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Phlebotomy SA PREP 4

Phlebotomy test prep for NHA Test

QuestionAnswer
Blood in urine is called... Hematuria
A butterfly is another name for a... winged infusion set
This complication results from repeated venipuncture of the same vein. Phlebitis
The additive in a green top collection tube is... Heparin (sodium)
Swelling due to the accumulation of fluids in the tissues is... edema
Red blood cells are also called erythrocytes
What step should a phlebotimist take if blood was drawn from the wrong patient? Redraw the specimen immediately on the correct patient.
The antigylcolitic agent that maintains glucose stability for 3 days is... Sodium Floride.
Which is the most common complication resulting from venipuncture? Hematoma
A patient came to the clinic for erythrocyte sedimentation rate test which tube would be used for this venipuncture? Lavender
Light blue tube has which additive in it? Sodium Citrate
Which is the best definition for the destruction of red blood cells? Hemoloysis
OSHA requires health care workers exposed to blood borne pathogens to be vaccinated for which vaccination? HBV (hepatitis B)
The proper order of the draw for PT, PPT, CBC, ammonia and cardiac enzymes using multi-draw method is... light blue, red, green, lavender
The additive in the grey tube is... Potassium oxalate
Devices used to collect blood via skin puncture capillary tubes
Which is NOT part of a cbc? Activated partial thromboplastin time (APTT)
An obese patient was sent to the lab for a CBC. Which of the following veins can most likely be found or palpated? Cephalic
When a tourniquet is tied to tight the capillaries may rupture causing... petechiae
A phlebotomist should I.D. a patient by... asking the patient to state their name
When drawing for Coagulation studies, a phlebotomist should... fill a light blue tube to the top
When a patient refuses venipuncture what should the phlebotomist do? Report the refusal to the nurse
Needle 23 is... the smallest gauge
When drawing blood from a patient with an I.V., the phlebotomist should draw needed specimen from... the opposite arm of the I.V.
Red-topped tubes are allowed to clot for... 30-60 minutes
When the body has rest, no exercise and no food for 12 hours... it is in a basal state
Place used needles... into sharps container immediately following venipuncture
Ending venipuncture procedure: remove tourniquet, remove tube, remove needle, apply pressure
What is the most used vein used for venipuncture... median cubital vein
Which tube is used for glucose testing? grey tube (oxalate)
Microorganisms that cause disease are referred to as... Pathogenic
Arthritis and Aspirin bleeding time
Test that may NOT be performed using blood capillary tubes is... blood cultures
Every Spring... increased basophils
Which barrier must a phlebotomist use during skin puncture or venipuncture? gloves
Which is a right under the patient's bill of rights? To decline medical treatment
The recommended needle size for heel stick for infants is... No more than 2.0mm
The additive in a red/grey top tube (also known as a tiger-top tube)is... thixotropic gel (which is a serum separator or sst)
Incorrect Re: Lavender top tube... Ans. Coagulation studies
What can occur when a tourniquet is left on for too long or longer than one minute? Hemoconcentration
Test involving multiple collection of blood and urine is... GTT (glucose tolerance test)
A patient is rushed to the ER suffering from dehydration and vomiting. Which tube should be used for stat electrolytes test? Green Tube
A hematoma during venipuncture can be avoided when... pressure is applied to the site of entry.
The additive in the pink top collection tube is... EDTA
All of the following info is included on a specimen label EXCEPT? diagnosis
How much blood is in the human body? 5 liters (to 6 liters)
The tourniquet is placed... 3-4 inches above the venipuncture site
The best sample for determination of blood PH + blood gases is... arterial
What tube is used for blood lead levels specimens? Royal blue topped tube
Sample of arm veins... must know where the basilic vein cephalic vein median cubital vein and radial artery are located (see page 429 for diagram)
Before a blood donation is made a donor should be tested for... Hemotocrit and hemoglobin
A patient experiencing hypoglycemia has... low blood glucose levels
On 3 separate occasions a patient's blood sample were hemolyzed. What likely was the cause of this? The phlebotomist used a 25 gauge needle
Patient died of cardiac arrest. After time of death is called you are leaving the area and stopped by family members asking how their loved one (the patient) is doing. You tell them that the physician will be with them soon
The function of neutrophils is to... engulf and digest bacteria. They are phagocytic cells which means that they engulf and digest bacteria.
A group of tests at one unit is a... profile
Which is performed by a nurse or respiratory therapist? Arterial blood draw
When a finger is excessively milked during a skin capillary puncture collection the result is... that the sample is contaminated with tissue fluids
When performing venipuncture the bevel of the needle must be facing... up
What is the first step of ending venipuncture when a patient faints? Remove needle from patient's arm and dispose of it in a sharps container immediately.
Blood cultures are routinely performed to diagnose or discover... infections and microorganisms
Standard chain of infection: Standard procautions mean at... the beginning or mode of transmission
Boundaries for infant heel sticks are the... medial and lateral aspects
An unconscious, unidentified man is brought to the ER what should the staff do? asign him an I.D. number
The purpose of the tourniquet is to... enlarge the veins so that they are easy to find.
A woman requiring venipuncture informs a male phlebotomist that it is against her religion to be touched by a man. What action should the phelbotomist take? Get a female phlebotomist to collect the blood specimen
When testing for drug abuse what test is taken? Urine sample or urine test
Test that needs to be done first would be STAT electrolytes test in ER
Phlebotomist is to collect a specimen from an Oncology patient. What for? Cancer
PKU-(phenylketonuria)This test is ordered for... infants to detect defieciency. The test is done on blood from a newborn's heel or on urine. PKU(phenylketonuria), a genetic disease that causes mental retardation and brain damage.
Tech draws blood for cbc for forensics. The patient asks what they are being tested for or what test has been ordered. What should the tech answer? I am not allowed to reveal that information
Which is correct of Nosocomial infections? They are infections contracted in a health care setting
Which tube? Ans: Red/Gray (Tiger top)
Girl who goes in for pregnancy test wants results and you overheard her results. What should you tell the patient? To contact her physician for the results
The sharps container is full often when you come onto your shift. What should you do about it? Remove the full sharps container. Get an empty sharps container and report the violation (problem) to the supervisor
The most important factor in preventing spread of infection or disease is... to wash hands before and after each patient Wash hands
What criterion do you use to decide what gauge of needle to use for venipuncture? Size and condition of the vein
Lavender top tube was filled 80% with blood. What is the error? Sample is not sufficient. Not enough. Fill to top.
Correct: Plasma is the fluid portion of unclotted blood
What color collection tube is used for PT and PTT tests? Light blue
In the vascular phase of hemostasis, injury to a blood vessel causes it to... constrict slowing the flow of blood in response to the injury
Which are also referred to as SST (serum separators)? Red/grey or tiger tops
All health care worker that are exposed to BBP (blood borne pathogens) are required by OSHA to be vaccinated for... HBV (hepatitis B Virus) or sign a waiver
Vacuum of a collection tube... decreases with age
Postprandial means... after a meal
Proper technique for capillary draw is to... wipe away the first drop of blood before collection of actual specimen
How long should a tourniquet be on a patient? No longer than one minute
What is the most important thing a phlebotomist must do? Properly I.D. the patient
Which vessels have valves? Arterial
The most frequently occurring nosocomial infection is? HBV Hepatitis B Virus
Hard and cord like veins are... Sclerossed
When would a phlebotomist use a multi sample needle? When more than one tube of blood is collected
Fomites are defined as... inanimate objects that can harbor infections and transmit disease
Collection tubes containing anticoagulants must be / should be... inverted 8 times
The function of thrombocytes is... clotting or repairing of blood vessels. (Platelets or thrombocytes are blood cells that aid in blood clot formation)
What is the purpose of warming the site before venipuncture? To increase blood flow to the site
What is the most common cause of contamination in blood culture tests? Improper skin preparation
Cyanotic condition is defined as... bluish color due to lack of oxygen in blood
Lifespan of erythrocytes (red blood cells)is... 120 days
Point of care testing would most likely take place at... patient's bedside (probably in their home)
Which section of the lab performs cbc and esr? Hematology section
Sensitivity to latex is... an allergic reaction
The section of the lab that performs pregnancy tests on blood specimens is the... Chemistry section
The formed elements of blood constitutes... 45% of the blood. 45% of blood (The formed elements constitute the remaining 45% of the blood. Healthy blood)
Patient confidentiality as patient's rights... Hippa
Failure to give proper care is referred to as... Negligence (Negligence is a legal term referring to the failure to act or perform duties according to the standards of the profession)
Clean-catch, midstream urine sample is used for... microbiologic urine testing
What is the term to describe touching a patient without the patient's consent? Battery
CTS is studied by what section of the lab? Microbiology section
Capillary is difined as? Microscopic vessel
What is the purpose of ascession number? To provide a unique tracking number for the specimen
The main BBP (blood borne pathogen), required by OSHA is the step of... use of approved needle safety devices
QA-Quality Assurance is defined as... set of procedures and policies set in a laboratory
Lypemic blood is described as... serum with milky appearance
Excessive squeezing or milking when taking sample via capillary results in... sample being contaminated with tissue fluid
Giving patient adequate information concerning...and consequences is... Informed Consent (is consent given by the patient who is made aware of any procedure to be performed, its risks, expected outcomes and alternatives. It refers to voluntary permission by a patient to allow touching,examination after they have been informed
What to do when you are stuck with a used or dirty needle... wash wound with soapy water and report it immediately. Must report immediately.
CDC- Centers of Disease Control and Prevention
The innermost layer of blood vessel is called... connective tissue
When making a blood smear what is the desired result? A feathered edge
When cleaning a venipuncture site how should it be cleaned? Using outward spirals with an alcohol pad (Concentric circles)
Infections transmitted are... blood borne
Created by: zoinksnjinkies
 

 



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