Inantimate object that spreads germs

The main purpose of wiping away the first drop of blood during skin puncture is

to eliminate tissue fluid contamination

Which would be considered a post-analytical error?

Improper use of serum separator

the difference between Red and Gold top tubes?

Red tops have no gel while gold (Tiger) do.

What does an antiglycolytic additive do?

It prevents the breakdown of glucose!!

Why are EDTA specimens obtained before other specimens when collected by skin puncture?

To minimize effects of platelet clumping

Askin puncture should be done rather thanA venipuncture in ALLof the following situation except

when blood cultures are ordered, large volume of serumorplasma isrequired for thetest ordered, when a light blue stopper tube is needed

choose which department in the clinical laboratory each test will go to. More than 1 answer

Hep B Antigen Screening in a red top: Immunology, PT/INR in a sodium citrate tube: Coagulation, Electrolytes in a heparin tube: Chemistry

Therapeutic Drug Monitoring (TDM) is used by physicians to

determine a beneficial drug dosage for the patient

Which of the following is the job of a student phlebotomist?

Letting the patient know that you are a student phlebotomist

studbud

Phlebotomy program

250 termsStudBud Administration158 plays

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

Flashcards250 cardsFPractice quizPHost liveL

Questions 250

Answers

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

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