Phlebotomy final

missing 6 question

The proper way to dispose of a needle is to

Place into a sharp container without recapping immediately after withdrawing it

The “ Good Samaritan law “ encourages healthcare professionals to

Provide medical care within the scope of their training at the scene of an accident with out fear of being sued for negligence

If a patient refuses a venipuncture procedure the phlebotomist should

Immediately report the refusal and actions taken to the nurse

Microorganisms that cause disease are

Pathogen

The most common vein subject to venipuncture is

Median cubital vein

Post prandial means

After a meal

A tourniquet may be left on the patient for

1 minute

____ is the result from repeated venipuncture of the same vein

Phlebitis

______ is NOT a component of chain of infection

Mode of transportation

A hematoma can be prevented if

Pressure is placed on the venipuncture site until the bleeding stops

Arterial blood gases need special handling & what is the handling requirement ?

Specimen must be chilled after collection

The recommended depth for an infant micro capillary collection should not exceed?

2\.0mm

What is the correct order of draw

Yellow light blue red or marble green lavender grey

Which tube would be used for fasting blood sugar or glucose tolerance test ?

Grey tube

____ is NOT a common symptom of shock

Thrombus

Bacteria, viruses, fungus or parasites belong to biological hazard

Biological

When would a phlebotomist use a multiple draw needle ?

When more than one tube of blood needs to be collected

The additive in the red/grey tube is

Thixotropic gel for serum separation

A patient in the oncology department is mostly being treated for

Cancer

A patient dies after unsuccessful attempts to revive well the phlebotomist is leaving the ER dept the family asks how the loved one is doing what is the correct response

Tell them their physician will be with them momentarily

The additive in a grey tube is

Potassium oxalate

A group of tests requested as on unit is called

Profile

If a patient has a IV in the Arm the phlebotomist should

Draw blood from the opposite limb

What should phlebotomist do if blood was draw from the wrong patient

Immediately report the incident to the supervisor

Blood in the urine is called

Hematuria

The antiglycolytic agent that maintains glucose stability for three days is

Sodium fluoride

A patient was rushed in the ER because of vomiting causing dehydration. Physician orders a test for STAT electrolytes which tube do you use

Green top tube

Which is NOT apart of completing blood count ?

Activated partial thromboplastin time

Collection devices used in skin punctures are

Capillary tubes

Which test requires the specimen to be protected from light prior to testing ?

Bilirubin

What is the purpose of warming the site prior to dermal puncture

Increase the blood flow

The first atelier toward stopping bleeding is to ?

Apply direct pressure to the wound

What is the purpose of accession order

It provides the phlebotomist priorities for making rounds in specimen collections

Collects urine at 1800 is what time

Urine collected at 6pm

When cleaning a venipuncture site the phlebotomist should

Cleanse the area in an outward spiral

A short draw in the blood collection refers to

Failure to obtain blood

When the body has had adequate rest and no food for at lease 12 hours it is sails to be

Basel state

Which is the most common complication from phlebotomy

Hematoma

OSHA regulations requires all health care personnel exposed to blood and other body fluids must receive a vaccination against

Hepatitis b virus

A butterfly is another name for a

Winged infusion set

Red top tubes are also called “ plain tubes” blood collected in these tubes are allowed to clot by normal coagulation process which will take how long

30-60 minutes

The addictive in light blue tube is

Sodium citrate

The vacuum draw of the evacuated tube decrease with

Temperature

Physician orders an erythrocyte sedimentation rate ( ESR ) for a patient with low grade fever for a month which tube would the phlebotomist use

Lavender tube

The boundaries for the approved area in performing heel puncture are

The medial line extending from the great toe and lateral line extending from the fourth and fifth digit

How far above the site of draw is the tourniquet placed

3-4 inches

Which of the following tubes is used for PT APTT PTT ?

Light blue tube

The phenylketonuria ( PKU) test is used to diagnose deficiency of phenylalanine hydoxylase the most common clinically encountered inborn error of metabolism it is performed on

Blood drawn form a newborns heel

Continuing education units are important because they

Keep the Phlebotomist current with the latest techniques and information in their field

Red blood cells are also called

Erythrocytes

The proper way to dispose of a needle is to:

Put it into a sharps container, without recapping, immediately after withdrawing it from the patient's arm

Which needle has the smallest gauge

23

The tube of choice for glucose testing is

Gray-top tube

A patient has been taking aspirin or ibuprofen for arthritis. Which of the following is most likely to be affected by it?

Bleeding time

The most common cause of blood culture contamination is:

Improper skin preparation

If a patient refuses a venipuncture procedure, the phlebotomist should

Immediately report the refusal and actions taken to the nurse

The following are symptoms of shock, Rapid respiration, expressionless face/staring eyes and seizure.

Flushed or warm skin is not symptoms of shock.

An obese patient was sent to the laboratory for a complete blood count. Which of the following veins is most likely to be the only one that the Phlebotomist can palpate

Basilic vein

The additive in a green-top collection tube is

Lithium heparin/Sodium heparin

Which of the following barrier protections must a phlebotomist use when performing skin punctures or venipuncture?

Gloves

Which of the following analytical errors occurs during blood collection?

Wrong order of draw

The phlebotomist identifies a patient in a clinic laboratory facility by

Checking the patient's ID bracelet

Which of the following veins in the arms is most subjected to venipuncture?

Median cubital vein

Which of the following is correct for ending a venipuncture procedure?

Remove the tourniquet, remove the tube, remove the needle, apply pressure

In treating shock, which of the following steps should be avoided

Give fiwids to the patient orally

All of the following information must be on the specimen sample. Patient's name,Date, and time collection.

Diagnosis is not needed on the sample.

_______ is a right under the Patient's Bill of Rights

Declining medical treatment

Which of the following can occur when the tourniquet us left on too long?

Hemoconcentration

Which of the following should be used to chill a specimen as it is transported?

A small freezer unit

A patient experiencing hypoglycemia is having which of the following

Low blood glucose levels

The recommended depth of an infant heel puncture should not exceed

2\.0 mm

On three occasions, blood from Mr. Burns turned out hemolyzed. Mr. Burns is perfectly healthy and has no known disease that may explain the hemolyzed sample.Which of the following would be the possible cause?

The phlebotomist had been using 25 gauge needle

How many tubes are drawn for a three (3) hour glucose tolerance test?

4 tubes

Before a blood donation is made, the phlebotomist must always check the blood donor's

Hematocrit or hemoglobin value

A hematoma can be prevented if:

Pressure is placed on the venipuncture site until the bleeding stops

A specimen for blood lead level is drawn in a

Royal blue-top tube

If a patient has a syncopal episode during a blood draw, which of the following should the phlebotomist do first?

Remove the tourniquet, then remove the needle

Which section of the Clinical Laboratory will perform pregnancy tests on blood specimens?

Chemistry

You arrive to a patients room to draw a fasting specimen. The patient is just finishing breakfast. Which of the following is the appropriate response?

Check with the patient's nurse first if the specimen is collected, write "non- fasting" on the lab slip and the specimen label

An unconscious, unidentified man is admitted to an emergency trauma center. What would be the system of choice to ensure patient identification?

Use a three-part identification system that uses a temporary arm band and labels for specimen and blood to be transfused.

Peak level and trough level are used in:

Therapeutic drug monitoring

Which of the following procedures is usually performed by a nurse or respiratory therapist?

Arterial blood draw

The Phlebotomist is drawing blood from a patient when a nurse comes in and tells the Phlebotomist that this patient is in Contact Precautions. There was no sign on the door nor were the PPE's at the entrance. Which of the following is the appropriate reaction to the situation?

Terminate the procedure immediately, leave the room and report the incident

A patient requires blood tests for a cross match and possible transfusion. The Phlebotomist identifies the patient and explain the nature of the tests. The patient informs the Phlebotomist that he/she cannot accept a transfusion because of their religious beliefs.Which of the following is the best response?

Tell the patient to make his concern known to his physician and nurse, then ask his permission to draw the specimen

Excessive massaging or milking the finger during a skin puncture procedure can cause:

Hemolysis and contamination of the specimen with tissue fluids

Which of the following is correct about nosocomial infections?

They are infections contracted in a healthcare setting

A Female patient complains to you that "it's against my religion to be touched by a male technician". The appropriate response from the male technician is to:

Get a female technician to perform the tests

If a physician suspects drug abuse, which of the following specimens would be collected

Urine

Which of the following tubes will yield serum from the specimen collected?

Red/Gray top tubes

Which of the following is not a pair of Standard Precautions?

Special air handling

The Phlebotomist is called to the Emergency Department to draw blood for a CBC and a forensic alcohol from a patient involved in an auto accident. The patient asks the Phlebotomist what blood tests the physician has ordered on him. The best response is to:

Tell the patient the physician ordered a CBC and a blood alcohol level

An hour ago a 12 year-old girl came into an oulpatient-drawing center for a pregnancy test. Now she is back without her parents and wants to know the results of the test, which the Phlebotomist overheard someone in the lab say is positive. Which of the following is the correct response:

Tell the girl that she should contact her physician for the test results

1. You have knowledge that one of your co-workers rinses out used butterfly needles reuses them on other patients. The correct reaction is:

Tell your supervisor immediately

As a new Phlebotomist, your are inserting a needle into a patient's arm to draw a blood sample when he suddenly jerks. The needle comes out of the vein and pierces your index finger, Which of the following is the appropriate reaction:

Wash your wound with bleach as soon as possible and report the injury to your supervisor

The needle should be inserted into the arm with the bevel facing in which direction?

Upwards

Which of the following is the most critical mistake a Phlebotomist can make:

Failing to properly identify the patient

What is the purpose of the tourniquet in the venipuncture procedure?

To enlarge the veins so they are easier to find and enter

You are the only Phlebotomist on the night shift. You receive orders for all of the following tests within minutes of one another. Which tests has the greatest collection priority?

STAT electrolytes in the ER

The Phlebotomist has stat lab work to draw on an elderly patient whose veins require only a 23-gauge needle. The phlebotomy tray is out of 23-gauge safety needles, but there are several nOT-safety needles of the samne size. The Phlebotomist should

Find a 23-gauge safety needle for the puncture

Your friend and coworker just shared with you lint she has an ample supply of non-safety needles and uses them exclusively, even though she knows it's against OSHIA and facility policy. Which of the following is the appropriate response?

File a complaint with OSHA