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ACCPhlebotomy112 Flashcards | StudBud
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ACCPhlebotomy112
ACCPhlebotomy112
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1
Failure to act or perform duties according to the standard of care for phlebotomy is:
criminal action
a battery
negligence
slander
2
Contamination of a PKU test can result from:
Presence of alcohol residue
Failure to discard the first drop
All of the above
Touching the blood spot circle before or after collection
3
It is appropriate to discuss patient information with the patients nurse while you are eating lunch in the cafeteria.
False
True
4
The Quality Control measures that instruct the proper blood drawing techniques are put in place by:
OSHA
CLIA
Joint Commission (JC)
CAP
5
If you have a fungal infection, which system is most likely affected?
Integumentary System
Reproductive System
Nervous System
Digestive System
6
A Nosocomial infection is:
An inection caused by a medication error
An infection acquired during a hospital stay
A systemic infection
An infection caused by a Noso virus
7
Failure to perform an action consistent with the accepted standards of care is:
Negligence
Leading with new ideas
Assault
Lazy
8
a patient has a seizure during their blood collection procedure, you should restrain them so they do not hurt themselves
False
True
9
What is the smallest needle gauge listed here?
23
21
15
17
10
The most important step for preventing the spread of infection is:
Washing your hands
Disposing of Biohazardous materials properly
Using safety devices
Wearing PPE
11
A___________ culture detects pneumonia.
Sputum
Stool
Blood
Urine
12
What are all of the formed elements of the blood:
Plasma, WBC, WBC
Serum, platelets, WBC
RBC, WBC, platelets
WBC, plasma, solutes
13
A doctor orders a Protime, you would draw:
lavender tube
green tube and light blue tube
light blue tube
lavender tube and light blue tube
14
When you graduate the phlebotomy program, you can then become
standardized
certified
accredited
calibrated
15
A____________ top tube contains Sodium Fluoride and is used primarily for glucose testing.
Lavender
Blue
Yellow
Gray
16
patient arrives at the draw station at 8 for a 3hr GTT, you draw their fasting sample at 8:05, and they finish at 8:20
Draw their 1hr at 0900
None of the above
Draw their 1hr at 0905
Draw their 1hr at 0920
17
Which department would perform a Hemogram?
Coagulation
Hematology
Immunohematology
Chemistry
18
The most common cause of a Hemolytic transfusion reaction is:
Miss-Identification
Contaminated blood
Expired blood products
Incorrect Antibody Detection
19
The term that describes the overall well being of the body is:
Homeostatis
Hemostasis
Hemolysis
Homozygous
20
Which of the following are examples of ergonomically correct behaviors for phlebotomists?
Raising or lowering patient bed to prevent back strain
All of the above
Phlebotomy tray storage at shoulder height or below
Stretching daily
21
Which of the following should be the first choice for blood collection?
Straight needle and syringe combination
Syringe and butterfly combination
Safety needle and holder/hub combination
Butterfly and hub
22
Peritoneal Fluid is:
Fluid between the thin membranes that surround the lungs
Fluid that is between the thin membranes that surround the heart
Fluid that protects the spinal cord and brain
Fluid that is between the thin membranes that line the abdominal cavity.
23
Which substance provides your body’s defense against bacteria, viruses or other foreign substances?
Antibodies
RBCs
Platelets
Antigens
24
The patient is prone to syncope during venipuncture, the phlebotomist should?
Tie the tourniquet tighter
Cancel the lab order
Use caffeine as a stimulant
Watch for fainting
25
Which department would perform an erythrocyte sedimentation rate (ESR)?
Chemistry
Serology
Immunology
Hematology
26
The skeletal system provides which of the following of these body functions?
Electrolyte balance, temperature regulation, protection
Support, protection and movement
Movement, support and sensation
Protection, temperature regulation and electrolyte balance
27
When performing a finger stick, the lancet should be placed:
Perpendicular on the fingertip
Laterally on the fingertip
Superiorly on the fingertip
Medially on the fingertip
28
If the doctor suspects you have recently acquired West Nile Virus, which immunoglobulin will he/she expect to be elevate
IgM
IgE
IgA
IgG
29
When preparing a patient for Blood cultures, which of the following is not recommended?
Clean the site with iodine and let it dry completely before puncture
A, B, and C are not recommended
Clean the site with in concentric circles starting at the point of puncture
Blow on or fan the site to help the iodine dry faster
30
The patient has a Vitamin D-Hydroxy test ordered. The test requires 3mls of frozen serum. What will you collect?
SST
Lavender tube
Green tube
2 Light blue tubes
31
A patient has an ABO test performed. The test shows Anti-A and Anti-B antibodies; the patient has which blood type:
A
B
O
AB
32
Platelets are also called?
Segmented Neutrophils
Leukocytes
Erythrocytes
Thrombocytes
33
Arteriospasm, hematoma, hemorrhage, and nerve damage are all possible complications when performing:
Capillary sticks
Blood cultures
Bleeding times
ABG's
34
The normal composition of blood is approximately:
30% plasma; 70% formed elements
10% plasma; 90% formed elements
55% plasma; 45% RBC
55% plasma; 45% Formed elements
35
Herpes, Influenza, and RSV are common types of:
Virus
None of the above
Fungus
Bacteria
36
The Hematocrit measures volume of packed cells
True
False
37
What is the primary function of RBC’s?
Prevent infection and transport O2 to lungs
Transport O2 to the tissues and CO2 to the lungs
Prevent infection
All of the above
38
Phlebotomy means?
Cutting into a cell
Surgical removal of a cell
Cutting into a vein
Surgical removal of a vein
39
It is ok to draw blood from the arm that is on the same side as a mastectomy.
False
True
40
A patient on __will have a PTT performed and a patient on ___monitors it with a PT/INR (protime) test.
Warfarin, Coumadin
None of the above
Heparin, Coumadin
Coumadin, Heparin
41
Anaerobic means:
Air loving
Room air
No exercise
Without air
42
____ is the fluid in the joint cavities that is often tested to diagnose gout and arthritis.
Pleural fluid
Peritoneal fluid
Synovial fluid
Cartilage fluid
43
Universal precautions refer to:
Treating every patient, blood or body specimen as if potentially infectious
Isolating patients as per the national universal policy
Treating every patient as if in contact isolation
Treating all patients as if they are on neutropenic precautions
44
Before sticking a vein you should make sure the bevel of the needle is down.
True
False
45
A tube arrives in the laboratory without a label, it must be_____
Call the nurse that drew it and have her label it
Labeled by the Phlebotomist
Swipe left-auto reject
Have the Doctor or MA label it.
46
Which two tests need to be protected from light:
Bilirubin, TSH
Potassium, Ammonia
Bilirubin, TSH
BMP, T4
47
You go in a patient’s room to draw a blood bank test. They notice the patient already has a bloodbank armband-you should
Check with the Blood Bank
Ignore the tests ordered
Cut off the old band and re-band patient
Draw the patiet and use the old BB armband
48
Laboratory specimens and contaminated supplies, other than sharps, should be disposed of in:
Puncture resistant container
Biohazard bags or containers
Chemical waste containers
Trash can
49
Knowing when to collect peak and trough level is important when drawing ___?
Blood Cultures
Estrogen levels
CBC levels
Therapeutic Drug Monitoring
50
Checking the baby’s weight is important because the baby will be at serious risk if more than ___ is drawn
20%
5%
10%
15%
51
1. The Doctor orders a BMP, Lipid panel, and a CBC. You should draw:
grey, lavender, SST
SST, SST, lavender
lavender, SST
lavender, SST, grey
52
Which of the following is true when drawing a blood alcohol level:
Use an SST
Site prep is not done with an alcohol wipe
Site prep is done the same way as other draws
Use a lavender top tube
53
Green top tubes contain the anticoagulant__. The liquid tested from this tube after centrifuging is called__
Plasma, serum
Heparin, plasma
EDTA, plasma
EDTA, RBC
54
Fertility is regulated by which two systems:
Digestive and Endocrine
Endocrine and Integumentary
Reproductive and Nervous
Reproductive and Endocrine
55
Which of the following patients is at risk for gestational diabetes and would probably be tested with a GTT?
All of the above
An obease pregnant woman
A woman who had GD during her last pregnancy
A woman with a previous baby weighing more than 8.8lbs
56
Drawing a patient without his or her permission can result in a charge of:
Malpractice
Negligence
Assault and Battery
Invasion of privacy
57
When using a syringe, it is important to regulate the aspiration/rate you pull back because:
There is no significant importance
Blood cells may hemolyze with forceful aspiration
Blood clots when the plunger is pulled forcefully
Blood cells fibrinolyze
58
QC(quality control)is defined as a broad approach and goal of quality improvement.
True
False
59
Which of the following federal agencies has the responsibility of monitoring hazardous working conditions?
CDC
OSHA
JCAHO
CLIS
60
____is a natural anticoagulant in the body, which protects us from clotting.
Coumadin
Aspirin
Protein C
Protime
61
Blood Vessels that carry blood Away from the heart are called?
Arteries
Veins
Capillaries
Tendons
62
The heart , blood, and vessels make up the:
Respiratory system
Circulatory system
Endocrine system
Nervous system
63
MSDS are:
A test for anemia
Directions for the proper storage and disposal of chemicals in the lab
Materials that give direction on which tubes are for which test
Direction for how to store blood
64
What is the most important step in the phlebotomy procedure
Asking the the patient about allergies
Getting the blood to additive ratio correct
Checking your needles for sharpness
Pt identification
65
Which test is performed on whole blood?
Protime
CBC
BUN
CPK
66
Which is the proper order of vein selection for venipuncture?
Cephalic, median cubital, basilic
There is no order
Median cubital, cephalic, basilic
Basilic, cephalic, median cubital
67
What is Phlebotomy?
Administration of Antithrombotics
Administration of Anticoagulants
Blood Administration
Drawing Blood
68
How can you visually tell the difference between serum and plasma?
Serum is fluid, plasma is gel
Serum is clear, plasma is cloudy
Serum is pale yellow, plasma is colorless
You cannot visually tell serum from plasma
69
Coagulation problems may result from liver disease because the liver:
Filters blood improperly when diseased.
Releases Calcium
Removes red blood cells
Manufactures coagulation factors
70
AST, ALT, ALP and Bilirubin can be used to monitor the __system and they check for __disease
Digestive, liver
Reproductive, liver
Nervous, kidney
Integumentary, bacterial
71
Which artery is most frequently used for ABG collection?
Brachial
Dorsalis Pedis
Radial
Femoral
72
In order to be protected when entering a room of a patient in respiratory, airborne isolation (COVID19), you wear?
Lab coat, gloves, and shoe covers
Gown, gloves, and N95 mask
Lab coat, gloves, and mask
Gown, gloves, and goggles
73
The modified Allen test checks for:
Clotting ability of the arteries
Gas exchange capability
Size of the arteries
Adequate arterial blood flow to the hand
74
For bleeding times, the pressure cuff is inflated to and maintained at ________mm Hg:
50 mm Hg
You do not use a blood pressure cuff for this
40 mm Hg
30mm Hg
75
What specimen container is used for collection on an ABG?
Red top tube
Heparinized syringe
EDTA tube
SST tube
76
The HCG or Human Chorionic Gonadotropin test is a diagnostic test of which organ system?
Urinary
Cardiac
Endocrine
Respiratory
77
The following conditions should be avoided when selecting a vein for a venipuncture:
Hematoma
Arm with an IV
All the above
Scarring
78
The study of microorganisms and their relationship to disease is:
Microbacteriology
Virology
Bacteriology
Microbiology
79
When the RBCs burst or break and the serum or plasma is red, ____________ has occurred.
Glycolysis
Hemostasis
Hemolysis
Hemoconcentration
80
Which of the following complications resulting from a deep skin puncture of an infant’s heel can be fatal?
Osteomyelitis
Anemia
Osteochondritis
Phenylketonuria
81
Girardia cases increase in spring and summer months from people drinking from streams
True
False
82
The process of identifying an organism and determining the appropriate antibiotic for treatment is called?
Gram Stain
Microscopic Analysis
Antibody Screen
Culture and Sensitivity (C&S)
83
Which of the following can be centrifuged immediately after collection?
Both Sodium citrate and heprain tubes
Sodium Heparin tubes
Sodium Citrate tubes
SST tubes