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Phlebotomy Class > Week Three > Flashcards

Week Three Flashcards

1
Q

What is the additive for Blood Culture?

A
  • Nutrient Broth
  • SPS (Sodium Polyanethole Sulfonate)
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2
Q

What labatory responsible for specimen testing a blood culture?

A

Microbology

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3
Q

What common test is used for a blood culture?

A
  • Symptoms of systemic infraction of a fever of unknown origin.
  • Presence of pathogenic or infectious microorganisms in the bloodstream.
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4
Q

What are the 2 bottles used for a blood culture?

A
  • Aerobic (with oxygen)
  • Anaerobic (without oygen)
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5
Q

What is the additive for light blue top tube?

A

Sodium Citrate

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6
Q

Is the light blue top tube plasma and serum?

A

Plasma

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7
Q

What tubes are used for serum?

A
  1. Dark Blue with Red Stripes
  2. Red
  3. SST (Gold, Marble Top, Tiger Top, Red with Gray Speckled Top)
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8
Q

What tubes are used for plasma?

A
  1. Light blue
  2. Light green
  3. Dark green
  4. Pink
  5. Lavender
  6. Dark Blue with Lavender Stripes
  7. Gray
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9
Q

What step needs to be done before using a light blue top tube?

A

Discard Tube (Clear or Red Top)

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10
Q

What common test are used for the light blue top tube?

A
  1. PT
  2. PTT
  3. aPTT
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11
Q

What laboratory is responsible for specimen testing a light blue top tube?

A

Coagulation

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12
Q

What labatory is responsible for specimen testing a red top tube?

A

Chemistry

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13
Q

What labatory is responsible for specimen testing a SST?

A

Chemisty

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14
Q

What labatory is responsible for specimen testing a Light green top tube?

A

Chemistry

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15
Q

What labatory is responsible for specimen testing a dark green top tube?

A

Chemistry

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16
Q

What labatory is responsible for specimen testing a pink top tube?

A

Blood Bank

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17
Q

What labatory is responsible for specimen testing a Lavender top tube?

A

Hematology

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18
Q

What labatory is responsible for specimen testing a gray top tube?

A

Chemisty

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19
Q

What labatory is responsible for specimen testing a dark blue (with red or lavender stripes)?

A

Toxicology

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20
Q

What is the additive for dark blue (red stripes) top tube?

A

None

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21
Q

What common test is used for Dark blue (red stipes) top tube?

A
  1. Lead Pb poisioning
  2. Heavy Metal Toxicology
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22
Q

What is the additive used for a plastic Red top tube?

A

Silica

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23
Q

What additive is used for a glass Red top tube?

A

None

24
Q

What common test is used for a red top tube?

A
  1. Serum Alcohol (ethanol, ETHOL)
  2. Serum Pregnancy Test
25
Q

What additive is used for a SST top tube?

A
  • Silica
  • Thxiotropic Gel
26
Q

What are the colors used for a SST tube?

A
  1. Gold Top
  2. Red-Gray Speckled Top
  3. Marble Top
  4. Tiger Top
27
Q

What additive is used for Light Green top tube?

A

Lithium Heparin

28
Q

What additive is used for a dark green top tube?

A

Sodium Heparin

29
Q

What additive is used for a pink top tube?

A

Potassium EDTA (KEDTA)

30
Q

What additive is used for a lavender top tube?

A

EDTA

31
Q

What additive is used for a dark blue (lavender stripes) top tube?

A

EDTA

32
Q

What additive is used for the gray top tube?

A
  • Sodium Fluoride
  • Potassium Oxialate
33
Q

What common test is used for a SST top tube?

A
  1. BMP (basic metabolic panel)
  2. CMP (complete/comprehensive metabolic panel/profile)
  3. Serum Pregnancy Test
  4. Lipids and Cholesterol
34
Q

What common test is used for a light green top tube?

A
  1. LYTES (STAT electrolytes)
  2. hCG (plasma pregnancy test)
  3. hCG qualitative
  4. hCG quantitative
35
Q

What common test is used for dark green top tube?

A
  1. Ammonia
36
Q

What common test is used for a pink top tub?

A
  1. TSR (type and screen ratio)
  2. Cross Match
37
Q

What common test is used for a lavender top tube?

A
  1. ESR (erythrocyte sedimentation rate)
  2. Sickle Cell
  3. CBC (complete blood count)
  4. Hematocrite
  5. Hemoglobin
  6. Platelets
38
Q

What common test is used for a dark blue (red stripes) top tube?

A
  1. Lead Pb poisoning
  2. Heavy Metal toxicology
39
Q

What common test is used for a gray top tube?

A
  1. OGTT (oral glucose tolerence test)
  2. Lactic Acids
  3. Plasma Alcohol (ethanol, ETHOL)
40
Q

Which of the following is the best indication that a patent might be at risk of syncope?

  1. Involuntary movement
  2. Lightheadedness and shallow breath
  3. Small red spots appearing on skin
  4. Paleness and sweating
A

Paleness and sweating

41
Q

Why is it important for a phlebotomist to invert anticoagulant tubes?

  1. To prevent a pH implance
  2. To prevent hemolysis
  3. To ensure proper mixing of blood and additive
  4. To prevent hemoconcentration
A

To ensure proper mixing of blood and additive

42
Q

Which of the the following protects a patient’s information?

  1. OSHA
  2. HIPAA
  3. The Joint Commission
  4. AAHSA
A

HIPAA

43
Q

Which of the following needle size is NOT used for laboratory assays but for collection of donor?

  1. 18-gauge
  2. 23-gauge
  3. 21-gauge
  4. 22-gauge
A

18-gauge

44
Q

How many minutes within collection of a urine sample shoulf the phlebotomist take the temperature of the specimen?

  1. Within 10 minutes
  2. Within 45 minutes
  3. Within 30 minutes
  4. Within 4 minutes
A

Within 4 minutes

Temp. has to be taken 4 min after collecting sample but doesn’t have to be processed.

45
Q

Quality control checklists ensure machines are inspected for compliance at time intervals specific to the equipment and ___________.

  1. Clinical application
  2. Chemical measurement
  3. Expiration date
  4. Stock rotation
A

Clinical Application

46
Q

Which of the following actions will most likely prevent a needle stick injury?

  1. Having a nurse or other healthcare team member dispose of used needles for the phlebotomist
  2. Replacing sharps containers when they have reached their fill line
  3. Recapping every needle prior to discarding it in the sharps container
  4. Wearing rubber gloves during venipuncture
A

Replacing sharps containers when they have reached their fill line

47
Q

Which of the following pieces of information need to be on a laboratory requisition form before a phlebotomist should proceed with obtaining a blood specimen?

  1. The patient’s staus as an organ donor
  2. A specimen identification code
  3. A laboratory’s CLIA number
  4. The patient’s emergency contact
A

A specimen identification code

47
Q

A patient is listening to a phlebotomist explain the venipuncture process before initiating the blood draw. The patient communicates their understanding but seems hesitant and confused. How should the phlebotomist handle the situation?

  1. The phlebotomist should surmise that the patient has heard enough information and get ready to draw the patient’s blood.
  2. The phlebotomist should leave the room and ask for another doctor or nurse to explain the procedure.
  3. The phlebotomist should repeat the same explanation in a slower voice.
  4. The phlebotomist should find another way to phrase the explanation and invite the patient to ask any clarifying questions.
A

The phlebotomist should find another way to phrase the explanation and invite the patient to ask any clarifying questions.

48
Q

The additive in Pink Top Tube used in blood banking is which of the following?

  1. Sodium polyanethole sulfonate (SPS)
  2. Sodium heparin
  3. Potassium ethylenediaminetetraacetic acid (EDTA)
  4. Acid citrate dextrose (ACD)
A

Potassium ethylenediaminetetraacetic acid (EDTA)

49
Q

If a patient verbally or physically refuses a venipuncture procedure, the phlebotomist should do which of the following?

  1. The phlebotomist should inform the patient that they will still be responsible to pay for the procedure.
  2. The phlebotomist should re-explain the procedure in case the patient did not understand.
  3. The phlebotomist should inform the patient that they will need to reschedule their appointment.
  4. The phlebotomist should immediately report the refusal and actions taken to their supervisor.
A

The phlebotomist should immediately report the refusal and actions taken to their supervisor.

The moment they refuse you move on.

50
Q

What is the recommended allowance for a total volume of blood drawn from a patient within a 24-hour period?

  1. .05% - 1%
  2. 1% - 5%
  3. 5% - 7%
  4. 10%
A

1% - 5%

51
Q

Which of the following is the proper way a phlebotomist should dispose of a needle?

  1. The phlebotomist should recap it with the original white lid with the opposite hand and put it in a sharps container
  2. The phlebotomist should throw it, recaooed, into a biohazard bag
  3. The phlebotomist should put it into a sharp container, Safety Capped, after withdrawing it from the patient’s arm.
  4. The phlebotomist should collect them in a cup for disposal at the end of the day
A

The phlebotomist should put it into a sharp container, Safety Capped, after withdrawing it from the patient’s arm.

Minute you remove needle from on put on safety cap.

52
Q

When drawing blood from a patient who has a cotagious pathogen, like COVID-19, which PPE provides the best protection for a phlebotomist?

  1. Surgical mask
  2. Gown
  3. Double gloves
  4. Respirator
A

Surgical Mask

53
Q

How should Vitamin B6 be transported in order to protect its photosensitive nature?

  1. It should be transported on ice.
  2. It should be transported at room temperature, no additional precaution needed.
  3. It should be transported in an air-tight container, no additive precaution needed.
  4. It should be transported in an amber or brown-colored biohazard bag.
A

It should be transported in an amber or brown-colored biohazard bag.

54
Q

What is an ICD-10 code?

  1. ICD-10 codes classify diagonses and diseases
  2. ICD-10 codes identify specimens
  3. ICD-10 codes dictate patient care and privacy
  4. ICD-10 codes organize the medical record number
A

ICD-10 codes classify diagonses and diseases

55
Q

How many inversions of a Lavender Top Tube should be done before placing it in the specimen collection tray?

  1. 8 to 10 times
  2. 2 to 6 times
  3. 3 to 4 times
  4. 6 to 8 times
A

8 to 10 times

56
Q

Which step of the blood draw should be done right before removing the needle from a patient’s arm?

  1. Inverting all the tubes used in the procedure
  2. Getting a bandage ready for the patient
  3. Re-anchoring of the skin below the draw site
  4. Asking the patient to open their fist
A

Getting a bandage ready for the patient

Phlebotomy Class (3 decks)

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