

A

lavender top

57
Q

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?

A

vitamin B6

58
Q

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?

A

use a new collection bag to draw a new unit of blood

59
Q

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?

A

tuck a partial loop of tourniquet underneath the tourniquet

60
Q

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?

A

alcohol requires time for antiseptic action to take effect

61
Q

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?

A

blue

62
Q

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?

A

speckled

63
Q

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?

A

heparin

64
Q

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?

A

communicate name and department affiliation to the patient

65
Q

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?

A

15min after administration

66
Q

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?

A

remove the tourniquet and needle

67
Q

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?

A

sodium hypochlorite

68
Q

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?

A

enter critical laboratory data

69
Q

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

A

have the patient dangle their arm for 1 to 2 mins

70
Q

which of the following actions is a phleb tech required to take before leaving a patients room?

A

initial and mark the date and time on each tube drawn

71
Q

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?

A

thrombin

72
Q

a phleb tech is transporting blood specimens to a lab. which of the following actions should the tech take?

A

place the specimens in a lockable container

73
Q

a phleb tech should transport a semen sample at which of the following temperatures?

A

36-38 celsius

74
Q

which of the following actions should a phleb tech take to locate a vein using the warming techniques?

A

encase the warm towel in a plastic bag

75
Q

a phleb tech should identify that which of the following is an identifier for a specimen as long as it remains in the lab?

A

accession number

76
Q

what tube is used for ESR?

A

lavender

77
Q

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?

A

choose a syringe and butterfly assembly and transfer to an ETS tube

78
Q

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?

A

sodium citrate

79
Q

which of the following actions should a phleb tech take after collecting an ammonia specimen?

A

place the specimen tube in an ice-water slurry

80
Q

a phleb tech should identify that which of the following phrases is represented by the abbreviation “SD” ?

A

standard deviation

81
Q

for which of the following tests should a phleb tech follow chain of custody guidelines?

A

blood alcohol

82
Q

a phleb tech should identify that which of the following series of venipunctures steps is in the appropriate order?

A

assess the site, cleanse the site, and insert the needle

83
Q

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?

A

sodium polyantheol sulfonate

84
Q

used to see veins through the skin using a special light

A

hand immobilizer

85
Q

for which of the following reasons should a phleb tech document the total volume of blood drawn from a patient?

A

to determine if the patient is at risk for developing latrogentic anemia

86
Q

a phleb tech is preparing to perform a lactic acid test. which of the following actions should the technician take?

A

collect the specimen in a gray-topped tube

87
Q

the joint commission recommends using the patient’s full name and which of the following pieces of information to ensure accurate inpatient identification?

A

medical record number

88
Q

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?

A

an aerobic bottle and an aerobic bottle

89
Q

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?

A

use a blood pressure cuff and inflate it to 40 mm Hg

90
Q

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?

A

1.8/mm3

91
Q

Which of the following regulations ensures that a phleb tec is proficient to perform job duties and responsibilities

A

CLIA

92
Q

normal fasting glucose

A

70 to 110 mg/dL

93
Q

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?

A

verify that the specimen contains at least 45mL of urine

94
Q

which of the following actions by phlebotomy tec can result in grossly hemolyzed specimen?

A

using an incorrect needle gauge

95
Q

a tec should identify that which of the following is one of the joint Commission 2016 national patient safety goal?

A

identify patients correctly

phlebotomy (2 decks)

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