NHCO Phlebotomy Exam Study Guide – Fill-in-the-Blank Flashcards

Fill-in-the-blank flashcards covering consent types, identification, PPE, infection control, regulations, and venipuncture fundamentals for NHCO Phlebotomy Exam preparation.

Voluntary permission for a medical procedure after receiving adequate information is called __.

informed consent

Permission for care given verbally or in writing is known as __.

expressed consent

When a patient’s actions (such as extending an arm) permit the procedure, this is __.

implied consent

Special permission required to perform a test that detects HIV is called __.

HIV testing consent

Consent granted by a parent or legal guardian for an under-age patient is __.

Parental Consent for Minors

A patient’s right to stop or refuse care at any point is termed __.

Refusal of Care

Patients under custody of parents or law enforcement __ refuse care.

cannot

If a patient refuses blood draw, the technician should stop immediately and have the patient sign a __.

refusal form

Proper patient identification begins by asking the patient to state their full name and __.

date of birth (DOB)

The information on the patient’s ID band must __ the requisition form.

match

The correct __ is Discard, Light Blue, Red, Gold/Tiger, Light Green, Pink, Lavender, Gray.

order of draw

Clotted liquid portion of blood is called __, whereas unclotted liquid portion is plasma.

serum

Tubes should be labeled __ the venipuncture, not before.

after

Before venipuncture, the requisition form must be checked for specimen ID codes, duplicate orders, and __.

missing or discrepant information

The requisition must note the date, time, and __ who drew the sample.

person/technician

Outpatients are identified with a state-issued photo __.

ID

Inpatients are primarily identified by their __.

patient ID band

Before drawing blood, medication schedules must be verified with the __ nurse.

attending

The two primary blood-draw techniques are the evacuated tube method and the __ method.

syringe

If a patient is allergic to latex, the phlebotomist must use __ gloves.

nitrile

Essential PPE for phlebotomy includes masks, goggles, face shields, respirators, gloves, and __.

gowns

PPE removal order is 1) Gloves, 2) Goggles/safety glasses, 3) Gown, 4) __.

Mask

Isolation procedures for immune-compromised or burn patients aim to keep the __ sterile.

entire room

Hands must be washed __ patient contact.

before and after

If accidentally stuck by a needle, first wash the area, then notify a supervisor and report for __ evaluation.

medical (including HIV)

Universal Precautions require treating all blood and bodily fluids as if they are infected with __ pathogens.

blood-borne

If blood splashes into the eye, rinse at an eyewash station for __ minutes.

15

Airborne precautions demand an __ mask plus gloves and gown.

N95

Phlebotomists __ give patients their laboratory results.

do not

The federal law protecting patient health information is __.

HIPAA

The agency that enforces workplace safety standards is __.

OSHA

The organization that accredits hospitals and sets standards of care is abbreviated __.

TJC (The Joint Commission)

Laboratory quality standards are governed by the __ amendments.

CLIA

Standard-setting guidelines for laboratories are issued by the __.

CLSI (Clinical Laboratory Standards Institute)

Sharps containers must be disposed of when they are approximately __ full.

two-thirds (2/3)

A blood spill is cleaned by covering it with a 10 % __ solution for 10 minutes.

bleach (sodium hypochlorite)

A phlebotomist __ start or manage an IV line.

cannot

A patient who has fasted and not exercised for 12 hours is said to be in the __ state.

basal

The single most effective way to break the chain of infection is thorough __.

hand washing

Person-to-person disease spread via direct skin contact is __ transmission.

direct contact

Transmission via a contaminated object (fomite) is termed __ contact.

indirect

Respiratory droplets propelled by coughing or sneezing cause __ transmission.

droplet

Tiny infectious particles that remain suspended in air cause __ transmission.

airborne

Disease spread through inanimate reservoirs such as doorknobs is __ transmission.

vehicle

Pathogens carried by insects such as mosquitoes illustrate __-borne transmission.

vector

Transmission through needlesticks or broken skin is called __ transmission.

parenteral

An infection acquired in a health-care setting is known as a __ infection.

nosocomial

The most common nosocomial infection among health-care workers is __.

Hepatitis B (HBV)

CDC guidelines recommend using __ precautions whenever handling blood or body fluids.

standard (universal)

A tourniquet should be placed 3–4 inches above the site and released within __ seconds.

60

The preferred vein for routine venipuncture is the __ vein.

median cubital

Localized bluish discoloration from leaked blood under the skin is called a __.

hematoma