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Ch. 1-14 Phleb.MCC
Chapter 1-14 Phlebotomy MCC
| Question | Answer |
|---|---|
| Another name for blood bank is | Immunohematology |
| Promoting good public rations is a part of the phlebotomist's duty | A phlebotomist is a reresentative of the laboratory throughout the facility Good public reations promotes a harmonious reationship with the staff Patients often equate venipucture experiences with the overall hospital care |
| Which of the following is not a phlebotomist's duty | Starting intravenous (IV) lines |
| Which of the following commuicates unprofessionalism | Intense odor of cologne |
| The term used when blood is withdrawn to dangerous or deadly limits is | Exsanguination |
| The federal law that defines the responsibilities of medical laboratory personnel is the | CLIA'88 - Clinical Laboratory Improvement Amendments |
| The study of a person's concept and use of space is known as | Proxemics |
| Acknowledging a patient's beliefs, customs, knowledge, and attitudes exemplifies deversity awareness | True |
| A phlebotomist who gets the specimen for the doctor even if he or she must take shortcuts and save time is exhiliting integrity | False |
| The area of the lab where testing involving infectious diseases and the immune process is performed is called immunohematology | False |
| Drawing a patient's blood without his or her permission can result in a charge of | Assault and battery |
| Two phlebotomists are siscussing a patient's condition in the elevator. They are overheard by the patient's daughter. This is an example of | Invasion of privacy |
| A national organization that sets standards for phelbotomy procedures is the | CLSI - Clinical Laboratory Standards Institute |
| Three of the following conditions are reasons a specimen could be rejected for analysis. Which one is not | A bilirubin specimen is icteric |
| A specimen was mislabeled on the floor. The phlebotomist is required to fill out an incident report form. What information is not part of the report | Sugestion for new guidelines |
| Some test specimens require immediate cooling in ice and water slurry to | Slow down metabolic processes |
| A good way to avoid lawsuits is to consistently perform venipunctures as rapidly as possible so as to get the results to the phyician quickly | False |
| As healthcare providers go about their daily activities, there are many activities that, if performed without care and skill, could result in a lawsuit | True |
| Labeling of a specimen must be exact | True |
| The only phlebotomis in an outpatient drawing center is not familiar with the test that a physician has ordered. What is the most appropraite action to take | Refer to the collection manual for insturction |
| According to standard first aid procedures, severe external bleeding is best controlled by | Applying direct pressure |
| Vacccination against HBV involves | A dose of vaccine, another 1 month later, and a final dose 6 months later |
| The purpose of "protective" isolation is to | Protect susceptible patients from outside contamination |
| What is the proper order for putting on protectve clothing | Gown first, then mask, gloves last |
| The main priniciples involved in raiation exposure are | Exposure time, distance and shielding |
| Example of nosocomial infections include | When a catherter site of a patient in ICU becomes infected |
| Which of the following is an example of a means of transmission that deffers from parental transmission | Drinking water from a contaminated glass |
| In what instance might a patient be placed in protective isolation | The patient has severe burns |
| Sterile gloves must be used when collecting and handling blood specimens | False |
| The abbreviation PPE stands for | Personal Protective Equipment |
| What part of the term "osteochondritis" is the suffix | itis |
| The singular form alveoli is | alveolus |
| What does the suffix of the term "glycolysis" mean | breakdown |
| The medical term for white blood cell is | leukocyte |
| Which of the following terms means kidney inflammation | Nephritis |
| Which of the following terms means muscle pain | myalgia |
| The word elements of the term "polycythemia" mean | blood condition of many cells |
| The "c" sounds like an "s" in which of the following terms | cellular |
| The abbreviation "UTI" stands for | Urinary Tract Infection |
| The plural form of ovum is | ova |
| The function of the left ventricle is to deliver | oxygenated blood to the aorta |
| The receiving chambers of the heart are the | atria |
| Which of the following represents the proper direction of blood flow | From arterioles to capillaries to venules |
| Which blood cell has the ability to pass through the blood vessel walls | Leukocyte |
| An individual's blood type is determined by the presence or absence of a certain type of | antigen present on the red blood cells |
| How can you visually tell serum from plasma | You cannot visually tell the apart |
| Lymphatic fluid originates from | excess tissue fluid |
| Which test must be performed on whole blood | CBC - Complete Blood Count |
| A major difference between arteries and veins is that most veins | have one-way valves |
| A specimen that has clotted and been spun down yields | Serum |
| The purpose of an antiglycolytic agent is to | preserve glucose |
| Which additive is uaually present in a tube with a lavender stopper | EDTA |
| A type of needle used to collect blood from small or difficult veins is known as | butterfly or winged infusion set |
| Evacuated tubes fill with blood automatically because a ______ exists in the tube | vacuum |
| The 21 gauge multisample needles is considered the stanard needle for routine venipuncture | True |
| In a routine ETS venipuncture, the lavender tube should be drawn before the red tube | False |
| In a routine ETS venipuncture, the red tube should be drawn before the green tube | True |
| A tube with a green stopper normally contains | heparin |
| It is not a good idea to collect a CBC specimen from a screaming infant because the | white blood count may be falsely elevated |
| Prolonged tourniquet application may cause a change in blood composition primarily because of | hemoconcentration |
| The following tests have all been ordered at the same time on differenct inpatients. There is only one phlebotomist on duty. Which test should the phlebotomist collect first | STAT electrolytes in the ER |
| What may happen if you mix a specimen too vigorously | Hemolysis |
| Never leave a tourniquet on for more than | 1 minute |
| How can you tell that you are in a vein when using a needle and a syringe | You will normally see blood appear in the hub of the needle |
| What is the most critical error a phlebotomist can make | Misidentifying a patient specimen |
| The patient asks if the specimen about to drawn is for a diabetes test. How should the question be answered | Say, "It's best to discuss that with the doctor." |
| Which of the following is the job of a student phlebotomist | Letting the patient know that you are a student phlebotomist |
| The process of collecting blood from a vein is known as | venipuncture |
| A specimen that must be drawn immediately is called a | STAT |
| What is the purpose of waiting 30 seconds for the alcohol to dry before needle insertion | To let evaporation help destroy microbes. To avoid a stringing sensation. To prevent hemolysis of the specimen. |
| Which instance most closely resembles basal state. A patient who has | just awakened at 0600 after fasting all night |
| It is not a good idea to collect a CBC specimen from a screaming infant because the | white blood count may be falsely elevated |
| Prolonged tourniquet application may cause a change in blood composition primarily because of | hemoconcentration |
| Why do pregnant patient have lower reference ranges for red blood cell counts | Body fluid increases in pregnancy, dilute red blood cells |
| If blood is drawn too quickly from a small vein, the vein will have a tendency to | collapse |
| A fistula is a | permanent fusion of an artery and a vein |
| When a test requires a fasting specimen, but the serum is _______ , it is a clue that the patient was not fasting | lipemic |
| Removing blood on a regular basis or in large amounts can lead to ______ anemia | Iatrogenic |
| A person who lives on Pike's Peak is more likely to have a higher RBC count than a person who lives in Florida | True |
| If the blood is filling the tube very slowing and a hematoma is beginning to form, the needle may not be deep enough | True |
| Why are capillary blood gases less desirable than arterial blood gases (ABG's) | Skin puncture blood contains tissue fluid. Skin puncture blood is only partly arterial. The blood is exposed to air during collection. |
| Which of the following is the safest area for infant heel puncture | The lateral plantar surface |
| The purpose of wiping away the first drop of blood during skin puncture is to | eliminate tissue fluid contamination |
| Capillary puncture blood most closely resembles | arterial blood |
| What does the term "calcaneus" mean | Heel bone |
| Capillary puncture blood reference ranges are higher for this analyte | Glucose |
| What is PKU | A hereditary inability to metabolize phenylalanine |
| It is necessary to control depth of lancet insertion during capillary puncture to avoid | injuring the heel bone |
| Capillary bilirubin specimens should be protected from | light |
| A magnet and "flea" are used to mix a CBC specimen | True |
| Of the following tests, which is most likely to result in fatal consequences if the patient is misidentified | Type and crossmatch |
| Which test requires strict skin antisepsis procedures before specimen collection | Blood culture |
| Which test is used to monitor heparin therapy | ACT |
| At what intervals is the blood blotted during a bleeding time test | 30 seconds |
| Which of the following tests may require special "chain of custody" documentation when collected | Drug screen |
| An autologous blood tranfusion is a tranfusion of blood | donated by the patient for the patient |
| The most critical aspect of blood culture collection is | skin antisepsis |
| This test requires a specimen with a 9:1 ratio of blood to anticoagulant | Prothrombin time |
| A condition in which a patient has high blood glucose level is known as | Hyperglycemia |
| Paternity testing is performed to determine the probability that a specific individual fathered a particular child | True |
| A barcode is a | series of bars and spaces representing numbers or letters |
| a pneumatic tube is a | pressurized air transportation system |
| An example of a preanalytical error happening during specimen processing is | inadequate centrifugation |
| Transporting blood specimens with the stopper up has nothing to do with | maintaining the sterility of the sample |
| Which of the following would not be considered a preanalytical error | Misreporting patient results |
| Which of the following specimens needs to be chilled | Ammonia |
| Which specimen can be centrifugede immediately upon arrival in specimen processing | Calcium in a green top tube |
| According to CLSI, the maximum time limit for separating serum or plasma from cells | 2.0 hours from the time of collection |
| A specimen arrives with less volume than is needed for the test. It will be noted why the specimen was rejected by using the abbreviation | QNS |
| ASAP or Med Emerg specimens must be attended to before routine specimens | True |
| What is the recommended procedure for collection a 24-hour urine sample | Void the first morning specimen, start the timing, and collect all other specimens including the next morning's specimen |
| Which fluid is obtained by lumbar puncture | Cerebrospinal |
| Which test is used to diagnose cystic fibrosis | Sweat chloride |
| Which of the following tests requires a 24-hour urine specimen | Creatinine clearance |
| Drugs of abuse can be detected in | Hair Saliva Urine |
| Which type of specimen must be protected from light | Amniotic fluid |
| Sputum samples are typically collected to diagnose | tuberculosis |
| Inserting a needle between the 2nd and 3rd lumbar vertebrae to collect fluid from the spinal cavity is called suprapubic aspiration | False |
| DNA analysis can be done using a buccal swab on the inside of the cheek | True |
| A breath sample can be analyzed to detect bacteria in the stomach | True |
| Which artery is typically the easiest to access during low cardiac output | Femoral |
| When performing the Allen test, which artery is released first | Ulnar |
| The artery of choice for ABG collection | Radial |
| Which of the following is the most common arterial puncture complication even when proper technique is used | Arteriospasm |
| The most common needle size for routine radial ABG specimen collection is | 22 gauge |
| Which of the following is the best way to tell that a specimen is arterial. As the specimen is collected, the blood should | pulse into the syringe |
| A patient who has been at rest and has not had any changes in respiatory therapy for 20-30 minutes is in a ______ state | Steady |
| The most common local anesthetic used to ease a patient during an ABG procedure is | Lidocaine |
| When an area is supplied with blood from more than one artery, there is _______ circulation | Collateral |
| A proper cleaning solution for preparing an arterial puncture site is | isopropyl alcohol |
Created by:
mmfleischer