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chapter tests
chapters 1-14
| Question | Answer |
|---|---|
| early equipment used for bloodletting includes all the following except | hemastat |
| a factor that contributes to the phlebotomist's professional image is | a pleasant smile and postive attite, national certification, personal hygiene answer: all the above |
| the initials for the title granted after successful completion of the National credentialing agency phlebotomy examination are | CLPlb |
| the principles of right and wron conduct as they apply to professional proplems are called | ethics |
| the law that established national standards for the electronic exchange of protected health information is | HIPAA |
| which of the following is a duty of a phlebotomist | perform laboratory computer operations |
| which of the following is an example of proxemics | eye contact, facial expressions, personal hygiene,zone of comfort answer:d |
| which of the following is proper telephone technique | becareful of the tone of voice used and keep answers simple |
| an institution that provides inpatient servies is a | hospital |
| state and federally funded insurance is called | medicaid |
| the specialty that treats disorders of old age is called | gerontology |
| the department int he hospital that records brain waves for diagnosis is | electroneurodiagnostics |
| the microbiology department in the laboratory performs | CBC |
| which of the following laboratory professionals is specified by CLIA88 as responsible for administration of a clinical area | technical supervisor |
| ____is the largest healthcare standards-setting body in the world | JCAHO |
| the CLIA federal regulations are administer by | CMS |
| ____are set up to monitor all aspects of laboratory | quality indicators |
| a QA program monitors | outcomes |
| what book describes the necessary steps to follow in patient preparation | colleciton manual |
| necessary elements of risk management are all the following except | education, evaluation, indentification, obligation answer: d |
| informed consent means that | patient agrees to a procedure after being told of the consequences associated with it |
| a national organization that develops guidelines and sets standards for laboratory procedures | CLSI |
| the physician employer of a phlebotomist who injures a patient during a blood draw is sued for negligence. this is an example of | respondeat superior |
| a yound adult comes to an outpatient lab to have his blood drawn. what should the phlebotomist know before drawing this patients blood? | age of majority in the state, date of birth of the patient, and name of the patient |
| phlebotomists are involved in the joint commissions performance measurements in the area of myocardial infarction in what way? | collecting specimans for timed tests for cardiac enzymes |
| a delta check refers to | comparing current test results with previous ones |
| which one of the following is used as a monitor or quality indicator for the process of "test requesting" | accuracy of ordering |
| failure to exercise "due care" is | negligence |
| the statue of limitations timing can begin on any of the following except | begins: first day of counseling with lawyer |
| situations that could cause a nosocomical infection | a patient in ICU whose surgical wound becomes infected (health care aquired) |
| reverse isolation may be used for | a patient with sever burns |
| the single most important means of preventing the spread of infection is | proper hand antisepsis |
| the most frequently occurring lab-acquired infection is | HBV infection |
| to destroy transient microorganisms when washing hands use | antiseptic soap |
| in the event of a body fluid splash in the eyes, the victim should immediately | flush eyes with water for MINIMUM of 15 minutes |
| which of the following are PPE | nonlatex gloves |
| all the following examples of potential exposure to bloodborne pathogens involve a parenteral route of transmission except | someone chewing gum while collecting blood specimen |
| specimen collection and processing are surfaces should be cleaned with | 1:10 bleach solution |
| which of the following is a proper way to clean up a small blood spill that has dried on a counter top | moisten the spill with a disinfectant before carefully absorbing it with a paper towel |
| distance, time, and shielding are principles of | radiation safety |
| safe working conditions are mandated by | OSHA |
| what is an anuclear, biconcave disk? | erythrocyte |
| the chamber of the heart that receives blood from the systemic circulation is the | right atruim |
| the thick muscle layer of the heart is called? | myocardium endocardium=in epicardium=out pericardium=fluid thin sack |
| the ECG shows P waves due to | atrial conctractions |
| when taking a blood pressure, the systolic pressure is the pressure reading when the | first heart sounds are heard as the cuff is deflated |
| the purpose of the pulmonary system is to | carry blood to and from the lungs |
| list the blood vessels in order of blood flow | capillary, venule, vein |
| the internal space of a blood vessel is called | lumen |
| the longest vein and largest artery in the body in that order are | great saphenous and aorta |
| the perferred vein for venipuncture in the "H" pattern is | medial cubital |
| the major difference between plasma and serum is that plasma | contains fibringen, serum does not |
| an individual's blood type (A, B, AB, or O) is determined by the presence or absence of which of the following on the red blood cells | Antigen |
| list correct sequence of events after blood vessel injury | vasoconstriction, platelet aggregation, fibrin clot formation |
| lymph originates from | tissue fluid |
| a heart disorder characterized by fluid buildup in the lungs is called | congestive heart failure |
| which additive prevents glycolysis | sodium fluoride |
| items used to perform routine venipuncture is | evacuated tubes, safety needles, tournique |
| which of the tubes can be used to collect a serum specimen | red top |
| a tournique is used in venipuncture to | concentrate the specimen, keep the vein from collapsing, make a vein easier to find and enter |
| you are about to perform routine venipuncture on a patient with no known allergy to antiseptics. what substance would you use to clean the site | 70% isoproply alcohol |
| needles that have a large diameter is what | lower in number. ex 18 is larger than 23 gauge |
| what causes evacuted tubes to fill with blood automatically | tube vacuum |
| lavender-top tubes are most commonly used to collect? | hematology test |
| which tube is filled last in a recommended order of draw? | lavender top |
| a butterfly is typically used for | difficult and hand veins |
| NPO means | nothing by mouth |
| which of the following is required requisition information | ordering physicians name, patient's first and last name, type of test to be performed |
| the following test orders for different patients have been receivedat the same time. which test would you collect first? | fasting glucose, STAT glucose for ER, STAT hemoglobin in ICU, ASAP CBC in ICU? answer: STAT Glucose for ER |
| a member of the clergy is with the patient when you arrive to collect a routine specimen, what should you do? | come back later after the clergy member has gone unless it is STAT |
| you are asked to collect a specimen from an impatient. The patient is not wearing an ID band. What do you do? | ask the patients nurse to put an ID band on the patient before you draw the specimen |
| if a patient adamantly refuses to have blood drawn, you should | notify the patient's nurse or physican |
| an inpatient is eating when you arrive to collect a fasting glucose. what is the best thing to do? | consult with the patient's nurse to see if the specimen should be collected |
| after cleaning the venipuncture site with alcohol, the phlebotomist should | allow the alcohol to dry completely |
| the tourniquet should be released | as soon as blood flow is established, before the needle is removed from the arm, and within 1 minute of application |
| why is a syringe sometimes used for venipunctures? | a syringe is sometimes used for veins that collapse easily |
| after inserting a butterfly needle, the phlebotomist needs to "seat" it, meaning | slightly thread the needle within the lumen of the vein |
| blood collection tubes are labeled | immediately after the specimen collection |
| what is the best approach to use on an 8 year old child who needs to have blood drawn? | explain what you are going to do in simple terms and ask the child to cooperate |
| which type of patients is most likely to have an arteriovenous fistula or graft | dialysis |
| which of the following is proper procedure when dealing with an elderly patient | make certain adequate pressure is held over the site until bleeding is stopped |
| peak levels of this analyte typically occur at about 0800 | cortisol |
| which are most affected if the patient is not fasting | glucose and triglycerides |
| veins that feel hard and cordlike when palpated may be | thrombosed |
| tiny spots that appear on a patient's arm when the tourniquet is applied are a sign that the | site may bleed excessively |
| when the arm of the patient is swollen with excess fluides, the condition is called | edema |
| a patient has several short lengths of IV style tubing protuding from his chest, this most likely a | CVC (center venous catheter) |
| what can most likely cause reflux during venipuncture? | allowing the tube to fill from the stopper end first |
| if patient complains of extreme pain and does not subside even if you have two tubes filled and only need one more, what should you do? | discontinue the draw and attempt collection at another site |
| what can result in hemoconcentration | leaving the tournique on longer than a minute |
| in the process of collecting a specimen, you hear a hissing sound and there is a spurt of blood into the tube, the blood flow stops. What has most likely happend | the tube has lost its vacuum |
| which of the following test requires an arterialized specimen | CBG'S |
| skin puncture supplies include all of the following | gauze pad, lancet, and povidone-iodine pad |
| skin puncture blood contains | arterial blood, venous blood and interstitial fluids |
| concentration of this substance is higher in capillary blood than in venous blood | glucose |
| skin puncture is typically performed on adults when | patiens have throumbotic tendencies, there are no accessible veins, and veins need to be saved for other procedures |
| if collected by capillary puncture, which test specimen is collected first? | CBC (ORDER OF DRAW- EDTA specimen, other additive specimens, serum specimen) |
| which of the following conditions disqualifies a site for capillary puncture? | cyanotic, edematous, and swollen |
| the least hazardous area of an infant's foot for capillary puncture is the | medial or lateral plantar surface of the heel |
| according to CLSI a heel puncture lancet should not puncture deep than | 2.0 mm |
| which of the following is a proper skin puncture procedure | wipe away the first drop of blood |
| when making a routine blood smear, the "pusher slide" is normally used at an angle of | 30 degrees |
| the blood specimen for this test is placed in circles on special filter paper | PKU |
| when drawing a blood alcohol specimen, it is acceptable to clean the arm with | isopropyl alcohol |
| what is the most critical part of blood culture collection | antisepsis of the collection site |
| TDM (therapeutic drug monitoring) peak concentration may be defined as the | highest concentration of the drug during a dosing interval |
| when performing a glucose tolerance test, the fasting specimen is drawn at 0815 and the patient finishes the glucose beverage at 0820. when should the 1-hour specimen be collected | 0920 |
| a bleeding time test detects | platelet function disorders |
| removing a unit of blood from a patient and not replacing it used as a treatment for | polycythemia |
| what is a test that requires special chain-of-custody documentation when the specimen is collected | drug screen |
| what type of specimen is needed for a guaiac test | feces |
| what test must have 9:1 ratio of blood to anticoagulant in the collection tube | protime |
| what specimen is collected in a trace-element-free tube (royal blue) | aluminum, arsenic, copper, lead, iron, and zinc |
| common chemistry tests performed by POCT insturments include | Na and K (sodium and potassium) are electrolytes |
| test that measures packed cell volume (pcv) | Hct (hematocrit) volume of red blood cells in patients blood |
| additional information typically required on a nonblood speciman label includes | speciman type |
| describe 24 hour urine collection | discard the first morning speciman, start the timing and collect all urine for the next 24 hours collecting the first specimen voided the following morning |
| what nonblood specimen is most frequently analyzed in the lab | urine |
| what fluids are associated with the lungs | pleural |
| a procedure called iontophoresis is used in the collection of what specimen | sweat |
| saliva specimens can be used to detect | alcohol, drugs and hormones |
| a breath test can be used to detect organisms that cause | peptic ulcers |
| serous fluids come from between membranes that line the | ventral body cavities |
| peripherals on a computer include | bar code reader, scanner, modem |
| logging on to most computer systems requires the use of | password |
| after arriving in the laboratory, all specimens are immediately | logged or accessioned |
| what all information does the lab-generated computer label contain | accession number, department for testing, and labeling and supply inventory |
| what specimens should be protected by light | bilirubin |
| the machine used to separate the serum or plasma from blood cells in the sample is called | centrifuge |
| after obtaining a speciman for a cold agglutinin test, the blood must be transported | at body temperature |
| what PPE is required when processing specimens | a chin-length face shield, a fully closed fluid resistant lab coat, and disposable gloves |
| what blood specimens should be transported in an ice slurry | homocysteine and rennin |
| perspiration contamination can falsely elevate | chloride |
| according to CLSI guidelines, serum for most tests should be removed from the cells within | 120 minutes |
| what specimen can be centrifuged immediately | electrolytes collected in a PST |
| AHCCS | Arizona Health Care Containment System |
| APC | Ambulatory Patient Classification |
| CLIA '88 | clinical laboratory improvement |
| type of coding for diagnoses is | DRG |
| after successful completion of the american medical technologist phlebotom examination, the initials for the title granted are | RPT |
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