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chapter tests

chapters 1-14

Question	Answer
early equipment used for bloodletting includes all the following except	hemastat
a factor that contributes to the phlebotomist's professional image is	a pleasant smile and postive attite, national certification, personal hygiene answer: all the above
the initials for the title granted after successful completion of the National credentialing agency phlebotomy examination are	CLPlb
the principles of right and wron conduct as they apply to professional proplems are called	ethics
the law that established national standards for the electronic exchange of protected health information is	HIPAA
which of the following is a duty of a phlebotomist	perform laboratory computer operations
which of the following is an example of proxemics	eye contact, facial expressions, personal hygiene,zone of comfort answer:d
which of the following is proper telephone technique	becareful of the tone of voice used and keep answers simple
an institution that provides inpatient servies is a	hospital
state and federally funded insurance is called	medicaid
the specialty that treats disorders of old age is called	gerontology
the department int he hospital that records brain waves for diagnosis is	electroneurodiagnostics
the microbiology department in the laboratory performs	CBC
which of the following laboratory professionals is specified by CLIA88 as responsible for administration of a clinical area	technical supervisor
____is the largest healthcare standards-setting body in the world	JCAHO
the CLIA federal regulations are administer by	CMS
____are set up to monitor all aspects of laboratory	quality indicators
a QA program monitors	outcomes
what book describes the necessary steps to follow in patient preparation	colleciton manual
necessary elements of risk management are all the following except	education, evaluation, indentification, obligation answer: d
informed consent means that	patient agrees to a procedure after being told of the consequences associated with it
a national organization that develops guidelines and sets standards for laboratory procedures	CLSI
the physician employer of a phlebotomist who injures a patient during a blood draw is sued for negligence. this is an example of	respondeat superior
a yound adult comes to an outpatient lab to have his blood drawn. what should the phlebotomist know before drawing this patients blood?	age of majority in the state, date of birth of the patient, and name of the patient
phlebotomists are involved in the joint commissions performance measurements in the area of myocardial infarction in what way?	collecting specimans for timed tests for cardiac enzymes
a delta check refers to	comparing current test results with previous ones
which one of the following is used as a monitor or quality indicator for the process of "test requesting"	accuracy of ordering
failure to exercise "due care" is	negligence
the statue of limitations timing can begin on any of the following except	begins: first day of counseling with lawyer
situations that could cause a nosocomical infection	a patient in ICU whose surgical wound becomes infected (health care aquired)
reverse isolation may be used for	a patient with sever burns
the single most important means of preventing the spread of infection is	proper hand antisepsis
the most frequently occurring lab-acquired infection is	HBV infection
to destroy transient microorganisms when washing hands use	antiseptic soap
in the event of a body fluid splash in the eyes, the victim should immediately	flush eyes with water for MINIMUM of 15 minutes
which of the following are PPE	nonlatex gloves
all the following examples of potential exposure to bloodborne pathogens involve a parenteral route of transmission except	someone chewing gum while collecting blood specimen
specimen collection and processing are surfaces should be cleaned with	1:10 bleach solution
which of the following is a proper way to clean up a small blood spill that has dried on a counter top	moisten the spill with a disinfectant before carefully absorbing it with a paper towel
distance, time, and shielding are principles of	radiation safety
safe working conditions are mandated by	OSHA
what is an anuclear, biconcave disk?	erythrocyte
the chamber of the heart that receives blood from the systemic circulation is the	right atruim
the thick muscle layer of the heart is called?	myocardium endocardium=in epicardium=out pericardium=fluid thin sack
the ECG shows P waves due to	atrial conctractions
when taking a blood pressure, the systolic pressure is the pressure reading when the	first heart sounds are heard as the cuff is deflated
the purpose of the pulmonary system is to	carry blood to and from the lungs
list the blood vessels in order of blood flow	capillary, venule, vein
the internal space of a blood vessel is called	lumen
the longest vein and largest artery in the body in that order are	great saphenous and aorta
the perferred vein for venipuncture in the "H" pattern is	medial cubital
the major difference between plasma and serum is that plasma	contains fibringen, serum does not
an individual's blood type (A, B, AB, or O) is determined by the presence or absence of which of the following on the red blood cells	Antigen
list correct sequence of events after blood vessel injury	vasoconstriction, platelet aggregation, fibrin clot formation
lymph originates from	tissue fluid
a heart disorder characterized by fluid buildup in the lungs is called	congestive heart failure
which additive prevents glycolysis	sodium fluoride
items used to perform routine venipuncture is	evacuated tubes, safety needles, tournique
which of the tubes can be used to collect a serum specimen	red top
a tournique is used in venipuncture to	concentrate the specimen, keep the vein from collapsing, make a vein easier to find and enter
you are about to perform routine venipuncture on a patient with no known allergy to antiseptics. what substance would you use to clean the site	70% isoproply alcohol
needles that have a large diameter is what	lower in number. ex 18 is larger than 23 gauge
what causes evacuted tubes to fill with blood automatically	tube vacuum
lavender-top tubes are most commonly used to collect?	hematology test
which tube is filled last in a recommended order of draw?	lavender top
a butterfly is typically used for	difficult and hand veins
NPO means	nothing by mouth
which of the following is required requisition information	ordering physicians name, patient's first and last name, type of test to be performed
the following test orders for different patients have been receivedat the same time. which test would you collect first?	fasting glucose, STAT glucose for ER, STAT hemoglobin in ICU, ASAP CBC in ICU? answer: STAT Glucose for ER
a member of the clergy is with the patient when you arrive to collect a routine specimen, what should you do?	come back later after the clergy member has gone unless it is STAT
you are asked to collect a specimen from an impatient. The patient is not wearing an ID band. What do you do?	ask the patients nurse to put an ID band on the patient before you draw the specimen
if a patient adamantly refuses to have blood drawn, you should	notify the patient's nurse or physican
an inpatient is eating when you arrive to collect a fasting glucose. what is the best thing to do?	consult with the patient's nurse to see if the specimen should be collected
after cleaning the venipuncture site with alcohol, the phlebotomist should	allow the alcohol to dry completely
the tourniquet should be released	as soon as blood flow is established, before the needle is removed from the arm, and within 1 minute of application
why is a syringe sometimes used for venipunctures?	a syringe is sometimes used for veins that collapse easily
after inserting a butterfly needle, the phlebotomist needs to "seat" it, meaning	slightly thread the needle within the lumen of the vein
blood collection tubes are labeled	immediately after the specimen collection
what is the best approach to use on an 8 year old child who needs to have blood drawn?	explain what you are going to do in simple terms and ask the child to cooperate
which type of patients is most likely to have an arteriovenous fistula or graft	dialysis
which of the following is proper procedure when dealing with an elderly patient	make certain adequate pressure is held over the site until bleeding is stopped
peak levels of this analyte typically occur at about 0800	cortisol
which are most affected if the patient is not fasting	glucose and triglycerides
veins that feel hard and cordlike when palpated may be	thrombosed
tiny spots that appear on a patient's arm when the tourniquet is applied are a sign that the	site may bleed excessively
when the arm of the patient is swollen with excess fluides, the condition is called	edema
a patient has several short lengths of IV style tubing protuding from his chest, this most likely a	CVC (center venous catheter)
what can most likely cause reflux during venipuncture?	allowing the tube to fill from the stopper end first
if patient complains of extreme pain and does not subside even if you have two tubes filled and only need one more, what should you do?	discontinue the draw and attempt collection at another site
what can result in hemoconcentration	leaving the tournique on longer than a minute
in the process of collecting a specimen, you hear a hissing sound and there is a spurt of blood into the tube, the blood flow stops. What has most likely happend	the tube has lost its vacuum
which of the following test requires an arterialized specimen	CBG'S
skin puncture supplies include all of the following	gauze pad, lancet, and povidone-iodine pad
skin puncture blood contains	arterial blood, venous blood and interstitial fluids
concentration of this substance is higher in capillary blood than in venous blood	glucose
skin puncture is typically performed on adults when	patiens have throumbotic tendencies, there are no accessible veins, and veins need to be saved for other procedures
if collected by capillary puncture, which test specimen is collected first?	CBC (ORDER OF DRAW- EDTA specimen, other additive specimens, serum specimen)
which of the following conditions disqualifies a site for capillary puncture?	cyanotic, edematous, and swollen
the least hazardous area of an infant's foot for capillary puncture is the	medial or lateral plantar surface of the heel
according to CLSI a heel puncture lancet should not puncture deep than	2.0 mm
which of the following is a proper skin puncture procedure	wipe away the first drop of blood
when making a routine blood smear, the "pusher slide" is normally used at an angle of	30 degrees
the blood specimen for this test is placed in circles on special filter paper	PKU
when drawing a blood alcohol specimen, it is acceptable to clean the arm with	isopropyl alcohol
what is the most critical part of blood culture collection	antisepsis of the collection site
TDM (therapeutic drug monitoring) peak concentration may be defined as the	highest concentration of the drug during a dosing interval
when performing a glucose tolerance test, the fasting specimen is drawn at 0815 and the patient finishes the glucose beverage at 0820. when should the 1-hour specimen be collected	0920
a bleeding time test detects	platelet function disorders
removing a unit of blood from a patient and not replacing it used as a treatment for	polycythemia
what is a test that requires special chain-of-custody documentation when the specimen is collected	drug screen
what type of specimen is needed for a guaiac test	feces
what test must have 9:1 ratio of blood to anticoagulant in the collection tube	protime
what specimen is collected in a trace-element-free tube (royal blue)	aluminum, arsenic, copper, lead, iron, and zinc
common chemistry tests performed by POCT insturments include	Na and K (sodium and potassium) are electrolytes
test that measures packed cell volume (pcv)	Hct (hematocrit) volume of red blood cells in patients blood
additional information typically required on a nonblood speciman label includes	speciman type
describe 24 hour urine collection	discard the first morning speciman, start the timing and collect all urine for the next 24 hours collecting the first specimen voided the following morning
what nonblood specimen is most frequently analyzed in the lab	urine
what fluids are associated with the lungs	pleural
a procedure called iontophoresis is used in the collection of what specimen	sweat
saliva specimens can be used to detect	alcohol, drugs and hormones
a breath test can be used to detect organisms that cause	peptic ulcers
serous fluids come from between membranes that line the	ventral body cavities
peripherals on a computer include	bar code reader, scanner, modem
logging on to most computer systems requires the use of	password
after arriving in the laboratory, all specimens are immediately	logged or accessioned
what all information does the lab-generated computer label contain	accession number, department for testing, and labeling and supply inventory
what specimens should be protected by light	bilirubin
the machine used to separate the serum or plasma from blood cells in the sample is called	centrifuge
after obtaining a speciman for a cold agglutinin test, the blood must be transported	at body temperature
what PPE is required when processing specimens	a chin-length face shield, a fully closed fluid resistant lab coat, and disposable gloves
what blood specimens should be transported in an ice slurry	homocysteine and rennin
perspiration contamination can falsely elevate	chloride
according to CLSI guidelines, serum for most tests should be removed from the cells within	120 minutes
what specimen can be centrifuged immediately	electrolytes collected in a PST
AHCCS	Arizona Health Care Containment System
APC	Ambulatory Patient Classification
CLIA '88	clinical laboratory improvement
type of coding for diagnoses is	DRG
after successful completion of the american medical technologist phlebotom examination, the initials for the title granted are	RPT

Created by: jkc on 2011-04-07

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chapter tests

chapters 1-14