AUMT final exam

which of the following is NOT a step in the process when dealing with an accidental needle stick?

a. obtain the patients identifying info
b. report incident to a supervisor
c. obtain the patients medical history
d. wash puncture site thoroughly

c. obtain the patients medical history

latrogenic anemia affect what group of patients?

the elderly, pediatrics, and under weight patients

indicates inflammation, infection, kidney disease, or chemical poisoning

protein

how long does a serum tube need to clot before it can be centrifuged?

30 mins

what is the angle of your needle when drawing with the evacuated tube system?

15-30 degrees

which of the following sites should be avoided when drawing blood?

a. same side as a mastectomy
b. skin with burns or scars
c. above an IV
d. all the above

d. all the above

What is the most common complication associated with phlebotomy?

hematoma

typically how long must a patient fast if their test requires them to be fasting?

8-12 hours

how many attempts can you make before asking a coworker to do the draw for you?

2

what is the best description for QC (quality control)

a. a measure of precision or of how well an instrument is functioning to produce results that will be consistent if repeated over time
b. programs that track outcomes
c. system of tasks that are preformed to monitor processes in the lab for quality all the time
d. establishing rules and standards that lab personal abide by

a. a measure of precision or of how well an instrument is functioning to produce results that will be consistent if repeated over time

epicardium

outer layer of the heart

which of these is NOT a requirement to donate blood?

a. age 17 or older
b. negative for HIV, AIDS, and hepatitis
c. exercise everyday
d. weigh at least 110 pounds

c. exercise everyday

why do we wipe away the first drop of blood when micro sampling?

it could contain alcohol/tissue fluid

what communication style can result in more questions than answers?

intuitive communication

-sender develops the message
-sender encodes message in translatable format
-sender transmits message oral, written, symbolic, or non-verbal
-
-receiver converts message into understanding
-feedback

receiver decodes the message

what info on a urine strip can be heightened if not refrigerated?

pH

how much blood culture bottles should you have after you draw 4 blood culture sets?

8

which bottle drawn first when collecting blood cultures using a butterfly needle?

aerobic

what two tests must be protected from light?

bilirubin and vitamin D

what is the best way to prevent infection?

handwashing

-infectious agent
-reservoir
-portal of exit
-
-portal of entry
-susceptible host

mode of transmission

"fomites are any nonliving object or substance capable of carrying infectious organisms"

TRUE

What are desired traits of a phlebotomist?

a. respect, service, and growth
b. punctual, nice, and clean
c. quick, efficient, and dependable
d. there are no desired traits

a. respect, service, and growth

Which of the following is NOT considered a serum tube?

a. red
b. tiger top
c. orange
d. light yellow

d. light yellow

How do physicians utilize laboratory test results?

a. detect problems
b. monitor patients
c. determine if treatment is having the desired effect
d. all the above

d. all the above

What is the most common needle gauge and length used for venipuncture?

a. 21 gauge and 1.5 inches
b. 18 gauge and 1 inch
c. 16 gauge and 1.5 inches
d. 21 gauge and 2 inches

a. 21 gauge and 1.5 inches

the ___________ top tube is normally used for blood bank.

pink

the __________ top tube must be filled completely up to the indicated line.

light blue

How many times do you invert your tubes?

a. 8-10
b. 10-20
c. 4-5
d. 20

a. 8-10

What is the purpose of the "order of draw"?

a. to make sure blood draws are organized
b. to prevent contaminating the blood collection site
c. to reduce the effects of "carry over"
d. to ensure the additives mix properly with the blood samples

c. to reduce the effect of "carry over"

"mistakes and errors happen, but when you intentionally harm someone it is against ethical standards"

TRUE

what tube is responsible for coagulation studies?

light blue

which of the following test requires whole blood?

a. gray
b. green
c. light blue
d. lavender

d. lavender

how many inches above the venipuncture site do you apply the tourniquet?

a. 3-4
b. 5-6
c. 1-2
d. 2-3

a. 3-4

"the evacuated tubes are vacuumed sealed"

TRUE

What tube(s) is used for trace element levels?

royal blue

what are the three main veins in the antecubital fossa?

cephalic, median cubital, and the basilic vein

what are the 5 main items that need to be on a requisition before drawing blood?

patients name, gender, doctor info, and medical record number

where would you look to see if the patient has an allergy?

the requisition

what words/phases indicate the physician needs test done right away?

ASAP, STAT, medical emergency

when must you label your specimen?

a. in front of the patient
b. before the patient leaves the collection area
c. before you leave the bedside
d. all the above

d. all the above

What is the best way to identify your patients in a hospital setting?

ask them their first, last name, DOB and check the wrist band

"phlebotomy students should always let the patient know that they are students"

TRUE

what does HIPAA stand for?

Health Insurance Portability and Accountability Act

how do you verify an outpatients information before drawing blood?

have them tell you their first and last name and date of birth

which agency enforces patients privacy and confidentiality?

HIPAA

What would be a violation of HIPAA?

a. a phlebotomist walks into the waiting room and calls out the patients name to bring them to the drawing area
b. the phlebotomist asks the patient to say their full name and date of birth while other patients are in the room
c. a phlebotomist takes a picture at work and posts it on social media with patient information showing in the background
d. the phlebotomist writes the patients name, DOB, and medical record on the tube of blood

c. a phlebotomist takes a picture at work and posts it on social media with patient information showing in the background

what are 4 different types of consent?

informed, expressed, implied, and consent for minors

if you ask a patient if you can draw their blood and they do not respond but put their arm out, can you continue to draw their blood?

YES

Which of these questions DO NOT need to be asked before drawing a patient?

a. are you allergic to latex?
b. have you ever had your blood drawn before?
c. have you ever fainted from a blood draw?
d. what did you eat for dinner last night?

d. what did you eat for dinner last night?

if a patient has had a mastectomy on both sides where would you draw blood?

the hand

in what position must a patient be in to have their blood drawn?

a. sitting
b. standing
c. laying down
d. A and C

d. A and C

what is the area in the arm called where blood draws are commonly performed?

antecubital fossa

what vein or veins are located in the antecubital fossa?

a. median cubital
b. cephalic
c. basilic
d. all the above

d. all the above

veins that are twisted, dilated, and lack elasticity

tortuous veins

veins that are weak, thin, and difficult to puncture

fragile veins

veins with a blood clot that are hard and inflexible

thrombotic veins

veins that are hard, flexible and narrow

sclerotic veins

veins that are tender and warm with a red area around them

phlebitic veins

what do you do if a patient has duplicate orders?

a. you can combine both orders and draw double the amount of blood
b. you can call the doctor and confirm which order he/she would like drawn
c. you will have to draw the patient 2 separate times for each order
d. you can call the dr and let him know you drew plenty of blood

b. you can call the doctor and confirm which order he/she would like drawn

which of the following organizations helps laboratories achieve accreditation?

a. CLIA
b. NSSPA
c. JCAHO
d. CLSI

d. CLSI

threatening to move forward with a procedure without consent is considered what?

assault

we do not slap the patients skin when looking for a vein because that is?

battery

who is in charge of preventing the spread of disease and who you report to when there is an outbreak of a disease?

CDC

OSHA

Occupational Safety and Health Administration

SDS

Safety Data Sheet

CLIA

Clinical Laboratory Improvement Amendments

CLSI

Clinical and Laboratory Standards Institute

PPE

personal protective equipment

CDC

Centers for Disease Control and Prevention

Which one of these would you NOT stop the phlebotomy procedure for?

a. a hematoma develops
b. when you get nervous
c. patient shows signs of seizure
d. patient shows signs of loss of consciousness

b. when you get nervous

sharps containers must have which of the following?

a. functionality
b. accessibility
c. visibility
d. all the above

d. all the above

Standard Precautions

treating every patient as if they have an infectious disease

gloves, gowns, and disposable masks are all examples of

PPE

what isolation system helps protect a patient with low immunity from getting infections from others?

a. reverse isolation
b. contact isolation
c. airborne isolation
d. droplet isolation

a. reverse isolation

When should you wash your hands?

a. before every patient
b. after every patient
c. any other time gloves are needed to handle specimens
d. all the above

d. all the above

"isolation systems help to prevent the spread of infection"

TRUE

these blood vessels have a pulse; they carry oxygenated blood away from the heart and out to the body tissues

arteries

function of a ______ is to fight infection

leukocyte

What is the lifespan of a RBC?

120 days

_________ aids the process of blood clotting

fibrinogen

what is the main function of the platelet?

aid in clotting

tapping into the cardiovascular system requires an understanding of the system structure and how they work together to maintain the bodys ________

equilibrium

what is the pump at the middle of the cardiovascular system?

heart

endocardium

inner lining of the heart

Myocardium

middle layer of the heart

how many beats does it take the body to go through an entire cardiac cycle?

1 beat

what is the average beats per min for an adult depending on their age and weight?

60-80 bpm

"the cardiac cycle includes atrial contraction, ventricular contraction, and a recovery period"

TRUE

what is the command center of the cardiovascular system?

a. heart
b. veins
c. medulla of the brain
d. arteries

c. medulla of the brain

carries deoxygenated blood back to the heart

veins

what are the 4 main blood types

A, B, AB, O

when people have ________ blood type they are universal donors

O

fill in the missing stage of coagulation

-the vascular phase
-the platelet phase
-
-the clot retraction phase
-finally, the fibrinolysis phase

the coagulation phase

what is the formula to calculate an infants blood volume

lbs/2.2 = weight in kg X 100 then / by 1000 = blood volume in liters

when micro sampling, what should be done immediately after puncturing the skin?

a. immediately begin collecting the blood into the microtainer
b. wipe the puncture site with alcohol pad
c. wipe away first drop of blood with gauze
d. begin milking the puncture site

c. wipe away first drop of blood with gauze

which of the following equipment is NOT used when micro sampling?

a. lancet
b. cotton ball/ gauze
c. 25g butterfly needle
d. alcohol pad

c. 25g butterfly needle

the PKU test is used to check for __________

inborn errors

what is the maximum recommended age to use micro sampling on a child?

1 year old

what type of blood is collected when using micro sampling?

capillary