Final Flashcards by Armae Tayo

Proof of participation in workshops to upgrade skills required by some agencies to renew certification is called?

Continuing Education Units (CEUs)

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What is an example of a confirming response to a patient?

I understand how you must be feeling right now.

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A phlebotomist who gets the specimen for the doctor even if he or she must take shortcuts exhibiting what type of behavior?

Unprofessionalism

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Drawing a patient’s blood without his or her permission can result in a charge of?

Assault and Battery

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Two phlebotomists in an elevator are discussing a patients condition. They are overheard by the patient’s daughter. This is an example of?

Invasion of Privacy

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A national organization that sets standards for phlebotomy procedures is?

Clinical and Laboratory Standards Institution

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The Joint Commission’s Sentinel Event QI program policy is designed to do what?

Establishing standards for the operations of hospitals.

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What is an example of negative kinesics?

Frowning

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Which analyte test result will be adversely affected by chilling?

Potassium

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The “standard of care” in the practice of phlebotomy is influenced by what organization?

Joint Commission

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A specimen was mislabeled on the floor. The phlebotomist is required to fill out an incident report form. Are suggestions for new guidelines a part of the report?

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According to standard first aid procedures, severe external bleeding is best controlled by?

Applying Direct Pressure

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Vaccination against HBV involves these 3 steps?

A dose of vaccine
Another a month later
Then 6 months later

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Protecting patients who are highly susceptible to infection is the purpose of this type of isolation?

Protective Isolation

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What is the proper order for putting on the following protective clothing?

Gown, Mask,Gloves

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What is the FIRST thing the phlebotomist should do in the event of an accidental needlestick?

Wash site with water and soap for 30 seconds.

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When a catheter site of a patient in ICU becomes infected, this type of infection has occurred?

Nosocomial

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If a patient suffers from severe burns, they may require this type of isolation.

Protective Isolation

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Which type of contact infection transmission involves the transfer of an infective microbe to the mucous membranes of a susceptible individual by means of a cough or sneeze?

Droplet

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What does the suffix of the term “glycolysis” mean?

Breakdown

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The medical term for white blood cell is?

Leukocytes

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The abbreviation PP means

Post-Prandial ( After meal)

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The abbreviation “ESR” means?

Erythrocyte Sedimentation Rate

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What term means “condition of clotting”?

Thrombosis

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The word elements of the term "polycythemia" mean?

Blood Condition of many cells

What does "hyper" in the word "hypernatremia" mean, and what type of word element is it?

"Too much"

Maintaining electrolyte balance is a function of which system?

Urinary System

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

Homeostasis

An ABG system of which system?

Respiratory

The layer(s) of the skin containing blood vessels is/are the (y)?

Dermis and Subcutaneous

The avascular layer(s) of the skin is the?

Epidermis

Which gland is often called the "master gland" of the endocrine system?

Pituitary Gland

Estrogen and Progesterone are hormones produced in which system?

Endocrine

The function of the left ventricle is to deliver "what" to "where"?

Receives oxygenated blood from the left atrium and pumps it into the aorta

The receiving chambers of the heart are these?

Atriums

A graphic record of the heart's electrical activity during the cardiac cycle is a/n?

ECG

A blood clot circulating in the bloodstream is called a/an?

Embolus

The first response in the hemostatic process in vivo is?

Vasoconstriction

How can you visually tell serum from plasma?

You can't

Hemostasis is defined as?

Stoppage of bleeding

What are the 3 main antecubital veins?

Basilic, Medial, Cephalic

What is the proper blood-to-additive ratio for a light-tube collected for a coagulation test?

9: 1 Blood: Additive

Out of needles with gauges 18-23, which needle gauge has the largest lumen?

A tube with a green stopper normally contains what additive?

Heparin

The purpose of the antiglycolytic agent is to do this...

Preserve glucose (prevents glycolysis breakdown)

What are the most important two factors in choosing which gauge needle to use for venipuncture?

Condition and Size

Which additive is usually present in a tube with a lavender stopper?

EDTA

Heparin prevents blood from clotting by doing this..

Inhibiting Thrombin Formation

A request is given to draw a specimen from an inpatient by the name of John Doe. An acceptable way to confirm the patient's identity is to do these two things.

Match ID badge and Verbal statement

Tell a child that won't hurt before obtaining their blood specimen demonstrates this.........

Poor technique

What is the most critical error a phlebotomist can make?

Misidentifying a patient or specimen

What would be the system of choice to identify laboratory specimens from an unconscious, unidentified woman in the emergency room?

Accession Number

The patient asks if the specimen about to be draw is for a diabetes test. How should the question be answered?

It's better if you ask your doctor.

The first step in the testing process begins when the healthcare provider does this....

Order Test

If a venipuncture site is still bleeding after 5 minutes the phlebotomist should do what?

Notify Nurse or Doctor

This could happen if you collect a CBC specimen from a screaming infant?

White Blood Count (WBC) might falsely be elevated

You have no choice but to draw a specimen from a site with a hematoma. Where should you obtain the specimen?

Below the site

A phlebotomist has attempted twice to draw partial thromboplastin time (PTT) specimen from a patient with difficult veins. Both times the phlebotomist has been able to draw only a partial tube. What should the phlebotomist do?

Ask a co-worker

What possibly happened when blood pulses into tube>

You hit an artery

If blood is drawn too quickly from a small vein, the vein will have a tendency to?

Vein collapsed

When a test requires a fasting specimen, but the serum is ________, is a clue that the patient was not fasting?

Limpemic

Filling the tube from the bottom up is the best way to avoid this...

Reflux

What is the Clinical and Laboratory Standards Institute (CLSI) recommended maximum depth of heel puncture?

2mm

Why are EDTA specimens obtained before other specimens when collected by skin puncture?

To minimize the effects of platelets clumping

The purpose of wiping away the first drop of blood during skin puncture is to?

To avoid Tissue Fluid going into specimen.

Capillary puncture blood reference ranges are higher for which analyte?

Glucose

It is necessary to control the depth of the lancet insertion during infant capillary puncture to avoid injuring what?

Heel Bone

What causes a microhematocrit tube to fill with blood?

Capillary Action

Explain the correct capillary puncture technique?

Wipe the first drop of blood; middle and ring are the only fingers to poke

Which test(s) can result in fatal consequences if the patient is misidentified?

Type and crossmatch

Which test requires strict skin antisepsis procedures before specimen collection?

Blood Culture

When performing GTT, the timing should begin when?

After the patient is done drinking beverage

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

Aerobic

Skin asepsis is the most critical aspect of this type of collection...

Blood Culture [floral prep]

A 2- hour postprandial specimen should be drawn when?

2 hours after a meal

Would misreporting a patient's results be considered a preanalytical error?

According to CLSI, what is the maximum time limit for separating serum or plasma from cells?

2 hours

For proper centrifuge operation, how should the tubes be balanced?

Directly across and equal volume.

Carefully pouring the contents into an aliquot tube is the proper way to prepare an aliquot

What type of specimens must be processed before routine specimens? Stat? ASAP? Timed?

All the above

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

Voiding the first, collect the rest & next morning | *Refrigerate samples

What fluid is obtained by lumbar puncture?

Cerebrospinal Fluid

What additional information is typically required when labeling a nonblood specimen?

Type and Source

A urine C&S is typically ordered to detect the presence of what?

UTI

Sputum samples are typically collected to diagnose what?

Tuberculosis

The first artery choice for ABG collection is this....

Radial

When performing the Allen test, which artery is released first?

Ulnar

Why is heparin used in ABG specimen collection?

Heparin is the medicine for blood clots - Thinner - Prevents blood clots

What is the proper needle insertion angle for radial artery puncture?

30 to 45 degrees

The site for radial artery puncture is located in which part of the body?

Wrist

Which test involves intravenous administration of histamine or pentagastrin?

Gastric Analysis

A first morning specimen is preferred for HCG testing because of what?

More concentrated

Which fecal test may require a 72- hour stool collection?

Urobilinogen

Allowing the patient to pump their fist during the vein selection process is good for the specimen?

False

How can you tell that you are in a vein when using a needle and a syringe?

Flash of Blood

What is the best way for a newly trained phlebotomist to handle a venipuncture on a patient with needle phobia?

Get an experienced phlebotomist

A phlebotomist starts to perform a venipuncture. As the needle touches the skin, the patient moves his arm. The phlebotomist is startled and pulls the needle away from the arm. How should the phlebotomist proceed after apologizing to the patient?

Terminate and start over

With which other hospital department would the laboratory coordinate therapeutic drug monitoring?

Pharmacy

Which department is responsible for administering oxygen therapy?

Respiratory