Midterm

Question 1

according to standard first aid procedures which action control severe external bleeding.

Answer 1

apply direct pressure

Question 2

Which process should be followed for the hep B vaccine?

Answer 2

one dose another one a month later and a final dose six months

Question 3

which phrase describes the purpose of protective isolation?

Answer 3

protective isolation is when you’re protecting the PATIENT from outside contamination.

Question 4

which is another term for the OSHA hazard communication, standard disclosure law MSDS act right to know law or un placard system.

Answer 4

right to know law

Question 5

What is the proper order for putting on PPE

Answer 5

Gown, mask , gloves

Question 6

When should the hep B vaccine be made available to employees assigned to duties with occupational exposure risk

Answer 6

Within 10 days of employment

Question 7

What is the first thing the phlebotomist should do in the event of an accidental needle stick?

Answer 7

Decontaminate it

Question 8

which is an example of a nosocomial infection.

Answer 8

Catheter site of a patient in the ICU becomes infected

Question 9

which is an example of a means of transmission that differs from parental transmission.

Answer 9

drinking water from a contaminated glass.

Question 10

in what instance might a patient be placed in protective isolation?

Answer 10

The patient has severe burns

Question 11

which is an example of a work practice control that reduces risk of exposure to blood borne pathogens

Answer 11

hand decontamination

Question 12

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

Answer 12

Droplet

Question 13

when can occupational exposure to blood borne pathogens occur while the health care worker is performing work

Answer 13

When blood comes in contact with a cut

Question 14

True or False? applying lip balm in the lab is acceptable when an employee has chapped lips

Answer 14

False

Question 15

The function of the left ventricle is to deliver

Answer 15

oxygenated blood to the aorta

Question 16

The receiving chambers of the heart are called

Answer 16

Atria

Question 17

The relaxing phase of the cardiac cycle is called

Answer 17

Diastole

Question 18

Which of the following represents the proper direction of blood flow

Answer 18

from arterioles to capillaries and venules

Question 19

A blood clot circulating in the bloodstream is called

Answer 19

Embolus

Question 20

Which blood cell has the ability to pass through the blood vessel walls.

Answer 20

Leukocyte

Question 21

How can you visually tell serum from plasma

Answer 21

You can not visually tell them apart

Question 22

hemostasis refers to

Answer 22

the stoppage of bleeding.

Question 23

Which of the following veins is not an antecubital vein

Answer 23

Femoral

Question 24

which tests must be performed on whole blood

Answer 24

CBC test

Question 25

a major difference between arteries and veins is that

Answer 25

veins have one way valves

Question 26

Which is the best tool for collecting an ethanol specimen?

Answer 26

Sodium fluoride (grey top)

Question 27

which needle gauge has the largest lumen?

Answer 27

18

Question 28

The test performed in the following department are typically collected in a tube with a light blue stopper.

Answer 28

Coagulation

Question 29

A tube with a green stopper normally contains

Answer 29

Heparin

Question 30

the purpose of an anti glycolytic agent is to

Answer 30

Preserve glucose

Question 31

the solution normally used to clean the site before a routine venipuncture

Answer 31

70% isopropanol

Question 32

When latex or vinyl strap tourniquets become soiled with blood, it is best to

Answer 32

Throw them away

Question 33

What is the most important factor in choosing which gauge needle to use

Answer 33

See the size and condition of the vein

Question 34

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

Answer 34

EDTA

Question 35

glass particles present in serum separator tubes

Answer 35

enhance clotting

Question 36

The Slanted tip of the needle that enters the vein is called

Answer 36

Bevel

Question 37

according to CLSI standard which tube is filled last when using a syringe

Answer 37

EDTA

Question 38

True or false. The 21 gauge MultiSample needle is considered the standard needle for routine venni puncture.

Answer 38

True

Question 39

True or false in a routine venni puncture the red tube should be drawn before the green tube

Answer 39

True

Question 40

There is a request to draw a specimen from an inpatient by the name of John Doe. Which of the following is an acceptable way to confirm the patient's identity

Answer 40

Match the ID band and requisition with the patient's verbal statement of ID.

Question 41

The following tests have all been ordered at the same time on different inpatients. There's only one phlebotomist on duty which test should the phlebotomist collect first

Answer 41

STAT ➡️ ASAP ➡️ time ➡️ routine

Question 42

Doing this during the vein selection process is bad for the specimen

Answer 42

Allowing them to pump their fist

Question 43

Communicating in this way before obtaining a blood

Answer 43

C

Question 44

The patient is just finishing breakfast. And should be doing fasting blood work what should you do

Answer 44

Talk to the nurse for approval

Question 45

Never leave a  tourniquet on for more than

Answer 45

1 minute

Question 46

How can you tell that you're in a vein when using a needle in a syringe?

Answer 46

You can’t tell until you pull back the plunger

Question 47

What is the most critical error of phlebotomist can make

Answer 47

Misidentification of the patient

Question 48

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

Answer 48

ask the more experienced phlebotomist to do the draw

Question 49

What would be the system of choice to identify a lab specimen from an unconscious unidentified woman in the ER

Answer 49

Three part ID band and labels

Question 50

A phlebotomist arrives to draw from an inpatient patients doors closed what should

Answer 50

Knock softly open it slowly and ask permission to enter.

Question 51

if a patient asks if a specimen to be drawn is for diabetes test, how should the patient how should the question be answered?

Answer 51

always defer to the doctor

Question 52

Which of the following is the job of a student phlebotomist ?

Answer 52

always informed them Hi, my name is … I am a student phlebotomist

Question 53

What is the purpose of waiting 30 seconds for the alcohol to dry before needle insertion actually

Answer 53

all of the above - prevent hemolysis /it avoids a stinging sensation/ the evaporation does help destroy the microbes on the skin.

Question 54

true or false? You must draw blood from a four year old child you should restrain him immediately tell him to be quiet and safe.

Answer 54

False

Question 55

Which instance most closely resembles the basal state

Answer 55

Someone who just awoke after fasting all night

Question 56

You must draw a pro time specimen from a patient with IVs in both arms. Which of the following is the best to do?

Answer 56

Draw below the IV

Question 57

It is not a good idea to collect the CBC specimen from a screaming infant because

Answer 57

white blood cell count may be falsely elevated

Question 58

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

Answer 58

a distal to the hematoma

Question 59

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

Answer 59

Hemoconcentration .

Question 60

a phlebotomist has attempted twice to draw a PT T 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

Answer 60

Have another phlebotomist attempt to draw the specimine

Question 61

Levels of this analyte can differ by 50% or more between morning and late afternoon.

Answer 61

Cortisol

Question 62

which instance may lead you to suspect that you have accidentally punctured an artery

Answer 62

the blood pulses into the tube

Question 63

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

Answer 63

Collapse

Question 64

a fistula is a an

Answer 64

a permanent fusion of an artery and a vein.

Question 65

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

Answer 65

Lypemic

Question 66

test influenced by diurnal variation are often ordered as ___ tests, and it is important to collect them as close as possible to

Answer 66

Timed

Question 67

true or false peak levels of cortisol occur late in the afternoon.

Answer 67

False they peak in the morning

Question 68

if the blood is filling the to very slowly and a hematoma is beginning to form the needle may not be deep enough True or False?

Answer 68

True

Question 69

If a patient is complaining of a sharp radiating pain from a needle insertion site, the phlebotomist should hurry and finish the draw True or False.

Answer 69

False

Question 70

Why are capillary blood gases less desirable than arterial blood gases

Answer 70

the skin pumps your blood contains tissue fluid, the skin pumps your blood is only partially arterial, the blood is exposed to air during collection or ALL OF THE ABOVE

Question 71

What is the CLSI recommended maximum depth of a heel puncture?

Answer 71

2 mm

Question 72

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

Answer 72

to minimize the effects of platelet clumping

Question 73

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

Answer 73

because test results can vary depending on the method of collection.

Question 74

Which of the following is the safest area for an infant heal puncture

Answer 74

Lateral plantar surface

Question 75

a capillary puncture should be done rather than a very puncture in all of the following situations except

Answer 75

A light blue tube (9:1 ratio)

Question 76

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

Answer 76

eliminate tissue fluid contamination

Question 77

capillary puncture blood most closely resembles

Answer 77

arterial blood

Question 78

What is the term calcaneus mean?

Answer 78

Heel bone

Question 79

Which micro collection container would be used to collect a specimen for a CBC?

Answer 79

Purple tube

Question 80

It is necessary to control depth of Lancet insertion during capillary puncture to avoid

Answer 80

injuring to the heel bone.

Question 81

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

Answer 81

increase blood flow up to seven times

Question 82

True or false a phlebotomist should puncture a finger perpendicular to the finger whirls

Answer 82

True

Question 83

True or false A magnet is used to mix a CB G specimen capillary blood gas specimen.

Answer 83

True

Question 84

True or false. If a baby has a huge fleshy big toe it is acceptable to collect a billy ribbon specimen from it.

Answer 84

False

Question 85

Of the following tests which is most likely to result in fatal consequences if the patient is Miss identified

Answer 85

Type and cross match

Question 86

Which tests require strict skin antiseptic procedures before specimen collection.

Answer 86

Blood cultures

Question 87

What type of additive is recommended for collecting an ethanol test?

Answer 87

sodium fluoride (grey tube)

Question 88

When performing a glucose tolerance test the timing should begin

Answer 88

as soon as the patient finishes the drink

Question 89

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

Answer 89

Aerobic

Question 90

What requires a chain of custody.

Answer 90

Drug screens

Question 91

Identify the condition in which a unit of blood is withdrawn from a patient as treatment

Answer 91

hemochromatosis

Question 92

Which of the following tubes can be used to collect blood for a type and cross

Answer 92

Pink top EDTA tube

Question 93

An autologous blood transfusion is a transfusion

Answer 93

donated by the patient for the patient.

Question 94

The most critical aspect of blood culture collection

Answer 94

Skin antiseptics

Question 95

This test requires a specimen with a nine to one ratio of blood to anticoagulant.

Answer 95

Phythrombine time (PT)

Question 96

So hormone detected and it's positive urine pregnancy test

Answer 96

hCG

Question 97

Two hour postprandial specimen should be drawn

Answer 97

Two hours after a meal

Question 98

true or false paternity testing is performed to determine the probability that a specific individual fathered a child.

Answer 98

True