Phlebotomy Final Exam Study Guide (Exam Answers)

certification

Which of the following terms is evidence that an individual has demonstrated proficiency in a particular area of practice

informed consent

a phlebotomist must ensure that the patient understands and agrees that his or her blood is going to be drawn. what is the name of this process?

protected health information

what is the term that refers to any information about the patient's health status, treatment, or payment for health care

professional

the hospital laboratory falls under which of the following categories of administrative services?

Clinical and Laboratory Standards Institute (CLSI)

Role includes setting standards for laboratories to ensure accurate patient results

CAP

which of the following agencies provides proficiency testing of unknown samples to laboratories?

OSHA

which government agency is responsible or laboratory workplace safety?

biological

infectious agents such as bacteria and viruses represent which type of safety hazard?

sharps

needles and lancets are which type of safety hazard?

flood exposed area with water

Which of the following is the first action you should take if you have been stuck with a used needle that has been in contact with blood?

flush eyes for 15 mins

which is the following first action you should take if you splash a chemical in your eyes?

use of fire extinguisher

the acronym "PASS" describes what safety protocol?

anaphylaxis

which terms refers to a rapid, severe, life-threatening immune reaction?

physical

a wet floor is which type of safety hazard?

wearing a watch

According to safety protocols, which of the following actions may be performed while working in the laboratory?

latex

what is the most common allergy in the healthcare field?

confine

the "C" in the acronym "RACE" means:

infection

what is the term for invasion and growth of a disease-causing microorganism in the human body?

fomite

what is the term for an object that is contaminated with bacteria, and which can act as a common vehicle for infection?

neutrophils

cells that attack and digest bacteria and are found in increased numbers in the presence of bacterial infection?

healthcare-associated

what is the term for infections contracted by patients during hospitalization?

contact

the most frequent and important transmission route for infections contracted by hospitalized patients is:

reservior

an animal or person that carries a disease agent but is not sick

hand washing

What is the single most important means of preventing the spread of infection?

PPE

which of the following acronyms/mnemonics refers to barriers used to protect skin, mucous membranes, and clothing from infectious agents and other safety hazards?

standard precautions

what is the term for infectious control measures that use barrier protection and work practice controls to prevent contact with infectious body fluids from all patients?

hepatitis B

the bloodborne pathogens standards require an employer to provide which of the following immunizations?

isolation

which of the following is the term for separation of an infectious source from its susceptible hosts?

Latin and Greek

From what languages do most medical terms originate?

heart and lungs

the pulmonary circulation carries blood between which two organs?

pericardium

the thin membranous sac that surrounds the heart is called:

infarction

the medical term for a reduced blood supply to heart tissue, thereby causing damage to the heart muscle:

antecubital fossa of the arm

The cephalic, basilic, and median cubital veins are all located in which area?

assult and battery

a child who refused to have his blood collected was locked in a room by a healthcare worker and was forced to have his blood collected. This is an example of which legal concept?

55%

Plasma makes up approximately what percentage of whole blood in a healthy person?

hemoglobin

which of the following is the protein within red blood cells that binds oxygen?

thrombocytes

formed elements of the blood that play a role in blood coagulation?

antigens

specific immunity involves molecular recognition of:

disinfectant

a substance used to clean surfaces other than living tissue:

skeletal muscle

what is another name for striated voluntary muscle?

lumen

the term for the hollow tube inside a needle's shaft

hub

the part of the needle that attaches to the collecting tube or syringe

light blue

what color tube should be collected for coagulation studies

royal blue

What color vacuum tube should be drawn for trace metal analysis?

distal

what term describes the write in relation to the shoulder

hemolysis

shaking a tube rather than gently inverting it can have what effect on the blood

3-4 inches above the puncture site

How far from the puncture site should the tourniquet be placed?

tourniquet left

hemoconcentration can occur in which of the following situations?

bevel up

how should a needle be inserted for venipuncture?

cephalic vein

which of the following veins is the most common second choice when the median cubital vein is not appropriate for obtaining a blood sample?

homeostasis

the body is constantly trying to maintain a dynamic steady state of health, which is called:

green

which of the following tubes would be most appropriate for collection of plasma-based chemistry tests

chelation of calcium

what is the mode of action of the anticoagulant sodium citrate

battery

an intentional and wrongful physical contact with another person without their consent is:

assult

an unjustifiable attempt to touch another person can lead to what charge

legally responsible

What does the term "liable" mean?

negligance

which of the following terms represents the failure to perform an action that is consistent with the accepted standard of care

Betadine (povidone-iodine)

The emergency department has requested that a blood alcohol level be drawn on a patient. What is the proper way to obtain the specimen?

lymphostasis

What condition can be caused by the removal of lymphoid tissue as part of a mastectomy?

examine other arm

when you are unable to locate a vein, what is the next step that should taken?

potassium

which of the following tests is most seriously affected by hemolysis?

small gauge and large vacuum

most likely to cause hemolysis of a blood specimen?

anemia

during a prolonged hospitalization, a patient requiring many laboratory tests may develop what condition as a result of a multiple blood samples being drawn

ancillary blood glucose testing

skin puncture or capillary collection is the most common method of specimen collection for:

copartment syndrome

a large amount of bleeding into the tissues surrounding a puncture site can cause what condition?

1 minute

What is the maximum amount of time that a tourniquet can be left on?

distal to the IV

If an IV is in place and there are no other accessible sites, where should the blood specimen be collected?

basilic

which of the following veins should be avoided to reduce chances of nerve damage?

trough

the _______ level occurs immediately before the next dose of medicine is given

red blood cells

bilirubin is produced from the breakdown of which of the following?

arteriospasm

Which of the following possible complications of arterial puncture can close the artery, thereby preventing oxygen from reaching tissues?

protected from light

what special precaution must be taken with neonatal bilirubin samples?

opposite arm

If a patient has an IV drip in one arm, what is the preferred site for venipuncture?

radial

which artery is most commonly used for arterial blood gas collection?

a blood gas specimen that is not iced must be transported to the lab within what time frame?

aluminum foil

an analyte needs to be protected from the light, but do you not have any amber tubes. what is another way to protect the specimen?

cortisol

which of the following shows significant diurnal variation?

therapeutic drug monitoring

what type of test is typically drawn in timed pairs known as peaks and troughs?

autologous donation

What is the term for a blood donation that is intended to be used later on the donor?

chain of custody

what is the most important concept in handling forensic blood specimens?

timed

what type of urine collection is commonly used for routine testing of metabolic abnormalities?

aliquots

smaller portions of a specimens transferred into separate containers are called:

accessioning

the process of assigning a unique identifying number for cataloging samples in the laboratory is referred to as:

procedure manual

Laboratory manual that contains information about the principles underlying testing and other protocols

QNS

what notion is used to indicate that the sample volume of a specimen is insufficient?

occult blood

which of the following is POCT used to screen for colon cancer and gastric ulcers?

diabetes mellitus

bedside glucose testing is usually preformed on patients with what condition?

quality control

quantitative methods used to monitor the quality of procedures and to identify unexpected changes to the assay or analyzer are:

preanalytical

A phlebotomist is most responsible for controlling for which for which of the following types of variables in test results.

patient watching TV

barriers to communicating with patients include all of the following expect

reflux

what term describes the flow of blood from the collection tube back into the needles and then into the patient's vein?

collection via syringe

which of the following would not lead to specimen rejection for a whole blood specimen?

heel puncture

what is the preferred method of specimen collection for pediatric patients under one year of age

looser than usual

How should the tourniquet be applied to a geriatric patient?

more time

how long should pressure be applied to the venipuncture site of a geriatric patient?

repeated venipuncture over period of time

a peripherally inserted central catheter (PICC) line could be indicated in what kind of patient situation?

preanalytical error

collecting a blood specimen in the wrong tube is an example of a/an?

CSF

a phlebotomist would not be allowed to collect which of the following specimen types?

weight

factors which influence blood composition include all of the following except:

7\.35-7.45

a normal blood pH is: