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Terms in this set (199)
Another name for blood bank is
With which other hospital department would the laboratory coordinate therapeutic drug monitoring
Promoting good public relations is part of the phlebotomists roll because
a phlebotomist is a representative of the laboratory throughout the facility, good public relations promotes a harmonious relationship with the staff, patients often equate venipuncture experiences with the overall hospital care.
Outpatient phlebotomy, such as in a physician's office or patient care service center, will be assigned a code for reimbursement using which national coding system?
Which department is responsible for administering oxygen therapy?
The term used to describe sophisticated and highly complex medical care is
The term "phlebotomy" is derived form greek words that, literally translated, mean
Proof of participation in workshops to upgrade skills required by some agencies to renew certification is called
Which of the following is an example of a barrier to effective communication with a patient? The patient..
does not speak english, is a very young child, is emotionally upset.
Which of the following is an example of a confirming response to a patient?
I understand how you must be feeling
Which of the following is an example of negative kinesics?
Which of the following communicates unprofessionalism
intense odor of cologne
It is improper telephone protocol to:
hang up on angry callers
The term used when blood is withdrawn to dangerous or deadly limits is
The study of a person's concept and use of space is known as
Drawing a patient's blood without his or her permission can result in a charge of
assault and battery
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
Which of the following would not violate a patient's right to confidentiality
sharing collection site information on a difficult patient
Malpractice is a claim of
If a phlebotomist (blank), he or she is negligent
fails to put the needle and holder in the sharps container
A national organization that sets standards for phlebotomy procedures is the
Which on of the following examples is unrelated to quality control?
employees filling out their time sheets daily
When the threshold value of a clinical indicator of QA is exceeded and a problem is identified
a corrective action plan is implemented
The "standard of care" in the practice of phlebotomy is influenced by which of the following organizations?
The joint commission
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?
suggestion for new guidelines
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
According to standard first aid procedures, severe external bleeding is best controlled by
applying direct pressure
Class C fires
involve electrical equipment
An example of employee screening for infection control is
Which of the following is not on of the code words in the NFPA order of action in the event of a fire?
The purpose of "protective" isolation is to
protect susceptible patients form outside contamination
The OSHA HAZCOM Standard is also commonly called the
What is the proper order for putting on protective clothing?
Gown first, then mask, gloves last
Federal law requires that hepatitis B vaccination be made available to employees assigned to duties with occupation exposure to risk
within 10 working days of initial assignment
What is the first thing the phlebotomist should do in the event of an accidental needlestick
decontaminate the site an fill out an incident report
The main principles involved in radiation exposure are
exposure time, distance, and shielding
Examples of nosocomial infections include
when a catheter site of a patient in ICU becomes infected
Which of the following is an example of a means of transmission that differs from parental transmission?
drinking water from a contaminated glass
Which of the following is an example of a work practice control that reduces risk of exposure to bloodborne pathogens?
Which type of contact infection transmission involves transfer of an infective microbe to the mucous membranes of a susceptible individual by means of a cough or sneeze?
What part of the term "osteochondritis" is the suffix?
Which of the following word parts is a prefix?
The medical term for white blood cell is
Which of the following terms means kidney inflammation?
Only the second vowel of the ending is pronounces in the word
The letter "g" is pronounced like a "j" in
The abbreviation "ESR" means
erythrocyte sedimentation rate
What word means "condition of clotting?"
What word means "hardening of the artery?"
What is the word root in the word "electrocardiogram"?
which of the following structures int eh skin give rise to fingerprints?
Which of the following is nervous system disorder?
A major cause of respiratory distress in infants and young children is
respiratory syncytial virus
Which of the following is a function of the urinary system
to maintain electrolyte balance
Which of the following is a test of the urinary system?
The ability of the body to repair and maintain itself to achieve a "steady state" defines what term?
Which of the following types of muscle is under voluntary control?
Which of the following is a test of the respiratory system?
ABGs (arterial blood gas)
The layers of the skin containing blood vessels are
dermis and subcutaneous
Which one of the following basic tissue types covers and line organs, vessels, and cavities
The receiving chambers of the heart are the
The relaxing phase of the cardiac cycle is called
Which of the following represents the proper direction of blood flow?
From arterioles to capillaries ot venules
A blood clot circulating int eh bloodstream is called an
Which blood cell has the ability to pass through the blood vessel walls?
An individual's blood type is determined by the presence of absence of a certain type of
antigen present on the red blood cells
How can you visually tell serum from plasma
you cannot visually tell them apart
hemostasis refers to
the stoppage of bleeding
lymphatic fluid originates from
excess tissue fluid
Which of the following veins is not an antecubital vein?
Which test must be performed on whole blood?
A major difference between arteries and veins is that most veins
have one way valves
The last choice vein for venipuncture is the (blank) vein
a specimen that has clotted and been spun down yields
blood that is flowing back to the heart is (blank) blood
Which needle gauge has the largest lumen?
The test performed in the following department are typically collected in a tube with a light blue stopper
The tube with a green stopper normally contains
The purpose of an antiglycolytic agent is to
The solution normally used to clean the site before routine venipuncture is
When latex or vinyl strap tourniquets become soiled with blood, it is best to
throw them away
What is the most important factor in choosing which gauge needle to use for venipuncture?
size and condition of the vein
Which additive is usually present in a tube with a lavender stopper?
Glass particles present in serum separator tubes
Heparin prevents blood from clotting by
Which of the following is a disinfectant?
The slanted tip of the needle tat enters the vein is called the
According to CLSI standards, which tube is filled last when using a syringe?
There is a request to draw a specimen form an inpatient by the name of John Doe. Which of the following is an acceptable way to confirm the patient's identity?
Match the ID band and requisition with his verbal statement of ID
The following tests have all been ordered at the same time on different inpatients. There is only on phlebotomist on duty. Which test should the phlebotomist collect first?
STAT electrolytes in the ER
Doing this during the vein selection process is bad for the specimen
Allowing the patient to pump his or her fist
The patient is just finishing a big breakfast as the phlebotomist arrives to draw a fasting specimen. What should the phlebotomist do?
Check with the patient's nurse to see if the specimen should still be collected
What may happen if you mix a specimen too vigorously?
Never leave a tourniquet on for more than
How can you tell that you are in a vein when using a needle and syringe
You will normally see blood appear in the hub of the needle
What is the most critical error a phlebotomist can make
misidentifying a patient specimen
What would be the system of choice to identify laboratory specimens form an unconscious, unidentified women in the ER?
Use a three-part identification band and labels
The priority designation for a test request is based on all father following except
age and gender
A phlebotomist arrives to draw a specimen form an inpatient. The patient's door is closed. What should the phlebotomist do?
knock softly, open it slowly, and ask permission to enter
The patient asks if the specimen about to be drawn is for a diabetes test. How should the question be answered?
Say, "It's bes tot discuss that with the doctor."
An unconscious patient is not wearing an ID band. There is an ID band taped to the patient's IV pole with information that matches the requisition. What should the phlebotomist do?
Only draw the specimen after an ID band has been applied
What is the purpose of waiting 30 seconds for the alcohol to dry before needle insertion?
Evaporation helps destroy microbes, it avoid s stinging sensation and prevents hemolysis of the specimen
A blood smear made from an EDTA specimen should be made
within 1 hour of collection
What is the Clinical and Laboratory Stands Institute (CLSI) recommended maximum depth of heel puncture?
Why are EDTA specimens obtained before other specimens when collected by skin puncture?
To minimize effects of platelet clumping
Why should a laboratory report form indicate the fact that a specimen has been collected by capillary puncture?
Because test results can vary depending on the method of collection
Which of the following is the safest area for infant heel puncture
The lateral plantar surface
A capillary puncture should be done rather that a venipuncture in all father following situations except when
a light blue top tube is needed
The purpose of wiping away the first drop of blood during skin puncture is to
eliminate tissue fluid contamination
Capillary puncture blood most closely resembles
What does the term "calcaneus" mean?
Capillary puncture blood reference ranges are higher for this analyte
What is PKU
a hereditary inability ot metabolize phenylalanine
It is necessary to control depth of lancet insertion during capillary puncture to avoid
injuring the heel bone
What is the purpose of warming the site before skin puncture?
It increases blood flow up to seven times
Which micro collection container would be used to collect a specimen for a CBC?
A capillary puncture site should not appear (blank), which is scribed as being bluish from lack of oxygen
A good blood smear should exhibit a (blank) edge
Capillary bilirubin specimens should be protected from (blank)
Which intense most closely resembles basal state? A patient who has
just awakened at 0600 after fasting all night
You must draw a proem specimen form a patient with IVs in both arms. Which of the following is the best thing to do? Draw the specimen
Below an IV
It is not a good idea to collect a CBC specimen from a screaming infant because the
white blood count amy be falsely elevated
You have no choice but to draw a specimen from a site with a hematoma. Where should you obtain the specimen?
Distal to the hematoma
Prolonged tourniquet application may cause a change in blood composition primarily because of
Which of the following vascular access devices is placed in a peripheral vein for the purpose of blood collection and administration of medication?
A [hlebotomist has attempted twice to draw a partial thromboplastin time (PTT) specimen forma patient with difficult veins. Both times the phlebotomist has been able to draw only a partial tube. What should he phlebotomist do?
have another phlebotomist attempt to draw the specimen
Why do pregnant patients have lower reference ranges for red blood cell counts?
Body fluid increases in pregnancy, diluting red blood cells
Levels of this analyte can differ by 50% of more between morning and late afternoon
Which instance may lead you to suspect that you have accidentally punctured an artery?
The blood pulses into the tube
If blood is drawn too quickly form a small vein, the vein will have a tendency to
How long before obtaining blood for testing should drugs known to interfere with blood tests be discontinued?
4 to 24 hours
A fistula is a
permanent fusion of an artery and vein
When a test requires a fasting specimen, but the serum is (blank), it is a clue that the patient was not fasting
Tests influenced by diurnal variation are often ordered as (blank) test, and it is important to collect them as close as possible to the time ordered.
When the additive from a tube "backwashes" into the patient, it is known as (blank)
Removing blood on a regular basis or in large amounts can lead to (blank) anemia
The medical term for fainting is
Obstruction or complete stoppage of lymph flow is called (blank)
A condition in which blood components that cannot easily lead the bloodstream become concentrated in the smaller plasma volume is known as (blank)
Of the following tests, which is most likely to result in fatal consequences if the patient is misidentified?
type and crossmatch
Which test requires strict skin antisepsis procedures before specimen collection
What type of additive is recommended for collecting an ethanol test specimen?
When perfuming a GT, the timing should begin
as soon as the patient finished the drink
At what intervals is the blood blotted during a bleeding then test?
To prevent introducing a contaminating substance into a trace-element collection tube, it is suggested that the phlebotomist
draw it by itself using a syringe or evacuated tube system
When collecting a blood culture specimen directly form a butterfly into blood culture bottles, which should be filled first?
Which of the following tests may require special "chain of custody" documentation when collected?
Identify the condition in which a unit of blood is withdrawn form a patient as treatment
Which of the following tubes can be used to collect blood for a type and crossmatch?
Pink top EDTA tube
An autologous blood transfusion is a transfusion of blood
donated by the patient for the patient
The most critical aspect of blood culture collection is
This test requires a specimen with a 9:1 ratio of blood to anticoagulant
The hormone detected in positive urine pregnancy tests is
Tests that can be performed using special POCT instruments or test kits include
Arterial blood gases, glucose, occult blood
TDM is used by physicians to
determine a beneficial drug dosage for a patient
A 2-hour postprandial specimen should be drawn
2 hours after the patient has had a meal
A specimen would most likely be accepted for testing despite this problem
No phlebotomist initials
Which of the following is used by the laboratory to identify a specimen throughout the testing process?
An example of a pre analytical error happening during specimen processing is
Which of the following would not be considered a pre analytical error
misreporting patient results
This is a source of pre analytical error that occurs before specimen collection
Which of the following specimens needs to be chilled
This organization develops standards for specimen handling and processing
According to CLSI, the maximum time limit for separating serum or plasma form cells is
2 hours form the time of collection
Which of the following specimens are least likely to require special handling?
cholesterol and uric acid
Which statement describes proper centrifuge operation?
Place tubes of equal size and volume opposite one another for balance
Which of the following collection circumstances is least likely to result in delayed clotting of a serum sample?
Collection was difficult, hemolyzing red cells
Which specimen can be centrifuged immediately upon arrival in specimen processing?
calcium in a green top tube
Which of the following represents improper aliquot preparation?
carefully pouring the contents into the aliquot tube
What is the recommended procedure for collecting 24-hour urine sample?
void the first morning specimen, start the timing, and collect all other specimens including the next morning's specimen
Which fluid is obtained by lumbar puncture?
Which fluid is aspirated form the peritoneal cavity?
What additional information is typically required when labeling non blood specimen?
specimen type and source
This test involves intravenous administration of histamine or pentagstrin
which of the following tests requires a 24-urine specimen?
A refrigerated stool sample would be unsuitable for this test
ova and parasites
A urine C&S is typically ordered to detect
presence of UTI
An NP culture swab is collected to detect the presence of organism that cause
A first morning specimen is preferred for hCG testing because it is
typically more concentrated
drugs of abuse can be detected in
hair, saliva, urine
Which type of specimen must be protected form light
Sputum samples are typically collected to diagnose
Which artery is typically the easiest to access during low cardiac output?
the artery of choice for ABG collection
When perfuming the Allen test, which artery is released first?
What happens to an ABG specimen left at room temperature for a prolonged period?
Blood less continue to consume oxygen, continued metabolism produces acids, levels of carbon dioxide increase
After perfuming arterial puncture, check the pulse
distal to the puncture site
Which of the following is the most common arterial picture complication even when proper technique is used
The most common deemed size for routine radial ABG specimen collection is
To maintain the integrity of an ABG specimen collected in a plastic syringe, it should be
analyzed within 30 minutes
Heparin is used in ABG specimen collection
to prevent clotting of the specimen
Which of the following patient's would be considered to be in a "steady state" for ABG specimen collection?
A patient who has been asleep for 30 minutes while breathing room air
Which of the following is the proper needle insertion angle for radial artery puncture
which of the following si the best way to tell that a specimen is arterial? As the specimen is collected, the blood should
pulse into the syringe
The proper cleaning solution for preparing an arterial puncture site is
A patient who has been at rest and has not had any changes in respiratory therapy for 20-30 minutes is in a (blank) state
When an area is supplied with blood from more than one artery, there is (blank) circulation
The fluid found around fetus is known as
mucus or phlegm from the lungs is called
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