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Phlebotomy study
Study Questions
| Question | Answer |
|---|---|
| Examples of nonverbal, distracting behaviors: | Tapping a pencil, gazing outside the window and glancing at the clock. |
| Statements that are inappropriate during a phlebotomy procedure: | This won't hurt a bit, Your name is Mrs. Jones isn't it? You are required to cooperate with this. |
| Key elements in an effective communication: | Active listening, nonverbal cues, verbal skills. |
| The main area of responsibility for every phlebotomist is: | preanalytical processes |
| Feelings that one experiences when a stranger gets "to close for comfort"? | Anxiety, fear, security. |
| Competency Statements for Phlebotomists: | Entry level skills, tasks, roles. |
| Veracity is an essential character trait for phlebotomist. | Veracity is telling the truth. |
| How should a phlebotomist treat a patient who may have defness? | Ask the patient whether you should repeat the steps before proceeding. |
| Why is eye contact helpful during a phlebotomist-patient interaction? | Promotes sense of trust. |
| The best example of internal stakeholders for clinical laboratory serives. | Doctors and nurses. |
| A nurse just came out of patient's room stating the the patient threw his arm up when she was performing a venipuncture and that the needle jabbed her as it flew out of his arm. When should the nurse report it? | Immediately |
| A health care worker is given voluntary permission to touch a patient for blood collection under what legal term? | Informed consent. |
| Specimen collection and handling is referred to as | preanalytical phase. |
| The federal law that regulates the quality and accuracy of laboratory testing (including blood collection) through certification inspections is referred to ask | CLIA '88 |
| Malpractice in blood collection is the same as: | Professional negligence. |
| The measuring stick representing the conduct of the avg health care worker is the: | National Community |
| A phlebotomist forgot her password for the laboratory computer and used a coleague's password to enter the laboratory access files to check on a patient's blood work to be performed. What law has she violated? | HIPPA |
| For potential lawsuits that may occur in the health care facility, which of the following must be maintained in the health care worker's employee file? | Record of continuing education courses |
| The intentional touching of another person without permission is considered to be | Battery |
| Homeostasis means | Steady state condition |
| Superficial vein means | Vein thais close to the skins surface. |
| Best position for a patient to be in when the health care worker performs a phlebotomy procedure. | Supine position |
| Arteries differ from veins in which way? | Blood from arteries appears bright red. |
| Capillary blood contains the following? | Cells, plasma, aratrial blood, venous blood |
| a patient has a severe burn on his left wrist. Best description of its location relative to his fingers.The burn is: | proximal to his fingers |
| Venous blood is | Dark red |
| what volume of blood (in liters) does a normal adult have? | 4 to 5 liters |
| Hemostasis refers to | Control of blood clotting |
| If a health care worker is caught in a fire in the health care facility, she or he should not | run. |
| What are the major principles of self-protection from radiation exposure | Time, distance, and shielding. |
| The health care worker was asked to bring a chemical into the chemistry laboratory. the health cre worker noticed that a yellow quadrant of a diamond on th echemical's label showed 1. this yellow quadrant of the diamond, according to NFPA, indicates a: | Instability hazard |
| If an accident occurs, such as a needlestick, the injured health care worker should first and immediately: | Cleanse the area with isopropyl alcohol and apply an adhesive bandage |
| Safe working conditions must be ensureed by the employer and have ben madated by law under the | Occupational Safety and Health Adminstration Act |
| Antiseptics for skin include | Iodine |
| In a health care facility, which is a typical fomite? | Telephone |
| Which of the following isolation techniques is used to decrease the spread of whooping cough? | Droplet precautions |
| Reverse isolation is the same as: | Protection Isolation |
| What is the proper order for removal of Isolation PPE? | gloves, goggles, and then gown. |
| Medical records serve what purpose | Coordination of care |
| Bar codes can be used for which type of information? | patient identification numbers |
| What is the most error-free method for requesting a laboratory test? | computerized method |
| A specimen should be protected from light for which of the following determinations? | bilirubin concentration |
| A specimen should be chilled for which of the following analyses? | Blood gases |
| Normal body termperature in degrees Centigrade is: | 37 degrees. |
| room temperature in degrees Centigrade is | 25 degrees |
| Thermolabile means senstivity to: | Temperature changes |
| Photosensitivity means sensitivity to | light |
| Approximately how long does it take a normal blood specimen (without an anticoagulant or clot activator to clot? | 30 to 60 minutes... |
| the yellow-topped vacuum collection tube has which of the following additves | Sodium polyanetholesulfonate (SPS) |
| The butterfly blood collection set is frequently used with the needle gauge size of | 23 gauge |
| which of the following anticoagulants is found in a royal blue-topped blood collection tube? | No Additives |
| Lithium heparin is a suitable anticoagulant for collecting blood to run which of the following tests? | Glucose level? |
| Which of the following is blood microcollection system? | Ramsafe-t-fill |
| A blood cell count requires whole blood collected in a | Purple topped tube (Lavender) |
| Specimens for which of the following tests must be collected in light blue-topped blood collection tubes? | PT and APTT |
| Blood collection for blood-banking procedures can be collected in which of the following tubes? | Pink topped tubes |
| A prefilled device used as a collection and dilution unit is the : | BD Unopette |
| Which of the following anticoagulants is recommended for blood smear preparation? | EDTA |
| Which of the following is the likely cause of hemoconcentration | Long term IV therapy. |
| Which of the following is a solid mass derived from blood constituents and can block a vein (or an artery)? | Thrombus |
| If blood is to be collected for a timed blood triglyceride-level determination, the patient must fast for how long? | 8 to 12 hours. |
| Syncope refers to | fainting |
| If the tourniquet is applied for longer than 3 minutes, which of the following analytes will most likely become falsely elevated | potassium |
| To ensure that the patient is in the basal state for laboratory testing, | The physician must require the patient to fast overnight |
| What cleansing agent can be used for a patient's venipuncture site if the patient is allergic to iodine | Chlorohexidine |
| Small red spots on a patient's skin due to a blood clotting abnormality is refereed to as | Petechiae |
| Sclerosed veins are a result of | inflammation |
| A hemolyzed specimen can lead to falsely increased results for | potassium |
| Which of the following is the best site for a capillary puncture on an adult? | middle finger |
| Controlling the depth of the skin puncture prevents: | ostemyelitis |
| Skin puncture is not useful for patients who have which of the following conditions? | healthy adults who need many laboratory tests. |
| Which fingers are used most often for skin puncture? | Third or fourth finger. |
| What is the disinfectant of choice for a capillary puncture procedure? | 70% isopropyl alcohol |
| Which drops of blood should be used for specimen collection during a fingerstick? | Second |
| Which drop should be wiped away before beginning the capillary collection? | first |
| What does the feathered edge refer to? | Edge of the blood film on a microscope slide. |
| Capillary blood is composed of | Venous, arterial, and capillary blood,and tissue fluids |
| Plastic microcollection tubes should be filled with blood in which of the following ways? | Allowing the tube to fill by itself using capillary action. |
| The preferred technique for preparing a child for blood collection is to: | Place the child in a vertical position as the parent holds him or her. |
| Which of the following is an acceptable way to prepare the child for pain from venipuncture? | EMLA application |
| Which is the preferred site for a skin puncture for a newborn infant? | Medial or lateral plantar surface of the heel. |
| Which of the following supplies is needed to collect blood for capillary blood gases from a newborn infant? | metal filing |
| Which of the following is a debilitating desease causing tremors, particularly in elderly individuals? | Parkinsons Disease. |
| Which of the following supplies is needed tocollect blood for a pediatric venipuncture? | Safety winged infusion set. |
| If a neonate or child is going to receive fluid intravenously, what veins should be avoided for blood collection? | Veins in the dorsum of the foot |
| If th eincision made for blood collection is too deep in the infant's heel, this improper heelstick can lead to? | Osteochondritis |
| Venipuncture in an infant and/or toddler is recommended for which of the following blood test? | Blood Cultures |
| For the dorsal hand vein procedure on an infant, the angle of the needle to the skin should be? | 15 degrees. |
| What is a fistula? | The fusion of a vein and an artery. |
| What is the first step to obtain blood for glucose monitoring? | Check the patient's ID according to the health care facilit's protocol. |
| Which of the following tests is measured through blood coagulation monitoring by point-of care testing? | PTP |
| Which of the following supplies is not needed to test with CoaguChek System? | Tourniquet |
| What is the reason for collecting a 24 hour urine specimen from a patient? | To test for creatnine clearance. |
| Which of the following evacuated tubes is preferred for the collection of a blood culture specimen? | Yellow-topped evacuated tube |
| During a glucose tolerance test, which procedure is acceptable? | A fasting blood collection is performed and then a standard amount of glucose drink is given to the patient. |
| The ABG analysis uses which of the following for the preferred blood collection site to obtain accurate results? | Radial artery. |
| When arterial blood is collected for an ABG determination, the needle should be inserted at an angle of no less than | 45 degrees |
| If blood culture collection is requested on a patient that is allergic to idodine, what alternative cleansing solution should be used? | Chlorohexidine gluconate. |
| The term hematuria refers to | blood in the urine |
| A butterfly needle is another name for | winged infusion set |
| Which of the following could result in phlebitis | multiple needle sticks |
| which anticoagulant would be found in a green top tube? | Sodium Heparin |
| Which condition describes swelling of tissue due to fluid | edema |
| Another name for Red Blood Cells? | Erthrocytes |
| A chemical in a grey top tube that prevents glycolosis is? | Sodium Heparin |
| glycolisis is? | Breakdown of blood sugar |
| The most common complication of Phlebotomy is? | Hematoma |
| Into which tube would an Erthrocyte Sedimentation Rate (ESR) be drawn | Lavendar |
| In which color top tube would sodium citrate be found? | Blue top tube |
| Hemolysis is the destruction of which type of cells? | Red Blood Cells |
| Healthcare workers with exposure risk to bloodborne pathogens must be offered which vaccine? | Hepatitis B |
| Proper order of draw for Ammonia, CBC, Pt & Chem 14? | Blue, Red, Green, Lavendar |
| Which tube contains Pottasium Oxalate? | Gray |
| Which of these would be used during skin puncture? | Capillary tube. |
| All of these are part of a CBC except? | Prothronbin time |
| Which vein is usually the easiest vein to palpate on an obese patient? | cephalic |
| Which is true about drawing blood for coagulation studies? | Blue top tube must be completely filled. 9 to 1 ratio. |
| Which gauge needle is the smallest | 25 gauge |
| Standard gauge needle is | 21 gauge |
| Below I.v. you can draw blood? And You can draw blood above the I.V if the I.V. is turned off. | Both are true. |
| Having adequate rest and no food for 12 hours describes? | Basal state |
| What is the proper way to dispose of a needle? | Place it uncapped in a sharps container |
| When finishing a venipuncture you should? | Remove tourniquette, then needle, apply pressure. |
| A glucose test would be drawn into which tube | grey |
| Disease causing bacteria are referred to as? | Pathogenic |
| Which would be seen on the differential of a patient with severe allergies? | Increased eosinophils |
| Leaving a tourniquette on for to long can result in | hemoconcentration |
| Stat Electrolytes are drawn in to which color top tube? | Green |
| What can be done to prevent a hemotoma | Apply pressure to the puncture site until bleeding stops |
| Pink top tube contains EDTA, anticoagulant. What color tubes do you use at the blood bank? | Lavendar and Red. |
| Hemolysis is? | Breaking down of the blood cells |
| What test is performed on a donor prior to donating? | Hemoglobin/Hematacrit |
| Hypoglycemia refers to a condion of | Low blood glucose. |
| Which is most likely to hemolyze a specimen | drawing with a 25 G needle? |
| Which would be seen on the differential of a patient with severe allergies | Increased eosinophils. |
| Neutrophils are White Blood Cells that serve which funtion? | Phagocytosis (engulf bacteria) |
| What oxygenates the body | Red Blood cells |
| Several inidvidual tests performed together as one is a? | Profile |
| Which procedure is usually performed by a respitory therapist? | Arterial Blood gas. |
| Excessively miling a finger during capillary punture results in? | Hemolysis and Contamination with tissue fluid. |
| Standard precautions interrupts pathogens transmission on at whih step in the chain of infection. | Portal of exit |
| What area is accepted for performin an infant heel puncture? | The medial extending from the great toe and lateral line extending from the 4th and 5th toe. |
| A PKU test is performed on what type of sample | Bllod drawn from an infants heel. |
| Nosocomial infections are | Infections that are contracted in a healthcare setting |
| From which of the following tubes could serum be seperated | SST |
| On what does a phlebotomist base the decision of which gauge needle to use? | size and condition of vein |
| If you fill a SST 75% full for a chem panel and it gets rejected, what is the most likely reason? | Speciman was hemolyzed |
| Definition of plasma? | Fluid component of unclotted blood |
| A PT/Ptt is drawn into which tube? | Blue tube |
| Which of the following are involved in the vaxcular stage of hemostatsis | Blood vessel constriction |
| When would you draw a Post Prandial blood test | After a meal |
| Post Prandial | means after a meal |
| Which is the most critical error a phlebotomist can make? | Misidentifying and drawing the wrong patient |
| When a vein becomes hardened and cord like it is said to be? | Sclerosed |
| When would a multisample needle be used ? | When several tubes of blood are needed from one patient. |
| What is a fomite? | An inanimate deject that carries a disease |
| How many times should a tube be inverted | 8 times |
| As what is a funtion of thrombocytes? | clotting to stop bleeding |
| A patient who is cyanotic would be? | Bluish in color due to low oxygen levels. |
| What is the life of a Red Blood cell? | 120 days |
| Where is poing ot care testing performed? | At the patients bedside. |
| In which lab dept would a CBC be performed? | Hematology |
| Which dept in a lab performs a serum pregnancy? | Chemistry |
| What percent of blood volume is composed of formed elements | 45% |
| For which test would a clean catch midstream urine specimen be used | Microbiology/urine |
Created by:
drehmon2237
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