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Med 158 studyg midtr
| Question | Answer |
|---|---|
| The term "phlebotomy" is derived from Greek words that, literally mean to: | Incise a vein |
| Which of the following is not part of communicating a professional appearance? | Wearing strong cologne |
| Drawing a patient's blood without his or her permission can result in a charge of | Assault and battery |
| What is the purpose of waiting 30 seconds for the alcohol to dry before needle insertion? | To allow the evaporation process to help destroy microbes, To avoid a stinging sensation, To prevent hemolysis of the specimen All of the options are correct |
| The solution normally used to clean the site before routine venipuncture is | 70% isopropyl alcohol |
| What is the first thing the phlebotomist should do in the event of an accidental needle stick? | Decontaminate the site and fill out an incident report |
| Which additive is usually present in a tube with a lavender stopper? | EDTA |
| A tube with a green stopper normally contains | Heparin |
| Which one of the following is not an antiseptic? | Sodium hypochlorite |
| What word means "hardening of the artery?" | Arteriosclerosis |
| What is a Bar code? | A series of black strips and white spaces of varying widths that corresponds to letters and numbers |
| The slanted tip of the needle that enters the vein is called the | Bevel |
| What should you do if the patient cannot be located or you are unable to obtain the specimen for any reason? | Fill out a form stating that you were unable to obtain the specimen and reason why |
| Which blood cell has the ability to pass through the blood vessel walls? | Leukocyte |
| What is the most important factor in choosing which gauge needle to use for venipuncture? | Size and condition of the patient's vein |
| What is the most critical error a phlebotomist can make? | Misidentifying a patient speimen |
| An individual's blood type is determined by the presence or absence of a certain type of | Antigen present on the red blood cells |
| The best way to collect specimens from a dorsal hand vein is | To use a butterfly and small, pediatric ETS tubes |
| The following test have all been ordered at the same time on different inpatients. There is only one phlebotomist on duty. Which one would the phlebotomist collect first? | STAT electrolytes in ER |
| Which type of contact infection transmission involves transfer of an infective microbe to the mucous membranes of a susceptible individual by means of a cough or sneeze? | Droplet |
| Which of the following should not be used to enhance the vein selection process? | Having patient vigorously pump his or her fist |
| Which is the best additive for collecting an ethanol specimen? | Sodium fluoride |
| Occupational exposure to bloodborne pathogens can occur if which of the following happens while the healthcare worker is performing his or her duties? | A human bite breaks the skin, Blood comes in contact with a cut or scratch , Body fluids splash into the mouth or eyes All of the answers are correct |
| According to standard first aid procedures, severe external bleeding is best controlled by | Applying direct pressure and elevating the extremity |
| Heparin prevents blood from clotting by | Inhibiting thrombin |
| Federal law requires that hepatitis B vaccination be made available to employees assigned to duties with occupational exposure risk | Within 10 working days of initial assignment |
| What is the series in the vaccination against HBV involve | A dose of vaccine, another 1 month later, and a final dose 6 months later |
| You arrive to draw a specimen from an inpatient. The patient's door is closed. What do you do? | Knock softly and open the door slowly, checking to see if it is all right to enter |
| Never leave a tourniquet on for more than | 1 minute |
| How can you tell that you are in a vein when using a syringe or a butterfly needle? | You should see blood appear in the hub of the needle |
| What would be the system of choice to identify laboratory specimens form an unconscious, unidentified woman in the emergency room? | Use a three-part identification band and labels |
| You have a request to draw a specimen on an inpatient by the name of John Doe. How do you proceed to identify (ID) your patient once you have introduced yourself? | Look at the ID band and ask the patient to please state his name |
| The medical term for white blood cell is | Leukocyte |
| The tests performed in the following department are collected in a tube with a light blue stopper: | Coagulation |
| A major difference between arteries and veins is that veins | have valves |
| Which of the following terms means muscle pain? | Myalgia |
| Which needle gauge has the largest lumen? | 18 |
| What are some basic steps that can be taken dealing with a patient with needle phobia? | Have the patient lie down during the procedure, with legs elevated, Apply an ice pack to the site for 10 to 15 minutes to numb it before venipuncture, Have only the most experienced and skilled phlebotomist perform the venipuncture |
| If a phlebotomist ________________, he or she is negligent. | Fails to put the needle in the sharps container |
| A sleeping patient does not have an ID band. The name and room number on the door agree with the requisition. What should you do? | Ask the nurse to apply an ID band before you draw the blood |
| Which of the following is an example of a nosocomial infection? | When a catheter site of a patient in ICU becomes infected |
| Which tube is filled last when using a syringe? | EDTA |
| Which of the following is not an example of possible "parenteral" means of transmission? | Rubbing the eye with a contaminated finger |
| You arrive to draw a "fasting specimen." The patient is just finishing a big breakfast. What do you do? | Check with the patient's nurse first; if the specimen is collected, write "nonfasting" on the laboratory slip |
| Because of the possibility of fainting a patient should be position? | Special blood-drawing chair |
| which of the following would not violate a patient's right to confidentiality? | Sharing collection site information on a difficult with other phlebotomist in phlebotomy collection area |
| In what instance might a person be placed in protective isolation? | The patient has severe burns |
| What is the form on which lab test are ordered called? | Requisition form |
| A major cause of respiratory distress in infants and young children is | Respiratory syncytial virus |
| When disposable tourniquets become soiled with blood, it is best to | Throw them away |
| Which of the following conditions would cause a specimen to be rejected for testing in the laboratory? | Potassium specimen submitted on ice |
| What word means "condition of clotting?" | Thrombosis |
| What may happen if you mix tubes too vigorously? | Hemolysis |
| Before obtaining a blood specimen from a child, you must do all the following except | Tell the child it won't hurt |
| Approximately how much blood is contained in the human body? | 5 liters |
| What section/s would be a part of the anatomical and surgical pathology area of a laboratory? | Histology |
| For consistency to describing the direction or the location of a given point of the body, medical personnel normally refer to the body as if the patient were in the anatomical position. What is the anatomical position? | standing erect, arms at side, with eyes and palms facing forward |
| What percentage of workplace injuries and illnesses are attributed to back injuries? | 20% |
| Barber-surgeons placed a striped pole, from which a bleeding bowl was suspended, outside their doors to distinguish themselves form Long Robe surgeons. What did this pole represent? | Rod squeezed by the patient to promote bleeding |
| The following are example/s of ways to break the chain of infection? | Effective hand hygiene procedures, Isolation procedures Use of needle safety devices during blood collection |
| Which is not a main characteristic of a hospital or healthcare facility? | 8-hour nursing staff |
| All are clinical analysis areas of the laboratory accept? | Histology |
| What is the vowel that is added between two word roots or a word root and a suffix to make pronunciation easier? | combining vowel |
| The term "polycythemia" means | Many-cell blood condition |
| A prefix | Adds information about a term, Modifies the meaning of a term Precedes the word root All of the options are correct |
| What would the prefix "poly" in polyuria mean? | Many |
| What does the prefix "tachy" in tachycardia mean? | rapid |
| What is the definition of the directional term proximal? | nearest the center of the body, origin, point of attachment |
| What is a word ending that follows a word root and either changes or adds to the meaning of the word root? | suffix |
| What is the subject of a medical term and the foundation upon which the term is built? Typically indicates a tissue, organ, body system, color, condition, substance, or structure. | word root |
| What is a process were current results of a lab test are compared with previous results for the same test on the same patient. Although some variation is to be expected, a major difference in results could indicate error and requires investigation. | Delta Checks |
| The following are duties and responsibilities of a phlebotomist accept? | Advise patients on their diagnostic lab procedures |
| To avoid inadvertently puncturing an artery, never select a vein that overlies or is close to where you feel a _______________. | Pulse |
| Which president is thought that excessive bloodletting might have contributed to his death? | George Washington |
| If a phlebotomist tells a patient that he or she is going to collect a blood specimen and the patient holds out their arm for them. What type of consent would this be considered? | Implied consent |
| All of the following are included on the JC "Do Not Use" list except | CBC |
| What laboratory manual outlines hand washing and other decontamination procedures, precautions to take when dealing with patients or handling specimens, and how to handle accidental contamination, including procedures to be implemented following exposure | Infection control manual |
| What is the pathogenic microbe (bacteria, fungus, protozoan, rickettsia, or virus) responsible for causing an infection? | Infectious agent |
| All of the following are layers of the heart except? | epidermis |
| Which one of the following is not a phase of the litigation process? | Correction of the situation is begun using policies and procedures already in place |
| What form would be used if an RN calls to say she incorrectly labeled the tube sent to the lab for chemistry tests? This form is an audit trail and documentation for any errors made in the specimen collection and handling process. | Near Miss/Occurrence Report form |
| A hospital patient has basic rights that they should be informed of when care is initiated. What type of care should a patient expect under the patient care partnership? | High-quality care, Involvement in their care , A clean and safe environment All of the above |
| The second most collected specimen in the laboratory would be urine. A basic urinalysis consist of physical, chemical and microscopic evaluation. What is included in the physical examination of urine? | Color, Clarity , Specific gravity , All of the above |
| What are some guidelines that a Phlebotomist can follow to prevent or avoid lawsuits? | Acquire informed consent , Use proper safety containers and devices , Document incidents or occurrences , All of the above |
| Every individual is surrounded by an invisible "bubble" of personal territory in which he or she feels most comfortable. The size of the bubble or territorial "zone of comfort" depends on the individual's need at the time. What is the study of an indivi | Proxemics |
| What is a program that guarantees quality patient care by tracking outcomes through scheduled reviews in which areas of the healthcare organization look at the appropriateness, applicability, and timeliness of patient care? | Quality Assurance (QA) |
| What is the use of checks and controls in the laboratory setting? | Quality Control (QC) |
| What is a large independent laboratories such as Quest Laboratories that receive specimens from many different facilities located in the same city, other cities in the same state, or even located outside the state. They provide routine and more specializ | Reference laboratory |
| The following could be places that a microbe can survive and grow or multiply. The source of an infectious agent is called? | Reservoir |
| All the following are examples of skeletal disorders except? | Cystitis |
| When ask a patient to lie in the supine position, what position are you asking them to lie in? | lying horizontal on the back with the face up |
| What is it called when blood and certain body fluids of all individuals were considered potentially infectious? Takes the focus from patient to patient infection to patient-personnel infections. | Universal Precautions |
| What type of transmission would be were the infectious agent is carried by an insect, arthropod, or animal? | Vector |
| The preferred method of obtaining venipuncture specimens is the evacuated tube method. Even so, a butterfly needle or syringe are sometimes used when? | Extremely small, fragile, or weak veins |
| Clean, non-sterile gloves are worn when collecting or handling blood and other body fluids, handling contaminated items, and touching non-intact skin or mucous membranes. What are reasons for wearing gloves? | To prevent contamination of hands , To prevent cross contamination to patients , To prevent transmitting organisms from personnel to patients , All of the above |
| JC issued the "Do Not Use" list | To reduce medical errors, To eliminate dangerous abbreviations , To prevent incorrect interpretations of terminology |
| The JC "Do Not Use" list applies to all of the following except | Electronic laboratory reports |
| Which of the following word parts is a prefix? | dys |
| Which instance most closely resembles basal state? A patient who has | Just awakened at 0600 after fasting all night |
| Another name for blood bank is Another name for blood bank is Another name for blood bank is | Immunohematology |
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