Helps Study for Phelbotomy Certifications
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| Arterial blood leaves the heart through the: | show 🗑
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| show | Plasma
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| The laboratory receives a STAT request for blood glucose level on a patient in the emergency room department. It is appropriate to: | show 🗑
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| show | Third or Fourth Finger
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| show | Exactly the same as the patient samples are run
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| show | Left Arm
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| Urine begins forming in the ___ where the blood is _____. | show 🗑
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| The length and width of the lancet blades are important for assuring an adequate flow of blood and to: | show 🗑
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| Blood Culture collection sites are prepared by swabbing the venipuncture site with iodine, which is left on for at least: | show 🗑
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| A tourniquet is applied to the arm above a venipuncture site to: | show 🗑
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| show | Muscle
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| What color is normal in a plasma specimen? | show 🗑
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| A blood specimen for a 2-hour postprandial glucose test is collected: | show 🗑
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| show | Warm the patient's skin prior to performing the puncture.
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| show | Below the IV in a different vein
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| Skin puncture for neonatal screening specifies that: | show 🗑
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| show | Documentation of their identity and the data and time the sample is handled
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| A neonatal bilirubin specimen should be collected in a: | show 🗑
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| show | 30 min. before a dose
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| A specimen for a blood ammonia test is to be preserved from the time of collection until it is tested in the laboratory. The best course of action is to keep the tube: | show 🗑
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| How often should the performance speed on a centrifuge be checked: | show 🗑
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| What is the proper way to introduce yourself to the patient? | show 🗑
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| show | Tube stoppers are left on, centrifuge is balanced by similar tubes across from each other, and the lid is left closed during centrifugation
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| show | 0.85mm
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| The arteries used for arterial punctures, listed in order of preference, are: | show 🗑
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| The transportation of blood and body fluid specimens by pneumatic tubes system: | show 🗑
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| What item is used for venipuncture but NOT used for arterial puncture? | show 🗑
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| How many mL should be discard in order to collect a patient with a Venous Access Device (VAD)? | show 🗑
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| The industry-wide stopper color for tubes chemically clean enough to be used for collecting blood specimens for determination of trace elements is: | show 🗑
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| After centrifuging a green-stopper tube, phelbotomist notes that the serum is pink, indicating: | show 🗑
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| A phelbotomist must collect from a patient in isolation with contact precautions. The appropriate PPE is: | show 🗑
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| show | 0755
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| show | Fasting for at least 12hrs; water ONLY and no nicotine
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| show | Clean-Catch, Midstream Urine
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| The container for a 24-hour urine collection should be: | show 🗑
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| During the collection of a 24 hour urine, it is important to: | show 🗑
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| Which tube would be rejected as unsatisfactory if it was not completely full? | show 🗑
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| A phlebotomist is waiting while an elderly patient slowly gets back into bed. The phlebotomist shows appropriate nonverbal communication skills by: | show 🗑
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| After completing venipuncture by evacuation tube, it is appropriate to: | show 🗑
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| When collecting blood in a syringe, pulling back quickly and hard on the plunger can | show 🗑
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| show | If possible wait until the infant has stopped crying for 1 hr.
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| When properly placing the needle within a vein you should not have: | show 🗑
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| show | label vacutainer tubes before calling an outpatient into the draw area.
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| show | Postprandial
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| What terms indicate that the patient has had nothing to eat? | show 🗑
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| show | Chain of Infection
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| The most effective means of preventing the spread of infectious disease is: | show 🗑
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| The laboratory receives a request to collect 450mL of blood from a patient with polycythemia. The blood collection would be called a(n): | show 🗑
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| show | Aerosols
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| A phlebotomist performs a venipuncture without disinfecting the site and leaves the tourniquet on longer than indicated. This would be considered: | show 🗑
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| show | Apply pressure on the venipuncture site with the arm straight
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| show | (1) Probing/Fishing for a vein
(2) Going all the way through vein
(3) Bending the elbow with a cotton ball on venipuncture site to apply pressure
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| The steps to be followed in response to discovering a fire may be remembered by the acronym: | show 🗑
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| When blood leaves the right ventricle, it enters the: | show 🗑
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| A blood sample collected in a tube without anticoagulant would contain: | show 🗑
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| A STAT specimen | show 🗑
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| When collecting blood specimen from an infant or neonate, the best site for a skin puncture is: | show 🗑
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| show | 1000 rpm for 10 minutes
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| show | Release some tissue clotting factors
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| show | 60%
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| show | Gloves must be changed between patients
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| What make veins different that arteries? | show 🗑
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| True or False: Arteries carry blood to the heart? | show 🗑
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| show | False
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| show | True
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| If a phelbotomist notices a patient eating during a Glucose Tolerance Test the correct procedure would be to: | show 🗑
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| show | False
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| When using Gel Separator, Red, Light Blue and Green vacuum tubes, the proper order of draw would be: | show 🗑
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| show | Hematology, Chemistry, Blood Bank.
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| show | Documentation of each person who handles the specimen
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| True/False: Bilirubin and Carotene must be protected from the light, immediately after collection? | show 🗑
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| A phlebotomist was scheduled to collect 2-hour GTT at exactly 9AM. At 9:15AM the phlebotomist realizes that the specimen has not yet been collected. What is the appropriate course of action? | show 🗑
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| True/False: Cold agglutinins and cyrofibrinogen are not to be collected at 37 degrees Celsius? | show 🗑
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| show | Revolutions per minute(RPM)
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| _____ is not an acceptable form of identification with the exception of a patient with severe burns or patient in isolation? | show 🗑
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| show | TO use glass capillary tubes wrapped in puncture-resistant film
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| show | False
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| show | Radial
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| True/False: Amylase need not be transported in a mixture of ice and water? | show 🗑
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| What is not standard equipment when performing an arterial puncture for blood glass? | show 🗑
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| show | The sample is collected below the IV line
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| When collecting blood for trace metal analysis, which of the following must be observed | show 🗑
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| show | Potassium, Iron, and Magnesium
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| True/False: Articles removed from patient in reverse isolation room need not be double bagged? | show 🗑
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| show | 1000
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| When preparing a patient for a glucose tolerance test, the patient should not: | show 🗑
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| True/False: Is it mandated that the urine sample should always be the second voided of the day in order to reduce contamination, when properly instructing the the patient to collect a mid-stream urine? | show 🗑
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| show | Boric Acid
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| show | The patient voids into the toilet and starts the timing with an empty bladder collecting all subsequent samples
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| show | Refrigeration of the blood sample
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| show | To ask the patient if the are willing to allow the phelbotomist to perform a second attempt
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| What is the appropriate procedure for tourniquet use? | show 🗑
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| show | Complement inhibition
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| The best marker to insure the completeness of a 24-hour urine collection would be: | show 🗑
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| show | Heparin
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| show | True
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| show | True
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| show | Sodium Citrate
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| When preparing a patient's arm for a blood culture collection: | show 🗑
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| show | Perpendicular
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| show | Butterfly
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| When collecting blood using a syringe,samples should be placed into the Blue, Lavender, and Red tube in the which order? | show 🗑
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| show | Epicardium
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| A platelet count of 650,000 per cubic millimeter is termed | show 🗑
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| show | Collect STAT glucose, deliver it to the laboratory, then return to perform the other 2 collections.
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| Point-of-care testing (POCT) occurs: | show 🗑
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| show | Each day of use
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| show | Decrease the angle of penetration of the venipuncture needle
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| show | Amniotic Fluid
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| Skin puncture on an infant should done on the medial and lateral plantar surface of the heel to avoid injury to the: | show 🗑
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| Veins Carry ___ to the heart | show 🗑
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| show | Arterial blood is under pressure from the contraction of the ventricles
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| show | Fibrinogen
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| A specimen for a peak Gentamicin level should be collected: | show 🗑
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| show | Ask the patient's nurse if the sample should be collected at this time
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| show | Heparin microcollection tube
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| show | Within easy reach on the bedside table
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| Blood samples collected on filter paper for newborn screening test should be hung to dry to avoid: | show 🗑
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| Chain of Custody protocol must be followed when collecting a forensic sample to ensure that: | show 🗑
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| Blood specimens collected for carotene analysis should be: | show 🗑
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| Blood specimens collected for Prothrombin Time testing must be analyzed within: | show 🗑
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| show | In ice water
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| show | Lungs (Pulmonary Veins and Arteries)
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| Leukocytes are responsible for: | show 🗑
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| show | To send the tubes to the laboratory immediately upon collection
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| show | Ring Finger
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| show | Be accepted by a bar code range
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| A patient who has had a mastectomy cannot have blood collected from the arm on the same side as the mastectomy due to: | show 🗑
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| All the testing on cerebral spinal fluid (CSF)sample should be performed within 1 hour of collection because cytolysis is dependent on: | show 🗑
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| show | Both the needle and holder must be discarded together
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| show | Colonized bacteria that accumulate around the line can be pulled into the line when used for a blood collection
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| A patient has an unsuitable antecubital vein. The next best choice to use for phlebotomy would be the: | show 🗑
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| show | Aortic Artery
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| The principal component of plasma is: | show 🗑
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| show | 2 Blood Cultures at intervals of 45-60min, 2 more at 24-48 hours.
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| show | The second voided urine specimen of the day
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| An activated partial thromboplastin time (APTT) and factor VIII assay are requested on a patient with hemophilia. The appropriate course of action is to: | show 🗑
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| show | 60-80
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| show | Cardiac Arrest
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| During a trail in which forensic samples were used as evidence, it was noted that method validation for linearity limits were not performed for the drug-base testing. The evidence is: | show 🗑
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| A blood sample for carotene analysis should be labeled and: | show 🗑
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| show | When the patient arrives, as well as 2-4, 6-8, and 12 hours later
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| A specimen for a cold agglutinin analysis was collected and placed in a 37 degrees Celsius incubator. The specimen is unacceptable because: | show 🗑
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| Specimens for daily chemistry testing were placed into the centrifuge. Upon starting to spin, the centrifuge began to shake. This could be due to: | show 🗑
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| The best way to prevent mislabeling of tubes is to: | show 🗑
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| Requirement for personal protective equipment (PPE), chemical hazards, reactivity and health hazards are found in: | show 🗑
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| show | Age and sample requirements
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| show | It's Pulse
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| show | Glucose, Phosphorous and Enzymes
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| show | Heparin
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| A patient in the ICU had indwelling lines for fluid and medication. A chemistry panel was ordered. The correct procedure for collecting blood from an indwelling lines is: | show 🗑
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| show | Is stable at room temperature for 7 days
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| show | Under-collection of first tube, which causes excess anticoagulant
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| show | Gown and Gloves
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| show | Stop the test, it is complete
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| show | 2 hour Postprandial Blood test
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| A patient needs a urine test for a routine drug screen but is unable to provide a urine sample. The patient is instructed to drink up to 24 fluid oz of water in 2 hrs. Another sample is obtained but it is insufficient in quantity. The lab should: | show 🗑
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| To best preserve the urinary sediment in a 24 hr urine specimen the preservative of choice are: | show 🗑
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| show | The total volume of urine collected
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| show | Hemolysis of the RBCs
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| When collecting blood form adolescents the phlebotomist should: | show 🗑
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| show | Bio-hazard symbol
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| show | Practice standard procedures routinely used for collecting blood
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| show | True
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| A patient's result were abnormal for the following test: Potassium, Calcium, Uric Acid, and Bilirubin. It was noted that the sample was collected by finger stick. A possible source of error is: | show 🗑
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| NCCLS recommends when performing a heelstick on a newborn, the site be warmed for | show 🗑
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| The best vein for venipuncture is the: | show 🗑
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| show | Prior to the patient receiving the drug
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