Phlebotomy Essentials 6th Edition

Another name for blood bank is?

Immunohematology

With which other hospital department would the laboratory coordinate therapeutic drug monitoring?

Pharmacy

Promoting good public relations is a part of the phlebotomist's role because... A.a phlebotomist is representative of the laboratory throughout the facility.

B. Good public relations promotes a harmonious relationship with the staff.

C. patients often equate venipuncture experiences with the overall hospital care.

C. All of the answers are correct.

D. All of the answers are correct.

Outpatient phlebotomy, such as in a physician's office or patient care service center, will be assigned a code for reimburesement using which national coding system?

CPT (current procedural terminology)

Which department is responsible for administering oxygen therapy?

Respiratory Therapy

The term used to describe sophisticated and highly complex medical care is ...

Tertiary Care

The term "phlebotomy" is derived from Greek words that, literally translated, mean

Vein Incision

Proof of participation in workshops to upgrade skills required by some agencies to renew certification is called...

CEUs

Which of the following is an example of a barrier to effective communication with a patient? The patient... A. does not speak English. B.

Is a very young child.

C. Is emotionally upset.

D. All of the answers are correct.

D. All of the answers are correct.

Which of the following is an example of a confirming response to a patient?

I understand how you must be feeling.

Which of the following is an example of negative kinesics?

Frowning

Which of the following communicates unprofessionalism?

Intense odor of cologne

It is improper telephone protocol to:

hang up on angry callers.

The term used when blood is withdrawn to dangerous or deadly limits is __________.

exsanguinate

The study of a person's concept and use of space is known as ________________.

proxemics

Drawing a patient's blood without his or her permission can result in a charge of...

Assault and battery.

Two phlebotomists are discussing a patient's condition in the elevator. They are overheard by the patient's daughter. This is an example of...

Invasion of Privacy

Which of the following would not violate a patient's right to confidentiality?

Sharing collection site information on a difficult patient.

Malpractice is a claim of...

Improper treatment.

If a phlebotomist ___________, he or she is negligent.

Fails to put the needle and holder in the sharps container.

A national organization that sets standards for phlebotomy procedures is the...

CLSI

Which one of the following examples is unrelated to quality control?

Employees filling out their time sheets daily.

When the threshold value of a clinical indicator of QA is exceeded and a problem is identified...

A corrective action plan is implemented.

The "standard of care" in the practice of phlebotomy is influenced by which of the following organizations?

The Joint Commission

A specimen was mislabeled on the floor. The phlebotomist is required to fill out an incident report form. What information is not part of the report?

Suggestion for new guidelines.

The only phlebotomist in an outpatient drawing center is not familiar with the test that a physician has ordered. What is the most appropriate action to take?

Refer to the collection manual for instruction.

According to standard first aid procedures, severe external bleeding is best controlled by...

applying direct pressure.

Class C fires...

involved electrical equipment.

An example of employee screening for infection control is...

PPD testing.

Which of the following is not one of the code words in the NFPA order of action in the event of fire? A.smother b.alarm c.confine d.rescue

Smother

The purpose of "protective" isolation is to...

protect susceptible patients who are highly susceptible to infection.

The OSHA HAZCOM Standard is also commonly called the...

Right-to-Know law

What is the proper order for putting on protective clothing?

Gown first, then mask, gloves last

Federal law requires that hepatitis B vaccination be made available to employees assigned to duties with occupational exposure risk...

within 10 working days of initial assignment.

What is the first thing the phlebotomist should do in the event of an accidental needlestick?

Decontaminate the site and fill out an incident report.

The main principles involved in radiation exposure are...

exposure time, distance, and shielding.

Examples of nosocomial infections include...

when a catheter site of a patient in ICU becomes infected.

Which of the following is an example of a means of transmission that differs from parental transmission?

Drinking water from a contaminated glass

Which of the following is an example of work practice control that reduces risk of exposure to bloodborne pathogens?

Hand decontamination

Which type of contace infection transmission involves transfer of an infective microbe to the mucous membranes of a susceptible individual by means of a cough or sneeze?

Droplet

Which is the best tube for collecting an ehtanol specimen?

Sodium fluoride

Which needle gauge has the largest lumen?

18

The test performed in the following department are typically collected in a tube with a light blue stopper.

Coagulation

A tube with a green stopper normally contains

Heparin

The purpose of an antiglycolytic agent is to....

preserve glucose

The solution normally used to clean the site before routine venipuncture is...

70% isopropanol

When latex or vinyl strap tourniquets become soiled with blood, it is best to...

throw them away.

What is the most important factor in choosing which gauge needle to use for venipuncture?

Size and condition of the vein

Which additive is usually present in a tube with a lavender stopper?

EDTA

Glass particles present in serum separator tubes...

enhance clotting.

Heparin prevents blood from clotting by...

inhibiting thrombin

Which of the following is a disinfectant?

Sodium hypochlorite

The slanted tip of the needle that enters the vein is called the...

bevel

According to CLSI standards, which tube is filled last when using a syringe?

EDTA

There is a prequest to draw a specimen from an inpatient by the name of John Doe. Which of the following is an acceptable way to confirm the patient's identity?

Match the ID band and requisition with his verbal statement of ID.

The following tests have all been ordered at the same time on different inpatients. There is only one phlebotomist on duty. Which test should the phlebotomist collect first?

STAT electrolytes in the ER

Doing this during the vein selection process is bad for the specimen.

Allowing the patient to pump his or her fist.

The patient is just finishing a big breakfast as the phlebotomist arrives to draw a fasting specimen. What should the phlebotomist do?

Check with the patient's nurse to see if the specimen should still be collected.

What may happen if you mix a specimen too vigorously?

Hemolysis

How can you tell that you in a vein when using a needle and a syringe?

You will normally see blood appear in the hub of the needle.

What is the most critical error a phlebotomist can make?

Misidentifying a patient specimen

What would the system of choice to identify laboratory specimens from an unconscious, unidentified woman in the emergency room?

Use a three-part identification band and labels.

The priority designation for a test request is based on all of the following except...

age and gender

What is the purpose of waiting 30 seconds for the alcohol to dry before needle insertion?

*To let evaporation help destroy microbes

*To avoid a stinging sensation

*To prevent hemolysis of the specimen

*All of the options are correct

A phlebotomist arrives to draw a specimen from an inpatient. The patient's door is closed. What should the phlebotomist do?

Knock softly, open it slowly, and ask permission to enter.

The patient asks if the specimen about to drawn is for a diabetes test. How should the question be answered?

Say, "It's best to discuss that with the doctor."

An unconscious patient is not wearing an ID band. There is an ID band taped to the patient's IV pole with information that matches the requisition. What should the phlebotomist do?

Only draw the specimen after an ID band has been applied.

A blood smear made from an EDTA specimen should be made...

within 1 hour of collection.

What is the Clinical and Laboratory Standards Institute (CLSI) recommended maximum depth of heel puncture?

2.0 mm

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

To minimize effects of platelet clumping

Why should a laboratory report form indicate the fact that a specimen has been collected by capillary puncture?

Because test results can vary depending on the method of collection

Which of the following is the safest area for infant heel puncture?

The lateral plantar surface

The purpose of wiping away the first drop of blood ruing skin puncture is to...

eliminate tissue fluid contamination.

A capillary puncture should bedone rather is than a venipuuncture in all of the following situations except when...

The light blue top tube is needed.

Capillary puncture blood most closely resembles...

arterial blood.

What does the term "calcaneus" mean?

Heel bone

Capillary puncture blood reference ranges are higher for this analyte.

Glucose

What is PKU?

A hereditary inability to metabolize phenylalanine

It is necessary to control depth of lancet insertion during capillary puncture to avoid.

injuring the heel bone.

What is the purpose of warming the site before skin puncture?

It increases blood flow up to seven times.

Which microcollection container would be used to collect a specimen for a CBC?

Purple top

A capillary puncture site should not appear ____________, which is described as being bluish from lack of oxygen.

cyanotic

A good blood smear should exhibit a _________ edge.

feather

Capillary bilirubin specimens should be protected from ___________.

light.

What part of the term "osteochondritis" is the suffix?

itis

Which of the following word parts is a prefix?

hypo

The medical term for white blood cell is...

leukocyte

Which of the following terms means kidney inflammation?

Nephritis

Only the second vowel of the ending is pronounced in the word...

chordae

The letter "g" is pronounced like a "j" in...

gestation

The abbreviation "ESR" means...

Erythrocyte Sedimentation Rate

What word means "condition of clotting?"

Thrombosis

What word means "hardening of the artery?"

Arteriosclerosis

What is the word root in the word "electrocardiogram"?

cardi

Which of the following structures in the skin give rise to fingerprints?

Papillae

Which of the following is a nervous system disorder?

Multiple sclerosis

A major cause of respiratory distress in infants and young children is...

Respiratory Syncytial Virus

Which of the following is a function of the urinary system?

To maintain electrolyte balance

Which of the following is a test of the urinary system?

Creatinine clearance

The ability of the body to repair and maintain itself to achieve a "steady state" defines...

Homeostasis