FINAL

Question 1

The Purpose of wiping away the 1st gtt of blood during skin puncture is to…

Answer 1

eliminate tissue fluid contamination

Question 2

capillary puncture blood most closely resembles…

Answer 2

arterial blood

Question 3

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

Answer 3

it increases blood flow up to 7 times

Question 4

which of the following is the safest area for the infant heel puncture?

Answer 4

Lateral plantar surface

Question 5

A blood smear from an EDTA specimen should be made

Answer 5

within 1hr of collection

Question 6

Capillary puncture blood reference ranges are higher for which of the following analytes?

Answer 6

Glucose.

Question 7

what is the FIRST thing the phlebotomist should do in the event of an accidental needle stick?

Answer 7

wash the site with soap and water for at least 30 sec.

Question 8

what is the clinical and laboratory standards institute (CLSI) recommended maximum depth of heel puncture?

Answer 8

2.0 mm

Question 9

The solution normally used to clean the site before routine venipuncture is…

Answer 9

70% isopropanol

Question 10

why should a laboratory report from indicate the fact that a specimen has been collected by capillary puncture?

Answer 10

because test results can vary depending on the method of collection

Question 11

what does the term “calcaneus” mean?

Answer 11

heel bone

Question 12

which of the following is a preferred capillary puncture site?

Answer 12

middle finger

Question 13

what causes a microhematocrit tube to fill with blood?

Answer 13

capillary action

Question 14

the function of the left ventricle is to deliver

Answer 14

oxygenated blood to the aorta

Question 15

the receiving chambers of the heart are the

Answer 15

Atria

Question 16

the relaxing phase of the cardiac cycle is called…

Answer 16

diastole

Question 17

which of the following represents the proper direction of blood flow?

Answer 17

from Arterioles to Capillaries to Venules

Question 18

which blood cell has the ability to pass through the blood vessel walls?

Answer 18

Leukocyte

Question 19

how can you visually tell serum from plasma?

Answer 19

you cannot visually tell them apart

Question 20

Hemostasis refers to

Answer 20

the stoppage of bleeding

Question 21

Name the antecubital veins

Answer 21

Basilic
cephalic
median

Question 22

how do the needle gauge numbers relate to lumen size?

Answer 22

larger the gauge # the smaller the lumen size and vice versa

Question 23

what is the most important factor in choosing which gauge needle to use for venipuncture?

Answer 23

size and condition of the vein

Question 24

when using a winged infusion blood collection set, if the first tube is an additive tube, it is important to collect a few milliliters of blood into a nonaddictive tube first to..

Answer 24

maintain proper blood-to-additive ratio

Question 25

prolonged tourniquet application may cause a change in blood composition primarily because of...

Answer 25

Hemoconcentration

Question 26

Best way to avoid reflux when drawing a blood specimen

Answer 26

fill tubes from the bottom up

Question 27

a tube fails to fill with blood during venipuncture. what might lead you to think that the vein has collapsed?

Answer 27

the vein disappears when you engage the tube

Question 28

If a Pt. is complaining of sharp radiating pain from the needle insertion site, the Phlebotomist should...

Answer 28

immediately terminate the venipuncture

Question 29

A request is given to draw a specimen from an inpatient by the name of John Doe. what is an acceptable way to confirm the Pt. identitiy

Answer 29

Match the ID band and requisition with the Pt. verbal statement of ID

Question 30

when asked to run different test at the same time what should be the order of importance

Answer 30

STAT orders are always first except when there is a timed drug test ordered

Question 31

what action that a Pt. does during vein selection is bad for the specimen?

Answer 31

allowing the Pt. to pump their fist

Question 32

what communication strategy shows poor technique when drawing blood from a child?

Answer 32

telling the child it won't hurt

Question 33

what is the most critical error a phlebotomist can make?

Answer 33

misidentifying a Pt. specimen

Question 34

a phlebotomist arrives to draw a specimen from an inpatient. the Pt. door is closed. what should the phlebotomist do?

Answer 34

knock softly, open it slowly, and ask permission to enter

Question 35

which test is likely to result in fatal consequences if the Pt. is misidentified?

Answer 35

type and crossmatch

Question 36

when performing a GTT, the timing should begin..

Answer 36

as soon as the Pt. finishes the drink.

Question 37

for which condition is a unit of blood withdrawn from a Pt. as treatment?

Answer 37

Hemochromatosis

Question 38

a 2hr postprandial (PP) specimen should be drawn

Answer 38

2 Hrs after the Pt. finishes eating a meal

Question 39

what type of additive is recommended for collecting an ethanol test specimen?

Answer 39

Sodium Fluoride (gray)

Question 40

when collecting a blood culture specimen directly from a butterfly into blood culture bottles, which should be filled first?

Answer 40

Aerobic

Question 41

a chain of custody is...

Answer 41

a special protocol used when collecting forensic specimens

Question 42

an autologous blood transfusion is a transfusion of blood

Answer 42

donated by the Pt. for the Pt.

Question 43

what does acknowledging a Pt. beliefs, customs, knowledge, and attitudes exemplify?

Answer 43

diversity awareness

Question 44

promoting good public relations is a part of the phlebotomist's role because

Answer 44

- a phlebotomist is a representative of the lab throughout the facility - good public relations promotes a harmonious relationship with the staff - a Pt. often equate venipuncture experiences with the overall hospital care

Question 45

what are the duties of the phlebotomist?

Answer 45

-collecting blood specimens -performing lab computer operations -transporting specimens to lab (Phlebotomists are NOT to start IV)

Question 46

proof of participation in workshops to upgrade skills required by some agencies to renew certification is called...

Answer 46

CEU's

Question 47

what is an example of a confirming response to a Pt.

Answer 47

I understand how you must be feeling

Question 48

medical term for white blood cells

Answer 48

Leukocytes

Question 49

condition of clotting

Answer 49

Thrombosis

Question 50

the word roots "nephr" and "ren" both refer to

Answer 50

Kidneys

Question 51

what does the suffix of the term "Glycolysis" mean?

Answer 51

Breakdown

Question 52

the function of the Urinary system

Answer 52

to maintain Elektrolyte balance

Question 53

term "distal" means?

Answer 53

farthest from the point of attachment

Question 54

test of the Urinary system

Answer 54

Creatinine Clearance

Question 55

the layers of the skin containing blood vessels are?

Answer 55

dermis and subcutaneous

Question 56

the ability of the body to repair and maintain itself to achieve a "steady state" defines what term?

Answer 56

Homeostasis

Question 57

A Lab report form should indicate when a specimen has been collected by capillary puncture because..

Answer 57

some test results vary with specimen source

Question 58

it is necessary to control depth of lancet insertion during capillary puncture to avoid

Answer 58

injuring the heel bone

Question 59

An additive tube should be mixed....

Answer 59

As soon as its removed from the holder

Question 60

A specimen would most likely be accepted for testing despite which of the following ?

Answer 60

no phlebotomist initials

Question 61

an example of a pre analytical error happening during specimen processing is

Answer 61

inadequate centrifugation

Question 62

Transporting blood specimens with the stopper up has nothing to do with

Answer 62

maintaining the sterility of the sample

Question 63

which specimen can be centrifuged immediately upon arrival in specimen processing

Answer 63

Calcium in a green top tube

Question 64

What type of specimens must be processed before routine specimens?

Answer 64

- STAT - ASAP - TImed

Question 65

Drawing a Pt. blood without his or her permission can result in a charge of

Answer 65

assault and battery

Question 66

A National organization that sets standards for Phlebotomy procedures is

Answer 66

CLSI

Question 67

A specimen was mislabeled on the floor. The phlebotomist is required to fill out an incident report form. What info is NOT part of the report?

Answer 67

Suggestion for new guidelines

Question 68

unauthorized release of confidential pt info is called

Answer 68

Invasion of privacy

Question 69

2 phlebotomists in an elevator are discussing a Pt.s condition. The are overheard by the Pt.s daughter. This is an example of...

Answer 69

Invasion of Privacy

Question 70

Which of the following is used by the lab to ID a specimen throughout the testing process?

Answer 70

Accession #

Question 71

which would NOT be considered a preanalytical error?

Answer 71

Misreporting Pt. Results

Question 72

According to CLSI the Max time limit for separating serum or plasma from cells is

Answer 72

2.0 Hrs from the time of collection

Question 73

which statement describes proper centrifuge operation?

Answer 73

Place tubes of equal size and volume opposite one another for balance

Question 74

What is the recommended procedure for collecting a 24 Hr urine sample?

Answer 74

Void the 1st morning specimen start the timing collect all other specimens including the next mornings specimen

Question 75

what additional info is typically required when labeling a non blood specimen?

Answer 75

specimen type and source

Question 76

what fluid is obtained by lumbar puncture?

Answer 76

CSF Cerebral spinal fluid

Question 77

A urine C & S is typically ordered to detect?

Answer 77

the presence of a UTI

Question 78

An NP culture swab is collected to detect the presence of organisms that cause

Answer 78

whooping cough

Question 79

A 1st morning specimen is preferred for hCG testing because

Answer 79

typically more concentrated

Question 80

which type of specimen must be protected from light?

Answer 80

Amniotic Fluid

Question 81

Sputum samples are typically collected to diagnose...

Answer 81

Tuberculosis

Question 82

The 2d choice for the site of arterial puncture is?

Answer 82

Brachial Artery

Question 83

When performing the Allen test, which artery is released 1st?

Answer 83

Ulnar

Question 84

Heparin is used in ABG specimen collection to....

Answer 84

prevent clotting of the specimen

Question 85

when will a Pt. be considered to be in "Steady state" for ABG specimen collection?

Answer 85

Pt. has been sleeping for 30 min while breathing on Room air

Question 86

proper needle insertion angle for radial artery puncture

Answer 86

30-45 degree

Question 87

1st choice artery for ABG collection is the

Answer 87

Radial artery

Question 88

most important factor to consider when selecting an arterial puncture site is the

Answer 88

existence of collateral circulation

Question 89

a phlebotomist is negligent when

Answer 89

a phlebotomist fails to put the needle and holder in the sharps container.