Phlebotamy national exam study guide

The aorta branches into smaller division called arteries, which in turn branch into smaller division called _.

arterioles

The most important way to prevent the spread of infection during phlebotomy is by:

washing your hands

What are the three isolation categories?

airbone, contact, droplet

Of the test's below, a sample for which may not be hemolyzed?:

potassium, lactate, ammonia, glucose

potassium

To properly decontaminate specimen collection areas: a solution of bleach and water should be used with what ratio?

1:10

Which suffix means blood?

-emia

The ears, nose and eyes are in the ____ system.

sensory

What is the most common source of HBV in the workplace?

semen

Post-Prandial means:

after a meal

Neutrophils, eosinophils, and basophils are types of _____.

white blood cells

What is the appropriate angle to use when preparing a blood smear?

30 degrees

_____ is when a patient arm is swollen with excessive fluid.

Edema

A viral infection of the liver is called _____.

hepatitis

When the heart is contracting, the pressure is the highest. This pressure is called _____.

Systolic pressure

Which vein is the most subjected to venipuncture?

medial cubital

The smallest veins are know as _____.

venules

The body system responsible filtering blood and regulating water balance is know as _____.

urinary

When we treat all patient/samples as if they are pontentially infectious, this is called

universal precaution

The study of blood is known as

hematology

When disinfecting a site for venipuncture we clean the arm with isopropyl alcohol from the center to the ___.

periphery

Latex sensitivity is a type of:

Allergic reaction

Characteristics of capillaries include _____.

Having thin walls, microscopic, connections arteries and veins

Which of these needle gauges is the smallest?:
18, 21, 25, 15

25 gauge

What colour tube stopper indicates a tube containing sodium citrate?

light blue

What body system is responsible for the heart, blood and vessels?

cardiovascular

Rupture or destruction of the red blood cells is defined as___.

hemolysis

The test most frequently ordered to check for anemia is called _____.

CBC (complete blood count)

A _____ tube is drawn when a ammonia test is ordered.

Green (heparin)

The lowest blood preassure reading is called _____.

diastolic

During vein selection how can you tell the difference between a vein an a artery?

If pulsations are noted

Of the test below, which is required to be taken to the lab in a warm bath?

cold agglutins

The liver, stomach, mouth and pancreas are in the _____ sytem.

digestive

The most important step in phlebotomy is _____.

Identifying the patient

The common name for a thrombocyte is _____.

platelet

What is the name of the additive inside the blood culture bottles?

SPS (Sodium Polyanetholesulfonate)

The liquid portion of anticoagulated blood is called _____.

Plasma

Needles are color coded to indicate their _____.

gauge

Which cellular component is responsible for carry oxygen in the blood?

hemoglobin

If a patient begins to show signs of syncope, you should:

Stop drawing blood and provide care for the patient

Of the test's below, which one should be drawn without stasis?

lactate

Before obtaining a peak sample, it is important to get what information form the nurse?

The time of the last dose

An infection acquired in a hospital setting is called a _____.

nosocomial infection

What is the maximum recommended depth for heel punctures?

2.0 mm

Which tube top colour contains the additive EDTA?

lavender

OSHA stands for:

Occupational safety and health administration

What is the name of the equipment used to separate plasma or serum from red blood cells?

Centrifuge

The nose and lungs are part of which body system?

Respiratory

The instrument that measures blood pressure is called a:

sphygmomanometer

PT is the lab abbreviation for which of the following test?

Prothrombin time

The "Good Samaritan Law" covers healthcare workers who _____.

Provide care (Within their scope of duty) during an accident without fear of being sued

Lancets are used to collect blood sambles by _____.

capillary or skin punctures

After drawing blood, the phlebotomist should dispose of the needle by _____.

activating safety device then deposit into sharps container

Negligence by a professional is called _____.

malpractice

Which of the following are types of tourniquets?

pliable strap, blood pressure cuff, velcro strap

If a patient refuses a draw the phlebotomist should _____.

Notify the nurse/doctor

Which color tube stopper would ytou use to collect a glucose test?

grey

Which of these below is an appropriate cleaner when preparing the skin for blood cultures?:

isopropyl alcohol, alcohol and iodine, iodine, chlorine

alcohol and iodine

To properly idntify an outpatient, they must state their name and _____.

DOB (date of birth)

The best way to prevent a hematoma is to _____.

apply pressure until the bleeding stops

What is required of a patient needing a lipi panel?

Fasting for 8-12 hours

Which tube colour top is considered a serum separating tube?

tiger top

Of these below, which test is a diurnal variation?:

tropoin, potassium, ammonia, cortisol

cortisol

The _____ system is made up of joints and cartilage.

skeletal

Which colour top tube is responsible for genetic and platelet studies?

yellow

Blood cultures consist one aerobic and one ___ bottle.

Anaerobic

This test checks for inflammation or joint and muscular pain.

ESR (Erythrocyte Sedimentation Rate)

Which committee is responsible for establishing the procedures for blood collection, such as the "order of draw"?

NCCLS (National Committee for Clinical Laboratory Standards)

If, during venipuncture, you behaved according to protocols, and as any rational person would in similar situations, this is called ___.

reasonable care

The evacuated tube system contains all but which of the following supplies:
pen, tourniquet, gauze, tape

pen

Your lab requisition say Williams Brown, but the patient's wristband reads "Bill Brown". What is your next course of action?

Don’t collect the specimen from the patient until the identification is accurate

In the case your patient is sedated, you introduce yourself and complete the draw. This is called _____.

Assumed consent

Red streaks within serum after centrifuge is called _____.

Fibrin strands

After an accident needle stick, you induce bleeding, wash and bandage the injury, obtain patient information from the nurse, and then return to work. What step has been omitted?

reporting the incident to your supervisor

The buffy coat, within a plasma sample consists of which two components?

WBC (white blood cells) and PLT (platelet count)

If a blood draw is needed from a patient with an open IV line where will you obtain the sample?

below the IV

The engineered device responsible for stopping blood seepage during tube change is called _____.

sheath

As a phlebotomist you have the right to know about all chemicals within your workplace. This information can be found where

inside the MSDS (Material Safety Data Sheet)

What integral part of the phlebotomy process was omitted if clots are found within an EDTA tube?

The specimen was not inverted

Of the materials below, which could be classified under white, for the National Fire Protection Marking System:

dynamite, corrosive, bleach, ammonia

Corrosive

Forgetting to wipe away the first drop of blood during microsampling can cause erroneous lab results due to dilution by _____.

tissue fluid

Accidental needle sticks most commonly occur with the use of what?

Winged infusion system (butterfly needle)

If a vein "disappears" completely or "collapses" during venipuncture, what has happened?

The Vacuum is too strong

When a phlebotomist is negligent in the care of a patient, which results in injury, this is considered to be:

malpractice

If one of the supplies below became contaminated with blood, which one would be disposed of inside a red biohazard bag?

a dirty needle, a fully saturated cotton ball, a broke tube, a transfer device

A fully saturated cotton ball

The study of right and wrong is called:

Ethics

What additive is found inside a tube that should be filled to a 9:1 ratio

Sodium citrate (light blue tube top colour)

Use of the word Asepsis means a site has been found to be ____.

Without bacteria

What may have caused a tube to break within the centrifuge?

Unbalanced tubes

The abbreviation V.A.D. stands for:

Venus access device

Inability to physically or mentally perform your job function would be considered

Incompetence

When all microbial bacteria has been destroyed; the area is now called_____.

Sterilized

If a patient has a diagnosis of diabetes mellitus, which of the test below might they have performed?

Glucose

Ethanol and paternity test are example of:

Chain of custody

All but which of these belongs on the front of the package when mailing blood samples?

Doctor’s name

If the patient needs a container for 24 hour urine collection, which amount below would be best to give to them?

2000ml

When disinfecting a site for venipuncture, we clean the arm with isopropyl alcohol from the center to the _.

a. Periphery

b. Outside

c. Sides

d. None of the above

a. Periphery