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RPT Certification Part 3 Flashcards | StudBud
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RPT Certification Part 3
RPT Certification Part 3
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continuation of review for state board exam
Flashcards
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Questions
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Answers
1
The ABG syringe is coated with?
sodium citrate
sodium fluoride
heparin
EDTA
2
If you leave a tourniquet on for too long, what can happen?
hematoma
occluded radial pulse
hemoconcentration
nerve damage
3
Which information must match on the patient's ID band and the requisition?
DOB
All of the Above
ID number
Patients Name
4
Hemoconcentration is?
alteration in the ratio of elements in the blood
lack of lymph fluid movment
destruction of blood cells
the flow of blood from the collection tube back into the needle/vein
5
What is the correct angle for a venipuncture needle to penetrate the skin?
10-15 degrees
30-40 degrees
15- 30 degrees
45 degrees
6
Which of the following has a higher value in a capillary sample as opposed to a venous serum sample?
calcium
total protein
potassium
hemoglobin
7
Which of the following is incorrect?
newborns have a higher proportion of plasma than adults
newborns have a higher proportion of RBC's than adults
more blood may be needed from newborns to provide enough serum or plasma
newborns and infants are at higher risk for infection than adults
8
Which vein is the only vein that can be palpated on an obese patient?
cephalic
iliac
median
basilic
9
Dermal punctures in pediatric patients are preferred for _____testing.
cross-match
blood culture
PKU
serum
10
Small red spots on the skin are referred to as:
petechiae
hemoconcentration
hematoma
hemolysis
11
The tourniquet should not stay on any longer than?
2 minutes
1 minute
30 seconds
45 sconds
12
For geriatric patients capillary punctures may be appropriate because?
most geriatrics require only 1 blood test
their veins may be fragile and small
tourniquets are hard to place
they are likely to be obese
13
Jaundice means?
bruising of the skin
none of the above
swelling of the skin
yellowing of the skin
14
A normal blood PH is?
7.60
7.00
7.35
7.75
15
Which sample(s) is collected first in a capillary collection?
CBC
Chemistry tests
Platelets
none of the above
16
When an artery is inadvertently stuck during collection, which is true?
the sample should be labeled as usual
pressure must be applied for 10 minutes
the blood may be bright red
the blood may spurt or pulse into the tube
17
Arterial blood collection monitors all of the following except?
amonia
lactic acid
blood gases
glucose
18
Which finger is most widely used forcapillary puncture?
ring
pinky
Thumb
index
19
Which laboratory test assays jaundice?
electrolytes
CBC
glucose
bilirubin
20
A typical needle gauge for ABG collection is?
18
16
22
20
21
Samples for PKU testing are typically collected?
in a collection tube
on special filter paper
in a micropipet
in a microcollection container
22
When should the tourniquet be removed from the arm?
Before the needle is withdrawn
After withdrawal of the needle
as you withdraw the needle
The tourniquet shouldn't be removed
23
Povidone iodine is not recommended for?
blood gas draws
blood alcohol draws
dermal punctures
blood cultures
24
How frequently is blood wicked during a BT test?
every 5 seconds
every 30 seconds
every 45 seconds
every 10 seconds
25
Crying causes an increase in?
WBC count
bilirubin
platelet count
creatinine
26
If lidocaine is injected before an arterial blood collection, wait______ degree angle.
4-5
1-2
2-3
3-4
27
The modified Allen test is performed on the ________ and ______ arteries
ulnar, radial
radial, femoral
brachial, radial
ulnar, brachial
28
When performing a butterfly draw using a hand vein?
place the tourniquet on the patients wrist
place the tourniquet on the patients arm below the anticubital fossa
a tourniquet is not required
place the tourniquet on the patients arm above the anticubital fossa
29
Which of the following is not a type of CVC?
triple lumen
groshong
broviac
fistula
30
The depth of a heel puncture should not be more than:
3.0 mm
1.5 cm
2.0 mm
2.0 cm
31
An increased ratio of formed elements to plasma is called:
hemoconcentration
hematoma
hemolysis
petechiae
32
Blood should never be collected from the arm of a patient containing?
a CVC
an arterial line
an IV
an AV shunt
33
Collapsed veins can be caused by?
all of the above
the plunger being pulled too quickly
too much vacuum asserted on the vessel
too large a needle for the vein
34
Capillary collections are performed on:
arteries
capillaries
veins
arterioles
35
When performing a dermal puncture the puncture should be?
on the edge of the finger
aligned with the whorls of the fingerprint
perpendicular to the whorls of the fingerprint
on the tip of the finger
36
Good candidates for dermal collection include patients who:
require frequent collection
are severely dehydrated
all of the above
are obese
37
Which of the following occurs as we grow older?
the layers of the skin become more elastic
hematomas are more likely
arteries move farther from the surface of the skin
blood vessels widen due to atherosclerosis
38
Which of the following is not a complication of ABG collection?
hematoma
arteriospasm
thrombosis
petechiae
39
Only specially trained personnel acting on a physician's order are allowed to collect specimens from:
VAD's
newborns
mentally impaired patients
geriatric patients
40
What is the level of the blood pressure cuff during a BT test?
50 mm hg
40 mm Hg
10 mm Hg
20 mm Hg
41
The location for heel sticks is the?
arch
posterior surface
center of plantar surface
medial or lateral borders of the plantar surface
42
In an arterial collection, the needle should be inserted at a ____ degree angle.
45
30
90
70
43
Reasons for specimen recollection include all of the following except?
using the wrong antiseptic
prolonged bleeding after needle removal
incomplete drying of the antiseptic
contamination by powder from gloves
44
Which artery is most frequently used for ABG collection?
brachial
radial
femoral
dorsalis
45
Which test result is not affected by patient position?
enzymes
albumin
blood alcohol
cholesterol
46
Which Lab department may require special patient ID?
microbiology
blood bank
hematology
chemistry
47
Hemolysis is?
altercation in the ratio of elements in the blood
destruction of blood cells
flow of blood from the collection tube
lack of lymph fluid movement
48
Neonatal screening tests for which disorders are mandated by the U.S.?
PKU and Hypothyroidism
PKU and vitamin D deficiency
PKU and sickle cell anemia
PKU and hyperthyroidism
49
Tourniquets should be placed ______inches above the venipuncture site?
3-4
2-3
4-5
1-2
50
Which of the following is not a VAD?
EMLA
CVC
IV
PICC
51
Which vein is the FIRST choice for venipuncture?
cephalic
basilic
iliac
median cubital
52
When you
first
enter a patient's room you should?
introduce yourself
identify the patient
assemble your equipment
put on your gloves
53
What is the purpose of the requisition?
To gather all allowed equipment
All of the above
Identifying the patient
Determining the the specimens to be collected
54
An arm containing _______ is never used for phlebotomy procedures.
an arterial line
a heparin lock
an implanted port
a fistula
55
Lymphostasis is?
lack of lymph fluid movement
the flow of blood from the collection tube back into the needle
alteration in the ratio of elements in the blood
destruction of blood cells
56
If a stat test is ordered and the pt. isn't in their room, you should?
leave the request at the nurse's station for the nurse to perform
locate the patient
postpone the collection
wait in the patient's room
57
Which of the following could be a cause of hemolysis?
vigorously mixing the tubes
drawing blood too slowly into a syringe
allowing the blood to run down the side of a tube when using a syringe
using a needle larger than 23 gauge
58
Which vein lies close to the brachial artery?
basilic
iliac
median cubital
cephalic
59
Which gauge needle is best to use for a draw on a child younger than 2 years old?
18
28
21
23
60
An infant heel-warming device should be applied for approximately?
30 seconds
8-10 minutes
3-5 minutes
1-2 minutes
61
Conditions that may alter the quality of a specimen or cause harm to the patient during blood draw?
all of the above
edematous tissue
mastectomies
hematomas
62
Which medication does not interefere with the BT test?
salicylates
all of the above
aspirin
ibuprofen
63
To enhance vein prominence you can?
tap the antecubital area with your index and middle finger
elevate the arm in an upward position
squeeze the patients wrist
apply a cold pack
