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