1
Q
According to standards first aid procedure what action controls severe external bleeding
A
applying direct pressure to the wound
2
Q
Which process should be followed for the HBV vaccination
A
First dose, second a month later, third six months after
3
Q
Which phrase describes the purpose of protective isolation
A
To protect the patient from outside contaminants
4
Q
Which is another term for the OSHA hazard communications standards.
A
The right to know law
5
Q
What is the proper order of putting on ppe
A
Gown, Mask, Gloves
6
Q
When should Hep B vaccination be made available to employees assigned to duties with occupational exposure risks.
A
Within ten working days of initial assignment
7
Q
What is the first thing the phlebotomist should do in the event of an accidental needle stick
A
Decontaminate the site and report the incident to an immediate supervisor
8
Q
What is an example of an nosocomial infection
A
A catheter site of a patient in ICU becomes infected
9
Q
Which is an example of the means of transmission that differs from parental transmission (78)
A
Drinking water from a contaminated glass
10
Q
In what instance might a patient be placed in protective isolation
A
When the patient has severe burns
11
Q
Which is an example of work practice control that reduces risk of exposure to blood
A
Hand contamination
12
Q
which type of contact infection transmission involves transferring the infective microbe to the mucous membrane of a susceptible individual by means of a cough or sneeze
A
Droplet
13
Q
when can occupational exposure to blood borne pathogens occur while the healthcare workers performing work duties?
A
Blood comes in contact with a cut
14
Q
True or False: Applying lip balm in the lab is acceptable when employer has chapped lips
A
False
15
Q
The function of the left ventricle is to deliver
A
oxygenated blood to the aorta.
16
Q
The receiving chambers of the heart are
A
Atria
17
Q
The relaxing phase of the cardiac cycle is called
A
diastole.
18
Q
Which one represent the proper direction of blood flow
A
arterioles to capillaries to venules
19
Q
A blood clot circulating in the blood stream is called
A
Embolus
20
Q
Which cell has the ability to pass through the blood vessel walls
A
Leukocytes
21
Q
How can you visually tell serum from plasma?
A
You cant
22
Q
Hemostasis refers to what
A
the stoppage of bleeding
23
Q
Which of the following veins is not an antecubital vein?
A
Femoral
24
Q
Which test must be performed on whole blood?
A
CBC
25
A major difference between arteries and veins is that most veins have
One way valve
26
Which is the best tube for collecting an ethanol specimen
Sodium Fluoride - Gray
27
Which gage has the largest lumen? 18, 20, 22, 25?
18
28
The test performed in the following department is typically contained in a light blue stopper
Coagulation Department
29
A tube with a green stoper usually contains...
Heparin
30
The purpose of an antiglycan agent is to
Preserve glucose
31
The solution that is normally used to clean the site before routine venipuncture is
70% isopropyl alcohol
32
When latex or vinyl strap tourniquets become soiled with blood is best to..
Throw them away in biohazard container
33
What is the most important factor in choosing which gage needle to use for vein puncture
Size and condition of the vein
34
Which additive is usually present in a tube with a lavender stopper? What department
EDTA - Hematology
35
Glass particles present in serum separator tubes do what
Enhances clotting
36
The slanted tip of the needle that enters the vein is called the
Bevel
37
According to CSLI standards which tube is filled last when using a syringe
EDTA
38
True or False: EDTA is the most common source of carryover problems
True
39
True or False: The 21 gage multi sampling needles considered the standard needle for routine venipuncture
True
40
True or False: In a routine ETS venipuncture the red tube should be drawn before the green tube
True
41
There is a request to draw a specimen from an inpatient by the name John Doe which is an acceptable way to confirm the patients identity
Match the ID band and requisition with the patient's verbal statement of ID.
42
The following tests have all been ordered at the same time on different inpatients. There is only one phlebotomist on duty. Which test should the phlebotomist collect?
STAT
43
Doing this during the vein selection process is bad for the specimen
Allowing the patient to pump his or her fist.
44
Communicating in this way before obtaining a blood specimen from a child is poor technique
Saying it wont hurt
45
The patient is just finishing a big breakfast as a phlebotomist arrives to draw a passive specimen. What should the phlebotomist do?
Ask the assigned nurse
46
What may happen if you mix a specimen too vigorously?
Hemolysis
47
Never leave a tourniquet on for longer than..
1 minute
48
How can you tell if you are in the vein if you are using a needle or syringe.
Immediate flashback of blood into the syringe hub or needle chamber
49
What is the most critical error a phlebotomist can make
misidentifying a patient specimen
50
What is the best way for a newly trained phlebotomist to handle any puncture on a patient with needle phobia.
Ask an experiences phlebotomist to do the job
51
What would be the system of choice to identify laboratory specimens from an unconscious unidentified woman in the emergency room
Three part identification band and labels
52
A phlebotomist arrives to draw a specimen from an inpatient. The patients door is closed. What should the phlebotomist do?
Knock softly, open it slowly, and ask permission to enter.
53
The patient asks if the specimen about to be drawn is for a diabetes test. How should the question be answered?
"Best to discuss that with your doctor"
54
What is the job of a student phlebotomist?
Letting the patient know you are a student.
55
What is the purpose of waiting 30 seconds for the alcohol to dry before needle insertion?
For microbes, to prevent a stinging sensation, and to prevent hemolysis.
56
True or False: you must draw blood from a 4 year old child. You should restrain him immediately, tell him to be quiet and say that the procedure will not hurt.
False
57
Which incidence most closely resembles basal state.
just awakened at 0600 after fasting all night.
58
You must draw from a patient with IVs in both arms. What is the best thing to do.
Below the IV
59
It is not a good idea to collect a specimen from a screaming infant, because..
White blood count may be falsely elevated
60
You have no choice but to draw from a site with a hematoma. Where should you obtain the specimen?
Distal to the hematoma
61
Prolonged tourniquet application may cause the change in blood composition, primarily because..
Hemoconcentration
62
A phlebotomist has attempted twice to draw a PTT specimen from a patient with difficult veins. Both times the phlebotomist has been able to draw only a partial tube. What should the phlebotomist do?
Have another phlebotomist attempt to draw the specimen.
63
What analyte can differ by 50% or more between morning and late afternoon.
Cortisol
64
Which instance may lead you to suspect that you have accidently punctured an artery
Seeing the blood pulse into the tube
65
If blood is drawn too quickly from a small vein, the vein will have a tendency to...
Collapse
66
A fistula is...
Permanent fusion of the artery and vein (Usually dialysis patients have)
67
When a test requires a fasting specimen, but the serum is blank it is a clue that the patient was not fasting
Lipemic (Milky color)
68
Test influenced by their diurnal variation are often ordered as is important to collect them as close as possible to...
The time orders
69
True or False: Peak levels of cortisol occur late in the afternoon.
False
70
True or False: If the blood is filing the tube very slowly and a hematoma is beginning to form, the needle may not be deep enough.
True
71
If a patient is complaining of sharp radiating pain from the needle insertion site, the phlebotomist should hurry and finish the draw.
False
72
Why are capillary blood gasses less desirable than arterial blood gasses?
Skin puncture blood contains tissue fluid, skin puncture blood is only partially arterial, and the blood is exposed to airdrop collection.
73
What is the CLSI recommended maximum depth of a heel puncture?
2 mm
74
Why are EDTA specimens obtained before other specimens when collected by skin puncture?
To minimize effects of platelet clumping
75
Why should a laboratory report form indicate the fact that a specimen has been collected by capillary puncture.
The test results can vary depending on the method of collection.
76
What is the safest area for infant heel puncture
Lateral plantar surface
77
A capillary puncture should be done rather than a venipuncture in what situation?
A light blue top tube is needed.
78
The purpose of wiping away the first drop of blood during skin puncture is to...
Eliminate tissue fluid contamination.
79
Capillary puncture blood most closely resembles..
arterial blood
80
What is the term calcaneus?
Heel bone
81
Which micro collection container would be used to collect a specimen for a CBC?
EDTA - lavender
82
It is necessary to control depth of lancet insertion during papillary puncture to...
injuring the heel bone.
83
What is the purpose of warming the site before a skin puncture?
It increases blood flow up to seven times
84
True or False: The phlebotomist should puncture a finger perpendicular to the fingerprint
True
85
True or False: A magnet is used to mix a CBG specimen
True
86
True or False: If a baby has a huge fleshy big toe, it is acceptable to collect a bilirubin specimen from it?
False
87
of the following test which is most likely to result in fatal consequences if the patient is misidentified
A. blood cultures
B. drug screen
C. postprandial glucose
D. type and crossmatch
type and crossmatch
88
Which test requires strict skin antisepsis procedures before specimen collection.
A blood culture
89
What type of additive is recommended for collecting an ethanol test specimen?
Sodium fluoride
90
When performing a GTT, the timing should begin..
as soon as the patient finishes the drink.
91
When collecting a blood culture specimen directly from a butterfly into blood culture bottles which should be filled first
Aerobic
92
Which of the following requires special chain of custody
Drug screening
93
Identify the condition in which a unit of blood is withdrawn from the patient as treatment
hemochromatosis
94
Which of the following tubes can be used to collect blood for a type and cross match?
Pink top EDTA tube
95
Ab autologous blood transfusion is a transfusion of blood
Donated by the patient for the patient
96
The most critical aspect of blood culture collection is
skin antisepsis.
97
This test requires a specimen with a nine to one ratio of blood to anticoagulant
Prothrombin time
98
The hormone detected in positive urine pregnancy test is...
HCG
99
A two hour post specimen prandial specimen should be drawn...
Two hours after the patient has had a meal
100
True or False: Paternity testing is performed to determine the probability that a specific individual fathered a particular child
True
Phlebotomy
flashcards
Decks in class (10)
# Cards
-
AMCA Quizlet - Infection Control and Safety (incl. Standard and Transmission-based Precautions)-34
-
Quiz 114
-
AMCA Quizlet - Patient Identification, Assessment, and Site Preparation-20
-
AMCA Quizlet - Equipment Selection and Maintenance-33
-
AMCA Quizlet - Collection of Blood and Non-Blood Specimens-51
-
Quiz 215
-
Quiz 315
-
Midterm100
-
Tests - Department & Color tube22
-
Final100
