PMI Study Guide Chap 7-13
Quiz yourself by thinking what should be in
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| show | d. Prevents the breakdown of glucose
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| show | d. Recyclable
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| show | a. A 1:10 dilution of bleach
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| This needle is the standard needle for routine venipuncture: a. 20 g b. 21 g c. 22 g d. 23 g | show 🗑
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| show | b. Gague
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| show | c. ETS needle and tube holder
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| Which of the following would be the best choice of equipment for drawing a small vein? a. 21 g needle and syringe b. 22 g needle and ETS holder c. 23 g butterfly and ETS holder d.25 g butterlfy and syringe | show 🗑
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| Which of the following equipment is required in collecting blood by syringe? a. Multi-sample needles b. Tube Holder c. Transfer device d. Winged infusion set | show 🗑
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| show | b. Heparin
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| Which of the following tubes would typically be used to collect plasma for a stat chemistry specimen? a. Lt. Blue/Full b. PST c. Red d. Sterile Yellow | show 🗑
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| show | a. Anticoagulant
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| A light blue topped tube is most often associate with test in the department: a. Chemistry b. Hematology c. Coagulation d. Serology | show 🗑
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| Of the following tubes, which would be filled second from a syringe according to the CLSI recommended order of draw? a. Gray b. Lavender c. Lt. Blue Full d. Green | show 🗑
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| show | c. Heparin and gel
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| show | d. SPS
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| show | c, Lt. Blue Full
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| show | c. Sodium Flouride
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| show | b. Lt. Blue Full
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| show | a. Minimize trace-element contamination
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| A vein the has patency: a. Feels hard and cord like b. Has a bounce and resilience to it c. Is fairly deep in the tissues d. Shouldn't be used for venipuncture | show 🗑
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| Which type of test requisition has been shown to decrease laboratory errors? a. Bar coded b. Computer c. Manual d. Verbal | show 🗑
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| show | c. Yes, but I would rather not
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| show | b. Excuse yourself and politely ask the doctor for permission to do the draw
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| show | c. Do not collect the specimen until the problem has been addressed and resolved
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| You are a phlebotomy student on rotation at an outpatient site. A patient who seems extremely apprehensive about having their blood drawn tells you that they are afraid of needles. What should you do? a. Ask an experienced phlebotomist to preform the d | show 🗑
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| There are two patients in a room. One of them has a latex allergy. You have a request to collect a blood specimen on the other pateint. How should you proceed? a. Ask the allergic patient to wear a mask until you leave b. Do not take any latex into th | show 🗑
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| The best way to judge patency of a vein is the : a. Feel it to determine the strength of the pulse b. Palpate above and below where you first feel it c. Press and release it several times to determine resilience d. Roll your finger from side to sid | show 🗑
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| show | b. As soon as they are removed from the holder
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| The proper way to transfer blood from a syringe to an ETS tube is: a. Discard the needle, open the tube and slowly inject the blood into it b. Hold the tube carefully and insert the needle through the tube stopper c. Place the tube in a rack and ins | show 🗑
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| show | c. Draw a clear tube, fill and mix the Lt. Blue top, then fill and mix the SST
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| Skin changes in elderly patients can make it harder to: a. Anchor veins b. Injure veins c. Palpate veins d. See the veins | show 🗑
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| Which type of disease is most likely to cause tremors? a. Alzheimer's b. Arthritis c. Diabetes d. Parkinson's | show 🗑
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| show | d. Syncope
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| Which of the following tests is affected the most if collected from a crying infant? a. Bilirubin b. Cholesterol c. Lead Level d. WBC count | show 🗑
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| A hematoma may result from: a. Inadequate site pressue applied after a venipuncture b. Needle penetration through the back wall of the vein c. Using a needle that is too large for the vein d. All of the above | show 🗑
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| Results of this test have direct correlation with the patients age: a. Blood culture b. Creatinine Clearance c. Glucose d. Hemoglobin | show 🗑
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| show | b. 4 to 24 hours prior to the test
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| Which of the following specimen conditions would lead you to suspect that the patient was not fasting when it was collected? a. Cloudy white serum b. Pale-yellow plasma c. Pink to reddish plasma d. Yellowish brown serum | show 🗑
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| A phlebotomist needs to collect a plasma specimen for a coagulation test. The patient has an IV in the left arm, near the wrist and hematoma in the antecubital area of the right arm. Which of the following is the best place to collect a specimen? a. Ab | show 🗑
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| show | a. AV graft
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| A patient has had a mastectomy on the left side and has an IV midway down the right arm. Where is the best place to preform a venipuncture? a. Above the IV on the right arm b. Below the IV on the right arm c. In the left AC area d. In the left hand | show 🗑
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| show | c. quickly release the tourniquet and remove the needle
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| show | b. Exsanguination
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| show | a. A hemolyzed potassium specimen
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| show | d. All of the above
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| The serum of plasma of a hemolyzed specimen wold most likely look: a. Cloudy or turbid b. Pale yellow c. Pinkish to red d. Yellowish brown | show 🗑
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| show | c. Gray tube
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| show | d. All of the above
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| show | b. Make certain to anchor it well
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| Which of the following is most likely to affect test results? a. Edema b. Petehiae c. Reflux d. Syncope | show 🗑
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| show | c. Phenylketonuria
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| show | c. Glass slide
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| show | b. Coagulation
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| show | a. Arterial blood
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| show | a. Calcium
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| show | d. All of the above
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| show | c. Lavender
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| show | b. Distal segment of the middle finger
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| The medial plantar surface of the heel is located: a. At the very back portion of the heel b. In the middle of the bottom of the heel c. On the big toe side of the bottom of the heel d. On the little toe side of the bottom of the heel | show 🗑
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| show | b. Bone injury
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| The primary purpose of warming a capillary site is to: a. Delay clotting b. Increase blood flow c. Minimize contamination d. Reduce hemo-concentration | show 🗑
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| Skin pain fibers increase in abundance: a. In the upper epidermis b. Below 2.4mm in depth c. Beyond 4.9mm in depth d. Within the vascular bed | show 🗑
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| show | d. All of the above
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| show | d. All of the above
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| Do not use povidone-iodine to clean the skin puncture sites because it interferes with: a. Potassium results b. Phosphorus results c. Uric Acid results d. All of the above | show 🗑
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| show | d. Touch the scoop to the blood drop, not the skin surface
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| show | a. 1 hour
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| show | c. Protect the specimen from the light
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| Which of the following PKU collection techniques is incorrect? a. Air dry the slips horizontally b. Completely fill every circle c. Do not touch the filter paper d. Fill circle from both sides | show 🗑
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| show | a. Angle of spreader slide is too steep
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| show | d. Notify the patients nurse or physician
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| show | d. 23
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| show | a. An artery has a pulse
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| show | d. An edematous extremity
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| show | b. FDA
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| Success of pediatric blood collection is most dependent on: a. Patient immobilization b. Aseptic technique c. Order of draw d. Tourniquet applicaton | show 🗑
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| show | c. Identifying the patient
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| show | b. 30 degrees
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| Maximum depth of a heel puncture by NCCLS: a. 1.5mm b. 2.0mm c. 2.4mm d 4.9mm | show 🗑
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| What is the recomended site for skin puncture on children 2+: a. Palmar fleshy portion of the middle finger b. Bottom of the ear lobe c. Fleshy side of thumb d. Plantar medial or lateral surface of the heel | show 🗑
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| What is the most common and preferred system for collecting blood samples? a. ETS b. Syringe c. Butterfly d. Combination system | show 🗑
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| List the ETS Order of Draw | show 🗑
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| show | Sterile Yellow/ blood culture bottles
Lt Blue/Full
PST
Green
Lavender
Gray
Red
SST
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| show | Sterile Yellow/BC bottles: ACD-A, ACDB, SPS
Lt. Blue/Full: Sodium Citrate (NaC)
Red: no additives/silica particles/serum
SST: Polmer Gel or/ Thrombin Gel & Serum
PST: Thixotropic Gel & Lithium Heparin
Green - Sodium, Lithium and Ammonium Heparin (H
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