Mental impairments that can make working with geriatric patients difficult?

Dementia, forgetfulness, confusion

Which of the following are purposes for a requisition (select all that apply).

Allowing for equipment to be properly gathered, Determining specimens to be collected, Identifying the patient

Primary defense in malpractice charges?

Proving that the standard of care was followed

Specimens that are used for ACT test?

Dermal puncture whole blood, sodium citrate

What parts of the heel are accepted for heel sticks?

Medial or lateral boarders of plantar surface

What happens if you squeeze or milk the capillary puncture site?

It can cause hemolysis of the blood

Can you wear a scrub jacket for specimen processing?

No, you need fluid resistant gown

What is the basal state?

Abstention from exercise and fasting for 12 hours

What steps fall under pre-analytical variables?

Patient prep, requisition handling, and specimen collection

Why is palpating necessary prior to venipuncture?

To determine the depth, bounciness, and direction

Maximum amount of time a specimen may sit unprocessed prior to delivering to lab?

45 mins, but no longer than 2 hours

What is hemoconcentration?

Increase in the ratio of formed elements to plasma

What is battery in phlebotomy?

Intentional touching of another person without consent

What is assault in phlebotomy?

Unjustifiable attempt to touch someone or threat to do so

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Phlebotomy Final

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Answers

1
Mental impairments that can make working with geriatric patients difficult?
Nervous, shy, and quiet
Dementia, forgetfulness, confusion
Energetic, fussy, and move around
They talk a lot
2
Which of the following are purposes for a requisition (select all that apply).
Allowing for equipment to be properly gathered
Determining specimens to be collected
Identifying the patient
Properly disinfecting the venipuncture site
3
Primary defense in malpractice charges?
Proving that the standard of care was followed
Proving that all primary care was followed
Proving that post-analytical variables were met
Proving that pre-analytical variables were met
4
Specimens that are used for ACT test?
Venipuncture whole blood, sodium citrate
None of the above
Winged infusion set whole blood, sodium citrate
Dermal puncture whole blood, sodium citrate
5
When is it acceptable to remove pressure after venipuncture?
Once the platelet plug forms
Once the vein closes up
Once the patient says they are good
Once the needle is pulled out
6
Which fingers are the most commonly used for finger sticks?
Ring and Pinky
Middle and index
Ring and middle
Ring and thumb
7
The EDTA tube has what color stopper?
Lavender
Gold
Green
Light Blue
8
What parts of the heel are accepted for heel sticks?
Directly on either side
Medial of plantar surface and top surface of the foot
Medial or lateral boarders of plantar surface
Middle of heel
9
Heparin tube has what color stopper?
Lavender
Gray
Red
Green
10
What happens if you squeeze or milk the capillary puncture site?
That is correct protocol
It can cause hemolysis of the blood
It can cause hematoma in the blood
The finger will probably be amputated
11
Can you wear a scrub jacket for specimen processing?
Yes, it will be fine to wear
No, you need fluid resistant gown
12
What test is ordered for newborn jaundice?
Blood cultures
CBC
Bilirubin
SPS
13
What portion of the blood is tested in a yellow top tube?
Serum
Whole blood
Plasma
14
Correct angle when using a butterfly needle?
15-30 degrees
10-15 degrees
17 degrees exact
20-25 degrees
15
What portion of blood is used in a yellow top tube?
Plasma
Serum
Whole blood
16
What is the basal state?
The balanced state the body should be maintained in
Absence of anxiety within the body
The calm state within the body
Abstention from exercise and fasting for 12 hours
17
Is a random stool sample appropriate for testing for parasites?
Yes
No
18
Normal range for bleeding time test?
5 minutes exactly
2-10 minutes
2-10 seconds
A day
19
A sodium citrate tube has what color stopper?
Light blue
Lavender
Green
Gray
20
What specimen is used for an occult blood test?
Stool
Plasma
Urine
Whole blood
21
What tube is erythrocyte sedimentation rate collected in?
Yellow
Gray
Lavender
Red
22
What gauge needle is common in pediatrics?
25g
18g
23g
21g
23
How many times should the tubes be inverted immediately after drawing?
5-10x
2-5x
10-15x
6-8x
24
What additive is in a gold top tube?
SPS
Nothing
Polymer gel
EDTA
25
If needed, I can repalpate before performing the venipuncture after cleansing the site
False
True
26
For and H&H test, what tube/additive is used?
Light blue, sodium fluoride
Lavender, EDTA
Light blue, sodium citrate
Lavender, CBC
27
Which two identifiers are required when properly identifying the patient?
First name and DOB
Full name only
DOB only
Full name and DOB
28
Dermal puncture devices come in what selections of depth?
2.5in and 5.5in
2.5mm and 5.5mm
2.0mm and 3.0mm
2.0in and 3.0in
29
What test is run in a tan top tube?
Chemistry
Lead analysis
Trace metals
D-dimer
30
What steps fall under pre-analytical variables?
Patient posture, patient transportation, and specimen processing
Patient prep, requisition handling, and labeling
Patient posture and patient prep
Patient prep, requisition handling, and specimen collection
31
Which blood culture bottle is drawn first when using a winged infusion set?
Aerobic
Anaerobic
32
What test is light blue tube associated with?
Blood bank
Chemistry
CBC
D-dimer
33
Why is palpating necessary prior to venipuncture?
To determine depth, rigidness, and direction
To determine the depth, bounciness, and direction
To determine the depth, bounciness, and warmth
To determine whether or not you want to perform the venipuncture
34
The phlebotomist has control over site selection, tourniquet application, and site cleaning
False
True
35
What info would an H&H test present to a physician?
Assess the presence of HIV
Assess the presence of diabetes
Assess the presence of anemia
Assess the presence of Hemoglobin and Hematocrit
36
The no additive tube has what color stopper?
Blue
Green
Yellow
Red
37
How long should a heel warming device be on an infant's foot?
3-5 minutes
5-10 minutes
2 minutes
10 seconds
38
Can a phlebotomist control pre-analytical variables?
Yes
No
39
What can occur if tourniquet is left on for too long? (select all that apply).
Hematoma
Eczema
Petechiae
Hemoconcentration
40
Maximum amount of time a specimen may sit unprocessed prior to delivering to lab?
No longer than 24 hours
45 mins, but no longer than 4 hours
45 mins, but no longer than 2 hours
Whenever you get a free moment
41
Which vein is easiest to palpate on obese patients?
Basilic
Median Cubital
Cephalic
Dorsal
42
A sodium citrate tube would be chosen for which department testing?
Microbiology
Hematology
Chemistry
Coagulation
43
What is hemoconcentration?
Bruise from the venipuncture procedure
Increase in the ratio of formed elements to plasma
Increase in the ratio of plasma to whole blood
Blood build up under the skin
44
The sodium fluoride tube has what color stopper?
Red
Lavender
Green
Gray
45
What test in run for a Gray top tube?
Blood cultures
D-dimer
Chemistry
CBC
46
What tube is used for blood culture tests?
Red
Blue
Yellow
Green
47
What is battery in phlebotomy?
What to put inside electronics to get them to work
Unjustifiable attempt to touch someone or threaten to do so
Threatening to poke a patient without consent
Intentional touching of another person without consent
48
Squeezing and scraping is the perfect technique for dermal punctures.
False
True
49
Is fasting, ASAP, STAT, or timed draw your first priority?
Timed
Fasting
ASAP
STAT
50
What common tests must be protected from light?
Vitamin B12, Bilirubin
Bilirubin only
Vitamin C12, Bilirubin
Magnesium and Vitamin D
51
What is assault in phlebotomy?
Intentional touching of another person without consent
A seasoning that goes with pepper
Unjustifiable attempt to touch someone or threat to do so
Sticking a needle into the antecubital fossa without verbal consent
52
Routine venipuncture is most commonly used in pediatrics
False
True
53
When should the safety device be activated?
After the blood dries
Immediately
Never
Once the patient leaves
54
A red top tube yields what kind of specimen?
Serum
All of the above
Plasma
Whole blood
55
How long must a serum tube sit to clot before centrifugation?
30-45 minutes
20-30 minutes
35-60 minutes
20-35 minutes
56
Patient is sleeping, but you have to draw blood... What's next?
Come back at a different time
Carefully wake them up before proceeding with the procedure
Don't wake them and just continue with procedure
Turn the lights on and announce yourself very loudly
57
What is Petechiae?
Small, non raised, red spots on skin
Being allergic to the sun
Disease you get from needles
Small, raised, red spots on skin
58
When must blood collection tubes be labeled?
You allow the blood to stand overnight before labeling
At the patients bedside following the procedure
The patient labels them
You give them to the nurse to fill out with the doctor
59
What is edema?
Swollen appearance because of accumulation of tissue fluid
The swelling of the feet when standing for too long
Another word for hematoma
Dry, cracked skin that can be painful
60
What looking for a vein, which vein is our second choice?
Median Cubital
Dorsal
Basilic
Cephalic
61
What is HIPAA for?
Set of procedures and rules within a manual
Set of standards and healthcare providers to ensure quality of care
Abbreviation for hippopotamus
Set of standards and procedures for the protection of health information
62
The SPS or ACD tube has what color stopper?
Lavender
Green
Yellow
Gold
63
Ratio of plasma to red blood cells?
45% Plasma, 60% RBCs
60% Plasma, 40% RBCs
40% Plasma, 60% RBCs
40% Plasma, 65% RBCs
64
Lipemia?
Fats in lips
Fats in whole blood
Fats in serum
Fats in plasma
65
What tubes will be used in an H&H, BUN, and Creatinine be collected in?
Lavender, Gold
Gray, Green
Lavender, Yellow
Gray, Pink
66
What is the best time to collect a urine sample for a UTI?
First morning void
After a large meal
First morning after 8hr fast
Whenever
67
Provides physician with a "snapshot" of the inner workings of the body?
Stool sample
Sperm sample
Blood specimen
Urine sample
68
What is used for blood alcohol test when a patient is allergic to iodine?
Chlorhexidine Glucose
Alcohol prep pad diluted with water
Chlorhexidine Gluconate
Just proceed without it
69
What is point of care?
The performing of a test hours after obtaining sample
The performing of a test with the doctor in the room to observe
The performing of a test immediately after obtaining sample
The practice of performing a test after obtaining a sample
70
What is the additive in the pink top tube?
EDTA
Sodium fluoride
SPS
Sodium citrate
71
Hemolysis??
Scar tissue
Build up of blood under the skin
Destruction of WBCs
Destructions of RBCs
72
How long does a patient have to drink the glucose drink for 3hr GTT?
10 mins
5 mins
3 mins
5 hours
73
What of the following is NOT a barrier to blood flow when drawing blood
Pumping of the fist
Missing the vein
Improper needle insertion
Defective tube
74
What type of specimens are acceptable for testing hCG?
Serum, plasma, stool
Serum, plasma, and urine
Serum, plasma, whole blood
Serum, amniotic fluid, urine
75
Why would a specimen get rejected from the lab?
Clotted blood and QNS
Smells funny
Hematoma and Hemolysis
Label is on straight and it came in on time
76
What role does cell density play in centrifugation?
Separates sample based on cell density
Aids as a clotting factor
Allows the sample to mix properly
Breaks up any clots in the sample
77
What portion of the blood is tested in a red top tube?
Plasma
Serum
Whole blood
78
Should we draw on the same arm of the mastectomy side?
Yes, it is fine to do so
No, there is an increased risk for infection
79
Will I pass the final?? (:
YESSSSSSS
No /;
80
What tests are ordered "timed"?
Medication levels
Occult blood
No test is timed
All tests
81
Common urine tests?
Protein only
Creatinine, Protein
Creatine Kinase, Protein
Creatine Kinase, Creatinine
82
What department does Lavender go to?
Hematology
Chemistry
Microbiology
Nephrology
83
How deep are typical heel sticks supposed to go?
2.5mm
3.0mm
2.0mm
4.0mm
84
Why would a doctor order a digoxin level test? Is it timed?
For liver function; Timed
For cardiac medication; Timed
For cardiac medication; Not timed
For liver function; Not timed
85
When do you remove tourniquet?
Before removing the needle
After removing the needle
86
The antecubital fossa is the preferred place to draw on geriatric patients
True
False
87
What does H&H stand for?
Hemoglobin and Hematocrit
Hematocrit and Hematoma
Hemoglobin and Hematoma
Hemolysis and Hematoma
88
What should you do if your hospital patient doesn't have an ID band?
Ask a family member to confirm so you do not bother anyone
Put one on yourself
Page the surgeon out of surgery to confirm
Ask the nurse to confirm and put a new one on
89
What is a pneumatic tube system?
Transport of tubes from place to place for barcoding
Transport of specimen in sealed container within network of tubes
The numbering of tubes
The act of labeling tubes one by one
90
Having a patient pump their fist is bad and can cause hemoconcentration
False
True
91
How many minutes before a dose of vancomycin must you draw the trough?
40 mins
35 mins
30 mins
45 mins
92
What demonstrates a good slide?
Straight edge, no holes, and a few streaks
Feathered edge, no holes, and no streaks
Straight edge, no holes, and no streaks
Feathered edge, plenty of holes, and no streaks
93
Why does puncture width matter for dermal puncture?
Severs more capillaries which produces a greater flow
It doesn't matter
Severs more skin giving a bigger opening for blood to flow
It can be dangerous and cause damage
94
Quality control is...
Quantitative methods used to monitor the quality of procedures
Qualitative methods used to monitor the quality of procedures
95
Quality assurance is...
Patient transport and collection of specimens
Patient preparation, collection, and specimen transport protocols
Hospital protocols and adequate care of patients
Transport of specimens, patients, and collecting of blood samples
96
What is negligence?
Just simply failing
Failure to perform a routine venipuncture
Failure to perform action consistent with standard of care
Failure to give your patient full attention
97
What test is royal blue top tube associated with?
ABGs
Glucose tolerance test
Lead analysis
Trace metals
98
What test is run in a green top tube?
ABGs
Glucose tolerance test
CBC
Blood cultures
99
Why would you not use an expired blood collection tube?
Because it will take longer to get results back
Because it is contaminated
Because it has been used
Because the vacuum wont work properly
100
What department does light blue go to?
Microbiology
Coagulation
Hematology
Chemistry

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