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