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Final
Question | Answer |
---|---|
CH1. What happens with a PT that's seen in the ER dept? | treated & discharged or admitted to the hosp for treatment |
CH1. Which of the following is a list of common debts in a clinical lab? | Chemistry, blood bank, microbiology, urine analysis dept |
CH1. The primary goal of PBT? | Collect and process blood specimen |
C1. What is the other name for dermal puncture | Capillary puncture |
Ch2. Which of the following is a breach of patient confidentiality? | Talking to a PBT colleague at lunch about the patient that was especially challenging |
CH2. Which of the following can be consider libel? | A PBT writes in a patient chart, "Patient is though to stick and has it in for phlebotomists. Beware!" |
CH2. A patient says "I've change my mind. I don't want to have these blood tests done after all." which one of these responses could be considered assault | We are going to do these tests. The doctor ordered them and you have to have them, so go ahead and roll up your sleeve |
CH2.Which of the following is true? A signed general consent form does not extend to blood draws or a signed general consent form means a patient can decline the procedure even if is signed | A signed general consent form includes consent for blood draws, but the patient may still decline the procedure |
CH3. Just before a phlebotomy technician begins a blood draw the patient says, "wait! I don't want to do this!" Which of the following responses is most likely to make the patient feel defensive? | Why not? |
CH3. PBTs Diasa and Nicki are both fluent English speakers, but they share a cultural background and non-english native language. When they are working together, what principal should guide their interaction? | They should only speak English with each other on the job |
CH3. A phlebotomy technician says to a patient, "you're here for CBC and some coag studies, right?" This use of medical terminology is: | Not appropriate since patients may not understand. |
CH3. If a draw is going to be done at 1430, what time is that? | 2:30pm |
CH4. Blood culture may be ordered when a patient is suspected of having an infection in the bloodstream. This is a _ infection. | Systemic |
CH4. Spores that cause CDIFF are especially dangerous because they can live on surfaces for a week or they can stay on surface for months or even years | They can live on surfaces for months or even years |
Which of these areas requires the written permission of the patient's doctor for venipuncture? | Ankle or foot |
The vein considered as last choice for venipuncture? | Basilic |
What is the most common antiseptic to clean the arm | Isopropyl alcohol, |
Although different facilities might use different agents, all facilities will require __________ for site cleaning prior to blood culture. | Extra contact time between the agent and patient's skin |
What is a blown vein? | A vein a needle has passed completely through |
At what point during a venipuncture procedure should tubes containing additives be inverted? | Promptly after they are drawn |
What tube is acceptable as a discard tube? | coagulation tube / light blue tube |
If a patient has a seizure during a blood draw, what is the phlebotomist's first priority? | Keeping the patient safe from injury |
QNS stands for? | Quantity not sufficient |
Which of the following is true of collection tube expiration dates? | Tubes should not be used past their expiration dates. |
This test is routinely performed on all pregnant women | Glucose challenge test |
When can a specimen be drawn for alcohol testing against a person's wishes? | When requested by a police officer in a state where having a driver's license constitutes implied consent to testing |
Which time listed below is a common amount of time for centrifugation of a standard serum tube? | 15 Minutes |
What must happen before a serum specimen is centrifuged? | The specimen must be allowed to clot |
Which of these methods is best for keeping a specimen chilled? | Place it in a mixture of crushed ice and water |
Capillary collection will not yield a large enough specimen for which of these tests? | Erythrocyte sedimentation rate |
Why is the index finger not used for capillary collection? | Because its calloused |
What is the name of the infection that may be caused if a lancet strikes bone? | Osteomyelitis |
Which of the following is true regarding lancet selection? | The best lancet to use is the smallest one that will produce adequate blood flow. |
The first drop of blood from a finger stick should be wiped away | Most cases |
If no blood gas tests are ordered, which type of tube is filled first for capillary collections? | EDTA Tubes |
How long should a capillary puncture site be warmed? | 3-5mins |
A blade-style lancet should be positioned to cut to the patient's fingerprints. | Perpendicular |
Capillary collection is unlikely to be successful if the patient is | Dehydrated |
Which of these specimens is collected using a swab? | Buccal cells |
A specimen drawn out by suction is said to be: | Aspirated |
For which of the following types of urine specimen is cleaning of the genital area required? | Clean-catch urine specimen |
Which of the following is a typical instruction to a patient collecting a 24 hour urine specimen? | Note the time of the first void during the 24 hours and discard. |
What is the primary reason semen specimens should not be collected in a condom? | Lubricant on the condom can contaminate or destroy the specimen. |
A bc is ordered for a hos PT who does not speak English. The PBT gets to the pt room & there is a 18yr who speaks fluent English. Which of the following best describes how the PBT should ensure that the patient understands and consents to the procedure? | The PBT should tell the patient, through his grandson, that she will return soon with an interpreter. |
Stool samples maybe tested for hidden blood to screen for | Colon cancer |
Which of the following is an example of breaking the mode of transmission link in the chain of infection? | Washing hands |
Medical asepsis involves :creating a sterofiled or making an object or area completely free of all microorganisms or taking measures to reduce and prevent the spread of pathogen | taking measures to reduce and prevent the spread of pathogen |
If patient blood gets on a PBT intact skin, what action should the PBT take? | Immediately wash the blood off the skin with soap and water |
An alcohol based hand rub is considered | A satisfactory substitute for hand washing when the hands are not physically soiled |
A face shield are used when | Risk of blood |
Removing glove, the first glove should be grasped at the finger tip or palm? | Palm |
A patient from whom airborne precautions have been ordered may be in a room called? | Airborne infection isolation room |
Blood born pathogens are spread through contact with? | Blood or body fluids from in infected person |
Which are the following describes a significant exposure according to the blood borne pathogens standards | Cutting a finger when retrieving a broken blood specimen tube from a centrifuge |
Multi-patient point of care devices must be disinfected 3x a day or after each use? | After each use |
A pediatric patient must be never? | Left alone |
Which are the following is true of elderly patient skin | Fragile / delicate |
How should non sharp waste bags be discarded? | Biohazard waste bag |
If a PBT is told to perform venipuncture distal to a patient IV the venipuncture must take place? | Further away from the torso |
What is is the largest organ in the body? | Skin / integument |
What blood test may be performed to evaluate the function of respiratory system? | Blood gases |
Which system eliminates waste products, created by the cells that maintain water balance is in the body? | urinary system |
What is the name of the blood test panel associated with kidney health? | Renal |
What liquid does the liver produce to help break down dietary fat? | Bile |
__________ chemical substance created by glands in the endocrine system that controls the body function? | Hormones |
In which gland create insulin? | Pancreas. |
What test is ordered to confirm pregnancy measures, the level of pregnancy related hormone is? | HcG |
This type of immunity is gained when a person is infected, recovers from an illness, or when a person receive the vaccine? | Acquired immunity. |
Exchanges of oxygen and carbon dioxide of nutrients and waste take place in areas? | Capillary beds |
Systemic / circulation Carries blood? | Though out the body |
Form elements, composed of how much of our blood volume is? | Just under half |
Which type of blood cells are the most common among the four elements? | Erythrocytes |
What are the four clarifications of blood type ? | A, B, AB, O |
Who is considered to be a universal donor? | O- |
The order of the blood from the lightest to darkest is? | Arterial blood, capillary blood and venous blood |
What devices maybe used to create pulling force on venous blood during a blood draw? | Collection tubes emptied of air. |
Inside called ___________ controls pilot response when a blood vessel is damaged? | thrombosis |
As injury heals this process breaks down the clot that has been formed to stop bleeding is? | Fylborlisis |
What blood specimen is allowed to clot in a collection tube and then is centrifuged, the resultant liquid portion is called? | Serum |
Buffy coat is formed through the centrifugation of a specimen that has been? | Anticoagulant |
If whole blood specimen is for diagnostic test, it should be collected in a tube that has? . | Additive |
A PBT can cause a prenatal ever by? | Filling collection tubes in the wrong order. |
Needles used for venipuncture are hallowed with an angle opening or solid with a pointed tip? | Hallowed with angle opening. |
Collections tubes, or capillary puncture usually have a volume of? 0.125-0.6 | 0.125-0.6 |
The substance studied in blood tests are called? | Analytics |
Which of the following may be present in collection tube, but in most cases doesn’t change the quality in blood itself? | Separator gel |
Glycolysis is prevented by the additive? | Sodium fluoride |
A red top tube is often used for? | Serology |
A patient has orders for a blood culture and coaug studies, which of these indicate the proper order for drawn specimen? | Yellow SPS, blood, culture bottle, and light blue. |
Where in the order of draw for capillary , puncture specimen, do EDTA tube’s fall? | 2nd |
A patient just received a medication inverse inverously her doctor has ordered that her pink medication level be checked. When is the doctor most likely to indicate blood should be drawn to check that level? | 30 min |
A large group of pt check in the AM for routine blood test, when the last pt in this group is seen by a pbt at 8:30AM. She reports she last eat at 5 PM. | There is a chance that the length of the patient's fast will affect some analytes. |
a phlebotomy technician can cause preanalytical errors by: | filling collection tubes in the wrong order |
jostling or rough handling of collection tubes: | can cause damage to the cells and a specimen. |
If someone has indicated that they fainted during previous blood draws, they should not draw the blood again, or should be placed in a recliner flat surface for a blood draw? | should be placed on a reclined or flat surface |
Formed wedged may be used to? | Position PT arm |
One blood specimen to maybe use for? | More than one analyte |
If a tourniquet has been left on beyond one minute, how long does it remain off the patient’s arm before it gets reapplied? | Two minutes |