Final FITB

Question 1

Which tube must be full to be accepted?

Answer 1

Light blue

Question 2

At what angle should the needle enter the vein?

Answer 2

15-30 degrees

Question 3

The needle should enter the vein _____ up?

Answer 3

Bevel

Question 4

How do you mix the tubes and how many times?

Answer 4

Gentle inversion, 8-10 times

Question 5

What test is the gray top typically used for?

Answer 5

Glucose

Question 6

When there is an IV where do you draw?

Answer 6

Distal to the IV

Question 7

What department should all cultures go to?

Answer 7

Microbiology

Question 8

Venipuncture site should be cleaned in ___ ___?

Answer 8

Concentric circles

Question 9

When performing infant heel stick don’t go deeper than?

Answer 9

2 mm

Question 10

Name 3 types of tests that can’t be done on a skin puncture specimen

Answer 10

Coagulation, ESR, Tests requiring large volumes

Question 11

Serum/Plasma of lipemic specimens appear?

Answer 11

Milky or cloudy

Question 12

What can happen if a vein is not securely anchored?

Answer 12

Roll

Question 13

What is the largest and busiest area of clinical lab?

Answer 13

Chemistry

Question 14

Blood obtained from dermal puncture is a mix of what?

Answer 14

Arterial, venous, and capillary blood, Interstitial fluid, Intracellular fluid

Question 15

How can you tell an artery from a vein?

Answer 15

Pulse

Question 16

If you must collect from an arm with a hematoma where should you draw?

Answer 16

Distal

Question 17

What does a good vein have?

Answer 17

Bounce or Resilience

Question 18

What is the most frequent type of specimen used in the Immunology/Serology department?

Answer 18

Serum

Question 19

What should you never do when drawing a dorsal hand vein on an infant?

Answer 19

Apply a tourniquet

Question 20

How long is considered fasting?

Answer 20

8-12 hours

Question 21

Name 2 types of collection devices for dermal puncture.

Answer 21

Microcollection container & Microhematocrit tube

Question 22

The smaller the number the ______ the gauge of the needle.

Answer 22

Larger

Question 23

What test is the amber-colored tube used for?

Answer 23

Bilirubin

Question 24

What is the most common method of blood collection on a child under 2?

Answer 24

Dermal puncture

Question 25

Name 3 types of point-of-care testing.

Answer 25

Glucose, Lipids, Prothrombin time (PT)

Question 26

What does a barcode represent?

Answer 26

ID number, Lab test, Patient's name

Question 27

Which test is used to diagnose carbohydrate metabolism disorder?

Answer 27

Glucose tolerance test

Question 28

Define osteomyelitis.

Answer 28

Bone inflammation

Question 29

Which tube has K2 EDTA & silicon gel separator?

Answer 29

PPT

Question 30

Urine is preferred over blood for which test?

Answer 30

Drug screen

Question 31

What is a condition with increased RBCs & decreased plasma in the blood vessel?

Answer 31

Hemoconcentration

Question 32

Which tube has sodium and lithium heparin?

Answer 32

Green

Question 33

Name 2 specimens that need to be kept at 37 degrees celcius.

Answer 33

Cryofibinogen & Cryoglobulins

Question 34

Which stopper is used for coagulation test?

Answer 34

Light blue

Question 35

What level is monitored to insure drug levels stay in theraputic range?

Answer 35

Trough

Question 36

What can a breath specimen detect?

Answer 36

H.Pylori

Question 37

Define analytes.

Answer 37

Substance undergoing analyses

Question 38

Alcohol testing is collected in which tube?

Answer 38

Gray

Question 39

Name 3 specimens that must be protected by light.

Answer 39

Bilirubin, B vitamins, Vitamin C

Question 40

Name 3 specimens that must be chilled in a crushed ice slurry.

Answer 40

Ammonia, Renin, Angiotensin-Converting enzyme

Question 41

What is required to test differential?

Answer 41

Blood smear slide

Question 42

Which type of specimen is used to aid in the diagnosis of cystic fibrosis?

Answer 42

Sweat

Question 43

What is theraputic phlebotomy?

Answer 43

Withdraw large volumes of blood as treatment for certain medical conditions

Question 44

Name 4 reasons a specimen might be rejected.

Answer 44

Hemolysis, Outdated tube, Exposure to light, Delay in testing

Question 45

Name 3 methods of urine collection.

Answer 45

Clean & catch, Catheter, Suprapubic

Question 46

What is needed for a rapid step test?

Answer 46

Throat swab

Question 47

Define QNS.

Answer 47

Quantity not sufficient

Question 48

How does heparin prevent clotting?

Answer 48

Inhibits thrombin

Question 49

What is the preferred method of collection for PKU?

Answer 49

Dermal puncture

Question 50

Where is point-of-care not typically used?

Answer 50

Clinical lab

Question 51

What are lipids in the blood?

Answer 51

Fat

Question 52

What can be used to detect chronic drug abuse?

Answer 52

Hair

Question 53

Name 3 common types of requisitions.

Answer 53

Manual, Bar code, Computer

Question 54

Which 2 tubes are most commonly used for serum specimens?

Answer 54

SST & Red

Question 55

Which test are included in a hepatic function panel?

Answer 55

AST, ALT, Alkaline phosphate, Total protein, Albumin, Total bilirubin, Direct bilirubin

Question 56

Name 4 challenges of geriatric venipuncture.

Answer 56

Skin changes, Hearing impairment, Visual impairment, Mental impairment

Question 57

What does a warm compress do?

Answer 57

Makes the vein easier to palpate

Question 58

What is the smallest diameter needle?

Answer 58

23 gauge

Question 59

_______ is required for perfoming venipuncture using the syringe method.

Answer 59

Tourniquet

Question 60

Which piece of equipment in not used for the syringe method?

Answer 60

Hub

Question 61

What 2 parts of the body are ideal for dermal puncture?

Answer 61

Heel & Finger

Question 62

Transfusion can be fatal because of _____ & _____ of RBCs.

Answer 62

Agglutination, Lysis

Question 63

What are the symptoms of anemia?

Answer 63

Fatigue, Headache, Pale skin

Question 64

Who should you never draw on?

Answer 64

Sleeping patient

Question 65

Within what time frame should blood collected in a purple stopper be prepared?

Answer 65

1 hour

Question 66

What is the process by which paper work and specimen are unmistakenly linked?

Answer 66

Accession of sample

Question 67

Which physiological effects can change basal state?

Answer 67

Age, Diet, Altitude, Exercise, Dehydration

Question 68

Where should the tourniquet be placed when drawing a hand vein?

Answer 68

Above the wrist

Question 69

What is care for terminall ill patients?

Answer 69

Hospice

Question 70

Which value would be increased when blood is drawn from a crying child?

Answer 70

WBCs

Question 71

Which value is most effected by altitude?

Answer 71

RBCs

Question 72

What test would a doctor order to diagnose septicemia?

Answer 72

Blood culture

Question 73

Where is bone marrow aprirated from?

Answer 73

Iliac crest

Question 74

What type of specimen is used for biopsy?

Answer 74

Tissue

Question 75

What do peak levels of TDM screen for?

Answer 75

Drug toxicity

Question 76

Which tests are performed in microbiology?

Answer 76

Culture & sensitivity, Acid-fast bacilli (AFB), Blood culture, Ova & parasite, Gonorrhea (GC)

Question 77

Which factors would cause a longer clot time?

Answer 77

Chilled specimen, Patient taking heparin, High WBC count

Question 78

Which tests will be decreased with anemia?

Answer 78

RBCs, Hct/HgB

Question 79

What is the order of draw?

Answer 79

Blood cultures, Light blue, Red, SST, PST, Green, Purple, Pink, PPT, Gray, Navy blue, Yellow