The presence of microbes in the blood

The purpose of chordae tendineae is to:

Keep the valves from flipping back into the atria

TDM peak concentration may be defined as the:

highest concentration of the drug during a dosing interval

The purpose of the pulmonary system is to:

Carry blood to and from the lungs

which of the following describes empathy?

Trying to understand patient’s experiences from their perspective

A splash of serum is released when the stopper of a centifuged serum separator tube is removed because:

The tube was tilted after it centrifuged

correct newborn screening test collection or handling includes:

Using one large drop to entirely fill a collection circle

A first morning specimen is unacceptable for urine cytology because:

Cells may have disintegrated in the bladder overnight

after cleaning the venipuncture site with alcohol, the phlebotomist should

Allow the alcohol to dry completely

which situation could allow reflux to occur during venipuncture?

filling the tube stopper end first

which is the correct sequence of events after blood vessel injury?

Vasoconstriction, platelet aggregation, fibrin clot formation

which of the following is a proper capillary puncture procedure?

Wipe away the first drop of blood

all blood specimen transported by a courier must be:

protected from direct sun exposure

which of the following venipuncture steps are in the correct order?

remove needle, place gauze activate safety device

The extrinsic system of coagulation is initiated by

Factors found within the tissues

the definition of toxicology is:

the scientific study of poisons

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Questions 199

Answers

1
what is the recommended angle of needle insertion when performing venipuncture on an arm vein and on a hand vein?
45° or less, 20° or less
20° or less 20° or less
25° or less, 15° or less
30° or less, 10° or less
2
septicemia is:
fever for which the cause is not known
A positive test for transmissible disease
bacteria measurement in whole blood
The presence of microbes in the blood
3
an example of an institution that provides non-ambulatory services is a
Day surgery
clinic
doctors office
hospital
4
The purpose of chordae tendineae is to:
relay electrical impulses throughout the atria
separate the right and left halves of the heart
coordinate the QRS complex of the cardia cycle
Keep the valves from flipping back into the atria
5
TDM peak concentration may be defined as the:
highest concentration of the drug during a dosing interval
lowest concentration of the drug during a dosing interval
none of these answers are correct
concentration required for maximum drug effectiveness
6
A specimen collected in this tube is not affected if the tube is underfilled:
Green top tube
Red top tube
purple top tube
Blue top tube
7
capillary puncture is typically performed on adult adults when:
veins are saved for chemotherapy
patients have thrombotic tendencies
All of the choices are correct
no accessible veins can be located
8
which of the following is the best way to handle a needle phobic patient
have the patient lie down for the procedure
All of the answers are correct
ask the most skilled phlebotomist to do the draw
place a ice pack to the site before the draw
9
answer the question above
0920 hours
0945 hours
0950 hours
0915 hours
10
answer question above
CPK
CBC
CDC
CRP
11
The following supplies were gathered for a routine venipuncture. Which item is unnecessary?
ETS tubes
safety needle
tourniquet
Iodine swab
12
which behavior shows active listening?
Mirroring facial expressions
watching a patient’s monitor
looking down at your feet
interrupting the patient
13
when does a blood glucose level in normal individuals typically peak after glucose ingestion?
in 15-20 mins
in roughly 2hrs
1- 1 1/2hr
1/2hr to 1hr
14
after obtaining a specimen for a cold agglutitin test, the blood must be transported:
at body temperature
as a STAT test
protected from light
in a cooling rack
15
which dietary supplement can interfere with laboratory immunoassays?
melatonin
Biotin
potassium
calcium
16
A refractometer can be used to measure urine:
protein level
specific gravity
clarity and color
urobilinogen
17
which of the following is sometimes used as an aid in microsurgery procedures
venesection
cupping
bloodletting
leeches
18
answer question above
Empty choice
Empty choice
Empty choice
Empty choice
19
The purpose of the pulmonary system is to:
deliver blood to the systemic system
remove impurities from the blood
Carry blood to and from the lungs
Carry nutrients to the cells
20
which of the following describes empathy?
personally, being sensitive to patients needs and wanting to help
avoiding listening to patient concerns to reduce burnout
Trying to understand patient’s experiences from their perspective
being aware of the patient’s personal space and body language
21
which of the following fingers is the best choice for a capillary puncture?
thumb
Middle
pinky
Index
22
which of the following is required requisition information?
admitting physician’s name
results of last Delta check
Patient specific identifier
which site should be used
23
A splash of serum is released when the stopper of a centifuged serum separator tube is removed because:
The tube was tilted after it centrifuged
the centrifugation time was too long
The stopper was removed by a robotic arm
The separator gel worked incorrectly
24
of the following tubes or containers, which is filled last in the recommended order of draw
light blue top tube
blood culture bottle
Red top gel tube
lavender top tube
25
which of the following fluids is associated with the lungs?
Peritoneal
pleural
synovial
gastric
26
The document provided by the American hospital association that explains patient rights is
medical assistance brochure
human rights program
The patient care partnership
HIPAA PHI provisions
27
capillary puncture blood contains:
arterial blood
All of the choices are correct
interstitial fluids
Venous blood
28
which non-blood specimen is most frequently analyzed in the lab?
synovial fluid
urine
Pleural fluid
CSF
29
correct newborn screening test collection or handling includes:
layering successive blood drops in a collection circle
Using one large drop to entirely fill a collection circle
applying blood drops to both sides of the filter paper
hanging a specimen slip to dry in a vertical position
30
NPO means:
nutrition postoperative
New patient orders
needed postoperative
nothing by mouth
31
which additive prevents glycolysis?
Sodium fluoride
potassium oxalate
heparin
EDTA
32
A first morning specimen is unacceptable for urine cytology because:
Cells may have disintegrated in the bladder overnight
shedding of cells into the bladder at night is minimal
The pH level is usually too high for testing purposes
concentrated urine has many interfering
33
what is the best way to tell if you are accidentally draw blood from an artery? While you are drawing the specimen, the
Site bleeds around the needle
patient complains of pain
blood is a dark red color
blood pulses into the tube
34
A procedure called iontophoresis is used in the collection of what specimen?
sweat
synovial fluid
saliva
CSF
35
A throat swab is most often collected to test:
M tuberculosis
Group a strep
whooping cough
cystic fibrosis
36
according to who guidelines HCWs are prohibited from wearing:
Artificial nails
concealer make up
Close toe shoes
patterned scrubs
37
which of the following is an example of proxemics
eye contact
facial expressions
personal hygiene
zone of comfort
38
Troponin T (TnT) is a:
Low density, Lipo protein
heart muscle protein
type of hemoglobin
cardiac hormone
39
after cleaning the venipuncture site with alcohol, the phlebotomist should
Allow the alcohol to dry completely
insert the needle quickly before the alcohol dries
fan the site to help the alcohol dry
Dry a site with a clean gauze pad or cotton ball
40
which situation could allow reflux to occur during venipuncture?
using the wrong order of draw
tourniquet release on blood flow
filling the tube stopper end first
lateral redirection of the needle
41
which is the correct sequence of events after blood vessel injury?
Vasoconstriction, platelet aggregation, fibrin clot formation
platelet aggregation, vasoconstriction, fibrin clot formation
fibrinolysis, platelet adhesion, vasoconstriction
platelet adhesion, vasodilation, fibrin clot formation
42
fluid in the spaces between the cells is called:
lymphatic fluid
intracellular fluid
interstitial fluids
peritoneal fluid
43
which of the following blood specimens requires cooling during transportation?
homocysteine
beta-carotne
cold agglutinin
electrolytes
44
which of the following is a proper capillary puncture procedure?
milk the site to keep the blood flowing freely
puncture parallel to the fingerprint grooves
clean the site thoroughly with povidone-iodine
Wipe away the first drop of blood
45
which type of urine specimen is the best one for detecting a UTI?
24 hour
first morning
Random
clean catch
46
creatinine clearance as a measure of:
muscular activity
liver function
kidney function
glucose metabolism
47
all blood specimen transported by a courier must be:
transported horizontally for safety
centrifuged prior to transportation
protected from direct sun exposure
Placed in a refrigerated container
48
mixing an additive correctly involves turning the wrist how many degrees and back again?
90
180
120
45
49
which of the following is a biocide?
70% isopropanol
All the choices are correct
hydrogen peroxide
providone- iodine
50
which of the following venipuncture steps are in the correct order?
insert needle, release, tourniquet, engage ETS tube
remove needle, place gauze activate safety device
select vein, clean site, release tourniquet
apply tourniquet, position, arm, select vein
51
The extrinsic system of coagulation is initiated by
clotting factor circulating in the blood
Factors found within the tissues
vasoconstriction of the vein walls
platelet circulating in the blood
52
the definition of toxicology is:
the tracking of the illicit drug trade
the study of drug therapy levels
a protocol for drug trafficking
the scientific study of poisons
53
The normal composition of blood is approximately
55% plasma, 45% forms elements
30% plasma, 70% formed elements
91% plasma 9% formed elements
10% plasma, 90% formed elements
54
an inpatient is eating breakfast when you arrive to collect a fasting glucose. What is the best thing to do?
consult with the Patient nurse to see if the specimen should be collected
draw the specimen and write non-fasting on the requisition
draw the specimen quickly before the patient finishes eating
fill out a form stating that the PT had eaten so the specimen was not drawn
55
The ratio of blood to anticoagulant is the most critical for
Orange stopper tubes
light blue top tubes
Green stopper tubes
Royal blue top tubes
56
which of the following is proper telephone technique
Being mindful of the tone of your voice when answering the phone
listening carefully, but not writing anything down to save time
not identifying yourself to the collar in case there is a problem later
waiting for the phone to ring three or four times to appear less anxious
57
an arm that is paralyzed
Has no muscle function
is a permanent condition
is the results of a stroke
has sensory damage also
58
as a general rule, serum or plasma should be removed from the cells within
30 minutes
120 minutes
60 minutes
90 minutes
59
an AV fistula is commonly used for:
chemotherapy
dialysis access
fluid infusion
Drawing blood
60
A quick non-invasive means of paternity test is performed on cells from a:
CSF specimen
buccal swab
feces sample
24 hour urine
61
A positive FIT indicates:
sizable fecal fat accumulation
C diff colonization of intestines
presence of intestinal parasites
bleeding in the colon and rectum
62
which of the following is the least effective way to immobilize a pediatric patient before a blood draw?
Allowing the child to sit with one arm, bracing the other
grasping the child’s wrist firmly in a palm up position
using two people in a immobilizer and a blood drawer
cradling the child close to the chest of the immobilizer
63
which of the following would be omitted from a lab generated computer label?
collectors initial
physicians name
patient diagnosis
Time of collection
64
The internal space of a blood vessel is called the:
atrium
valve
Lumen
septum
65
if collected by capillary puncture, which of the following is collected first?
glucose
phosphorus
electrolytes
CBC
66
logging onto most computer systems require the use of a:
accession number
password
barcode reader
modem
67
A member of the clergy is with the patient when you arrive to collect a routine specimen. What should you do?
say excuse me, I need to collect a specimen from the patient
ask the patient nurse what you should do
fill out a form saying you were unable to collect a specimen
Come back after the clergy person has gone
68
when the arm of a patient is swollen with excess fluids, the condition is called
Hemolysis
syncope
Edema
icterus
69
phlebotomist can be trained to perform test as long as they are:
moderately complex
Point of care tests
not used to diagnose
CLIA-waived tests
70
The abbreviation for the coding system used by physicians for billing purposes is:
CPT
PPS
DRGs
ICD
71
answer the question above
reflux of tube contents
collapsed vein
Tube vacuum escaped
needle went too deep
72
The ECG shows P waves that are due to:
delayed contractions
Ventricular activity
Activity of the atria
electrical charge
73
The unique number assigned to a specimen request by the lab is called the
patient date of birth
Health facility number
patient ID number
accession number
74
The tourniquet should be released
only after the very last tube is filled
within two minutes of its application
all of the answers are correct
As soon as blood flow is established
75
which test requires a special strict identification system to prevent fatal errors?
blood culture
type & screen
drug screen
paternity test
76
A serum aliquot has a fibrin clot in it. The most likely caused is that the specimen was.:
from a patient with a high platelet count
spun too long with a tube stopper off
hemolyzed from improper transportation
centrifuged before clotting was complete
77
what color is the stopper of a CTAD tube, for what type of test is it used for & why?
light blue; coagulation; to inhibit platelet activation
orange; special chemistry; to decrease clotting time
lavender; molecular genetic testing; preserves DNA
gray; blood; alcohol; inhibits volatilization of alcohol
78
which of the following blood vessels are listed in the proper order of blood flow?
Vain, venule, capillary
arteriole, venule, capillary
capillary, venule, vein
aorta, superior vena cava, vein
79
most POC analyzers are interface capable, but the decision to do so is based on:
The type of POCT device being used
The impact the test has on the patient
how many analyzers are in use
The cost of the test being performed
80
A panic value is a:
sign of instrument malfunction
test control that is out of range
result that cannot be repeated
significantly abnormal test result
81
examples of times test include
blood cultures, cardiac enzymes, and cortisol
Basic metabolic panel, potassium, and glucose
calcium, ferritin, and complete blood count
Creatinine, lactic acid, and reticulocyte count
82
The difference between barcodes and radio frequency identification is that RFID:
can work up to 100 feet away
cannot be used to label aliquots
is much less expensive
It’s not yet standardized
83
which type of patient is most likely to have an arteriovenous fistula or graft?
wheelchair- bound
arthritic
hospice
dialysis
84
The additive in a purple top tube is
Clot activator
gel separator
heparin
EDTA
85
strong repetitive pressures such as squeezing or milking a site during capillary specimen collection:
is necessary to obtain adequate blood
increases Venous blood flow into the area
Can hemolyze and contaminate specimens
improves the accuracy of CBC test results
86
A breath test can be used to detect organisms that cause:
tuberculosis
meningitis
A whooping cough
Peptic ulcers
87
which of the following conditions disqualifies a site for capillary puncture?
swollen
All of the choices are correct
edematous
cyanotic
88
A transillumination device is used to
transfer blood
ID patients
contain sharps
Locate veins
89
rapid syphilis test detect:
streptococcus pneumoniae
treponema pallidum
clostridioides diffcile
neisseria meningitidis
90
A factor that contributes to the phlebotomist’s professional image is
age
attitude
religion
heritage
91
a mnemonic is a:
memory aid
Number code
program icon
Secret phrase
92
answer question above
ask the Patient’s nurse to attach an ID band before you draw that patient
identify the patient by the name card on the door
ask the PT’s name and collect the specimen if it matches the requisition
refuse to draw the specimen and cancel the request
93
what causes evacuated tubes to fill with blood automatically?
arterial blood pressure
fist pumping by the patient
pressure from the tourniquet
pre-measured tube vacuum
94
which of the following tubes can be used to collect a serum specimen?
Green top
Red top
light blue top
PST
95
answer question above
antibacterial soap and water
5.25% sodium hypochlorite
providone iodine solution
70% isopropyl alcohol
96
which of the following blood vessels carries oxygenated blood?
superior vena cava
inferior vena cava
Pulmonary vein
pulmonary artery
97
which of the following is a type of serous fluid
synovial fluid
spinal fluid
pleural fluid
amniotic fluid
98
which of these tests are more affected if the patient is not fasting?
CBC and pro Time
RA and cardiac enzymes
Glucose and triglycerides
blood culture, and thyroid profile
99
if a patient adamantly refuses to have blood drawn, you should
Notify the patient’s nurse or physician
restrain the patient and draw the blood
convince the patient to be cooperative
write a note to the patient’s physician
100
the principles of the right & wrong conduct as they apply to professional problems are called:
ethics
rules
kinesics
proxemics
101
capillary punctures supplies include all of the following except a:
Lancet
gauze pad
Micro collection device
providone-iodine pad
102
The specialty that involves treating disorders of old age is called
pathology
Gerontology
cardiology
psychiatry
103
bending the arm up to apply pressure to the site after venipuncture has been shown to do all of the following except:
increase the possibility of bruising and hematoma formation
Enable the site to quickly stop bleeding after needle removal
disrupt the platelet plug when the arm is eventually lowered
keep the wound open, especially if it is at the side of the arm
104
veins that feel hard and cord like when palpated maybe
venules
Thrombosed
fistulas
collapsed
105
when taking a blood pressure reading the systolic pressure is the pressure reading when the:
muffled sound is heard as the cuff is deflated
first heart sounds are heard as the cuff is deflated
artery is compressed and blood flow is cut off
cuff has already been completely deflated
106
when making a routine blood smear, the pusher slide is normally used at an angle of how many degrees?
60
30
15
45
107
specimen hemolysis is most likely to result from:
filling tubes with a transfer device at an angle
mixing anticoagulant tubes several extra times
leaving the tourniquet on until the last tube
Using a large volume tube with a 23 gauge needle
108
which of the following specimens would be acceptable for testing
CBC collected in a lavender top tube
protime specimen, in a partially filled tube
potassium specimen, that is hemolyzed
specimen, lacking identification label
109
A vein may be sclerosed if it:
Rolls easily
is resilient
has a pulse
Feels hard
110
which of the following specimens should be protected from light?
BUN
CBC
bilirubin
glucose
111
which formed element is the first to play a role in sealing an injury to a blood vessel?
leukocyte
reticulocyte
Thrombocyte
erythrocyte
112
answer question above
chemicals
antigens
antibodies
hormones
113
pregnancy can be confirmed by testing urine for the presence of:
AFB
HPV
AFP
HCG
114
neonatal screening is the testing of:
infants with certain symptoms
babies for contagious diseases
pregnant women for diseases
newborns for certain disorders
115
Computer networking caused Congress to take steps to eliminate patient confidentiality violations by:
regulating the ethernet
barring certain interfaces
limiting the network size
enacting the HIPAA law
116
The following test orders for different patients have been received at the same time. Which test you collect first
ASAP CBC in the ICU.
STAT glucose in the ED
fasting glucose
STAT hemoglobin in the ICU
117
which federal agencies regulate the transporting of biological specimens offsite?
EPA and CLSI
all of the choices are correct
CLIA and EPA
DOT and IATA
118
answer question above
ask the patient if it is OK for you to continue to draw
discontinue the draw & attempt collection at another site
distract the patient with small talk and continue to draw
tell the patient to hang in there because only one tube is left
119
The longest man and the largest artery in the body, are in that order
Great saphenous and aorta
cephalic and femoral
pulmonary and femoral
inferior vena cava and brachial
120
when a whole blood specimen centrifuged the fluid that separates is called:
lymph
saline
serum
Plasma
121
what is the best approach to use on an 8-year-old child who needs to have blood drawn?
tell the child it wont hurt & will only take a few seconds
explain the draw in simple terms, & ask for the childs cooperation
have someone restrain the child while you collect the specimen
offer the child a treat or a toy, but only if there is no crying
122
Peak levels of which analyte typically occur around 0800 hours?
glucose
bilirubin
eosinophil
cortisol
123
all of the following are required PPE when processing specimens except:
Chin length face shields
fluid resistant lab coat
fluid resistance shoe covers
disposable gloves
124
which of the following is granted to an individual who has completed and passed a phlebotomy program?
College associates degree
Certificate of completion
National certification
State license to practice
125
the initials for the title granted after successful completion of the ACA, AMT, ASCP, NCCT & NHA phlebotomy examination:
PBT, CLT, AMT, NCA, MLA
CPT, RPT, PBT, NCPT, CPT
RPT, CPT, PBT, NCCT, CLT
NCPT, AMT, PBT, RPT, CLT
126
which of the following is described as an anuclear biconcave disk?
leukocyte
Erythrocyte
thrombocyte
granulocyte
127
which of the following statements describes proper 24 hour urine collection?
Empty choice
Empty choice
Empty choice
Empty choice
128
which situation can hemolyze a specimen
drawing a large tube with a 23 gauge needle
horizontal transportation of tubes of blood
All of their choices are correct
forceful aspiration of blood with a syringe
129
which type of sample is commonly used to identify arsenic poisoning in agricultural workers?
saliva
feces
hair
blood
130
additional information typically required on a non-blood specimen label includes the:
specimen type
party to be charged
physician
billing code
131
which of the following is the most crucial part of blood culture collection?
selecting the collection site
timing of the second set of cultures
adequately mixing the media vials
antisepsis of the collection site
132
how large is a normal erythrocyte?
8-10 ųm
7-8 ųm
4-5 ųm
10-12 ųm
133
individuals who wish to donate blood in most states must be at least:
18 & weigh 120
21 & weigh 125
16 & weigh 105
17 & weigh 110
134
which of the following tests is collected in a trace element-free tube?
ABGs
aluminum
hemoglobin
BUN
135
which of the following needles has the largest diameter?
23 gauge
21 gauge
18 gauge
20 gauge
136
The microbiology department in the laboratory performs
culture and sensitivity testing
compatibility testing
enzyme linked immunoassay
electrolyte monitoring
137
which of the following specimens can be centrifuged immediately?
bilirubin collected in a redtop tube
electrolytes collected in a PST
Creatinine collected in a SST
CBC collected in a purple top tube
138
Venous, blood gases can be helpful in diagnosing
TB
HBV
UTI
DKA
139
which of the following test requires a blood specimen that is collected in circles on special filter paper?
PKU
malaria
cBG’s
bilirubin
140
which of the following tests must have a 9:1 ratio of blood to anticoagulant in the collection tube?
blood culture
protime
2hr PP
electrolytes
141
removing a unit of blood from a patient & not replacing it is used as a treatment for:
tuberculosis
arthritis
leukemia
polycythemia
142
if a patient has IVs in both arms, the best place to draw the specimen is
proximal to one of the IVs
Distal to one of the IVs
from one of the IVs
above one of the IVs
143
lavender tube tops are commonly used to collect
coagulation specimens
hematology tests
chemistry tests
immunology tests
144
blood collection tubes are labeled
as soon as the test order is received
whenever it is the most convenient
Immediately after a specimen collection
before the specimen is even collected
145
alcohol testing of urine is problematic because:
fermentation by alcohol can cause false positives
all of the choices are correct
results may not correlate with blood alcohol levels
alcohol can evaporate from uncapped specimens
146
answer question above
Red, royal blue, green, lavender
yellow, orange, lavender, gray
lavender, light, blue, gold, green
light blue, green, lavender, gray
147
One of the reasons the basilic vein is the last choice for venipuncture is because it’s
deeply buried in the AC fossa
Located close to a major nerve
The hardest AC vein to palpate
fixed in the surrounding tissue
148
A heart disorder characterized by fluid buildup in the lungs is called
myocardial infarction
aortic stenosis
bacterial endocarditis
congestive heart failure
149
lymph originates from:
plasma
joint fluid
Tissue fluid
serum
150
which type of drug therapy can increase bilirubin levels?
acetaminophen pills
chemotherapy drugs
thiazide diuretics
oral contraceptives
151
blood in which type of tube normally clots within five minutes
SST
SPS
PST
RST
152
which test typically requires a refrigerated stool specimen?
Fecal fat
ova and parasites
guaiac
occult blood
153
A butterfly is typically used for
coagulation specimens
draws from a basilic vein
multiple short draw tubes
Difficult and hand veins
154
most test result reference ranges are values for:
Patients who are ill
very specific disorders
Healthy individuals
people of the same age
155
the law that established national standards for the electronic exchange of protected health information is:
HIPAA
OSHA
CLIA
PHS
156
The bariatric phlebotomy chair is designed for individuals who are:
paralyzed
apt to faint
mentally ill
Overweight
157
A trace element free tube stopper is
lavender
Royal blue
yellow
Green/gray
158
hemochromatosis:
causes the deposit of iron in the tissues
is treated using platelet transfusions
can be monitored using Hct test results
involves the overproduction of RBCs
159
criteria used to decide which needle gauge to use for venipuncture include
The type of test being collected
your personal preference
how deep the selected vein is
The size and condition of the vein
160
after arriving in the laboratory, all specimens are immediately:
uploaded to testing instruments
logged in or accessioned
centrifuge to stop glycolysis
refrigerated until processed
161
which of the following is proper procedure when dealing with an elderly patient?
address your questions to an attendant if the pt has a hearing problem
Make certain to hold adequate pressure after the draw until bleeding stops
Tie the tourniquet extra tight to make the veins more prominent
speak extra loudly to be certain that the patient can hear you
162
when drawing a blood alcohol specimen, it is acceptable to clean the arm with:
isopropyl alcohol
methanol prep
tincture of iodine
benzalkonium chloride
163
which situation can result in hemoconcentration
leaving the tourniquet on for two minutes
drawing a large tube with a small needle
partially filling a normal draw tube
mixing the specimen too vigorously
164
The major difference between plasma and serum is that plasma:
contains fibrinogen while serum does not
contains nutrients while serum does not
looks clear while serum looks cloudy
looks Amber while serum looks pale yellow
165
saliva specimens can be used to detect:
hormones
drug
alcohol
All of the choices are correct
166
which test may require four special tubes collected using a special order of draw?
OGTT
ETOH
PT/INR
TB-Gold
167
The thick muscle layer of the heart is called the:
pericardium
endocardium
epicardium
myocardium
168
A tourniquet is used in venipuncture to:
Block the arterial blood flow
keep the vein from rolling
find and enter veins more easily
concentrate the blood specimen
169
tiny red spots that appear on a patient’s arm when the tourniquet is applied are a sign that the:
patient is allergic to nitrile
Site may bleed excessively
veins are sclerosed
patient has anemia
170
The chamber of the heart that receives blood from the systematic circulation is the:
Left ventricle
left atrium
Right atrium
right ventricle
171
early equipment used for bloodletting included all of the following except the
hemostat
lancet
leech
fleam
172
pseudoanemia can be caused by:
drawing a blood specimen through a IV valve
using too large a needle to collect a specimen
leaving the tourniquet on for longer than one minute
A change in position from standing to laying down
173
which of the following tests may require special chain of custody documentation when the specimen is collected?
drug screen
cross-match
TDM
blood culture
174
which of the following is an acceptable area of an infant foot for a capillary puncture?
medial area of the arch
Central area of the heel
Lateral plantar heel surface
posterior curvature of the heel
175
an example of a lymph system test is:
HDL cholesterol
reticulocyte count
plasma ceramides
mononucleosis test
176
which of the following test specimens can be analyzed without being centrifuged?
cholesterol in a gel barrier tube
STAT potassium and a heparin gel tube
hemoglobin A1c in a EDTA tube
bilirubin in an amber microtube
177
how long should the site be examined to determine if bleeding has stopped
10– 15 seconds
25–30 seconds
20–25 seconds
5– 10 seconds
178
which of the following tubes contains EDTA & thixotropic gel?
all of the choices are correct
PSTs
PPTs
SSTs
179
The preferred vein for Venipuncture in the H pattern is the:
accessory cephalic
median Cubital
cephalic
basilic
180
which is a medical term for a blood clot circulating in the bloodstream
thrombus
Embolus
aneurysm
embolism
181
what type of specimen is needed for a guaiac test?
urine
blood
breath
feces
182
state & federally funded insurance is called
ACO
Medicaid
medicare
HMO
183
drawing this tube before a chemistry tube can result in false hypocalcemia:
EDTA tube
heparin tube
SST tube
PST tube
184
answer the question above
is up against a valve
penetrated a nerve
went through the vein
Struck a hematoma
185
The probability that a man fathered a particular child is 0% if:
less than 25% of the chromosomes match
only half of their chromosomes match
none of his chromosomes match the mother
None of their chromosomes match
186
A patient has several short lengths of IV type tubing protruding from the chest. This is most likely a.
PICC
A-line
Port
CVC
187
according to CLSI a heel puncture lancet should puncture no deeper than:
1.5 MM
2.0 MM
3.0 MM
2.5 MM
188
which is a nonspecific marker of systemic inflammation?
BNP
ACT
TnT
CRP
189
common chemistry tests performed by POCT:
PT & PTT
Na+ & K+
ARD & FAN
Hgb & Hct
190
after inserting a butterfly needle, the phlebotomist must “seat it” meaning that the phlebotomist will
slightly thread it within the lumen of the vein
keep the skin taut during the entire procedure
push the bevel against the back wall of the vein
have the patient make a fist to keep it in place
191
which test cannot be collected by capillary puncture and taken to the laboratory for processing and testing?
PTT
bili
hgb
lead
192
in an infant’s heel, the primary blood supply is located:
in the top layer of the epidermis
starting at around 2.4mm deep
from 1.00mm to 2.00mm deep
between .35 & 1.6 mm deep
193
which of the following is a test that measures packed cell volume?
hCG
TnT
Hct
INR
194
The concentration of the substance is higher in capillary blood than in Venous blood:
total protein
blood urea nitrogen
carotene
Glucose
195
capillary action is a term used to describe how:
Blood fill a micro hematocrit tube
warming can increase blood flow
arterial blood enters the capillaries
Cell spread across a blood smear
196
which of the following tests requires an arterialized specimen if collected by capillary puncture?
bilirubin
glucose
blood gases
electrolytes
197
where is the tourniquet applied when drawing a hand vein?
A tourniquet is not required
proximal to the wrist bone
Just distal to the wrist bone
above the antecubital fossa
198
A green stopper indicates that the tube contains
EDTA
Heparin
oxalate
citrate
199
The Gender identity of cisgender individuals:
corresponds to their biological gender
does not match their sex at birth
is neither male or female gender
can be described as having no gender

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