chapters 1-14
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| early equipment used for bloodletting includes all the following except | hemastat
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| 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
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| the initials for the title granted after successful completion of the National credentialing agency phlebotomy examination are | CLPlb
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| the principles of right and wron conduct as they apply to professional proplems are called | ethics
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| the law that established national standards for the electronic exchange of protected health information is | HIPAA
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| which of the following is a duty of a phlebotomist | perform laboratory computer operations
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| which of the following is an example of proxemics | eye contact, facial expressions, personal hygiene,zone of comfort answer:d
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| which of the following is proper telephone technique | becareful of the tone of voice used and keep answers simple
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| an institution that provides inpatient servies is a | hospital
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| state and federally funded insurance is called | medicaid
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| the specialty that treats disorders of old age is called | gerontology
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| the department int he hospital that records brain waves for diagnosis is | electroneurodiagnostics
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| the microbiology department in the laboratory performs | CBC
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| which of the following laboratory professionals is specified by CLIA88 as responsible for administration of a clinical area | technical supervisor
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| ____is the largest healthcare standards-setting body in the world | JCAHO
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| the CLIA federal regulations are administer by | CMS
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| ____are set up to monitor all aspects of laboratory | quality indicators
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| a QA program monitors | outcomes
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| what book describes the necessary steps to follow in patient preparation | colleciton manual
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| necessary elements of risk management are all the following except | education, evaluation, indentification, obligation answer: d
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| informed consent means that | patient agrees to a procedure after being told of the consequences associated with it
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| a national organization that develops guidelines and sets standards for laboratory procedures | CLSI
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| 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
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| 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
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| 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
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| a delta check refers to | comparing current test results with previous ones
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| which one of the following is used as a monitor or quality indicator for the process of "test requesting" | accuracy of ordering
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| failure to exercise "due care" is | negligence
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| the statue of limitations timing can begin on any of the following except | begins: first day of counseling with lawyer
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| situations that could cause a nosocomical infection | a patient in ICU whose surgical wound becomes infected (health care aquired)
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| reverse isolation may be used for | a patient with sever burns
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| the single most important means of preventing the spread of infection is | proper hand antisepsis
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| the most frequently occurring lab-acquired infection is | HBV infection
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| to destroy transient microorganisms when washing hands use | antiseptic soap
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| in the event of a body fluid splash in the eyes, the victim should immediately | flush eyes with water for MINIMUM of 15 minutes
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| which of the following are PPE | nonlatex gloves
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| all the following examples of potential exposure to bloodborne pathogens involve a parenteral route of transmission except | someone chewing gum while collecting blood specimen
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| specimen collection and processing are surfaces should be cleaned with | 1:10 bleach solution
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| 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
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| distance, time, and shielding are principles of | radiation safety
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| safe working conditions are mandated by | OSHA
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| what is an anuclear, biconcave disk? | erythrocyte
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| the chamber of the heart that receives blood from the systemic circulation is the | right atruim
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| the thick muscle layer of the heart is called? | myocardium endocardium=in epicardium=out pericardium=fluid thin sack
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| the ECG shows P waves due to | atrial conctractions
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| when taking a blood pressure, the systolic pressure is the pressure reading when the | first heart sounds are heard as the cuff is deflated
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| the purpose of the pulmonary system is to | carry blood to and from the lungs
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| list the blood vessels in order of blood flow | capillary, venule, vein
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| the internal space of a blood vessel is called | lumen
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| the longest vein and largest artery in the body in that order are | great saphenous and aorta
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| the perferred vein for venipuncture in the "H" pattern is | medial cubital
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| the major difference between plasma and serum is that plasma | contains fibringen, serum does not
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| 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
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| list correct sequence of events after blood vessel injury | vasoconstriction, platelet aggregation, fibrin clot formation
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| lymph originates from | tissue fluid
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| a heart disorder characterized by fluid buildup in the lungs is called | congestive heart failure
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| which additive prevents glycolysis | sodium fluoride
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| items used to perform routine venipuncture is | evacuated tubes, safety needles, tournique
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| which of the tubes can be used to collect a serum specimen | red top
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| a tournique is used in venipuncture to | concentrate the specimen, keep the vein from collapsing, make a vein easier to find and enter
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| 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
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| needles that have a large diameter is what | lower in number. ex 18 is larger than 23 gauge
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| what causes evacuted tubes to fill with blood automatically | tube vacuum
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| lavender-top tubes are most commonly used to collect? | hematology test
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| which tube is filled last in a recommended order of draw? | lavender top
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| a butterfly is typically used for | difficult and hand veins
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| NPO means | nothing by mouth
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| which of the following is required requisition information | ordering physicians name, patient's first and last name, type of test to be performed
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| 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
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| 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
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| 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
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| if a patient adamantly refuses to have blood drawn, you should | notify the patient's nurse or physican
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| 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
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| after cleaning the venipuncture site with alcohol, the phlebotomist should | allow the alcohol to dry completely
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| 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
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| why is a syringe sometimes used for venipunctures? | a syringe is sometimes used for veins that collapse easily
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| after inserting a butterfly needle, the phlebotomist needs to "seat" it, meaning | slightly thread the needle within the lumen of the vein
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| blood collection tubes are labeled | immediately after the specimen collection
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| 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
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| which type of patients is most likely to have an arteriovenous fistula or graft | dialysis
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| 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
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| peak levels of this analyte typically occur at about 0800 | cortisol
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| which are most affected if the patient is not fasting | glucose and triglycerides
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| veins that feel hard and cordlike when palpated may be | thrombosed
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| tiny spots that appear on a patient's arm when the tourniquet is applied are a sign that the | site may bleed excessively
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| when the arm of the patient is swollen with excess fluides, the condition is called | edema
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| a patient has several short lengths of IV style tubing protuding from his chest, this most likely a | CVC (center venous catheter)
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| what can most likely cause reflux during venipuncture? | allowing the tube to fill from the stopper end first
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| 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
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| what can result in hemoconcentration | leaving the tournique on longer than a minute
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| 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
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| which of the following test requires an arterialized specimen | CBG'S
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| skin puncture supplies include all of the following | gauze pad, lancet, and povidone-iodine pad
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| skin puncture blood contains | arterial blood, venous blood and interstitial fluids
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| concentration of this substance is higher in capillary blood than in venous blood | glucose
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| 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
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| if collected by capillary puncture, which test specimen is collected first? | CBC (ORDER OF DRAW- EDTA specimen, other additive specimens, serum specimen)
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| which of the following conditions disqualifies a site for capillary puncture? | cyanotic, edematous, and swollen
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| the least hazardous area of an infant's foot for capillary puncture is the | medial or lateral plantar surface of the heel
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| according to CLSI a heel puncture lancet should not puncture deep than | 2.0 mm
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| which of the following is a proper skin puncture procedure | wipe away the first drop of blood
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| when making a routine blood smear, the "pusher slide" is normally used at an angle of | 30 degrees
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| the blood specimen for this test is placed in circles on special filter paper | PKU
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| when drawing a blood alcohol specimen, it is acceptable to clean the arm with | isopropyl alcohol
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| what is the most critical part of blood culture collection | antisepsis of the collection site
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| TDM (therapeutic drug monitoring) peak concentration may be defined as the | highest concentration of the drug during a dosing interval
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| 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
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| a bleeding time test detects | platelet function disorders
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| removing a unit of blood from a patient and not replacing it used as a treatment for | polycythemia
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| what is a test that requires special chain-of-custody documentation when the specimen is collected | drug screen
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| what type of specimen is needed for a guaiac test | feces
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| what test must have 9:1 ratio of blood to anticoagulant in the collection tube | protime
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| what specimen is collected in a trace-element-free tube (royal blue) | aluminum, arsenic, copper, lead, iron, and zinc
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| common chemistry tests performed by POCT insturments include | Na and K (sodium and potassium) are electrolytes
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| test that measures packed cell volume (pcv) | Hct (hematocrit) volume of red blood cells in patients blood
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| additional information typically required on a nonblood speciman label includes | speciman type
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| 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
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| what nonblood specimen is most frequently analyzed in the lab | urine
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| what fluids are associated with the lungs | pleural
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| a procedure called iontophoresis is used in the collection of what specimen | sweat
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| saliva specimens can be used to detect | alcohol, drugs and hormones
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| a breath test can be used to detect organisms that cause | peptic ulcers
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| serous fluids come from between membranes that line the | ventral body cavities
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| peripherals on a computer include | bar code reader, scanner, modem
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| logging on to most computer systems requires the use of | password
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| after arriving in the laboratory, all specimens are immediately | logged or accessioned
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| what all information does the lab-generated computer label contain | accession number, department for testing, and labeling and supply inventory
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| what specimens should be protected by light | bilirubin
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| the machine used to separate the serum or plasma from blood cells in the sample is called | centrifuge
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| after obtaining a speciman for a cold agglutinin test, the blood must be transported | at body temperature
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| what PPE is required when processing specimens | a chin-length face shield, a fully closed fluid resistant lab coat, and disposable gloves
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| what blood specimens should be transported in an ice slurry | homocysteine and rennin
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| perspiration contamination can falsely elevate | chloride
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| according to CLSI guidelines, serum for most tests should be removed from the cells within | 120 minutes
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| what specimen can be centrifuged immediately | electrolytes collected in a PST
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| AHCCS | Arizona Health Care Containment System
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| APC | Ambulatory Patient Classification
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| CLIA '88 | clinical laboratory improvement
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| type of coding for diagnoses is | DRG
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| after successful completion of the american medical technologist phlebotom examination, the initials for the title granted are | RPT
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