Phlebotomy- final test

phlebotomy final quiz.

Which of the following CLIA categorized lab test is a phlebotomist most likely to perform?

Waived tests

phlebotomists are key layers on the healthcare team because they

Represent the laboratory to patients and hospital employees

name a federal agency that regulates and oversees all clinical laboratories

CILA

What type of communication is giving your absolute undivided attention to someone and offering feedback

Active listening

a computer generated electronic order is called?

Requisition form

the patients bill of rights was created in ?

1973

voluntary permission given to healthcare providers to allow treatment is called?

Informed consent

what refers to the moral standards of behavior or conduct that govern an individuals actions?

Ethics

when collecting a specimen by skin puncture what is the correct order of draw for capillary tubes?

Lavender, green, red

blood from a skin puncture most closely resembles?

Arterial blood

if the tourniquet is applied to the arm for longer than 2 minutes, which of the following analytes will most likely become falsely elevated?

Potassium

basal state is?

In the early morning, 12 hours after the last ingestion of food

what is a PKU

A hereditary inability to metabolize phenylaline

the term “sclerosed” in regard to a vein means?

Hardened

7. an abnormal accumulation of fluid in the intercellular spaces of the body that is
localized or diffused is referred to as:

Edema

8. which of the following lab test results is affected most if the patient is not fasting?

Triglycerides

which of the following is considered a vascular access device?

All are vascular access devices : shunt, arterial line, port-a-cath

it is necessary to control the depth of lancet insertion during skin puncture to avoid?

Bone injury

which of the following is another term for fainting?

Syncope

what is the purpose of warming the puncture site before a skin puncture?

It can increase blood flow up to 7 times

a capillary puncture site should not appear bluish from lack of oxygen, a condition
known as?

Cyanosis

swelling in the area around the venipuncture site usually leads to?

Hematoma formation

which of the following should stop the health care worker from collecting blood from
a patient’s vein?

Mastectomy on the same side

what is the CLSI recommended maximum depth for a heel puncture on a child?

1\.0-2.0mm

when hemoglobin is released from RBC’s and serum becomes tinged as pink or red,
this condition is referred to as?

Hemolysis

which of the following occurs as the result of inflammation and disease of the
interstitial compartments?

Sclerosed veins

skin or heel warmer’s temperature should not exceed?

42 degrees

which finger is most widely used for capillary collection?

Ring

if a patient begins to have a seizure during their venipuncture, the phlebotomist
should immediately?

Release the tourniquet

when a patient is on IV therapy and the venipunture must occur in the arm with the
IV line, the:

Nurse should shut off the iv for 2 mins prior to venipuncture

hematoma may result from all of the following except:

Releasing the tourniquet before the needle is withdrawn

In the middle of drawing blood your patient starts to faint, the first thing you should
do?

Release the tourniquet and remove the needle

hemolysis in collected blood can cause a falsely decreased value for?

Hemoglobin

which of the following would be a clue that you have accidentally punctured an
artery?

The specimen spurts into a tube

serum or plasma that is hemolyzed will look?

Pink to red

labeled skin puncture specimens should include the:

patients name and id number, time and date of collection, phlebotomist
initials

lipemic serum will appear?

Cloudy

the best way to keep a vein from rolling is?

Make certain to anchor the vein

which of the following sequences is the best method for performing a fingerstick?

Decontaminate, puncture the skin, wipe the first drop, collect the sample

a patient has had a mastectomy on the left side and has a iv midway down the right
arm. Where is the best place to perform a venipuncture?

Below the iv in the right arm

a type of anemia caused by excess blood draws is?

Iatrogenic anemia

generally speaking what should the phlebotomist do with the first drop of blood after
a fingerstick is performed?

Wipe it off with gauze

which of the following chemical agents should be used to decontaminate a patients
finger before skin puncture?

Isopropanol (70 % alcohol)

petechiae present on the patients arm may indicate the following condition?

Low platelet count

which tube should always be completely filled in order to perform tests?

Light blue top

what is the average skin puncture depth appropriate for an adult?

2-3mm

osteomyelitis is defined as:

Inflammation and infection of the bone

when a patients arm is swollen with excess fluid, the condition is called?

Edema

which digit should no the punctured because it has a pulse?

Thumb

inserting the needle too deeply in the arm may result in?

Nerve damage

which of the following can contaminate a venipuncture specimen?

Touching the arm after cleaning with 70% alch.

what can the phlebotomist do when he/she suspects a collapsed vein?

Remove the tube, wait a few seconds, and replace it on the needle

an infant bilirubin is collected in an amber bullet, or microtainer, to?

Protect the specimen from light

the best way to prevent hemoconcentration during a venipuncture is?

Do not allow the patient to pump his/her fist

1\.SPS tubes are used in the collection of?

Microbiology specimens

which of the following is not an anticoagulant?

Tixotropic gel

the most common antiseptic used in routine venipunture?

70% alcohol

the yellow topped blood collection tube has which of the following additives?

ACD

5\.the safety butterfly blood collection system is frequently used with a needle gauge size of:

21g

which of the following tubes has no additive?

Red top glass

gray top tubes are primarily used for?

Glucose

for newborns the penetration depth of safety lancets for blood collection must be

2\.0mm or less

the unopette can be used for?

Micro collection and dilution of blood samples for a WBC count

the syringe method of venipuncture is useful for patients:

Who have fragile or small veins

which of the following needle gauges has the smallest diameter?

23g (larger number smaller size)

when a disposable latex tourniquet becomes soiled with blood, it is best to?

Throw it away

the slanted tip of the needle that enters the vein is called the?

Bevel

the following tests have all been ordered at the same time of different patients. There is only of phlebotomist on duty. Which test would the phlebotomist collect first?

STAT electrolytes in the ER

which of the following should not be the used to enhance the vein selection process?

Have the patient vigorously pump his/her fist

before obtaining a blood specimen from a child you must do all of the following except :

Tell the child it will not hurt

17\.never leave a tourniquet on for more than

1 minute

which of the following anticoagulants is found in a green top collection tube?

Sodium heparin

you arrive at a room to draw blood and the door is closed. What do you do?

Knock softly and open the door slowly, checking to see if it is OK to enter

20. which method of VENIPUNCTURE is the safest?

Multisample needle and tube holder (straight stick)

how many times should the lavender top blood collection tube be inverted after blood
collection?

8 times

what is the correct CLSI order of draw for these tubes – gold , green , light blue

Light blue, gold, green

when obtaining a bleeding time the blood pressure cuff should be set to?

40hg

which of the following is not part of a multisample needle?

All are parts: hub, shaft, bevel

prior to performing a venipuncture, why is it important to get information about whether or not the patient has eaten recently?

Lab test can be affected by the ingestion of food and drink

what is the best way to address a patient with a needle phobia

Have the patient lie down for the procedure and proceed slowly

the term evacuated tube refers to a blood collection tube that:

Contains a vacuum

the purpose of an anticoagulant in a tube is:

Prevent blood from clotting

if arm veins cannot be used for a venipuncture the preferred alternative veins lie in the:

Dorsal side of the hand or wrist

where should the tourniquet be placed on the patient during the venipuncture procedure?

About 3 inches above the venipuncture site

31. during the venipuncture the needle should be inserted at what angle to the skin?

30 degrees or less

during the venipuncture procedure what should the phlebotomist do after the needle is
inserted and blood begins to flow?

Release the tourniquet

when the evacuated tube method is used for venipuncture select the correct order of
collection for the following tubes: blood culture tube, coagulation tubes, and hematology tube.
Choose the order of tubes by their color of closure or stopper:

Yellow blood culture tubes, blue, lavender

which of the following information is essential for labeling a patient’s specimen?

The patients name and id number, date and time of collection, the phlebotomists initials

why is it important to get patient information about latex sensitivity?

Allergies to latex can cause skin irritations

steps in the identification process should include:

A 3-way match with verbal, ID bracelet, and requisition information

if a patient has a bruise in the antecubital area of his right arm on his nondominant hand what

alternate site should be considered?

The antecubital area of the left arm

how many more times should a phlebotomist try to perform a venipuncture on a patient if he

has failed once already?

Once

which specimen collection tube is commonly used for hematology tests?

EDTA

when collecting a blood specimen with the butterfly method and PT , PTT test are the only

tests ordered what is the correct procedure?

Use a discard tube, then collect a sodium citrate tube

The hormone that can be detected by early pregnancy test:

HCG

A person who is supine is?

lying face up

The term ventral refers to which part of the body?

Front

If a normal person breathes in, oxygen travels through air passages to the lungs. WHich
of the following takes place?

Oxygen O2 is exchanged for carbon dioxide

A patient has meningitis. Which body system is associated with this diagnosis?

Nervous

The lungs are located in which cavity?

Thoracic