Study Questions
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| Examples of nonverbal, distracting behaviors: | Tapping a pencil, gazing outside the window and glancing at the clock.
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| Statements that are inappropriate during a phlebotomy procedure: | This won't hurt a bit, Your name is Mrs. Jones isn't it?
You are required to cooperate with this.
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| Key elements in an effective communication: | Active listening, nonverbal cues, verbal skills.
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| The main area of responsibility for every phlebotomist is: | preanalytical processes
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| Feelings that one experiences when a stranger gets "to close for comfort"? | Anxiety, fear, security.
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| Competency Statements for Phlebotomists: | Entry level skills, tasks, roles.
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| Veracity is an essential character trait for phlebotomist. | Veracity is telling the truth.
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| How should a phlebotomist treat a patient who may have defness? | Ask the patient whether you should repeat the steps before proceeding.
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| Why is eye contact helpful during a phlebotomist-patient interaction? | Promotes sense of trust.
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| The best example of internal stakeholders for clinical laboratory serives. | Doctors and nurses.
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| A nurse just came out of patient's room stating the the patient threw his arm up when she was performing a venipuncture and that the needle jabbed her as it flew out of his arm. When should the nurse report it? | Immediately
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| A health care worker is given voluntary permission to touch a patient for blood collection under what legal term? | Informed consent.
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| Specimen collection and handling is referred to as | preanalytical phase.
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| The federal law that regulates the quality and accuracy of laboratory testing (including blood collection) through certification inspections is referred to ask | CLIA '88
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| Malpractice in blood collection is the same as: | Professional negligence.
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| The measuring stick representing the conduct of the avg health care worker is the: | National Community
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| A phlebotomist forgot her password for the laboratory computer and used a coleague's password to enter the laboratory access files to check on a patient's blood work to be performed. What law has she violated? | HIPPA
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| For potential lawsuits that may occur in the health care facility, which of the following must be maintained in the health care worker's employee file? | Record of continuing education courses
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| The intentional touching of another person without permission is considered to be | Battery
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| Homeostasis means | Steady state condition
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| Superficial vein means | Vein thais close to the skins surface.
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| Best position for a patient to be in when the health care worker performs a phlebotomy procedure. | Supine position
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| Arteries differ from veins in which way? | Blood from arteries appears bright red.
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| Capillary blood contains the following? | Cells, plasma, aratrial blood, venous blood
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| a patient has a severe burn on his left wrist. Best description of its location relative to his fingers.The burn is: | proximal to his fingers
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| Venous blood is | Dark red
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| what volume of blood (in liters) does a normal adult have? | 4 to 5 liters
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| Hemostasis refers to | Control of blood clotting
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| If a health care worker is caught in a fire in the health care facility, she or he should not | run.
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| What are the major principles of self-protection from radiation exposure | Time, distance, and shielding.
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| The health care worker was asked to bring a chemical into the chemistry laboratory. the health cre worker noticed that a yellow quadrant of a diamond on th echemical's label showed 1. this yellow quadrant of the diamond, according to NFPA, indicates a: | Instability hazard
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| If an accident occurs, such as a needlestick, the injured health care worker should first and immediately: | Cleanse the area with isopropyl alcohol and apply an adhesive bandage
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| Safe working conditions must be ensureed by the employer and have ben madated by law under the | Occupational Safety and Health Adminstration Act
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| Antiseptics for skin include | Iodine
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| In a health care facility, which is a typical fomite? | Telephone
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| Which of the following isolation techniques is used to decrease the spread of whooping cough? | Droplet precautions
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| Reverse isolation is the same as: | Protection Isolation
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| What is the proper order for removal of Isolation PPE? | gloves, goggles, and then gown.
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| Medical records serve what purpose | Coordination of care
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| Bar codes can be used for which type of information? | patient identification numbers
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| What is the most error-free method for requesting a laboratory test? | computerized method
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| A specimen should be protected from light for which of the following determinations? | bilirubin concentration
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| A specimen should be chilled for which of the following analyses? | Blood gases
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| Normal body termperature in degrees Centigrade is: | 37 degrees.
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| room temperature in degrees Centigrade is | 25 degrees
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| Thermolabile means senstivity to: | Temperature changes
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| Photosensitivity means sensitivity to | light
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| Approximately how long does it take a normal blood specimen (without an anticoagulant or clot activator to clot? | 30 to 60 minutes...
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| the yellow-topped vacuum collection tube has which of the following additves | Sodium polyanetholesulfonate (SPS)
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| The butterfly blood collection set is frequently used with the needle gauge size of | 23 gauge
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| which of the following anticoagulants is found in a royal blue-topped blood collection tube? | No Additives
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| Lithium heparin is a suitable anticoagulant for collecting blood to run which of the following tests? | Glucose level?
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| Which of the following is blood microcollection system? | Ramsafe-t-fill
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| A blood cell count requires whole blood collected in a | Purple topped tube (Lavender)
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| Specimens for which of the following tests must be collected in light blue-topped blood collection tubes? | PT and APTT
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| Blood collection for blood-banking procedures can be collected in which of the following tubes? | Pink topped tubes
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| A prefilled device used as a collection and dilution unit is the : | BD Unopette
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| Which of the following anticoagulants is recommended for blood smear preparation? | EDTA
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| Which of the following is the likely cause of hemoconcentration | Long term IV therapy.
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| Which of the following is a solid mass derived from blood constituents and can block a vein (or an artery)? | Thrombus
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| If blood is to be collected for a timed blood triglyceride-level determination, the patient must fast for how long? | 8 to 12 hours.
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| Syncope refers to | fainting
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| If the tourniquet is applied for longer than 3 minutes, which of the following analytes will most likely become falsely elevated | potassium
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| To ensure that the patient is in the basal state for laboratory testing, | The physician must require the patient to fast overnight
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| What cleansing agent can be used for a patient's venipuncture site if the patient is allergic to iodine | Chlorohexidine
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| Small red spots on a patient's skin due to a blood clotting abnormality is refereed to as | Petechiae
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| Sclerosed veins are a result of | inflammation
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| A hemolyzed specimen can lead to falsely increased results for | potassium
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| Which of the following is the best site for a capillary puncture on an adult? | middle finger
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| Controlling the depth of the skin puncture prevents: | ostemyelitis
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| Skin puncture is not useful for patients who have which of the following conditions? | healthy adults who need many laboratory tests.
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| Which fingers are used most often for skin puncture? | Third or fourth finger.
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| What is the disinfectant of choice for a capillary puncture procedure? | 70% isopropyl alcohol
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| Which drops of blood should be used for specimen collection during a fingerstick? | Second
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| Which drop should be wiped away before beginning the capillary collection? | first
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| What does the feathered edge refer to? | Edge of the blood film on a microscope slide.
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| Capillary blood is composed of | Venous, arterial, and capillary blood,and tissue fluids
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| Plastic microcollection tubes should be filled with blood in which of the following ways? | Allowing the tube to fill by itself using capillary action.
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| The preferred technique for preparing a child for blood collection is to: | Place the child in a vertical position as the parent holds him or her.
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| Which of the following is an acceptable way to prepare the child for pain from venipuncture? | EMLA application
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| Which is the preferred site for a skin puncture for a newborn infant? | Medial or lateral plantar surface of the heel.
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| Which of the following supplies is needed to collect blood for capillary blood gases from a newborn infant? | metal filing
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| Which of the following is a debilitating desease causing tremors, particularly in elderly individuals? | Parkinsons Disease.
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| Which of the following supplies is needed tocollect blood for a pediatric venipuncture? | Safety winged infusion set.
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| If a neonate or child is going to receive fluid intravenously, what veins should be avoided for blood collection? | Veins in the dorsum of the foot
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| If th eincision made for blood collection is too deep in the infant's heel, this improper heelstick can lead to? | Osteochondritis
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| Venipuncture in an infant and/or toddler is recommended for which of the following blood test? | Blood Cultures
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| For the dorsal hand vein procedure on an infant, the angle of the needle to the skin should be? | 15 degrees.
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| What is a fistula? | The fusion of a vein and an artery.
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| What is the first step to obtain blood for glucose monitoring? | Check the patient's ID according to the health care facilit's protocol.
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| Which of the following tests is measured through blood coagulation monitoring by point-of care testing? | PTP
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| Which of the following supplies is not needed to test with CoaguChek System? | Tourniquet
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| What is the reason for collecting a 24 hour urine specimen from a patient? | To test for creatnine clearance.
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| Which of the following evacuated tubes is preferred for the collection of a blood culture specimen? | Yellow-topped evacuated tube
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| During a glucose tolerance test, which procedure is acceptable? | A fasting blood collection is performed and then a standard amount of glucose drink is given to the patient.
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| The ABG analysis uses which of the following for the preferred blood collection site to obtain accurate results? | Radial artery.
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| When arterial blood is collected for an ABG determination, the needle should be inserted at an angle of no less than | 45 degrees
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| If blood culture collection is requested on a patient that is allergic to idodine, what alternative cleansing solution should be used? | Chlorohexidine gluconate.
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| The term hematuria refers to | blood in the urine
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| A butterfly needle is another name for | winged infusion set
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| Which of the following could result in phlebitis | multiple needle sticks
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| which anticoagulant would be found in a green top tube? | Sodium Heparin
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| Which condition describes swelling of tissue due to fluid | edema
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| Another name for Red Blood Cells? | Erthrocytes
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| A chemical in a grey top tube that prevents glycolosis is? | Sodium Heparin
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| glycolisis is? | Breakdown of blood sugar
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| The most common complication of Phlebotomy is? | Hematoma
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| Into which tube would an Erthrocyte Sedimentation Rate (ESR) be drawn | Lavendar
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| In which color top tube would sodium citrate be found? | Blue top tube
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| Hemolysis is the destruction of which type of cells? | Red Blood Cells
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| Healthcare workers with exposure risk to bloodborne pathogens must be offered which vaccine? | Hepatitis B
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| Proper order of draw for Ammonia, CBC, Pt & Chem 14? | Blue, Red, Green, Lavendar
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| Which tube contains Pottasium Oxalate? | Gray
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| Which of these would be used during skin puncture? | Capillary tube.
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| All of these are part of a CBC except? | Prothronbin time
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| Which vein is usually the easiest vein to palpate on an obese patient? | cephalic
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| Which is true about drawing blood for coagulation studies? | Blue top tube must be completely filled. 9 to 1 ratio.
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| Which gauge needle is the smallest | 25 gauge
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| Standard gauge needle is | 21 gauge
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| Below I.v. you can draw blood? And You can draw blood above the I.V if the I.V. is turned off. | Both are true.
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| Having adequate rest and no food for 12 hours describes? | Basal state
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| What is the proper way to dispose of a needle? | Place it uncapped in a sharps container
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| When finishing a venipuncture you should? | Remove tourniquette, then needle, apply pressure.
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| A glucose test would be drawn into which tube | grey
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| Disease causing bacteria are referred to as? | Pathogenic
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| Which would be seen on the differential of a patient with severe allergies? | Increased eosinophils
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| Leaving a tourniquette on for to long can result in | hemoconcentration
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| Stat Electrolytes are drawn in to which color top tube? | Green
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| What can be done to prevent a hemotoma | Apply pressure to the puncture site until bleeding stops
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| Pink top tube contains EDTA, anticoagulant. What color tubes do you use at the blood bank? | Lavendar and Red.
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| Hemolysis is? | Breaking down of the blood cells
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| What test is performed on a donor prior to donating? | Hemoglobin/Hematacrit
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| Hypoglycemia refers to a condion of | Low blood glucose.
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| Which is most likely to hemolyze a specimen | drawing with a 25 G needle?
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| Which would be seen on the differential of a patient with severe allergies | Increased eosinophils.
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| Neutrophils are White Blood Cells that serve which funtion? | Phagocytosis (engulf bacteria)
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| What oxygenates the body | Red Blood cells
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| Several inidvidual tests performed together as one is a? | Profile
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| Which procedure is usually performed by a respitory therapist? | Arterial Blood gas.
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| Excessively miling a finger during capillary punture results in? | Hemolysis and Contamination with tissue fluid.
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| Standard precautions interrupts pathogens transmission on at whih step in the chain of infection. | Portal of exit
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| What area is accepted for performin an infant heel puncture? | The medial extending from the great toe and lateral line extending from the 4th and 5th toe.
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| A PKU test is performed on what type of sample | Bllod drawn from an infants heel.
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| Nosocomial infections are | Infections that are contracted in a healthcare setting
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| From which of the following tubes could serum be seperated | SST
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| On what does a phlebotomist base the decision of which gauge needle to use? | size and condition of vein
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| If you fill a SST 75% full for a chem panel and it gets rejected, what is the most likely reason? | Speciman was hemolyzed
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| Definition of plasma? | Fluid component of unclotted blood
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| A PT/Ptt is drawn into which tube? | Blue tube
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| Which of the following are involved in the vaxcular stage of hemostatsis | Blood vessel constriction
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| When would you draw a Post Prandial blood test | After a meal
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| Post Prandial | means after a meal
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| Which is the most critical error a phlebotomist can make? | Misidentifying and drawing the wrong patient
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| When a vein becomes hardened and cord like it is said to be? | Sclerosed
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| When would a multisample needle be used ? | When several tubes of blood are needed from one patient.
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| What is a fomite? | An inanimate deject that carries a disease
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| How many times should a tube be inverted | 8 times
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| As what is a funtion of thrombocytes? | clotting to stop bleeding
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| A patient who is cyanotic would be? | Bluish in color due to low oxygen levels.
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| What is the life of a Red Blood cell? | 120 days
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| Where is poing ot care testing performed? | At the patients bedside.
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| In which lab dept would a CBC be performed? | Hematology
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| Which dept in a lab performs a serum pregnancy? | Chemistry
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| What percent of blood volume is composed of formed elements | 45%
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| For which test would a clean catch midstream urine specimen be used | Microbiology/urine
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