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Phlebotomy Final
State test review
| Question | Answer |
|---|---|
| Another Name for blood bank | immunohemotology |
| With which other hospital department would the lab coordinate drug monitoring with? | Pharmacy |
| Electrolyte testing includes: | Sodium and Potassium |
| Why is it a phlebotomis roll tot promote good public relations? | ease patient anxiety |
| Coding used for reimbursement uses what national coding system? | CPT 9 and 10 |
| What department administers oxygen therapy | Respiratory Therapy |
| Term used to describe sophisticated high complexity care | tertiary care |
| Greek word phlebotomy translated means: | vein incision or to cut a vein |
| What is NOT a phlebotomist duty? | Start or draw from IV |
| ASCP certified phlebotomist credential is: | PBT |
| work shops by agencies to update skills for license renewal is called | CEU's |
| Another name for medical lab scientist is: | Medical Technologist |
| What is a barrier to effective communication? | Child, upset patient, different language |
| What is a confirming response to a patient? | I understand how you must be feeling |
| Example of negative kinesics. | Frowning |
| What communicates unprofessionalism? | Intense body odor or cologne |
| It is improper telephone protocol to: | hang up on a caller |
| Which duty is NOT done by local health agencies? | licensure of healthcare workers |
| Acknowledging a patients beliefs, customs, and attitude exemplifies: | Diversity Awareness |
| A phlebotomist who takes short cuts to get a sample exhibits: | unprofessionalism |
| department testing for infectious diseases and antibodies is called: | immunology |
| What charges come from drawing a patient without consent | Assault and battery |
| Two phlebs are over heard talking a bout a patient, what violation is this? | invasion of privacy |
| What does NOT violate a patients right to privacy? | Sharing collection site information |
| Malpractice is a claim of: | improper treatment |
| If a phlebotomist does not put the needle and hub in sharps they are: | Negligent |
| What organization sets standards for phlebotomy procedures? | CLIS |
| What action will compromise the quality of a specimen? | Partially filling EDTA tube |
| Is filling out a daily time sheet part of QC? | Nope |
| What analyte result is adversely affected by chilling? | Potassium |
| When a threshold value of a QA is exceeded and problem identified: | Corrective action plan implemented |
| Standard of care is influenced by: | Joint Commission |
| which is least likely to be rejected: icteric, clotted, lipemia, or hemolized | Icteric specimen |
| what do we NOT put on an incident report? | Suggestion for guidelines or opinions |
| Where can you find any test you need information on/about? | Collection manual |
| NPSG's specified 2014 goals for the lab is to: | improve communication |
| why do some tests require immediate cooling? | Slow metabolic process |
| What is NOT included in malpractice litigation? | institution informed of injury to patient |
| What is found in procedure manual? | revision dates |
| Why does QC prohibit use of out dated tubes? | additive to sample ratio |
| Unauthorized release of confidential patient info is called | invasion of privacy |
| Definition of a minor is: | not of age of majority |
| analytical factor thats out of Phlebs control that affects testing is: | patient preparation |
| how do you control sever bleeding? | apply direct pressure |
| Class C fire | electrical equipment |
| HBV Vaccination involves | dose then second dose at 1 month and last dose at 6 months |
| employee screening for infection control is: | PPD testing |
| what is the acronym for fire code? | RACE |
| Protecting the patient from infection is what type of isolation? | Protective |
| OSHA HazCom Standard is also called: | Right to know law |
| Dawning PPE | gown, mask, goggles, gloves |
| Employers must offer ____ with in 10 working days | HBV Vaccine |
| FIRST thing you do when stuck by dirty needle: | wash for at least 30 seconds |
| Principles involved in radiation exposure | time, distance, shielding |
| Nosocromal infection example: | infected catheter |
| potential permucosal exposure to organisms | touching eyes with contaminated hands |
| A patient with _________ would be placed in protective isolation. | Severe burns |
| Work practice control reducing the risk of exposure to blood borne pathogen is: | wash hands |
| What type of transmission of infectious agent is a cough or sneeze? | Droplet |
| If a phlebotomist is bit thru skin, comes in contact with blood thru a cut, splashes body fluids in eyes or mouth what type of exposure occurs? | Occupational exposure |
| What PPE is taken off AFTER leaving pt room? | Respirator |
| Hazardous labels MUST include? | GHS statment, pictogram, severity signal |
| CLSI says scrubs should be how far off floor? | one to one and a half inches |
| Isolation sign saying everyone MUST wash hands before exiting room indicates patient may have what type of spore forming microbe? | Clostridium Difficile |
| If body fluids get into eyes, eyes must be flushed for a minimum of: | ten minutes |
| N-95 respirator must be worn for what type of precaution? | Airborne |
| What part of ostiocondritis is the suffix? | itis |
| What does the suffix of the term glycolysis mean? | Breakdown |
| singular form of alveoli: | alveolus |
| medical term for white blood cell: | leukocyte |
| Medical term for kidney inflammation: | Nephritis |
| PP means: | After a meal or post perandial |
| ESR Means: | erythrocyte sedimentation rate |
| term meaning condition of clotting: | Thrombosis |
| term meaning muscle pain: | Myalgia |
| Term meaning hardening of artery: | Arteriosclerosis |
| what is the root word in electrocardiogram? | cardi |
| A prefix : | precedes the root word |
| suffix in the term lipase is: | ase |
| polycythemia means: | blood condition of many cells |
| A 2hr postprandial specimen should be drawn: | 2 hours after eating |
| What vascular access device is placed in a peripheral vein for the purpose of blood collection and drug administration? | Heparin lock |
| Abbreviation ESR or ESRW means: | Erythrocyte sedimentation rate |
| The abbreviation PP means: | after eating or post prandial |
| ABG specimine rejection criteria includes: | air bubbles, incomplete or missing label, QNS |
| The ability of the body to repair and maintain its self to achieve a steady state is called: | Homeostasis |
| According to CLIS _________ is the recommended blood culture site skin disinfectant for infants 2 months or older: | chlorhexidine glucose |
| According to CLIS standards which of the tubes listed below is filled last when using a syringe? | EDTA |
| According to CLIS the maximum time limit for separating serum or plasma from cells is: | 2.0 hours from time of collection |
| According to standard first aid procedures, severe external bleeding is best controlled by: | Applying direct pressure |
| The accumulation of _____ in the blood can cause metabolic acidosis | lactate |
| An additive tube should be mixed: | as soon as it is filled |
| All of the following are included in the DOT's 10 steps to collection site security and integrity EXCEPT: | ensuring video monitoring is working |
| What is included on the Joint Commission (TJC) do not use list | Kg |
| A 24hr creatinine and clearance test is used to determine the function of | Kidneys |
| The ability to achieve both accuracy and precision is: | reliability |
| According to OSHA regulations, who must provide PPE? | Employer |
| All manufacturers of laboratory reagents must supply a document stating the hazardous properties of the material and other data regarding the use and disposal of the reagent. What is this document called? | Material safety data sheet |
| What can cause a false positive rapid strep test | contamination |
| What can be a cause of a false negative rapid strep test | improper storage or collection |
| A common reason for a specimen error not caused by random errors: | imprecise timing |
| All testing procedures in the clinical lab must be monitored for accuracy and precision using: | at least 2 levels of controls |
| A decrease in the number of white blood cells is known as: | leukopenia |
| Define homeostasis | a state of physiological equilibrium |
| An electronic cell counter is used for: | red and white cells |
| A false positive nitrate on a urine sample indicates | improper storage |
| For a lab having a certificate of provider performed microscopy, what type of healthcare provider would not be allowed to perform microscopic procedures | medical assistant |
| The function of the kidney is to remove ________ and reabsorb ________ | waste products and water |
| Gamma-glutamyl transpeptidose (GGT) is particularly elevated in | alcoholic cirrhosis |
| Glucose is stored in the liver as | glycogen |
| A GTT includes what specimen | Blood |
| Where is hemoglobin found | red blood cells |
| Anthrax is | a bacteria |
| Although many antiseptics and disinfectants may kill HIV, the most practical one for use on contaminated equipment is: | 10% bleach solution |
| Another name for low blood sugar is | hypoglycemia |
| Another type of testing that can ensure accuracy in addition to QC is: | proficiency testing |
| An autoclave sterilizes by | Steam and increased pressure |
| Blood cultures are ordered for: | FUO - fevers of unknown origin |
| A gradual change in the mean that proceeds in one direction over six or more consecutive days is known as a: | Trend |
| Hemoccult testing detects blood in the | Stool |
| Hemoglobin electrophoresis is used to diagnose | anemia |
| The HIPPA privacy rule does not protect patient information that is: | accidentally overheard |
| How can a nurse collect a sterile urine from an incontinent patient | Using a catheter |
| A cellophane tape preparation should be taken to which department | microbiology |
| A centrifuge is used to | separate liquids from solids |
| How long can urine be refrigerated if not tested right away | 4 hours |
| How long must test requisitions be kept by the lab | two years |
| The change in the shape of erythrocytes as observed on a peripheral smear is described as: | poikilocytosis |
| CLIA does not mandate | waived tests |
| How long should the tourniquet be on the patient's arm? | No longer than a minute |
| How many stool samples are needed for an O&P | three fresh |
| Clumping together of cells or particles is known as: | agglutination |
| A compound microscope is used to study all of these types of organisms except | viruses |
| How much time should pass before a Westerngen ESR result is read? | 1 hour |
| How would a patient be prepared for a 2 hr post prandial glucose test? | Patient eats two hours prior to testing |
| The life stand of an RBC is | 120 days |
| The liquid portion that remains after centrifuging a light blue top | plasma |
| Liver disease will cause an increase the ________ count | bilirubin |
| What is a human chorionic gonadotropin test for? | pregnancy |
| Liver enzymes can easily be assessed through: | blood testing |
| What is the best specimen to use when checking for a UTI | mid stream clean catch |
| Material Safety Data Sheets (MSDS) are stored: | where they are accessible to everyone |
| Nosocomial infections are: | contacted in hospital setting |
| Normal urine output in an adult is: | 600 - 2000 ml |
| Normal human body temperature | 37C |
| Most hematology tests are performed on: | whole blood |
| A packed RBC volume ratio is: | hematocrit |
| A measure of the departure from accuracy is known as: | bias |
| The medical term Leuk- | white |
| If a patient goes into a convulsion after a venipuncture, call for help then: | make sure patient is safe and doesn't hurt themselves |
| If a urine can not be tested within _________ it should be refrigerated | one hour |
| The term Osteo means: | bone |
| Microscope slides are placed on the | Stage |
| The most common cause of leukocytosis is: | a bacterial infection |
| The most common fungus seen in a doctors office is | ringworm |
| The most commonly performed test for anticoagulation therapy is: | prothrombin time |
| The most common metabolic disorder discovered by a urine dipstick is: | diabetes |
| The most common test performed in the hematology department is: | CBC- complete blood count |
| If patients have the same name, how would their flies be put in order | numerically by their birthdate |
| If serum is pink it indicates | hemolysis |
| If the laboratory receives a tube with no name, what is the proper procedure? | discard it and ask for a redraw |
| In a normal distribution curve, more values are: | close to the mean |
| The incubator temperature in the microbiology department should be: | checked daily |
| Infectious hepatitis is caused by a: | virus |
| Infectious mononucleosis is caused by: | EBV epstein barr virus |
| Insufficient centrifugation while performing a microhematocrit will result in: | a false increase in hematocrit value |
| In the clinical chemistry department, tests are performed on: | auto analyzers |
| In the laboratory, the substance being measured is known as the: | analyte |
| An invisible spray of liquid particles | aerosol |
| Laboratory refrigerators should be kept at the following temperature: | 1 to 6 Degree Celsius |
| What is the most commonly isolated pathogen found in wound infections | Staphylococcus aureus |
| Patients with uncontrolled diabetes will have abnormal results in the following urine parameter(s): | glucose and ketones |
| A patient with an allergic reaction will have an increased number of these types of cells: | EOSINOPHILS |
| A persistent infection with symptoms that come and go: | latent infection |
| A positive leukocyte esterase result in a urine sample indicates: | white blood cells |
| TB is caused by: | bacteria |
| A sudden change in the mean that becomes continuous is known as: | a shift |
| The study of fungi | mycology |
| Sputum should be collected from what area of the respiratory tract? | lungs |
| A spinal tap is also known as a | lumbar puncture |
| A specimen that is divided into two parts and analyzed in two different laboratories to check for accuracy is: | split specimen |
| Smallpox is caused by: | various major |
| Specimens used to test the accuracy of urinalysis procedures, reagents, and equipment are: | urine controls |
| A positive nitrate result in a urine sample indicates | bacteria |
| The term card means | heart |
| PPE includes | goggles, gloves, coats |
| The term for increased white blood cell count is: | leukocytosis |
| The prefix hyper means | excessive |
| the prefix that means 1/10 | deci |
| A __________ test determines how much of a substance is present | quantitative |
| A test kit that should be stored at 15-25 degree C is stored where? | store room shelf |
| Privileged communication is the legal term that refers to confidential information | obtained in a patient/physician relationship |
| The process by which a cell engulfs a foreign material such as a bacteria or virus is known as: | phagocytosis |
| The protein found in RBC's that carry oxygen | hemoglobin |
| Protein in the urine indicates | kidney disease |
| A test used to detect the presence of inflammation | CRP - C Reactive Protein |
| Quality control is plotted on a | Levey Jennings chart |
| The rapid plasma reagin (RPR) test is most commonly used to detect | an STD |
| A rapid strep kit tests for | group A streptococci |
| The ratio of the volume of RBC to the total volume of blood is known as: | hematocrit |
| Removal of tissue from the body for pathological examination is called | biopsy |
| Results when using the N-Multistix 10SG take | less than 2 minutes |
| Semen samples must be reviewed microscopically ASAP because | decreased motility over time |
| Serum is separated from the cells as soon as passible to prevent | hemolysis |
| Trichomonas vanginalis is a | protozoa |
| Two or more organisms living together | symbiosis |
| An upper GI series requires the patient to | drink barium |
| Throat swab samples can be used | only once |
| A timed specimen is required for | peak theophylline level |
| Transferring a patient specimen to a culture plate | inoculation |
| A urine test that indicates bacteria in the intestinal tract | urobilinogen |
| The value of QC material provided by the manufacturer is known as | target value |
| Urine pregnancy tests detect | HCG - Human chorionic gonadotropin |
| There ia a pathological condition in which system if a patient has the following urine result? Leuk: Positive pH: 6.5 Pro: trace WBC: 15-20 Bact: positive Nitarite: positive | genitourinary |
| To protect confidentiality, what question should a health care worker ask themselves before looking at a patient's medical information? | Do I need to know this |
| A urine sample can be refrigerated for up to ________ and must be allowed to warm to room temperature prior to testing | 4 hours |
| The value of the normal control for potassium is 3.2mEq/L. If 1 standard deviation (SD) is +/- 0.2 which of the following value is out of range? | 4.1 mEq/L |
| The variation from the mean of a sample is the | coefficient of variation |
| What is not a physical property of urine? | glucose level |
| What color tube is a PT collected in? | light blue |
| What color tube is used to perform a CBC? | lavender |
| What cells produce antibodies? | B- lymphocytes |
| What cells are involved in hemostasis | platelets |
| What causes an ammonia smell in urine | excessive bacteria |
| What carries oxygen away from the heart | arteries |
| What additive is in a green top tube | heparin |
| What acts as a decolorizer in the gram stain procedure | alcohol / acetone |
| What is produced by the breakdown of hemoglobin | bilirubin |
| What is the blood tube of choice for the hematology department | lavender EDTA |
| What is the coefficient of variation used to determine | precision |
| What is the correct order of steps when performing a microscopic urine? | centrifuge, place one drop on slide, use low power, record results |
| What is the highest percentage of WBC's in a peripheral smears? | neutrophils |
| What is the main function of white blood cells? | protection from infection |
| What department studies blood cells in the bone marrow? | hematology |
| What is the major Hub found in the RBC's of patients with sickle cell anemia | Hgb S |
| What does an elevated ESR (erythrocyte sedimentation rate) indicate | inflammation |
| What does the term syncope mean | fainting |
| What does Universal precautions mean to a healthcare worker | to treat everything as contaminated |
| What is the major type of WBC seen in the peripheral smear of a patient with aplastic anemia | lymphocyte |
| What is the minimum number of values that must be obtained before calculating standard deviation | 20 |
| What indicates a UTI in a clean catch mid-stream urine | 100,000 colonies/ml |
| What indicates bacteria in the urinary tract | nitrites |
| What is the most important factor in controlling the spread of disease | hand washing |
| What information must always be clearly noted in a prominent area of a patients file, such as the front cover or immediately inside the cover | any known allergies |
| What is the name of the muscle of the chest | pectoralis major |
| What is the normal pH of urine | 4.5 to 8.0 |
| What is the normal range for urine specific gravity | 1.010 to 1.025 |
| What is a carcinogen | cancer causing agent |
| What is a contact transmission hazard | needles, contaminated hands |
| What is added to a urine specimen to prevent breakdown before testing | preservative |
| What is an example of a physical hazard | broken glass |
| What is a patient's most common mistake while collecting a 24hr urine sample | not collecting all the urine |
| What is a urinary tract prefix | ren |
| What is it called to be free from infectious organisms | aseptic |
| What is the normal WBC differential lymphocyte percentage in the adult population | 20% - 44% |
| What is the number one STD in the US? | trichomoniasis |
| What is the oxygen carrying component of red blood cells | hemoglobin |
| What is the path of urine through the urinary system | kidney, ureters, bladder, urethra |
| What is the preferred specimen for a differential | EDTA |
| What is the primary function of the RBC's | carry oxygen |
| What is the proper way to carry a microscope | one hand on base, one hand on arm |
| What is the purpose of a stain | enhance visibility of formed elements |
| What is the purpose of the ICD 10 CM codes | to describe the patient's diagnosis |
| What is the total magnification of a microscope with a 10x eyepiece and a 40x objective | 400 |
| What is the vein most commonly used for venipuncture | median cubital |
| What is used to calibrate instruments | standards |
| What laboratory findings is seen in a patient with appendicitis | elevated WBC count |
| What microscope objective is used for initial focusing | coarse adjustment using a low power objective |
| What mineral is essential for hemoglobin production | iron |
| What objective is used to read a gram stain | 100x - oil immersion |
| What organism is the smallest | virus |
| What organ is responsible for the production of urine | kidney |
| What parts of the microscopic affect the amount of light through the specimen | diaphragm, condenser |
| What patient filing system provides for the greatest degree of patient confidentiality | numeric by medical record number |
| What percent of blood are RBC's in an average adult | 40% to 45% |
| What reagent is part of the gram stain | crystal violet |
| What results from leaving a tourniquet on too long | hemoconcentration, falsely elevated potassium |
| What should a healthcare worker do if they come across an open shredding bin full of papers revealing patient names, addresses and diagnosis | close the bin and report it to a supervisor |
| When is it acceptable to share your computer login identification and/or password | never |
| When diluting an acid | slowly pour acid into a base |
| What will not protect against HIV | recapping needles |
| What test is done when electrolytes are ordered | k+ Cl- an dNa++ |
| What should a phlebotomist do with a patient that is difficult stick? | try twice then ask for help |
| What should happen to a specimen that is not labeled | ask for a new specimen |
| What stain is used on a peripheral blood smear to differentiate the cells | Wright's stain |
| What substance is released with cell damage | electrolytes |
| What tests for dehydration and cell starvation in urine | ketones |
| What tube can stabilize glucose for up to 3 days | gray, sodium fluoride |
| What type of bacteria is spherical | cocci |
| What type of cell will be increased in cases of mononucleosis (mono) | atypical lymphocytes |
| What type of laboratory must perform proficiency testing | moderate complexity laboratories |
| What virus causes mononucleosis | epstein barr virus |
| What will happen to the WBC count in a patient with acute appendicitis | it will be elevated |
| When a practitioner orders an unusual test, the best way of ensuring a good specimen is | to review the collection guidelines provided by the reference laboratory |
| When blood is allowed to coagulate the liquid portion is known as | serum |
| When choosing a CPT code for a laboratory test, which is most appropriate | choose the specific analyte code, if available |
| Which organ produces insulin | pancreas |
| Which one of the following is the urine specimen of choice for bacteriological examination | clean catch, mid stream |
| Which of the following tests would be used as an aid in the detection of cancer of the prostate | PSA |
| Which of the following tests are used to detect gout | uric acid |
| Reticulocytes are run in what department | hematology |
| Which of the following is not a type of white blood cell | platelet |
| Who can give consent for treatment if the patient is a married minor | the patient themselves |
| Which WBC produces antibodies | lymphocytes |
| Which urine test measures the glomerular filtration rate- the amount of blood filtered by the kidneys | creatinine clearance |
| What type of blood test is done using an artery | ABG Arterial blood gas |
| Which department has a special patient identification system | blood bank/ transfusion services |
| Which department performs an ESR- Wintrobe method | hematology |
| Which of the following is not a protein found in urine | urobilinogen |
| Which of the following cells are phagocytic | neutrophils and monocytes |
| What are the parts of a routine urinalysis | physical, chemical, microscopic |
| Which of the following analyses would be most affected by a hemolyzed specimen | K+ |
| Where should a phlebotomist perform a baby heel stick | on either side of the heel on the bottom of the foot |
| Where should a fingerstick be performed | on the 2nd or 3rd finger |
| When using test kits, the clinical laboratory assistant should | never mix lot numbers |
| When using an automated cell counter, the most frequent cause of erroneous test results is: | improper mixing during collection |
| When the control values on a distribution curve are close to the mean value, but deviate a small amount on either side of the mean from day to day it is known as: | normal distribution |
| Which part of the name Mr. Charles D. Anderson-Jones would be used to alphabetize the patient chart? | by Anderson |
| Which phagocytic cell produce lysozymes? | neutrophils |
| Which poses the greatest potential risk of damage to a computer's stored information | downloading files from non- secure sources |
| Which power is used to perform a microscopic UA? | 40x's low power |
| Which RBC disorder changes the hemoglobin molecule | sickle cell anemia |
| Which term describes the top portion of a centrifuged specimen | supernatant |
| Which test is performed in the hematology/coagulation department | PT |
| Which tube is not centrifuged | Lavender |
| What tube is a serum tube no additive | Red Top |
| Which urine parameter measures the number of solutes in the urine | specific gravity |
| Which urine parameter would be abnormal if a patient has chronic high blood pressure | protein |
| Which urine parameter would be abnormal if there were bacteria present in the urine | nitrates |
| Which urine parameter would be abnormal in a patient with uncontrolled diabetes | ketones |
| Which urine parameter would be abnormal when a patient has been fasting | ketones |
Created by:
CWillems
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