Why should blood and urine specimens for micro biological culture be transported to the lab quickly?

To improve the likelihood of detecting pathogens

Pareto charts can be used in quality improvement methodologies and are designed to assist in

Making bar charts that show frequency of problems

In designing a report form for laboratory results which of the following is not required

Patient and physician addresses

Identification tag using silicon chips and a wireless receiver

The last step in any phlebotomy procedure, including skin puncture is

Check that the bleeding has stopped and thanked the patient for cooperating

Skin puncture techniques are most often used when

Small amounts of blood are needed for testing as when a patient is anemic

The yellow top vacuum collection tube has, which of the following additives

Sodium polyanethol sulfonate (SPS)

The monoject monoletter is a

Safety device for collecting capillary blood

Hemolyze specimens cause which of the following

Chemical interference with lab assays

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PHLEBOTOMY FINAL

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Answers

1
What is the best way to decontaminate a phlebotomist hands if they are visibly dirty?
Use an alcohol hand, rub and wipe it off with paper towels
Wash hands with soap and water
Use antimicrobial wipes
Wear sterile gloves
2
Which of the following causes pulling of blood in the veins
Capillary tube
Tourniquet
Evacuated tube method
Syringe method
3
Why should blood and urine specimens for micro biological culture be transported to the lab quickly?
So that blood cells will not rupture
To improve the likelihood of detecting pathogens
To keep the specimens close to the body temperature
To avoid excessive exposure delay
4
Quality control records do not include information about
Proper use and storage information
Precision and accuracy of testing supplies
Expiration dates and stability information
Employee health
5
One of the most efficient and safe methods of specimen, transportation in a large healthcare organization is
Email for specimens
Pneumatic tube systems
Clear biohazard carts
Carrying the specimen by hand
6
During a skin puncture procedure, how should the cup be oriented on the finger?
Parallel to the fingerprint lines
On a Diagonal
Across the fingerprint lines
It doesn’t matter how the lancet is positioned. It is done automatically.
7
Alcohol should be allowed to drive for how many seconds before the venipuncture
30 to 60 seconds
11 to 15 seconds
Up to five seconds
6 to 10 seconds
8
The formed elements of the blood make up only ____ % of the total volume
55
30
45
60
9
Pareto charts can be used in quality improvement methodologies and are designed to assist in
Stimulating creative ideas
Making bar charts that show frequency of problems
Breaking out components into a flowchart
Identifying reactions between people
10
If a blood specimen has a separation device, how many times should it be centrifuge?
8 times max
2-4 times
1 time
5-7 times
11
Cultural sensitivity for phlebotomist involves learning about all, but which of the following
Skins sensitivity to pain
Values
Beliefs
Traditions and practices
12
During a venipuncture procedure, the needle should be inserted with the
Bevel perpendicular to the skin
Bevel side up
Beville pointed away from the insertion site
Bevel side down
13
Handwritten information cannot be converted into barcode symbols
False
True
14
The instrument used to speed the removal and of serum by spinning the blood is called a
Hemostat rotator
Centrifuge
None of the above
Coagulator
15
Under universal precautions, all use needles are to be disposed of in the following manners
Recapped
Bent
Broken or cut off
Discarded intact
16
Homeostasis refers to
The steady state condition
Blood clotting
A chemical imbalance
An anabolism
17
After a fingerstick is performed what should the phlebotomist do with the first drop of blood
Use it for a hematology testing
Make a blood smear or slide
Use it for coagulation
Wipe it with a gauze
18
The most commonly requested timed specimen is
Hemoglobin
Triglycerides
Cholesterol level
Glucose level
19
To avoid micro clotting in the blood collection tube, it’s important the lavender tube be inverted a minimum of
5
0
8
12
20
A primary consultant on the timing for collecting blood for drug levels is found in which department?
Nutrition
Clinical Hematology
Pharmacy
Occupational Therapy
21
In designing a report form for laboratory results which of the following is not required
Patient and physician identification
Reference ranges
Patient and physician addresses
Date and time of collection
22
Once they enter the bloodstream, mature red blood cells live for approximately ______
120 days
7 days
100 days
60 days
23
Approximately how long does it take a normal blood specimen to clot?
Over two hours
5 to 15 minutes
30 to 60 minutes
One to two minutes
24
If blood pressure is read as 120/80, the 120 is the systolic pressure
False
True
25
What is an RFID
Test code for rapid screening test
Identification tag using silicon chips and a wireless receiver
Blood test for rheumatoid factor
Urine test that must be transported on ice
26
The ____ pressure is the pressure when the heart is relaxed between beats
Systolic
Diastolic
Thermostatic
Lymphatic
27
Where is the anti-cubital area
At the biceps
Near the wrist
Slightly below the elbow
Near the shoulder
28
The term butterfly refers to
Evacuated collection tube
Safety device on a needle
Winged infusion set
Syringe
29
The last step in any phlebotomy procedure, including skin puncture is
Label specimens
Check that the bleeding has stopped and thanked the patient for cooperating
Make the blood smears
Apply pressure to the site
30
Skin puncture samples are often used for which of the following tests
Therapeutic drug levels
White blood cell differentials
Blood cultures
Blood gases
31
The single, most important way to prevent the spread of infection in any health facility is by
Gowning and gloving
Avoiding breathing on patients
Always wearing masks
Hand wash
32
Thrombocytes are
RBC
White Blood Cells
Blood Clots
Platelets
33
Skin puncture techniques are most often used when
The patient is normal, but requires many routine blood test
Routine microbiology tests are needed
Small amounts of blood are needed for testing as when a patient is anemic
The patient is an athlete and needs a drug screen
34
Which of the following anticoagulants is found in a royal blue top collection tube
Sodium citrate
Ammonium heparin
Lithium heparin
No anticoagulant or EDTA
35
Alkaline phosphate must never be collected in which of the following tubes
Gold top tube
Speckled topped tube
Gray top tube
Red top tube
36
Which of the following is an intravenous device that is used for collecting blood from patients who are difficult
Butterfly needle
BD microcontainor
Micro vet capillary blood collection system
BD Unopette
37
A person who has too little hemoglobin or a decreased number of red blood cells is known to be:
Anemic
Metabolic
Hematologic
38
Glycolytic action refers to which condition
Breakdown of glucose
Platelet activation
Lysing of white blood cells
Lysing of red blood cells
39
The yellow top vacuum collection tube has, which of the following additives
Sodium polyanethol sulfonate (SPS)
Lithium heparin
EDTA
Trisodium citrate
40
Serum should be transported to the laboratory for testing + separated from cells within which time to avoid error
4 hrs
2 hrs
5 min
5 hrs
41
The ___ pressure is the pressure when the heart is contracted
Systolic
Lymphatic
Thermostatic
Diastolic
42
The monoject monoletter is a
Safe method to dispose of sharps
Safety device for collecting capillary blood
Safety device for collecting specimens by venipuncture
Safety device for collecting arterial blood gas specimens
43
Hemolyze specimens cause which of the following
Cooling of the specimen
Centrifugation Interference
Chemical interference with lab assays
Warming of the specimen
44
Therapeutic phlebotomy is used in the treatment of
Chronic anemia
Megaloblastic, anemia
Polycythemia
Iron deficiency anemia
45
The process of determining if a person will react after a transfusion is called
Draw and test
Type and cross match
Transference
Splice and sample
46
The best angle for spreading a blood smear by using two glass slides is ___ degrees
45
15
60
30
47
When drawing blood, the vein that is most preferred is the
Median cubital
Cephalic
Basilic
Median
48
The body contains approximately ______ of blood
5 liters
5 ounces
2 quarts
1 gallon
49
A chemical substance that prevents the blood from clotting is called
Anticoagulant
Lymphatic resistor
Pathogen
Fibrinogen
50
For newborns, the penetration depth of lancets for blood collection must be less than
2.8 mm
3.0 mm
2.0 mm
2.4 mm
51
Which of the following fingers has a pulse
Pinky
Pointer
Thumb
Middle
52
When speaking with a patient about which arm preference how should we refer to the right or left one?
Refer to the phlebotomist arm
Don’t discuss, it proceeded with the arm that looks best
Face the same way the patient is facing and point to the arm
Referred to the patient’s right or left arm
53
What is the importance of having the correct volume of blood when collecting blood with an anticoagulant?
It provides the correct blood additive ratio
It prevents hemolysis
It is important to maintaining homeostasis
It promotes bleeding
54
If a patient gets an infection during a hospital stay, the infection is classified as
Unavoidable
Infectious
Communicable
Nosocomial
55
What is the importance of hand hygiene techniques?
It prevents HPV infection after a needle stick
It helps with the vein selection
Significantly reduces the number of outbreaks and infections
It eliminates the use of gloves
56
One function of the blood is to carry ___ to the bodily tissues
Waste
Electrolytes
Lymph fluid
Bone marrow
57
Flowcharts can be used in quality improvement methodolgies and are designed to assist in _____
Making bar charts that show frequency of problems
Breaking out components into a diagram to understand a process
Identifying interactions between people, methods, equipment and supplies
Stimulating creative ideas
58
Which of the following blood analytes is light sensitive
Bilirubin
Calcium
Glucose
Lead
59
If the phlebotomist collects blood in the neonatology department, what type of patient performing blood collections on
1 to 2 years old
Hours to a few days old
3 to 5 yrs old
Pregnant patients
60
Phlebotomists are primarily responsible for what phase of lab testing?
Post- analyitical
Analytical
Pre-analytical
Pre-assessment
61
When coming into contact with patients under protective isolation it is necessary to wear
Gloves
Mask
Gown
All of the above
62
Assays that require chilled specimen include all, but which of the following
Blood gases
Gastro ammonia and lactic acid
Renan, catecholamine and parathyroid hormone determinations
Blood cultures
63
The primary purpose of infection control is
Protect the patient from outside contamination
Determine the source of communicable disease
Isolate patients from other patients and visit
Prevent the spread of infection within hospitals and other facilities
64
In relation to veins, the term occluded means
Obstructed
Smaller than normal
Larger than normal
Inflamed due to infection
65
Skin puncture blood is composed of
Blood from arterials and venules
Blood from capillaries
A combination of AB and C
Tissue fluids
66
Liquid makes up ___ % of the total volume of the blood
45
70
40
55
67
Which of the following variables represents a pre-analytic variable that might affect laboratory testing results
The specimen is tested on a calibrated instrument
Reporting the lab test results to the nurse
The patient ate a hearty breakfast
Not wearing a lab coat
68
Blood for lead levels needs to be collected in a
Purple topped tube
Tan topped tube
Light blue topped tube
Green topped tube
69
A ___ is an instrument for sterilizing that uses steam under pressure
Isolator
Autoclave
Sterilization recess chamber
Sharps container
70
If veins in the arm cannot be used for venipuncture the preferred alternative veins lie in the
Outermost edge of the hand
Anterior surface of the hand or wrist
Ankles or feet
Dorsal, side of the hand or wrist
71
Quality improvement for specimen collection frequently involve all EXCEPT
Recollection rates
Frequency of hematomas
Phlebotomists technique
Negative drug reaction
72
To chill a blood specimen, as it is transported, the healthcare worker should use
Frozen blocks of ice
A small freezer unit
Icy water
Tepid water
73
The blood cells begin their formation in the lymph nodes and ______
Bone Marrow
Capillaries
Liver
Spleen
74
What is interstitial fluid?
Synovial fluid
Spinal fluid
Tissue fluid
A capillary blood
75
Color coding for needles indicates
Gauge
Length
Anticoagulant
Manufacturer
76
Lithium heparin is suitable anticoagulant for which of the following studies
Erythrocyte sedimentation rate
Zinc level
Ammonium heparin
Glucose level
77
A blood cell count requires whole blood to be collected in a
Light blue topped tube
Gray topped tube
Purple topped tube
Green topped tube
78
Fragile veins are most likely to be found in which type of patients
People who lack exercise
Teenager
Obese
Geriatric
79
The supine position refers to which of the following
Erect and standing
Lying on the right side
Lying face up on their back
Lying face down on their stomach
80
Psychogenic analysis requires whole blood collected in
Green topped tube
Red topped tube
Gray topped tube
Light blue topped tube
81
A potential source of infectious material from a patient in protective isolation includes
Feces
Urine
None ( the phlebotomist is a threat)
Blood
82
Leukocytes are
Blood Clots
WBC
RBC
Platelets
83
What is the normal pH range of a normal body?
0 to 7
6.5 to 10
7.35-7.45
7.5-8.0
84
Which of the following specimens would most likely be taken to anatomic pathology?
Synovial fluid
Sputum
Cerebrospinal fluid
Biopsy tissue
85
During the venipuncture, what is the best angle for inserting the needle into the skin?
5 to 15°
45 to 60°
15 to 30°
60 to 75°
86
Erythrocytes are
Blood Clots
WBC
Platelets
RBC
87
The iron containing pigment of the red blood cells is called
Creatinine
Basophils
Hemoglobin
Plasma
88
Measurement of blood copper a trace element, requires blood collection in a
Royal blue topped tube
Purple topped tube
Light blue top tube
Green topped tube
89
Which of the following is an anticoagoagulant used in blood donations?
Acid citrate dextrose
sodium citrate
ehtylene-diamine tetra acetic acid
90
Especially labeled puncture resistant container for the disposal of needles scalpels answer syringes is known as
Hazardous waste chamber
Autoclave
Sharps container
Isolator
91
Barcodes and Phlebotomy applications can be used for all of the below, except
Product number inventory expiration dates
Patient names date of birth patient ID
Specimen session, numbers, test codes
Patient arm reference
92
What is the preferred anticoagulant for the collection of whole blood for stat situations in clinical chemistry
Sodium citrate
Heparin
Sodium oxalate
EDTA
93
When the blood is removed from the body, the blood clots and the liquid portion are called
Fibrin
Plasma
Mass
Serum
94
A common toxicology test is
None of the above
Creatinine
Lipids
Cannaboids
95
Before performing a venipuncture, a pair is of clean gloves should be put on in the presence of a patient because
It saves time and money
It eliminates the need for repeated hand hygiene techniques
It is a federal low for all healthcare workers
It is a reassuring, safety conscious gesture for both the patient and+ work
96
All of the following are components in a chain of infection, except
Source
Susceptible host
mode of transportation
Poor isolation technique
97
In most cases, when should blood be collected to determine levels of medication?
30 minutes after the medication is administered
7 AM
10 AM
Just prior to the next dose of medication
98
The most reliable, labeling method for avoiding transcription errors in specimen collection is
Address graph machine
Computerized labels using barcodes
Handwritten labels with careful attention to detail
Pre-labeling specimen tubes at the beginning of a work shift
99
During the venipuncture procedure, what does the phlebotomist do after the needle is inserted, and blood begins to flow
Adjust the hub of the Needle
Withdraw the needle
Release the tourniquet
Release the adapter
100
Which of the following needle gauges has the smallest diameter?
20
21
23
19

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