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Phlebotomy BOL
Phlebotomy BOL
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1
Equipment for a BT test includes all of the following except
evacuation tubes
filter paper
blood pressure cuff
alcohol pads
2
ABG stands for?
Artery Basilic Cavity
Arterial Body Gustonomy
Another Bighead Girl
Arterial Blood Gas
3
Puncture width for a heel stick on an infant should never exceed
1.75mm
2.5mm
2.0mm
3.0mm
4
If there is no arterial pulse or the patient complains of pinching or numbing of the arm
The needle has gone through the vein
The tourniquet is too tight
Too much blood has been drawn
The patient is dehydrated
5
Capillary blood has higher ____ and ____ levels than venous blood
sodium, calcium
protein, plasma
bilirubin, chloride
glucose, hemoglobin
6
The body's state after 8 to 12 hours of fasting and abstention from strenuous exercise is called
dorsal state
basal state
hunger state
Lone Star state
7
Blood banks use what size needles for transfusions?
24-26
10-12
12-14
16-18
8
Patients with burns or scars over venipuncture sites are at risk for which of the following?
Anemia
organ tissue damage
venous thrombosis
all of the above
9
Which vein can you palpate on an obese patient?
iliac
median
cephalic
basilic
10
Normal BT (bleeding time) is
1 to 2 minutes
30 to 60 minutes
2 to 10 minutes
30 to 60 seconds
11
Reasons for specimen rejection/ recollection
defective tube
B & C
the patient was unconscious during the draw
drawing from the wrong vein
12
When selecting a needle for venipuncture, what does not matter?
condition of the vein
how many tests are ordered
size of the vein
patient's size
13
The most important step in routine venipuncture is
vein selection
applying the tourniquet
positive patient ID
needle selection
14
When encountering a disgruntled patient who refuses to have his/her blood drawn, what should you do?
ignore the patient and attempt the draw
calmly explain the procedure, and ask for consent
call for security
leave the room and notify the nurse
15
Excessive removal of blood at the request of a physician
Occlusion
Latrogenic anemia
Lactate dehydrogenase
Dehydration
16
Which of these is a correct order of draw?
red, yellow, green
yellow, gray, gold
lavender, light blue, tiger top
yellow, gold, gray
17
An Advanced Beneficiary Notice of Noncoverage (ABN) is also called what?
requisition form
consent form
procedure policy
waiver of liability
18
The term "evacuated" means what?
Additives
Vacuum
Vaporized
Colored
19
Needles can be used how many times?
Only once
Unlimited
No more than 4
Twice
20
During a BT test, wick the blood every ____.
30 seconds
60 seconds
2 minutes
15 seconds
21
Factors that may have a significant effect on the sample quality of a collection include
pregnancy
all of the above
medications
altitude
22
Which of the following is not an anticoagulant?
Polymer gel
Sodium citrate
EDTA
Sodium heparin
23
Reddened, swollen area where blood collects under the skin
Hemoconcentration
Hemolysis
Homeostasis
Hematoma
24
What agent is used to clean the puncture site?
Aerosol
Antiseptic
Detergent
Disinfectant
25
Winged infusion sets (WIS), are also called
butterfly
lotus
birdie
spider
26
Veins that are occluded are
collapsed
blocked
rolling
thin
27
What's the first step when completing a routine venipuncture?
Washing your hands
Selecting the vein
Applying the tourniquet
Greet and identify patient
28
What is the fluid part of the blood that remains after clotting?
formed elements
plasma
electrolytes
serum
29
Blood collected in gray- topped tubes is used for which test?
FBS
Stat chemistry
CBC
Stat potassium
30
Safety regulations for skin puncture devices are decided by ____.
OSHA
NRA
FMLA
BBB
31
Complications during collection may include
Nausea
All of the above
Syncope
Seizures
32
____ and ___ variables are higher in infants than they are in adults.
Progesterone, triglycerides
Testosterone, lactic acid
RBC, WBC
Cholesterol, estrogen
33
Which of these is a correct order of draw?
blood culture, stat chemistry, CBC
glucose tolerance, coagulation, blood culture
FBS, serology, blood culture
ABG, FBS, CBC
34
The additive sodium citrate is used in blood collection to test for
lead
blood alcohol
prothrombin time
lactic acid
35
When performing a dermal puncture, the puncture should be
on the tip of the finger
distal to the joint
on the edge of the finger
perpendicular to the whorls of the fingerprint
36
Puncture depth for a heel stick should not exceed ____, because of the calcaneus.
3.15mm
2.0mm
2.85mm
2.5mm
37
Maintaining a steady state of good health
understate
hemostasis
compartment state
homeostasis
38
When drawing a blood alcohol test, clean the site with ____ before the draw.
methanol
povodine-iodine
ethyl alcohol
tincture of iodine
39
The destruction of red blood cells is called what?
Hemoconcentration
Hematoma
Petechiae
Hemolysis
40
A large amount of bleeding into the tissue surrounding the puncture site causes what
lymphoma
hematoma
coagulation
compartment syndrome
41
With obese patients, your needle should be at least ____ long because of excess tissue between the vein and skin.
2 inches
0.5 inches
1 inch
1.5 inches
42
The hollow tube within the shaft is called what?
Bevel
Point
Lumen
Hub
43
Polymer gel is also called what?
heparin
glucose glue
thixotropic gel
EDTA
44
Which vein is 1st choice in routine venipuncture?
basilic
iliac
median cubital
cephalic
45
Veins that are sclerosed are
may produce eroneous test results
susceptible to infection
hardened
all of the above
46
Specimen collection errors occur because of what variables?
preanalytical
all of the above
postanalytical
analytical
47
Blood from capillary collection can not be used on which tests?
Coagulation tests
ESR
Blood cultures
All of the above
48
On a finger stick, depth of the puncture should never exceed
1.5mm
2.0mm
3.0mm
2.25mm
49
If a patient has an IV in one of their arms, you would ideally draw from where
the median cubital vein on the opposite arm
neither arm because they're on the IV
the basilic vein on the arm with the IV
any vein distal to the IV
50
Tying the tourniquet too tight can cause which of the following?
Petechiae
All of the above
Hemolysis
Hemoconcentration
51
The three types of blood specimens used for analysis are what?
plasma, platelets, partial
RBC, WBC, CVC
RBC, WBC, Platelets
Whole blood, serum, plasma