Chapter 1-14 Phlebotomy MCC
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| Another name for blood bank is | Immunohematology
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| Promoting good public rations is a part of the phlebotomist's duty | A phlebotomist is a reresentative of the laboratory throughout the facility
Good public reations promotes a harmonious reationship with the staff
Patients often equate venipucture experiences with the overall hospital care
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| Which of the following is not a phlebotomist's duty | Starting intravenous (IV) lines
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| Which of the following commuicates unprofessionalism | Intense odor of cologne
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| The term used when blood is withdrawn to dangerous or deadly limits is | Exsanguination
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| The federal law that defines the responsibilities of medical laboratory personnel is the | CLIA'88 - Clinical Laboratory Improvement Amendments
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| The study of a person's concept and use of space is known as | Proxemics
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| Acknowledging a patient's beliefs, customs, knowledge, and attitudes exemplifies deversity awareness | True
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| A phlebotomist who gets the specimen for the doctor even if he or she must take shortcuts and save time is exhiliting integrity | False
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| The area of the lab where testing involving infectious diseases and the immune process is performed is called immunohematology | False
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| Drawing a patient's blood without his or her permission can result in a charge of | Assault and battery
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| Two phlebotomists are siscussing a patient's condition in the elevator. They are overheard by the patient's daughter. This is an example of | Invasion of privacy
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| A national organization that sets standards for phelbotomy procedures is the | CLSI - Clinical Laboratory Standards Institute
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| Three of the following conditions are reasons a specimen could be rejected for analysis. Which one is not | A bilirubin specimen is icteric
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| A specimen was mislabeled on the floor. The phlebotomist is required to fill out an incident report form. What information is not part of the report | Sugestion for new guidelines
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| Some test specimens require immediate cooling in ice and water slurry to | Slow down metabolic processes
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| A good way to avoid lawsuits is to consistently perform venipunctures as rapidly as possible so as to get the results to the phyician quickly | False
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| As healthcare providers go about their daily activities, there are many activities that, if performed without care and skill, could result in a lawsuit | True
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| Labeling of a specimen must be exact | True
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| The only phlebotomis in an outpatient drawing center is not familiar with the test that a physician has ordered. What is the most appropraite action to take | Refer to the collection manual for insturction
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| According to standard first aid procedures, severe external bleeding is best controlled by | Applying direct pressure
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| Vacccination against HBV involves | A dose of vaccine, another 1 month later, and a final dose 6 months later
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| The purpose of "protective" isolation is to | Protect susceptible patients from outside contamination
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| What is the proper order for putting on protectve clothing | Gown first, then mask, gloves last
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| The main priniciples involved in raiation exposure are | Exposure time, distance and shielding
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| Example of nosocomial infections include | When a catherter site of a patient in ICU becomes infected
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| Which of the following is an example of a means of transmission that deffers from parental transmission | Drinking water from a contaminated glass
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| In what instance might a patient be placed in protective isolation | The patient has severe burns
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| Sterile gloves must be used when collecting and handling blood specimens | False
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| The abbreviation PPE stands for | Personal Protective Equipment
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| What part of the term "osteochondritis" is the suffix | itis
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| The singular form alveoli is | alveolus
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| What does the suffix of the term "glycolysis" mean | breakdown
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| The medical term for white blood cell is | leukocyte
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| Which of the following terms means kidney inflammation | Nephritis
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| Which of the following terms means muscle pain | myalgia
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| The word elements of the term "polycythemia" mean | blood condition of many cells
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| The "c" sounds like an "s" in which of the following terms | cellular
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| The abbreviation "UTI" stands for | Urinary Tract Infection
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| The plural form of ovum is | ova
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| The function of the left ventricle is to deliver | oxygenated blood to the aorta
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| The receiving chambers of the heart are the | atria
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| Which of the following represents the proper direction of blood flow | From arterioles to capillaries to venules
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| Which blood cell has the ability to pass through the blood vessel walls | Leukocyte
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| An individual's blood type is determined by the presence or absence of a certain type of | antigen present on the red blood cells
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| How can you visually tell serum from plasma | You cannot visually tell the apart
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| Lymphatic fluid originates from | excess tissue fluid
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| Which test must be performed on whole blood | CBC - Complete Blood Count
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| A major difference between arteries and veins is that most veins | have one-way valves
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| A specimen that has clotted and been spun down yields | Serum
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| The purpose of an antiglycolytic agent is to | preserve glucose
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| Which additive is uaually present in a tube with a lavender stopper | EDTA
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| A type of needle used to collect blood from small or difficult veins is known as | butterfly or winged infusion set
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| Evacuated tubes fill with blood automatically because a ______ exists in the tube | vacuum
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| The 21 gauge multisample needles is considered the stanard needle for routine venipuncture | True
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| In a routine ETS venipuncture, the lavender tube should be drawn before the red tube | False
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| In a routine ETS venipuncture, the red tube should be drawn before the green tube | True
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| A tube with a green stopper normally contains | heparin
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| It is not a good idea to collect a CBC specimen from a screaming infant because the | white blood count may be falsely elevated
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| Prolonged tourniquet application may cause a change in blood composition primarily because of | hemoconcentration
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| The following tests have all been ordered at the same time on differenct inpatients. There is only one phlebotomist on duty. Which test should the phlebotomist collect first | STAT electrolytes in the ER
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| What may happen if you mix a specimen too vigorously | Hemolysis
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| Never leave a tourniquet on for more than | 1 minute
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| How can you tell that you are in a vein when using a needle and a syringe | You will normally see blood appear in the hub of the needle
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| What is the most critical error a phlebotomist can make | Misidentifying a patient specimen
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| The patient asks if the specimen about to drawn is for a diabetes test. How should the question be answered | Say, "It's best to discuss that with the doctor."
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| Which of the following is the job of a student phlebotomist | Letting the patient know that you are a student phlebotomist
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| The process of collecting blood from a vein is known as | venipuncture
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| A specimen that must be drawn immediately is called a | STAT
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| What is the purpose of waiting 30 seconds for the alcohol to dry before needle insertion | To let evaporation help destroy microbes.
To avoid a stringing sensation.
To prevent hemolysis of the specimen.
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| Which instance most closely resembles basal state. A patient who has | just awakened at 0600 after fasting all night
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| It is not a good idea to collect a CBC specimen from a screaming infant because the | white blood count may be falsely elevated
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| Prolonged tourniquet application may cause a change in blood composition primarily because of | hemoconcentration
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| Why do pregnant patient have lower reference ranges for red blood cell counts | Body fluid increases in pregnancy, dilute red blood cells
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| If blood is drawn too quickly from a small vein, the vein will have a tendency to | collapse
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| A fistula is a | permanent fusion of an artery and a vein
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| When a test requires a fasting specimen, but the serum is _______ , it is a clue that the patient was not fasting | lipemic
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| Removing blood on a regular basis or in large amounts can lead to ______ anemia | Iatrogenic
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| A person who lives on Pike's Peak is more likely to have a higher RBC count than a person who lives in Florida | True
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| If the blood is filling the tube very slowing and a hematoma is beginning to form, the needle may not be deep enough | True
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| Why are capillary blood gases less desirable than arterial blood gases (ABG's) | Skin puncture blood contains tissue fluid.
Skin puncture blood is only partly arterial.
The blood is exposed to air during collection.
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| Which of the following is the safest area for infant heel puncture | The lateral plantar surface
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| The purpose of wiping away the first drop of blood during skin puncture is to | eliminate tissue fluid contamination
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| Capillary puncture blood most closely resembles | arterial blood
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| What does the term "calcaneus" mean | Heel bone
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| Capillary puncture blood reference ranges are higher for this analyte | Glucose
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| What is PKU | A hereditary inability to metabolize phenylalanine
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| It is necessary to control depth of lancet insertion during capillary puncture to avoid | injuring the heel bone
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| Capillary bilirubin specimens should be protected from | light
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| A magnet and "flea" are used to mix a CBC specimen | True
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| Of the following tests, which is most likely to result in fatal consequences if the patient is misidentified | Type and crossmatch
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| Which test requires strict skin antisepsis procedures before specimen collection | Blood culture
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| Which test is used to monitor heparin therapy | ACT
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| At what intervals is the blood blotted during a bleeding time test | 30 seconds
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| Which of the following tests may require special "chain of custody" documentation when collected | Drug screen
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| An autologous blood tranfusion is a tranfusion of blood | donated by the patient for the patient
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| The most critical aspect of blood culture collection is | skin antisepsis
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| This test requires a specimen with a 9:1 ratio of blood to anticoagulant | Prothrombin time
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| A condition in which a patient has high blood glucose level is known as | Hyperglycemia
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| Paternity testing is performed to determine the probability that a specific individual fathered a particular child | True
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| A barcode is a | series of bars and spaces representing numbers or letters
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| a pneumatic tube is a | pressurized air transportation system
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| An example of a preanalytical error happening during specimen processing is | inadequate centrifugation
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| Transporting blood specimens with the stopper up has nothing to do with | maintaining the sterility of the sample
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| Which of the following would not be considered a preanalytical error | Misreporting patient results
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| Which of the following specimens needs to be chilled | Ammonia
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| Which specimen can be centrifugede immediately upon arrival in specimen processing | Calcium in a green top tube
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| According to CLSI, the maximum time limit for separating serum or plasma from cells | 2.0 hours from the time of collection
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| A specimen arrives with less volume than is needed for the test. It will be noted why the specimen was rejected by using the abbreviation | QNS
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| ASAP or Med Emerg specimens must be attended to before routine specimens | True
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| What is the recommended procedure for collection a 24-hour urine sample | Void the first morning specimen, start the timing, and collect all other specimens including the next morning's specimen
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| Which fluid is obtained by lumbar puncture | Cerebrospinal
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| Which test is used to diagnose cystic fibrosis | Sweat chloride
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| Which of the following tests requires a 24-hour urine specimen | Creatinine clearance
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| Drugs of abuse can be detected in | Hair
Saliva
Urine
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| Which type of specimen must be protected from light | Amniotic fluid
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| Sputum samples are typically collected to diagnose | tuberculosis
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| Inserting a needle between the 2nd and 3rd lumbar vertebrae to collect fluid from the spinal cavity is called suprapubic aspiration | False
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| DNA analysis can be done using a buccal swab on the inside of the cheek | True
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| A breath sample can be analyzed to detect bacteria in the stomach | True
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| Which artery is typically the easiest to access during low cardiac output | Femoral
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| When performing the Allen test, which artery is released first | Ulnar
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| The artery of choice for ABG collection | Radial
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| Which of the following is the most common arterial puncture complication even when proper technique is used | Arteriospasm
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| The most common needle size for routine radial ABG specimen collection is | 22 gauge
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| Which of the following is the best way to tell that a specimen is arterial. As the specimen is collected, the blood should | pulse into the syringe
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| A patient who has been at rest and has not had any changes in respiatory therapy for 20-30 minutes is in a ______ state | Steady
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| The most common local anesthetic used to ease a patient during an ABG procedure is | Lidocaine
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| When an area is supplied with blood from more than one artery, there is _______ circulation | Collateral
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| A proper cleaning solution for preparing an arterial puncture site is | isopropyl alcohol
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