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Phlebotomy review 1-8 Flashcards | StudBud
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Phlebotomy review 1-8
Phlebotomy review 1-8
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1
A properly labeled tube must have all of the following information except
Blood collector's initials
date of collection
Physician's name
patients identification number
2
An agency that assures quality care by hospitals is
Centers for Disease Control and Prevention (CDC)
The Joint Commission (TJC)
College of American Pathologists (CAP
Occupational Safety and Health Administratio
3
A blood collector could be held legally responsible for
Reporting results
Causing injuries when a patient faints
Collecting blood for a comprehensive metabolic panel (CMP)
Sending specimens to the lab
4
Which of the following is the most acceptable order of tube draw?
Light blue , lavender and red
Light blue, green, and lavender
Lavender, green, and light blu
Green, light blue, and lavender
5
Implanted ports are used only for administration of chemotherapy and cannot be used for blood collection
True
False
6
The Needlestick Safety and Prevention Act was enacted in 2004.
True
False
7
A large artery located near the basilic vein and the median nerve is the
Brachia
Cephalic
Ulnar
Radial
8
When performing a modified Allen test, pressure is released on the radial artery
True
False
9
Flushing peripheral IVs and central venous catheters (CVCs) is performed to maintain patency of the catheter
True
False
10
The calcaneus is located at the
Plantar surface of the heel
Lateral curvature of the heel
Arch of the foot
Posterior of the heel
11
Which of the following is performed first when the last tube is collected?
Gauze is placed over the needle.
The needle is removed
The filled tube is removed from the holder.
Pressure is applied to the site.
12
To achieve a steady state in a patient prior to collection of arterial blood gases (ABGs), the patient should
Fast for 12 hours
Empty the bladder
Rest for 30 minutes
Cough five to ten times to clear lungs
13
Blood cultures should be mixed after collection
False
True
14
Serum appearing red suggests that
The patient was not fasting
The patient is jaundiced
The specimen was exposed to light
Potassium values will be falsely elevated
15
Collection of excess blood from a premature infant could cause
Gangrene
Venous thrombosis
Hemorrhage
Anemia
16
A patient who appears pale and has cold, damp skin may develop
Coagulation problems
Sclerosis
syncope
Septicemia
17
Pushing an evacuated tube through the stopper- puncturing needle before entering the vein will result in
Quicker collection of the specimen
Collection of a hemolyzed specimen
Inability to engage the safety device
Failure to obtain the specimen
18
A blood collector performing a test on a standardized specimen received from a monitoring agency is performing
Waived testing
Documentation
Proficiency testing
Quality control
19
Post-exposure prophylaxis (PEP) should initiated within 24 hr for maximum benefit ??
True
False
20
Puncture devices should be firmly placed on the skin before activation
True
False
21
Which of the following is a possible cause if the newborn screening specimen appears to be scratched?
filter paper touched with powder or lotion
“Milking” of the area
Alcohol not dry before puncture
Blood applied with capillary pipette
22
A glucose tolerance test is performed to diagnose or evaluate
Diabetes mellitus
Hypocalcemia
Diabetes insipidus
Hypokalemia
23
Proper specimen collection begins with
Locating the patient
Obtaining a requisition form
Organizing the equipment
applying gloves
24
Which of the following is not classified as a tunneled catheter(s)?
Groshong
Broviac
Hickman
Noncuffed central catheter
25
A winged blood collection set would be primarily used to collect blood from the
finger
heel
Antecubital vein
hand
26
Red blood cells and hemoglobin levels have increased values in higher altitudes
True
False
27
What is it called when a portion of a specimen is placed into a separate tube?
Aliquoting
Lysing
Coagulating
Centrifuging
28
An agency that assures quality care by hospitals is
The Joint Commission (TJC
Occupational Safety and Health Administratio
College of American Pathologists (CAP)
Centers for Disease Control and Prevention (CDC)
29
Order of collection for a hematocrit, blood smear, and glucose by dermal puncture is
Blood smear, hematocrit, and glucose
Glucose, hematocrit, and blood smear
Glucose, blood smear, and hematocrit
Hematocrit, glucose, and blood smear
30
Using evacuated tubes past their expiration date can cause
Overfilled tubes
Incompletely filled tubes
Hemolyzed specimens
Secure gel barriers
31
The difference between plasma and serum is
Plasma is obtained from a clotted specimen.
Plasma contains fibrinogen
Serum is obtained from a nonclotted specimen
Serum contains fibrinogen.
32
When obtaining blood from a peripherally inserted central catheter (PICC), the catheter size must be
4 French or greater in size
2 French or lesser in size
4 French or lesser in size
2 French or greater in size
33
When drawing blood from a central venous catheter (CVC)
A double or triple lumen catheter must be presen
Heparin is first injected into the catheter
A syringe larger than 20 mL must be used
The first 5 mL of blood is always discarded
34
Use of an expired tube may cause a short draw.
True
False
35
When using a winged blood collection set, a light blue stopper tube should be collected first.
False
True
36
Central venous catheters (CVCs) are inserted into the
Superior vena cava
Basilic vein
Radial artery
Brachial artery
37
A legal blood alcohol test should not be collected in a gray stopper tube.
True
False
38
A blood collector could be held legally responsible for
Causing injuries when a patient faints
Collecting blood for a comprehensive metabolic panel (CMP)
talking to co-worker about the patient healthcare information
Reporting results
39
Which of the following is not recognized as an accrediting agency by the Centers for Medicare & Medicaid Services?
The Joint Commission
COLA, Inc.
College of American Pathologists
Clinical and Laboratory Standards Institute
40
During the venipuncture, the blood collector should do which of the following?
Brace the hand holding the holder on the patient's arm
insert the needle with the bevel facing down.
Anchor the vein above and below using the nondominant hand.
Insert the needle at a 20- to 30-degree angl
41
What is the recommended method to use when you are transferring blood from a syringe to an evacuated tube?
Remove the tube stopper and the needle
Use a blood transfer device
Change needles and puncture the stopper
Puncture the tube stopper
42
The collection tube that is used when an erythrocyte sedimentation rate (ESR) is ordered is
Red
Lavender
Green
Gold
43
After pressure is released in the modified Allen test, if color returns to the patient's palm within 5 seconds, the
Radial artery can be punctured
Test must be repeated
Brachial artery should be used
Ulnar artery can be punctured
44
Which of the following tubes must always be filled to the correct ratio?
light blue
royal blue
Red top
green top
45
A microhematocrit tube with a red band contains the same additive as a red stopper Microtainer.
True
False
46
The vein located on the thumb side of the arm is the
Cephalic
Basilic
Median cubital
Brachial
47
Which of the following patient conditions will prolong the time it takes to stop the bleeding from a venipuncture site?
Low blood pressure
Patient taking Coumadin
Low blood sugar
Patient taking vitamin K
48
The recommended antiseptic for routine venipuncture is
Iodine
Isopropyl alcohol
Chlorhexidine gluconate
Antimicrobial soap
49
OSHA requires employers of healthcare workers to provide employees with all of the following except
HBV immunizations
Personal protective equipment
Needles with safety devices
HCV immunizations
50
Forcing blood from a syringe into an evacuated tube may
Decrease glucose values
Contaminate a blood culture
Increase potassium values
Produce lipemic serum
51
The most economical and safest method for performing routine venipuncture is the use of
Glass syringe
Wing blood collection set
Plastic syringe
Evacuated tube system (ETS)
52
The most common all-purpose peripheral IV catheter is
20 gauge
16 gauge
14 gauge
24 gauge
53
Some evacuated tubes are designed not to completely fill
True
False
54
Heparin is the preferred solution for flushing catheters
True
False
55
The epoc® Blood Analysis System can measure levels for the following tests except
APTT
Electrolytes
ABG
Glucose
56
Which of the following tubes contains an anticoagulant that inhibits thrombin?
White
Light blue
Lavender
Green
57
The ratio of blood to anticoagulant in a light blue stopper tube is
2:1
9:0
9:1
6:1
58
Which of the following is not required by to complete the chain of custody ??
Host
Mode of transmission
Source
Healthcare-associated infection (HAI)
59
Failure to gently and immediately mix an anticoagulated specimen will cause
Loss of sterility
Hemolysis
Elevated test results
Clot formation
60
The number of specimens collected from a patient receiving a 2-hour oral glucose tolerance test (OGTT) glucose test is
two
one
three
five
61
How long does it take for EMLA to reach its optimal effect
60 minutes
20 minutes
30 minutes
45 minutes
62
Puncturing through a previous puncture site may cause an infection
True
False
63
which of the following tubes rejected by lab if not filled correctly??
Gray stopper tube
Gold stopper tube
light blue stopper tube
light green stopper tube
64
The Needlestick Safety and Prevention Act requires employers to
Provide blood collectors with glass capillary tubes
Involve blood collectors in the selection of safety devices
Test blood collectors annually for hepatitis B and HIV
Allow blood collectors to work flexible schedules
65
Fistulas are seen in patients who
Have very fragile veins
Are receiving dialysi
Must be rapidly transfused
Are receiving frequent medications
66
An example of an antiglycolytic agent is
Sodium fluoride
Ethylenediaminetetraacetic acid
Ammonium heparin
Potassium oxalate
67
Which is the right way to handle specimens for filter paper newborn screening tests?
Stack specimens while they are drying
Suspend specimens horizontally to air dry
Stack specimens after drying
Dry specimens in sunlight
68
tubes containing powdered anticoagulant do not require mixing.
False
True
69
Tests that are most critically affected when a patient is not fasting at the time of collection include
Glucose, cholesterol, triglycerides, or lipid profiles
Complete blood count (CBC), calcium, and magnesium
Electrolytes and ionized magnesium
Prothrombin time (PT) and partial thromboplastin time (PTT)
70
Lipemic serum appears
Clear and red
Cloudy, due to the presence of fat
Clear and pale yellow
Dark yellow, due to the presence of bilirubin
71
A lavender stopper tube maintains cellular integrity better than other tubes.
False
True
72
Blood tests that are affected by the patient's posture are those that measure
Large molecules
Glucose
small molecules
Electrolytes
73
Which of the following tubes contains an anticoagulant that inhibits thrombin?
white
light blue
Green
lavender
74
Which of the following is the preferred specimen for blood gases in infants?
Arterial blood
Viscous blood
Venous blood
capillary blood
75
To prevent leakage of blood when tubes are changed, multisample needles
Are only used for single tube collections
Have a blunting device
Are used with safety holders
Use a rubber sheath
76
The central venous catheter (CVC) that is surgically placed by a physician for long-term drug therapies is
Groshong
Implanted port
Peripherally inserted central catheter (PIC)
Hickman
77
All of the following are responsibilities of the blood collector except
Correct patient identification
Correct patient identification
Correct timing for the collection of the specimen
Test results within normal limits
78
Recent strenuous exercise may affect the results of tests for
Bilirubin and alanine transaminase (ALT)
Amylase and uric acid
Lactate dehydrogenase (LD) and creatine kinase (CK)
Glucose and blood urea nitrogen (BUN)
79
Stimulation of the blood vessels by the median nerve is known as vasovagal.
False
True
80
All states require testing of newborns for
Phenylketonuria (PKU)
Sickle cell anemia
Cystic fibrosis
Down syndrome
81
The appearance of petechiae on a patient's arm during site selection indicates that the
Radial pulse beat is very strong
Patient has deep veins
Basilic vein should not be
Tourniquet is tied too tightly
82
All the following tubes contain a separation gel except
Gold stopper tubes
Lavender stopper tubes
Light green stopper tube
white stopper tube
83
Which of the following tubes contain a separation gel?
Yellow
Gold
Lavender
Black
84
The presence of a clot is acceptable in
Green stopper tubes
Red stopper tubes
Lavender stopper tubes
Light blue stopper tubes
85
What is the condition caused by blood accumulating in the tissues of the muscles, causing muscle and nerve injury?
Hematoma
Syncope
Hemolysis
Compartment syndrome
86
All of the following are primary goals of HIPAA legislation except
Guarantee the privacy of mentally incompetent patients only
Provide easier detection of fraud and abuse
Reduce paperwork by requiring electronic data transactions
Protect workers from losing healthcare coverage when changing jobs
87
When performing an oral glucose tolerance test fasting blood specimen is tested before the patient drinks the glucose
False
True
88
An alternate pathway capable of supplying blood to an area if the main pathway is obstructed is referred to as
An arterial fistula
Shunt circulation
Collateral circulation
Circulatory bypass
89
A phlebotomy error that could lead to the death of a patient is
Failure to correctly centrifuge the specimen
Collecting the specimen in the wrong tube
Misidentifying the patient
Failure to collect the specimen on time
90
Blood drawn for a blood culture from a central venous catheter (CVC)
Must be flushed first with sodium citrate
Is compared with results drawn from a 24-hour period
Must be collected first
Must be collected last
91
The primary antiseptic for routine venipuncture is
Betadine
Iodine
Isopropyl alcohol
Chlorhexidine
92
What percent of laboratory error occurs in the preexamination phase of testing?
56
50
53
42
93
Blood cultures are performed to detect the presence of
Septicemia
Fever of unknown origin (FUO)
Antibiotics
spiking fevers
94
The agency that provides proficiency testing for the laboratory is the
Diagnosis-Related Group (DRG)
College of American Pathologists (CAP)
Health Maintenance Organization (HMO)
Preferred Provider Organization (PPO)
95
Drawing a lavender stopper tube before a serum separator tubeSST can cause a falsely
Decreased calcium value
Increased calcium value
Decreased glucose value
increased glucose value
96
Centers for (CMS) is the laboratory regulating agency that is made up of laboratory, industry, and government
True
False
97
The recommended disinfectant for blood and body fluid contamination is
Antimicrobial soap
Sodium hypochlorite
Sodium hydroxide
Hydrogen peroxide
98
What is the purpose of closing the centrifuge lid when in use?
Protection of the centrifuge’s light
Protection of the specimen from hemolysis
Protection of the worker from broken glass
Protection of the specimen from light rays
99
Microcollection tubes are color coded in the same way as evacuated tubes
True
False
100
A blood pressure cuff can be used as a tourniquet.
False
True
101
Post-exposure prophylaxis (PEP) should be initiated within 24 hours for maximum benefit.
True
False
102
A patient with tuberculosis would be placed in
Droplet isolation
Airborne isolation
Body fluid isolation
protective isolation
103
When performing the modified Allen test, pressure is released from the
Ulnar artery only
Radial artery only
Ulnar and brachial arteries
Radial and ulnar arteries
104
coagulation requires all of the following except
Fibrin
Heparin
Prothrombin
Thrombin
105
The maximum safe length of lancets used for heel puncture is
2.0 mm
3.4 mm
2.75 mm
1.5 mm
106
Tubes are angled downward during blood collection to
Ensure they fill completely
Prevent blood refluxing into
Prevent patient discomfort
Ensure mixing of blood and anticoagulant
107
The purpose of sodium polyanetholsulfonate in a blood culture bottle is to
identify bacterial growth
Prevent clotting
Inhibit bacterial growth
Prevent contamination
108
Iatrogenic anemia pertains to a condition of blood loss caused by treatment.
False
True
109
Failure to become familiar with needle disposal equipment can result in
An accidental needlestick
Failure to obtain the specimen
Hemolyzed specimens
A clotted anticoagulated specimen
110
A blood collector may be required to obtain information from a second wrist band when collecting specimens for
immunohematology
HIV
Coagulation
Chemistry
111
Red blood cells and hemoglobin levels have increased values in higher altitudes.
True
False
112
Peripheral venous catheters are placed into the
Peripheral vein
Superior vena cava
Inferior vena cava
Radial artery
113
The possibility of hemolysis is increased with the use of a
21-gauge needle
16-gauge needle
23-gauge needle
25-gauge needle
114
A procedure manual differs from a package insert by containing
Sources of error
Instructions for recording results
Test procedure steps
Reagent storage requirements
115
An infection contracted by a patient while in the hospital is termed
Unfortunate
Staphylococcal
Healthcare-associated infection
Antibiotic-resistant
116
Blood collected in a syringe is transferred to evacuated tubes.
True
False
117
Patients are most likely to be in a basal state at
6 am
8 am
9 am
10 am
118
The surgical fusion of a vein and artery frequently seen in dialysis patients is called
An aneurysm
Hemoconcentration
An angioplasty
A fistula
119
Vigorous massaging of the area during dermal puncture will result in
Increased glucose results
A hematoma
Specimen contamination by tissue fluid
Decreased blood flow to the site
120
Specimens that require chilling immediately after collection are placed in a
container of crushed ice and water
Flask of cold water
Bag of dry ice
Container of ice cubes
121
Which of the following occurs before testing of a specimen?
Postexamination variables
Preexamination variables
Examination variables
Management variables
122
Using a small-gauge needle with a large evacuated tube can cause
A hematoma
Hemolysis
Petechiae
Patient discomfort
123
Plasma separator tubes (PSTs) contain the anticoagulant ethylenediaminetetraacetic acid (EDTA).
False
True
124
The main anticoagulant for coagulation studies is
Ethylenediaminetetraacetic acid (EDTA)
Sodium citrate
Heparin
Oxalate
125
A midline peripheral catheter is inserted above or below the
Dorsalis pedis
Antecubital fossa
Superior vena cava
Inferior vena cava
126
Plasma cortisol levels are scheduled to be drawn between 0800 and 1000 because
Patients must be in a basal state
Cortisol is only produced during the morning
Cortisol exhibits diurnal variation
Patients must not be fasting
127
The artery of choice for collecting arterial blood specimens is the
Brachial
Radial
Cephalic
Ulnar
128
Sterile gloves are required when
Applying the tourniquet
Collecting blood for an arterial blood gas (ABG
Collecting blood from a central venous catheter (CVC)
Collecting blood from an implanted port
129
The presence of air bubbles will most seriously affect a
Blood gas collected in a micropipette
Hematocrit collected in a microhematocrit tube
Bilirubin collected in a Caraway pipette
Complete blood count (CBC) collected in a microcolle
130
Which of the following can occur when large amount of blood are removed for testing at one time or over period of time?
Allergies
Seizures
Hemolysis
Iatrogenic anemia
131
A noncoring needle is used to access an implanted port
False
True
132
Ammonia inhalants are helpful for a patient who faints
False
True
133
which of the following types of consent is required primarily for invasive procedures??
Informed
Implied
Expressed
Consent for minors
134
Peripheral access devices include peripheral IV lines and midline peripheral catheters
True
False
135
Central venous catheters (CVCs) are threaded into the inferior vena cava
False
True
136
Which of the following is a NIOSH-approved respirator?
N59
M95
S96
N95
137
All of the following complications can occur with nerve damage except
Lingering pain
Permanent disability
Lack of grip strength
Increased limb mobility
138
The recommended disinfectant for cleaning blood and body fluid contamination is
Chlorhexidine gluconate
Isopropyl alcohol
Sodium hypochlorite
Antibacterial soap
139
In addition to changing gloves between every patient, blood collectors should also
Sanitize their hand
Disinfect the blood collection tray
Double-bag the specimens
Change their lab coats
140
Where is the microscopic examination performed on a blood smear?
Streaked area
Frosted edge of slide
Uneven area
Feathered edge
141
The laboratory regulation agency that is made up of laboratory, industry, and government personnel is the
CMS
COLA, Inc.
CAP
CLSI
142
Which of the following should a blood collector not be tested for after an accidental needlestick?
Rubella
Hepatitis C virus (HCV)
Hepatitis B virus (HBV)
Human immunodeficiency virus (HIV)
143
In an evacuated tube, blood flow into the tube depends on
gravity
air pressure
The vacuum in the tube
Blood pressure
144
When performing a venipuncture, if blood does not immediately enter the tube, the needle should be withdrawn.
True
False
145
Why is it necessary to flush peripheral IVs and central venous catheters (CVCs)?
To make sure medications are mixed
To prevent hemolysis
To ensure the catheter tip is clean
To maintain patency of the catheter
146
Which CVC is inserted through a peripheral vein into the superior vena cava by specially trained nurses?
Peripherally inserted central catheter
Hickman catheter
Implanted port
Groshong catheter
147
Which of the following is necessary when operating the centrifuge?
Making sure the specimen are directly next to each other
Firmly securing the lid before operating
Walking away without checking the centrifuge for excessive vibration
Making sure the centrifuge is off-balance
148
Blood specimen collection from a peripheral vascular access device
Can only be performed by a phlebotomist
Uses a winged blood collection set ,an evacuated tube system (ETS) device
Can only be performed at the time of insertion
Is performed after administration of medications
149
In the chain of infection, the susceptible host can also become the
Portal of exit
Means of transmission
Portal of entry
Reservoir
150
20 mL of blood must be discarded or used for other tests before drawing blood for
Hematology tests
Blood cultures
Coagulation tests
Chemistry tests
151
The width of the dermal puncture is more important than the depth to produce adequate blood flow
False
True
152
A patient with tuberculosis would be placed in
Protective isolation
Droplet isolation
Airborne isolation
Body fluid isolation
153
Point-of-care testing (POCT) was previously referred to as alternate site testing (AST).
False
True
154
A Hickman is a tunneled catheter
True
False
155
Point-of-care testing (POCT) analyzers are available to measure arterial blood gases (ABGs) and electrolytes
True
False
156
the program established by healthcare organizations to guarantee quality patient care is
Accreditation
Quality control
Continuous quality improvement
Quality management
157
After completion of the blood collection, the holder is
Discarded in the sharps container with the needle attached
Returned to the collection tray
Disinfected with sodium hypochlorite
Discarded in a different sharps container than the needle is discarded in
158
Blood can be routinely collected from a midline peripheral catheter
False
True
159
Which of the following is a spontaneous constriction of an artery in response to pain?
Hematoma
Vasovagal reaction
Nerve damage
Arteriospasm
160
Arterial blood gases may be ordered for patients with all of the following conditions except
Diabetic coma
COPD
Stroke
Lung cancer
161
mask should be worn to protect against inhalation of droplets containing microorganisms from infective patient
True
False