Phlebotomy Practice
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| A phlebotomy technician is performing for a patient who has a wound infected with MRSA and has been placed in isolation. Which one of these actions should the technician take once the procedure is complete? | show 🗑
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| show | Date of battery change.
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| A phlebotomy technician is performing a blood alcohol test. Which of the following antiseptics should the phlebotomist use? | show 🗑
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| While a technician is using a centrifuge, the device catches on fire. The fire is identified as a? | show 🗑
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| show | MP should use two fingers to compress and deliver 30 rapid compressions at a rate of 100-120 compressions per minute. (1.5 inches deep) followed by two rescue breaths.
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| A technician finishes performing a blood draw in an isolated room. Which of the following PPE should the technician remove first? | show 🗑
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| A technician observes a glucometer reading of 250 mg/dL. A second test returns a reading within the expected reference range. Which of the following circumstances could have caused the first result to be inaccurate? | show 🗑
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| A technician experiences a needlestick injury while performing a draw. They are at greater risk of which blood borne pathogen? | show 🗑
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| show | Scrub the site with isopropyl alcohol for 30 secs. using a back and forth method/
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| show | Face Mask.
Wear a PPE for droplet precaution, such as pneumonia.
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| show | Droplet. The CPT should use the appropriate PPE for aliments that are spread by large droplets. Such as a face mask.
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| show | The pt should use the second void of the day to begin a 24 hr. urine collection. The exact time should be labeled on the container label.
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| A CPT is preparing to collect specimens to determine a pt's peak and trough levels of a medication. Which of the following actions should the technician take? | show 🗑
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| show | PT/INR.
Take a drug such as warfarin can effect PT/INR levels.
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| Which of the following types of urine specimen should a pharmacy tech instruct a pt to collect for a pregnancy test? | show 🗑
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| A CPT is positioning a pt for a venipuncture. To prevent reflux or back-flow, the tech should instruct the pt to move their arm into what position? | show 🗑
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| show | Within 72 hrs.
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| show | Hemolysis
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| What is a potential consequence of a phlebotomy technician mislabeling a blood bank specimen? | show 🗑
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| What is an additive used to prevent the breakdown of glucose? | show 🗑
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| According to OSHA standards, how often should a CPT wash their hands with soap and water? | show 🗑
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| show | Push the first collection tube gently into the holder.
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| What tubes are the correct draw order? | show 🗑
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| What procedures should a CPT follow COC guidelines? | show 🗑
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| show | Daily
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| show | No longer than 60 seconds
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| What regulations ensure that a CPT is proficient to preform job duties and responsibilities? | show 🗑
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| show | Have the pt dangle their arm for 1 to 2 mins.
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| A CPT is assembling the equipment they will need for collecting donor units of blood. What needle size should the tech collect? | show 🗑
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| show | 1:10 parts water and Sodium Hypochlorite.
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| show | 36-38 degrees Celsius
96.8-100.4 degrees fahrenheit
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| show | Anaerobic bottle, aerobic bottle , light blue top and EDTA (usually lavender)
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| A tech is preparing to process a WBC differential test, testosterone test and a glucose test. What action should the tech take? | show 🗑
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| A tech is performing a two sets of blood cultures for a patient. What action should the tech take? | show 🗑
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| show | Chemistry.
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| A CPT is preparing to perform a venipuncture for a pt who has pneumonia. Besides gloves, what PPE should the tech use? | show 🗑
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| show | Have the pt lay in a supine position.
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| show | Ask the nurse to turn off the IV for 2 mins.
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| show | "I will swab the area twice to make sure it's sterile." The area should be swabbed twice, once with isopropyl alcohol and once with chlorohexidine gluconate.
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| show | Apply pressure to the site for 5 mins or until the bleeding stops.
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| show | Increased potassium level. The use of povidon-iodine can contaminate the site, can also cause falsely elevated potassium levels.
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| A tech is performing a venipuncture for a lipid profile, WBC and a clotting time test. Which tube should the tech use? | show 🗑
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| show | "May I please draw your blood?" If the pt is implying consent, the tech should confirm it.
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| A tech is performing a venipuncture for a potassium test, CBC and glucose test. The tech has left the tourniquet on for 3 mins. What is the outcome of this? | show 🗑
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| A CPT is performing a hand venipuncture on a pt who has small veins that are difficult to access. What equipment should the tech use? | show 🗑
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| A tech is using performing a venipuncture on a pt. When the tech inserts the needle, the vein collapses. What caused this to occur? | show 🗑
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| What action should the CPT take when locating a vein using the warming technique? | show 🗑
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| A CPT is collecting a peripheral blood smear from a pt. The tech should identify that this collection technique is used for what test. | show 🗑
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| show | The median cubital could be more accessible in one arm than the other.
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| A CPT is educating a pt about the at-home collection of a semen specimen. What statement indicates the pt's understanding of the procedure? | show 🗑
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| A CPT is collecting a blood specimen from a pt. What is a good technique to anchor the vein before insert the needle? | show 🗑
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| show | Blue.
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| A CPT is collecting a blood specimen from a pt to measure the trough level of a medicine. The tech should collect the specimen at what time? | show 🗑
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| A CPT is transporting a blood specimen to a lab. What action should the tech take? | show 🗑
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| show | Inform the pt to contact the ordering provider to obtain the results.
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| What tube should a tech use first when collecting from a dermal sample? | show 🗑
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| What is the best method for a tech to collect a blood specimen from an older adult pt who has fragile, easy to collapse veins? | show 🗑
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| A tech is preparing to draw a peak level for a medication that was administered orally to a pt. After verifying when the pt received the medication, how long should the tech wait prior to collecting the draw? | show 🗑
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| A tech has a requisition form to perform a chromosome analysis for a pt. The tech should use what tube that contains what additive? | show 🗑
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| show | Green. Green tubes contain heparin, which aids in determining sodium levels.
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| show | Vitamin B6. B6 and Bilirubin is photosensitive.
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| show | Use a new collection bag to draw a new unit of blood. This is because collection bags have a specific amount of the additive citrate phosphate dextrose to prevent coagulation.
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| A tech is obtaining a blood culture specimen from an adult pt. What action should the tech take? | show 🗑
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| show | Thrombin. This additive aids in accelerating the clotting process for serum specimen. Thrombosis = Clotting.
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| show | Place the specimen in a box with cold packs and a biohazard label.
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| show | Check the requisition form for duplicate test order.
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| An unconscious pt is brought to the emergency room and several blood tests are ordered. A tech should collect blood because what type of consent has been given? | show 🗑
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| A tech is performing a total cholesterol POC test for a pt. What finding should the tech immediately report to the provider? | show 🗑
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| When should a tech perform external lipid controls for quality control on a CLIA-waived glucose POC test? | show 🗑
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| A tech is using a glucose monitor for POC testing of a pt who has been fasting for 12 hrs. What result should the tech notify to the provider? | show 🗑
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| A tech is reviewing a lab requisition before obtaining a blood specimen from a pt. The tech should verify that the tech includes what? | show 🗑
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| What action should the tech take after collecting an ammonia specimen? | show 🗑
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| A tech should identify that the order of draw for capillary collections is different from venipuncture because? | show 🗑
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| A tech is preparing to enter into a pt's room to collect a blood specimen. What action should the tech plan to take? | show 🗑
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| Prior to transport, what specimen should a tech place in an ice bath within 30 mins of collection? | show 🗑
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| show | Touch the slide to the second drop of blood.
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| For an older adult pt who has difficult to access veins, what veins should the tech select for venipuncture? | show 🗑
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| A tech is collecting a urine specimen from a pt from a pre-employment drug test. What action should the tech take? | show 🗑
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| What action should the tech take when performing a venipuncture using a Evacuated Tube System? | show 🗑
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| A tech enters a pt's room to obtain a stat specimen. The pt's provider and nurse is speaking with the pt. What action should the tech take? | show 🗑
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| How many inversions does a lavender tube need | show 🗑
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| A tech is collecting blood specimen for a blood assay. What tube should the tech fill first? | show 🗑
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| A tech enters a pt's room to perform a venipuncture and notices that the pt is asleep. What should the tech do? | show 🗑
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| show | The temperature of the specimen is 30 degrees C. (86 degrees)
It is below the expected range of 32 degrees to 38 degrees. (90-100 degrees F)
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| What action can result in a grossly hemolyzed specimen? | show 🗑
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| show | Make sure the pt fasted for 8 to 12 hrs.
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| A tech should identify that what is one of the Joint Commission's National Patient Safety Goals? | show 🗑
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| Why should a tech document the total volume of blood drawn from a pt? | show 🗑
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| What does "SD" mean? | show 🗑
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| A tech is collecting a unit of blood from a donor. What action should the tech take? | show 🗑
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| show | Shock.
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| show | Airborne. The tech should follow airborne precautions to prevent the transmission of small particle residue. Conditions that require this precaution include: Tuberculosis, Varicella and Measles.
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| show | Perform the venipuncture. Standard precaution should be followed for all specimen collected.
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| A tech is removing a bag of contaminated items from a collection area. What action should the tech take to properly dispose of the items? | show 🗑
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| What action should the tech take BEFORE leaving the pt's room? | show 🗑
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| show | Speckled. (T3, T4, and TSH)
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| A tech is preparing to perform a venipuncture on a pt who has small, rolling veins. What equipment should the tech use? | show 🗑
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| Why should a tech centrifuge a serum specimen before transporting it to an reference lab? | show 🗑
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| show | Saturate each circle with one drop of blood. The tech should wipe away the first drop of blood and use the drops onward to saturate the circles.
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| show | Place a 1 mm drop of blood one-half inch away from the edge of the slide.
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| A tech should identify that what is first step in the blood collection procedure? | show 🗑
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| A tech obtains two readings 17 mg/dL when performing a glucometer test for a pt. What action should the tech take? | show 🗑
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| What action should the tech take to verify the quality of venipuncture supplies before beginning a blood draw on an adult pt. | show 🗑
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| The Joint Commission recommends using the pt's full name and what other piece of information to ensure accurate inpt identification? | show 🗑
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| show | Avoid taking ibuprofen. Ibuprofen can cause a false-positive result.
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| A tech is preparing to obtain a blood specimen from a pt for an ESR test. What color top should the tech use? | show 🗑
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| A tech is preparing to store a blood specimen. What temperature should it be stored at? | show 🗑
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| show | Ask the pt when they last ate or drank/.
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| A tech is informing a pt about how to enter a basal state for a blood collection. The tech should inform the pt to not consume food for how long prior to blood collection? | show 🗑
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| A tech collects multiple specimens from a premature infant. The infant is at risk for? | show 🗑
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| show | A syringe draw is transferred into a light blue vacuum tube .
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| show | Protect the specimen from exposure to bright light.
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| A tech is collecting capillary blood drops on a filter paper card to screen a newborn for phenylketouria. What action should the tech take? | show 🗑
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| A tech is using a POC test system to determine a pt's WBC. What result should the tech immediately report to the provider? | show 🗑
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| A tech is performing a heelstick to obtain capillary blood for testing a newborn''s bilirubin level. What action should the tech take? | show 🗑
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| show | Ask the pt to make a fist. This is to make the vein more prominent.
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| A tech is preforming a venipuncture for a bilirubin test, a cold agglutinin titer, a CBC and PTT test. What tubes should the tech use? | show 🗑
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| A tech is performing a venipuncture on a pt's deep MC vein. What is the correct method of withdraw? | show 🗑
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| show | Lavender microcontainer, green microcontainer the red microcotainer.
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| show | Stop the draw, apply pressure to the puncture site and get the pt laying down or in an reclining position.
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| What do you do if a pt looses consciousness before, during or after a venipuncture? | show 🗑
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| show | Give 100 chest compressions per minute at the sternum. 1.5-2 inches in depth.
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| Techniques to find a vein. | show 🗑
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| show | The department where the injury occurred.
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| show | 30 mins
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| show | Isopropyl alcohol
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| What are the smallest veins in the human body? | show 🗑
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| show | 18 gauge
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| show | 20 mL
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| show | The stopper has small cracks.
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| How long should you observe the site prior to bandaging? | show 🗑
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| When washing your hands, why is it important to stand back from the sink? | show 🗑
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| Which antiseptic should not be used on pre-term infants or those under 2 months of age? | show 🗑
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| show | Infant's first name. On an infant sample, the infant's last name is included and the mother's name is also included; this is also true for gender. Phlebotomist identification is always required.
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| show | Glucose Tolerance Testing. This is to test for Gestational Diabetes
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| show | 2.2mm
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| If you experience a patient pumping their fists during a blood draw, what can you do? | show 🗑
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| During blood coagulation, what is formed? | show 🗑
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| The veins of patients undergoing chemotherapy are especially challenging for venipuncture due to what characteristics? | show 🗑
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| Under what circumstances should a tube be pre-labeled? | show 🗑
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| show | Infection control requires proper hand hygiene, which outlines hand washing before and after patient contact, before and after putting on or taking off gloves, before leaving the laboratory and before going to the restroom.
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| show | Two.
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| show | The patient has a tendency to form clots.
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| show | Tests that require immediate chilling in crushed ice or an ice water mixture include arterial gases, ammonia, lactic acid, pyruvate, and ACTH.
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| What may occur if a trniquet is left on too long? | show 🗑
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| show | 2.0mm. An infant's capillary bed is located 0.35 to 1.6 mm beneath skin surface. It's heel bone may begin as early as 2.6 mm below skin surface. For this reason, the maximum depth of a heel stick should be 2.0 mm.
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| In what location are nutrients and gasses exchanged in the body? | show 🗑
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| show | Blue. Blue, black and green tubes should be filled completely to the fill line. Red and yellow/gold must hold enough for the test required and mint green, lavender, and gray tubes must be at least half full.
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| What can be done to make drawing easier on a patient with rolling veins? | show 🗑
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| If an intoxicated person refuses a blood sample to determine the presence of alcohol or drugs at the request of a police officer, what is the best course of action? | show 🗑
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| show | Bone marrow
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| An NP culture swab is collected to help diagnose | show 🗑
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| show | Vascular stage
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| The pulmonic valve is situated between what? | show 🗑
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| What is the oxygen carrying protein in erythrocytes? | show 🗑
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| To measure diurnal variation of cotisol hormone what kind of specimen would be required? | show 🗑
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| The heart disorder characterized by fluid buildup in the lungs | show 🗑
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| show | Tube vacuum.
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| What WBC comprises 40%-60% of the white blood cells? | show 🗑
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| show | 16-Gauge
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| show | Suprapubic
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| The proper order for doning PPE | show 🗑
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| Which test requires a 24 hour urine specimen? | show 🗑
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| show | Lumen
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| How many inches above the site should the tourniquet be tied? | show 🗑
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| Which body plane divides the body in equal portions? | show 🗑
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| What organ would a doctor be intested in if he ordered an ALP, AST, ALT, GTT and bilirubin? | show 🗑
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| show | Arterial Blood
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| show | Chux
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| show | Ascites
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| show | Agent
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| How many hours before a blood test should a patient discontinue the use of medications known to interfere with blood tests? | show 🗑
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| show | Three or Four.
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| show | Stoppage of blood
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| show | Pulmonary artery
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| A tech is processing a semen specimen. What action should the tech take? | show 🗑
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