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Med 158 Finals
| Question | Answer |
|---|---|
| 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 |
| A phlebotomist should use a chlorhexidine gluconate swab for which of the following types of collection? | Blood culture |
| All of the following are procedures in collection of a microcollection container while doing skin puncture except? | Use a scooping motion against the surface of the skin |
| Glass particles present in serum separator tubes | Accelerate coagulation |
| While preparing to collect a blood specimen for a prothrombin time, which of the following collection tubes should the phlebotomist use? | Light blue |
| A phlebotomist should avoid using a site with burned skin during venipuncture for which of the following reasons? | Increased risk of infection |
| Which of the following tube additives promotes clot formation? | Silica |
| Blood collection tubes fill correctly during venipuncture due to which of the following factors? | The negative pressure within the tube |
| A patient who is on droplet precautions requires daily blood glucose monitor ing. Besides gloves, what piece of personal protective equipment must the phlebotomist wear when drawing the sample? | Mask |
| Which of the following veins should a phlebotomist evaluate first and is the preferred vein to use for venipuncture on an adolescent patient? | Median cubital |
| 1st | Blood Cultures |
| 2nd | Yellow tube (SPS) |
| 3rd | Light Blue |
| 4th | Red Top 5 |
| 5th | Tiger Top/ Gold Top (SST) |
| 6th | Light Green |
| 7th | Dark Green |
| 8th | Lavender Tube |
| 9th | Pink Tube |
| 10th | Grey Top |
| 11th | Yellow Top (ACD) |
| 12th | Royal Blue |
| A large spill has occurred in a laboratory involving venous blood. Which of the following actions should the phlebotomist take? | Apply a liquid thickening agent on top of the spill. |
| A phlebotomist is working with an administrative assistant to schedule an appointment for a patient who requires a postprandial glucose test. At which of the following times should the phlebotomist ensure this patient's appointment is scheduled? | 2 hr after eating a meal |
| Which of the following conditions presents as multiple small red dots on a patient's skin? | Petechiae |
| When drawing blood on a preschooler, the phlebotomist should | explain the procedure to the parent and child. |
| Which of the following situations can result in hemoconcentration? | Leaving the tourniquet on over 1 minute |
| Which of the following tube additives promotes clot formation? | Silica |
| When should the phlebotomist label the collection tubes? | Immediately after collection |
| Which of the following glucometer readings should a phlebotomist identify as a critical value? | 50 mg/dl |
| A phlebotomist should recognize that proper hand hygiene can result in which of the following? | A decrease in the incidence of health care-associated infections |
| By wearing a face shield when coming into contact with body fluids, a phlebotomist is preventing exposure by which of the following modes of transmission? | Permucosal |
| A phlebotomist has collected a stool sample that requires immediate processing at an outside reference laboratory. Which of the following nonlaboratory personnel should the phlebotomist contact about transferring the specimen? | Commercial courier |
| Which of the following is a requirement for a serum cholesterol level? | Fasting for 12 hr |
| A phlebotomist is preparing to collect a capillary blood specimen from a patient using the aseptic technique. Which of the following cleansing agents should the phlebotomist use? | 70% isopropyl alcohol |
| Which of the following is a proper way to select a vein for venipuncture? | Palpate for veins using a tourniquet. |
| Which of the following conditions results from exceeding the maximum blood volume parameter during blood collection? | Iatrogenic anemia |
| A phlebotomist is preparing to perform, venipuncture on a patient who had a right-sided mastectomy. Which of the following is the correct site to perform the collection? | Left antecubital |
| 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 |
| What age group of pediatric patients that capillary blood collection is normally recommended? | Newborns and infants up to 12 months old |
| What type of tube is typically used to collect a baby Bilirubin specimen? | amber-color microcollection tube |
| Which tube is filled last when using a syringe? | EDTA |
| According to CLSI, which of the following is the recommended last order of draw? | Sodium fluoride |
| Which of the following instructions should be given to a patient in preparation for collecting a urine sample that will be cultured? | The specimen requires collection after sterilizing of the genitals. |
| Which of the following complications can result from massaging, probing, fist pumping, and prolonged tourniquet application? | Hemoconcentration |
| Quality control testing of a glucometer is important for which of the following reasons? | Promotes accurate test results |
| Which of the following is the first step a phlebotomist should take to prevent the spread of infection? | Washing hands with antimicrobial soap and water |
| The Clinical Laboratory Standards Institute recommends a heel lancet's penetration to be less than 2 mm (0.03 in) to prevent which of the following conditions? | Bone penetration |
| What is the purpose of an antiglycolytic agent? | to preserve glucose |
| Which of the following cleansing agents should a phlebotomist use when collecting a sample for a blood alcohol concentration? | Soap and water |
| Which of the following is considered to be proper protocol by a phlebotomist who retrieved a laboratory report from the office fax machine for a patient who just called looking for results? | Give the report to the ordering provider to review and notify the patient. |
| A phlebotomist is called to the emergency department to draw blood from patient who is in critical condition. Which of the following is the applicable consent for this procedure? | Implied |
| The presence of which of the following in a urine analysis indicates an infection? | Leukocytes |
| blue | health hazard |
| red | Fire |
| Yellow | Reactivity |
| White | other hazard |
| In which of the following locations should a phlebotomist directly dispose of a contaminated microscope slide? | Red sharps container |
| There has been a chemical spill in the laboratory. To which of the following should a phlebotomist refer for directions to clean up the spill? | SDS |
| A patient falls and sustains a mild laceration to his arm while in the care of the phlebotomist. Which of the following actions should the phlebotomist take? | Apply pressure over the wound with a clean cloth. |
| Drawing a patient's blood without consent can result in a charge of | Battery. |
| Which of the following actions by a phlebotomist is a HIPAA violation? | Providing the laboratory results to the insurance company |
| A phlebotomist enters a patient's room and observes the patient to be motionless and cyanotic. Which of the following actions should the phlebotomist take first? | Ask the patient if they are okay in a loud voice |
| Which of the following blood collection methods uses interchangeable collection tubes that allows a phlebotomist to draw several blood specimens at once? | Evacuated tube system |
| 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 |
| Which of the following initiatives is concerned with reducing the transmission of hepatitis B, hepatitis C, and HIV? | The Bloodborne Pathogen Standard |
| Tiny red spots (Petechiae) that appear on a patient's arm when the tourniquet is applied are a sign that the | Site may bleed excessively |
| How should a phlebotomist instruct a female patient to collect a urine specimen for culture testing? | Do not touch the inside of the container, clean the urinary meatus from front to back, begin voiding in toilet, and then collect the specimen. |
| A blood glucose meter was checked during the previous morning for errors. At which of the following times should the quality control of the meter be checked? | Before use |
| When calculating total blood volume for a full-term, 2-day-old infant, which of the following information should a phlebotomist consider? | Weight |
| A phlebotomist is collecting a blood sample from a patient when the patient begins to have a seizure. Which of the following actions should the phlebotomist take? | Place the patient on his side. |
| A phlebotomist should instruct a patient to take which of following actions when providing a sputum specimen? | Take a deep breath and then expectorate |
| A phlebotomist touches a patient's arm and begins to perform venipuncture before obtaining consent from the patient. Which of the following torts has the phlebotomist committed? | Battery |
| Which of the following information should a phlebotomist document for a blood culture collection? | Site of collection |
| Failure to draw blood during a venipuncture attempt can be caused by a number of procedural errors. Being aware of these errors and knowing how to correct them may determine whether you obtain blood on the first try. All the following are procedural err | The needle being seated into the vein |
| A tube with a green stopper normally contains | Heparin |
| A female patient refuses to have blood drawn by a male because of religious beliefs. The male phlebotomist should | have a female phlebotomist collect the specimen. |
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PRILEN8176