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1
Because of the time between blood collection and plasma separation, what must you do?
Centripetal
Hemostasis
Homeostasis
Centrifuge
2
General requirements for blood donation
Weight at least 110
Donations at least 50 days apart
Height 60 inches
Age of 15 or older
3
What is plasma composed of?
90% proteins, 7% water & 3% other elements
90% water, 7% proteins & 3% other elements
90% red blood cells, 7% leukocytes & 3% other elements
4
Normally found in urine in small amounts and is detected on the dipstick
Urobilinogen
Blood
Leukocytes
Bilirubin
5
How long does an Orange tube or a RST take to clot?
will not clot it has anticoagulant
30 min
60 min
5 min
6
An MA observes a hematoma developing at the site of venous blood draw, the MA should do the following?
Ask the patient to apply pressure to the area
Release tourniquet & stop the draw
Observe the site to see if the hematoma worsens
Call for a nurse & assess the patient's condition
7
A blood culture and sensitivity is most likely to be performed in which division of lab
chemistry
urinalysis
microbiology
hematology
8
The presence of which of the following in a urine analysis indicates an infection?
Ketones
Leukocyte
Protein
Glucose
9
The Joint Commission says the CPT is mandated to use 2 identifiers. Which are ok?
first name and social security number
name and med rec number
name and account number
name and date of birth
10
What special handling does a cold agglutinins test require ?
Pre warmed tube
Room temp tube
Frozen tube
Pre chilled tube
11
What is the best daily time for the NA to collect sputum specimens ordered by the doctor?
before a meal
last thing before the resident goes to sleep
after a meal
first thing in the morning
12
Which test tube would be used for “Fasting Blood Sugar” or “Glucose Tolerance Test”
Red
Light Blue
Gray
Lavender
13
What PPE does OSHA require for a venous blood draw
Mask
Face shield
Eye protection
Gloves
14
Which tube is used for Hgb A1c?
Pink
Grey
Lavender
SST
15
ALBUMIN THE MOST ABUNDANT PROTEIN IN PLASMA
True
False
16
What is the percentage of plasma in the blood by volume?
45%
55%
35%
17
Protect blood samples for bilirubin and folate levels by wrapping the blood tube in
Ice
Foil
Clay
Bags
18
To collect blood for a liver profile. Which of the following tubes should the phleb use?
Tiger top
Lavender top
Blue top
Yellow top
19
FBS, GTT, blood alchol levels & lactic acid measurements use which color tube?
light blue
yellow
green
gray
20
You are obtaining a set of blood cultures from an adult, which is the correct mL per bottle?
8 to 10
1 to 4
12 to 14
15 to 17
21
Invert a Gray Tube ___________ times.
7 - 8
4 - 6
8 - 10
3 - 5
22
Use this tube to collect a CBC (complete blood count)
Red
Gray
Green
Lavender
23
Why do veins have a larger lumen than arteries?
Allows for more blood flow with less vessel resistance
Allows for less blood flow with a higher vessel resistance
Allows less blood to pass through the vessel
Allows to withstand higher blood pressure
24
Blood cultures are used to diagnose ______?
PKU
FUO
CBC
IBS
25
vessels that connect arteries and veins
heart
vein
capillaries
artery
26
What tube is used for ESR (erythrocyte sedimentation rate?
Gray
Lavender
Light Blue
Red
27
Fasting specimens are preferred for which of the following tests?
Creatinine
Cholesterol
Thyroid
Pregnancy
28
What color tube would be collected for a blood pregnancy test?
Light Blue
Grey
Dark Green
Red
29
3rd choice vein for phlebotomy?
Basilic
Antecubital
Cephalic
Popliteal
30
How far above the site of draw is the tourniquet placed?
1-2 inches
5-7 inches
3-4 inches
4-6 inches
31
What does plasma have that serum does not?
RBCs
fibrinogen
platelets
WBCs
32
a blood smear should have a ______ edge
straight
feathered
smooth
spotted
33
Which type of blood collection tube contains no additive?
Light blue tube
Green tube
Tiger top/marbled tube
Red tube
34
Sodium Citrate is the additive in which tube?
Lavender
Gray
Light Blue
Green
35
Which tube is also called an SST
gold
red
light green
light blue
36
a blood smear should have a ______ edge
feathered
spotted
straight
smooth
37
Which defense mechanism is externalization of guilt, blame, or responsibility?
Undoing
Projection
Denial
Apathy
38
Which tube would you use to measure lactic acid ?
Light Blue
Lavender
Gray
Green
39
What do you do if a urine specimen can't be tested within an hour?
put it in the fridge
keep it warm on a warmer or a stove
throw it away and get a new sample
reheat it in the microwave
40
Phlebotomy needle size for adults?
18-21g
23-25g
22-25g
21-22g
41
What laboratory tests are performed on the blood collected in this tube?
CBC
Hematology
Coagulated Studies: PT, PTT
Chemistry: Electrolytes
42
When performing a heel puncture on an infant for a newborn screening
Completely fill all circles with blood
Apply blood to both sides of the filter paper
Fill first circle with first drop of blood
Press the filter paper against the skin
43
What lab test is conducted on blood in pink top tube?
Coagulation
Blood Cultures
ETOH levels
Blood type and cross match
44
Peak and Trough level timed collections are performed for
therapeutic drug monitoring
cardiac risk
blood cultures
45
Drawing a patient’s blood without consent can result in a charge of
Malpractice
Battery
Breach of contract
Negligence
46
Which of the following is caused by excessive shaking of a tube?
Hemophilia
Hemoconcentration
Hemolysis
Hemostasis
47
What tube is used to collect blood for peripheral blood smears?
serum
EDTA
citrate
blood culture
48
A NIOSH-certified N95 or higher level mask should be worn when entering what type of isolation room?
Droplet
Indirect contact
Airborne
Direct contact
49
What additive is in this tube? (gold)
clot activator/thixotropic gel
EDTA
clot activator only
heparin
50
Iatrogenic anemia
Anemia induced by drawing too much blood
Indicates small RBC's
Indicates iron deficiency
Indicates Vitamin B12 deficiency
51
What tube is used for a WBC differential?
Light Blue
Lavender
Yellow
Green
52
A medical assistant is drawing 5 collection tubes. When should the tourniquet be released?
After the needle is removed
After a flash of blood is seen in the hub of the first tube
Within 1 minute of application
Between 2 and 3 minutes after application
53
The ph of urine should be
6.0 to 8.0
4.0 to 6.0
4.0 to 7.0
4.5 to 8.0
54
What additive is in the Green Tube?
EDTA K2
EDTA
Sodium Heparin, Lithium Heparin, Ammonium Heparin
Sodium Citrate
55
What angle should you insert the needle for phlebotomy?
90
45
10-15
15-30
56
Capillary order of draw
EDTA, Serum, Other additives, Blood gas
Blood gas, EDTA, Other additives, Serum
Blood gas, EDTA, Other serum, Additives
Blood gas, EDTA, Other additives, Soup
57
According to NIOSH, sharps containers must have the following:
Red with warning label
Reliability, accessibility, disposable
Functionality, Accessibility, Visibility, and Accommodation
58
Where do blood cells originate?
Hemoglobin
Plasma
Basophils
Bone Marrow
59
What is the chain of custody in phlebotomy
Having a unique identifier that traces back to the patient
Unlawful apprehension of a phlebotomist
Attaching a number/code to the specimen so it can be traced
Process of maintaining control of specimens from collection to completion
60
Which action by a phlebotomist exhibits proper handling while transporting a CBC?
Keeping the specimen at room temperature
Wrapping the specimen in foil to protect it from light
Placing the specimen on a heat block
Placing the specimen in an ice slurry
61
Blood cultures are collected in a ________ tube?
Ble
Yellow
Green
Red
62
Grey Tube additive is
Sodium Citrate
EDTA
Potassium Oxalate/Sodium fluoride
SST
63
which specimen do you protect from light
PTT
CMP
CBC
Vitamin B12
64
Ammonia chemical test would be done with a ________ tube.
Lavender
Light Blue
Green
Red
65
Which phase of hemostasis is the 1st response and increase blood flow tothe site of the injury?
Vascular phase
Agglutination phase
Platelet phase
Coagulation phase
66
What additive is in the Green Tube?
EDTA
Sodium Heparin, Lithium Heparin, Ammonium Heparin
Sodium Citrate
EDTA K2
67
Which of the following actions by a phlebotomist is a HIPAA violation?
Providing the laboratory results to the insurance company
Leaving the provider’s name blank on the requisition form
Entering the wrong diagnosis code for a patient
Looking up the pt’s lab results when asked by provider
68
What is the additive in this tube?
Potassium Oxalate
Sodium Citrate
EDTA
Glass Particles
69
What piece of PPE must the phlebotomist wear when drawing a pt. on droplet precautions?
goggles
mask
gown
shoe covers
70
What is the order of the electrical pathway of the heart?
AV Node --> SA Node --> Bundle of His --> Purkinje fibers
SA Node --> AV Node --> Bundle of His --> Purkinje Fibers
SA Node --> AV Node --> Purkinje fibers --> Bundle of His
AV Node --> SA Node --> Purkinje fibers --> Bundle of His
71
Phleb. inserts needle and observes no blood flow into the tube, what should they do first?
Remove the needle.
Laterally redirect the needle.
Pull the needle back slightly
Reposition the needle to 90°
72
Basal state consists of what?
fasting for twelve hours
not exercising for twelve hours
both fasting, and not exercising
none of these
73
What is an Autologous Blood Donation?
When someone auto logs blood into the system
When someone donates platelets
Plasma Donations
When a person donates blood for their own future use
74
Actions by phlebotomist can be source of a preanalytical error when collecting a blood specimen?
Inverting the tube after collection
Tying a tourniquet loosely
Using an 18-gauge needle
Underfilling the tube
75
In the third stage of of hemostasis, ____________________.
Blood Vessel Contracts
Fibrin threads bind to wound
Platelet plug forms
76
If a pt. has had a mastectomy on the right side- where would you most like draw blood from?
Left Hand
Right AC
Left AC
Right Hand
77
Which of the following regulations set the minimum standards for medical laboratory practice and quality?
OSHA
HIPAA
DEA
CLIA
78
The most common complication of phlebotomy ?
Capillary rupture
Hematoma
Petechiae
Excessive bleeding
79
A doctor prescribed a pregnancy test. Which color tube top would a phlebotomy technician use to obtain a blood sample?
Tiger top
Light green
Lavender
Dark gree
80
which of the following specimen should a phlebotomist place in an ice slurry if there is a delay for processing?
vitamin A
bilirubin
ammonia
vitamin B6
81
Which type of PPE is required for tuberculosis?
Gloves only
Gown, gloves and N95 respirator
Gloves and Gown
Gown, gloves and mask
82
A red top tube is usualy drawn for which lab department?
Blood Bank
Chemistry
Hematology
Serotology
83
During a blood draw, you realized petechiae have formed. What do you do?
Put the tourniquet back on
Finish the draw and apply pressure to the site
Notify your supervisor when the draw is done
Stop the draw
84
Human Chorionic Gonadotropin (HCG) indicates what if found in urine?
Pregnancy
Diabetes
Gastrointestinal bleeding
Low albumin levels
85
Upper Chambers of the Heart
Ventricles
Atria
Arteries
Veins
86
Which of the foll complications can result from massaging, probing, fist pumping, & prolonged tourniquet application?
Exsanguination
Arteriosclerosis
Hemoconcentration
Anaphylactic Shock
87
Serum:
Can be used for all blood chemistry tests
Is the liquid portion of whole blood after blood has clotted
Can be used for most hematology tests
88
Cold agglutinins should be kept at what temperature?
39 degrees C
32 degrees C
30 degrees C
37 degrees C
89
A patient has a blood glucose of 502. What should the CCMA do?
Redo the test to check for errors
Record Findings
Notify physician of critical value
Ask the patient to take deep breaths
90
What is used to sanitize the site for a blood culture stick?
hydrogen peroxide
povidone iodine
bleach
isopropyl alcohol
91
Which of the following should a phlebotomist anticipate for a patient who has been taking warfarin?
Fasting requirement
Specimen placed on ice
Increased bleeding time
Alternate antiseptic required
92
An ammonia level is drawn in a ______ tube and placed on/in______
purple/aluminum foil
green/ice
green/aluminum foil
purple/ice
93
Who is at highest risk for iatrogenic anemia
adolescents
adult men
adult women
infants
94
Which tube would you use to measure lactic acid ?
Lavender
Light Blue
Green
Gray
95
At what temperature should a semen sample be transported by patient to laboratory?
36 to 38 degrees C
-20 to 10 degrees C
25 to 30 degrees C
21 to 23 degrees C
96
Which area should you use for a capillary collection from a 2 mo. old infant?
central area of the heel
3rd or 4th phalanx
lateral section of the plantar heel
posterior curvature of the heel
97
What do white blood cells do?
Fight infections
Cause infections
Give infections food
Stop you from bleeding
98
Which of the following agents should a phlebotomist use to prepare the skin for blood culture collection?
Chlorhexidine Gluconate
Antibacterial Soap
Alcohol
Cavicade
99
When collecting blood culture specimen directly from a butterfly into blood culture bottles which is filled first
Neither, a discard tube must be drawn first
Anaerobic
Aerobic
Either aerobic or anaerobic, it does not matter
