State test review
Help!
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| Another Name for blood bank | immunohemotology
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| With which other hospital department would the lab coordinate drug monitoring with? | Pharmacy
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| Electrolyte testing includes: | Sodium and Potassium
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| Why is it a phlebotomis roll tot promote good public relations? | ease patient anxiety
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| Coding used for reimbursement uses what national coding system? | CPT 9 and 10
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| What department administers oxygen therapy | Respiratory Therapy
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| Term used to describe sophisticated high complexity care | tertiary care
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| Greek word phlebotomy translated means: | vein incision or to cut a vein
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| What is NOT a phlebotomist duty? | Start or draw from IV
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| ASCP certified phlebotomist credential is: | PBT
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| work shops by agencies to update skills for license renewal is called | CEU's
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| Another name for medical lab scientist is: | Medical Technologist
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| What is a barrier to effective communication? | Child, upset patient, different language
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| What is a confirming response to a patient? | I understand how you must be feeling
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| Example of negative kinesics. | Frowning
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| What communicates unprofessionalism? | Intense body odor or cologne
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| It is improper telephone protocol to: | hang up on a caller
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| Which duty is NOT done by local health agencies? | licensure of healthcare workers
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| Acknowledging a patients beliefs, customs, and attitude exemplifies: | Diversity Awareness
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| A phlebotomist who takes short cuts to get a sample exhibits: | unprofessionalism
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| department testing for infectious diseases and antibodies is called: | immunology
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| What charges come from drawing a patient without consent | Assault and battery
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| Two phlebs are over heard talking a bout a patient, what violation is this? | invasion of privacy
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| What does NOT violate a patients right to privacy? | Sharing collection site information
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| Malpractice is a claim of: | improper treatment
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| If a phlebotomist does not put the needle and hub in sharps they are: | Negligent
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| What organization sets standards for phlebotomy procedures? | CLIS
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| What action will compromise the quality of a specimen? | Partially filling EDTA tube
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| Is filling out a daily time sheet part of QC? | Nope
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| What analyte result is adversely affected by chilling? | Potassium
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| When a threshold value of a QA is exceeded and problem identified: | Corrective action plan implemented
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| Standard of care is influenced by: | Joint Commission
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| which is least likely to be rejected: icteric, clotted, lipemia, or hemolized | Icteric specimen
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| what do we NOT put on an incident report? | Suggestion for guidelines or opinions
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| Where can you find any test you need information on/about? | Collection manual
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| NPSG's specified 2014 goals for the lab is to: | improve communication
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| why do some tests require immediate cooling? | Slow metabolic process
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| What is NOT included in malpractice litigation? | institution informed of injury to patient
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| What is found in procedure manual? | revision dates
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| Why does QC prohibit use of out dated tubes? | additive to sample ratio
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| Unauthorized release of confidential patient info is called | invasion of privacy
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| Definition of a minor is: | not of age of majority
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| analytical factor thats out of Phlebs control that affects testing is: | patient preparation
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| how do you control sever bleeding? | apply direct pressure
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| Class C fire | electrical equipment
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| HBV Vaccination involves | dose then second dose at 1 month and last dose at 6 months
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| employee screening for infection control is: | PPD testing
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| what is the acronym for fire code? | RACE
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| Protecting the patient from infection is what type of isolation? | Protective
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| OSHA HazCom Standard is also called: | Right to know law
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| Dawning PPE | gown, mask, goggles, gloves
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| Employers must offer ____ with in 10 working days | HBV Vaccine
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| FIRST thing you do when stuck by dirty needle: | wash for at least 30 seconds
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| Principles involved in radiation exposure | time, distance, shielding
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| Nosocromal infection example: | infected catheter
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| potential permucosal exposure to organisms | touching eyes with contaminated hands
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| A patient with _________ would be placed in protective isolation. | Severe burns
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| Work practice control reducing the risk of exposure to blood borne pathogen is: | wash hands
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| What type of transmission of infectious agent is a cough or sneeze? | Droplet
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| If a phlebotomist is bit thru skin, comes in contact with blood thru a cut, splashes body fluids in eyes or mouth what type of exposure occurs? | Occupational exposure
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| What PPE is taken off AFTER leaving pt room? | Respirator
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| Hazardous labels MUST include? | GHS statment, pictogram, severity signal
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| CLSI says scrubs should be how far off floor? | one to one and a half inches
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| Isolation sign saying everyone MUST wash hands before exiting room indicates patient may have what type of spore forming microbe? | Clostridium Difficile
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| If body fluids get into eyes, eyes must be flushed for a minimum of: | ten minutes
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| N-95 respirator must be worn for what type of precaution? | Airborne
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| What part of ostiocondritis is the suffix? | itis
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| What does the suffix of the term glycolysis mean? | Breakdown
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| singular form of alveoli: | alveolus
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| medical term for white blood cell: | leukocyte
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| Medical term for kidney inflammation: | Nephritis
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| PP means: | After a meal or post perandial
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| ESR Means: | erythrocyte sedimentation rate
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| term meaning condition of clotting: | Thrombosis
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| term meaning muscle pain: | Myalgia
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| Term meaning hardening of artery: | Arteriosclerosis
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| what is the root word in electrocardiogram? | cardi
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| A prefix : | precedes the root word
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| suffix in the term lipase is: | ase
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| polycythemia means: | blood condition of many cells
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| A 2hr postprandial specimen should be drawn: | 2 hours after eating
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| What vascular access device is placed in a peripheral vein for the purpose of blood collection and drug administration? | Heparin lock
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| Abbreviation ESR or ESRW means: | Erythrocyte sedimentation rate
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| The abbreviation PP means: | after eating or post prandial
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| ABG specimine rejection criteria includes: | air bubbles, incomplete or missing label, QNS
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| The ability of the body to repair and maintain its self to achieve a steady state is called: | Homeostasis
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| According to CLIS _________ is the recommended blood culture site skin disinfectant for infants 2 months or older: | chlorhexidine glucose
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| According to CLIS standards which of the tubes listed below is filled last when using a syringe? | EDTA
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| According to CLIS the maximum time limit for separating serum or plasma from cells is: | 2.0 hours from time of collection
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| According to standard first aid procedures, severe external bleeding is best controlled by: | Applying direct pressure
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| The accumulation of _____ in the blood can cause metabolic acidosis | lactate
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| An additive tube should be mixed: | as soon as it is filled
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| All of the following are included in the DOT's 10 steps to collection site security and integrity EXCEPT: | ensuring video monitoring is working
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| What is included on the Joint Commission (TJC) do not use list | Kg
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| A 24hr creatinine and clearance test is used to determine the function of | Kidneys
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| The ability to achieve both accuracy and precision is: | reliability
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| According to OSHA regulations, who must provide PPE? | Employer
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| All manufacturers of laboratory reagents must supply a document stating the hazardous properties of the material and other data regarding the use and disposal of the reagent. What is this document called? | Material safety data sheet
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| What can cause a false positive rapid strep test | contamination
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| What can be a cause of a false negative rapid strep test | improper storage or collection
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| A common reason for a specimen error not caused by random errors: | imprecise timing
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| All testing procedures in the clinical lab must be monitored for accuracy and precision using: | at least 2 levels of controls
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| A decrease in the number of white blood cells is known as: | leukopenia
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| Define homeostasis | a state of physiological equilibrium
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| An electronic cell counter is used for: | red and white cells
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| A false positive nitrate on a urine sample indicates | improper storage
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| For a lab having a certificate of provider performed microscopy, what type of healthcare provider would not be allowed to perform microscopic procedures | medical assistant
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| The function of the kidney is to remove ________ and reabsorb ________ | waste products and water
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| Gamma-glutamyl transpeptidose (GGT) is particularly elevated in | alcoholic cirrhosis
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| Glucose is stored in the liver as | glycogen
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| A GTT includes what specimen | Blood
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| Where is hemoglobin found | red blood cells
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| Anthrax is | a bacteria
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| Although many antiseptics and disinfectants may kill HIV, the most practical one for use on contaminated equipment is: | 10% bleach solution
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| Another name for low blood sugar is | hypoglycemia
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| Another type of testing that can ensure accuracy in addition to QC is: | proficiency testing
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| An autoclave sterilizes by | Steam and increased pressure
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| Blood cultures are ordered for: | FUO - fevers of unknown origin
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| A gradual change in the mean that proceeds in one direction over six or more consecutive days is known as a: | Trend
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| Hemoccult testing detects blood in the | Stool
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| Hemoglobin electrophoresis is used to diagnose | anemia
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| The HIPPA privacy rule does not protect patient information that is: | accidentally overheard
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| How can a nurse collect a sterile urine from an incontinent patient | Using a catheter
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| A cellophane tape preparation should be taken to which department | microbiology
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| A centrifuge is used to | separate liquids from solids
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| How long can urine be refrigerated if not tested right away | 4 hours
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| How long must test requisitions be kept by the lab | two years
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| The change in the shape of erythrocytes as observed on a peripheral smear is described as: | poikilocytosis
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| CLIA does not mandate | waived tests
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| How long should the tourniquet be on the patient's arm? | No longer than a minute
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| How many stool samples are needed for an O&P | three fresh
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| Clumping together of cells or particles is known as: | agglutination
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| A compound microscope is used to study all of these types of organisms except | viruses
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| How much time should pass before a Westerngen ESR result is read? | 1 hour
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| How would a patient be prepared for a 2 hr post prandial glucose test? | Patient eats two hours prior to testing
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| The life stand of an RBC is | 120 days
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| The liquid portion that remains after centrifuging a light blue top | plasma
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| Liver disease will cause an increase the ________ count | bilirubin
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| What is a human chorionic gonadotropin test for? | pregnancy
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| Liver enzymes can easily be assessed through: | blood testing
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| What is the best specimen to use when checking for a UTI | mid stream clean catch
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| Material Safety Data Sheets (MSDS) are stored: | where they are accessible to everyone
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| Nosocomial infections are: | contacted in hospital setting
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| Normal urine output in an adult is: | 600 - 2000 ml
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| Normal human body temperature | 37C
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| Most hematology tests are performed on: | whole blood
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| A packed RBC volume ratio is: | hematocrit
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| A measure of the departure from accuracy is known as: | bias
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| The medical term Leuk- | white
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| If a patient goes into a convulsion after a venipuncture, call for help then: | make sure patient is safe and doesn't hurt themselves
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| If a urine can not be tested within _________ it should be refrigerated | one hour
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| The term Osteo means: | bone
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| Microscope slides are placed on the | Stage
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| The most common cause of leukocytosis is: | a bacterial infection
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| The most common fungus seen in a doctors office is | ringworm
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| The most commonly performed test for anticoagulation therapy is: | prothrombin time
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| The most common metabolic disorder discovered by a urine dipstick is: | diabetes
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| The most common test performed in the hematology department is: | CBC- complete blood count
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| If patients have the same name, how would their flies be put in order | numerically by their birthdate
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| If serum is pink it indicates | hemolysis
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| If the laboratory receives a tube with no name, what is the proper procedure? | discard it and ask for a redraw
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| In a normal distribution curve, more values are: | close to the mean
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| The incubator temperature in the microbiology department should be: | checked daily
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| Infectious hepatitis is caused by a: | virus
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| Infectious mononucleosis is caused by: | EBV epstein barr virus
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| Insufficient centrifugation while performing a microhematocrit will result in: | a false increase in hematocrit value
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| In the clinical chemistry department, tests are performed on: | auto analyzers
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| In the laboratory, the substance being measured is known as the: | analyte
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| An invisible spray of liquid particles | aerosol
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| Laboratory refrigerators should be kept at the following temperature: | 1 to 6 Degree Celsius
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| What is the most commonly isolated pathogen found in wound infections | Staphylococcus aureus
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| Patients with uncontrolled diabetes will have abnormal results in the following urine parameter(s): | glucose and ketones
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| A patient with an allergic reaction will have an increased number of these types of cells: | EOSINOPHILS
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| A persistent infection with symptoms that come and go: | latent infection
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| A positive leukocyte esterase result in a urine sample indicates: | white blood cells
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| TB is caused by: | bacteria
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| A sudden change in the mean that becomes continuous is known as: | a shift
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| The study of fungi | mycology
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| Sputum should be collected from what area of the respiratory tract? | lungs
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| A spinal tap is also known as a | lumbar puncture
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| A specimen that is divided into two parts and analyzed in two different laboratories to check for accuracy is: | split specimen
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| Smallpox is caused by: | various major
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| Specimens used to test the accuracy of urinalysis procedures, reagents, and equipment are: | urine controls
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| A positive nitrate result in a urine sample indicates | bacteria
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| The term card means | heart
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| PPE includes | goggles, gloves, coats
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| The term for increased white blood cell count is: | leukocytosis
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| The prefix hyper means | excessive
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| the prefix that means 1/10 | deci
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| A __________ test determines how much of a substance is present | quantitative
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| A test kit that should be stored at 15-25 degree C is stored where? | store room shelf
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| Privileged communication is the legal term that refers to confidential information | obtained in a patient/physician relationship
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| The process by which a cell engulfs a foreign material such as a bacteria or virus is known as: | phagocytosis
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| The protein found in RBC's that carry oxygen | hemoglobin
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| Protein in the urine indicates | kidney disease
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| A test used to detect the presence of inflammation | CRP - C Reactive Protein
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| Quality control is plotted on a | Levey Jennings chart
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| The rapid plasma reagin (RPR) test is most commonly used to detect | an STD
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| A rapid strep kit tests for | group A streptococci
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| The ratio of the volume of RBC to the total volume of blood is known as: | hematocrit
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| Removal of tissue from the body for pathological examination is called | biopsy
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| Results when using the N-Multistix 10SG take | less than 2 minutes
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| Semen samples must be reviewed microscopically ASAP because | decreased motility over time
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| Serum is separated from the cells as soon as passible to prevent | hemolysis
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| Trichomonas vanginalis is a | protozoa
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| Two or more organisms living together | symbiosis
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| An upper GI series requires the patient to | drink barium
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| Throat swab samples can be used | only once
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| A timed specimen is required for | peak theophylline level
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| Transferring a patient specimen to a culture plate | inoculation
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| A urine test that indicates bacteria in the intestinal tract | urobilinogen
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| The value of QC material provided by the manufacturer is known as | target value
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| Urine pregnancy tests detect | HCG - Human chorionic gonadotropin
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| There ia a pathological condition in which system if a patient has the following urine result? Leuk: Positive pH: 6.5 Pro: trace WBC: 15-20 Bact: positive Nitarite: positive | genitourinary
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| To protect confidentiality, what question should a health care worker ask themselves before looking at a patient's medical information? | Do I need to know this
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| A urine sample can be refrigerated for up to ________ and must be allowed to warm to room temperature prior to testing | 4 hours
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| The value of the normal control for potassium is 3.2mEq/L. If 1 standard deviation (SD) is +/- 0.2 which of the following value is out of range? | 4.1 mEq/L
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| The variation from the mean of a sample is the | coefficient of variation
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| What is not a physical property of urine? | glucose level
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| What color tube is a PT collected in? | light blue
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| What color tube is used to perform a CBC? | lavender
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| What cells produce antibodies? | B- lymphocytes
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| What cells are involved in hemostasis | platelets
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| What causes an ammonia smell in urine | excessive bacteria
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| What carries oxygen away from the heart | arteries
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| What additive is in a green top tube | heparin
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| What acts as a decolorizer in the gram stain procedure | alcohol / acetone
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| What is produced by the breakdown of hemoglobin | bilirubin
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| What is the blood tube of choice for the hematology department | lavender EDTA
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| What is the coefficient of variation used to determine | precision
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| What is the correct order of steps when performing a microscopic urine? | centrifuge, place one drop on slide, use low power, record results
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| What is the highest percentage of WBC's in a peripheral smears? | neutrophils
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| What is the main function of white blood cells? | protection from infection
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| What department studies blood cells in the bone marrow? | hematology
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| What is the major Hub found in the RBC's of patients with sickle cell anemia | Hgb S
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| What does an elevated ESR (erythrocyte sedimentation rate) indicate | inflammation
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| What does the term syncope mean | fainting
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| What does Universal precautions mean to a healthcare worker | to treat everything as contaminated
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| What is the major type of WBC seen in the peripheral smear of a patient with aplastic anemia | lymphocyte
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| What is the minimum number of values that must be obtained before calculating standard deviation | 20
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| What indicates a UTI in a clean catch mid-stream urine | 100,000 colonies/ml
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| What indicates bacteria in the urinary tract | nitrites
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| What is the most important factor in controlling the spread of disease | hand washing
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| What information must always be clearly noted in a prominent area of a patients file, such as the front cover or immediately inside the cover | any known allergies
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| What is the name of the muscle of the chest | pectoralis major
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| What is the normal pH of urine | 4.5 to 8.0
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| What is the normal range for urine specific gravity | 1.010 to 1.025
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| What is a carcinogen | cancer causing agent
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| What is a contact transmission hazard | needles, contaminated hands
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| What is added to a urine specimen to prevent breakdown before testing | preservative
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| What is an example of a physical hazard | broken glass
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| What is a patient's most common mistake while collecting a 24hr urine sample | not collecting all the urine
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| What is a urinary tract prefix | ren
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| What is it called to be free from infectious organisms | aseptic
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| What is the normal WBC differential lymphocyte percentage in the adult population | 20% - 44%
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| What is the number one STD in the US? | trichomoniasis
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| What is the oxygen carrying component of red blood cells | hemoglobin
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| What is the path of urine through the urinary system | kidney, ureters, bladder, urethra
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| What is the preferred specimen for a differential | EDTA
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| What is the primary function of the RBC's | carry oxygen
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| What is the proper way to carry a microscope | one hand on base, one hand on arm
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| What is the purpose of a stain | enhance visibility of formed elements
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| What is the purpose of the ICD 10 CM codes | to describe the patient's diagnosis
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| What is the total magnification of a microscope with a 10x eyepiece and a 40x objective | 400
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| What is the vein most commonly used for venipuncture | median cubital
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| What is used to calibrate instruments | standards
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| What laboratory findings is seen in a patient with appendicitis | elevated WBC count
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| What microscope objective is used for initial focusing | coarse adjustment using a low power objective
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| What mineral is essential for hemoglobin production | iron
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| What objective is used to read a gram stain | 100x - oil immersion
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| What organism is the smallest | virus
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| What organ is responsible for the production of urine | kidney
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| What parts of the microscopic affect the amount of light through the specimen | diaphragm, condenser
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| What patient filing system provides for the greatest degree of patient confidentiality | numeric by medical record number
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| What percent of blood are RBC's in an average adult | 40% to 45%
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| What reagent is part of the gram stain | crystal violet
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| What results from leaving a tourniquet on too long | hemoconcentration, falsely elevated potassium
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| What should a healthcare worker do if they come across an open shredding bin full of papers revealing patient names, addresses and diagnosis | close the bin and report it to a supervisor
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| When is it acceptable to share your computer login identification and/or password | never
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| When diluting an acid | slowly pour acid into a base
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| What will not protect against HIV | recapping needles
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| What test is done when electrolytes are ordered | k+ Cl- an dNa++
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| What should a phlebotomist do with a patient that is difficult stick? | try twice then ask for help
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| What should happen to a specimen that is not labeled | ask for a new specimen
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| What stain is used on a peripheral blood smear to differentiate the cells | Wright's stain
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| What substance is released with cell damage | electrolytes
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| What tests for dehydration and cell starvation in urine | ketones
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| What tube can stabilize glucose for up to 3 days | gray, sodium fluoride
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| What type of bacteria is spherical | cocci
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| What type of cell will be increased in cases of mononucleosis (mono) | atypical lymphocytes
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| What type of laboratory must perform proficiency testing | moderate complexity laboratories
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| What virus causes mononucleosis | epstein barr virus
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| What will happen to the WBC count in a patient with acute appendicitis | it will be elevated
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| When a practitioner orders an unusual test, the best way of ensuring a good specimen is | to review the collection guidelines provided by the reference laboratory
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| When blood is allowed to coagulate the liquid portion is known as | serum
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| When choosing a CPT code for a laboratory test, which is most appropriate | choose the specific analyte code, if available
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| Which organ produces insulin | pancreas
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| Which one of the following is the urine specimen of choice for bacteriological examination | clean catch, mid stream
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| Which of the following tests would be used as an aid in the detection of cancer of the prostate | PSA
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| Which of the following tests are used to detect gout | uric acid
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| Reticulocytes are run in what department | hematology
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| Which of the following is not a type of white blood cell | platelet
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| Who can give consent for treatment if the patient is a married minor | the patient themselves
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| Which WBC produces antibodies | lymphocytes
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| Which urine test measures the glomerular filtration rate- the amount of blood filtered by the kidneys | creatinine clearance
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|
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| What type of blood test is done using an artery | ABG Arterial blood gas
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|
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| Which department has a special patient identification system | blood bank/ transfusion services
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| Which department performs an ESR- Wintrobe method | hematology
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| Which of the following is not a protein found in urine | urobilinogen
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| Which of the following cells are phagocytic | neutrophils and monocytes
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|
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| What are the parts of a routine urinalysis | physical, chemical, microscopic
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|
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| Which of the following analyses would be most affected by a hemolyzed specimen | K+
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| Where should a phlebotomist perform a baby heel stick | on either side of the heel on the bottom of the foot
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| Where should a fingerstick be performed | on the 2nd or 3rd finger
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| When using test kits, the clinical laboratory assistant should | never mix lot numbers
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| When using an automated cell counter, the most frequent cause of erroneous test results is: | improper mixing during collection
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|
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| When the control values on a distribution curve are close to the mean value, but deviate a small amount on either side of the mean from day to day it is known as: | normal distribution
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|
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| Which part of the name Mr. Charles D. Anderson-Jones would be used to alphabetize the patient chart? | by Anderson
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|
||||
| Which phagocytic cell produce lysozymes? | neutrophils
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|
||||
| Which poses the greatest potential risk of damage to a computer's stored information | downloading files from non- secure sources
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|
||||
| Which power is used to perform a microscopic UA? | 40x's low power
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|
||||
| Which RBC disorder changes the hemoglobin molecule | sickle cell anemia
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|
||||
| Which term describes the top portion of a centrifuged specimen | supernatant
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|
||||
| Which test is performed in the hematology/coagulation department | PT
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|
||||
| Which tube is not centrifuged | Lavender
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|
||||
| What tube is a serum tube no additive | Red Top
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|
||||
| Which urine parameter measures the number of solutes in the urine | specific gravity
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|
||||
| Which urine parameter would be abnormal if a patient has chronic high blood pressure | protein
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|
||||
| Which urine parameter would be abnormal if there were bacteria present in the urine | nitrates
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|
||||
| Which urine parameter would be abnormal in a patient with uncontrolled diabetes | ketones
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|
||||
| Which urine parameter would be abnormal when a patient has been fasting | ketones
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|
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