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Final

QuestionAnswer
CH1. What happens with a PT that's seen in the ER dept? treated & discharged or admitted to the hosp for treatment
CH1. Which of the following is a list of common debts in a clinical lab? Chemistry, blood bank, microbiology, urine analysis dept
CH1. The primary goal of PBT? Collect and process blood specimen
C1. What is the other name for dermal puncture Capillary puncture
Ch2. Which of the following is a breach of patient confidentiality? Talking to a PBT colleague at lunch about the patient that was especially challenging
CH2. Which of the following can be consider libel? A PBT writes in a patient chart, "Patient is though to stick and has it in for phlebotomists. Beware!"
CH2. A patient says "I've change my mind. I don't want to have these blood tests done after all." which one of these responses could be considered assault We are going to do these tests. The doctor ordered them and you have to have them, so go ahead and roll up your sleeve
CH2.Which of the following is true? A signed general consent form does not extend to blood draws or a signed general consent form means a patient can decline the procedure even if is signed A signed general consent form includes consent for blood draws, but the patient may still decline the procedure
CH3. Just before a phlebotomy technician begins a blood draw the patient says, "wait! I don't want to do this!" Which of the following responses is most likely to make the patient feel defensive? Why not?
CH3. PBTs Diasa and Nicki are both fluent English speakers, but they share a cultural background and non-english native language. When they are working together, what principal should guide their interaction? They should only speak English with each other on the job
CH3. A phlebotomy technician says to a patient, "you're here for CBC and some coag studies, right?" This use of medical terminology is: Not appropriate since patients may not understand.
CH3. If a draw is going to be done at 1430, what time is that? 2:30pm
CH4. Blood culture may be ordered when a patient is suspected of having an infection in the bloodstream. This is a _ infection. Systemic
CH4. Spores that cause CDIFF are especially dangerous because they can live on surfaces for a week or they can stay on surface for months or even years They can live on surfaces for months or even years
Which of these areas requires the written permission of the patient's doctor for venipuncture? Ankle or foot
The vein considered as last choice for venipuncture? Basilic
What is the most common antiseptic to clean the arm Isopropyl alcohol,
Although different facilities might use different agents, all facilities will require __________ for site cleaning prior to blood culture. Extra contact time between the agent and patient's skin
What is a blown vein? A vein a needle has passed completely through
At what point during a venipuncture procedure should tubes containing additives be inverted? Promptly after they are drawn
What tube is acceptable as a discard tube? coagulation tube / light blue tube
If a patient has a seizure during a blood draw, what is the phlebotomist's first priority? Keeping the patient safe from injury
QNS stands for? Quantity not sufficient
Which of the following is true of collection tube expiration dates? Tubes should not be used past their expiration dates.
This test is routinely performed on all pregnant women Glucose challenge test
When can a specimen be drawn for alcohol testing against a person's wishes? When requested by a police officer in a state where having a driver's license constitutes implied consent to testing
Which time listed below is a common amount of time for centrifugation of a standard serum tube? 15 Minutes
What must happen before a serum specimen is centrifuged? The specimen must be allowed to clot
Which of these methods is best for keeping a specimen chilled? Place it in a mixture of crushed ice and water
Capillary collection will not yield a large enough specimen for which of these tests? Erythrocyte sedimentation rate
Why is the index finger not used for capillary collection? Because its calloused
What is the name of the infection that may be caused if a lancet strikes bone? Osteomyelitis
Which of the following is true regarding lancet selection? The best lancet to use is the smallest one that will produce adequate blood flow.
The first drop of blood from a finger stick should be wiped away Most cases
If no blood gas tests are ordered, which type of tube is filled first for capillary collections? EDTA Tubes
How long should a capillary puncture site be warmed? 3-5mins
A blade-style lancet should be positioned to cut to the patient's fingerprints. Perpendicular
Capillary collection is unlikely to be successful if the patient is Dehydrated
Which of these specimens is collected using a swab? Buccal cells
A specimen drawn out by suction is said to be: Aspirated
For which of the following types of urine specimen is cleaning of the genital area required? Clean-catch urine specimen
Which of the following is a typical instruction to a patient collecting a 24 hour urine specimen? Note the time of the first void during the 24 hours and discard.
What is the primary reason semen specimens should not be collected in a condom? Lubricant on the condom can contaminate or destroy the specimen.
A bc is ordered for a hos PT who does not speak English. The PBT gets to the pt room & there is a 18yr who speaks fluent English. Which of the following best describes how the PBT should ensure that the patient understands and consents to the procedure? The PBT should tell the patient, through his grandson, that she will return soon with an interpreter.
Stool samples maybe tested for hidden blood to screen for Colon cancer
Which of the following is an example of breaking the mode of transmission link in the chain of infection? Washing hands
Medical asepsis involves :creating a sterofiled or making an object or area completely free of all microorganisms or taking measures to reduce and prevent the spread of pathogen taking measures to reduce and prevent the spread of pathogen
If patient blood gets on a PBT intact skin, what action should the PBT take? Immediately wash the blood off the skin with soap and water
An alcohol based hand rub is considered A satisfactory substitute for hand washing when the hands are not physically soiled
A face shield are used when Risk of blood
Removing glove, the first glove should be grasped at the finger tip or palm? Palm
A patient from whom airborne precautions have been ordered may be in a room called? Airborne infection isolation room
Blood born pathogens are spread through contact with? Blood or body fluids from in infected person
Which are the following describes a significant exposure according to the blood borne pathogens standards Cutting a finger when retrieving a broken blood specimen tube from a centrifuge
Multi-patient point of care devices must be disinfected 3x a day or after each use? After each use
A pediatric patient must be never? Left alone
Which are the following is true of elderly patient skin Fragile / delicate
How should non sharp waste bags be discarded? Biohazard waste bag
If a PBT is told to perform venipuncture distal to a patient IV the venipuncture must take place? Further away from the torso
What is is the largest organ in the body? Skin / integument
What blood test may be performed to evaluate the function of respiratory system? Blood gases
Which system eliminates waste products, created by the cells that maintain water balance is in the body? urinary system
What is the name of the blood test panel associated with kidney health? Renal
What liquid does the liver produce to help break down dietary fat? Bile
__________ chemical substance created by glands in the endocrine system that controls the body function? Hormones
In which gland create insulin? Pancreas.
What test is ordered to confirm pregnancy measures, the level of pregnancy related hormone is? HcG
This type of immunity is gained when a person is infected, recovers from an illness, or when a person receive the vaccine? Acquired immunity.
Exchanges of oxygen and carbon dioxide of nutrients and waste take place in areas? Capillary beds
Systemic / circulation Carries blood? Though out the body
Form elements, composed of how much of our blood volume is? Just under half
Which type of blood cells are the most common among the four elements? Erythrocytes
What are the four clarifications of blood type ? A, B, AB, O
Who is considered to be a universal donor? O-
The order of the blood from the lightest to darkest is? Arterial blood, capillary blood and venous blood
What devices maybe used to create pulling force on venous blood during a blood draw? Collection tubes emptied of air.
Inside called ___________ controls pilot response when a blood vessel is damaged? thrombosis
As injury heals this process breaks down the clot that has been formed to stop bleeding is? Fylborlisis
What blood specimen is allowed to clot in a collection tube and then is centrifuged, the resultant liquid portion is called? Serum
Buffy coat is formed through the centrifugation of a specimen that has been? Anticoagulant
If whole blood specimen is for diagnostic test, it should be collected in a tube that has? . Additive
A PBT can cause a prenatal ever by? Filling collection tubes in the wrong order.
Needles used for venipuncture are hallowed with an angle opening or solid with a pointed tip? Hallowed with angle opening.
Collections tubes, or capillary puncture usually have a volume of? 0.125-0.6 0.125-0.6
The substance studied in blood tests are called? Analytics
Which of the following may be present in collection tube, but in most cases doesn’t change the quality in blood itself? Separator gel
Glycolysis is prevented by the additive? Sodium fluoride
A red top tube is often used for? Serology
A patient has orders for a blood culture and coaug studies, which of these indicate the proper order for drawn specimen? Yellow SPS, blood, culture bottle, and light blue.
Where in the order of draw for capillary , puncture specimen, do EDTA tube’s fall? 2nd
A patient just received a medication inverse inverously her doctor has ordered that her pink medication level be checked. When is the doctor most likely to indicate blood should be drawn to check that level? 30 min
A large group of pt check in the AM for routine blood test, when the last pt in this group is seen by a pbt at 8:30AM. She reports she last eat at 5 PM. There is a chance that the length of the patient's fast will affect some analytes.
a phlebotomy technician can cause preanalytical errors by: filling collection tubes in the wrong order
jostling or rough handling of collection tubes: can cause damage to the cells and a specimen.
If someone has indicated that they fainted during previous blood draws, they should not draw the blood again, or should be placed in a recliner flat surface for a blood draw? should be placed on a reclined or flat surface
Formed wedged may be used to? Position PT arm
One blood specimen to maybe use for? More than one analyte
If a tourniquet has been left on beyond one minute, how long does it remain off the patient’s arm before it gets reapplied? Two minutes
Created by: user-1807520
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