An order to draw an alcohol level comes to you. What do you do?

Use guidelines from the procedure manual

Identification of an outpatient is performed by:

Having the patient state full name and other ID

If patient develops a hematoma, after removing needle, you instruct patient to:

Apply a cold pack as directed by nurse or doctor

When do you wash/clean your hands?

Before putting gloves on and after taking them off

What do these symbols represent? Na, K, Cl, C02

Sodium, Potassium, Chloride, Carbon Dioxide

What is the correct order of draw for the following:

Lt. Blue, SST, Green, Lavender, Gray

If the hand of an inpatient is cold, what does that indicate?

That the patient may have poor circulation

Define “hemoconcentration “.

A change in the ratio of formed elements to plasma

When holding a vein taunt, you should:

Use the index finger or thumb below the site

What is a microtainer?

A tube that is used for blood collection for a skin puncture

If a patient is to have a BUN and Creatinine, what must you ask?

There are no special fasting requirements for these tests

The significance of a Reticulocyte study is to assess the patient’s:

Spleen that may be overactive, or bone marrow suppression

On an outpatient collection, tubes should be labeled from:

The patient’s spelling of their name

If you have a “short draw “ in a Lt. Blue tube, what would happen to the results?

The results would be artificially prolonged

Body tissue that contain excess amounts of tissue fluid

What does proper cleansing of the venipuncture site do?

Removes the staph aureus from the entry site

C&S tests are ordered to check for the presence of:

Bacteria in the specimen and what will kill it

Your patient is to have a 2 hour PP/PC. What instructions do you need to tell the patient?

Eat a high carbohydrates meal and come back 2 hours after

How can you compensate for veins that collapse?

Draw with a wing tip and a small gauge needle

Order of collection for capillary draws; what would you draw last?

Other additive tubes; and then serum tubes

studbud

State exam

100 termsStudBud Administration139 plays

State exam

Flashcards100 cardsFPractice quizPHost liveL

Questions 100

Answers

1
A drug level is ordered and you are asked to draw 1 hour after it is given. What are you drawing?
Trough level
Peak level
Fasting level
Post prandial level
2
What is the angle of entry that should be used for a skin puncture?
90 degrees
15 degrees
30 degrees
45 degrees
3
An order to draw an alcohol level comes to you. What do you do?
Use the normal blood drawing procedure
Use a Lavender tube
Use betadine or alcohol prep for cleaning
Use guidelines from the procedure manual
4
Choose the correct spelling for EDTA.
Ethelynedtaminevetraye
Erglemedmeeteatra
None of these
Ethylenediaminetetracetrayr
5
A bruise is an example of:
A blood clot
Edema
Tissue contusion
A hematoma
6
When a patient has blood work drawn and the order reads HS, how often should it be drawn ?
Upon arising
At bedtime
Fasting
After eat
7
What happens if a PKU goes undetected?
That patient may develop type I diabetes
It may lead to brain damage
Nothing
The patient may develop kidney problems
8
Identification of an outpatient is performed by:
Having the patient state full name and other ID
The patient should show an identification card
Have the receptionist verify identity
Calling the patient to the lab area yourself
9
If you are ordered to draw electrolytes in a green top tube, which tube would you use?
Sodium citrate
Lithium heparin
You can’t draw a green top tube for electrolytes
Ammonia heparin
10
Which of the following groups of patients should always have a bandage applied?
Pediatrics
Outpatients
Neonates
Geriatrics
11
The best way to eliminate stress for the phlebotomists and the patient is:
Get the blood drawn quickly
Communication
Have another phlebotomist draw for you
Have apathy for the patient
12
If patient develops a hematoma, after removing needle, you instruct patient to:
Wrap the arm tightly to restrict blood flow
Apply heat
Apply a cold pack as directed by nurse or doctor
Bend the arm at the elbow
13
When do you wash/clean your hands?
After finishing your blood draw
Before putting gloves on and after taking them off
When entering room
After taking your gloves off
14
When palpating the vein before doing a venipuncture, you must consider the following:
Bounce
Depth
All of the above
Size
15
CK-MB/LD blood tests are used to assess what body system?
Respiratory
Hepatic
Cardiac
Renal
16
Why is it necessary to wipe away the alcohol before performing a skin puncture?
To help the skin become red
To help direct the flow of blood down the finger
All of the above
To prevent hemolysis
17
The general rule for Isolation is:
What goes in, stays in
Red and blue are correct
Leave your tray outside the room
ALWAYS gown, glove, mask, wash
18
The patient suffers from hyperglycemia. What is that?
Low protein in blood
High cholesterol
High blood sugar
Low blood sugar
19
When should a SST blood tube be mixed?
Does not need tube inverted
Within 30 minutes after draw
Within 30 seconds after draw
Within 2 minutes after draw
20
What do these symbols represent? Na, K, Cl, C02
Sodium, Potassium, Chloride, Oxygen
BUN, Sodium, Potassium, Chloride
Sodium, Potassium , Carbon Dioxide, Ammonia
Sodium, Potassium, Chloride, Carbon Dioxide
21
What is the correct order of draw for the following:
Lt. Blue, Lavender, Green, Gray
Lt. Blue, SST, Green, Lavender, Gray
SST, Lt. Blue, Green, Gray, Lavender
Lavender, Lt. Blue, Green, Gray, SST
22
A VDRL/RPR test checks for————-/- disease?
Syphilis
Liver
Renal
Bone and joint
23
If the hand of an inpatient is cold, what does that indicate?
That the patient is normal
That the patient has been outdoors
That the patient has been working in refrigeration
That the patient may have poor circulation
24
What is the proper name for a GTT?
Drops
Great Thyroid Test
Glucose Tolerance Test
Gastric Tolerance Test
25
What is the most important step when doing a venipuncture?
Washing hands
Drawing the correct tubes
Identification of the patient
Checking to see if patient is fasting
26
Tissue contusion means:
An inflammation in a vein
An infiltration of fluids under the skin
Another name for hematoma
A release of blood and tissue fluids
27
Define “hemoconcentration “.
The change in appearance of the formed elements
The dilution of whole blood with tissue fluids
A change in the ratio of formed elements to plasma
Swollen RBC’s
28
When holding a vein taunt, you should:
Use the index finger or thumb below the site
The window method
Both A and C are correct
Use all fingers If you feel comfortable that way
29
What is a microtainer?
A tube that is used for blood collection for a skin puncture
Something that is shot from a gun
None of these
Something that looks like a bullet and holds ammonia
30
Never—————a patient’s arm after the venipuncture.
Poke
Lower
Bandage
Bend
31
If a patient is to have a BUN and Creatinine, what must you ask?
What did you have for breakfast?
There are no special fasting requirements for these tests
Are you fasting
When was the last time you had anything to eat or drink?
32
If you drew BUN/Creatinine, what body system is being checked?
Musculoskeletal
Renal
Hepatic
Cardiac
33
The significance of a Reticulocyte study is to assess the patient’s:
White blood cell formation
Spleen that may be overactive, or bone marrow suppression
Check the platelet release
Excess of iron in their blood
34
On an outpatient collection, tubes should be labeled from:
Asking the nurse
Bed/door label
The patient’s spelling of their name
Information on the arm hand
35
Your patient has had a non-venous reaction. An example would be:
Hematoma
Phlebitis
Scarring of the vein
Thrombophlebitis
36
What can be the results if you probe blindly?
Patient can lose use of the arm
It can cause undo pain
A nerve can be stuck
All of the above
37
If you have a “short draw “ in a Lt. Blue tube, what would happen to the results?
Nothing
The results would be artificially prolonged
The results would be artificially shortened
The answer does not appear here
38
If something is given T.I.D., it is an abbreviation for:
Two times a day
This is done daily
Three times a day
Try in duplicate
39
What is edema?
The outer layer of skin cells
Body tissue that contain excess amounts of tissue fluid
Abnormal red blood cells
Skin discoloration that contains large area of hemorrhaging
40
You have had a venous reaction. An example would be:
Hematoma
Syncope
Bruise
Thrombophlebitis
41
The venipuncture site should be cleaned in a:
Downward motion
Circular motion
Concentric motion
Up and down motion
42
What does proper cleansing of the venipuncture site do?
Removes the staph aureus from the entry site
Pulls away creams from site
Nothing special, any motion works
It takes the place of betadine wipes
43
An SST tube should be inverted—————-number of times.
8-10
5
0
3-4
44
C&S tests are ordered to check for the presence of:
Iron in the specimen
Hgb in the specimen
Platelets in the specimen
Bacteria in the specimen and what will kill it
45
What is the MOST IMPORTANT thing you must do when any unusual circumstance happens?
Discuss it with the patient
Document
Wash your hands
Refuse to draw
46
Your patient is to have a 2 hour PP/PC. What instructions do you need to tell the patient?
Eat a high carbohydrates meal and come back 2 hours after
Come in 2 hours before you are ready to eat
Nothing to eat or drink for 2 hours
Come in 2 hours after you get up in the morning
47
Plasma is——-percent water.
55 percent
10 percent
90 percent
46 percent
48
How can you compensate for veins that collapse?
Draw with a wing tip and a small gauge needle
Use a 22 gauge needle
Don’t use a tourniquet
Use an 18 gauge needle
49
Name the additive in the plain top tube.
Na Citrate
Nothing
Clot activator
EDTA
50
Order of collection for capillary draws; what would you draw last?
Other additive tubes; and then serum tubes
Blood Gases
Peripheral blood slides/smears and platelets
EDTA
51
Which clot tube is inappropriate for the Blood Bank?
Citrate
Gel barrier
Plain Red
EDTA
52
Which statement below is NOT true?
You should not pre-label tubes before doing your draw
The patient should be seated in a comfortable position
The phlebotomist should also be in a comfortable position
You must complete the draw under any conditions
53
Heating a site for skin puncture:
increases blood flow
Causes hemolysis
Prevents bruising
Decreases blood flow
54
The term “frothing “ refers to:
A fibrous part of a cell or muscle
A collection of blood under the skin
The mixture of blood and skin tissue causing discoloration
Bubbles in the blood from improper venipuncture technique
55
Blood spills should be cleaned up immediately. The appropriate procedure is:
Wipe with paper towels
Leave it for next shift
Cover with paper towels, wear gloves., use bleach
Wipe up wearing gloves
56
If patient is to have a FBS, what must you ask?
Are you NPO?
Have you had anything by mouth for the past 10-12 hours?
When was the last time you had anything to eat?
Are you fasting?
57
When performing a venipuncture, the patient’s arm should be:
Held in an upward position
Bent at the elbow
Held downward from the shoulder
Elevated and even with the heart
58
A patient must————— 8-10 hours before starting a GTT.
Fast (except for water)
Eat a special diet
Drink plenty of coffee
Drink plenty of juice
59
Which of the following tests cannot be collected from a skin puncture?
BUN and Creatinine
CBC with differential
Profile levels
Ammonia level
60
Which of following is NOT a true statement?
You should pre-label tubes before drawing
Check the tubes for an expiration date
Check for cracks in the tubes before drawing
Make sure to check the requisition for tests before drawing
61
What is the best way to prevent the spread of infections?
Wearing a disposable gown
Washing and/or cleaning hands
Wearing a mask
Wearing gloves
62
Asepsis means the killing of all:
Pathogenic bacteria
Living microorganisms
Strep infection
Staph aureus
63
When is a PKU drawn?
Within 14 days of birth
Before baby has eaten
At 6 months of age
Before 2 year of age
64
What happens to a plasma vacuum tube if it is not mixed?
Both red And Blue
It provides a short draw to analyze
The tube may clot
The tube may form an incomplete clot If it is a serum tube
65
If you are ordered to draw a PTT and an H&H on a patient, what is your order of draw?
Lavender and Lt. Blue
Green, Lavender, Gray
SST, Lt. Blue, and Lavender
Lt. Blue, Lavender
66
Venipuncture cleansing is done in an ———technique.
Sterile-style
Asepsis
Aseptic
Clean
67
Notify your supervisor if you notice the following on an inpatient:
Redness or swelling in limb you draw from
A break or tear in the skin on the arm
A rash or drainage from the arm
All correct
68
How long should alcohol be allowed to dry before performing the venipuncture?
2 minutes
5-10 seconds
30-60 seconds
5 minutes
69
The correct order of draw for a CBC, PTT, and a Chemistry Panel when using a wing tip needle is
Lavender, Lt. Blue, SST
Lt. Blue, SST, Lavender
Plain, Lt. Blue, SST, Lavender
SST, Lt. Blue, Lavender
70
What are the main departments within the clinical pathology laboratory ?
Nuclear medicine, x-ray,catherization lab, biopsies
Microbiology, chemistry, hematology, blood bank and serology
Histology, chemistry, biopsy, urinalysis, and blood bank
Cytology, histology, autopsies, and x-ray
71
What is the dermal subcutaneous junction?
Where veins are found
Veins in the bend of the arm
Location of maximum concentration of blood vessels
Where arteries and veins are found
72
HBV affects what organ?
Brain
Heart
Liver
Kidneys
73
What lab samples should be collected before starting a GTT?
Blood and urine samples
Blood
Sputum sample
Stool sample
74
After blood is collected from a patient, the serum should be separated to prevent.
Hemolysis
Hemoconcentration
Kidney dialysis
Rupture of WBC’s
75
PKU is an abbreviation for:
Phenylketonuria
Phenylkure
Phenketouria
Phenylketonure
76
Order of collection for capillary draws; what would you draw first?
Other additive tubes; Green, Gray, SST, Serum
EDTA tubes
Peripheral blood slides/ smears and platelets
Blood gases
77
Which of the following test must be cooled immediately after drawing?
Cholesterol
Blood gases
Coagulation
Bilirubin
78
What can cause hemoconcentration?
Taking too much blood at one time
Both red and blue
Leaving the tourniquet on too long
Tying the tourniquet too tight
79
What tube normally will be used for drug levels?
Na Fluoride/ K Oxalate
Plain
EDTA
SST
80
The combination of alcohol, squeezing, and massaging may result in:
Hemoconcentration
Hemolysis
Brusing
Cyanosis
81
Peripheral blood is composed of:
Formed elements in the blood
Venous blood and arterial blood
Plasma and RBC’s
Lymph fluid
82
Which of the following characterizes venous blood?
Oxygenated blood
Usually brighter red in color
Unoxygenated blood
Obtained through routine skin puncture
83
Which defines “non per os “?
Nothing by mouth
Nothing to chew
Nothing but water
Nothing to eat or drink
84
The small vessels leading away from the capillaries are?
Virulence
Arterioles
Venules
Great Saphenous
85
What does a sclerosed vein feel like?
Soft and elastic
Cord-like
Spongy
Full
86
What is the significance of the Great Saphenous Vein ?
It’s the deep vein in the legs
It’s the only vein in the legs
It’s the longest vein in the body
It’s the vein that returns blood to the heart
87
Capillary blood is defined as:
A clear yellowish flui
A mixture of tissue fluid, venous, and arterial blood
All of the above
Blood containing plasma
88
How many identifiers do you need from a patient?
2
3
4
1
89
A Light Blue tube must be inverted—————number of times.
0
8-10
3-4
5
90
Where is the dermal subcutaneous junction found in the tissues of an adult ?
2.4mm
3.5mm
4.2mm
1.6mm
91
After what age is a heel puncture usually no longer used?
6 weeks
1 year
6 months
2 years
92
If you run into a problem during a blood draw, what’s important for you to do?
Discuss it with the patient
Wash your hands
Call someone else in
Document
93
What color top indicates the presence of NaFl/K Oxalate?
Gray
Green
Marble
Gold
94
What purpose does the tourniquet serve?
It allows for more accurate results
It “dams” up blood so the vein can be felt
It allows for “hemoconcentration
It prevents a hematoma
95
Where is a PKU drawn from?
The wrist
The finger
The ear lobe
The heel
96
Digoxin is a therapeutic drug that is used in what type of condition?
Cardiac
Bone disease
Infectious disease
Kidney
97
Which of the following is the correct procedure?
Use the shortest lancet possible to obtain best specimen
Puncture parallel to the fingerprints
Puncture across finger or heel prints
Do a finger puncture on a neonate
98
Where is the antecubital fossa located?
On the dorsal surface of the hand
In the upper arm area
In the inside bend of the elbow
In the middle of the forearm
99
What is the proper response to the patient asking “what tests are you drawing?”
Tests your doctor has ordered
State the tests you are drawing
A test for Syphilis, kidney function, and diabetes
I don’t know
100
What must be done If there is a discrepancy on the arm band?
Draw the name on the requisition
Verify with the patient who they are
Do not draw blood; have information corrected before drawing
Have the nurse OK the arm band

State exam Flashcards | StudBud

State exam

100 termsStudBud Administration139 plays

State exam

Flashcards100 cardsFPractice quizPHost liveL

Questions 100

Answers

1
A drug level is ordered and you are asked to draw 1 hour after it is given. What are you drawing?
Trough level
Peak level
Fasting level
Post prandial level
2
What is the angle of entry that should be used for a skin puncture?
90 degrees
15 degrees
30 degrees
45 degrees
3
An order to draw an alcohol level comes to you. What do you do?
Use the normal blood drawing procedure
Use a Lavender tube
Use betadine or alcohol prep for cleaning
Use guidelines from the procedure manual
4
Choose the correct spelling for EDTA.
Ethelynedtaminevetraye
Erglemedmeeteatra
None of these
Ethylenediaminetetracetrayr
5
A bruise is an example of:
A blood clot
Edema
Tissue contusion
A hematoma
6
When a patient has blood work drawn and the order reads HS, how often should it be drawn ?
Upon arising
At bedtime
Fasting
After eat
7
What happens if a PKU goes undetected?
That patient may develop type I diabetes
It may lead to brain damage
Nothing
The patient may develop kidney problems
8
Identification of an outpatient is performed by:
Having the patient state full name and other ID
The patient should show an identification card
Have the receptionist verify identity
Calling the patient to the lab area yourself
9
If you are ordered to draw electrolytes in a green top tube, which tube would you use?
Sodium citrate
Lithium heparin
You can’t draw a green top tube for electrolytes
Ammonia heparin
10
Which of the following groups of patients should always have a bandage applied?
Pediatrics
Outpatients
Neonates
Geriatrics
11
The best way to eliminate stress for the phlebotomists and the patient is:
Get the blood drawn quickly
Communication
Have another phlebotomist draw for you
Have apathy for the patient
12
If patient develops a hematoma, after removing needle, you instruct patient to:
Wrap the arm tightly to restrict blood flow
Apply heat
Apply a cold pack as directed by nurse or doctor
Bend the arm at the elbow
13
When do you wash/clean your hands?
After finishing your blood draw
Before putting gloves on and after taking them off
When entering room
After taking your gloves off
14
When palpating the vein before doing a venipuncture, you must consider the following:
Bounce
Depth
All of the above
Size
15
CK-MB/LD blood tests are used to assess what body system?
Respiratory
Hepatic
Cardiac
Renal
16
Why is it necessary to wipe away the alcohol before performing a skin puncture?
To help the skin become red
To help direct the flow of blood down the finger
All of the above
To prevent hemolysis
17
The general rule for Isolation is:
What goes in, stays in
Red and blue are correct
Leave your tray outside the room
ALWAYS gown, glove, mask, wash
18
The patient suffers from hyperglycemia. What is that?
Low protein in blood
High cholesterol
High blood sugar
Low blood sugar
19
When should a SST blood tube be mixed?
Does not need tube inverted
Within 30 minutes after draw
Within 30 seconds after draw
Within 2 minutes after draw
20
What do these symbols represent? Na, K, Cl, C02
Sodium, Potassium, Chloride, Oxygen
BUN, Sodium, Potassium, Chloride
Sodium, Potassium , Carbon Dioxide, Ammonia
Sodium, Potassium, Chloride, Carbon Dioxide
21
What is the correct order of draw for the following:
Lt. Blue, Lavender, Green, Gray
Lt. Blue, SST, Green, Lavender, Gray
SST, Lt. Blue, Green, Gray, Lavender
Lavender, Lt. Blue, Green, Gray, SST
22
A VDRL/RPR test checks for————-/- disease?
Syphilis
Liver
Renal
Bone and joint
23
If the hand of an inpatient is cold, what does that indicate?
That the patient is normal
That the patient has been outdoors
That the patient has been working in refrigeration
That the patient may have poor circulation
24
What is the proper name for a GTT?
Drops
Great Thyroid Test
Glucose Tolerance Test
Gastric Tolerance Test
25
What is the most important step when doing a venipuncture?
Washing hands
Drawing the correct tubes
Identification of the patient
Checking to see if patient is fasting
26
Tissue contusion means:
An inflammation in a vein
An infiltration of fluids under the skin
Another name for hematoma
A release of blood and tissue fluids
27
Define “hemoconcentration “.
The change in appearance of the formed elements
The dilution of whole blood with tissue fluids
A change in the ratio of formed elements to plasma
Swollen RBC’s
28
When holding a vein taunt, you should:
Use the index finger or thumb below the site
The window method
Both A and C are correct
Use all fingers If you feel comfortable that way
29
What is a microtainer?
A tube that is used for blood collection for a skin puncture
Something that is shot from a gun
None of these
Something that looks like a bullet and holds ammonia
30
Never—————a patient’s arm after the venipuncture.
Poke
Lower
Bandage
Bend
31
If a patient is to have a BUN and Creatinine, what must you ask?
What did you have for breakfast?
There are no special fasting requirements for these tests
Are you fasting
When was the last time you had anything to eat or drink?
32
If you drew BUN/Creatinine, what body system is being checked?
Musculoskeletal
Renal
Hepatic
Cardiac
33
The significance of a Reticulocyte study is to assess the patient’s:
White blood cell formation
Spleen that may be overactive, or bone marrow suppression
Check the platelet release
Excess of iron in their blood
34
On an outpatient collection, tubes should be labeled from:
Asking the nurse
Bed/door label
The patient’s spelling of their name
Information on the arm hand
35
Your patient has had a non-venous reaction. An example would be:
Hematoma
Phlebitis
Scarring of the vein
Thrombophlebitis
36
What can be the results if you probe blindly?
Patient can lose use of the arm
It can cause undo pain
A nerve can be stuck
All of the above
37
If you have a “short draw “ in a Lt. Blue tube, what would happen to the results?
Nothing
The results would be artificially prolonged
The results would be artificially shortened
The answer does not appear here
38
If something is given T.I.D., it is an abbreviation for:
Two times a day
This is done daily
Three times a day
Try in duplicate
39
What is edema?
The outer layer of skin cells
Body tissue that contain excess amounts of tissue fluid
Abnormal red blood cells
Skin discoloration that contains large area of hemorrhaging
40
You have had a venous reaction. An example would be:
Hematoma
Syncope
Bruise
Thrombophlebitis
41
The venipuncture site should be cleaned in a:
Downward motion
Circular motion
Concentric motion
Up and down motion
42
What does proper cleansing of the venipuncture site do?
Removes the staph aureus from the entry site
Pulls away creams from site
Nothing special, any motion works
It takes the place of betadine wipes
43
An SST tube should be inverted—————-number of times.
8-10
5
0
3-4
44
C&S tests are ordered to check for the presence of:
Iron in the specimen
Hgb in the specimen
Platelets in the specimen
Bacteria in the specimen and what will kill it
45
What is the MOST IMPORTANT thing you must do when any unusual circumstance happens?
Discuss it with the patient
Document
Wash your hands
Refuse to draw
46
Your patient is to have a 2 hour PP/PC. What instructions do you need to tell the patient?
Eat a high carbohydrates meal and come back 2 hours after
Come in 2 hours before you are ready to eat
Nothing to eat or drink for 2 hours
Come in 2 hours after you get up in the morning
47
Plasma is——-percent water.
55 percent
10 percent
90 percent
46 percent
48
How can you compensate for veins that collapse?
Draw with a wing tip and a small gauge needle
Use a 22 gauge needle
Don’t use a tourniquet
Use an 18 gauge needle
49
Name the additive in the plain top tube.
Na Citrate
Nothing
Clot activator
EDTA
50
Order of collection for capillary draws; what would you draw last?
Other additive tubes; and then serum tubes
Blood Gases
Peripheral blood slides/smears and platelets
EDTA
51
Which clot tube is inappropriate for the Blood Bank?
Citrate
Gel barrier
Plain Red
EDTA
52
Which statement below is NOT true?
You should not pre-label tubes before doing your draw
The patient should be seated in a comfortable position
The phlebotomist should also be in a comfortable position
You must complete the draw under any conditions
53
Heating a site for skin puncture:
increases blood flow
Causes hemolysis
Prevents bruising
Decreases blood flow
54
The term “frothing “ refers to:
A fibrous part of a cell or muscle
A collection of blood under the skin
The mixture of blood and skin tissue causing discoloration
Bubbles in the blood from improper venipuncture technique
55
Blood spills should be cleaned up immediately. The appropriate procedure is:
Wipe with paper towels
Leave it for next shift
Cover with paper towels, wear gloves., use bleach
Wipe up wearing gloves
56
If patient is to have a FBS, what must you ask?
Are you NPO?
Have you had anything by mouth for the past 10-12 hours?
When was the last time you had anything to eat?
Are you fasting?
57
When performing a venipuncture, the patient’s arm should be:
Held in an upward position
Bent at the elbow
Held downward from the shoulder
Elevated and even with the heart
58
A patient must————— 8-10 hours before starting a GTT.
Fast (except for water)
Eat a special diet
Drink plenty of coffee
Drink plenty of juice
59
Which of the following tests cannot be collected from a skin puncture?
BUN and Creatinine
CBC with differential
Profile levels
Ammonia level
60
Which of following is NOT a true statement?
You should pre-label tubes before drawing
Check the tubes for an expiration date
Check for cracks in the tubes before drawing
Make sure to check the requisition for tests before drawing
61
What is the best way to prevent the spread of infections?
Wearing a disposable gown
Washing and/or cleaning hands
Wearing a mask
Wearing gloves
62
Asepsis means the killing of all:
Pathogenic bacteria
Living microorganisms
Strep infection
Staph aureus
63
When is a PKU drawn?
Within 14 days of birth
Before baby has eaten
At 6 months of age
Before 2 year of age
64
What happens to a plasma vacuum tube if it is not mixed?
Both red And Blue
It provides a short draw to analyze
The tube may clot
The tube may form an incomplete clot If it is a serum tube
65
If you are ordered to draw a PTT and an H&H on a patient, what is your order of draw?
Lavender and Lt. Blue
Green, Lavender, Gray
SST, Lt. Blue, and Lavender
Lt. Blue, Lavender
66
Venipuncture cleansing is done in an ———technique.
Sterile-style
Asepsis
Aseptic
Clean
67
Notify your supervisor if you notice the following on an inpatient:
Redness or swelling in limb you draw from
A break or tear in the skin on the arm
A rash or drainage from the arm
All correct
68
How long should alcohol be allowed to dry before performing the venipuncture?
2 minutes
5-10 seconds
30-60 seconds
5 minutes
69
The correct order of draw for a CBC, PTT, and a Chemistry Panel when using a wing tip needle is
Lavender, Lt. Blue, SST
Lt. Blue, SST, Lavender
Plain, Lt. Blue, SST, Lavender
SST, Lt. Blue, Lavender
70
What are the main departments within the clinical pathology laboratory ?
Nuclear medicine, x-ray,catherization lab, biopsies
Microbiology, chemistry, hematology, blood bank and serology
Histology, chemistry, biopsy, urinalysis, and blood bank
Cytology, histology, autopsies, and x-ray
71
What is the dermal subcutaneous junction?
Where veins are found
Veins in the bend of the arm
Location of maximum concentration of blood vessels
Where arteries and veins are found
72
HBV affects what organ?
Brain
Heart
Liver
Kidneys
73
What lab samples should be collected before starting a GTT?
Blood and urine samples
Blood
Sputum sample
Stool sample
74
After blood is collected from a patient, the serum should be separated to prevent.
Hemolysis
Hemoconcentration
Kidney dialysis
Rupture of WBC’s
75
PKU is an abbreviation for:
Phenylketonuria
Phenylkure
Phenketouria
Phenylketonure
76
Order of collection for capillary draws; what would you draw first?
Other additive tubes; Green, Gray, SST, Serum
EDTA tubes
Peripheral blood slides/ smears and platelets
Blood gases
77
Which of the following test must be cooled immediately after drawing?
Cholesterol
Blood gases
Coagulation
Bilirubin
78
What can cause hemoconcentration?
Taking too much blood at one time
Both red and blue
Leaving the tourniquet on too long
Tying the tourniquet too tight
79
What tube normally will be used for drug levels?
Na Fluoride/ K Oxalate
Plain
EDTA
SST
80
The combination of alcohol, squeezing, and massaging may result in:
Hemoconcentration
Hemolysis
Brusing
Cyanosis
81
Peripheral blood is composed of:
Formed elements in the blood
Venous blood and arterial blood
Plasma and RBC’s
Lymph fluid
82
Which of the following characterizes venous blood?
Oxygenated blood
Usually brighter red in color
Unoxygenated blood
Obtained through routine skin puncture
83
Which defines “non per os “?
Nothing by mouth
Nothing to chew
Nothing but water
Nothing to eat or drink
84
The small vessels leading away from the capillaries are?
Virulence
Arterioles
Venules
Great Saphenous
85
What does a sclerosed vein feel like?
Soft and elastic
Cord-like
Spongy
Full
86
What is the significance of the Great Saphenous Vein ?
It’s the deep vein in the legs
It’s the only vein in the legs
It’s the longest vein in the body
It’s the vein that returns blood to the heart
87
Capillary blood is defined as:
A clear yellowish flui
A mixture of tissue fluid, venous, and arterial blood
All of the above
Blood containing plasma
88
How many identifiers do you need from a patient?
2
3
4
1
89
A Light Blue tube must be inverted—————number of times.
0
8-10
3-4
5
90
Where is the dermal subcutaneous junction found in the tissues of an adult ?
2.4mm
3.5mm
4.2mm
1.6mm
91
After what age is a heel puncture usually no longer used?
6 weeks
1 year
6 months
2 years
92
If you run into a problem during a blood draw, what’s important for you to do?
Discuss it with the patient
Wash your hands
Call someone else in
Document
93
What color top indicates the presence of NaFl/K Oxalate?
Gray
Green
Marble
Gold
94
What purpose does the tourniquet serve?
It allows for more accurate results
It “dams” up blood so the vein can be felt
It allows for “hemoconcentration
It prevents a hematoma
95
Where is a PKU drawn from?
The wrist
The finger
The ear lobe
The heel
96
Digoxin is a therapeutic drug that is used in what type of condition?
Cardiac
Bone disease
Infectious disease
Kidney
97
Which of the following is the correct procedure?
Use the shortest lancet possible to obtain best specimen
Puncture parallel to the fingerprints
Puncture across finger or heel prints
Do a finger puncture on a neonate
98
Where is the antecubital fossa located?
On the dorsal surface of the hand
In the upper arm area
In the inside bend of the elbow
In the middle of the forearm
99
What is the proper response to the patient asking “what tests are you drawing?”
Tests your doctor has ordered
State the tests you are drawing
A test for Syphilis, kidney function, and diabetes
I don’t know
100
What must be done If there is a discrepancy on the arm band?
Draw the name on the requisition
Verify with the patient who they are
Do not draw blood; have information corrected before drawing
Have the nurse OK the arm band