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ACCPhlebotomy112 Flashcards | StudBud
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ACCPhlebotomy112
ACCPhlebotomy112
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1
Which artery is most frequently used for ABG collection?
Dorsalis Pedis
Femoral
Radial
Brachial
2
Green top tubes contain the anticoagulant__. The liquid tested from this tube after centrifuging is called__
EDTA, RBC
Heparin, plasma
EDTA, plasma
Plasma, serum
3
Peritoneal Fluid is:
Fluid that protects the spinal cord and brain
Fluid between the thin membranes that surround the lungs
Fluid that is between the thin membranes that surround the heart
Fluid that is between the thin membranes that line the abdominal cavity.
4
____ is the fluid in the joint cavities that is often tested to diagnose gout and arthritis.
Peritoneal fluid
Pleural fluid
Synovial fluid
Cartilage fluid
5
When you graduate the phlebotomy program, you can then become
certified
standardized
accredited
calibrated
6
The modified Allen test checks for:
Size of the arteries
Adequate arterial blood flow to the hand
Clotting ability of the arteries
Gas exchange capability
7
Drawing a patient without his or her permission can result in a charge of:
Invasion of privacy
Malpractice
Negligence
Assault and Battery
8
Platelets are also called?
Leukocytes
Thrombocytes
Segmented Neutrophils
Erythrocytes
9
1. The Doctor orders a BMP, Lipid panel, and a CBC. You should draw:
SST, SST, lavender
grey, lavender, SST
lavender, SST
lavender, SST, grey
10
Which is the proper order of vein selection for venipuncture?
There is no order
Basilic, cephalic, median cubital
Median cubital, cephalic, basilic
Cephalic, median cubital, basilic
11
Laboratory specimens and contaminated supplies, other than sharps, should be disposed of in:
Biohazard bags or containers
Puncture resistant container
Chemical waste containers
Trash can
12
Which substance provides your body’s defense against bacteria, viruses or other foreign substances?
RBCs
Platelets
Antigens
Antibodies
13
If the doctor suspects you have recently acquired West Nile Virus, which immunoglobulin will he/she expect to be elevate
IgA
IgG
IgE
IgM
14
Checking the baby’s weight is important because the baby will be at serious risk if more than ___ is drawn
10%
5%
15%
20%
15
For bleeding times, the pressure cuff is inflated to and maintained at ________mm Hg:
You do not use a blood pressure cuff for this
30mm Hg
40 mm Hg
50 mm Hg
16
Herpes, Influenza, and RSV are common types of:
Virus
None of the above
Fungus
Bacteria
17
A____________ top tube contains Sodium Fluoride and is used primarily for glucose testing.
Gray
Lavender
Yellow
Blue
18
Which of the following federal agencies has the responsibility of monitoring hazardous working conditions?
CLIS
CDC
OSHA
JCAHO
19
How can you visually tell the difference between serum and plasma?
Serum is fluid, plasma is gel
Serum is pale yellow, plasma is colorless
You cannot visually tell serum from plasma
Serum is clear, plasma is cloudy
20
Which of the following complications resulting from a deep skin puncture of an infant’s heel can be fatal?
Anemia
Osteochondritis
Phenylketonuria
Osteomyelitis
21
Phlebotomy means?
Cutting into a cell
Surgical removal of a vein
Surgical removal of a cell
Cutting into a vein
22
Coagulation problems may result from liver disease because the liver:
Removes red blood cells
Filters blood improperly when diseased.
Releases Calcium
Manufactures coagulation factors
23
The most important step for preventing the spread of infection is:
Wearing PPE
Using safety devices
Washing your hands
Disposing of Biohazardous materials properly
24
The patient is prone to syncope during venipuncture, the phlebotomist should?
Watch for fainting
Use caffeine as a stimulant
Tie the tourniquet tighter
Cancel the lab order
25
The term that describes the overall well being of the body is:
Homozygous
Homeostatis
Hemolysis
Hemostasis
26
Fertility is regulated by which two systems:
Endocrine and Integumentary
Reproductive and Endocrine
Digestive and Endocrine
Reproductive and Nervous
27
What is the most important step in the phlebotomy procedure
Checking your needles for sharpness
Asking the the patient about allergies
Getting the blood to additive ratio correct
Pt identification
28
Failure to act or perform duties according to the standard of care for phlebotomy is:
slander
a battery
criminal action
negligence
29
A patient has an ABO test performed. The test shows Anti-A and Anti-B antibodies; the patient has which blood type:
AB
A
B
O
30
The skeletal system provides which of the following of these body functions?
Electrolyte balance, temperature regulation, protection
Protection, temperature regulation and electrolyte balance
Movement, support and sensation
Support, protection and movement
31
The patient has a Vitamin D-Hydroxy test ordered. The test requires 3mls of frozen serum. What will you collect?
2 Light blue tubes
Green tube
SST
Lavender tube
32
When using a syringe, it is important to regulate the aspiration/rate you pull back because:
Blood clots when the plunger is pulled forcefully
Blood cells fibrinolyze
There is no significant importance
Blood cells may hemolyze with forceful aspiration
33
A___________ culture detects pneumonia.
Blood
Urine
Sputum
Stool
34
What is the primary function of RBC’s?
Prevent infection and transport O2 to lungs
All of the above
Transport O2 to the tissues and CO2 to the lungs
Prevent infection
35
In order to be protected when entering a room of a patient in respiratory, airborne isolation (COVID19), you wear?
Lab coat, gloves, and shoe covers
Lab coat, gloves, and mask
Gown, gloves, and goggles
Gown, gloves, and N95 mask
36
The process of identifying an organism and determining the appropriate antibiotic for treatment is called?
Gram Stain
Microscopic Analysis
Antibody Screen
Culture and Sensitivity (C&S)
37
The following conditions should be avoided when selecting a vein for a venipuncture:
All the above
Hematoma
Scarring
Arm with an IV
38
Which two tests need to be protected from light:
Potassium, Ammonia
Bilirubin, TSH
Bilirubin, TSH
BMP, T4
39
Which of the following is true when drawing a blood alcohol level:
Site prep is done the same way as other draws
Use an SST
Use a lavender top tube
Site prep is not done with an alcohol wipe
40
Which of the following patients is at risk for gestational diabetes and would probably be tested with a GTT?
All of the above
A woman who had GD during her last pregnancy
A woman with a previous baby weighing more than 8.8lbs
An obease pregnant woman
41
Which test is performed on whole blood?
Protime
BUN
CPK
CBC
42
Which department would perform a Hemogram?
Coagulation
Chemistry
Immunohematology
Hematology
43
____is a natural anticoagulant in the body, which protects us from clotting.
Protein C
Aspirin
Coumadin
Protime
44
The heart , blood, and vessels make up the:
Endocrine system
Respiratory system
Circulatory system
Nervous system
45
Which of the following can be centrifuged immediately after collection?
Both Sodium citrate and heprain tubes
Sodium Citrate tubes
Sodium Heparin tubes
SST tubes
46
What are all of the formed elements of the blood:
WBC, plasma, solutes
Plasma, WBC, WBC
Serum, platelets, WBC
RBC, WBC, platelets
47
It is ok to draw blood from the arm that is on the same side as a mastectomy.
False
True
48
Blood Vessels that carry blood Away from the heart are called?
Capillaries
Arteries
Tendons
Veins
49
AST, ALT, ALP and Bilirubin can be used to monitor the __system and they check for __disease
Digestive, liver
Nervous, kidney
Reproductive, liver
Integumentary, bacterial
50
If you have a fungal infection, which system is most likely affected?
Reproductive System
Integumentary System
Nervous System
Digestive System
51
What specimen container is used for collection on an ABG?
SST tube
EDTA tube
Red top tube
Heparinized syringe
52
A tube arrives in the laboratory without a label, it must be_____
Have the Doctor or MA label it.
Swipe left-auto reject
Labeled by the Phlebotomist
Call the nurse that drew it and have her label it
53
a patient has a seizure during their blood collection procedure, you should restrain them so they do not hurt themselves
False
True
54
When preparing a patient for Blood cultures, which of the following is not recommended?
Blow on or fan the site to help the iodine dry faster
Clean the site with iodine and let it dry completely before puncture
Clean the site with in concentric circles starting at the point of puncture
A, B, and C are not recommended
55
It is appropriate to discuss patient information with the patients nurse while you are eating lunch in the cafeteria.
True
False
56
When performing a finger stick, the lancet should be placed:
Perpendicular on the fingertip
Superiorly on the fingertip
Laterally on the fingertip
Medially on the fingertip
57
Girardia cases increase in spring and summer months from people drinking from streams
True
False
58
Which department would perform an erythrocyte sedimentation rate (ESR)?
Serology
Chemistry
Immunology
Hematology
59
A doctor orders a Protime, you would draw:
lavender tube and light blue tube
lavender tube
light blue tube
green tube and light blue tube
60
A Nosocomial infection is:
An inection caused by a medication error
A systemic infection
An infection caused by a Noso virus
An infection acquired during a hospital stay
61
The most common cause of a Hemolytic transfusion reaction is:
Contaminated blood
Incorrect Antibody Detection
Miss-Identification
Expired blood products
62
When the RBCs burst or break and the serum or plasma is red, ____________ has occurred.
Hemoconcentration
Hemostasis
Hemolysis
Glycolysis
63
patient arrives at the draw station at 8 for a 3hr GTT, you draw their fasting sample at 8:05, and they finish at 8:20
Draw their 1hr at 0920
Draw their 1hr at 0900
Draw their 1hr at 0905
None of the above
64
The Quality Control measures that instruct the proper blood drawing techniques are put in place by:
CLIA
OSHA
Joint Commission (JC)
CAP
65
QC(quality control)is defined as a broad approach and goal of quality improvement.
False
True
66
Anaerobic means:
Without air
No exercise
Room air
Air loving
67
A patient on __will have a PTT performed and a patient on ___monitors it with a PT/INR (protime) test.
Heparin, Coumadin
Warfarin, Coumadin
Coumadin, Heparin
None of the above
68
What is the smallest needle gauge listed here?
17
23
15
21
69
Universal precautions refer to:
Treating every patient as if in contact isolation
Treating all patients as if they are on neutropenic precautions
Isolating patients as per the national universal policy
Treating every patient, blood or body specimen as if potentially infectious
70
You go in a patient’s room to draw a blood bank test. They notice the patient already has a bloodbank armband-you should
Cut off the old band and re-band patient
Draw the patiet and use the old BB armband
Ignore the tests ordered
Check with the Blood Bank
71
What is Phlebotomy?
Administration of Anticoagulants
Blood Administration
Drawing Blood
Administration of Antithrombotics
72
Before sticking a vein you should make sure the bevel of the needle is down.
False
True
73
Which of the following should be the first choice for blood collection?
Safety needle and holder/hub combination
Straight needle and syringe combination
Syringe and butterfly combination
Butterfly and hub
74
Arteriospasm, hematoma, hemorrhage, and nerve damage are all possible complications when performing:
Blood cultures
ABG's
Capillary sticks
Bleeding times
75
The HCG or Human Chorionic Gonadotropin test is a diagnostic test of which organ system?
Urinary
Respiratory
Cardiac
Endocrine
76
The normal composition of blood is approximately:
55% plasma; 45% Formed elements
10% plasma; 90% formed elements
30% plasma; 70% formed elements
55% plasma; 45% RBC
77
Contamination of a PKU test can result from:
All of the above
Presence of alcohol residue
Touching the blood spot circle before or after collection
Failure to discard the first drop
78
The study of microorganisms and their relationship to disease is:
Microbacteriology
Bacteriology
Virology
Microbiology
79
Knowing when to collect peak and trough level is important when drawing ___?
Estrogen levels
Blood Cultures
CBC levels
Therapeutic Drug Monitoring
80
Which of the following are examples of ergonomically correct behaviors for phlebotomists?
Raising or lowering patient bed to prevent back strain
All of the above
Phlebotomy tray storage at shoulder height or below
Stretching daily
81
Failure to perform an action consistent with the accepted standards of care is:
Lazy
Leading with new ideas
Negligence
Assault
82
MSDS are:
Materials that give direction on which tubes are for which test
Direction for how to store blood
A test for anemia
Directions for the proper storage and disposal of chemicals in the lab
83
The Hematocrit measures volume of packed cells
False
True