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PMI Final
| Question | Answer |
|---|---|
| True or False A patient with a history of syncope should be asked to lie down | True |
| At what temperature should unused evacuated tubes be store in order to guarantee an additive integrity mix? | 4-25 degrees Celsius |
| The color code that is most associated with tubes to collect Hematology tests is | Lavender |
| What angle is used for needle insertion during routine venipuncture? | 15-30 degrees |
| Which of the following can be a complication resulting of deep capillary of the heel? | osteochondritis |
| According to the Clinical and Laboratory Standards Institute, CLSI, the maximum time limit for separating serum or plasma from cells is: | 2 hours |
| If a phlebotomist is unable to obtain a blood specimen for any reason the usual protocol is: | document the reason and time on a specified form per facility and lab policy |
| True or False With few exceptions, vigorous additive tube mixing should be avoided because it may cause hemolysis | True |
| Needles are color coded according to their: | gauge |
| If patient adamantly refuses to have blood drawn, phlebotomist should: | notify patients nurse and fill out a failure to obtain form |
| How many times must you mix non additive tubes? | 0 |
| Which of the following sites would normally be eliminated as a capillary puncture site? | an edematous extremity |
| The additive ACD, acide citrate dextrose, is found in which tube? | Sterile Yellow |
| Where is the radial artery located? | thumb side of the wrist |
| What is the most important consideration when drawing blood from an older child? | explaining the importance of holding still |
| What is the CLSI recommended procedure for cleaning a venipuncture site? | cleanse with a circular motion from the center to the perifory |
| When performing a venipuncture, hand washing is necessary: | before and after each patient |
| True or False According to OSHA, needles must have safety features to minimize the chance of accidental sticks or they must use equipment to shield the needle after use | True |
| True or False It is ok to dispense a patient if venipuncture won't stop bleeding | False |
| True or False In most cases, if a family member or visitor is in the room when you arrive to collect a specimen, do not interrupt instead proceed to the next patient and come do the patient later | False |
| True or False If you have a needle that does not have a safety feature you must use a needle holders that contain safety features | True |
| True or False Never transfer blood collected in an additive tubes into another additive tube | True |
| True or False If a patient states that he/she is feeling nauseous while the blood draw is in progress, the blood draw should be stopped | True |
| True or False Non additive tubes yield serum specimens | True |
| True or False If a dermal puncture site of a finger or a heel is overly massaged, squeezed, milked, or endures strong repetitive pressure the blood may be hemolyzed | True |
| While some labs may not use this method, what is the most common and preferred system for collecting a blood sample | evacuated tubes |
| 2 parts of the tube include the graduated barrel and: | plunger |
| Which of the following needle gauges has the smallest diameter? a) 18 b) 20 c) 22 d) 23 | 23 |
| When doing a dermal site puncture the phlebotomist should look for | warm pink site |
| Which additive prevents glycolysis? | Sodium Floride |
| Which additive inhibits thrombin? | Heparin |
| If an inpatient is not wearing an ID band when the phlebotomist comes to collect a specimen, phlebotomist should: | ask the patients nurse to put an ID band on the patient |
| What is the maximum amount of time a tourniquet can be left on a patient? | 1 minute |
| What is the best practice if a vein can be felt but not seen even with a tourniquet on? | Look for visual clues on the skin (freckles, scars, etc.) |
| Why should a phlebotomist visually inspect the needle tip before inserting it into the patients vein? | To check for imperfections |
| According to CLSI when is the best time to remove the tourniquet? | As soon as blood flow is in the tube |
| It is better to gauze instead of cotton balls for pressure over the site because: | it pulls away platelets |
| Labeling a routine inpatient blood specimen should take place: | At the bedside immediately after collection |
| Another name for butterfly is: | Winged infusion |
| Where is the tourniquet applied when drawing a hand vein? | Proximal to the wrist |
| What is capillary puncture blood? | mixture of venous, arterial, and capillary blood and interstitial fluid, intracellular fluid |
| Why is capillary puncture blood sometimes called capillary blood? | It's obtained from the capillary beds |
| What is the recommended site for a capillary on a child 2 years of age or older | The fleshy portion of the middle finger |
| A skin puncture that parallels whorls of the fingerprint will: | Allow the blood to roll down the finger |
| What is not a capillary puncture procedure? | Using provodone iodine |
| What is the primary reason for performing arterial punctures? | To evaluate blood gases |
| What are the disadvantages of puncturing a radial artery? | It is small |
| How are specimens for electrolyte testing in addition to arterial blood gases be handled? | Transported at room temperature |
| A glucose specimen in a sodium fluoride tube is stable at room temp for? | 24 hours |
| Test performed on plasma are collected in: | Anticoagulant tubes |
| To avoid airborne infections while processing specimens: | Use a stopper remover or cover the stopper with gauze while removing the top |
| Which additive preserves glucose? | Sodium Floride |
| Older elderly patients are more prone to hepatomas because? | Their veins have increased elasticity |
| Which additive prevents glycolysis, the breakdown of sugar? | Sodium Floride |
| ACD is found in: | Sterile Yellow |
| Some are red, some are orange or other bright colors for easy identification | Sharps containers |
Created by:
cdilello
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