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FINAL EXAM

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Which vein drains blood from the foot, leg, and thigh' joining the femoral veing, making it the longest vein in the body?   show
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A physcian needs to know a patient's Na, K, Cl, and CO2. What test would the physician likely order?   show
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show Pathologist  
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What is the myocardium?   show
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What are the two main types of lympocytes found in the white blood cell population in human blood?   show
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When a chemical spill occurs in the laboratory what should a phlebotomist consult prior to cleaning up the spill?   show
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show SA Node - Sinoatrial Node  
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What are the two major areas of the clinical laboratory?   show
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What is the main anticoagulant for coagulation studies performed in the hematology department of the laboratory?   show
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show Disease  
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A phlebotomist is assigned to the morning draw team. In completing this assignment, what is the area where the phlebotomist is likely to encounter the youngest patients?   show
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show Notify the supervisor  
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show Fibrinogen  
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The Emergency Room physician is examining a patient that is suspected of having a deep wound infection. What test would most likely be ordered by the physician to evaluate this condition?   show
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show Aorta  
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show Defense mechanism (producing antibodies)  
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show Neurology  
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What form of outpatient PO coagulation therapy would be monitored and followed by a Prothrombin (PT) test conducted in the laboratory?   show
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show Certification  
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show Blood  
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show Coronary Arteries  
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In addition to changing gloves between every patient, what else should be done by the phlebotomist?   show
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What is the most common specimen analyzed in the hematology section of the laboratory?   show
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show Intrinsic and Extrinsic  
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show Body parts (Body components)  
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show Bone marrow  
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What is the first thing to do in the event of a fire in the building where you are working?   show
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show Gown, Mask, Gloves  
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What does the term "Universal Precautions" refer to?   show
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show Veins  
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What is the upper and lower figures on a blood pressure reading?   show
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show Artery  
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What type of blood are most laboratory tests performed on?   show
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show Cell  
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What does the suffix -ostomy mean?   show
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Which laboratory test monitors the antidepressant medication often used to treat bipolar disorder?   show
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show Premote blood clotting or Hemostasis  
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What is the term used to describe a gross increase in the number of white blood cells in a patient?   show
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show A. Source B. Method of transmission and C. Susceptible host  
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The term dermatitis means:   show
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show Dry chemicals  
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The combining form for lung is:   show
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show Blood pressure  
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Which languages are the primary sources found in medical terminology?   show
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show Anti-B antibodies  
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What is the recommended disinfectant for blood and bodily fluid contamination?   show
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What type of patient is protected from infection by reverse or protective isolation?   show
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The prefic hypo- means:   show
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What sould a phlebotomist in a laboratory do if a patient calls to schedule a chest x-ray?   show
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show Internal organs  
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The artery of choice for measuring the pulse rate in an adult is the:   show
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show Superior Vena Cava  
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show Aerosols  
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What is first defined when defining a word in medical terminology?   show
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show Laboratory Manager/Administrator  
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show Blood bank  
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show Reference Laboratory  
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show Chemistry  
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What is the only artery in the body that carries deoxygenated blood?   show
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The most important personal characteristic to ensure job security and advancement in phlebotomy is:   show
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show Check for an emergency  
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Inflammation of the lining of the heart is called:   show
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What type of isolation catergory always requires a gown to be worn?   show
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What is another name for a heart attack?   show
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show Skeletal  
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The combining form nephro/o refers to which body system?   show
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To which body system does the combining form aden/o refer?   show
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A weakness in an arterial wall is called:   show
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Which leukocyte had the highest concentration in normal blood?   show
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What determines a person's blood type?   show
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show Professional  
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show Arteriosclerosis  
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Which healthcare settings are most phlebotomists employed?   show
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show Allowable as needed  
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A phlebotomist is pregnant. What patients should the phlebotomist not draw specimens from?   show
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Collecting a large evacuated tube using a 23-gauge needle or smaller may cause a sample to be:   show
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show Adiquate equipment  
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What might develop from using a lances that produces a puncture deeper than recommended?   show
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Before you draw a blood specimen you must always check the patient's id number and name on the :   show
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Collection of a sufficient amount of blood by dermal puncture is most difficult from patients with poor peripheral circulation, or from patients who are:   show
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show Red top  
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What is the primary antiseptic for routine Venipuncture?   show
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A tourniquet should be placed 3-4 inches above the venipuncture site, and remain on the patient's arm no longer than:   show
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show 42 degrees C  
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show 2  
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Indication that the tourniquet is tied too tightly is seen by the appearance on the patient's arm during site selection of:   show
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What is not acceptable as a skin puncture device?   show
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show Hemolyzed  
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Manufacturers of evacuated collection tubes guarantee the intergrity of the anticoagulant and vaccum in the tube until the expiration date. What is the term used to refer to groups of evacuated tubes that are manufactured at the same time?   show
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What should be done to prevent a vein from rolling prior to needle insertion?   show
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When a puncture is made through a previous site what is increased?   show
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show Tourniquet  
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show Patient Identification  
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Blood collected by dermal puncture most closely resembles:   show
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The anticoagulant present in a light-blue stopper tube preserves the labile coagulation factors. What is this anticoagulant?   show
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show Light Blue  
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A large, rigid cord located during palpation indicates a:   show
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show Across the fingerprint  
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Before beginning blood collection in dermal puncture, the first drop of blood should be:   show
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What may be caused by prolonged application of a tourniquet?   show
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show 2 mm.  
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The winged infusion set (Butterfly) would be primarily used to collect blood from a patient's:   show
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show Royal Blue  
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show After blood is collected  
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show Because it's diluted with tissue fluid  
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A sharps container is not needed when performing dermal punctures using a:   show
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show Bed sign  
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In the evacuated tube system, what does blood flow into the tube depend on?   show
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show Antiglycolitic Inhibitor  
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show Dermal Subcutaneous Juncture  
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What part of the foot is not an acceptable dermal puncture site on an infant:   show
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show Id band on the bassinet  
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show Touch  
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In order to prevent contact with bone, what must be controlled in a dermal puncture?   show
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When collecting blood from a patient with small, fragile veins, what is the appropriate needle size?   show
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show Recapping the needle  
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show Calcaneous  
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show Standing  
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What is the most important purpose of a procedure requisition form?   show
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show Anemia  
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Failing to adequately invert a lavender stopper tube after collection will produce a specimen that is:   show
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When organizing equipment at the patient's bedside, it is important to have readily available extra:   show
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The most acceptable puncture site for a 6-month old infant is the:   show
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show Requisition form  
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show Polycythemia  
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Warming the site of a dermal puncture will cause the flow of arterial blood at the site to:   show
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What is the vein of choice for routine venipuncture?   show
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Serum or plasma appearing red after centrifugation suggests that falsely elevated values will result in:   show
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Incorrect collection of blood from a patient who had had a mastectomy can result in the patient developing lymphedema, lymphostasis, or:   show
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What might an infant with falsely negative PKU test most likely be affected with?   show
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When preparing a blood smear, what is the correct angle of the spreader slide?   show
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While performing a venipuncture, the phlebotomist notices bright red blood spurting into the tube. What should the phlebotomist do after withdrawing the needle?   show
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What situations occurring during a phlebotomy visit to a patient room should be reported to the nursing station?   show
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The Duke bleeding time method has been replaced with the template bleeding time because the template method is more:   show
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show Glucose  
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What can be caused by using a small-gauge needle with a large evacuated tube?   show
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show Syncope  
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Disturbing the platelet plug when performing a bleeding time test wil result in a bleeding time result that is:   show
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Most states require testing of newborns for:   show
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show A hematoma  
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show Ask the nurse to band the patient  
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What is the pressure at which the blood pressure cuff should be maintained when performing a template bleeding time?   show
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What is the test method used by filter paper screening tests for PKU?   show
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Collection of specimens from diabetic patients, cardiac patients, or patients with coagulation disorders is not recommended from:   show
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show Prolonged or Lengthened  
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Failure to completely fill the filter paper circle for a newborn screening test can cause results that are:   show
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show 2  
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A phlebotomist can interrupt a physician-patient visit if the collection is a:   show
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In what disease does multiplication of parasites within red blood cells occur?   show
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show Exposure to light, Collected at wrong time and Hemolysis  
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When collecting blood from a patient with an IV, the phlebotomist should not draw from:   show
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When performing a bleeding time on an adult, the incision is made horizontal or parallel to the:   show
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show EDTA - Etheylaminediaminetetraaetic Acid  
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A phlebotomist is attemtping to transfer blood from a syringe into an evacuated tube. While puncturing the rubber stopper the phlebotomist should not:   show
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show Lipemic  
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A bleeding time that continues for 15 minutes should be:   show
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show One drop  
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show Leg veins  
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show Feathered edge  
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A suitable blood smear should have a smooth film of blood without ridges, holes, or streaks, and and edge that is lightly:   show
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show Report the request to the nursing station  
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Specimens that must be collected at specific times are theraputic drug levels and those that exhibit:   show
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When preparing a blood smear, where is spreader placed?   show
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Amber-colored microtainer tubes are used to collect specimens for:   show
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show Infection  
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show Wicking  
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show Red  
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On patients taking diuretics, a chemical level that is frequently monitored is the:   show
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show Holes  
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Newborns that appear jaundiced have increased levels of:   show
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When collecting blood from a patient with a very edematous right arm and a large hematoma in the antecubital are of the left arm, where should the phlebotomist collect the specimen?   show
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show Fistula  
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show Streaks  
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What term means an abnormal accumulation of fluid in the tissues?   show
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When preparing a blood smear, lowering the angle of the spreader will result in a smear thickness that is:   show
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show Early morning  
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A bleeding time is performed to evaluate the function of the:   show
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show Low or normal  
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show Collapsed vein  
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Phlebotomists working in central processing and entering data for Medicare and other collections, may be required to classify tests using a:   show
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show Autologous  
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show Return the requisition to the nursing station for rescheduling (Report to nuring station)  
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What item of equipment is likely to be located within the central processing area?   show
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To obtain an accurate 24-hour uring specimen, the patient is instructed to begin and end the collection with:   show
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show Bilirubin, Vitamin A or Vitamin D  
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One of the most difficult phlebotomy procedures is the collection of blood cultures. What is the purpose of this test procedure?   show
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show Laboratory Procedures Manual  
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Midstream clean-catch urine specimens for culturing are delivered to the:   show
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show Areobic  
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Which test order type is classified as the highest priority?   show
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What is the fluid collected from the abdominal cavity?   show
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show At the same time, different sites  
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show Reference Laboratory Manual  
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Urine specimens that cannot be tested within 2hours should be:   show
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What is the test that must be placed in ice and water immediately after collection?   show
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To monitor changes in a patient's hemoblobin level, a phlebotomist may be requested to collect specimens:   show
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When a semen specimen is delivered to the laboratory, the phlebotomist should record the:   show
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show After the PT finishes drinking the glucola  
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In a patient with Polycythemia, the amount of serum obtained after centrifuging a tube of blood will be:   show
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show Paint can style  
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show Warm  
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show Theraputic drugs  
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show Keep bacteria alive  
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A fasting (baseline) specimen for a GTT is drawn at 0600, and the patient finishes drinking the glucose at 0645. What is the correct time to draw the 1-hour specimen?   show
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Many non-blood specimens such as CSF and other body fluids must be analyzed immediately. This is to prevent loss of:   show
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show Adulteration  
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show Anerobic (w/o oxygen)  
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Why are major phlebotomy rounds scheduled early in the morning?   show
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show Deionized water  
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When is a therapeutic drug trough level drawn?   show
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What is the distribution of a CSF specimen in tubes labeled 1, 2 and 3?   show
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show Forensic  
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show NPO  
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show Increased values  
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show 2  
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show 120 minutes or 2-hours  
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A blood specimen for DNA analysis to determine paternity is considered to be:   show
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Plasma cortisol levels are scheduled to be drawn between 0800 and 1000 because cortisol is a metabolite that exhibits:   show
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show Assessioning  
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show Ice and Water  
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How much blood is collected from a person donating a unit of blood?   show
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What is the most important consideration when collecting a blood culture?   show
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A phlebotomist in central processing receives an SST tube with a requisition for tests performed in chemistry and at a reference laboratory. What should the phlebotomist do?   show
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What is the order in which cleansing solutions are applied to a patient's arm before and after collection of a blood culture?   show
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show Wt. and hemoglobin too low, and BP or Temp too high  
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show To deactivate or inactivate antibiotics  
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The process in which a person donates a specific blood component and the remainder of the blood is returned to the donor is called?   show
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What is the department within the laboratory to which blood cultures are delivered after collection?   show
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What process might be used in the treatment of Polycythemia or Hemochromatosis?   show
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The specimens collected during the GTT after the patient drinks the glucose will be analyzed at the end of the test. What type of vacutainer tube should the baseline glucose and all of the specimens of the test be collected in:   show
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show Above an IV  
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show Quality Control (QC)  
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What is a test that cannot be performed by POCT instruments?   show
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show Microscopic analysis  
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show Criminal battery  
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What is failure to give reasonable care to a patient by a healthcare provider?   show
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show PT, PTT  
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What should a phlebotomist provide when instructing a patient prior to the collection of a specimen for occult blood testing?   show
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show Calibration  
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show Root cause  
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show Pre-analytical  
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show Is read at two different wave-lenghts  
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show Recording test results  
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show Negligence  
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show Job description  
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Documentation of daily refrigerator and freezer temperature records, as well as centrifuge calibration and maintenance are required by:   show
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show HcG - Human Chorionic Gonadotropin  
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show Package insert  
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The expiration date on a box of evacuated tubes represents the last day that the manufacturer guarantees:   show
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show Delta Check  
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Why are two swabs usually collected for rapid streptococcus testing?   show
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show Waived  
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show Giving implied consent  
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show Quality Control (QC)  
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To avoid a false positive result in an occult blood sample, what should the patient avoid for one week prior to collection?   show
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What is the advantage of a rapid group A Streptococcus kit as far as results are concerned?   show
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show Sentinel Event  
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The most serious error that a phlebotomist can make is:   show
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show Refrigeration  
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show Proficiency Testing  
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What is the failure to provide a standard of care that is due to a patient by a healthcare provider?   show
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The Health Insurance Protability and Accountability Act (HIPPA) primarily would affect phlebotomists when they are:   show
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show Antigens  
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show Quality Control (QC)  
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show Tachometer  
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show Quality Assurance  
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The Clinical Laboratories Improvement Amendment (CLIA '88) regulations are administered by:   show
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show Tort  
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Written policies, evidence of monitoring, and actions taken to resolve problems are referred to as:   show
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What would a patient with a cholesterol result of 300 mg/dl be in danger of developing?   show
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What is the recommended specimen for urine pregnancy testing?   show
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Cleansing the venipuncture site with 70% isopropyl alcohol and blowing on the alcohol to dry it is an example of doing:   show
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show Unethical  
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show Incident report  
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show Analytical variables  
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What is the anticoagulant that is given to patients to prevent the release of clots into the circulatory system during surgical procedures?   show
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show Color and Appearance  
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show Expired tubes  
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The presence of hemoglobin in a Hemoccult test is indicated by the appearance of:   show
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