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Phlebotomy Exam Ques
Phlebotomy
| Question | Answer |
|---|---|
| The primary duty of the phlebotomist. | to collect blood specimens for laboratory testing |
| Blood is collected by several methods: | Arterial puncture, capillary puncture, and venipuncture |
| Scheduled sweeps | Rounds that occur at regular intervals throughout the day. |
| Duty of the phlebotomist | Keeping carts and trays adequately stocked with supplies. |
| Gloves | CDC (Centers for Disease Control), HICPAC (Healthcare Infection Control Practices Advisory Committee), and OSHA (Occupational Safety and Health Administration) - Bloodborne Pathogen Standard requirement when performing phlebotomy. |
| Antiseptics | substances used to prevent sepsis |
| The antiseptic most commonly used for routine blood collection is | 70% isopropyl alcohol |
| Cleaning with an antiseptic reduces | the number of microorganisms (does not sterilize the site) |
| Disinfectants | Chemical substances or solutions regulated by the Environmental Protection Agency (EPA) used to remove or kill microorganisms on surfaces and instruments. |
| What disinfectants can be used? | use of EPA-registered sodium hypochlorite products preferred, solutions made from generic 5.25% sodium hypochlorite (household bleach) may be used |
| When hands are not visibly soiled substitute for hand washing is | alcohol based hand sanitizers |
| Adhesive bandages | used to cover a blood collection site after bleeding has stopped |
| Adhesive bandages should not | be used on babies younger than 2 years of age because of the danger of aspiration and suffocation. |
| Sharps container | used needles, lancets, and other sharp objects must be disposed of immediately in this special container |
| Bio-hazard bags | leak proof plastic bags that are commonly used to transport blood and other specimens from the collection site to the laboratory |
| Slides | pre cleaned 25- by 75- (1- by 3-in.) glass microscope slides are used to make blood films for hematology determinations |
| Permanent non smear ink | A phlebotomist should always carry a pen to label tubes an record other patient information. |
| Watch | Preferably with a sweep second hand or timer, is needed to accurately determine specimen collection times and time certain tests. |
| Transillumination | to inspect an organ by passing light through its walls Example: venoscope |
| Tourniquet | is a device that is applied or tied around a patient's arm prior to venipuncture to restrict blood flow |
| Tourniquet is let in place for | more than 1 minute |
| A blood pressure cuff may | be used in place of a tourniquet. The patient's blood pressure is taken and the pressure is then maintained below the patient's diastolic pressure, or no greater than 40 mm Hg |
| Multisample needles | Evacuated Tube System |
| Hypodermic needles | Syringe System |
| Winged infusion needles | butterfly needles |
| If the seal or packaging of a needle is open or broken, | do not use the needle is no longer sterile and should not be used. |
| The end of a needle that pierces the vein is called | the bevel, because it is "beveled" or cut on a slant |
| Shaft | The long cylindrical portion of a needle. |
| Hub | The end that attaches to the blood collection device. |
| Lumen | Internal space of the needle. |
| Needle gauge | is indicated by a number that is related to the diameter of the lumen. |
| A needle that is too large | may damage a vein needlessly |
| A needle that is too small | may hemolyze the specimen |
| Which of the following play a vital role in the exchange of gases between blood and body cells? | Erythrocytes |
| The prefix endo- means | within |
| Which of the following represents an accurate statement regarding the circulatory system? | Pulmonary circulation refers to the blood flow to the lungs and back to the heart. |
| The federal law that allows CMS to regulate all sites performing laboratory testing in the United States is | CLIA 88 |
| The insertion of a needle into a vein for the purpose of withdrawing blood is | phlebotomy |
| White blood cells are known as | leukocytes |
| If an order instructs a patient's blood be drawn postprandial, when should it be drawn? | After eating |
| The physician order says to puncture the skin, which of the following would the phlebotomist perform? | Dermal puncture |
| Which of the following are nongranular leukocytes that produce antibodies to combat specific pathogens? | B lymphocytes |
| Agglutination | clumping of red blood cells |
| Which of the following body systems provides support and allows the body to move? | Skeletal |
| The medical word root that means vessel is | angi |
| The pancreas and gallbladder are organs associated with what anatomic system? | Digestive |
| Blood that caries only the A antigen contains | anti-B antibodies |
| Which of the following are granular leukocytes that produce the chemical histamine and aid the body in controlling allergic reactions and other exaggerated immunologic responses | Basophils |
| The function of a leukocytes is to | protect the body against infection |
| Which of the following is a protein that contains iron and is the main component of erythrocytes? | Hemoglobin |
| Oxia, capnia, phea, and spiro are word parts that refer to what body system? | Respiratory |
| A _____ is a rule of conduct established and enforced by an authority or governing body, such as the federal government | law |
| Which of the following is demonstrated when a patient's leg healed incorrectly because of the way the cast had been applied | direct cause |
| A civil wrong committed against a person or property that causes physical injury or damage to someone's property or that deprives someone of his or her personal liberty and freedom is called | a tort |
| If a patient feels threatened by the phlebotomist, he or she may bring suit under civil law for | assault |
| When a patient states that he or she has a needle phobia, the phlebotomist should | have the patient lie down during the procedure |
| An individual comes in for an autologous donation, what is this person coming to do? | Donating their own blood for their own use |
| Which of the following may cause hematoma formation? | Having patient bend elbow to apply pressure |
| Which of the flowing situations would most likely trigger hematoma formation? | Removing the needle while the tourniquet is still on the arm |
| When palpating, a vein having which one of the following characteristics would e most appropriate to select for venipuncture? | Bouncy |
| The phlebotomist has to prepare a blood smear for a leukocyte alkaline phosphatase (LAP). What is the correct procedure? | Perform the skin puncture, wipe away the first drop of blood and then touch the slide to the next drop of blood |
| If blood begins to flow and then stops when an evacuated tube is pushed into the needle the most likely cause is the | bevel of the needle resting against the vein wall |
| When performing a heel puncture on an infant, proper technique includes | placing the lancet flat against the skin on the medial or lateral plantar surface of the heel |
| Which of the following would be first in the sequence of performing a finger stick procedure? | sanitize hands and put on gloves |
| The reaction resulting from a slowed heart rate and lowered blood pressure causing decreased blood flow to the brain is | syncope |
| Which of the following statements is inaccurate with regard to the use of gloves when drawing blood? | Gloves only protect the wearer against the transmission of viruses |
| What is the document called in which a patient names someone to make decisions regarding medical care in the event he or she is unable to do so? | durable power of attorney |
| What type of tort exists if a patient is charged for services that were not performed? | Fraud |
| What type of consent exists when an emergency procedure such as CPR is provided | Implied consent |
| What charge can be brought against a phlebotomist who attempts to collect a blood specimen without the patient's consent? | Battery |
| An internal process focused on identifying and minimizing situations that pose a chance of loss or injury to patients and employees is called | risk management |
| A physician is said to have been ___ if a patient shows that the physician failed to comply with the standards of the profession | derelict |
Created by:
ChristineS