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Phlebotomy Midterm
Phlebotomy Midterm
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1
Patient has been diagnosed w/ anemia. Physician wants to assess bone marrow RBC. What tests should be drawn & analyzed
CBC
Hematocrit
Reticulocyte
Hemoglobin
2
Which test will be delivered to immunology for testing?
BUN
AST
CBC
RPR
3
The following term means a decrease of red blood cells
Thrombocytopenia
Erythrocytopenia
Erythrocytosis
Leukocytosis
4
Veins suitable for possible venipuncture in the anticubital are include all of the following except
Brachial
Median cubital
Basilic
Cephalic
5
Before entering the heart, deoxygenated blood fr. the systemic circ. collects in the:
Aorta
Venae cavae
Right ventricle
Left atrium
6
Patient diagnosed with MI is undergoing investigative testing. MI’s may be the result of which of the following condit.
Atherosclerosis
Phlebitis
Thrombus
Coronary arteriospasm
7
The phlebotomist has runny nose and tickling cough. Might be flu. The phlebotomist should:
Wear a surgical mask when in contact with patients
Keep alcohol based hand washing agent on Phlebotomy tray
Turn head away from patient to cough into the air
Inform supervisor for possible reassignment of duty
8
The outermost layer of the integumentary system is called
Keratin
Subcutaneous
Epidermis
Epthelial
9
Serum is the liquid portion of blood that lacks
Colloidal particles
Electrolytes
Clotting factors
Complement
10
Which of the following is a disorder of the digestive system
Hepatitis
Graves’ disease
Osteoporosis
Asthma
11
The suffix and combining word root for thrombocytopenia means
Disorder, poison- blood cells
Breath, chest- lung
Shape, clot- pieces
Deficiency, clotting- cells
12
The exchange of dissolved gases, nutrients, and waste products in the blood occurs
Lymphatic organs
Arterial beds
Capillary beds
Venous networks
13
The phlebotomist is working in specimen processing & has received a wound culture. The specimen will be delivered:
Hematology
Chemistry
Microbiology
Serology
14
Coagulation testing includes which of the following?
ALT
PTT
CBC
BNP
15
Bloodborne Pathogen Standards policies are designed for the protection of healthcare workers & include free immunization
HBV
HIV
HCV
Both B and C
16
All of the following body fluids require Standard Precautions, except:
Spinal fluid
Peritoneal fluid
Urine
Sweat
17
The venous system functions to
Return blood back to the heart
Divert blood from arteries into visceral organs
Carry oxygenated blood to tissues
Provide nutrients to tissues
18
The process by which blood vessels are repaired after injury is referred to as
Homeostasis
Chemostasis
Hemostasis
Cytostasis
19
A bloodborne pathogen acquired infection that poses 0.8% risk of infection if a healthcare worker suffers parenteral exp
HCV
HIV
HBV
HAV
20
Oxygenated blood exits the heart through
Left atrium
Right ventricle
Aortic semi lunar valve
Pulmonary veins
21
Former or cellular elements of the blood include the following except
RBC’s
Platelets
WBC’s
Plasma
22
Leukopenia refers to
Decreased WBC count
Increased RBC count
Elevated WBC count
Decreased neutrophil count
23
The OSHA mandate that requires manufacturers to supply SDS’s for their products comes from:
DOT Regulations
Bloodeborne Pathogen Standard
NFPA guidelines
Hazard communications (HAZCOM)
24
The NFPA acronym RACE stands for:
Respond, activate, close, escape
Reports, activate, close, extinguish
Rescue, alarm, confine, extinguish
Remove, alarm, contain, escape
25
Maintaining confidentiality includes all of the following except:
Discussing patients on need-to-know basis
Discussing patients in the hallway
Filing patient records
Logging off of the computer
26
The phlebotomist is pouring hydrochloric acid into a 24-hour urine collection container and spills some. Safety protocol
Flush hand with running water for minimum of 15 minutes
Wipe acid off with a paper towel and apply a burn ointment
Run steady stream of saline over the area for 10 minutes
Go to ER for treatment of chemical burn
27
While performing venipuncture, the phlebotomist’s gloves get blood on them. After capping, the phlebotomist should:
Disinfect the outside of micro container with 10% bleach
Put the microcontainer tube in biohazard bag
Rinse outside of micro container with water
Disinfect outside of micro container with alcohol pad
28
The lab is typically overseen by a (an):
Hospital Administrator
Chief of Staff
Assistant Administrator
Pathologist
29
The abbreviation BID means
Couple of times a day
Twice a day
Twice a night
Every two days
30
A blood bank is also referred to as:
Immunology
Hematology
Serology
Immunohematology
31
When the phlebotomist stick her hand in the centrifuge to stop it from spinning, blood splattered in her eye. First aid:
Use eyewash station for minimum of 15 min
Perform saline lavage for minimum of 10 min
Allowing eye to tear up & blot with gauze for 10 min
Run to ER for emergency medical treatment
32
Functions of the integumentary system include all of the following except
Thermoregulation
Integration
Protection
Sensation
33
Lab safety practices include all of the following except:
Tying long hair back from face
Chewing gum in the lab
Avoiding hand-face contact in the work area
Following PPE guidelines
34
The function of the circulatory system includes transportation of all the following except
Lymph Fluid
Hormones, enzymes, nutrients, clotting factors
Waste removal
35
The phlebotomist needs to collect a sample that will yield 5 mL of plasma for a test.. he needs to collect how many mL
10 mL
15mL
5 mL
7 mL
36
Accreditation of Labs is a function of:
CLSI & Joint Commission
CAP & CLIA
Joint Commission & CAP
CLIA & CLSI
37
The phlebotomist is working in specimen processing & notices that one of the specimens is dark yellow after centrifuge.
Hemolyzed
Clear
Icteric
Lipemic
38
Two slightly yellow liquid specimens come into the lab for glucose and PT tests. Hand written with patient’s name etc
Both tubes are plasma-send one to coagulation and one to chemistry
The haziest is the PT plasma, so use it
Cannot make a determination, patient needs to be redrawn
Call physician l’s office to verify
39
Thrombocytopenia means
Decreased clothing time
Increased number of platelets
Normal hemostasis
Formation of blood clots
40
The levels of organization in the body from simplest to complex are
Cell, tissue, organ, system
Cell, tissue, system, organ
Cell, system, tissue, organ
Cell, organ, tissue, system
41
Advanced phlebotomy responsibilities may include:
Ordering add-on tests for patients in the ER Dept.
Passing simple medications
Perform waiver testing
Collecting urine specimens by “cathing” patients unable to perform CCMS
42
The Phlebotomist collected a STAT D-dimer on a patient in open-heart recovery & will deliver it for immediate testing to
Immunology
Coagulation
Chemistry
The blood bank
43
The Needlestick Safety & Prevention Act of 2001 requires employers to do all of the following except:
Switch to safety needle devices for all procedures using needles
Solicit input fr. employees at managerial level on selection of safer devic
Maintain sharps injury log on employees who suffer needlesticks
Review exposure control plans annually to reflect latest updates
44
Proper hand washing techniques require scrubbing palms, between fingers, and under nails for a minimum of:
2 minutes
10 seconds
20 seconds
1 minute
45
The difference between certification and licensure is that:
Certs grant permission to perform a service & grant permission to perform
Licensure grants permission to perform service or procedure, whereas certs
Certification and licensure both document evidence of proficiency to perf
Only certs address both docs of prof. & granting to perform a service or pr
46
Standard Precaut: used in hospitals to prevent spread of HIV & HBV during patient care, apply 2 all bodily fluids except
Urine
Synovial Fluid
Blood
Sweat
47
Characteristics of veins include all of the following except
Have valves to prevent back flow of blood
Closer to the skin surface than arteries
Blood flows back into veins from venules
Have a thicker wall to move blood up to the heart
48
Which of the following is a test for urologic disorder
Myoglobin
Creatine kinase
Blood urea nitrogen
Human chorionic gonadotropin
49
Which of the following words means pertaining to an Artery
Arterio
Atrial
Artery
Arterial
50
The phlebotomist withdraws the needle from the patient & accidentally sticks herself. The first course of action:
Fill out an employee incident report
Decontaminate the puncture site
Get prophylactic medical therapy
Ask the nurse about the patient’s health status
51
A muscular skeletal test includes
BUN
Magnesium
Creative kinase
Amylase
52
The difference between arteries and veins is
Veins contain a thicker muscular wall and are closer to the surface than ti
Veins have thinner wall, valves, and are deeper than arteries
Arteries have thick muscular wall and are deeper than veins in tissue
Arteries have a thick muscular wall, close to surface & are identified by p
53
A radiation symbol on a patient’s door indicates that the patient:
Is allergic to radioactive medication
Has undergone therapy with radioactive isotopes
Cannot be exposed to x-rays or other radiation due to pregnancy
Is scheduled for x-rays
54
Which of the following exhibits a pulsation on palpitation
Arteriole
Vein
Artery
Venule
55
The basic purpose of the hematology department is:
Analyzing the formed elements of the blood
Analyzing cellular markers on WBC’s
Chemically analyzing blood
Analyzing metabolic disorders of the blood
56
The abbreviation UTI mean
Upper thorax infection
Urinary tract infection
Under the intestines
Until further identification
57
In which division of the clinical lab does the phlebotomist work?
Urgent Care
Clinical Pathology
Anatomic/Surgical Area
Outpatient Center
58
Primary function of WBCs is to
Deliver nutrients to body tissues
Protect the body against infection
Remove metabolic waste products
Participate in coagulation
59
The term “Phlebotomy” is derived from the Greek work phlebotomas, which literally means:
Drawing blood from vessels
Puncturing an arterial vessel
Cutting a vein
Removing a portion of the vein
60
The following suffix means blood condition
Osis
Pathy
Emia
Penia
61
All of the following are common lab tests for the digestive system except:
Occult blood
Bilirubin
Microalbumin
Ammonia
62
Standards & guidelines for lab patient testing are set forth by:
JCAHO
CAP
CLSI
CLIA
63
Primary functions of erythrocyte is to
Phagocytize foreign substances
Deliver oxygen to body tissues
Participate in coagulation cascade
Produce antibodies
64
First aid for victims who are bleeding include all of the following except:
Applying direct pressure to the site of bleeding
Elevating limbs above heart level even if broken
Maintaining pressure until medical assistance arrives
Securing a tourniquet if bleeding cannot be stopped by direct pressure
65
When the body acts to maintain a dynamic steady state, it is referred to as:
Biostatic
Hemostasis
Homeostasis
Chemostasis
66
The most important and effective way to prevent the spread of infection&organisms that are antibiotic resistant to other
Wearing gloves
Getting vaccinated
Proper hand washing
Using proper cough/sneeze etiquette
67
The phlebotomist is processing a specimen received for lead testing & is preparing them to be delivered to:
Toxicology
Electrophoresis
Immunochemistry
Chemistry
68
Minimum PPE for routine venipuncture require the use of gloves for the purpose of protecting the:
Phlebotomist fr. Patient blood exposure
Patient fr the risk of HCAI’s fr phlebotomist
Phlebotomist from risk of a needlestick
Patient from chemicals in the hand washing agents
69
The phlebotomist has received a specimen for chromosomal studies & delivers it to which lab department:
Immunochemistry
Cytogenics
Molecular Diagnostics
Cytology
70
The cellular elements that plays an important role in coagulation is
RBC
Fibrinogen
Platelet
WBC
71
The basic purpose of the chemistry department is:
Processing & staining cells in body fluid or tissue samples
Identifying pathogenic microorganisms in patient samples
Examining chromosomes for evidence of genetic disease
Analyzing the chemical components of the blood
72
The phlebotomist suffered a needlestick injury fr. a combative child. She removed tourniquet, told mother to apply press
Went to get another phlebotomist to assist in restraining child
Called supervisor to report incident
Administered first aid to the wound by washing with soap and water
Went to document the stick in the needlestick injury log
73
The term hepatitis means
Inflammation of the blood
Fixation of the liver
Inflammation of the liver
Liver disease
74
Departments of clinical pathology include all of the following except:
Referrals
Immunology
Molecular Diagnostics
Cytogenics
75
Workplace safety is regulated by:
OSHA
NFPA
CDC
HAZCOM
76
On completion of venipuncture the phlebotomist discards needle by:
Recapping & placing needle/tube holder in an approved biohazard bag
Activ. needle safety device & placing needle/tube holder in approv sharp co
Activ. Needle safety device & placing needle/tube unit in biohazard bag
Recapping needle & placing needle/tube unit in approved sharps container
77
Plasma consists of
60% water, 40% solutes
10% water, 90% solutes
55% water, 45% solutes
90% water, 10% Solutes
78
The prefix in the term leukocyte means
White
Cell
Cyst
Pale
79
Anytime you receive a shock touching a centrifuge, you should:
Plug the centrifuge into a different wall socket
Have someone touch centrifuge to see whether he or she, too, gets shocked
Check for a frayed cord, overloaded circuit, bad ground connection
Assume it is static electricity fr. dry air in lab
80
Inflammation of a vein
Arthritis
Phlebitis
Phlebotomy
Thrombosis
81
The main division of the lab that analyzes cells and tissues:
Clinical microscopy
Clinical pathology
Anatomic and Surgical pathology
Clinical lab
82
The greatest bloodborne pathogen risk to lab employees is:
TB
Syphilis
HIV Infection
HBV Infection
83
A patient is placed in protective environment or reverse isolation for:
Protect healthcare workers fr. patients who are treated for high infectious
Protect other patients & visitors in hospital fr possible contamination
Protect immunocompromised patients from infectious agents
Protect patients fr inflicting personal injury during hospital stay
84
The layer of the integumentary system that is rich with capillaries is:
Dermis
Epidermis
Subcutaneous
Epithelial
85
Plasma: cellular composition of whole blood is:
90% plasma, 10% cellular elements
55% plasma, 45% cellular elements
75% plasma, 10% cellular elements
35% plasma, 65% cellular elements
86
Endocrine disorder tests include
RSV
CSF
FSH
HCV
87
A clinical lab worker who has a 4-year degree in the field of clinical lab sciences is called a:
Phlebotomist
Medical Lab Scientist
Medical lab tech
Clinical lab tech
88
The medical abbreviation NPO means
Nonprofit Organization
Nothing by mouth
New personnel orientation
Nephrology postoperative
89
The phlebotomy department was called and a specimen needs to be redrawn, not enough serum. The abbreviation for this:
qid
qs
qod
qns
90
CDC guidelines for healthcare facilities & professionals include the use of Standard Precautions, which serve to:
Protect the privacy of patients and their families
Keep healthcare costs down for hospitalizations and medical procedures
Reduce the risk of transmission of bloodborne and other pathogens
Determine who should be hospitalized and for how long
91
The single greatest job related risk to all Heath care workers, and one that is especially perilous for phlebotomist, is
Needle sticks
Pathogen Exposure
Radiation exposure
Chemical exposures
92
Which of the following lab tests is used for bone and joint disorders
Sodium
Triponin
Potassium
Calcium
93
Personal characteristics of a phlebotomist should include all of the following except:
Honesty and integrity
Aggressiveness
Assertiveness
Professional detachment