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phleb exam 8-9
questions and answers
| Question | Answer |
|---|---|
| When properly anchoring a vein the: | thumb is 1 to 2 inches below the intended site and is pulling the skin toward the wrist. |
| Misidentifying a patient can lead to all of the follwoing EXCEPT: | no reprimand if no one was hurt |
| Symptoms of a needle phobia include all of the following EXCEPT: | muscle cramps |
| In most cases, needle insertion should be performed: | using a smooth, steady motion forward |
| Examples of timed tests are all of the following EXCEPT: | are: blood cultures, cardiac enzymes, lithium levels. are not timed: basic metabolic panel |
| A test is ordered "fasting" to: | eliminate the effects of diet on a test result |
| If diet resttrictions have not been met before collecting a specimen, the results could lead to any of the following accept: | grounds for the phlebotomists dismissal |
| A healthcare facility ID barcode can represent any of the following EXCEPT: | credit information |
| Steps taken to unmistakably connect a specimen and the accompanying paperwork to a specific individual are called: | accessioning the specimen |
| Which of the following is an example of a common timed test? | cortisol |
| Which liquid is acceptable to drink when fasting? | plain water |
| You arrive to draw a specimen on an inpatient. The patient's door is closed, what do you do? | knock lightly open the door slowly, and verify that it is all right to enter. |
| There is a sign above the patient's bed that reads, "No blood pressures or venpuncture, right arm,". The patient has an intravenous line in the left forearm. You have a request to collect a complete blood count on the patient. How should you proceed? | Collect the specimen from the left hand by finger puncture. |
| Which of the following tests is used to identify protein disorders that lead to nerve damage? | SPEP |
| What do you do if a physician is with the patient and the specimen is ordered STAT? | Introduce yourself and ask for permission to draw the specimen. |
| What is the most critical error a phlebotomist can make? | misidentify the patient's specimen |
| Which of the following is part of informed consent for specimen collection? | informing the patient that you are a student |
| The patient asks if the test you are about to draw is for diabetes. How do you answer? | Explain that it is best to discuss the test with the physician. |
| You arrive to draw a fasting specimen. The patient is just finishing breakfast. What do you do? | Do not fraw the blood; fill out an incident slip, and leave a copy for the nurse. |
| Proper hand washing involves all of the following EXCEPT: | using a hand sanitizer just before the hands are dried. |
| If the patient ask you if the procedure will hurt, you should say that it: | might hurt just a little but only for a short time. |
| Outpatients who have previously fainted during a blood draw should be: | asked to lie down, or sit in a reclining drawing chair. |
| If the tourniquet is too tight all of the following happens EXCEPT: | venous flow increases and the veins expand |
| All of the following may be used to enhance the vein selection process EXCEPT: | Have the patient pump his or her fist. |
| when selecting a veinpuncture site, how can you tell a vein from an artery? | an artery has a distinct pulse. |
| What does a sclerosed vein feel like? | has and cordlike |
| What is the best thing to do if the vein can be felt but not seen, even with the tourniquet on? | look for visual clues on the skin to reind you where the vein is. |
| All of the following are reasons to wait 30 seconds for the alcohol to dry before needle insertion EXCEPT: | give the phlebotomist time to prepare equipment and supplies |
| What happens if you advance the tube past the guideline on the holder before needle insertion? | The ETS tube will fail to fill with blood because the loss of the tube vacuum. |
| It is imporatant for the phlebotomist to visually inspect the needle tip before inserting it in a patient's vein for all of the following reasons EXCEPT to check: | to verify the needle is not out of date |
| Which of the foloowing steps are in the right order for venipuncture procedure? | clean the site, prepare equipment, put on gloves, apply tourniquet. |
| You are about to draw blood from a patient. You touch the needle to the skin , but change your mindand pull the needle away. What do you do next? | Stop and obtain a new needle before trying again. |
| HOw can you tell when the needle is in the vein as you insert it into the patient's arm? | You will feel a slight "give" |
| Prolonged tourniquet application or vigorous fist pumping can elavate all of these analytes EXCEPT: | Draw a "clear" tube before special coagulation tests. |
| It is important to mix anticoagulant tubes immediately after filling them to: | avoid microclot formation |
| you are in the middle of drawing a blood specimen using an evacuated tube method when you realize that you just filled an EDTA tube and still have a green top to collect. What do you do? | Draw several milliliters into a discard tube; then fill the green one. |
| What may happen if you mix tubes to vigorously? | hemolysis |
| Applying pressure on a gauze as the needle is being removed can cause all of the following EXCEPT: | bending of the needle bevel |
| A safety needle feature, other than a blunting needle, should be activated: | immediately after the needle is withdrawn. |
| Labeling of routine inpatient blood specimens should take place: | at the bedside immediately after collection |
| Where is the tourniquet applied when drawing from a hand vein? | Proximal to the wrist bone. |
| Although the evacuated tube system is the preferred method of blood collection, it may be neccessary to use a syringe when: | The patient veins are very fragile. |
| Hemolysis of the specimen can result from all of the following EXCEPT: | Leaving the tourniquet tied on the arm to long |
| HOw can you tell you are in a vein when using a syringe? | A flash of blood will appear in the hub of the needle. |
| A diabetic outpatient has had a mastectomy on her right side and cannot straighten her left arm due to her arthritis. The best place to collect a blood specimen is: | the left forearm or hand using a butterfly needle |
| Most reference ranges are normal laboratory test values for: | healthy people |
| A patient's arm is swollen. The term used to describe this condition is: | edematous |
| A patient with a high degree of jaundice typically has: | yellow skin and sclera |
| Lymphostasis is: | obstruction of the flow of lymph |
| Inwhich instance is the patient closest to basal state? the patient who: | is awakened for a blood draw at 0600 hours after fasting since 0800 hours last night. |
| The best specimens to you for establishing inpatient reference ranges for blood tests are: | basal state specimens |
| which of the following tests is most affected by altitude | RBC count |
| A 12 hour fast is normally required when testing for this analyte. | triglycerides |
| All of the following are effected by the presence of fever EXCEPT: | melatonin |
| Of the following factors known to affect basal state, which is automatically accounted for when reference ranges are established? | geographical locale |
| Why do pregnant patients have lower reference ranges for RBC counts? | Increased body fluids result in dilution of the RBC's. |
| If you have no choice but to collect a specimen from an arm with hematoma, collect the specimen: | distal from the hematoma |
| Central venous catheters (CVCs)include all of the following EXCEPT: | Hep-lok |
| If an outpatient tells you before a blood draw that she is feeling nauseated, you should do all of the following EXCEPT: | draw the specimen, and watch her closely |
| all of the following would be reasons to eliminate a potential venipuncture site EXCEPT: | petechiae appear below the the tourniquet |
| Which of the following is the best indication that you have accidentally punctured an artery? | blood pulses into the tube |
| A stinging sensation when the needle is first inserted is most likely the result of: | not allowing the alcohol to dry thoroughly |
| Which of the following is least likely to impair vein patency? | leaving a tourniquet on for too long |
| Prolonged tourniquet application can affect blood composition because it causes: | hemoconcentration |
| A phlebotomist has tried twice to collect a light blue top tube on a patient with difficult veins. both times the phlebotomist has only been able to collect a patital tube. what should the phlebotomist do? | Have someone else collect the specimen. |
Created by:
Brittanyj
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