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ASPT CERT. EXAM
ASPT CERT. EXAM PREP.
| Question | Answer |
|---|---|
| what is the most important step when doing a venipuncture | identification of the patient |
| what is the proper response to the patient asking "what test are you drawing" | tests your doctor has ordered |
| what must be done if there is a discrepancy on the arm band | do not draw blood; have a nurse correct the arm band |
| identification of an outpatient is performed by | have the patient state full name and DOB |
| patient had been ordered a FBS. what must you ask the patient | have you had anything by mouth for the past 8-10 hours |
| define "non per os" | nothing by mouth |
| what is the best way to prevent the spread of infection | washing and/or cleaning hands |
| you have a venous reaction. an example would be | hematoma |
| when performing a venipuncture, the patient's arm should be | held downward from the shoulder |
| what purpose does the tourniquet serve | it "dams" up the blood so the vein can be felt |
| where is the antecubital fossa located | in the inside bend of the elbow |
| what is the most important thing you must do when any unusual circumstance happens | document |
| a bruise is an example of | tissue contusion |
| what is edema | body tissues that contain excess amounts of tissue fluid |
| what can be the result if you probe blindly in the patient's arm | it can rupture erythrocytes and release tissue-clotting factors, or you can injure a nerve |
| the venipuncture site should be cleaned in a | concentric motion with friction |
| never _______ a patient's arm after the venipuncture | bend |
| on an outpatient collection, tubes should be labeled from | the patient's spelling of their name |
| the correct order of draw for a CBC, PTT, and a chemistry panel when using a wing-tip device is | lavender, light blue, SST |
| a light blue tube should be inverted ____ number of times | 8-10 |
| an SST tubes should be inverted ____ number of times | 5 |
| when should a SST blood tube be mixed | within 30 seconds after the draw |
| what are the main departments within the clinical pathology laboratory | microbiology, chemistry, hematology, and blood bank |
| you are ordered to draw a PTT and an H&H on a patient, what is your order of draw | light blue, lavender (optional-clearing tube before light blue tube) |
| you are ordered to draw electrolytes in a green top tube, which tube would you use | lithium heparin |
| what happens to a plasma vacuum tube if it's not mixed | it may form an incomplete clot |
| a patient is to have a BUN and creatine, what must you ask | there are no special fasting requirements for these test |
| you patient is to have a 2-hour PP/PC. what instructions do you need to tell the patient | eat a high carbohydrate meal and come back 2 hours after you finish |
| your patient has had a non-venous reaction. an example would be | hematoma |
| what is the correct order of draw when using a multi-draw needle | light blue, SST, green, lavender, gray |
| which clot tube is inappropriate for the blood bank | citrate |
| if you drew a CIP, what body system is being checked | musculoskeletal |
| define hyperglycemia | high blood sugar |
| a patient must _____ 8-10 hours before starting a GTT | fast (nothing to eat or drink) |
| what lab sample should be collected before starting a GTT | blood and urine |
| blood spills should be cleaned up immediately. the appropriate procedure is | cover with paper towels, wear gloves, pour bleach mix from in to out over the spill |
| plasma is ____ % water | 80% |
| peripheral blood is composed of | plasma and RBC's |
| the significance of a reticulocyte study is to assess the patient's | spleen that may be overactive, or bone marrow suppression |
| an additive in blood collection tubes that prevents the breakdown of glucose is | glycolytic inhibitor |
| which group of patients should always have a bandage applied to the venipuncture site | outpatients |
| what is EDTA | ethylenediaminetetraacetrate |
| what is the dermal subcutaneous junction | veins in the bend of the arm |
| capillary blood is defined as | a mixture of tissue fluid, venous, arterial blood, and platelets |
| after what age is heel puncture no longer needed | 1 year of age |
| define "host" on the chain of infection | a person carrying a germ but not a disease |
| after finishing with a patient in strict isolation, in what order should you remove your PPE | gloves, gown, and mask |
| the mitral valve is located here | between the left atrium and the left ventricle |
| what side of the heart sends blood to the lungs | the right side |
| the heart is made up of what type of muscle tissue | involuntary muscle all fused together |
| what is systemic circulation | circulation of blood through arteries, veins, and capillaries |
| what organ does the inferior vena cava return blood to | the lower extremities |
| name the tube that is crucial to have the additive to blood ratio correct | light blue |
| CK-MB / LB blood test are used to assess what body system | cardiac |
| when something is ordered T.I.D, it is an abbreviation for | three times a day |
| C&S tests are ordered to check for the presence of | bacteria in the specimen and what will kill it |
| define "hemolysis" | a breakdown of RBC's (red blood cells) |
| when a patient has blood drawn and the order reads HS, how often should it be drawn | at bedtime |
| digoxin is a therapeutic drug that is used in what type of condition | cardiac |
| asepsis means the killing of all | living organisms |
| what is the significance of the great saphenous vein | the longest vein in the body |
| venipuncture cleansing is performed in a/an _____ technique | aseptic |
| name the additive in a plain top tube | nothing. |
| heating the site for skin puncture | increases blood flow |
| PKU is an abbreviation for | phenylketonuria |
| what happens if a PKU goes undetected | it may lead to brain damage |
| when is a PKU drawn | within 14 days of birth |
| where is a PKU drawn from | the heel |
| the small vessels leading away from capillaries are | venules |
| what serves as the pump for circulation | the heart |
| what does lipemic look like | a cloudy milk-like appearance |
| where are platelets formed | bone marrow |
| what is FMC | focused manage care |
| what is ethics | moral principles |
| what is covid-19 | a virus |
| how full does a lavender top tube need to be | until blood stops flowing on its own indicating its full |