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CPT Practice
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1
the only vein to carry oxygenated blood is the
bracial vein
pulmonary vein
superior vena cava
aorta
2
what criteria is evaluated to determine if a peripheral blood smear is adequate
all the above
the slide is streak free
the slide has no holes
the slide has a feathered edge
3
an instrument used to assess anemia is a
ACT tester
hemoglobin analyzer
cardiac reader
glucometer
4
hemolysis is defined as
increased lipid content
destruction of white blood cells
increased bilirubin content
destruction of red blood cells
5
The primary responsibility of the phlebotomist is to...
Assign accession number and process specimens
Collect blood specimens
Perform waived testing
Input physician orders into the lab computer
6
before proceeding with any collection procedure the phlebotomist should always
obtain a positive informed consent
make sure the insurance information is logged in the CIS
have the patient sign an advanced beneficiary notice
have the patient sign a release form
7
antiglcolytics include which of the following
EDTA
sodium fluoride
sodium citrate
SPS
8
what is the average volume of a "unit" blood that can be donated
350 ml
250 ml
550 ml
450 ml
9
during a dermal puncture do not puncture the calcaneus which is located in the
heel
middle finger
big toe
ring finger
10
after a blood collection a bandage should be placed over the site for at least..
5 minutes
10 minutes
15 minutes
until the bleeding stopped
11
the tourniquet should be removed
after the first tube begins to fill
when the last tube has been filled
when the draw is half way completed
discard the needle/adapter unit into a sharps container
12
cloudy serum is referred to as
lipemia
hazy
iceteric
hemolysis
13
lithium level, ammonia level - what tube?
burgundy
gray
dark green
blue
14
which of the followin is a unique identifying number that is used to catalog specimens
accession number
lot number
SSN
patient identification number
15
Coagulation testing includes which of the following
BNP
CBC
PTT
ALT
16
Formed or cellular elements of the blood all of the following except
RBCs
WBCs
Platelets
Plasma
17
the level of a drug that is drawn 30 minutes before the administration of the next dose is
trough level
therapeutic level
none of the answers are correct
peak level
18
hematocrit is determination of
packed red cell volume
MCV of RBCs
MCH
red cell size variation
19
You have an order for a maternal panel that includes ABO Rh blood that will be performed in
Hematology
Immunology
Coagulation
Blood bank
20
which tubes must be on ice
gold, yellow/black
grey, dark green
pink, lavender
light blue, burgundy
21
drug levels, chemistry, blood bank, immunology, serology - what tube?
pink
red
none of the above
light green
22
Inflammation of a vein is referred to as
Phlebitis
Thrombosis
Arteritis
Phlebotomy
23
The basic purpose of the chemistry department is
Identify pathogenic microorganisms
Process and stain cells in body fluid and tissue samples
Examine chromosomes for evidence of genetic disease
Analysis of the chemical components of the blood
24
red top tubes for immunologic testing at room temperature, complete clotting occur in ...
1 hour
30-45 minutes
5-10 minutes
15-20 minutes
25
one of the primary functions of RBCs is to
deliver oxygen to body tissues
phagocytize foreign substances
produce antibodies
participate in the coagulation cascade
26
leukopenia refers to
elevated WBC count
decreased neutrophil count
increased RBC count
decreased WBC count
27
most commonly used antiseptic in routine venipuncture
70% isopropyl alcohol
benzalkonium choride
chhorhexidine gluconate
povidone-iodine
28
the most common POCT test is
pt
cholesterol
hematocrit
glucose
29
verbal orders for lab tests must be followed up with a
copy of results faxed to the physicians office
verbal confirmation by the physician
phone call verifying the request
written order in hard copy or electronic form
30
Veins suitable for possible venipuncture include all of the folloing EXCEPT
Medican cubital vein
Cephalic vein
Brachial veins
Basilic vein
31
donation of blood by a patient for his or her own use at a later time is known as
directed donation
therapeutic donation
none of the above
autologous donation
32
additive tubes include all of the following except
light blue
green
red
red/gray (tiger top)
33
dermal puncture sites in adults/children over the age of 1 include all of the following except
ring finger
big toe
thumb
middle finger
34
the correct prioritization of collection for a routine, timed, ASAP test is as follows
ASAP, timed, routine
timed, routine, ASAP
timed, ASAP, routine
routine, timed, ASAP
35
which of the following is not a prenanalytical variable
patient preparation
specimen analysis
requisiton handling
specimen collection
36
you need to collect a CBC, blood culture, and metabolic panel. what is the OOD?
yellow, gold, lavender
lavender, gold, yellow
gold, yellow, lavender
green, lavender, yellow
37
what results would not be affected by a patient consuming aspirin
prothrombin times
glucose
bleeding times
occult blood
38
which of the following may a phlebotomist be held liable for if a dirty needle is used
assault and battery
assault
criminal action
battery
39
which tube has no additive?
gray
lavender
red
pink
40
what additive is in the gray tubes?
K, EDTA
NA flouride, K
buffered NA citrate
none
41
which tube has buffered NA citrate?
gray
pink
light blue
red
42
CMP, BMP, HCG, - what tube?
gold
gray
all the above
lavender
43
which of the following tubes does not contain EDTA
gray
lavender
royal blue
pink
44
to be found guilty of malpractice, which of the following must be proven
duty, dereliction, injury, direct cause
duty, dereliction, damages, direct cause
duty, dereliction,damages, injury
duty, direct cause, injury, damages
45
Standard precautions combine the major features of
Bloodborne pathogen standard and universal precautions
Universal precautions and substance isolation
Body substance isolation and protective enviorment
Body substance isolation and bloodborne pathogen standard
46
The CPT is drawing which of the tests for a patient being screened for Diabetes Mellitus
Glucose
Micro-albumin
BUN
Hemoglobin
47
the use of anticoagulants will yeild which type of blood specimen
plasma only
plasma and serum
whole blood and serum
whole blood and plasma
48
used by all health care professionals to prevent HIV/HBV during patient care
expanded precautions
standard precautions
isolation precautions
contact precautions
49
The plasma: cellular composition of whole blood is:
75% plasma 25%cellular elements
90% plasma 10% cellular elements
35% plasma 65% cellular elements
55% plasma 45% cellular elements
50
EDTA is in which tubes?
burgundy, blue
pink, lavender
dark green, light green
gray, red
51
on small, fragile veins, all of the following may be used except for
syringe
blood transfer device
winged infusion set
21 gauge needle
52
The term "phlebotomy" is derived from "phlebos" meaning ___ and "tome" meaning ___
vessels/breaking
needle/vein
vein/incision into
vampires/suck
53
normal bleeding time results fall within the range of
1-2 minutes
2-10 minutes
6-10 minutes
15-20 minutes
54
which of the following variables is the phlebotomist most responsible for controlling
analytrical variables
none of the above
preanalytical variables
postanayltical variables
55
the proper way to clean a venipuncture site is
use up and down swipes from left to right
dab with alcohol and wait 30 seconds
vicourously rub the site
concentric circles spinning outwards
56
which of the following POCT test will you perform to monitor heparin therapy
APTT
PT
ACT
both b and c
57
the first drop of blood must be wiped away after the puncture to
prevent tissue fluid contamination
remove loose epithelial cells
allow for round drop formation
remove the platelet plug
58
an infection of the bone or bone marrow is referred to as
osteomyelitis
osteitis
osteochondritis
osteoma
59
glucose, lactate, lactic acid - what color tube?
none of the above
dark green
gray
royal blue
60
You received a wound culture. The specimen will be placed in the tray to go to...
Serology
Chemistry
Microbiology
Hematology
61
patient prep, collection, and specimen transportation protocols are all of which..
quality enhancement
quality control
quality phlebotomy
quality assurance
62
which of the following tests must be drawn first
STAT
timed
fasting
ASAP
63
what is osteochondritis
inflammation of the bone or cartilage
inflammation of the calcaneus
inflammation of the bone or bone marrow
inflammation of the phalanx
64
during the bleeding time test, the blood pressure cuff must be inflated at a pressure of
50 mm Hg
40 mm Hg
60 mm Hg
30 mm Hg
65
what test has to be done by law on newborns in the United States?
Glucose
Ammonia
Hepatitis B virus (HBV)
PKU
66
what specimen needs protected from light during transportation?
beta-carotene
triglycerides
lactate dehydrogenase
alkaline phosphatase
67
a tourniquet is used in performing venipuncture to
make the skin taut for easier palpability and access
prevent venous blood flow out of the arm to enlarge the vein
force hemoconcentration of analytes for accurate assays
maximize pooling of arterial blood for enhanced visibility
68
all of the following are advantages of POCT except
decreased turn around times
increased recovery time
faster diagnosis
prompt medical attention
69
agar broth is used in which tube?
light blue, pink, gray
dark green, gold, blue
blue, gold, green
blue, burgundy, yellow/black
70
certification of a phlebotomist
grants permission to perform a service or procedure
documents evidence of proficiency in practice
grants permission to perform services and documents
documents updates on new skills of the phlebotomist
71
PT, PTT, coagulation studies, FDD, INR - what tube is used?
light blue
dark green
pink
burgundy
72
Serums is the liquid portion of blood that lacks
clotting factors
complement
electrolytes
colloidal particles
73
what tube has sodium citrate additive
green
lavendar
light blue
red
74
Immunocompromised patients are at risk for infection would be identified as ___ in the chain
Fomite
Reservoir
Infectious agent
Susceptible host
75
Ther term that refers to RBCs is
Erythema
Thrombocytes
Leukocytes
Erythrocytes
76
which test samples need to be protected from light?
vitamin b12
potassium
creatinine
aldolase
77
requires seperation of small portions of plasma and/or serum from cellular elements
sampling
centrifugation
accessioning
aliquots
78
the tourniquet should not be left on the arm longer than
30 seconds
120 seconds
80 seconds
60 seconds
79
additives are chemical substances added to tubes to
prevent aerosolization of blood when removing the stopper
ensure continuation of cellular metabolism in vitro
promote or prevent certain changes in the blood sample
neutralize any bloodborne pathogen in the blood sample
80
why do you need to discard first sample drawn from a heparin or saline lock?
reduce risk of infection in the catheter
presence of antibodies in tubing
potential dilution of the specimen
risk of sample clotting in line
81
small non-raised red spots that appear on the skin when the tourniquet is applies are
scleroderma
edema
petechiae
hematoma
82
The correct order for removing PPE
Gloves, gown, mask
Mask, gloves, gown
Gown, gloves, mask
Gloves, mask, gown
83
which additive is in dark green tubes?
K
lithium / heparin
sodium / heparin
na flouride
84
which POCT test may be used to assess the presence of anemia
none of the above
hematocrit
both a and b
hemoglobin
85
who regulates the use of ppe for laboratory specimen processing
TJC
CLIA
OSHA
CDC
86
which of the medication can cause potential prolonged bleeding
heparin therapy
aspirin therapy
all the above
coumadin therapy
87
maximum depth of a puncture for a heel stick
2.4 mm
1.0 mm
2.0 mm
1.5 mm
88
drawing blood from a foot or leg requires
assistance from a nurse
permission from the physician
specialized venipuncture equipment
giving the patient a dose of heparin first
89
the phlebotomist returns to the laboratory with a CBC and delivers it to
immunology
hematology
chemistry
cytology
90
Process by which blood vessels are repaired after injury is referred to as
Chemostasis
Homeostasis
Cytostasis
Hemostasis
91
the CPT is collecting forensic specimens for a sexual assault, what is the important concept
temperature of the specimen
specimen volume
specimen transportation
chain of custody
92
the main division of the laboratory that analyzes cells and tissues is
anatomic and surgical pathology
clinical pathology
clinical laboratory
clinical microscopy
93
genetics, pregnancy studies, blood bank, - what color tube?
pink
lavender
light blue
gold
94
the CPT does not need to discontinue for which of the following
needle unscrews from the vacutainer holder
the patient becomes weak and nauseous
hematoma
blood appears to be arterial blood
95
the most important reason for explaining a procedure before performing it is to
make the patient feel at ease
adhere to the hospital protocol
gain informed consent
help the patient feel in control
96
supplies that are routinely used in venipuncture include all of the following except
safety needle
tourniquet
evacuated tubes
disinfectant
97
which of the following tests is used to diagnose hypoglycemia
epinephrine tolerance test
glychohemoglobin
3 hour OGTT
5 hour OGTT
98
what additive is in the gold and serum separator tubes
EDTA
lithium, heparin
silica gel
potassium
99
the order of vein selection is as follows
medican cubital, cephalic, basilic
median cubital, brachial, cephalic
cephalic, brachial, medican cubital
basilic, cephalic, median, cubital
100
CBC, sickle cell, CSF, manual sed rate - what color tube?
lavender
serum separator tube
red
blue
101
describes the quantitative methods used to monitor the quality of procedures
quality control
quality assurance
quality enhancement
quality phlebotomy
102
which tube would you use for hematocrit testing
sodium heparin
EDTA
sodium citrate
lithium heparin
103
which of the following tests is usually drawn as a timed specimen
triglycerides
CBC
choloesterol
digoxin
104
which of the following is not collected for use as evidence in a legal proceeding?
drug testing
dna analysis
alcohol
pku testing
105
prepare specimens for courier transport to the laboratory by
keeping all blood specimens at body temperature
putting blood specimens in a sealed biozhazard bag
separating serum and cells into transport tubes
placing all blood specimens on a slurry of ice
106
STAT chemistry, routine chemistry, blood gas - what tube?
light blue
dark green
pink
light green
107
preanayltical variables that a phlebotomist can control include all of the following except
right tube, right color
inversion of a specimen
right volume of test reagents
labeling of the specimen
108
collection of a specimen for cold agglutinins must be collected/transported how
specimen must be transported on ice
specimen must be collected in heparinized syringe
specimen must be collected in prewarmed tube
specimen must be protected from light
109
circulation through the heart and the rest of the body's tissues is referred to as
visceral circulation
systemic circulation
semilunar circulation
pulmonary circulation
110
a STAT electrolytes has been ordered, what tube do you use?
lavender
green
yellow
gold
111
proper tourniquet placement is
1-2 inches above the puncture site
3-4 inches above the puncture site
immediately above the puncture site
3 fingerwideths above the puncture site
112
normal daily fluctuations in body chemistry are known as
septicemia
therapeutic drug monitoring
diurnal variation
hyperglycemia
113
EDTA whole blood tube be collected in a prewarmed tube and remain warm...what test?
ALT
CBC
CK-MB
BUN