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Certification Review
Certification Review
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1
Standard or Universal precautions are?
Are not required
Designed to reduce the risk of transmission of microorganisms in facilities
Are enforced by law enforcement
Regulations about how many patients we can stick
2
What collection tube is most appropriate for a DIFF?
Purple Top
Blue Top
Green Top
Gold Top
3
Approximately how many minutes does it take for a specimen without additives to clot?
30
120
10
45
4
What should a phlebotomist do if the patient has family visiting when they arrive to collect blood?
Ask the nurse to clear the room
Come back later
Ask the patient if they would like the visitors to step outside
Cancel the test, the patient is going home
5
The identification process for phlebotomy should include?
The patients room number
The information on the patients door
A 3-way match with verbal, ID bracelet, and requisition
The patients doctor
6
As the diameter of a needle increases, the gauge of the needle?
Increases
Decreases
Grows wings
Stays the same
7
What is the proper sequence for removal of isolation apparel when goggles, gloves, and gown are required?
Goggles, gown, gloves
Any order
Gloves, goggles, gown
Gown, gloves, goggles
8
If a doctor is in the room talking to a patient, the phlebotomist should?
Cancel the test, the doctor will order more after seeing the patient
Come back later
Ask the nurse to go in with you
Continue as usual
9
How many times may a needle be used for venipuncture?
Twice on the same patient
Once
For the patients entire hospital stay
As long as it's sharp, it can be used
10
A commonly used intravenous device that can be used on difficult to stick patients is?
Microtainer
Seraket
Butterfly needle or winged infusion set
Blood pressure cuff
11
What additive is found in a royal blue-topped tube?
Sodium polyanethol sulfonate
Sodium Citrate
Clot Activator
EDTA
12
What should the phlebotomist do with the first drop of blood from a fingerstick?
Keep it for testing
Wipe it off with an alcohol swab
Wipe it off with a piece pf gauze
Have the patient lick it off
13
Collecting blood cultures directly into the culture media does what?
Provides STAT results
Shortens turn around time for the results
Minimizes the amount of sticks the patient receives
Minimizes the chance of contamination, speeds contact with culture media
14
What anticoagulant is used in blood donations?
SPS
Citrate-phosphate-dextrose
EDTA
Heprin
15
An abnormal accumulation of fluid in the intercellular spaces of the body is?
Epithelial
Edema
Hemoconsentration
Hippocrates
16
The penetration depth of safety lancets used on newborns for blood collection must be what?
2 mm or less
3 mm or less
4 mm or less
1 mm or less
17
Yellow top tubes are used to collect blood for?
Blood cultures
CBC
Coagulation
Glucose
18
What tube is commonly used for hematology testing?
Clot Activator
SPS
Citrate
EDTA
19
Gastrin, Ammonia, Lactic Acid, and catecholamine assays all require what type of specimen collection?
Chilled
Covered (protected from light)
Warmed
Tourniquet free
20
Taking aspirin would affect what area of testing?
Coagulation
Hematology
Chemistry
Microbiology
21
What is the purpose of the thixotropic gel inside the specimen collection tube?
To keep the tube in an upright postition
To protect the specimen from light
To seperate the serum/plasma from the formed elements
To help counter balace the tube
22
Centrifugation and dividing serum is what phase of laboratory testing?
Collection
Analytical
Pre-examination
Post analytical
23
What agency oversees the investigation and control of various diseases, especially communicable ones?
CDC
MMA
NFL
FDA
24
Excessive, vigorous mixing of a blood specimen collection tube can lead to?
Clotting
no harmful change
Hemolysis
Proper mixing of the additive
25
A test request for O & P refers to what?
Blood in stool
Ovum and parasites
Culture
Liquid stools
26
A solid mass derived from blood constituents that occludes a blood vessel is a?
Thrombus
Leukocyte
Hematoma
Erythrocyte
27
What should a patient do prior to having their triglycerides drawn?
Nothing special
Eat a full meal
Exercise
Fast
28
The Unopette can be used for?
Glucose
Lipids
HGB & HCT
Microcollection and dilution of blood samples for the WBC count
29
CSF is obtained from?
arterial blood
the lungs
joints
spinal column
30
What tube is commonly used for hemostasis testing?
Heparin
SPS
EDTA
Buffered Sodium Citrate
31
What occurs as the result of inflammation and disease?
Edema
Pulsing veins
Hemolysis
Sclerosed veins
32
If a patient has a tendency to faint, what equipment would be helpful?
A recliner
A fan
A smile
Restraints
33
What tube would be collected to run a CBC?
Pink Top
Purple top
Gold Top
Blue Top
34
The vascular system is made up of?
Arteries, veins, and capillaries
Epithelial cells
Leukocytes, Thrombocytes, Erythrocytes
Heart and Lungs
35
Serum specimen tubes should be stored in?
On a rocking tray
The refrigerator
In an upright position
Away from light
36
What does the blood squirting into the tube in pulses indicate?
The patient has high blood pressure
The phlebotomist should have used a butterfly
An artery has been punctured
A vein has been punctured
37
What collection tube is most appropriate for blood bank collection?
Red Top
Blue Top
Grey Top
Pink Top
38
The color coding for needles indicates the?
Anticoagulant
Gauge size
Length
Type of needle
39
What patient information is required when ordering a laboratory test?
The patient's medical insurance
The patient's next of kin
Patient's name only
Patient’s name and at least 1 unique identifier
40
When drawing early morning specimens, what should the phlebotomist do if the patient has already eaten breakfast?
Cancel the tests
Only collect coagulation levels
Continue as usual, no special action needed
Double check the fasting requirements of the test
41
What special equipment might be used on an obese patient?
A blood pressure cuff
A dermal puncture devise
An extra tourniquest
No special equipment needed
42
What should the phlebotomist do after the blood begins to flow?
Remove the collection tube
Thank the patient
Apply pressure to the site
Release the tourniquet about half way through
43
When decontaminating the venipuncture site, it is important to wipe the area?
Up and down for a full minute
With bleach
By rubbing in concentric circles from inside to the outside
Distal to the stick site
44
How would an emergency laboratory test be ordered?
Called to the laboratory
As a Timed specimen
To be collected on ice
As a STAT
45
What anticoagulant is found in the green top tube?
Potassium Oxalate
Sodium Citrate
EDTA
Sodium heparin
46
What should stop a phlebotomist from collecting blood from a patient’s arm?
The patient has had a mastectomy
The patient has on long sleeves
The patient has a hep-lock in place
It is the patients dominant arm
47
Performing a chemical assay is what phase of laboratory testing?
Analytical
Post analytical
Pre-examination
Collection
48
When locating veins, it is most important to be able to?
See the vein
Feel the vein
Hear the vein
Feel a pulse
49
When collecting blood with a syringe, how is the blood added into the tubes?
Leave the blood in the syringe until delivered to the laboratory
Remove the top and expell required amount into tube
Use a syringe transfer device and allow the blood to flow freely
Use a syringe transfer device and push blood into the tube
50
Hemolysis can cause a false decrease in what level?
Hemostasis
Hemoglobin
Hematocrit
Lipids
51
The term phlebotomy is derived from the Greek words meaning?
Vein, to close
Blood, to remove
Vein, to make a cut or incision
Arm, to poke
52
What is the anticoagulant of choice for coagulation blood studies?
Sodium Citrate
Lithium Heprin
Clot Activator
EDTA
53
The chain of custody means?
Consent is not required
The specimen is for law enforcement
The specimen is tracked at every step
We have permission to use restraints
54
The term supine refers to what?
Reclining position
Away from the point of attachment
The upper portion
Standing position
55
What U.S. department of labor agency requires employers to provide safety measures to protect workers?
OSHA
NWCA
CBS
CDC
56
Collecting blood cultures directly into the culture media does what?
Minimizes the chance of contamination & speeds contact w/the culture media
Makes it STAT
Minimizes the exposure to light
Quicker turn around time
57
What additive is found in the yellow-topped tube?
Sodium polyanethol sulfonate
Sodium Citrate
Clot Activator
ETDA
58
An example of a serum separation tube system would be?
Lancet
Syringe
centrifuge
VACUETTE
59
What is the average skin puncture depth for an adult?
Less than 1mm
3-4mm
2-3mm
1-2mm
60
Slight rotation of the arm, warming the site, and palpating the entire antecubital area are all strategies for what?
helping to find difficult veins
Restraining a patient
helping to calm the patient
Greeting the patient
61
Hemoglobin content is assessed by analyzing
Serum
Erythrocytes
Coagulation
Luekocytes
62
How long should a patient fast prior to a glucose tolerance test?
12 - 15 hours
No fasting is needed
8 - 12 hours
1 - 2 hours
63
What vein is most commonly used for venipuncture?
Brachial
Basilic
Cephalic
Median Cubital
64
What is considered a photosensitive constituent in a blood specimen?
Bilirubin
Blood Gas
Glucose
Gastrin
65
Identify one reason for specimen rejection that pertains to unnecessary, or excessive mixing of the specimen?
Hemolysis
Hemostasis
Hemostats
Hemoconsentration
