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Phlebotomy Test
| Question | Answer |
|---|---|
| Depth of a heel stick should not exceed | 2.0mm |
| Additive of red/gray, red/black, SST is | Thixotropic Gel (For Serum Separation) |
| Incorrect statement about Lavender tube | Is used to collect specimen for Co-Ag studies |
| This can happen is tourniquet is left on too long | Hemoconcentration |
| Test where blood & urine are collected over specific intervals | GTT (Glucose Tolerance Testing) |
| You collect a STAT Electrolytes in a | Green Tube |
| A Hematoma can be prevented by | Applying pressure to the site |
| Most frequently occurring lab nosocomial infection | HBV |
| Selerotic Veins | Are Hard & Cord-like |
| A Fomite is | Inanimate things that cause disease |
| Tubes containing Anti-Coagulants are inverted | 8 times |
| Function of Thrombocytes is | Clotting or repairing blood vessels |
| Warming the site prior to dermal puncture | Increases blood flow to the site |
| Most common cause of Blood Culture contamination is | Improper skin preparation |
| Blood in urine is called | Hematuria |
| "Butterfly" is also known as | WIS (Winged Infustion Set) |
| Additive for Green tube | Li / Na Heparin (Lithium Heparin / Sodium Heparin) |
| Edema is | Excessive water between tissue |
| Red Blood Cells are | Erythrocytes |
| If blood is drawn from wrong patient you should | Immediately redraw specimems |
| Antiglycolytic agent the preserves glucose stability for (3) days | Na Fl (Sodium Flouride) |
| Before blood donation the donor should have this checked | Hematocrit or Hemoglobin Values (Crit & Glob) |
| Hypoglycemia is | Low Blood Sugar |
| Your pt's blood has been collected 3 times and every time the specimen hemolyzed. Possible Cause? | A 25G needle has been being used |
| 21G, 23G, 18G, 16G - which is the smallest needle | 23G |
| If pt has IV in an arm; where should you draw from? | The opposite arm |
| Blood in a plain red tube collects in | 30-60 mins |
| Adequate rest & no food for 12 hours; this is considered to be in a | Basal State |
| Proper way to dispose of a needle | Put in sharps container without recapping, immediately after withdrawal from pt |
| Correct ending for venipuncture | Remove tourniquet, remove tube, remove needle, apply pressure |
| Most commonly used vein for venipuncture | Medial Cubital |
| Most common complication from phlebotomy | Hematoma |
| ERS collection tube is | Lavender |
| Additive for Light Blue | Na Citrate (Sodium Citrate) |
| Destruction of Red Blood Cells | Hemolysis |
| OSHA require health care workers to be vaccinated against | Hepatitis B Virus |
| PT/PTT, CBC, Ammonia Level, Cardiac Enzymes. Put in proper Order of Draw | Light Blue + Red + Green + Lavender |
| Additive for Gray Tube | (K) Oxalate (Potassium Oxalate) |
| Blood Cultures are performed | To discover infectious microorganisms |
| Boundaries for Heel Stick | Medial line extending from great toe & lateral line extending from the fourth & fifth toe |
| Patient admitted to ER is unconscious & unidentifiable. What system is used to ensure pt identification? | 3 part ID system that uses a temp armband & labels for specimens & blood transfusions |
| The purpose of a tourniquet | To enlarge vein so they are easier to locate |
| Female pt tells you that it is against her religion to be touched by a man. Appropriate response from a male tech / phlebo should be: | Get a female to perform procedure/draw/test |
| Drug abuse is suspected; a physcian might order a collection of | Urine |
| Collection device used for skin puncture | Capillary Tubes |
| This is NOT part of a CBC (Complete Blood Count) | APTT (Activated Partial Thromnboplastin Time) |
| If a tourniquet is tied too tight, the capillaries rupture causing | Petechiae |
| An obese pt needs a CBC drawn; which vein is most likely to be used? | Cephalic Vein |
| Means of IDing a pt in a clinical lab (out-patient) | Asking his/her name |
| You are drawing an in-patient for a CO-AG (coagulation) study. This is correct about the draw: | Light Blue - Filled completely |
| If a pt refuses a blood draw you should | Immediately report the refusal & actions taken to the nurse |
| Excessive squeezing of a finger in a capillary pucture can be | Contaiminated with tissue Fluid |
| Giving pt adequate info concerning the method, risk & consequences prior to a procedure is called: | Informed Consent |
| Your pt jerks during a draw and you get stuck with the needle. You should | Wash wound with soapy water as soon as possible and report incident to your supervisor |
| CDC is | Center for Disease Control and Prevention |
| Innermost layer of a blood vessel is | Endothelial |
| Tube used for Gluclose Testing | Gray |
| Microorganisms that cause disease are | Pathogenic |
| A pt is taking asprin for arthritis. You should be concerned with | Bleeding Time |
| Pt suffering from seasonal allergies. What would be the picture of her WBC differential count? | Increased Eosinphils |
| What barrier protection is required when performing a venipuncture | Gloves |
| The Patient Bill of Rights gives the patient the right to | Refuse Treatment |
| You are on night shift and receive orders for all of the following tests within minutes of one another. Which has the greatest collection priority? | STAT Electrolytes in the ER |
| You are asked to collect a pt in the Oncology Dept. The pt is most likely being treated for: | Cancer |
| A PKU is being drawn. This speciemen is | Blood collected from the newborn's heel |
| Called to ER to draw a CBC & Forensic Alcohol from a pt involved in an auto accident. Pt asks what blood tests the MD ordered. You should | You are not allowed to reveal that information |
| Nosocomial Infection | Infections contracted in a health care setting |
| Which tube will give you a serum specimen | Red/Gray Top (SST) |
| 12-year-old female had a pregnancy test drawn. She returned to lab w/o her parents. You overheard the results were positive and she wants to know the results. You should | Tell her she needs to contact her physician to obtain results |
| Additive for Pink Tube | EDTA |
| What information IS NOT placed on a specimen | Diagnosis |
| Blood in an average adult body | 5.0 L |
| How far above the collection site is the tourniquet placed | 3-4" |
| Best sample for determinations of blood pH and blood gases? | Aterial Blood |
| Appropriate tube to draw blood for a Lead Level | EDTA or Heparin |
| Failure to give pt appropriate care is called | Negligence |
| Clean Catch midstream unrine sample is used for | Microbiological urine testing |
| An intentinal attempt to touch a pt with their consent is | Battery |
| C & S (Culture & Sensitivity) is analyzed by the | Microbiology Dept |
| A capillary is defined as | Microscopic vessel |
| The purpose or the accession number | Provides unique tracking number for the specimen with its test order |
| The BBP OSHA regulations require this to prevent needle stick injuries | Use of approved needle safety devices manufactured to cover the exposed needle immediately after procedure |
| A pt you were going to draw in the trauma room dies. A family member asks how their loved one is doing. You should | Tell them the physician will be with them momentarily |
| Function of Neutroophils | Phagocytes (engulf bacteria) |
| Group of tests requested as one unit is called | Profile |
| Usually performed by RN or Respiratory Therapist | ABG (Aterial Blood Draw) |
| Excessively milking finger during skin puncture can result in | Hemolysis & contamination with tissue fluids |
| When inserting a needle the bevel should be facing | Upwards |
| If a pt has a syncopal episode during a blood draw, you should | Remove needle then remove tourniquet |
| Every time you come on shift the sharps container in the caddy is overflowing. You should | Carefully remove the sharps and report this safety hazard to the supervisor |
| This governs the size / guage needle you use | Size & Condition of the vein |
| Phlebo drew a CBC and immeidately returned to lab. The Phlebo was asked to redraw the the CBC on the pt. The reason for this could be | Amount collected was not sufficient |
| Plasma is | The fluid portion of unclotted blood |
| Tube for PT & PTT | Light Blue |
| Vascular phase of hemostasis is characterized by | Blood vessels constrict in response to injury |
| Quality Assurance is | A set of procedures & policies set in a lab |
| Lipemic blood is described as | Serum with milky appearance |
| Complication results from repeated draws from the same vein | Phlebitis |
| This is NOT part of a CBC (Complete Blood Count) | APTT (Activiated Partial Thromboplastin Time) |
| Quality Assurance is | A set of procedures & policies set in a lab |
| Complication results from repeated draws from the same vein | Phlebitis |
| This is NOT part of a CBC (Complete Blood Count) | APTT (Activiated Partial Thromboplastin Time) |
| Referred as a Serum Separator (SST) | Red/Gray Tube |
| All employees at risk of BBP exposure are required by OSHA to | Vaccinate against HBV or sign waiver |
| Vacuum of tube decreases with | Age |
| Post-prandal means | After a meal |
| Proper technique in obtaining capillary blood | Wipe off the first drop of blood |
| A tourniquet can stay in place | No longer than one minute |
| Most critical mistake a Phleotomist can make | Failing to properly identify patient |
| These have valves | Veins |
| A multi-sample needle is used | When more than one tubeis being collected |
| Cyanotic is | Bluish color due to the lack of O2 in blood |
| Life span of an Erythrocyte | 120 days |
| Point of care testing | Typically performed at patient's bedside |
| Dept in lab that would analyze CBC & ESR | Hematology |
| Latex sensitivity is an | Allergic reaction |
| Department of Lab that wouod analyze a blood pregnancy test | Chemistry |
| Formed cellular Elements of blood consititute | 45% of blood |
| Patient Confidentiality is | The pt's right to authorize use of his/her information |
| The most important means of stopping the spread of infection is | Washing your hands |
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