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Phlebotomy Exam Review Chapter 3
Terms in this set (140)
These are the initials of the United States government agency that mandates and enforces safe working conditions for employees
OSHA (occupational safety and health administration)
The series of components that lead to infection are referred to as the
Chain of infection
The pathogen responsible for causing an infection is called the infectious
The term pathogenic means
Productive of disease (causing disease)
A specimen processor removes the stopper from a tube without barrier protection and feels a mist of specimen touch the eyes. What type of exposure occurs through eye contact?
Permucosal (across mucous membranes)
Isolation procedures are used to separate patients from contact with others if they
Have highly transmissible infections
Which of the following is something other than a microbe?
Which of the following makes a patient less susceptible to a particular infection?
An individual who has little resistance to an infectious microbe is referred to as a susceptible
SDS (safety data sheet) information includes
General and emergency information
Transmission based precautions must be followed for patients with
Highly transmissible diseases
Which of the following patients would require contact precautions pending a diagnosis?
Diapered patient with symptoms of infection with an enteric pathogen
An individual is infected with E. coli after eating contaminated spinach. What type of infection transmission is involved?
An avulsion is a
Tearing away of a body part
This type a precaution is required for a patient with mycoplasma pneumonia
Which type of precautions would be use for a patient who has pulmonary tuberculosis?
What does the NFPA (National fire protection Association) codeword RACE mean?
Rescue, alarm, confine, extinguish
Which of the following statements concerning an employee blood-borne pathogen exposure incident is true?
The employee is entitled to a confidential medical evaluation
When the chain of infection is broken an
Infection is prevented from happening
The focus of infection control turned from preventing patient to patient transmission to preventing patient to personnel transmission with the introduction of this concept
Universal precautions (UP)
The term used to describe an infection that infects the entire body is
Systemic (entire system)
Which of the following is proper neonatal ICU blood drawing procedure?
Clean hands and put on new gloves for each patient
Exercise reduces stress by
Triggering release of endorphins
The abbreviation for the virus that causes Acquired Immune Deficiency Syndrome (AIDS) is
A person who has recovered from a particular virus and has developed antibodies against that virus is said to be
According to standard first aid procedures, severe external hemorrhage is best controlled by
Applying direct firm pressure to the wound
The main purpose of an infection control program is to
Prevent the spread of infection in the hospital
All pathogens are
Microbes that can cause disease
Which of the following diseases involves a blood-borne pathogen?
Which of the following is part of proper handwashing procedure?
Wash hands thoroughly for at least 20 seconds
An example of a disease requiring droplet isolation is
Class C fires involve
Standard precaution should be followed
With all patients, at all times
Hepatitis B vaccination for adults normally involves
First shot of vaccine, one a month later, and one six months after the first
Objects that can harbor and transmit infectious material are called
The HazCom Standard is also commonly called the
Right to know law
The body organ targeted by HBV is the
These are the initials of the two organizations responsible for the guideline for isolation precautions in hospitals
CDC and HICPAC
The primary purpose of wearing gloves during phlebotomy procedures is to protect the
Phlebotomist from exposure to the patient's blood
The first three components a fire that are traditionally referred to as the fire triangle are
Fuel, oxygen, and heat
This would contribute to the chain of infection rather than help break it
Opening exit pathways for pathogen's
Which of the following statements complies with electrical safety guidelines?
Electrical equipment should be unplugged while being serviced
Which body fluid is exempt from standard precautions?
The ability of a micro organism to survive on contaminated articles and equipment has to do with its
The fourth component that turns the fire triangle into our fire tetrahedron is a
This equipment is required when collecting a specimen from a patient in airborne isolation
The majority of exposures to HIV and healthcare settings are the result of
The most common type of HAI (healthcare associated infection) in the United States is
Urninary tract infection
These are the initials of the organization that instituted and enforces the blood-borne pathogen standard
OSHA (occupational safety and health administration)
The only unsafe laboratory practice in the following list would be to
Keep your lab coat on at all times
You accidentally splash a bleach solution in your eyes while preparing it for cleaning purposes. What is the first thing to do?
Flash your eyes with water for a minimum of 15 minutes
What is the best way to clean a blood that has dripped on the arm of the phlebotomy chair?
Absorb it with gauze pad and clean the area with disinfectant
An example of employee screening for infection control is requiring employees to have
PPD (or TB) testing
Which mode of infection transmission occurs from touching contaminated bed linens?
Indirect contact (contaminated object)
Which of the following diseases or microbes can be transmitted through blood transfusion?
Which of the following is required by the blood-borne pathogen (BBP) standard?
Wearing gloves when performing phlebotomy
A laboratory or patient care activity that requires goggles to prevent exposure from sprays or splashes also requires this protective attire.
Neutropenic isolation is a type of reverse isolation used for patients with
Low white blood cell count
What should the phlebotomist do if the outside of a patient specimen tube has blood on it?
Wipe the tube with disinfectant
What is the meaning of the symbol (W that is / crossed out) in figure 3-1?
Which of the following conditions seldom leads to work restrictions for a hospital employee?
A postive PPD (TB) test
How many classes a fire identified by the national fire protection Association (NFPA)?
Which of the following is considered one of the most important means of preventing healthcare associated infections?
Proper hand hygiene
The purpose of "reverse" isolation is to
Protect susceptible patients from outside contamination
Which of the following could result in exposure to the blood-borne pathogen and by a" percutaneous" exposure route?
Drawing blood without using a needle safety device
In which instance could and electrical shock to the patient most likely occur?
Touching some electrical equipment during a blood draw
The right to know love primarily deals with
The best course of action to take before entering an isolation room is
Follow the posted precautions
Which one of the following diseases involves a blood-borne pathogen?
The degree to which a micro organism is capable of causing disease is the definition of
A material or substance harmful to health is the definition of a
What is the proper order for putting on protective clothing?
Gown first, then mask, gloves last
The blue quadrant of the NFPA diamond shaped symbol for hazardous materials indicates a
These are the initials of the agency that developed a hazard labeling system that is a diamond shaped sign containing a United Nations hazard class number and a symbol representing the hazard
DOT (department of transportation)
Which of the following actions violates a chemical safety rule?
Adding bleach to a cleaner to make it more effective
Federal law requires a hepatitis B vaccination be made available to employees assigned to duties with occupational exposure risk
Within 10 working days of assignment
Which is the first thing a phlebotomist should do if he or she is accidentally stuck by a needle used to draw blood from a patient?
Clean the site with soap and water for at least 30 seconds
One of the following symptoms of shock is wrong. Which one is it?
Slow, strong, pulse rate
The main principles involved in radiation exposure are
Distance, shielding, and time
Which of the following is a roll of the joint commission?
Accreditation of healthcare facilities
Which of the following would be considered a healthcare associated infections?
Catheter site of an ICU patient that becomes infected
According to the CDC prevalence survey, how many hospital patients have at least one HAI (healthcare associated infection) on any given day?
1 out of 25
The free availability of personal protective equipment (PPE) for employee use in the medical laboratory is mandated by the
OSHA blood-borne pathogen (BBP) standard
Current AHA recommendations for CPR by laypersons emphasize performing
The most frequently occurring laboratory acquired infection is caused by
The following are required parts of an exposure control plan except
Isolation procedure policies
Which classifier occurs with combustible metals?
What precautions are to be used for a patient who has an enteric pathogen?
Which of the following is an example of possible parenteral means of transmission?
Rubbing your eyes without washing hands first
A persons general susceptibility to infection is unaffected by
An example of vector infection transmission is contracting
The plague from the bite of a rodent flea
The patient might be placed in protective isolation if he or she has
What is the correct order for removing protective clothing?
Gloves, mask, gown
The substance abbreviated as HBsAg when detected in a patient's serum confirms
Active hepatitis B infection
A radiation hazard symbol on a patient's door signifies a patient who
Is being treated with radioactive isotopes
Which of the following is an example of a work practice control that reduces risk of exposure to blood borne pathogen's?
Mandated use of PPE in the lab
These are the initials of the organization that instituted universal precautions, the precursor to a standard precautions
Healthcare workers are considered immune to the disease if they
have contracted the disease and recovered
What is the best way to extinguish a flammable liquid fire?
Spray with a class B extinguisher
These are the initials of the federal agency that instituted and and forced regulations requiring the labeling of hazardous materials
OSHA (occupational safety and health administration)
Which mode of infection transmission involves the transfer of an infective microbe to the mucous membranes of a susceptible individual by means of a cough or sneeze?
All of the following are links in the chain of infection except
This is the abbreviation for the organization that is specifically charged with the investigation in control of disease
What is the first action to take to help a victim in shock?
Maintain an open airway
Which of the following would be an unhealthy way to deal with stress?
Make a major life change
A nosocomial infection is one that is
Acquired while in the hospital
This mode of transmission involves contaminated food, water, drugs, or blood transfusions
Phlebotomist who has been diagnosed with strep throat should be
Off work until on an antibiotic for 24 hours and symptom-free
The manufacturer must supply a safety data sheet for
OSHA required devices that remove BBP hazards from the workplace are called
Chemical manufacturers are required to supply safety data sheets for hazardous products by the
OSHA hazard communication standard
What term is used to describe the type of infection that can be spread from person to person?
Which class of fire occurs with flammable liquids?
The first thing to do in the event of electrical shock to a coworker or patient is
Shut off electricity source
The main purpose of PPE is to
Provide the user a barrier against infection
The acronym used to remember the actions to take when using a fire extinguisher is
PASS (pull, aim, squeeze, and sweep)
Which of the following is the best action to take a coworker's clothing is on fire?
Smother the fire with a fire blanket
What type of hazard is identified by the symbol in figure 3-3?
Which of the following bleach dilutions is recommended for cleaning specimen collection area surfaces?
Alcohol-based anti-septic hand cleaners can be used in place of handwashing if
No dirt organic matter is seen on the hands
Which of the following actions violate laboratory safety rules?
Chewing on a pencil while processing specimens, stashing your lunch and a lab specimen refrigerator, and wearing open toed shoes while working in the lab
Approximately how many workplace injuries and illnesses are related to back injuries?
HBV in dried blood on work surfaces, equipment, telephones, and other objects can survive up to
The most common chronic blood borne illness in the United States is
Respirators used to enter rooms of patients with airborne diseases must be approved by this agency
Personal wellness means
Making exercise a priority
Which of the following microbes is a Gramnegative pathogen?
CLSI guidelines say pants one in the laboratory should be this much off of the floor
1 to 1 1/2 inches
This microbe is unaffected by alcohol-based hand cleaner is
Clostridium difficile (c. Difficile)
The most accurate measurements of fitness consist of evaluating these three components
Strength, flexibility, and endurance
The needlestick safety and prevention act directed OSHA to revise the BBP standard to include
The requirement to maintain a sharps injury log
OSHA develop the standard to protect employees from exposure to hazardous chemicals
Test used to screen employees for TB include a
Blood TB test (QFT-G), chest x-ray if test is positive TST, tuberculin skin test (TST)
A change needed to the HazCom standard to align it with the globally harmonized system of classification and labeling of chemicals (GHS) was
Enacting new labeling requirements
Which of the following helps healthcare facilities eliminate HAIs by tracking and identifying problem areas across thr United States?
Good infection control practices include
Scrubs pants that do not touch the HC facilities floor
Which of the following situations would be considered an HAI?
A bedridden nursing home reaident catches a very bad cold
Which of the following would be considered aseptic technique?
Keeping phlebotomy supplies within easy reach
Back injuries can happen when
Heavy items are lifted and properly, patients are moved incorrectly, and undue stress causes back spasms
One of the features of the new healthcare law is its focus on
Providing free preventative services
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