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phlebotomy > Phlebotomist > Flashcards

Phlebotomist Flashcards

1
Q

A Phlebotomy collect’s blood sample from a patient, the patient has a seizure after removing the needle. What should you do?

A

Clear the area surrounding patient

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2
Q

What is the correct order of draw ?

A

Yellow, Light Blue, Red, Green, Lava, Gray

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3
Q

When ordering a 24 hr. urine specimen for a doctor with preservations to be collected what are the instructions for the patient?

A

Begin urine collection immediately starting your next urination

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4
Q

A Phlebotomist is providing information to a patient about collection of a stool sample. What should you tell the patient?

A

Urinate prior tot he collection

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5
Q

When a patient has his hands in a tight fist during venipuncture using the syringe method when should the patient release his fist?

A

Once the blood flow is established

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6
Q

What blood collection system is used to interchange multi-sample tubes to draw several blood specimens at one time?

A

Evacuation System

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7
Q

A Phlebotomist should identify that a blood spot collection for an inborn error of metabolism requires what ?

A

Completely dried before the test can be processed

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8
Q

a requisition form requesting a (PT) and a (PTT) the additives tube would be what ?

A

Sodium Citrate (Light Blue)

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9
Q

In identifying the patient which of the following actions should you take to collect a specimen?

A

Verify the orders

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10
Q

A Phlebotomist us using a butterfly needle to perform a venipuncture on a dorsal hand vein. What should you do?

A

You should direct the needle almost parallel to the vein

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11
Q

When performing a multi-specimen collection using a syringe transfer method. What error could result from filling collection tubes in improper order?

A

Carryover

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12
Q

When performing a 3 hr glucose test, a Phlebotomy should verify that the patient has fasted how many hours?

A

8 to 12 hours

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13
Q

A Phlebotomy should instruct a patient a preferred time to collect a sputum when?

A

Upon waking up in the AM

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14
Q

Which of the following is the easiest site for the phlebotomy to palpate when performing a venipuncture on a patient who is Obese?

A

Cephalic

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15
Q

A Phlebotomist is preparing a collection for transport. What should be placed into an ice bath within 30 min of collection?

A

Lactic acid

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16
Q

What action should a phlebotomist take to comply with the guide lines for CLIA-Waived procedure?

A

Document Quality Control Results

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17
Q

A new Medical Office, and an Old Medical Office, are merging and combining all medical equipment into one office. What blood glucose monitors will need to have a QC measurement daily?

A

all blood glucose monitors that is in use

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18
Q

What methods should be used to cleanse the selected site for a venipuncture ?

A

clean the site with a alcohol pad in an outward motion

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19
Q

When performing brief examination to determine whether a potential blood donor is in good condition to donate blood. What excludes the patient from blood donation?

A

Body temp more than 37.5C or 99.5F

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20
Q

What should you do when collection a specimen for a new born screening ?

A

wipe away the first blood drop

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21
Q

What action should a phlebotomist take for a patient who has has a mastectomy?

A

contact the ordering provider and obtain permission to draw from either of the arms.

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22
Q

A Phlebotomist should take the following actions with a patient who has a contract precaution sign on door ?

A

a gown prior to entering the patient’s room and remove it before leaving the room

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23
Q

What tube should be drawn first for a capillary collection?

A

Lavender Tube ( EDTA)

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24
Q

What’s the volume of blood that can be safely drawn at one time or a short period of time, before the patient faces latrogenic anemia?

A

20% of the body weight

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25
Q

When preparing a patient to collect a stool specimen at home for an ova and parasite test , what instruction should you give the patient?

A

include only stool that is free of urine

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26
Q

Phlebotomist errors occur most often when?

A

patient identification

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27
Q

A Phlebotomist has inadvertently squeezed a patient puncture site firmly during a capillary procedure. What complication could result from this action?

A

Hemolysis

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28
Q

A Phlebotomist is ordered to collect blood for a liver profile. Which tube should be used?

A

Tiger Top ( chemical tube)

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29
Q

A Phlebotomist has orders to obtain a fecal sample from a infant. Which method should you use to collect the sample?

A

collect the specimen in a diaper made of “plastic wrap”

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30
Q

Which of the following meets recommended handling requirements for a blood specimen that is to be collected and tested for presence bilirubin ?

A

protect the collected specimen from source of “bright light”

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31
Q

OSHA is responsible for regulating which of the following ?

A

universal precautions

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32
Q

A Phlebotomist should collect which of the following equipment for an ordering CMP?

A

Tourniquet, Multi-sample needle, and collection tube

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33
Q

A Phlebotomist has completed a venipuncture procedure. What should you do after removing the needle?

A

Apply gauze activate safety cover

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34
Q

When preforming a venipuncture, a patient begins to lose consciousness the Phlebotomist should recognize that the patient is experiencing what?

A

Syncope “faint”

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35
Q

Which vein is a good venipuncture choice procedure?

A

median cubital

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36
Q

Which tube additives promotes clot formation?

A

Thrombin

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37
Q

You are preparing to perform a blood collection from a patient who had a radical mastectomy of the right breast what site should the phlebotomist use?

A

Left antecubital “ opposite side”

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38
Q

Which of the following forms commonly accompanies a toxicology drug screen for legal purpose?

A

chain of custody

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39
Q

When handling a vitamin B6 specimen, what actions should you take?

A

Wrap the tube in foil “ protect vitamin from light”

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40
Q

Which of the following is the desired antiseptic for the collection of a BAC venipuncture ?

A

chlorhexidine

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41
Q

Which of the following is a characteristic of CLIA- waived level test?

A

the test poses minimal risk to the patient if it is performed incorrectly

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42
Q

A phlebotomist accidently gets stuck with a needle what actions should be taken?

A

” wash with soapy water” report to supervisor

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43
Q

What actions should you take for a patient who fear needles?

A

Have the most skilled phlebotomist perform the venipuncture

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44
Q

A chemical spill occurred in the lab. who should you refer to clean up?

A

MSDS

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45
Q

who should distribute patient results to an ordering provider?

A

charge nurse

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46
Q

should you ensure on the laboratory requisition obtaining a blood specimen the patient’s gender?

A

yes

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47
Q

which of the following anticoagulants is found in a lavender top blood collection vacuum tube ?

A

EDTA

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48
Q

a lab is scheduled for a routine annual inspection, what is their primary focus of equipment logs?

A

mechanical safety

49
Q

when should it be determined whether a child should have his or her capillary heel or finger stick method?

A

age and development “ 0-12mon”

50
Q

Which of the following transmission based precaution should you follow to perform collecting a patient that has a clostridium difficile infection?

A

contact precaution

51
Q

you are called to the ER dept for a STAT venipuncture for chemistry testing, which tube should you ensure be drawn ?

A

green

52
Q

what size needle gauge should you select to preform a venipuncture on a blood donation?

A

16 - 18 guage needle

53
Q

what information should you provide to a patient who is doing a urine culture?

A

clean the genital area prior to collection

54
Q

what is a critical patient identification on a requisition?

A

DOB

55
Q

what should you do to describe appropriate method of inverting tubes to prevent clotting?

A

moving tube in a figure 8 to 10 motion after collection

56
Q

the OSHA requirement for material safety data sheets falls under what safety category?

A

chemical

57
Q

which point of care tests is used to detect chemicals in urine

A

Reagent strips

58
Q

which of the following complications can you cause by filing a gray topped tube?

A

hemolysis

59
Q

you are planning to collect a specimen to ensure a patent serum cortisol level, what should you consider?

A

time of day

60
Q

you should recognize the following complications that can be caused by removing he needle from a patient arm before removing the tourniquet is called ?

A

Hematoma

61
Q

A Phlebotomist should recognize the clinical and laboratory standards CLSI recommends that a heel stick should not be penetrated no deeper than ?

A

2.0MM

62
Q

how many times should you invert an EDTA tube? (lavender tube)

A

8 to 10

63
Q

a puncture of the bone during an infant heel stick can result in what ?

A

osteochondritis

64
Q

when drawing a specimen from a 6 month old and they have an IV in the left antecubital and serve bruises on the right hand which site should you select?

A

right antecubital

65
Q

which of the following actions you should take when preparing a blood smear

A

spread the blood using a second slide at 45 angle ( should have a feathered edge)

66
Q

which term is used to describe hard and cord like veins?

A

sclerosis

67
Q

a phlebotomist should identify that which of the following is an example of why a collection tube would lose its vaccum?

A

expiration date has passed

68
Q

you should verify that a patient has fasted for how long prior to obtaining a fasting specimen?

A

8 to 12 hrs

69
Q

a phlebotomist should administer CPR to what kind of patient ?

A

a patient who has no pulse

70
Q

you should always use equipment when preforming a PKU Phenylketonuria test on a new born ?

A

Filter paper

71
Q

a physician order blood culture on a patient which antiseptic should you use to collect site?

A

Chlorhexidine

72
Q

a phlebotomist should verify the quality of equipment by inspecting for which of the following ?

A

counterfeit trademark

73
Q

which action may a patient demonstrate implied consent for a procedure?

A

permission and extend the arm to tech

74
Q

ER department provider orders a venipuncture on a unidentified/ unconscious patient. what actions should a tech take when labeling the blood specimen?

A

leave the specimen label blank until patient’s name is confirmed

75
Q

a patient is scheduled for a CBC and prothrombin what is the correct order of draw?

A

Light Blue, Lavender

76
Q

which conditions result from exceeding the maximum blood volume parameter during collection?

A

latrogenic anemia

77
Q

a phlebotomist should expect to collect a blood culture from the following patient’s?

A

a patient who has a fever of unknown origin

78
Q

when is it appropriate for a tech to label a a specimen

A

after collecting the specimen before leaving the room

79
Q

when collecting a lactic acid sample that will be going to another outside lab. what should you do ?

A

chill the sample

80
Q

which of the following means of a specimen collection is the mot accurate method?

A

automatic

81
Q

in which of the following location should you direct dispose of a contaminated microscope slide?

A

red sharp containers

82
Q

describe the process of obtaining implied consent for venipuncture

A

the provider explains the procedure, the tech review the consent form with the patient prior obtaining signature

83
Q

a tech should use a blood transfer device with what method of blood collection?

A

syringe

84
Q

a new patient present to a lab. with a requisition, how should you introduce yourself?

A

hi Mr. john, my name is Mia, I am from the lab and here to collect your blood for your lab work today

85
Q

what is the most important step to ensure a patient safety during lab work?

A

identify and verification

86
Q

which id is not required on a patient specimen label?

A

gender

87
Q

when using a butterfly needle for venipuncture on dorsal hand veins, following actions be taken is ?

A

hold the needle by the wings “butterfly”

88
Q

a tech is preparing to perform a venipuncture for blood collection from a 5 yr old patient what gauge needle should you use?

A

23 guage

89
Q

what is the best site to perform a PRK (newborn)

A

the median or lateral areas of the heel

90
Q

the tech has a req to collect a bingle sample what actions should you take?

A

rapid transport of the sample

91
Q

what is the proper way to select a vein for venipuncture?

A

palpate for veins using tourniquet

92
Q

what can you cause when you shake the tube of blood excessively or too hard?

A

hemolysis

93
Q

when performing tech for blood donation you are required to inform the patient about which of the following?

A

rights to ask about the procedure

94
Q

how should you clean up a blood spill on a counter?

A

disinfection

95
Q

you are performing a capillary puncture on adult patient what position should you orient the lancet?

A

across the fingerprint of the ring finger

96
Q

when performing a venipuncture a tech should use a blood pressure cuff for what kind of patient?

A

a patient who is overweight

97
Q

a tech has a specimen that was collected for research in a clinical setting what methods can be used for the specimen identification?

A

chart number

98
Q

you inform a patient who is anxious, restrains will have to be used if the patient continue to move. when using this language, the tech is liable for what?

A

assault

99
Q

what actions should a tech take when labeling specimen?

A

include on the req the date and time “important”

100
Q

which of the following statements by a phlebotomist promotes active involvement from the patient during ID process?

A

can you tell me your first and last name please?

101
Q

a tech should recognize rapid swelling near the venipuncture site during the collection of blood as which of the following complications?

A

hematoma

102
Q

which of the following guidelines should a phlebotomist follow when delivering printed lab results to a provider?

A

HIPAA

103
Q

a nonblood specimen that is delivered to lab should have which of the following information included?

A

the specimen source

104
Q

a large spill occurred in a lab involving venous blood. what action should you take?

A

pour bleach on the spill and let it soak for 30 sec

105
Q

when using the evacuated tube method, which of the following will result in a venipuncture if the needle at 45 angle upon insertion?

A

the needle will go completely thru the vein “ 30-35 degrees” bevel up

106
Q

it may be more difficult to obtain a blood specimen from an older adult patient due to which of the following?

A

impaired peripheral circulation

107
Q

a phlebotomist has duplicate order for a patient how should the order be verified?

A

call the physician to confirm the patient test request

108
Q

a phlebotomist is preforming a venipuncture and realizes the vacuum tube has stopped filling. what causes the tube from filling?

A

the needle gone thru the vein

109
Q

improper aseptic technique during blood culture collection can result in which of following complications?

A

contamination

110
Q

a patient might experience manifestation prior to an episode of syncope? ( faint)

A

dizziness

111
Q

a patient has an infection accompanied by inflammation and tissue destruction. an erythrocyte sedimentation rate (ESR) has been ordered. what color tube is used?

A

Lavender (EDTA)

112
Q

when providing a sputum specimen, a tech should instruct the patient to take the following actions

A

take a deep breath and then expectorate

113
Q

what size needle needs to be used to collect units of blood for donation?

A

16 guage

114
Q

a phlebotomist should identify which of the following actions as an acceptable HIPPAA practice?

A

discussing patient info with assisting co worker

115
Q

a phlebotomist touches a patient arm and begins to perform venipuncture before obtaining consent from the patient. what tort have the phlebotomist committed?

A

battery ‘touching’

116
Q

a phlebotomist is preparing to draw blood from a patient or a for a patient and in testing. what question should you ask the patient for compliance with the test?

A

when was your last dose of anticoagulation medication

117
Q

which of the following actions by the phlebotomist during venipuncture can produce a hematoma?

A

instruct the patient to bend the elbow after the needle is moved

118
Q

which of the following specimens has a phlebotomist appropriately prepare for transport?

A

a green top tube for an ammonia testing that is being ship in a icey water mixture

119
Q

which of the following test requires fasting?

A

thyroid , pregnancy, creatine, cholesterol

phlebotomy (1 decks)

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