Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

Normal Size Small Size show me how

Phlebotomy Review

Question	Answer
What is the study of blood and blood-forming tissues called?	Hematology
Which of the following is NOT a component of a CBC: RBC count, WBG count, ESR, Hct. or Hgb?	ESR
For what is AFB a test?	Tuberculosis
What type of consent is inferred by signs, inaction or silence?	Implied consent
If one is neglectful or fails to perform an obligation they are guilty of which of the following: breach of duty, damages, libel, slander or precedent?	Breach of duty
The latin phrase that means "Let the master answer" is which of the following: guardian ad litem, subpoena duces tecum proximate cause or respondeat superior?	Respondeat superior
What is the legal term for the threat of bodily harm?	Assault
Unauthorized publication of information about a patient is which of the following: tort, slander, libel, invasion of privacy or defamation of character?	Invasion of privacy
I you touched a patient without consent you could be guilty of what?	Battery
What type of consent is given when a patient understands the risks and benefits of the procedure?	informed consent
If a phlebotomist does not use proper measures to prevent a fainting patient from falling of what is s/he guilty?	Negligence
On a chain of custody form which of the following does not need to be included: name of subject, name of perosn collecting sample, signature of person transporting the specimen, name of person receiving the speciment in the lab or name of physician?	Name of physcian
Define Asepsis.	Germ free
A term for killing organisms after they leave the body.	Medical Asepsis
What is a form of isolation in which anyone entering the patient's room and having direct contact with the patient wears gloves and gowns.	Contact isolation
What is the form of isolation used for patients who have diseases tht can be spread by droplet infection?	Respiratory isolation
Which Federal Agency established in 1946, and headquartered in Atlanta, GA functions to prevent and control disease?	CDC
Which non-governmental agency, headquartered in Chicago, IL, establishes guidelines for hospitals and health care agencies to follow regrding quality of care?	JACHO
Which governmental agency requires employers to provide a safe work environment including measures to protect workers exposed to biological and occupational hazards?	OSHA
What are the Federal guidelines that regulate all clinical labs; regulate specfic guidlines for QA, QC, record keeping and personnel qualifications and regulations apply to any site that test human specimens?	CLIA
What year was the Clinical Laboratory Improvements Amendments enacted?	1988
What is the AMA	a voluntary association for U.S. physicians
Enacted in 1996 by the U.S. Congress that protects health insurance coverage for workers and their families when they change or lose their jobs.	HIPAA
These provisions require the establishment of national standards ofr electronic health care transactions and national identifiers for providers, health insurance plans and employers	Title II of HIPPA, the Administrative Simplification
An institute formerly known as NCCLS - develops guidelines and sets standards of performance for al areas of the clinical laboratory	CLSI
An agency that outlines competencies for phlebotomy programs approved by their organizaitons, also approves phlebotomy programs.	NAACLS
What is one of the most common errors when collecting blood specimen?	Incorrectly identifying the patient
What is a physician's order to obtain a specimen for testing?	Requisition
As blood circulates, which components does it carry to and from the lungs?	oxygen and carbon dioxide
This is often found on a requisition, but is not required.	Patient's date of birth
What is the most important task a phlebotomist has?	To properly identify the patient
If a specimen's identification is in doubt what should be done?	It should be discarded.
In a hospital setting when should a phlebotomist never draw blood.	When a patient is not wearing an ID band
What is the antecubial fossa?	An area formed at the inside bend of the elbow
The destruction of red blood cells	hemolysis
An accumulation of fluid under the skin	Edema
A sterile disposable, sharp instrument used in dermal punctures	Lancet
A condition in which plasma enters the tissues resulting in a higher than normal concentration of the cellular components of blood	Hemoconcentration
A collection of blood underneath the skin	Hematoma
Fainting	Syncope
Which of the following is NOT a part of the venipuncture needle: bevel, shaft, lumen, barrel, hub?	Barrel
What is the main advantage of the evacuated system?	Many different tests can be collected with ony one venipucture.
A needle adapter is also known as what?	Needle holder
What tube is used for CBC draw and contains EDTA?	Lavender
Which tube has nothing in it and collects serum?	Red
Which tube must have a 9:1 ration and is used for the collection of coagulation studies?	Light Blue
Which evacuated tube is used to collect blood alcohol levels?	Gray
What does the gray top tube contain?	Sodium Fluoride/Potassium Oxalate Sodium Fluoride/Na2EDTA
Which tube contains Acid Citrate Dextrose-A (ACD-A) Acid Citrate Dextrose-B (ACD-B) Sodium Polyanetholesulfonate (SPS)	Yellow
When would a syringe draw be necessary?	Veins are too small or weak and might collapse from other methods
What is the difference between a syringe needle and an evacuated tube needle?	The evacuated tube needle is double-pointed.
Tourniquets should be left on how long?	no more than 1 minute
What can happen if a tourniquette is left on too long?	Hemoconcentration
What is the most common venipuncture site?	Antecubital fossa
What condition could happen if you draw blood from a mastectomy patient?	Lymphostasis
What size lancet can permanently damage an infant?	2.8 mm
What is the standard gauge needle used in the evacuated tube method?	21 gauge
What tubes are ALWAYS drawn first?	Blood culture tubes
Which tube containing sodium citrate has a ratio of blood to anticoagulant (sodium citrate) 9:1?	Light Blue
Which additive also inhibits glycolysis?	Sodium fluoride
Which anticoagulant prevents blood from clotting by binding calcium and prevents platelet aggregation?	EDTA
Which anticoagulant preserves the shape of blood cells?	EDTA
Which tube has a ratio of blood to anticoagulant (sodium citrate) 4:1?	Black
Which type of blood makes up the majority of the dermal specimen?	Arterial
Capillary specimens will have a higher amount of what component?	Glucose
Which is the method of choice for obtaining blood from infants and children under the age of 2?	Dermal puncture
Upon changing a glucose meter battery upon what do you check the accuracy?	quality assurance material
If a dermal puncture penetrates the bone, what could the incision cause?	Osteomyelitis
Under what age should a finger puncture not be performed?	One
Why should phlebotomists not use the very tip of the finger for a dermal puncture?	Bone is too close to the skin
Which bone should be carefull avoided when performing a heel puncture?	Calcaneus
What type of test can residual alcohol cause an error?	Glucose testing
Why is the first drop of blood that appears after a dermal puncture not collected for testing?	It contains interstitial fluid
What is the correct procedure to stop bleeding afer a finger puncture?	Elevate the finger
When should you label a specimen after a draw?	Before leaving the patient's side
What could "milking" a puncture site cause a blood sample to do?	Hemolyze
If Chemotherapy is being administered and veins must be preserved what method of blood collection would be done?	Dermal puncture
On an adult, other than fingers or heals, where can a dermal puncture be done?	Ear lobe
Where should a lancet be discarded?	Sharps container
What test is performed to determine if an artery is safe to use for an ABG?	Allen test
What is the name of the condition wherein a person's blood sugar is too low	hypoglycemia
A fasting specimen requires that the patient has had nothing to eat or drink other than water for how long?	10-12 hours
A two hour postprandial glucose test means what?	The test would take place two hours after eating.
A test for diagnosing diabetes mellitus.	Glucose Tolerance Test
A blood and urine specimen is collected at 30 minutes and then at hourly intervals for the remainder is which test?	Glucose Tolerance Test
The bleeding time test is a sceening test that assesses the patient's status for what?	Hemostasis
A unit of blood is approximately 63 mL of anticogulant and how much of blo?	450mL
Most states require that all newborns are tested for this.	Phenylketonuria
This requires that a record be kept of the specimen from the time it was collected until after the lab test is performed.	Chain of custody
What does the bleeding time test assess?	Ability to stop bleeding
What is the most common performed point of care test?	Glucose test
What is a characteristic unique to pediatric phlebotomy that a phlebotomist must do.	Communicate with both the patient and parent/guardian about the procedure
What is the usual guideline for heel punctures performed on children?	Under one year or 20 pounds
In 1993 the FDA approved the sue of which topical anesthetic?	EMLA
A test required to performed on infants.	PKU
If you draw a patient's blood without consent you can be charged with what?	Assault and Battery
What can cause a newborn's WBC to be elevated?	Crying
Most laboratories strive for an in-house delivery period of how long?	45 minutes
Most laboratories strive for a time from collection until centifugation of how long?	1 hour
Needs to remain near body temperature	cold agglutinins
What is body temperature in the Celcius scale?	37 degrees
After fainting, for how long should a patient not be left alone?	15 minutes
How long should pressure be applied to a venipuncture site to stop bleeding?	5 minutes
What is EMLA	Topical anesthetic
Erythrocyte	Red blood cell
Leukocyte	White blood cell
Thrombocyte	Platelet
What is iron containing protein in red blood cells that transport oxygen and carbon dioxide?	Hemoglobin
What is the straw-colored liquid portion of whole blood?	Plasma
What is the liquid portion of blood after it has clotted and fibrinogen is gone?	Serum
A specimen used when the physician requires urine samplestaken at specific intervals during the day	Timed specimen
A specimen ordered if the urine is going to be examined for microorganisms	Clean catch midstream
Anaerobic bacteria cannot live and grow without the presence of what?	Oxygen
What valve is located between the right atrium and right ventricle?	tricuspid
What valve is located between the left atrium and left ventricle?	mitral
Tachycardia is a heart rate above what?	100 beats per minute
What is an average normal blood pressure	120/80
Which vein is most commonly used for venipuncture?	Median Cubital
What is the hereditary blood disease in which ther is prolonged blood clotting time?	Hemophilia
What is a swelling or a mass of blood in a vessel in an organ, tissue, or beneath the skin called?	Hematoma
What is also known as a heart attack?	Myocardial infarcation
What is the blood test for fatty substances in the blood?	Triglycerides
The issuance by an official body of a certificate to a person indicating certain requirements to practice have been met is called what?	Certification
A credit granted to a participant at the competion of a designated program is called what?	Certification
Always washing hands between patients is an example of which personal characteristic?	Integrity
What do you call the ability to safeguard patient privacy, particularly information in the patient record?	Confidentiality
Define Phlebotomy	Incision into a blood vessel
When are Blood Culture tubes used?	Tests for aerobic and/or anaerobic bacteria
What color top tube would be used for paternity testing or DNA?	Yellow top
What color top would be used for blood screening and chemistries?	Red Top
What color top would be used for testing for HIV?	Gold Top
This tube has EDTA which forms calcium salts to remove calcium	Lavender Top
Tube used for glucose study	Gray Top
What agency developed the Patient's Bill of Rights?	American Hospital Association
What is the Caraway or Natelson tube used for?	To collect a sample larger than can be supplied by a microhematocrit tube
A blue band on a Caraway or Natelson tube indicates what?	That it contains no anticoagulant
What is used to clean a site?	70% isopropanol
Which blood component quickly accumulates around the dermal puncture site?	Platelets
Where is the greater saphenous vein located?	The leg
The blood test to measure the percentage of erythrocytes in a given volume of blood is called?	Hct.
The blood test used to determine a recent myocardial infarction.	CK
Also known as the pacemaker of the heart	Sinoatrial node
The most common blood type	Type O
Phleb/o means	Vein
Nephr/o means	Kidney
The abbreviation for "as necessary"	PRN
A - means	Without
Dorso means	Back
Tachy means	Fast
Hemi means	Half
Hypo means	Below
Isolation for patients with highly contagious dieseases	Strict isolation
What is the abbreviation for "nothing by mouth"?	NPO
Who were some of the first "surgeons" beginning around 1163	Barbers
Drugs used to destroy or kill bacteria that cause disease	Antibiotics
OSHA requires training and educational information on blood borne pathogens be given to employees at the cost of which of the following:at a reasonable cost; at no cost; for a pre-agreed fee?	At no cost
Common symptoms of shock include all except which of the following: skin pale; increased shallow breathing rate; temperature or weak pulse?	Temperature
Which color tube contains sodium citrate?	Blue top tube

Created by:

Mary Cacciapaglia on 2009-02-17

Correct box contains:
Time elapsed:
Retries:

Pass complete!

Phlebotomy Review