When collecting capillary blood sample on a filter paper card for PKU screening on a newborn child, a phlebotomist..?

should apply blood on the printed side of the filter paper

A phlebotomist is requested to draw blood from an unconscious patient, what should be done to ensure the patient's ID

room #, name on door and bracelet that matches the requisition form

The best way to restrain a child is to..?

parent or caregiver can hold the child

How should an arterial puncture be preformed?

45 degree angle, bevel facing the hand

What should a phlebotomist do after 2 unsuccessful attempts to draw blood on a patient?

ask another phlebotomist to try

Warming a capillary puncture site:

increases the blood flow through capillaries and arterioles

WHat should a phlebotomist do if you notice a patient crying in a wheelchair quietly after you just left the lab

Approach them, get down to eye level, ask what's bothering them

What should a phlebotomist do if they notice that the patient is sleeping?

approach them at the foot of the bed & say "sorry to wake you (their name)"

The most important single action to prevent the spread of infection:

hand washing prior to blood draw

An infant heel puncture is located on?

medial or lateral portion of the plantar surface of the foot

How do you protect a sample from light?

wrap tube in aluminium foil, place sample in an amber-colored tube

Circadian changes are best described as:

cyclical changes throughout the day

Hep B is given in doses of..?

2 immunizations over a 2 months period

This laboratory employee has the most education and acts as a consultant to other physicians

Medical Laboratory Technician (MLT)

What should be the system of choice for an unconscious and unidentified patient who is admitted to the ER

Use the three part ID system that uses a temporary ID and labels for sampls

What is the difference between serum and plasma..?

plasma has fibrinogen, serum does not

When a patient refuses to get their blood drawn, the phlebotomist should do all of the following except..?

Tryto convince the patient to have their blood drawn

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Kyle's phlebotomy flashcards

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Questions 126

Answers

1
The GTT is used for patients' diagnosis of which disease..?
heart problems
AIDS
diabetes
liver disease
2
This department cares for newborn infants
pediatric
oncology
Neonatal
nephrology
3
When collecting capillary blood sample on a filter paper card for PKU screening on a newborn child, a phlebotomist..?
should apply blood on the non-printed side of the filter paper
should break it down like Charley brown
should apply blood on the printed side of the filter paper
4
Geriatric patients are..?
elderly patients
Infants
dialysis machine
patients in labor
5
The ESR rate is test using:
lavender tube
yellow tube
red tube
6
Test results can change/alter due to:
posture
All of the above
stress
exercise
7
^{A phlebotomist is requested to draw blood from an unconscious patient, what should be done to ensure the patient's ID}
find another item in the room that matches the patients ID
ID the patient through a nurse or a relative
do not draw blood unless the patient is conscious
room #, name on door and bracelet that matches the requisition form
8
1000 milliliters is the same as..?
1 liter
1 km
10 deciliter
10 cm
9
The single most important step in phlebotomy, and often where an error occurs
patient identification
using a clean needle
cleansing the site
Using the proper evacuated tube
10
The best way to restrain a child is to..?
parent or caregiver can hold the child
medicine
papoose board
11
How should an arterial puncture be preformed?
45 degree angle, bevel facing elbow
45 degree angle, bevel facing the hand
15 degrees, bevel facing the hand
15 degrees, bevel facing elbow
12
What should a phlebotomist do after 2 unsuccessful attempts to draw blood on a patient?
ask another phlebotomist to try
notify the patients doctor
try at least a few more times
request for a patient to come the next day
13
What can be inferred when using a blue top tube..?
both b and c are correct
the patient is a bleeder
lab asked for a PT or a PTT test and patient may have bleeding tendencies
no blood cultures are ordered
14
What is the main function of the circulatory system..?
provide protection
transportation
absorbtion
elimination
15
What do heart ventricles do..?
recieve blood
portal circulation
pump blood
lubrication
16
Why are phlebotomists an important part of the healthcare team?
they are in direct contact with the patient
they perform tasks that are critical to the patients diagnosis
All of the above
they represent the lab and the institution
17
This is the most common cause of laboratory error
Technical
administrative
clerical
18
Warming a capillary puncture site:
results in hemolysis
alters the result of the blood test
increases the blood flow through capillaries and arterioles
use a hot towel (75 degrees C)
19
Which is not part of pre-examination variable of sample collection
sampletesting
patient identification
sample transport
skin preparation (cleansing)
20
When a child's attention is directed to something else during a precedure is called..?
pain management
coping
restraining
distraction
21
A heel puncture on a full term infant should no deeper than..?
3mm
1.5mm
<2mm
2.8mm
22
What should a phlebotomist wear when coming into contact with patients under airborne precaution?
mask
both
gloves
23
The needle gauge is the same as:
needle thickness
length of needle
size of bevel
24
WHat should a phlebotomist do if you notice a patient crying in a wheelchair quietly after you just left the lab
Approach them, get down to eye level, ask what's bothering them
ignore them
find a nurse, tell them about it, and continue on your day
25
All needles should be disposed in the following manner under standard precautions
discarded intact
broken / cut off
recapped
bent
26
Which tube should be filled first?
lavender
red
light blue
green
27
The preservative KaEDTA is found in what tube..?
lavender
yellow
red
blue
28
Capillary blood puncture is more likely to be contaminated by;
hemoconcentration
hematoma
hemolysis
glycolysis
29
What should a phlebotomist do if they notice that the patient is sleeping?
proceed with the blood draw without waking the patient up
approach them at the foot of the bed & say "sorry to wake you (their name)"
Approach the patient and tap them on the shoulder to wake them up
30
Elderly skin changes can cause..?
loss of body temperature more quickly
increased risk of infection and injury
All of the above
loss of elasticity
31
The fluid portion of blood after clotting has taken place is called..?
gay sex
serum
rbc
plasma
32
What department cares for cancer patients
nephrology
oncology
Orthopedic
urinalysis
33
Which specimens should be protected from light?
Ammonia
bilirubin
blood gases
spring water
34
Skeletal muscle is also called..?
reactionary muscle
smooth muscle
voluntary muscle
lymphatic muscle
35
The most important single action to prevent the spread of infection:
hand washing prior to blood draw
sanitizing hands
wearing gloves
36
An infant heel puncture is located on?
curvature of the heel
medial or lateral portion of the plantar surface of the foot
arch of the foot
previous puncture site
37
Which does not carry oxygenated blood..?
pulmonary arteries
pulmonary veins
AOTA
aorta
38
How do you protect a sample from light?
place in an icy water
pee on it
wrap tube in aluminium foil
place sample in an amber-colored tube
39
Circadian changes are best described as:
changes every 10 years
cyclical changes throughout the day
changes throughout the year
hourly change
40
Hep B is given in doses of..?
2 immunizations over a 2 months period
3 immunizations over a 3 month period
5 immunizations over a 5 month period
41
How many percent is formed elements in blood volume
69%
45%
60%
100%
42
This laboratory employee has the most education and acts as a consultant to other physicians
Medical Laboratory Technician (MLT)
pathology
Clinical Laboratory Assistant (CLA)
Medical Laboratory Scientist (MLS)
43
What should be the system of choice for an unconscious and unidentified patient who is admitted to the ER
Use the three part ID system that uses a temporary ID and labels for sampls
assign a number to the patient
assign a temporary name to the patient
wait to collect any samples until the patient can be identified
44
The three keys to caring for pediatric phlebotomy:
explain everything to them
get on the childs level
Be calm
All of the above
45
This part of the cell controls the activities of the cell
golgi apparatus
cell membrane
nucleus
46
The two components found in blood tube drawn without anticoagulants are..?
buffy coat and rbc
serum and buffy coat
absorbtion
serum and clot
47
The best tool for a safe and successful venipuncture:
a strong person to restrain the child
calling the physician
patience and understanding
a parent should leave the room
48
Which of the following transmission precautions should a phlebotomist when they're working with a patient with MTB?
droplet precautions
contact precautions
airborne precautions
49
What is the difference between serum and plasma..?
serum is made from anticoagulated blood
plasma has fibrinogen, serum does not
plasma is only found in the body
serum has fibrinogen, plasma does not
50
When preparing to draw blood, the bevel should always be:
facing up
facing down
always sideways
51
When a patient refuses to get their blood drawn, the phlebotomist should do all of the following except..?
return the requisition to the lab
force the patient to have their blood drawn
contact the nurse or the doctor
Tryto convince the patient to have their blood drawn
52
This is also known as the "pacemaker of the heart"
AV node
SA node
purk fibers
bundle of HIS
53
A phlebotomist should not stick a patient more than..?
3x
69x
2x
5x
54
A phlebotomist is preping to draw blood from a HIV positive patient. What should the phlebotomist do..?
call another phlebotomist to draw their blood
preform the venipuncture
talk to the physician about the patient
refuse to draw the patients blood
55
When drawing blood, insert the needle:
half way
just past the bevel
all the way in
56
What should you wear when there is a possibility of coming into contact with a patient's blood or any body fluids?
nothing but wash hands immediately
goggles
gown
gloves
57
Anatomy is the study of..?
function of body systems
red blood cell formation
body part formation
shape and structure of the body
58
List the needle gauges from the largest to smallest
23g, 21g, 20g,18g
all gauges are the same
18g, 20g, 21g, 23g
Osteoperosis
59
Pressure must be applied to the arterial puncture site for how long?
10 minutes
5 minutes
15 minutes
3 minutes
60
What is the correct order of draw in the following choices
blood cultures, light blue, red, lavender
lavender, red, light blue, blood cultures
blood cultures, lavender, red, light blue
red, blood cultures, lavender, light blue
61
The study of how body parts function and coordinate is..?
chemistry
hematolgy
physiology
anatomy
62
Patient with broken bones should be consulted to which department..?
nephrology
neonatal
oncology
Orthopedic
63
What age group might think that "illness" is a punishment for being bad?
2 years old
2-6 years old
6-9 years old
10 years or older
64
Which of the following is the primary duty of a phlebotomist?
collecting venous blood samples
collection of arterial blood samples
sample processing
sample accession
65
How must a phlebotomist DON their PPE when leaving the isolation room?
gown, gloves, goggles, mask
gloves, mask, gown goggles
gown, mask, goggles, gloves
gloves, gown, goggles, mask
66
Citrate tubes must be filled _____ for accurate results:
25%
10%
75%
50%
67
What do coronary arteries do..?
cause the blood at the lungs to become oxygenated
none of the above
supply oxygenated blood to the heart muscle
carry oxygenated blood back to the heart
68
Samples may be rejected for testing if..?
sample was not labeled properly (incomplete date,initials)
All of the above
an anticoagulated sample clotted
sample was drawn above running IV
69
Which is true about bleeding time test..?
All of the above
only touch the blood with the filter paper, not the skin
use a stop watch the same
purpose is to access platelet function
70
When preforming Allen test, which two arteries are occluded?
brachial and ulnar
radial and brachial
radial and ulnar
femoral and radial
71
What is the correct term for the procedure that phlebotomists preform
eating bubble wrap
venipuncture
blood removal
intrapuncture
72
What color tube is used to collect a serum sample..?
blue
red
green
lavender
73
What should a phlebotomist do with they notice a patient with a bulging vein in their left hand?
realise that this is a varicose vein, a big vein but poor venous flow
Apply tourniquet and draw from that vein
draw from that vein without a tourniquet
74
prothrombin time; a test done on a patient to measure blood clotting and determine the strength of their next does of..?
coumadin
heparin
dopamine
75
Do NOT use alcohol for this test:
platelet count
alcohol levels
HIV test
blood cultures
76
In the incident of needle stick, what should a phlebotomist do immediately..?
wash area with soap and water, do not report if its not that serious
clean the area with antiseptic soap, gently pump, report to your supervisor
wipe the area with alcohol and wrap it in gauze
77
The buffy coat consists of..?
WBC and platelets
RBC and WBC
WBC only
WBC and plasma
78
This is the most common endocrine system disorder
diabetes mellitus
infertility
respiratory distress
rhumatoid arthritis
79
Part of cell containing enzymes that's responsible for breaking down cellular components
mitochondria
golgi apparatus
endoplasmic reticulum
lysosomes
80
Department that performs dialysis on patients
neonatal
Oncology
orthopedic
nephrology
81
Urine culture sample should be..?
any random sample
from clean catheter bag
a clean midstream urine sample
82
Lymph fluid is also known as..?
blood
serum
plasma
interstitial fluid
83
The human heart has how many chambers..?
6
69
2
4
84
What is the primary purpose of infection control?
prevent the spread of infection within the hospital or other facilities
isolate patients from other patients and visitors
determine the source of communicable disease
protect the patient from outside contamination
85
First drop of blood on a capillary puncture should be wiped away because..?
to remove bacterial contamination
to make blood flow faster
to remove heparin contamination
it contains interstitial fluid
86
Blood flows to the heart from _____, and from the heart through the _______.
arteries, veins
veins, arteries
capillaries and veins
87
The Physician ordered the ff: CMP, glucose, serum, dilantin level, and electrolytes. What's the correct order of draw..?
electrolytes, CMP (gold), serum Dilantin (red), glucose (grey)
electrolytes, CMP (red), serum Dilantin (yellow), glucose (grey)
electrolytes, CMP (grey), serum Dilantin (yellow), glucose (grey)
88
This is the process when oxygen-rich blood diffuses into cell tissues
breathing
exhaling
internal respiration
external respiration
89
A vein has a tendency to ___________, if blood is drawn too quickly?
bruise
collapse
roll
disintegrate
90
The axial skeleton is..?
responsible for anchoring the muscles
located in the bones of the foot
responsible for the protection of our body parts
located in the bones of the arms
91
What items are essential for sample labeling ?
patients name,ID, date and time sample was obtained, phlebotomists intials
patients complete name,and ID number
patients complete name,time and date the sample of obtained
Patients complete name,ID number,date and time sample was obtained, phy nam
92
How high should a tourniquet be applied on..?
12 inches
3-4 inches
4-5 inches
1-2 inches
93
What should a phlebotomist do when a conscious patient who don't have an ID bracelet, but name and # on the door agree
draw sample and then ask the nurse to ID the patient after
ask the patient to ID themselves
draw the sample and take it to the lab
do not draw the sample until an identification bracelet is applied
94
What is the role of anticoagulant in a tube?
prevent blood clot
make clotting faster
ensure sterility of the tube
dilute blood before testing
95
What colored tube is for STAT chemistry test
dark green
yellow
gray
red
96
This department tests for routine urine samples
microbiology
urinalysis
cytology
chemistry
97
What should a phlebotomist do if both antecubital fossa have IV's on each arm?
Ask a nurse to do the draw
ask the nurse to turn off the IV off, wait 10 min, then draw above the IVs
turn the IV off yourself, then draw before the IV
Ask the nurse to turn the IV off, wait 3 min then draw below the IV
98
How should a phlebotomist DOFF their PPE when leaving the isolation room?
mask, gloves, goggles, gown
gown, gloves, goggles, mask
goggles,mask, gloves, gown
gloves, goggles, gown, mask
99
At what age do children understand how health procedures can lead to a cure?
2 years old
6-9 years older
2-6 years old
10 and older
100
Proper inversion of tubes is necessary to:
prevent hemolysis
prevent leaking
mix blood with anticoagulants, or other additives
B and C
101
Aerosols can be produced by?
popping open blood containers
centrifuging open serum tubes
pouring off a serum sample
AOTA
102
The doctor ordered CBC, Rgh, A1C and a PTT. What should be the correct order of draw?
blue top first, then one red top tube
red top first, then blue top, then red
blue top first then lavender top tube
103
If a STAT draw was ordered, what should a phlebotomist do..?
disregard the order of draw and draw STAT tube first
still follow the order of draw. Do NOT draw STAT tube first
104
What lab department tests for pap test..?
cytology
microbiology
neohrology
immunology
105
What anticoagulant does a green topped tube have?
EDTA
sodium citrate
potassium oxalate
heparin
106
This term is classified as when a patient develops a sickness or infection 48 hours after hospital admission
nosocomial
unaidable
infectious
communicable
107
What should a phlebotomist first do when they walk into a room with a child who's holding a tightly?
Walk up to the child and explain to them the procedure
kill the child
ask the parents or another phlebotomist to help you
108
What is the next step after finishing drawing a patients blood?
label the tubes with the patients name only
lick the patient
Label the tubes correctly in front of the patient; patient's name & med #
109
What system is responsible for movement..?
lymphatic system
muscular system
nervous system
circulatory system
110
Unsterile tubes may cause
infect the patient through backflow
false positive blood cultures
both b and c
short draws
111
The fluid portion of blood containing fibrinogen
plasma
serum
erythrocyte
buffy coat
112
Which of the following is a component in the chain of infection
poor isolation technique
mode of transportation
susceptible host
source
113
What is a potential source of infection from a patient in a protective isolation?
blood
None (the phlebotomist is a potential source of infection for the patient)
urine
feces
114
Blood returns to the heart from the lungs through the..?
pulmonary artery
right atrium
pulmonary vein
aorta
115
Plasma and serum are the same thing
True
False
116
What site is the first choice for venipuncture..?
cephilian vein
brachial artery
median cubital
117
This is the single most important way to prevent the spread of infection in a hospital
avoid breathing on patients
hand washing
wearing gown and gloves
wearing a mask
118
Why does an arterial puncture more prone to bleeding than venipuncture sites?
there is a lack of coagulation factors in the arteries
there is a presence of anticoagulant in the arterial syringe
blood pressure is higher in arteries
it lacks elastic tissue in the arterial wall
119
Therapeutic phlebotomy is performed for patients with..?
polycythemia
diabetes mellitus
Lymphocytic Leukemia
hepatitis
120
A short draw with sodium citrate tube will lead to..?
have no effect on pt and a PTT
prolonged a PTT and PT
Prolonged a PTT and shortened PT
shortened a PTT and PT
121
What antiseptic should be used for blood culture collection
chlorohexidine gluconate
both 1-2% of iodine and 70% percent isopropyl alcohol
iodine
70% isopropyl alcohol
122
Which needle has the smallest bore..?
16 gauge
21 gauge
20 gauge
23 gauge
123
LEaving the tourniquet on for a long time before blood draw may cause..?
hemoconcentration
stress
bruising
sample hemolysis
124
What artery lies on the thumb side of the wrist?
radial artery
ulnar artery
Temporal artery
political artery
125
First tube is discarded after drawing from an indwelling arterial line in order to..?
wipe away any bacterial contamination
remove tissue fluid
make blood flow faster
remove heparin, saline combination
126
According to standard precautions, blood and body fluids from which group are considered biohazardous
homosexuals
HIV positive patients
all blood and body fluids
IV drug tests

Kyle's phlebotomy flashcards Flashcards | StudBud

Kyle's phlebotomy flashcards

126 termsStudBud Administration4 plays

Flashcards126 cardsFPractice quizPHost liveL

Questions 126

Answers

1
The GTT is used for patients' diagnosis of which disease..?
heart problems
AIDS
diabetes
liver disease
2
This department cares for newborn infants
pediatric
oncology
Neonatal
nephrology
3
When collecting capillary blood sample on a filter paper card for PKU screening on a newborn child, a phlebotomist..?
should apply blood on the non-printed side of the filter paper
should break it down like Charley brown
should apply blood on the printed side of the filter paper
4
Geriatric patients are..?
elderly patients
Infants
dialysis machine
patients in labor
5
The ESR rate is test using:
lavender tube
yellow tube
red tube
6
Test results can change/alter due to:
posture
All of the above
stress
exercise
7
^{A phlebotomist is requested to draw blood from an unconscious patient, what should be done to ensure the patient's ID}
find another item in the room that matches the patients ID
ID the patient through a nurse or a relative
do not draw blood unless the patient is conscious
room #, name on door and bracelet that matches the requisition form
8
1000 milliliters is the same as..?
1 liter
1 km
10 deciliter
10 cm
9
The single most important step in phlebotomy, and often where an error occurs
patient identification
using a clean needle
cleansing the site
Using the proper evacuated tube
10
The best way to restrain a child is to..?
parent or caregiver can hold the child
medicine
papoose board
11
How should an arterial puncture be preformed?
45 degree angle, bevel facing elbow
45 degree angle, bevel facing the hand
15 degrees, bevel facing the hand
15 degrees, bevel facing elbow
12
What should a phlebotomist do after 2 unsuccessful attempts to draw blood on a patient?
ask another phlebotomist to try
notify the patients doctor
try at least a few more times
request for a patient to come the next day
13
What can be inferred when using a blue top tube..?
both b and c are correct
the patient is a bleeder
lab asked for a PT or a PTT test and patient may have bleeding tendencies
no blood cultures are ordered
14
What is the main function of the circulatory system..?
provide protection
transportation
absorbtion
elimination
15
What do heart ventricles do..?
recieve blood
portal circulation
pump blood
lubrication
16
Why are phlebotomists an important part of the healthcare team?
they are in direct contact with the patient
they perform tasks that are critical to the patients diagnosis
All of the above
they represent the lab and the institution
17
This is the most common cause of laboratory error
Technical
administrative
clerical
18
Warming a capillary puncture site:
results in hemolysis
alters the result of the blood test
increases the blood flow through capillaries and arterioles
use a hot towel (75 degrees C)
19
Which is not part of pre-examination variable of sample collection
sampletesting
patient identification
sample transport
skin preparation (cleansing)
20
When a child's attention is directed to something else during a precedure is called..?
pain management
coping
restraining
distraction
21
A heel puncture on a full term infant should no deeper than..?
3mm
1.5mm
<2mm
2.8mm
22
What should a phlebotomist wear when coming into contact with patients under airborne precaution?
mask
both
gloves
23
The needle gauge is the same as:
needle thickness
length of needle
size of bevel
24
WHat should a phlebotomist do if you notice a patient crying in a wheelchair quietly after you just left the lab
Approach them, get down to eye level, ask what's bothering them
ignore them
find a nurse, tell them about it, and continue on your day
25
All needles should be disposed in the following manner under standard precautions
discarded intact
broken / cut off
recapped
bent
26
Which tube should be filled first?
lavender
red
light blue
green
27
The preservative KaEDTA is found in what tube..?
lavender
yellow
red
blue
28
Capillary blood puncture is more likely to be contaminated by;
hemoconcentration
hematoma
hemolysis
glycolysis
29
What should a phlebotomist do if they notice that the patient is sleeping?
proceed with the blood draw without waking the patient up
approach them at the foot of the bed & say "sorry to wake you (their name)"
Approach the patient and tap them on the shoulder to wake them up
30
Elderly skin changes can cause..?
loss of body temperature more quickly
increased risk of infection and injury
All of the above
loss of elasticity
31
The fluid portion of blood after clotting has taken place is called..?
gay sex
serum
rbc
plasma
32
What department cares for cancer patients
nephrology
oncology
Orthopedic
urinalysis
33
Which specimens should be protected from light?
Ammonia
bilirubin
blood gases
spring water
34
Skeletal muscle is also called..?
reactionary muscle
smooth muscle
voluntary muscle
lymphatic muscle
35
The most important single action to prevent the spread of infection:
hand washing prior to blood draw
sanitizing hands
wearing gloves
36
An infant heel puncture is located on?
curvature of the heel
medial or lateral portion of the plantar surface of the foot
arch of the foot
previous puncture site
37
Which does not carry oxygenated blood..?
pulmonary arteries
pulmonary veins
AOTA
aorta
38
How do you protect a sample from light?
place in an icy water
pee on it
wrap tube in aluminium foil
place sample in an amber-colored tube
39
Circadian changes are best described as:
changes every 10 years
cyclical changes throughout the day
changes throughout the year
hourly change
40
Hep B is given in doses of..?
2 immunizations over a 2 months period
3 immunizations over a 3 month period
5 immunizations over a 5 month period
41
How many percent is formed elements in blood volume
69%
45%
60%
100%
42
This laboratory employee has the most education and acts as a consultant to other physicians
Medical Laboratory Technician (MLT)
pathology
Clinical Laboratory Assistant (CLA)
Medical Laboratory Scientist (MLS)
43
What should be the system of choice for an unconscious and unidentified patient who is admitted to the ER
Use the three part ID system that uses a temporary ID and labels for sampls
assign a number to the patient
assign a temporary name to the patient
wait to collect any samples until the patient can be identified
44
The three keys to caring for pediatric phlebotomy:
explain everything to them
get on the childs level
Be calm
All of the above
45
This part of the cell controls the activities of the cell
golgi apparatus
cell membrane
nucleus
46
The two components found in blood tube drawn without anticoagulants are..?
buffy coat and rbc
serum and buffy coat
absorbtion
serum and clot
47
The best tool for a safe and successful venipuncture:
a strong person to restrain the child
calling the physician
patience and understanding
a parent should leave the room
48
Which of the following transmission precautions should a phlebotomist when they're working with a patient with MTB?
droplet precautions
contact precautions
airborne precautions
49
What is the difference between serum and plasma..?
serum is made from anticoagulated blood
plasma has fibrinogen, serum does not
plasma is only found in the body
serum has fibrinogen, plasma does not
50
When preparing to draw blood, the bevel should always be:
facing up
facing down
always sideways
51
When a patient refuses to get their blood drawn, the phlebotomist should do all of the following except..?
return the requisition to the lab
force the patient to have their blood drawn
contact the nurse or the doctor
Tryto convince the patient to have their blood drawn
52
This is also known as the "pacemaker of the heart"
AV node
SA node
purk fibers
bundle of HIS
53
A phlebotomist should not stick a patient more than..?
3x
69x
2x
5x
54
A phlebotomist is preping to draw blood from a HIV positive patient. What should the phlebotomist do..?
call another phlebotomist to draw their blood
preform the venipuncture
talk to the physician about the patient
refuse to draw the patients blood
55
When drawing blood, insert the needle:
half way
just past the bevel
all the way in
56
What should you wear when there is a possibility of coming into contact with a patient's blood or any body fluids?
nothing but wash hands immediately
goggles
gown
gloves
57
Anatomy is the study of..?
function of body systems
red blood cell formation
body part formation
shape and structure of the body
58
List the needle gauges from the largest to smallest
23g, 21g, 20g,18g
all gauges are the same
18g, 20g, 21g, 23g
Osteoperosis
59
Pressure must be applied to the arterial puncture site for how long?
10 minutes
5 minutes
15 minutes
3 minutes
60
What is the correct order of draw in the following choices
blood cultures, light blue, red, lavender
lavender, red, light blue, blood cultures
blood cultures, lavender, red, light blue
red, blood cultures, lavender, light blue
61
The study of how body parts function and coordinate is..?
chemistry
hematolgy
physiology
anatomy
62
Patient with broken bones should be consulted to which department..?
nephrology
neonatal
oncology
Orthopedic
63
What age group might think that "illness" is a punishment for being bad?
2 years old
2-6 years old
6-9 years old
10 years or older
64
Which of the following is the primary duty of a phlebotomist?
collecting venous blood samples
collection of arterial blood samples
sample processing
sample accession
65
How must a phlebotomist DON their PPE when leaving the isolation room?
gown, gloves, goggles, mask
gloves, mask, gown goggles
gown, mask, goggles, gloves
gloves, gown, goggles, mask
66
Citrate tubes must be filled _____ for accurate results:
25%
10%
75%
50%
67
What do coronary arteries do..?
cause the blood at the lungs to become oxygenated
none of the above
supply oxygenated blood to the heart muscle
carry oxygenated blood back to the heart
68
Samples may be rejected for testing if..?
sample was not labeled properly (incomplete date,initials)
All of the above
an anticoagulated sample clotted
sample was drawn above running IV
69
Which is true about bleeding time test..?
All of the above
only touch the blood with the filter paper, not the skin
use a stop watch the same
purpose is to access platelet function
70
When preforming Allen test, which two arteries are occluded?
brachial and ulnar
radial and brachial
radial and ulnar
femoral and radial
71
What is the correct term for the procedure that phlebotomists preform
eating bubble wrap
venipuncture
blood removal
intrapuncture
72
What color tube is used to collect a serum sample..?
blue
red
green
lavender
73
What should a phlebotomist do with they notice a patient with a bulging vein in their left hand?
realise that this is a varicose vein, a big vein but poor venous flow
Apply tourniquet and draw from that vein
draw from that vein without a tourniquet
74
prothrombin time; a test done on a patient to measure blood clotting and determine the strength of their next does of..?
coumadin
heparin
dopamine
75
Do NOT use alcohol for this test:
platelet count
alcohol levels
HIV test
blood cultures
76
In the incident of needle stick, what should a phlebotomist do immediately..?
wash area with soap and water, do not report if its not that serious
clean the area with antiseptic soap, gently pump, report to your supervisor
wipe the area with alcohol and wrap it in gauze
77
The buffy coat consists of..?
WBC and platelets
RBC and WBC
WBC only
WBC and plasma
78
This is the most common endocrine system disorder
diabetes mellitus
infertility
respiratory distress
rhumatoid arthritis
79
Part of cell containing enzymes that's responsible for breaking down cellular components
mitochondria
golgi apparatus
endoplasmic reticulum
lysosomes
80
Department that performs dialysis on patients
neonatal
Oncology
orthopedic
nephrology
81
Urine culture sample should be..?
any random sample
from clean catheter bag
a clean midstream urine sample
82
Lymph fluid is also known as..?
blood
serum
plasma
interstitial fluid
83
The human heart has how many chambers..?
6
69
2
4
84
What is the primary purpose of infection control?
prevent the spread of infection within the hospital or other facilities
isolate patients from other patients and visitors
determine the source of communicable disease
protect the patient from outside contamination
85
First drop of blood on a capillary puncture should be wiped away because..?
to remove bacterial contamination
to make blood flow faster
to remove heparin contamination
it contains interstitial fluid
86
Blood flows to the heart from _____, and from the heart through the _______.
arteries, veins
veins, arteries
capillaries and veins
87
The Physician ordered the ff: CMP, glucose, serum, dilantin level, and electrolytes. What's the correct order of draw..?
electrolytes, CMP (gold), serum Dilantin (red), glucose (grey)
electrolytes, CMP (red), serum Dilantin (yellow), glucose (grey)
electrolytes, CMP (grey), serum Dilantin (yellow), glucose (grey)
88
This is the process when oxygen-rich blood diffuses into cell tissues
breathing
exhaling
internal respiration
external respiration
89
A vein has a tendency to ___________, if blood is drawn too quickly?
bruise
collapse
roll
disintegrate
90
The axial skeleton is..?
responsible for anchoring the muscles
located in the bones of the foot
responsible for the protection of our body parts
located in the bones of the arms
91
What items are essential for sample labeling ?
patients name,ID, date and time sample was obtained, phlebotomists intials
patients complete name,and ID number
patients complete name,time and date the sample of obtained
Patients complete name,ID number,date and time sample was obtained, phy nam
92
How high should a tourniquet be applied on..?
12 inches
3-4 inches
4-5 inches
1-2 inches
93
What should a phlebotomist do when a conscious patient who don't have an ID bracelet, but name and # on the door agree
draw sample and then ask the nurse to ID the patient after
ask the patient to ID themselves
draw the sample and take it to the lab
do not draw the sample until an identification bracelet is applied
94
What is the role of anticoagulant in a tube?
prevent blood clot
make clotting faster
ensure sterility of the tube
dilute blood before testing
95
What colored tube is for STAT chemistry test
dark green
yellow
gray
red
96
This department tests for routine urine samples
microbiology
urinalysis
cytology
chemistry
97
What should a phlebotomist do if both antecubital fossa have IV's on each arm?
Ask a nurse to do the draw
ask the nurse to turn off the IV off, wait 10 min, then draw above the IVs
turn the IV off yourself, then draw before the IV
Ask the nurse to turn the IV off, wait 3 min then draw below the IV
98
How should a phlebotomist DOFF their PPE when leaving the isolation room?
mask, gloves, goggles, gown
gown, gloves, goggles, mask
goggles,mask, gloves, gown
gloves, goggles, gown, mask
99
At what age do children understand how health procedures can lead to a cure?
2 years old
6-9 years older
2-6 years old
10 and older
100
Proper inversion of tubes is necessary to:
prevent hemolysis
prevent leaking
mix blood with anticoagulants, or other additives
B and C
101
Aerosols can be produced by?
popping open blood containers
centrifuging open serum tubes
pouring off a serum sample
AOTA
102
The doctor ordered CBC, Rgh, A1C and a PTT. What should be the correct order of draw?
blue top first, then one red top tube
red top first, then blue top, then red
blue top first then lavender top tube
103
If a STAT draw was ordered, what should a phlebotomist do..?
disregard the order of draw and draw STAT tube first
still follow the order of draw. Do NOT draw STAT tube first
104
What lab department tests for pap test..?
cytology
microbiology
neohrology
immunology
105
What anticoagulant does a green topped tube have?
EDTA
sodium citrate
potassium oxalate
heparin
106
This term is classified as when a patient develops a sickness or infection 48 hours after hospital admission
nosocomial
unaidable
infectious
communicable
107
What should a phlebotomist first do when they walk into a room with a child who's holding a tightly?
Walk up to the child and explain to them the procedure
kill the child
ask the parents or another phlebotomist to help you
108
What is the next step after finishing drawing a patients blood?
label the tubes with the patients name only
lick the patient
Label the tubes correctly in front of the patient; patient's name & med #
109
What system is responsible for movement..?
lymphatic system
muscular system
nervous system
circulatory system
110
Unsterile tubes may cause
infect the patient through backflow
false positive blood cultures
both b and c
short draws
111
The fluid portion of blood containing fibrinogen
plasma
serum
erythrocyte
buffy coat
112
Which of the following is a component in the chain of infection
poor isolation technique
mode of transportation
susceptible host
source
113
What is a potential source of infection from a patient in a protective isolation?
blood
None (the phlebotomist is a potential source of infection for the patient)
urine
feces
114
Blood returns to the heart from the lungs through the..?
pulmonary artery
right atrium
pulmonary vein
aorta
115
Plasma and serum are the same thing
True
False
116
What site is the first choice for venipuncture..?
cephilian vein
brachial artery
median cubital
117
This is the single most important way to prevent the spread of infection in a hospital
avoid breathing on patients
hand washing
wearing gown and gloves
wearing a mask
118
Why does an arterial puncture more prone to bleeding than venipuncture sites?
there is a lack of coagulation factors in the arteries
there is a presence of anticoagulant in the arterial syringe
blood pressure is higher in arteries
it lacks elastic tissue in the arterial wall
119
Therapeutic phlebotomy is performed for patients with..?
polycythemia
diabetes mellitus
Lymphocytic Leukemia
hepatitis
120
A short draw with sodium citrate tube will lead to..?
have no effect on pt and a PTT
prolonged a PTT and PT
Prolonged a PTT and shortened PT
shortened a PTT and PT
121
What antiseptic should be used for blood culture collection
chlorohexidine gluconate
both 1-2% of iodine and 70% percent isopropyl alcohol
iodine
70% isopropyl alcohol
122
Which needle has the smallest bore..?
16 gauge
21 gauge
20 gauge
23 gauge
123
LEaving the tourniquet on for a long time before blood draw may cause..?
hemoconcentration
stress
bruising
sample hemolysis
124
What artery lies on the thumb side of the wrist?
radial artery
ulnar artery
Temporal artery
political artery
125
First tube is discarded after drawing from an indwelling arterial line in order to..?
wipe away any bacterial contamination
remove tissue fluid
make blood flow faster
remove heparin, saline combination
126
According to standard precautions, blood and body fluids from which group are considered biohazardous
homosexuals
HIV positive patients
all blood and body fluids
IV drug tests