Exam Review Flashcards

(132 cards)

1
Q

What is the definition of phlebotomy

A

The procedure of drawing blood by cutting into the vein

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2
Q

Dermal puncture is the process of

A

Cutting the skin layer by lancet

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3
Q

Suffix “tomy” refers to

A

Cut

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4
Q

A venipuncture is the process of

A

Cutting through a vein by a needle

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5
Q

The prefix “phleb” means

A

Vein

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6
Q

A phlebotomist must make sure to follow ____ standards

A

OSHA

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7
Q

If a patient is staying in a medical facility over night, what type of facility will they be at

A

Inpatient facility

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8
Q

Which type of precaution requires you to wear a gown

A

Contact precautions

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9
Q

What does the CLSI stand for

A

Clinical and laboratory standards institution

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10
Q

What are the phases of coagulation

A

Vascular, platelet, coagulation, clot retraction, fibrinolysis

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11
Q

What two things help break the chain of infection

A

Using effective hand hygiene
Wearing fresh gloves in between patients

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12
Q

Which type of precaution requires you to wear a face mask

A

Droplet precaution

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13
Q

Which type of precaution requires you to wear a N95 respirator

A

Airborne precautions

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14
Q

What is the emergency color code for a medical emergency

A

Blue

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15
Q

What is the steady state of your blood

A

Hemostasis

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16
Q

What blood type is the universal donor

A

O

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17
Q

What blood type is the universal recipient

A

AB

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18
Q

What are three components of blood

A

Plasma/serum, leukocytes platelets, erythrocytes

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19
Q

What agency regulates practices to ensure worker safety

A

OSHA

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20
Q

What agency categorizes newly developed lab tests

A

CDC

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21
Q

What agency approves phlebotomy training programs

A

NAACLS

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22
Q

What agency accredits hospital and reference labs

A

CAP

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23
Q

what agency approves equipment, pharmaceuticals, reagents, and blood products

A

FDA

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24
Q

What agency accredits healthcare facilities to ensure high standards of patient care

A

TJC

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25
When and whom was the bloodborne pathogen standard developed
1991, OSHA
26
What do you call a percutaneous piercing wound that is caused by the point of a needle
Needle stick injury
27
Biological substances that can threaten human health are called
Biohazards
28
Testing performed at the patients bedside that can produce quick results
POCT
29
List of every chemical purchased by or kept by facility created by OSHA
Safety data sheets
30
What describes the function of blood flow throughout the body
Sending waste to organs that can excrete them from the body Providing the body with oxygen
31
What is a fibrin mesh work that seals off the injured portion of a blood vessel
Blood clot
32
Removing microorganisms after they leave the body
Medical asepsis
33
Eliminating microorganisms and prevent them from entering the body
Surgical asepsis
34
How long should you wash your hands for AT LEAST
20 seconds
35
HIPAA stands for
Health insurance portability and accountability act
36
4 bacteria that have become resistant to antibiotics
VRE, MDRAB, MRSA, C-Diff
37
3 diseases that should be tested for after needle stick injury
HCV, HIV, HBV
38
What chemical ratio is used to clean small amounts of body fluids or a blood spill
1-10 sodium hypochlorite to water
39
Ensured that testing results are as accurate as possible
Quality assurance
40
Rubella, diphtheria, mumps, pertussis, meningitis, and influenz are precautions of what
Droplet precautions
41
Scabies, diphtheria, Hep. A, respiratory syncytial virus, meningitis, herpes Simplex, wound and skin infections are all part of what precaution
Contact
42
Varicella, tuberculosis, rubeola and all part of what precaution
Airborne
43
Checking tuned and test strips expiration dates, making sure all testing equipment is working properly and performing liquid controls are part of
Quality control
44
Which of the following protects phlebotomist and other heal care professionals from exposure to body fluids
Bloodborne pathogen standards
45
Which of the following provides the guidelines for PPE, sharps handling, and hand hygiene
CDC
46
What is NIOSH
National institute for occupational safety and health Sharp container regulation
47
How many pints of blood does the average adult have
8-12 pints
48
A pint of blood is also referred to as
A unit
49
What type of circulation supplies blood to the heart
Coronary
50
What type of circulation supplies blood to all other parts of the body
Systemic
51
what type of circulation sends deoxygenated blood from the heart and throughout the lungs to be re-oxygenated
Pulmonary
52
What are three mains types of blood vessels
Arteries, veins, capillaries
53
Which vessels carry blood towards the heart
Veins
54
Which vessels carry blood away from the heart
Arteries
55
Which vessels are used for the gas exchange
Capillaries
56
What is the portion of anti-coagulated blood
Plasma
57
What is the part of coagulated blood
Serum
58
Which body system is responsible for Boyd movements such as abduction, addiction, extension and flexion of bones
Muscular
59
Which body system provides protection, regulates temperature, and prevents water loss
Integumentary
60
Which body system is responsible for protecting the body against bacteria, viruses, fungi, toxins, parasites, and cancer
Immune system
61
Which body system consists of bones, associated, cartilages, ligaments, and joints
Skeletal system
62
Which body system consist of the heart, and blood vessels
Cardiovascular
63
Which system is responsible for conscious actions and unconscious actions
Nervous system
64
Which Body system is made up of glands that secrete hormones
Endocrine
65
Which body system provides oxygen and removed carbon dioxide
Respiratory
66
Which body system is responsible for the intake of digestion of food, absorption of nutrients, and removal of solid
Digestive
67
Which body system is responsible for removing metabolic waste and excess fluids, whole maintaining proper balance of water, salts, and acids in the body
Urinary
68
FOBT stands for
Fecal occult blood test
69
What 3 test are taken in semen specimen
Criminal investigation, vasectomy, DNA paternity testing
70
What 4 items MUST be present on the lab requisition form before you draw blood
Name, DOB, sex, special ID numbers
71
A patient is about to have a heart surgery, which type of consent is best to treat the patient in case of an unforeseen emergency during procedure
Informed
72
What vein can you draw in with a order from a doctor
Foot vein
73
Which two large valves located in the heart carry blood throughout the body
Aorta, and pulmonary artery
74
What are two clotting factors found in blood
Thrombin, and fibrin
75
Which type of veins are hard, inflexible, narrow, and are commonly seen in people as they age
Sclerotic
76
Which type of vein contains a thrombus
Thrombotic veins
77
Which types of veins is twisted, dilated, and last elasticity
Tortuous
78
What states should a patients body be in when you perform a draw where they need to be fasting for 8-12 hours
Basal states
79
What age should a capillary stick be performed on the side of the heel of the foot
Less than 12 months
80
How soon after collection should semen specimens be delivered to the lab
Within 1 hour
81
All urine samples must be immediately placed in a
Refrigerator
82
What is the normal range for pH balance for urine testing strip
5.5-8.0
83
Normal range for specific gravity on urine strip testing
1.010-1.025
84
How many red blood cells does the average adult have
4.2-6.1
85
How many white blood cells does a average adult have
5,000-10,000
86
Test performed on urine strip testing
Drug screening Protein Hemoglobin l WBC + nitrites, ketones Protein Bilirubin Glucose
87
Test performed on FOBT
Bleeding Parasites Fungi Bacteria Infection Cancer Gastro lesions
88
Sites that should be avoided for venipuncture
Arm that has an IV line Shunt Venous access line Arm on same side as mastectomy Arm that is swollen, red, has a rash or infection
89
What to tell a patient who has never gotten their blood drawn before
Describe procedure Tell them they will feel slight pain Tell them to let you know if they are experiencing faintness or serve pain/lack of sensation
90
What is the medical term for a butterfly needle system
Winged infusion set
91
Whay is monitoring the amount of a therapeutic drug in the blood
TDM
92
What test has priority over all tests and would be done first
STAT
93
What test should be performed at the exact time that is given on the orders
timed
94
What test should be performed as soon as possible
ASAP
95
What gets could be done after all other tests are completed are during down time
Routine
96
What is the definition of postprandial
After eating
97
What type of specimen is collection when the serum drug level is at its lowest
Trough level
98
What type of specimen is collected when the serum drug level is at its highest
Peak level
99
The method of drawing blood that involves using 21-gauge straight needle connected to a hub/adaptor in the antecubtial fossa area
Evacuated tube system
100
What size gauze is used for phlebotomy
2x2
101
How many inches above the puncture site should the tourniquet be applied
3-4 inches
102
What degree angle of insertion is best for a venipuncture
15-30
103
Which degree angle of insertion is best fir a venipuncture using a butterfly system
10 degree
104
Name of the gel inside chemistry tubes
Thixotropic
105
If a patient has fragiles veins, what method would be best for a venipuncture
Syringe and butterfly
106
What is the most common system phlebotomist use to perform venipuncture
ETS
107
During a venipuncture, a patient begins to feel cold, clammy, and appear pale with a rapid pulse and shallow breathing, what complication could be occurring
Shock
108
4-5 elements MUST appear on each patients specimen tube
Patients names Special medical numbers Time + date of collection Collectors identification
109
Capillary order of draw
Capillary order of draw Blood gasses l Purple EDTA Green Any other additives serum tubes
110
The threat of bodily harm
Assault
111
The physical act of bodily harm
Battery
112
Describe code of ethics
To know right from wrong and to do no harm as a phlebotomist
113
Cholesterol HDL LDL VLDL Trig
Lipid panel
114
ABO&rH Antibody screen CBC Cystic fibrosis Hep. B Rapid plasma reagin Rubella
Obstetrics panel
115
Albumin BUN Calcium Creatinine Glucose Lytes Phosphorus
Renal panel
116
APPR, PTT Fibrinogen Prothrombin time Platelet count
Coagulation panel
117
Albumin ALP ALA APT GGT Bilirubin Total protein
Liver
118
BUN Calcium l Carbon dioxide Creatinine Glucose potassium Sodium Albumin ALT ALP APT bilirubin Total protein
CMP
119
BUN Calcium Carbon dioxide Creatinine Glucose Potassium Sodium
BMP
120
Additive in light blue tube
Sodium citrate
121
which two tubes contain the additives EDTA
Purple and pink
122
Which tube contains acid citrate dextrose
Light yellow
123
Green tubes contain what additives
Sodium/lithium heparin
124
Sodium fluoride potassium oxalte is the additive for what tube
Grey
125
What color tube is the back up blood culture used to check for bacteria in the bloodstream
Light yellow SPS
126
What color tube is needed for potassium level
Red/gold
127
Sodium, potassium, chloride, carbon dioxide “, and what type of testing
Electrolytes
128
For newborn screenings, testing must be completed within ____ the birth
72 hours
129
What is therapeutic phlebotomy
The intentional removal of blood
130
What test needed to be protected from the light
Bilirubin Carotene Vitamin B12, D
131
What test need to be put on ice
ETOH NH3 LA glucose ABGs
132
Tests from newborn screenings
Cystic fibrosis Hypothyroidism PKU Biotindase deficiency Sickle cell Galactosemia HIV