Which of the following should not be used to enhance the vein selection process?

Having the patient vigorously pump his fist

The term "distal" means

Farthest from the point of attachment

The Joint Comision Sentinel EventQI Program policy is designed to do all ofthe following except

Demonstrate flexibility in setting QC measures

taking antibiotics. The phlebotomist needs to make sure that the blood culture bottles contain

antimicrobial neutralization products

Reverse isolation may be used for:Select ALL possible answers.

a patient undergoing chemotherapy, a patient with advanced stages of AIDS, a transplant patient taking anti-rejection drugs, a patient with severe burns

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Phlebotomy program

250 termsStudBud Administration158 plays

The Health Care Setting: Overview of the human body. Blood Collection procedures. Special procedures.

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Questions 250

Answers

1
Two phlebotomists are discussing a patient's condition in the elevator. This is an example of
invasion of privacy
mistreatment of patient
Failure to exercise reasonable care
improper or unskilled care
2
Cortisol peaks late in the afternoon.
False
True
3
Which of the following should not be used to enhance the vein selection process?
Palpating the antecubital area
Lowering the arm
Having the patient vigorously pump his fist
Using a warm towel to increase blood flow
4
The term "distal" means
none of the choices are correct
Farthest from the point of attachment
Nearest to the center of the body
higher or above
5
Sclerosed veins feel _____.
Square
Cordlike
Movable
Spongy
6
Match the specimen :Glucose in an potassium oxalate/sodium fluoride gray top
Centrifuge after clotting
centrifuge immediately
do not centrifuge
7
The Joint Comision Sentinel EventQI Program policy is designed to do all ofthe following except
Demonstrate flexibility in setting QC measures
prevent unfavorable events from happening again
improve the safety of patients in healthcare institutions
Identify unfavorable events for immediate investigation
8
Which department(s) in the lab could a RED top tube go to for testing? Choose all that apply.
Serology
Chemistry
Hematology
Coagulation
9
Reverse isolation may be used for
an adult patient with the flu
a patient with an urinary tract infection
a pediatric patient with measles
a patient with severe burns
10
The medical term for fainting is _____.
thrombin
syncope
hematoma
petachiae
11
Which of the following is the safest area for infant heel puncture?
The central area
The area of the arch
the posterior curvature
The lateral plantar surface
12
Which color tube contains Heparin?
red
Green
gray
13
The liquid portion of blood,without clotting factors such as fibrinogen present,is called what?
plasma
oxygenated blood
serum
cellular components
14
Gold tops (aka Tiger tops) contain what additive?
Sodium citrate
EDTA
Clot activator
15
Why is a tourniquet needed for phlebotomy?
to make the veins more prominent and easier to see & feel
to restrict blood flow
distend the vein sothat theyare easier to piercewith aneedle
all of the options are correct
16
Match the specimen with the type of processing required CBC in a lavender top
centrifuge immediately
do not centrifuge
centrifuge after clotting
17
Select the possible additive(s) inside a Royal-blue top tube.select more than one answer)
clot activator
Acid citrate dextrose (ACD)
Heparin
EDTA
18
What may happen if you mix tubes too vigorously?
Vigorous mixing has no effect.
Hemoconcentration
Lipemia
Hemolysis
19
Which is a test of the urinary system?
Creatinine clearance
Creatine kinase
Pleuracentesis
Cholinesterase
20
Lymph originates from
Plasma
Serum
Tissue fluid
Joint fluid
21
taking antibiotics. The phlebotomist needs to make sure that the blood culture bottles contain
antibacterial salt
antibiotic capsules
No answer text provided.
antimicrobial neutralization products
22
The left ventricle delivers oxygenated blood to the aorta.
True
False
23
Never leave a tourniquet on for longer than_____.
30 seconds
3 minutes
1 minute
2 minutes
24
substance that will prevent blood from clotting and will yield whole blood or if spun,plasma is
anticlotterator
clot preventers
anticoagulants
clot activators
25
Match the specimen with the type of processing required BMP in an SST
do not centrifuge
centrifuge after clotting
centrifuge immediately
26
Whichbodysystem is responsible for transmitting impulses,responding to change,for communication
muscular system
endocrine system
nervous system
cardiovascular system
27
How many times should a red top tube be inverted?
8
2
0
5
28
Drawing a patient's blood without his permission can result in a charge of
malpractice
invasion of privacy
assault and battery
negligence
29
Which is not a PPE?
Goggles
Gloves
Room dividers
Mask
30
In the word arteriospasm, choose what word element represents "spasm"
prefix
word root
suffix
31
The most common source of carry over problems is EDTA.
True
False
32
Which of the following types of muscle is under voluntary control?
Visceral
Smooth
Skeletal
Cardiac
33
What goes in a sharps box?
All are correct
Anything that could potentially break the skin
Broken glass, Glass tubes
Needles, Slides, Lancets
34
most likely to result in fatal consequence for the patient if the specimen is misidentified?
Drug Screen
Type & Crossmatch
Blood cultures
Postprandial glucose
35
The most common complication of phlebotomy.
Hemoconcentration
Phlebitis
Hematoma
Petechiae
36
The slanted tip of the needle that enters the vein is called the
gauge
lumen
bevel
hub
37
What type of urine specimen is needed to detect an infection?
clean-catch
random
routine
24 hour
38
Reverse isolation may be used for:Select ALL possible answers.
a patient undergoing chemotherapy
a patient with advanced stages of AIDS
a transplant patient taking anti-rejection drugs
a patient with severe burns
39
Theagency thatrequires healthcare organizations to have a QAprogram in placeto be accredited it
Joint Commission
Clinical and Laboratory Standards Institute
College of American Pathologists
Public Health Service
40
Convert 1833 to 12-hour clock time
6:33 am
8:33 pm
6:33 pm
8:33 am
41
agency that requires healthcare organizations to have QA program to be accredited
Clinical and Laboratory Standards Institute
Joint Commission
Public Health Service
College of American Pathologists
42
A hard, puncture resistant container with a locking lid, with a biohazard symbol is called a:
The regular trash can
Sharps Box
43
Capillary blood most closely resembles
arterial blood
tissue fluid
venous blood
intracellular blood
44
Which test specimen is collected from patient with fever unknown origin TO rule out septicemia?
Nasopharyngeal cultures
Blood culture
Wound Culture
Urine Culture & Sensitivity (C&S)
45
Identify the personal traits or attitude that are desirable phlebotomist of the healthcare team
Diversity and self-confidence
Integrity and Compassion
All are correct
Self-motivation and Dependability
46
When collecting blood via capillary puncture, what additive is collected first?
Heparin
EDTA
Clot activator
Sodium citrate
47
Which would be considered a pre-analytical error?
Exposure to light
Improper time of collection
Faulty technique
Wrong order of draw
48
Electrolytes in a PST
centrifuge after clotting
centrifuge immediately
do not centrifuge
49
A tube with a green stopper normally contains
sodium citrate
thrombin
heparin
edta
50
When the additive from a tube “backwashes” into the patient, it is known as ____.
redux
allergy
reflux
carry over
51
Some test specimens require immediate cooling in ice and water slurry to
prevent activation of cold agglutin
separate serum more completely
slow metabolic processes
prevent clotting
52
Which of the following is the job of a student phlebotomist?
Telling thepatient what disease or condition they might have
Explaining why a test was ordered
Letting the patient know that you are a student phlebotomist
Telling a patient what can happen if they refuse to be drawn
53
How many times should a light-blue tube be inverted?
5
8
2-3
3-4
54
contains EDTA
Lavender (or Pink)
Green
light blue
55
Whatbodysystemisaffectedbydisorderssuchas meningiti,encephalitis,epilepsy,and Parkinsondisease?
reproductive system
urinary system
endocrine system
nervous system
56
GTTperformed:She is given the glucose drink and instructed to finish it within howmany minutes?
10
5
2
15
57
Which tube does not contain EDTA?
Mottled green and gray topped tubes
Pearl toptube with thixotropic gel separator
Lavender tube tops
Pink plastic top tubeswithspecial blood bank
58
With STAT tests, a rapid-acting clot activator that can be used is called____.
EDTA
Thrombin
Oxalate
PPT
59
Whenyou perform a bloodculturecollection,you should use70%isopropylalcohol to cleanse the site.
False
True
60
Which body system contains glands that produce hormones,?
lymphatic system
cardiovascular system
nervous system
endocrine system
61
The liquid portion of blood, without an anticoagulant present, is called what?
cellular components
serum
plasma
oxygenated blood
62
Copper in a royal blue top with a red label
do not centrifuge
centrifuge after clotting
centrifuge immediately
63
What is the first link in the chain of infection?
Agent
Portal of exit
Suseptible host
64
Which statement describes proper centrifuge operation?
place tubes of equal size & volume opposite one another
Centrifuge serum specimens before they have a chance to clot
Never centrifuge serum ,plasma specimen inthesame centrifuge
remove stoppers before placing tubes in the centrifuge
65
What does an antiglycolytic additive do?
It prevents the breakdown of glucose!!
It prevents the breakdown of blood!!
66
Bothtimes thephlebotomist hasbeen ableto drawonly a partialtube.What shouldthe phlebotomist do?
Have another phlebotomist attempt to draw the specimen
Pour the two tubes together and mix well
Submitthefullesttube fortesting,noting the drawwasdifficult.
Collect the specimen by skin puncture
67
Match the specimen with the type of processing required (PT in a light blue top)
do not centrifuge
centrifuge after clotting
centrifuge immediately
68
What is the purpose of an antiglycolytic agent?
to prevent clotting
to enhance clotting
to preserve glucose
to inhibit electrolyte breakdown
69
The objective of the LIS are monitor quality assurance and quality control in the lab
False
True
70
What is the very first thing listed in the order of draw?
CBC/ Lavender
PTT/ Light blue top
Blood cultures / Sterile!
71
What is the most critical error a phlebotomist can make?
Misidentifying a patient specimen
collecting a timed specimen late
giving a patient a hematoma
failing to obtain a specimen from a patient
72
What is the most commonly ordered non-blood laboratory test?
Occult Blood Stool Screening
Urine C&S
Urinalysis
CSF Analysis
73
Aldosterone in a red top
do not centrifuge
centrifuge immediately
centrifuge after clotting
74
If you spun down a whole blood specimen (EDTA), the middle layer is called what?
Plasma
buffy coat / WBC
RBCs
75
Askin puncture should be done rather thanA venipuncture in ALLof the following situation except
a child younger than 1 year of age
large volume of serumorplasma isrequired for thetest ordered
when a light blue stopper tube is needed
when blood cultures are ordered
76
Where do tubes of blood that need to be disposed of go?
Biohazard
In the trash
77
How full is considered full for a sharps box?
¾ of the way full.
1/2 of the way full.
78
What special handling does a cold agglutinins test require?
Sitz bath
Ice bath
Pre-warmed tubes
Chilling
79
Two phlebotomist are discussing a patient condition in the elevator. This is an example of
mistreatment of patient
improper or unskilled care
invasion of privacy
Failure to exercise reasonable care
80
Ammonia in a green top
Centrifuge after clotting
do not centrifuge
centrifuge immediately
81
A fistula is a(n):
implanted port attached to an indwelling line.
permanent fusion of an artery and a vein.
temporary fusion of an artery and a vein.
special winged infusion set left in a patient's arm.
82
What is the most commonly ordered non-blood laboratory specimen?
sputum
stool
synovial fluid
urine
83
How many types of leukocytes are in blood?
2
4
6
5
84
What tubes can go to chemistry?
Red tops, Gold tops (SST)
All are correct
Green tops
Grey tops
85
This organization develops standards for specimen handling and processing
CLSI
CDC
CLIA
FDA
86
Which test requires strict skin antisepsis before specimen collection?
Blood urea nitrogen
Complete blood count
Type and crossmatch
Blood culture
87
Copper in a royal blue top with a red label
do not centrifuge
centrifuge immediately
centrifuge after clotting
88
Which of the following would be an invasion of a privacy?
Asking the patient if they have a latex allergy
Performing venipuncture after the patient has refused
Reading the patient's social security
Asking the patient how they acquired AIDS
89
Labeling of specimen must be exact.
True
False
90
Match the specimen with the type of processing required : Electrolytes in a PST
do not centrifuge
centrifuge immediately
centrifuge after clotting
91
Which body system is responsible for stimulating the immune response.....
endocrine system
digestive system
cardiovascular system
lymphatic system
92
What tube is used for ESR?
Lavender
Yellow
Green
Red
93
Crooked or winding veins are also called _____.
Bad
Thrombotic
Sclerosed
Tortuous
94
Most likely to result in fatal consequences for the patient if the specimen is misidentified?
Type & Crossmatch
Blood cultures
Drug Screen
Postprandial glucose
95
Sodium Fluoride preserves glucose for how many days?
4
3
2
1
96
the best way to tell that a specimen is arterial? As the specimen is collected the blood should
Pump, pulse, or spurt into the syringe.
Look dark bluish red
Appear bright cherry red
Contain visible air bubbles.
97
Anticoagulants (All that apply)
EDTA,Potassium oxalate
Heparin
All are correct
Sodium Citrate
98
The main principles involved in radiation exposure are
time of day, amount of radiation, and source
exposure time, amount of radiation, and glove thickness
time of day, distance, and eye protection
exposure time, distance, and shielding
99
This color tube is needed for a chemistry test that requires an antigylcolytic agent.
gray
green
blue
lavender
100
A clot activator that yields ____ in a green tube is a called ______.
Serum, plasma
Plasma, serum
Plasma, heparin (sodium or lithium)
Heparin (sodium or lithium), serum
101
True or False? A phlebotomist should puncture a finger perpendicular to the fingerprint whorls.
True
False
102
This test / tube requires a 9:1 ratio of blood to anticoagulant
Zinc / royal blue
Prothrombin time / light blue
Glycohemoglobin (A1C) / lavender
Ethanol / red
103
What are substances added to tubes to prevent clotting called?
Antiglycolytic
Anticoagulants
104
inpatient. How do you proceed to identify (ID) your patient once you have identified yourself?
LookathisIDband& req/labelsandaskthe patient tostate hisname
if the ID band and requisition match and draw the specimen
Ask the patient, "Are you Mr. John Doe?"
Check the patientID band and say,I see that you are John Doe
105
Transporting tubes with the stopper up
all the above
minimizes aerosol formation upon stopper removal
aids clot formation
reduces agitation of tube contents
106
Where should you throw the caps to your needles?
Sharps Box
In the trash
107
When performing the Allen Test, which artery is released first?
Radial
Brachial
Femoral
Ulnar
108
What is the purpose of waiting 30 seconds for the alcohol to dry before needle insertion?
to prevent hemolysis of the specimen
To prevent platelet clumping
To allow the evaporation process to help destroy microbes
to avoid a stinging sensation
109
type of infection transmission involves transfer of an infective microbe tothe mucous membranes
fomites
contact
direct
droplet
110
Which tubes will yield Plasma IF they are spun down in the centrifuge? all possible answers!)
green tops
royal blue tops with lavender labels
light blue tops
red tops
111
accidentally throw your tube in the sharps box,it’sok tofish themout using tongs oranother tool
False
True
112
Another name for thrombocytes is ____.
Red blood cells
White blood cells
Monocytes
Platelets
113
Urinalysis specimen
do not centrifuge
centrifuge immediately
centrifuge after clotting
114
Red tops contain what additive?
Potassium oxalate
Clot activator
Sodium citrate
Heparin
115
CBC in a lavender top
centrifuge after clotting
do not centrifuge
centrifuge immediately
116
Specimens for tests performed on serum must be completely clotted before they are centrifuged.
True
False
117
The relaxing phase of the cardiac cycle is: bradycardia
Systole
Diastole
Bradycardia
Infarction
118
What is the meaning of the word element "lysis"?
inflammation
breakdown
cell
blood
119
If you spun down a whole blood specimen (EDTA), the top layer is called what?
plasma
RBC
buffy coat / WBC
120
Pulmonary Circulation carries_____.
Oxygenated blood throughout the body.
Deoxygenated blood to the lungs and oxygenated blood
121
The most critical aspect of blood culture collection is
Needle gauge
Volume of blood collected
Specimen handling
Skin antisepsis
122
Which represents the proper order of blood flow?
From arteries to veins to capillaries
From veins to venules to capillaries
From capillaries to arterioles to arteries
From arterioles to capillaries to venules
123
What are the 3 components of a urinalysis?
Gravity, clarity and color exams
Physical, chemical, microscopic exams
Hear, see and taste exam
Blood, protein and glucose exams
124
Urinalysis specimen
centrifuge immediately
do not centrifuge
centrifuge after clotting
125
Which of the following veins is not an antecubital vein?
Basilic
Cephalic
Femoral
Median Cubital
126
What department(s) can a red top go to? All that apply
Microbiology
Bloodbank/Immunohematology
Chemistry
Serology/Immunlogy
127
What additive(s) will you find in a gray tube?
Potassium Oxalate/Sodium Fluoride
Clot activator
Sodium citrate
128
Which of the following should not be used to enhance the vein selection process?
Having the patient vigorously pump his fist
Palpating the antecubital area
Lowering the arm
Using a warm towel to increase blood flow
129
True or False?In a routine ETS venipuncture, the red tube should be drawn before the green tube
True
False
130
Zinc in an EDTA royal blue top
do not centrifuge
centrifuge immediately
centrifuge after clotting
131
It is necessary to control depth of lancet insertion during skin puncture to avoid
bone injury
bacterial contamination
excessive bleeding
puncturing an artery
132
Fomite is:
Portal of infection of germs
Inantimate object that spreads germs
Inantimate object that kills germs
Person to person contact
133
Adecrease inthe plasma(liquid)volume withan increased concentration ofcells andlarger molecules
sclerosis
hemoconcentration
hemolysis
hemotherapy
134
The Joint Commission's "Do Not Use" list applies to all of the following except
Handwritten medication related documents
Electronic laboratory reports
Handwritten laboratory requests
Items written on preprinted forms
135
A solid mass derived from blood constituent that can occlude a vein or artery?
triglyceride
hemolyzed RBC
thrombus
hemolyzed WBC
136
The 21-gauge multisample needle is considered the standard needle for routine venipuncture.
False
True
137
What is the oxygen carrying protein in erythrocytes?
Leukocytes
Plasma
Reticulocytes
Hemoglobin
138
Match the specimen with the type of processing required:Urinalysis specimen
do not centrifuge
centrifuge immediately
centrifuge after clotting
139
Place the items in order from first to last for the capillary puncture order of draw.
Serum specimen,All other additive,Slides,EDTA specimens,CBGs
CBGs,Slides,EDTA specimens,All other additive,Serum specimen
CBGs,All other additive,Serum specimen,Slides,EDTA
All other additive,Slides,EDTA specimens,CBGs,Serum specimen
140
Which test requires strict skin antisepsis before specimen collection?
Type and crossmatch
Blood urea nitrogen
Blood culture
Complete blood count
141
The third-choice (last) vein for venipuncture is the _________ vein.
median cubital
basilic
cephalic
142
Which blood vessel is NOT part of systemic circulation?
Cephalic vein
Pulmonary artery
Brachial artery
Vena cava
143
What type of blood cell is responsible for defense and immunity?
white blood cells
platelets
red blood cells
144
The patient asks if the specimen you are about to draw is for a diabete test.How do you answer?
Tellthepatientthatit's besttodiscuss the testwiththeirdoctor
Say, "No", even if the test is for diabetes
Say that you don't know
If the test is for glucose, say, "Yes it it"
145
In the word arteriospasm, choose what word element represents "spasm"
word root
suffix
combining vowel
prefix
146
What is the word root in "Electrocardiogram"?
cardi
electro
gram
147
Which department(s) in the lab could an EDTA tube go to for testing? Chose all that apply.
Chemistry
Blood Bank
Hematology
Coagulation
148
EDTA is drawn before Heparin tubes in the ETS order of draw.
True
False
149
Therapeutic Drug Monitoring (TDM) is used by physicians to
maintain "trough" levels of a drug in a patient's system
determine a beneficial drug dosage for the patient
screen for illegal drug use
maintain "peak" levels of a drug in a patient's system
150
Youhave nochoice buttodraw aspecimenfroma sitewith ahematoma.Where shouldyouobtain thespecimen?
In the area of the hematoma
Distal to the hematoma
Proximal to the hematoma
None of the options are correct
151
THe Joint Commission issued the "Do Not Use" list for what reason(s)? Select ALL that apply!
to prevent incorrect interpretation of terminology
to make life difficult
to reduce medical errors
to eliminate dangerous abbreviations
152
A person should sustain from eating for how many hours prior to a fasting blood test.
6
8
4
12
153
Whatbodysystemdotests suchasoccultblood tests,microbial cultures,andparasitic analyses testfor?
endocrine system
Respiratory system
Digestive system
urinary system
154
20%-40% of WBC are comprised of _____.
Basophils
Neutrophils
Lymphocytes
Eosinophils
155
When serum is ____ it is a clue that the patient is not fasting.
Hemoconcentrated
Juandiced
Hemolyzed
Lipemic
156
All the tubes in the order of draw contain an additive
False
True
157
The receiving chambers of the heart are the
chordae tendineae
Atria
vena cavaw
none of the choices are correct
158
choose which department in the clinical laboratory each test will go to. More than 1 answer
Type & Crossmatch in an EDTA tube: Immunohematology
CBC in an EDTA tube: Hematology
CBC in an EDTA tube: Immunohematology
Blood cultures: Microbiology
159
Collecting urine by aspiration through the bladder wall
Amnio
Suprapubic
Catheter
Pediatric
160
Arteries have valves that prevent the blood from flowing back.
False
True
161
PT in a light blue top
centrifuge after clotting
do not centrifuge
centrifuge immediately
162
What is the size(in inches) of the needle routinely used for venipuncture?
2-2.58
2-3
1-1.5
2.5-3
163
When the body has adequate rest and no food for 12 hours it is said to be in the__state
Hemostasis
Hemestasis
Basal
Steady
164
Which of the following is an example of a nosocomial infection?
When ahealthcare workercontract Hepatitis from a needlestick
When a patient is admitted with Hanta virus
When a catheter site o f a patient in ICU becomes infected
165
an example of a barrier to effective communication with a patient? The patient:
is a child
is emotionally upset
does not speak English
All of the answers are correct
166
Check all that apply: Which of the following could be cause for specimen rejection?
Delay in procesing example a serum tube was spun after4hours
Wrong tube (for example, a CBC collected in a red-top)
Inadequate, inaccurate, or missing specimen identification
QNS (Quantity not sufficient)
167
Which additive is usually present in a tube with a lavender stopper?
EDTA
heparin
citrate
acid citrate dextrose
168
A specimen that has clotted and has been spun down yields what?
anticoagulant
serum
whole blood
plasma
169
tests performed in the following department are collected in a tube with a light blue stopper
coagulation
microbiology
chemistry
hematology
170
A substance that will prevent blood from clotting and will yield whole blood or if spun, plasma
anticoagulants
clot preventers
anticlotterator
clot activators
171
What information must be on a Biohazard bag when it is disposed of?
the date the bag was opened AND closed
All are correct
the location the waste is generated
The originator’s initials
172
The law that established the national guidelines for the electronic exchange of (PHI)was
CLIA
PHS
HIPPA
OSHA
173
The main purpose of wiping away the first drop of blood during skin puncture is
to eliminate tissue fluid contamination
to minimize the effects of platelet aggregation
to avoid bacterial contamination
to minimize the effects of hemolysis
174
The single most important means of breaking the chain of infection is:
wearing gloves
Wearing a mask
Proper hand washing practices
infections cannot be prevented
175
Occupational exposure to bloodborne pathogens can occur if which of the following happens
Body fluids splash into mouth
All of the answers are correct
A human bite breaks the skin
Blood comes in contact with a cut or scratch
176
If blood is drawn too quickly from a small vein, the vein will have tendency to
bruise
disintegrate
roll
collapse
177
The medical term for a white blood cell (WBC) is
Leukocyte
Erythrocyte
Hepatocyte
none of the choices are correct
178
Why are EDTA specimens obtained before other specimens when collected by skin puncture?
to minimize tissue fluid contamination
No answer text provided.
Collection order does not matter
To minimize effects of platelet clumping
179
An NP culture swab is collected to help diagnose
Encephalitis
Whooping cough
Strep throat
Genetic defects
180
Plasma is depleted of fibinogen.
True
False
181
Which action will compromise the quality of a specimen?
Mixing a serum separator tube
Drawing an electrolytes specimen in an amber tube
Partially filling a liquid EDTA tube.
Placing a cold agglutinin in a heat block.
182
What tube is used for a WCB differential?
Green
Red
Lavender
Blue
183
inert substance that forms a physical barrier between the cells and serum or plasma
heparin
buffy coat
thixotropic gel
cell separator gel
184
Where do you throw used pieces of gauze that are not dripping with body fluid/blood?
sharps box
The regular trash
185
What department does a green top tube go to?
Coagulation
Hematology
Chemistry
186
Vaccination against HBV involves
3doses: 1 dose of vaccine now, 1month later, 6 months later
a single does of vaccine that confers lifetime immunity
there is no vaccine for HBV
3doses of vaccine,each 3months apart,yearly doses thereafter
187
Removing blood on a regular basis or in large amounts can lead to _____ anemia.
blood
iatrogenic
exsanguinated
icteric
188
The OSHA HAZCOM Standard is also commonly called the
MSDS Act
United Nations Placard Recognition System
"Disclosure" law
"Right-to-Know law"
189
Which is the best tube for collecting an ethanol specimen?
Sodium Citrate
Sodium Fluoride
EDTA
Heparin
190
Which of the following is an example of a nosocomial infection?
When a patient is admitted with Hanta virus
When a catheter site o f a patient in ICU becomes infected
When a healthcare worker contract Hepatitis from needlestick
191
Tiny,nonraised,red spots that appear onthe patient skinwhen the tourniquet is applied arecalled
Hemotoma
Syncope
Petechiae
192
A prefix
precedes the word root
all of the choices are correct
adds information about a term
modifies the meaning of a term
193
What is the most critical error a phlebotomist can make?
drawing the wrong tubes
misidentifying the patient
showing up late for work
blowing a vein
194
How many minutes does normal coagulation take in a red topped tube?
15-20
60-90
30-60
5-10
195
Regarding employment opportunities, where can a phlebotomist work (what kind of environments)?
mobile phlebotomy company, blood donation centers
clinical outpatient lab and doctors offices
All are correct
Clinical lab located inside a hospital, dialysis centers
196
What type of cell is responsible for gas exchange in the circulating blood?
platelets
white blood cells
macrophages
red blood cells
197
Which WBC comprises 40%-60% of the white blood cells?
Monocytes
Basophils
Neutrophils
Lymphocytes
198
CBC in a lavender top
centrifuge after clotting
do not centrifuge
centrifuge immediately
199
Which WBC comprises 40%-60% of the white blood cells?
Basophils
Neutrophils
Lymphocytes
Monocytes
200
A decrease in the plasma(liquid)volume with an increased concentration of cell is referred toas
sclerosis
hemotherapy
hemolysis
hemoconcentration
201
Glucose in an potassium oxalate/sodium fluoride gray top
Centrifuge after clotting
centrifuge immediately
do not centrifuge
202
Match the specimen : Copper in a royal blue top with a red label
centrifuge after clotting
centrifuge immediately
do not centrifuge
203
If you spun down a whole blood specimen (EDTA), the bottom layer is called what?
buffy coat / WBC
Plasma
RBCs
204
Three of the following conditions would cause a specimen to rejected for analysis.
A bilirubin specimen is icteric.
A CBC specimen has clots.
A fasting glucose specimen is lipemic.
An electrolyte specimen is hemolyzed.
205
The break down and removal of a clot in the hemostasis process is _____.
Aggregation
Coagulation
Vascular
Fibrinolysis
206
the difference between Red and Gold top tubes?
Red tops have no gel while gold (Tiger) do.
gold (Tiger)have no gel while Red tops do.
207
What color tube is an antiglycolytic tube?
pink
grey
green
blue
208
What is the most commonly ordered non-blood laboratory test?
sputum
TB test
urine
urinalysis
209
What does the suffix of the term "glycolysis" mean?
living
breakdown
glucose
against
210
Which of the following is not proper telephone protocol?
clarifying and recording information
hanging up on angry callers
prioritizing callers, if necessary
answering the phone promptly
211
What kind of blood do arteries and arterioles carry?
Deoxygenated
Oxygenated
212
Which tube is sometimes called a serum separator tube?
Light blue
Red
Red/gray
Green
213
Which WBC carries histamine?
Neutrophils
Eosinophils
Monocytes
Basophils
214
What is the name of the additive in a light blue top tube?
Heparin
EDTA
Sodium Citrate
215
Contact, droplet and airborne are _____.
Agent
Portals of exit
Modes of transmission
Portal of entry
216
What type of cell is responsible for gas exchange in the circulating blood?
platelets
macrophages
red blood cells
white blood cells
217
Ammonia in a green top
centrifuge immediately
do not centrifuge
Centrifuge after clotting
218
Glass particles present in serum separator tubes
inhibit glycolysis
prevent hemolysis
deter coagulation
enhance clotting
219
choose which department in the clinical laboratory each test will go to. More than 1 answer
Electrolytes in a heparin tube: Chemistry
Hep B Antigen Screening in a red top: Immunology
PT/INR in a sodium citrate tube: Coagulation
Hep B Antigen Screening in a red top: Chemistry
220
TheJointCommission'sSentinel EventQIProgram policy is designed to do all ofthe following except
prevent unfavorable evens from happening again
Identify unfavorable events for immediate investigation
Demonstrate flexibility in setting QC measures
improve the safety of patients in healthcare institutions
221
Which of the following is not an example of possible "parenteral" means of transmission?
Drinking contaminated water
Rubbing the eye with a contaminated hand
Touching infectious material with chapped hands
getting stuck by a needle used on a patient with AIDS
222
Endocardium is which layer of the heart?
Outer
Middle
Inner
223
An example of employee screening for infection control is
PPD testing
Measles vaccination
HBV vaccination
224
The test used to evaluate intrinsic pathway is called____.
PX
PT
LMN
APTT
225
In the word endocrinologist, chose which element represents "crino".
word root
prefix
suffix
combining form
226
PST contains_____, yields______, and has what color top?
Lithium heparin, serum, gray
Lithium heparin, serum, green
Lithium heparin, plasma, green
Gel, plasma, green
227
BMP in an SST
centrifuge after clotting
centrifuge immediately
do not centrifuge
228
Which would be considered a post-analytical error?
Improper use of serum separator
Improper site preparation
Failure to invert tubes
Medication interference
229
Which layer of the heart is the eipcardium?
Outer
Middle
Inner
230
What tube goes to Immunohematology?
Green top Heparin
Pink top EDTA
Blue top Sodium Citrate
231
What is the proper order for putting on protective clothing? (read carefully and slowly.
mask first, then gown, gloves last
gown first, then mask, gloves last
Gloves first, then gown, mask last
Gown first, then gloves, mask last
232
To check for trace elements a phlebotomist would use a _____ tube.
Light blue
Tiger top
Yellow
Royal blue
233
The internal space of a blood vessel
Septum
Lumen
Valve
Atrium
234
Which additive is usually present in a tube with a lavender stopper?
EDTA
citrate
acid citrate dextrose
heparin
235
What is the purpose of waiting 30 seconds for the alcohol to dry before needle insertion?
To allow the evaporation process to help destroy microbes
All the options are correct.
to avoid a stinging sensation
to prevent hemolysis of the specimen
236
her fasting blooddrawn at0710,Suzy finishesher glucose drink at0725. What time isher next draw?
0825
0945
0910
0925
237
If someone is cyanotic their skin may appear ______.
Clammy
Flushed
Bluish
Yellow/ orange
238
Which tube is used for a sickle cell screen?
Blue
Red
Lavender
Green
239
Another name for blood bank is:
microbiology
immunology
immunohematology
serology
240
What kind of valve is the tricuspid valve?
Semi-lunar
Atrioventricle
241
Fluid aspirated from the peritoneal cavity
Sputum
Synovial
Gastric
Ascites
242
Where do used lancets get disposed of?
Sharps box.
In the trash
243
Hemostasis is defined a ______.
Steady state
Stoppage of blood
Basil state
Stoppage of food
244
This color tube is required for a chemistry test that requires plasma: All possible answers
royal blue top with red label
gray top
royal blue top with green label
green top
245
Which of the following is not a phlebotomist's duty?
Transporting specimens to the laboratory
Performing laboratory computer operations
Collecting blood specimens
Starting intravenous (IV) lines
246
What type of formed element is responsible for defense and immunity?
white blood cells
platelets
red blood cells
247
The medical term for a white blood cell (WBC) is
Erythrocyte
Leukocyte
none of the choices are correct
Hepatocyte
248
Abnormalaccumulation offluid inthe intercellularspacesofthebodythatislocalizedis referred toas:
edema
hemolysis
atherosclerosis
hemoconcentration
249
A urine C & S is typically ordered to detect
glucose overload.
presence of a urinary tract infection (UTI).
kidney damage.
abnormal urine pH.
250
Which test is NOT a light sensitive test?
Ammonia
Porphyrins
Bilirubin
Beta-carotene

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