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PHLEBOTOMY FINAL REVIEW Flashcards | StudBud
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PHLEBOTOMY FINAL REVIEW
PHLEBOTOMY FINAL REVIEW
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1
The term to define the overall well-being of the body is:
Hematopoiesis
Hemolysis
Hemostasis
Homeostasis
2
How many inches should a tourniquet be placed above the venipuncture site?
2 to 3
1 to 2
3 to 4
4 to 5
3
What are the duties of a CQI committee?
to establish a team that will work together to identify and solve problems
to establish guidelines to improve patient care
both B & C are correct
find new instrumentation to purchase
4
Phlebotomy skills would not include
Handling patient correspondence
Being able to handle stress
Organization
Interpersonal skills
5
POCT is Point of Care Testing
False
True
6
Every institution's exposure control plan should be reviewed
only during initial employment
every 6 months
yearly
no specific requirement
7
The correct term for “white blood cells” is:
Hemolyzed
Hematoma
Venipuncture
Leukocytes
8
In strict isolation, in what order should you remove your isolation attire?
gown, gloves, mask
mask, gloves, gown
mask, gown, gloves
gloves, mask, gown
9
Asepsis means killing of all
living microorganisms
pathogenic bacteria
strep infection
staph aureus
10
The correct term that refers to the destruction of blood cells is:
Hemolysis
Leukocytes
Hematoma
Venipuncture
11
What is the purpose of the requisition?
Determine the specimens to be collected
All of the above
Allow all proper equipment to be gathered for collection
Identify the patient
12
The most common procedure for collecting many types of urine specimens is known as the:
Timed specimen
Suprapubic aspiration
Midstream clean catch
Catheterized urine sample
13
To protect blood constituents that are light sensitive, the phlebotomist should:
Draw the blood in a dark room
Place the tube in a dark container
None of the above
Wrap the tube in aluminum foil after collection
14
Which characteristic is not a required personal characteristic of a professional phlebotomist?
Sense of humor
Dependability
Honesty
Compassion
15
What is the most common chemistry test performed by means of POCT?
Sodium
CBC
Potassium
Glucose
16
Which is the largest bore opening on a needle?
14 gauge
20 gauge
21 gauge
22 gauge
17
The correct term for “decrease in the number of circulating red blood cells” is:
Anemia
Centrifuge
Anticoagulant
Platelets
18
It is not true that:
Disposable needles can never be reused.
The tube holder and needle are discarded.
A safety device that is part of the needle holder may be reused.
Recapping used needles after routine venipuncture is acceptable.
19
It is necessary for a patient to fast for 12 hours before:
Blood culture
Therapeutic phlebotomy
Blood donation
Glucose tolerance test
20
The correct term for “a substance that prevents blood from clotting (EDTA, heparin)” is:
Platelets
Anticoagulant
Centrifuge
Anemia
21
First thing to do when entering a patients room?
Identify patient
Put on gloves
Introduce yourself
Wash hands
22
What needle is used for blood gas collection?
14 gauge
21 gauge
18 gauge
4 gauge
23
A syringe is used for blood draw for patients with small or fragile veins or hand
True
False
24
GTT means glucose tolerance test
False
True
25
VAD is vascular access device
False
True
26
HIPAA is:
Designed to keep personal health information private
An organization that aids in accessing a person's health information
A national certification exam
Designed to aid phlebotomists in assigning a blood sample to a tube top
27
Hepatitis involves which organ?
Ovaries
Brain
Liver
Heart
28
One group of inherited disorders marked by increased bleeding times is known as:
Polycythemia
Anemia
Hemophilia
Leukemia
29
When performing a dermal puncture, where should the puncture be made?
Perpendicular to the fingerprints
On the tip of the finger
Aligned with the fingerprints
On the edge of the finger
30
A patient is refusing to have their blood drawn. The phlebotomist should do all of the following except:
Return the lab requisition to the laboratory
Force the patient to have his or her blood drawn
Try to convince the patient to have his or her blood drawn
Contact the patient's nurse
31
What point-of-care test can be used for a routine urinalysis?
Glucose monitor test
Dipstick test
Occult blood
Human Chorionic Gonadotropin (HCG)
32
Hemochromatosis is a disorder when iron salts deposited in tissues, liver damage, DM
True
False
33
OSHA's motto is
OSHA wants to make sure students are kept safe
OSHA wants no one to come down with Hepatitis
OSHA wants every worker to go home safe
OSHA wants to keep the community safe
34
What year was the OSHA created within the Department of Labor?
1970
1989
1990
1991
35
What does HIPAA stand for?
organizational safety hazard administration
none of the above
health insurance portability act
both A & B are correct
36
What test is used to diagnose hypoglycemia?
3 hour oral GTT
2 hour pp (postprandial) glucose
1 hour oral GTT
5 hour oral GTT
37
Plasma consists of what percentage of total blood volume?
92
80
45
55
38
All of the following are true statements about collecting blood for legal alcohol levels except:
Tubes must be filled as full as the vacuum allows
Use sterile soap and water to clean the puncture site
The specimen should not be left uncapped
The site must be cleaned with alcohol
39
What do specimens collected from ammonia levels and ABG's have in common?
they must be protected from light
they must be drawn from an artery
they must be placed in a 37*C water bath and transported to lab ASAP
they must be placed on ice bath and delivered to the lab immediately
40
Phlebotomy procedures are used for the following
diagnosis
testing
treatment
all of the above
41
What does CBC stand for?
Complete blood chemistry
Computed blood count
Cardiac blood count
Complete blood count
42
What part of the arm is most commonly used?
Wrist
Antecubital area
Lower arm
Shoulder
43
Which of the following is not a VAD?
EMLA
CVC
PICC
IV
44
WBC check for infection or inflammation
False
True
45
How can you tell if a specimen has hemolyzed?
it looks lipemic
it has clotted
it looks dark yellow
it looks cherry red
46
Ten percent bleach used as a cleaning agent should be made fresh how often?
Every 3 hours
Everyday
Every 6 hours
Once a week
47
The 5-hour OGTT is used to test for:
Lactose
Blood glucose
Anemia
Epinephrine
48
General rule for isolation is
what goes in stays in
leave your tray outside the room
always gown, glove, mask, and wash
all of the above
49
What special consideration must be taken into account when deciding what vein to puncture?
does it look bruised or red?
does it move and is it visible?
all of the above
does it have a pulse or feel cord like?
50
Hepatitis B may be stable in dried blood for at least seven days.
True
False
51
Occluded veins are blocked and feel hard or cord-like to the touch.
True
False
52
The following veins is the most common second choice, after the median cubital vein, when drawing a blood sample?
Jugular
Cephalic
Basilic
Radial
53
What is the functional unit of the nervous system?
Nephron
Neuron
Nucleus
Neoplasm
54
Test used to detect muscle disorders are creatine kinase or creatine phosphokinase
False
True
55
Define host
person with the disease or germ
person with low resistance
person that transmits the germ
person carrying the germ but not the disease
56
What test is used to diagnose whooping cough, croup, and pneumonia mainly in children?
Urinalysis
NP culture
Throat swab
SE test
57
Using a proper needle gauge is the most important factor in preventing contamination of a blood culture.
False
True
58
Meaning of HAI is health care associated infection
True
False
59
Where should blood never be collected from a patient?
Atrial line
CVC
AV Shunt
IVi
60
The middle and ring fingers are the most common digits used to obtain a dermal puncture in adults.
True
False
61
Laboratory test NOT used for muscle disorders?
C & S (culture and sensitivity)
CBC
RBC
A & P
62
WBC means?
Whole blood count
White blood cell
Whole blood chemistry
None of the above
63
What promotes the breakdown of glycogen back into glucose?
Insulin
Thymosin
Glucagon
Calcitonin
64
Venipuncture cleansing is done as a ____ technique
asepsis
aseptic
sterile type
clean
65
What department can also draw arterial blood gases?
Respiratory therapy
Occupational therapy
Physical therapy
Radiology
66
What is the functional unit of the kidney known as?
Nephron
Neuron
Medulla
Thalamus
67
What is the maximum amount of time an infant heel warming device should be applied for?
1-2 minutes
3-5 minutes
8-10 minutes
30 seconds
68
What is the most common chemistry test performed by means of POCT?
CBC
Sodium
Glucose
Potassium
69
Why is the syringe method of draw useful?
Allows for control of blood flow
Allows for flexibility and less bulk
Shows appearance of blood in the hub
Both A and B
70
If a tube contains no anticoagulant or additive, then what color will it be?
Lavender
Red
Yellow/Gray or Orange
Green
71
After venipuncture, the correct position for the arm is fully bent.
False
True
72
Good candidates for dermal collection would include which patients?
Severely dehydrated
Those who require frequent collections
All of the above
Obese patients
73
Which of the following could be a cause of hemolysis?
Blood running down the side of a tube when the syringe is filling the tube
Drawing blood too slowly into a syringe
Using a needle larger than a 23 gauge
Vigorously mixing the tubes
74
At what angle should a venipuncture needle puncture the skin?
45 degrees
10 to 15 degrees
30 to 40 degrees
15 to 30 degrees
75
If a tube contains sodium polyanethol sulfonate (SPS), then what color will it be?
Purple
Yellow
Pink
Light Green
76
Bleach water mixed is made of 1 part bleach, 10 parts water (1:10 mixture)
True
False
77
The principal disorder(s) treated by therapeutic phlebotomy is/are:
None of the above
Polycythemia
Both a and b
Hemochromatosis
78
Which blood vessels are a single cell in thickness?
Arteries
Capillaries
Veins
Arterioles
79
Use a large bore needle to cause less damage to RBC and faster collection in shorter time.
False
True
80
What can cause collapsed veins?
All of the above
The plunger being pulled too quickly
Too much vacuum for the vein
Too large of a needle for the vein
81
What should you do if a stat test is ordered and the patient is not in their room?
Leave a note at the nurse's station
Postpone the collection
Locate the patient
Wait until they return
82
The test performed to check for blood in fecal material is:
Clean catch test
Occult blood test
72 hour stool test
Random test
83
Timed specimens are most frequently collect to monitor:
FBS
Medication levels
Cold agglutinins
Bilirubin
84
What is an antigen?
all of the above
a foreign body that invades the body and needs to be destroyed
a foreign body that stimulates the production of an antiobdy
a virus such as hepatitis B
85
The three vessels primarily used are?
All of the above
Cephalic vein
Basilic Vein
Median cubital
86
What are the three necessary elements for the spread of infection?
carrier, host, susceptible person
airborne organism, vehicle or droplet
host, susceptible person, transmission
host, transition, carrier
87
What does the term pathogenic mean?
disease producing
microorganisms
bacteria in the blood
organisms in the air
88
What is the rule for drawing patients that have had a mastectomy?
if it is more than 10 years old, there is no rule
as long as you draw only one tube, it doesn't matter where you draw
never draw on the side of the mastectomy w/o a doctors written permission
only use the patients feet or legs
89
Which specimen requires chilling during transfer to the lab?
Bleeding time
Arterial blood gases
Cryofibrinogen
CBC
90
Which of the following is not an anticoagulant?
EDTA
Sodium heparin
Sodium citrate
Polymer gel
91
A blood specimen has been collected on a patient. Why would it look cloudy or milky?
the patient has not eaten healthy and has high cholesterol
none of the above
the patient just finished exercising
the patient is a diabetic
92
Which of the following body systems protects vital organs and gives body structure?
Skeletal System
Muscular System
Vascular System
Integumentary System
93
How many liters of blood does an average adult have?
7 to 8
1 to 2
5 to 6
3 to 4
94
Lab requisition details include
All of the above
Ordering dr and labs ordered
DOB
Patient Name
95
The correct term for “a cell that aids in the blood clotting process” is:
Centrifuge
Anemia
Anticoagulant
Platelets
96
The most common HAI (previously known as nosocomial) laboratory infection is:
Hepatitis
Meningitis
Influenza
HIV
97
What position should the bevel of the needle be in before entering a vein?
The position does not matter
Facing toward the side
Facing down
Facing upward
98
How many layers are veins and arteries composed of?
3 layers
4 layers
2 layers
1 layer
99
What is the most common source of a nosocomial infection?
staph infection
bacteria from a weeping dermatitis
salmonella in a stool sample
bacteria from a urinary tract infection
100
A phlebotomist is required to wear which of the following PPE when preforming a routine venipuncture?
Eye Protection
A mask
Gloves
A gown
