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NCCT Phlebotomy
Phlebotomy
| Question | Answer |
|---|---|
| The forearm vein is most commonly used for venipuncture | Median Cubital |
| The smallest veins in the human body are | Venules |
| The aorta branches into smaller divisions called arteries, which turn into even smaller divisions called | Arterioles |
| Characteristics of capillaries include: a) having thin walls b) forming microscopic pathways c) connecting arterioles with venules d) all of the above | D |
| Within the capillaries blood cell function includes: a) releasing oxygen b) binding carbon dioxide c) eliminating waste d) all of the above | D |
| The heart, lymphatic organs, and blood vessels are in what organ system | Cardiovascular |
| The study of blood | Hematology |
| The liver, stomach, mouth and pancreas are in what organ system | Digestive |
| The most important step to ensure accuracy in sample collection | identifying the patient properly |
| The bladder, urethra, kidneys are ureters are in what system | Urinary |
| The trachea, nose, lungs and pharynx are in what system | Respiratory |
| The sebaceous glands, skin, hair and nails are in what system | Integumentary |
| Neutrophiles, eosinophils, basophils, lymphocytes and monocytes are types of | WBC |
| Common name for thrombocytes is | Platelet |
| The liquid portion of an anticoagulated blood sample is | Plasma |
| The instrument used to measure BP | Sphygmomanometer |
| An artery can be distinguished from a vein because an artery: a) harder b) pulsates c) different color d) softer | B |
| Lancets are used to collect blood samples by_____ | Capillary or skin puncture |
| The abbreviation VAD means | Venous Access Device |
| To determine the size of needle: the higher the gauge the ____ | smaller the needle bore |
| Adult capillary puncture often involves use on what fingers: index, middle & ring, index & middle, pinkie | index and middle |
| A centrifuge is used in clinical laboratory setting to____ | Separate liquid from cells in blood |
| The oral glucose tolerance test is used for detection of what | Diabetes |
| Use a ____topped evacuated tube for collection of blood for CBC | Lavender |
| Use a _____ topped evacuated tube for collection of blood for electrolyte testing | Red |
| Use a ____topped evacuated tube for collection of blood for cholesterol | Red |
| Sodium citrate is an anticoagulant of choice for coagulation of blood for cholesterol testing because it protects what | clotting factors |
| Sodium citrate is an anticoagulant of choice for coagulation of blood for cholesterol testing because it protects: a) clotting factor b) RBC c) WBC d) enzyme inhibitors | A |
| When preparing a blood smear directly form a skin puncture, it is best to _____ | wipe away the first drop |
| When preparing a blood smear directly form a skin puncture, it is best to: a) use plastic instead of glass slide b) make it as thick as possible c) wipe away first drop d) add sodium citrate to the blood | C |
| According to CLSI what tube should be drawn 1 | Blood culture |
| According to CLSI what tube should be drawn 2 | Coagulation (blue) |
| According to CLSI what tube should be drawn 3 | Serum tubes (red) with or without blot activator gel |
| According to CLSI what tube should be drawn 4 | Heparin tube with or without separator (green) |
| According to CLSI what tube should be drawn 5 | EDTA (lavender) |
| According to CLSI what tube should be drawn 6 | Glycolytic inhibitor (grey) |
| In what order should the following tubes be drawn: Coagulation (blue)-Serum tubes (red) with or without blot activator gel- Blood culture-EDTA (lavender) Heparin tube with or without separator (green) -Glycolytic inhibitor (grey) | Blood culture, Coagulation (blue), Serum tubes (red) with or without blot activator gel, Heparin tube with or without separator (green), EDTA (lavender), Glycolytic inhibitor (grey) |
| 1st Phlebotomy step (of 10) | Greet and identify the patient |
| 2nd Phlebotomy step (of 10) | Explain the procedure |
| 3rd Phlebotomy step (of 10) | Assemble equipment |
| 4th Phlebotomy step (of 10) | Cleanse the venipuncture site |
| 5th Phlebotomy step (of 10) | Anchor the vein |
| 6th Phlebotomy step (of 10) | Insert the needle |
| 7th Phlebotomy step (of 10) | Collect blood in vac tubes |
| 8th Phlebotomy step (of 10) | Remove tourniquet |
| 9th Phlebotomy step (of 10) | Dispose of needle |
| 10th Phlebotomy step (of 10) | label tubes |
| What is being detected in a blood culture | Septicemia |
| Anticoagulants are used to | prevent blood from clotting |
| WBC help the body | defend against foreign invaders |
| Platelets help the circulation by | carrying oxygen to the tissue |
| When blood seeps in to the surrounding tissue during venipuncture a ___may form | hematoma |
| In a patient with a clotting disorder, pressure should be applied for_ after puncture to insure stoppage | 5 minutes |
| If blood doesn’t appear in tube upon puncture you__ | slightly reposition the needle |
| Redirection of the needle is necessary when a)vein isn't properly anchored b) patient moves unexpectedly c) flow starts and stops d) all | D |
| Vein may be prone to collapse if (2) a) vac tube is too large for vein b) syringe plunger was pulled back to quickly c) vac tube lost its vacuum d) tourniquet was too tight | A |
| Hemolysis could cause sample rejection for what test | Potassium |
| If patient is prone to syncope to venipuncture, phlebotomist should… | watch in case of fainting |
| A tube of blood arrives in the lab without a label. It must be…. | rejected automatically |
| When is 2 hours post prandial | 2 hrs after meals |
| Knowing when to collect peak and trough levels is important when drawing___- | therapeutic drugs |
| Pre warming is used to___ | increase bleeding tendencies |
| The role of all anticoagulants is to prevent formation of what | Fibrin |
| The anticoagulant EDTA works by | inactivating thrombin |
| If the tourniquet is released before the needle is withdrawn this will result in | bleeding from the site |
| What test sample is light sensitive | Bilirubin |
| The ___ must be followed exactly when drawing patient test that may be used in a legal proceeding | Chain of Custody |
| The anticoagulant SPS is recommended because___ | it is completely biodegradable |
| Before entering into an inpatients room | checks requirements on sign |
| Single most important means of preventing spread of infection | hand washing |
Created by:
Sarsileigh
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