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Phlebotomy 2012
Phlebotomy Final Exam
Question | Answer |
---|---|
The forearm vein most commonly used for venipuncture is the____? | Median cubital |
The smallest veins in the human body are known as_____? | venules |
Within the capillaries, blood cell functions include? | releasing oxygen, binding carbon dioxide, eliminating waste. |
The heart, lymphatic organs, and blood vessels are in the___ system? | cardivascular |
The suffix URIA at the end of a medical term refers what body location? | urine |
The study of blood is known as ? | hematology |
The liver, stomach, mouth and pancreas are in the _____system? | digestive |
The most important step to ensure accuracy in sample collection is? | identifying the patient properly |
The trachea, nose, lungs, and pharynx are in the _____ system? | respiratory |
Neutrophils, eosinophils, basophils, lymphocytes and monocytes are types of? | white blood cells |
The common name for the thrombocyte is the ____? | platelet |
The liquid portion of an anticoagulated blood sample is known as? | plasma |
The instroment that measures blood pressure is called a ? | sphygmomanometer |
An artery can be distinguished from a vein because an artery will be? | pulsating |
Lancets are used to collect blood samples by? | Capillary or skin puncture |
The abbreviation VAD is commonly used in hospitals to refer to? | Venous access devices |
Top determine the size of the needle, remember that the higher the gauge, the? | Smaller the needle bore |
Adult capillary punctures most often involve use of the _____ finger(s)? | Third and fourth (middle and ring) |
A centrifuge is used in a clinical laboratory setting to? | separate liquid from cells in blood |
Use a ____-topped evacuated tube for collection of blood for a CBC test. | lavender |
Use a ____-topped evacuated tube for collection of blood for elecrolytes testing. | red |
Use a ____-topped evacuated tube for collection of blood for cholesterol testing. | Red |
Sodium citrate is an anitcoagulant of choice for coagulation studies because it protects? | clotting factors |
When preparing a blood smear directly from a skin puncture, it is best to? | wipe away the first drop of blood |
When blood sceps into the surrounding tissue during a venipuncture, a ____ may form. | hematoma |
In a patient with a clotting disoder, pressure should be applied to the puncture site for at least___ after venipuncture to insure blood stoppage. | 5 minutes |
Skin punctures may be indicated for use when? | the patient is an infant, toddler, or preschool. only small amount of blood is needed. patient veins need to be presured to IV therapy. |
All specimens should be labeled with? | patients name (and numeric ID), date and time the specimen was drawn, collector's initials. |
When performing a skin puncture, squeezing the finger too tightly may dilute the blood with_____ and run the test. | tissue fluid |
One possible cause of unexpected clotting in an anticoagulated blood tube might be ? | insufficient mixing |
When performing a venipuncture, position the bevel of the needle? | facing up |
If blood does not appear in an evacuated tube upon venipuncture, a phlebotomist's first action should be ? | slightly position or turn the needle |
Redirecting a needle during venipuncture is sometimes necessary when? | the vein was not properly anchored, the patient moves unexpectedly, blood flow starts, and then stops. |
A vein might be prone to collapse is the ... | vacuum tube is too large for vein, syringe plunger was pulled back too quickly. |
Hemolysis would cause rejection of samlple collected for ___ testing. | potassium |
If a patient is prone to syncope during venipucture, the phlebotomomist should? | watch in case of fainting |
A tube of blood that arrives in the lab without a label must be? | rejected automatically |
If a blood sample should be collected 2 hours post-prandial, the phlebotomist should collect the sample? | 2 hours after meal |
The role of all anitcoagulants is ultimately to prevent formation of ? | fibrin |
The anticoagulant, EDTA works by? | binding calcium |
If the tourniquet is not released before the needle is withdrawn from the arm during venipuncture, this will most likely result in? | bleeding from the site |
The ____ must be followed exactly whenever drawing patient test samples that may be used in a legal proceeding. | chain of custody |
The anticoagulant SPS (sodium polyanetholesulfonate) is recommend for use in blood culture because it? | doe snot inhabit bacterial growth |
Before entering an inpatient room if the door is closed, the phlebotmoist should always? | knock, ask for permission to enter, check for isolation signage. |
Before entering designated isolation rooms, phlebotomist should always? | check requirements on signs |
The single most important means of preventing the spread of infection in a hospital is by? | wash hands |
Phlebotomist have a statistically greater chance of contracting ____ in a work related incident than they do of contracting AIDS. | hepatitis |
When performing heelsticks on infants in a hospital nursery it is important never to ? | share supplies from one infant to another |
When delivering blood samples to a laboratory, they should always be transported____? | inside sealed plastic bags |
If a biohazard spills in the laboratory, a phlebotomist should frst try to ? | contain the spill safely |
According to OSHA, a contaminated needle may be safely discarded into a ? | sharps container |
When drawing blood from pediatric inpatients, a phlebotomist can increase safely for the patients by? | getting help to hold patient securely during a draw, using a smaller bore needle and smaller collection tube, making sure the bedrails are left raised if found that way. |
To eliminate bacteria form the skin of a bacterial culture venipuncture site,____ is sometimes used in addition to alcohol in the skin cleansing process. | iodine |
An unlawful threat or attempt to so bodily injury to another is? | assault |
Negligence by a professional person is called? | malpractice |
A violation of a person's right not to have his or her name, photo, or private affairs made public without giving consent is? | invasion of privacy |
A phlebotomist who attempts to draw blood without sufficient training could be accused of ____ if the procedure performed incorrectly, causing harm to the patient. | incompetence |
Forcing venipuncture on a patient who has refused it would be considered? | battery |
In performing phlebotomy on children, it is best to | talk softly and gently, enlist the help of parents, tell the truth if asked |
A 24 hour urine specimen must be kept? | refrigerated |
The purpose of the bleeding time is to assess? | platelet plug formation in the capillariestopically |
EMLA is emulsion of lidocaine and prilocaine that can be used to? | anesthetize a draw site |
Another name for red blood cells is | erythrocytes |
The federal law that was expanded in 2000 to protect the confidentiality of electronically stored health info is abbreviated as? | HIPAA |
The phase of laboratory testing that refers to test orders, test collection and test sample preparation are all part of the ______ phase. | pre-analytical |
All of the following are examples of "personal protective equipment" except? | uniforms |
After they are used, disposable syringes and needles, scalpel blades and other sharp items should be placed in ____ containers for disposal. | puncture-resistant |
When you send blood tubes by mail for analysis in a waterlight container, they should be enclosed in ______. | second durable waterlight container |
The proper way to dispose of a needle is to? | recap it and put it in a sharps container |
The "good samaritan law" encourages healthcare professionals to? | provide medical care within the scope of their training at the scene of an accident without fear of being sued for negligence. |
If a patient refuses a venipuncture procedure, the phlebotomist should? | immediately report the refusal and actions taken to the nurse |
Microorganisms that cause diseases are? | pathogenic |
Which of the following veins in the arm is most subjected to venipunctures? | median cubital vein |
Post-pradial means? | after a meal |
Tourniquets may be left on the patient for? | 1 minute |
This complication results from repeated venipuncture of the same vein? | hemolysis |
Which of the following is not a component that makes up infection? | mode of transporations |
A hematoma can be prevented if? | pressure is placed on the venipuncture site until the bleeding stops |
Arterial blood gases need special handeling. What is the handeling requirment? | specimen must be chilled after collection |
The recommended depth for an infant microcapillary collection should not exceed? | 2.0mm |
Which of the following represents the correct of draw? gray,lavender, green,red,blue green, gray, light blue, red yellow, light blue, green, gray red, blue, gray, lavender | yellow, light blue, green, gray |
Which test tube would be used for "fasting blood sugar" or glucose tolerance test." | Red |
Latex sensitivity is a type of? | allergic reaction |
The order of draw recommended by the CLSI (2007) for these tubes is: | 1st:Blood culture (yellow) 2nd:coagulation tube(light blue) 3rd:serum tubes (red) 4th:heperin tube (green) 5th:EDTA (lavender) 6th:glycolytic inhibitor (gray) |