Phlebotomy final

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an inert synthetic substance that forms a physical barrier between the cells and serum or plasma of a specimen is known as....

gel

the tests performed in the following department are typically collected in a tube with a light blue stopper

coagulation

the head space in an evacuated tube is:

a consistent amount of airspace left when a tube is filled properly

What additive is usally present in a tube with a lavender stopper?

EDTA

Which of the following are all anticoagulants that remove calcium from the specimen by forming insoluble calcium salts and therefore preventing coagulation?

sodium citrate, EDTA, oxalate

In a successful venipuncture, evacuated tubes fill automatically as soon as the tube stopper is pierced because of

premeasured vacuum in each tube

What substance is contained in a serum separator tube?

Thixotropic gel

the type of needle used to collect blood from small or difficult veins is known as a

winged infusion set or butterfly

identify the tubes needed to collect a CBC, PTT, and STAT potassium by color and in the proper order of collection for a multitube draw

light-blue top, green top, lavender top

substances that provide increased surface for platelet activation are known as

clot activators

which is the best tube for collecting an ethanol speciment

sodium fluoride

what is the most important factor in choosing which gauge needle to use for venipuncture?

size and condition of the vein

the purpose of the rubber sleeve that covers the tube end of a multiple-sample needle is to?

prevent leakage of blood during tube changes

heparin prevents blood from clotting by

inhibiting thrombin

if the blood pressure cuff is used for venipuncture in place of a tourniquet, the pressure used must be:

below the patient's diastolic pressure

you are most likely to increase the chance of hemolyzing a specimen if you use a

25 guage butterfly needle to collect a speciman from a small child

an antiglycholytic agent

prevents the breakdown of glucose

evacuated tubes fill with blood automatically because a ______ exists in the tube

vacuum

which blood speciman additive can inhibit the metabolism of glucose by the cells

EDTA

a pink top tube containing EDTA is primarily used for:

blood bank tests

measurement of copper, a trace element, requires blood collection in a tube with :

royal-blue top

a tube with a green stopper usually contains

heparin

plastic red-top tubes used to collect blood specimens usually contain

clot activators

lithium heparin is a suitable anticoaglulant for which test?

Lytes

Which of the following basic tissue types covers and lines organs, vessels, and cavities..
-connective
-epithelial
-muscle
-nerve

Epithelial

Which of the following are basic structural components found inside cells?
-Centrioles
-Gametes
-Glomeruli
-All of the above

Centrioles

T/F
The glomerulus is a tuft of capillaries located in the kidney. It filters the blood for the urinary system.

True

The transvers plane divides the body

horizontally into upper and lower portions

during internal respiration

oxygen enters the cells in the tissue

The exchange of O2 and CO2 in the lungs takes place in the ?

alveoli

Which body plane divides the body into equal portions

midsagittal

Which of the following is a function of the urinary system?
-to maintain electrolyte balance
-to return tissue fluid to the blood
-to receive environmental stimuli
-to remove CO2 from the body

-to maintain electrolyte balance

hematopoiesis is a function of the _______ system

skeletal

T/F
there are no hormones produced by the organs of the reproductive system

False

Which of the following is normally a urinary system disorder
-cystitis
-neuritis
-puritus
-gastritis

cystitis

Which of the following is a test of the urinary system?
-pleuracentesis
-creatinine clearance
-creatine kinase
-cholinesterase

-creatinine clearance

T/F the pituitary gland is often called the "master gland" of the endocrine

True

another name for the blood bank is

immunohematology

The ability of the body to repair and maintain itself to achieve a "steady state" defines what term?

homeostasis

The transverse plane divides the body

a nearest to the point of attachment

Which of the following is a test of the respiratory system?
-CSF
-ETOH
-ABGs
-UA

-ABGs

T/F the peripheral nervous system is composed of the brain and spinal cord

False

Hepatitis is a disorder that primarily affects the

liver

Which of the following structures in the skin give rise to fingerprints

papillae

pancreatitis is a disorder of the ______ system

digestive

Growth hormone (GH) levels test the function of the?

pituitary

Diagnostic test of the digestive system include

amylase and lipase

The spinal cord and brain are covered by protective membranes called

meninges

Which of the following is a nervous system disorder
-acute nephritis
-multiple sclerosis
-chronic hepatitis
-rheumatoid arthritis

-multiple sclerosis

The medical term for elevated blood sugar is:

hyperglycemia

sudoriferous glands are:

referred to as sweat glands

the term that describes a person having difficulty breathing

dyspnea

The layers of the skin containing blood vessels are

dermis and subcutaneous

T/F the pancreas is considered an accessory organ in the digestive system as well as an endocrine organ

True

The gland produces "figh or flight" hormones

adrenal gland

evaluation of the endocrine system involves

hormone determinations

a major cause of respiratory distress in infants and young children is

respiratory and syncytial virus

when you are facing someone in normal anatomic position, at which body plane are you looking

frontal

Which of the following are respiratory system structures
-bronchioles, epiglottis, pleura
-neurons, meniges, myelin sheath
-calcaneus, mandible, phalanges
-corium, corneum, adipose cells

-bronchioles, epiglottis, pleura

most gas exchange between blood and tissue takes place in the

capillaries

what kind of muscle is under voluntary control

skeletal

the avascular layer of the skin is the

epidermis

the term distal means:

farthest from the point of attachment

which of the following of an accessory organ of the digestive system
-liver
-lung
-ovary
-heart

-liver

The singular form of alveoli is

alveolus

What word means "hardening of the artery?

arteriosclerosis

a prefix
-modifies the meaning of a term
-precedes the word root
-adds information about a term
-all of the above are correct

-all of the above are correct

which of the following are abbreviations for lab tests
-ABGs, ASO, LDL, TIBC
-CCU, OR, PEDs, RR
-CAD, CML, COPD, SLE
-PP, PRN, Sx, TPR

ABGs, ASO, LDL, TIBC

Which of the following abbreviations identifies a type of blood cell
-Hct
-seg
-diff
-trig

-seg

Which of the following word parts is a prefix
-my
-lysis
-aer
-hypo

-hypo

what does the suffix -algia mean

pain

which part of cardiomyopathy means "disease"

-pathy

What is the medical term for red blood cell

erythrocyte

the combining form erythro means

red

what is the suffix in the term "lipase"

ase

what is the term for muscle pain?

myalgia

cystitis means

inflammation of the bladder

all of the following are included on the Joint commission "do not use" list except
-MS
-U
-UI
-CBC

-CBC

if a suffix is added to a word root that ends in "x", the "x" changes to a/an

g or c

What word is used to describe the breadown of red blood cells

hemolysis

what word part means recording or writing

-gram

The Joint commission "do not use" list applies to all of the following except?
-handwritten medication orders
-writing on preprinted forms
-electronic laboratory reports
-handwritten laboratory reports

-electronic laboratory reports

which part of gastr/o/enter/o/logy is the suffix?

logy

what is the meaning of the word root in the term hyperglycemia

sugar

The abbreviation NPO means

nothing by mouth

what word means "large cell"

macrocyte

the word elements of the term "polycythemia" mean

blood condition of many cells

what is the word root in the word "electrocardiogram"

cardi

The "c" sounds like an "s" in which of the following terms
-cellualr
-cardiac
-culture
-coagulation

cellular

what part of the term "osteochondritis" is the suffix

itis

what is the medical term from white blood cell

leukocyte

only the second vowel of the ending is pronounced in the word
-dyspnea
-protozoa
-chordae
-nuclei

-chordae

to what part of the body does the word root hepat refer?

liver

what term means kidney inflammation

nephritis

The balance or "steady state" of the body is called?

homeostasis

the letter "g" is pronounced like a "j" in
-gamete
-glyolysis
-guaiac
-gestation

-gestation

The abbreviation "ESR" means

erythrocyte sedimentation rate

which of the follwing abbreviations is on the current Joint Commission "Do Not use" list?
-cc
-IU
-ml
-UTI

-IU

what does the suffix of the term "glycolysis" mean

breakdown

what is the word root for vessel

Vas

what word means "controlling blood flow"

hemostasis

according to the meanings of its word parts, phlebotomy means

cutting a vien

what word part means "blood condition"?

emia

What word means "condition of clotting"?

thrombosis

The study of a persons concept and use of space is known as

proxemics

Another name for blood bank is

immunohematology

T/F A phlebotomist who gets the specimen for the doctor even if he or she must take shortcuts and save time is exhibiting integrity.

False

Which of the following is an example of a confirming response to a patient?

I understand how you must be feeling

T/F Acknowledging a patients beliefs, customs, knowledge, and attitudes exemplifies diversity awareness

True

The term "phlebotomy" is derived from Greek words that, literally translated, mean

vein incision

Promoting good public relations is a part of the phlebotomist's role because

-good public relations promotes a harmonious relationship with the staff
-a phlebotomist is a representative of the laboratory throughout the facility
-patients often equate venipuncture experiences with the overall hospital care

What is referred to as a medical laboratory scientist?

Medical technologist

Which duty is not performed by local public health agencies
-immunization and vaccination
-venereal disease screening
-licensure of healthcare personnel
-diabetes screening

-licensure of healthcare personnel

The term used to describe sophisticated and highly complex medical care is

tertiary care

proof of participation in workshops to upgrade skills required by some agencies to renew certification is called

CEUs

Outpatient phlebotomy, such as in a physiciann's office or patient care service center, will be assigned a code for reimbursement using which national coding system

CPT

What are the crednetials for an ASCP-certified phlebotomist

PBT

Which of the following is an example of a barrier to effective communication with a patient? the patient....
-is emotionally upset
-does not speak English
-is a very young child
-all of the answers are correct

-all of the answers are correct

Which of the following communicates unprofessionalism
-short, clean fingernails
-clean laboratory coat
-long hair pulled back
-intense odor of cologne

-intense odor of cologne

T/F the area of the lab where testing involving infectious diseases and the immune process is performed is called immunohematology

False

Patients who can get to the lab or doctor's office on their own are called _______.

ambulatory

Which of the following is an example of negative kinesics.
-touching
-eye contact
-smiling
-frowning

-frowning

It is improper telephone protocol to:

hang up on angry callers

Electrolyte testing includes

sodium, potassium

Which department is responsible for administering oxygen therapy

Respiratory therapy

with with other hospital department would the laboratory coordinate therapeutic drug monitory

pharmacy

The term used when blood is withdrawn to a dangerous or deadly limit is _______

exsanguination

The federal law that defines the responsibilities of medical laboratory personnel is the______

CLIA'88

Which of the following is NOT a phlebotomists duty?
-collecting blood specimens
-transporting specimens to the laboratory
-starting intravenous (IV) lines
-Performing laboratory computer operations

-starting intravenous (IV) lines

A clinical laboratory "path of workflow" is all of the following EXCEPT
-monitored throughout the process by quality indicators
-made up of preanalytical, analytical, and postanalytical processes
-overseen by the hospital administrator through periodic reports
-defined as the steps necessary to deliver a product or services

-overseen by the hospital administrator through periodic reports

T/F As healthcare providers go about their daily activities, there are many activities that , if performed without reasonable care and skill, could result in a lawsuit.

True

Which action will compromise the quality of a specimen?
- mixing a serum separator tube five times
- partially filling a liquid EDTA tube
-placing a cold agglutinin in a heat block
-drawing electrolytes in an amber tube

- partially filling a liquid EDTA tube

The only phlebotomist in an outpatient drawing center is not familiar with the test that a physician has ordered. What is the most appropriate action to take?

refer to the collection manual for instruction

T/F a good way to avoid lawsuits is to consistently perform venipunctures as rapidly as possible so as to get the results to the physician quickly

False

A national organization that sets standards for phlebotomy procedures is the

CLSI

Three of the following conditions are reasons a specimen could be rejected for analysis EXCEPT
-a bilirubin specimen is icteric
- a CBC specimen contains clots
-an electrolyte specimen is hemolyzed
-a fasting glucose specimen is lipemic

-a bilirubin specimen is icteric

The purpose of the Joint Commission's Office of Quality Monitoring is to:
-inspect helathcare facilities for accreditation
-evaluate and track complaints related to care
-implememnt immediate response to safety issues
-set specific patient safety goals to improve care

-evaluate and track complaints related to care

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?
-explanation of the problem
-details of the corrective action taken
-suggestion for new guidelines
-description of the consequence

-suggestion for new guidelines

Malpractice is a claim of
-invasion of privacy
-improper treatment
-assault and battery
-breach of confidentiality

-improper treatment

________ emphasize quality assurance in collecting and performing blood work using waived testing kits.

GLPs

T/F labeling of a specimen must be exact

True

An example of a QA indicator is

The blood culture contamination rate will not exceed the national rate

Two phlebotomists are discussing a patient's condition in the elevator. They are overheard by the patient's daughter. This is an example of:

invasion of privacy

Some test specimens require immediate cooling in ice and water slurry to

slow down metabolic processes

If a phlebotomist ______, he or she is negligent

fails to put the needle and holder in the sharps container

When the threshold value of a clinical indicator of QA is exceeded and a problem is identified

a corrective action plan is implemented

Which one of the following examples is unrelated to quality control

employees filling out their time sheets daily

one of the key players in bringing quality assessment review techniques to healthcare is the ______

Joint Commission

chilling will adversely affect the quality of test results for which analyte?

potassium

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