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NHA Phlebotomy Exam Version 1 Flashcards | StudBud
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NHA Phlebotomy Exam Version 1
Serum is depleted of fibrogen.
The following is a test of the respiratory system?
NHA Phlebotomy Exam Version 1
165 terms
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1
The following is a test of the respiratory system?
ETOH
ABGs
UA
CSF
2
Serum is depleted of fibrogen.
False
True
3
When the body has adequate rest and no food for 12 hours it is said to be in the_________state.
Hemostasis
Basal
Steady
Homeostasis
4
A pad used to correct the patient's clothing?
Tourniquet
Antiseptic
Flux
Chux
5
What special handling does an ABG require?
Shaking
Pre-warmed tubes
Warming
Chilling
6
A group of tests collected as one unit:
STAT
Profile
Bunch
Group
7
A green top tube usually contains?
Citrate
Oxalate
EDTA
Heparin
8
The hollow part of the needle is called the lumen.
False
True
9
What is the first link in the chain of infection?
Agent
Portal of exit
Suseptible host
10
Blood culture tests can be done with a dermal puncture when venipuncture is not possible.
True
False
11
The chamber of the heart that receives blood from the systemic circulation?
Right atrium
Left ventricle
Left atrium
Right ventricle
12
The most common source of carry over problems is EDTA.
True
False
13
Which test must be performed on whole blood?
CPK
CBC
PTT
BUN
14
Which test may require a chain of custody?
Crossmatch
TDM
Blood culture
Drug screen
15
Which tube can be used to collect blood for a type and crossmatch?
Royal Blue top
Serum seperator tube
Pink top EDTA
ETS Gray top
16
Capillary puncture reference ranges are higher for this analyte.
Protein
Calcium
Phosphorus
Glucose
17
The first drop of blood in a capillary puncture is the best for analysis.
False
True
18
Good Samaritan Law lets healthcare workers to give care above their field w/o being sued.
True
False
19
Veins are located deeper than arteries.
False
True
20
The first tube in the order of draw for cap specimens are lavender.
False
True
21
The ability of the body to achieve "steady state".
Anabolism
Hemostasis
Catabolism
Homeostasis
22
Which additive is usually in a lavender tube?
Heparin
Oxalate
Citrate
EDTA
23
Contact, droplet and airborne are ____________.
Agents
Portals of exit
Portals of entry
Modes of transmission
24
In a routine venipuncture the lavender tube should be drawn before the red tube.
False
True
25
Which laboratory section performs blood pregnancy tests?
Hematology
Chemistry
Serology
Blood bank
26
Invert a tiger top tube ___ times.
0
8
5
4
27
Sodium Citrate is the additive in which tube?
Green
Gray
Light blue
Red
28
Lavender, Yellow and Green tubes should all be inverted 8 times each.
False
True
29
Capillary puncture blood most closely resembles ____________.
Venous blood
Arterial blood
30
Which tube is drawn last in a standard venipuncture procedure?
Red
Blood culture tube
Lavender
Light blue
31
If someone is cyanotic their skin may appear ____________.
Flushed
Bluish
Yellow/Orange
Clammy
32
What kind of blood do arteries and arterioles carry?
Deoxygenated
Oxygenated
33
To check for trace elements a phebotomist would use a ______ tube.
Light blue
Royal blue
Tiger top
Yellow
34
A drug known to interfere with urine tests should be discontinued 48-72 hrs prior to the test.
False
True
35
What part of the infant is a PKU test performed on?
Forehead
Heel
Toe
Finger
36
A CBC would be sent to what lab section?
Chemistry
Microbiology
Serology
Hemotology
37
What is the most important step in preventing infections?
Isolation
Using tissues
Handwashing
Wearing gloves
38
The most common complication of phlebotomy.
Petechiae
Hemoconcentration
Hematoma
Phlebitis
39
Where is blood collected, stored and prepared for transfusions?
Blood Bank
Chemistry
Hematology
Immunology
40
Endocardium is which layer of the heart.
Inner
Middle
Outer
41
Taking aspirin is most likely going to effect a BT test.
True
False
42
Latex sensitivity is an allergic reaction.
True
False
43
What is the size (in inches) of the needle routinely used for venipuncture?
2-3
2-2.58
1-1.5
2.5-3
44
Light blue tubes must be ____ full.
Completely
2/3
3/4
1/2
45
In a routine blolod draw the red tube is drawn before the green tube.
False
True
46
Which would be considered a pre-analytical error?
Improper time of collection
Exposure to light
Wrong order of draw
Faulty technique
47
The myocardium is the layer of the heart that is made of ___________.
Cartilage
Muscle
Endometrial Tissue
48
If the patient continues to bleed after 8 minutes of pressure you should ______________.
Call for help
Re-tie the tourniquet
Call the family member to hold pressure
Wrap the area tightly with a towel
49
Leaving the tourniquet on too long may cause ________________.
Hemolysis
Hemoconcentration
Thromosis
Septicemia
50
How many liters of blood does the average adult have?
3-4
7-8
9-10
5-6
51
Which tube would you use to measure lactic acid?
Tiger top
Red
Gray
Blue
52
Which tube is sometimes called a serum separator tube?
Red
Light Blue
Red/Gray
Green
53
Permanent surgical connection between and artery and a vein.
Fasting
Suture
Edema
Fistula
54
Which is not true off WBCs?
They are formed in bone marrow and lymph tissues
They are all the same size and shape
They are also called leukocytes
They are a defense mechanism
55
What percentage of the blood is made up of formed elements?
35%
45%
55%
65%
56
The first tube collected with a butterfly will underfill due to air in the line.
True
False
57
Blood cultures are collected in a ___________ tube.
Yellow
Blue
Green
Red
58
Which WBC carries histamine?
Eosinophils
Monocytes
Basophils
Neutrophils
59
Which WBC comprises 40%-60% of the white blood cells?
Basophils
Lymphocytes
Monocytes
Neutrophils
60
Another name for blood in the urine:
PKU
Hematuria
Bacteriuria
Proteinuria
61
Cortisol peaks late in the afternoon.
False
True
62
What is the normal life span of a RBC?
9-12 days
365 days
45 days
120 days
63
Oxygen-poor blood enters the heart througfh the right atrium.
False
True
64
What are the 3 components of a urinalysis?
Gravity, clarity and color exams
Physical, chemical, microscopic exams
Blood, protein and glucose exams
Hear, see and taste exam
65
The proper order for doning PPE?
Mask, gown, gloves
Gown, mask, gloves
Gloves, gown, mask
Gown, gloves, mask
66
How many times should a light-blue tube be inverted?
8
5
3-4
2-3
67
Which should not be done during vein selection?
Palpating the antecubital
Placing a warm towel on the arm.
Lowering the patient's arm
Patient pumping fist
68
Which layer of the heart is the eipcardium?
Inner
Middle
Outer
69
Accumulation of fluid in the tissues.
Trauma
Fistula
Edema
Lipids
70
Which of the following specimens are least likely to require special handling?
Homocystine and renin
Bilirubin and Folate
Gastrin and Lactic Acid
Cholesterol and Uric Acid
71
What percentage of formed elements is erythrocytes?
90%
10%
60%
55%
72
Sodium Fluoride preserves glucose for how many days?
1
2
4
3
73
Microorganism cultures are collected in _____________tubes.
Light blue
Yellow
Green
Royal blue
74
Lipemic bloodserum appears:
Milky
Bluish
Thick
Purple
75
When you explain venipunc procedure to the pt and they agree to the test it's called _______.
Constant talking
Getting the blood
HIPAA
Informed consent
76
The order of draw for venipuncture is: BC, blue, serum, green, EDTA, gray.
True
False
77
Direct contact transmission is defined as ___________.
Body fluid to blood
Skin to object
Blood to blood
Skin to skin
78
Which fluid is obtained by lumbar puncture.
Synovial
Peritoneal
Pleural
Cerebrospinal
79
How many times should a red top tube be inverted?
8
5
2
0
80
Which tube is used for PTT?
Light blue
Green
Red
Gray
81
The internal space of a blood vessel?
Atrium
Septum
Valve
Lumen
82
What causes vacuum tubes to fill with blood?
Tourniquet pressure
Tube vacuum
Patient fist pumping
Arterial blood pressure
83
What special handling does a cold agglutinins test require?
Chilling
Ice bath
Pre-warmed tubes
Sitz bath
84
Hemostasis is defined as _______________.
Basil state
Stoppage of blood
Stoppage of food
Steady state
85
Glycolysis occurs faster in newborns.
True
False
86
Which would be considered a post-analytical error?
Improper use of serum separator
Improper site preparation
Failure to invert tubes
Medication interferance
87
A patient in the Oncology Dept. is probably being treated for _______________.
Diabetes
Pregnancy
Cancer
Phlebitis
88
Medical Asepsis is the destruction of pathogens outside the body.
False
True
89
What is the oxygen carrying protein in erythrocytes?
Plasma
Hemoglobin
Leukocytes
Reticulocytes
90
The following were collected for a routine venipuncture. Which item is incorrect?
Touniquet
Safety needles
Iodine swab
Tubes
91
Which represents the proper order of blood flow?
From capillaries to arterioles to arteries
From arterioles to capillaries to venules
From veins to venules to capillaries
From arteries to veins to capillaries
92
Which blood vessel is NOT part of systemic circulation?
Cephalic vein
Vena cava
Pulmonary artery
Brachial artery
93
Sclerosed veins feel ______________.
Cordlike
Spongy
Square
Movable
94
Failing to provide reasonable standards of care causing someone to suffer an injury __________.
Tort
Negligence
Battery
Trauma
95
Another name for thrombocytes is______________.
Red blood cells
Platelets
White blood cells
Monocytes
96
The hormone detected in a positive pregnancy test is?
ACTH
GH
TSH
HCG
97
Which is used for PT and PTT?
Green top
Gray top
Red top
Light blue top
98
In the order of draw for capillary specimens should you draw tubes with or w/o additives first?
Without
With
99
When someone is in shock you should keep them cool.
False
True
100
The test used to evaluate intrinsic pathway is called ____________.
APTT
PT
PX
LMN
101
Which test is NOT a light sensitive test?
Bilirubin
Ammonia
Beta-carotene
Porphyrins
102
The first phase of hemostasis is _________________.
Coagulation stage
Platelet Stage
Vascular stage
Fibrinolysis
103
A urine C & S is ordered to detect?
Abnormal urine ph
Glucose overload
Presence of a UTI
Kidney damage
104
The heart disorder characterized by fluid buildup in the lungs?
Aortic stenosis
Congestive heart failure
Bacterial endocarditis
Myocardial infarction
105
Which needle has the largest gauge?
21
16
22
23
106
Blood types are determined by the presence or absence of which of the following on RBCs.
Antibodies
Chemicals
Antigens
Hormones
107
What is the liquid portion of blood called?
Plasma
Water
Formed elements
Serum
108
The purpose of an antiglycolotic agent is?
Inhibit microbes
Enhance clotting
Prevent clotting
Preserve glucose
109
OSHA requires that health care professionals receive a vaccine for:
HPV
HBV
HAV
HCV
110
How many hrs before a blood test should a pt stop use of meds known to interfere w/blood tests?
1-4
4-24
24-36
48-72
111
An example of a nosocomial infection is?
Healthcare worker contracts HBV from a needlestick
Patient is admitted with chicken pox
Patient breaks out with measles one day after admission
Catheter site of ICU patient becomes infected
112
There is a 9 to 1 ratio nof blood to anticoagulant in a light blue tube.
False
True
113
What organ would a doctor be intested in if he ordered an ALP, AST, ALT, GTT and bilirubin?
Spleen
Kidney
Liver
Heart
114
To measure diurnal variation of cotisol hormone what kind of specimen would be required?
Blood culture
Therapeutic
Timed
Fasting
115
The two circulations of the heart are _________and ___________.
Pulmonary and Systemic
Right ventricle and Left ventricle
Tricuspid and Bicuspid
Right atrium and Left atrium
116
Which test requires a 24 hour urine specimen?
Glucose tolerance test
Creatnine Clearance
Fibrin Split
Culture and Sensitivity
117
If a needle passes completely thru the vein you must pull it out of the arm & try another vein.
False
True
118
What is the preferred site for venipuncture?
Antecubital fossa
Ulnar vein
Elbow
Thrombotic vein
119
Which tube does not contain EDTA?
Mottled green and gray topped tubes
Lavender tube tops
Pearl top tubes with thixotropic gel separator
Pink plastic top tubes w/special blood bank patient ID label
120
Which is a test of the urinary system?
Pleuracentesis
Cholinesterase
Creatine kinase
Creatinine clearance
121
Which element prevents glycolysis?
Potassium oxalate
EDTA
Heparin
Sodium fluoride
122
What is another name for winged infusion sets?
Caterpillar
Butterfly
Beetlebug
Dragonfly
123
How many inches above the site should the tourniquet be tied?
4-5
3-4
2-3
1-2
124
A clean catch test is collected in a:
Yellow tube
Red tube
Sterile cup
Royal blue tube
125
The OGTT test diagnoses ______________.
High blood pressure
Diabetes
Cholesterol
Hemoglobin
126
Touching someone without permission is called____________.
Battery
Sexual harrassment
Sneaky
Invasion of privacy
127
Serum contains the same chemical make up as plasma.
True
False
128
What tube is used for a WCB differential?
Green
Blue
Red
Lavender
129
POC testing is done _____________.
By a respiratory therapist only
In a medical lab
At the patient's bed
With a larger needle
130
How many types of leukocytes are in blood?
2
5
4
6
131
Lymph originates from?
Joint fluid
Plasma
Serum
Tissue fluid
132
Which vein in the antecubital fossa is usually easiest to palpate in an obese patient?
Ulnar
Basilic
Cephalic
Median cubital
133
Always recap your needle before putting it into the sharps container.
Fasle
True
134
Ammonia Chemical Test would be done with a _______ tube?
Red
Green
Yellow
Blue
135
Blood cultures are used to diagnose ________________.
FOU
FAQ
PT
Diabetes
136
Which body plane divides the body in equal portions?
Transverse
Frontal
Saggital
Midsaggital
137
Which is the best tube for collecting an ethanol specimen?
Sodium citrate
Heparin
EDTA
Sodium fluoride
138
Which tube is used for a sickle cell screen?
Green
Lavender
Red
Blue
139
In therapeutic blood monitoring, the trough levels are tested ______________.
30 minutes after the scheduled dose
2 hours diurnal
2 hours postprandial
30 minutes before the scheduled dose
140
Test for this dept. are usually collected in a light blue tube.
Coagulation
Microbiology
Hematology
Chemistry
141
Which is not a PPE?
Room dividers
Goggles
Gloves
Masks
142
Which is NOT a reason the tourniquet is used?
To make veins bulge
To prevent veinous flow of blood
To aid in vein location
To make veins blue
143
Which is NOT a common symptom of shock?
Clammy skin
Weak pulse
Shallow breathing
Blinking eyes
144
Veins have thinner walls than arteries.
False
True
145
20%-40% of WBC are comprised of _______________.
Neutrophils
Eosinophils
Lymphocytes
Basophils
146
Microorganisms that cause diseases?
Hereditary
Nonpathogens
Normal flora
Pathogenic
147
Which of the following veins in the arm are most subjected to venipuncture?
Median Cubital
Cephalic
Brachial
Basilic
148
How many minutes does normal coagulation take in a red topped tube?
60-90
5-10
30-60
15-20
149
Which of the following is the best definition of destruction of red blood cells?
Hemolysis
Homeostasis
Hemostasis
Hemoglobin
150
A red top tube is usualy drawn for which lab department?
Chemistry
Hematology
Blood Bank
Serotology
151
What gauge multi-sample needle is considered to be standard?
20
18
21
23
152
Another name for RBC's:
Leukocytes
Thrombocytes
Erythrocytes
Phagocytes
153
Bacteria and parasites belong to which type of hazard?
Biologic
Chemical
Allergic
Physical
154
What kind of valve is the tricuspid valve?
Semi-lunar
Atrioventricle
155
If an infant is screaming during a CBC test the?
Specimen may be hemoconcentrated
Specimen is more likely to hemolyze
Platelets may clump
WBC may be elevated
156
This organization develops standards for specimen handling and processing?
CDC
FDA
CLSI
CLIA
157
Fluid aspirated from the peritoneal cavity.
Gastric
Ascites
Synovial
Sputum
158
What is the function of a leukocyte?
Aids in clot formation
Carry oxygen to cells
Protect from infection
159
What tube is used for ESR?
Red
Lavender
Green
Yellow
160
All patients are presumed to be infectious for ___________.
Flu
TB
Blood borne pathogens
Common code
161
According to CLSI which tube is filled last when using a syringe?
EDTA
Heparin
Sterile SPS
Citrate
162
Arteries have valves that prevent the blood from flowing back.
False
True
163
The left ventricle delivers oxygenated blood to the aorta.
True
False
164
Collecting urine by aspiration through the bladder wall:
Catheter
Suprapubic
Amnio
Pediatric
165
The relaxing phase of the cardiac cycle is:bradycardia?
Infarction
Systole
Diastole
Bradycardia