Phlebotomy Review Flashcards
(89 cards)
1
Q
What is phlebotomy?
A
The Process of Drawing Blood
2
Q
The patient has the right to: A. High quality care B. Protection of privacy C. Help with billing claims D. All do the above
A
D. All of the above
3
Q
Certification Is evidence that:
A. The phlebotomist has worked in the field
B. The phlebotomist has demonstrated proficiency in the area of blood drawing
C. The phlebotomist is licensed in the field
D. The phlebotomist is accredited in the field
A
B. The phlebotomist has demonstrated proficiency in the area of blood drawing
4
Q
Which of the following is not OSHA-required personal protection equipment? A. Steel-toe shoes B. Goggles C. Chin-length face shield D. Full length lab coat
A
A. Steel-toe shoes
5
Q
The clininical laboratory improvement act of 1988 follows guidelines and standards set by the: A. CLIA'88 B. CLSI C. JCAHO D. CDC
A
B. CLSI
6
Q
Samples collected from a patient in a nursing home are sent to the:
A. POL
B. CDC
C. Reference Laboratory
A
C. Reference Laboratory
7
Q
Personal protection equipment must be provided by the:
A
Employer
8
Q
Quality assurance for laboratory personnel
includes all of the following:
A
- Specimen collection procedures
- Specimen transport processes
- Specimen-processing policies
9
Q
Personal protection equipment (PPE) most be provided by the:
A
-Employer
10
Q
Which of the following personal protection equipment must a phlebomist use when performing a skin puncture or venipuncture:
A. Goggles
B. Gloves
C. Mask
A
B. Gloves
11
Q
Under HIPAA, protected health information is defined as:
A
- Any part of a patient’s health information that is linked to information that identifies the patient.
12
Q
Employers most provide vaccination against_____free of charge
A
- Hepatitis B Virus
13
Q
Which of the following might be a reason for rejection of a specimen by the lab?
A. The patients name, DOB and date and time are written on the label
B. A specimen containing an additive has been inverted
C. An ESR has been collected in a red-top tube
A
- An ESR has been collected in a red-top tube
14
Q
The quality of the test result depends on:
A
- The time between Collecting the specimen and analyzing the specimen.
15
Q
The purpose of Total Quality Management is to:
A
- Check machinery with automated procedures
- Ensure that proper laboratory procedures are being followed
- Ensure that adequate patient care is being provided
16
Q
A specimen might be rejected by the lab if:
A
- The tube was not initiated
- The blood is hemolyzed
- The tube was not transported properly
17
Q
Transport bags have a separate compartment (pouch) for requisitions to:
A
- prevent contamination if the specimen leaks
18
Q
A patient who has diarrhea and bacterial gastroenteritis is placed:
A
-In enteric isolation
19
Q
Patients with neonatal ICU/burn unit or the recovery room are:
A
- in a protective environment
20
Q
The most infectious health care-acquired disease is:
A
-HBV (Hepatitis B Virus)
21
Q
An infection is:
A
- The invasion and growth of a pathogen
22
Q
Microorganisms that cause disease are:
A
-Pathogenic
23
Q
Which of the following are causative agents?
A
-Bacteria, viruses, Protozoa, Fungi
24
Q
_____ is the most important step in phlebotomy and other testing procedures
A
-proper patient identification
25
Acceptable methods of identifying a patient include:
- Name and DOB
- Check patients ID band
- Ask patient to present photo ID
26
When admitted if patient is not wearing an ID band, the phlebotomist must:
-Contact nursing station and request an ID band for patient
27
What is the proper procedure for a phlebotomist to follow if a physiscian or member of the clergy is in the patient's room at the time of draw?
- Ask the the physician or clergy member to step outside
| - Return another time if the test is not a stat request.
28
How should a phlebotomist proceed if there is a language barrier?
-use hand gestures
29
Most tubes containing additives should be inverted:
5-8 times
30
The lavender-topped tube contains:
-EDTA
31
The green-topped tube contains:
-Heparin
32
The yellow-topped tube contains:
SPS or ACD
33
The glass red-topped tube contains:
-No additive
34
Which of the following tubes contains sodium fluoride and potassium oxtalate?
-Gray-topped tube
35
Which of the following tubes would hold a glucose specimen for 24 hours?
Gray-topped tube
36
In which tube would a phlebotomist would collect an erythrocyte sedimentation rate?
Lavander-topped tube
37
Cardiac enzymes are drawn in?
-Red-topped tube
38
Which of the following tubes yields a serum specimen?
-Red topped-tube
39
Coagulation study includes all the following:
- prothrombin time
- partial thromboplastin time
- platelet function
40
A blood donation given by a patient to be use during his/her own surgical procedure is called:
-Autologous donation
41
Why should a glass-red topped tube be drawn before a green-topped tube?
Since there are no additives on the red-topped tube, it cannot contaminate the green-topped tube
42
When drawing atrial blood gas the area must be prepped with:
iodine
43
A heparinized needle and syringe are necessary in the collection of:
-ABG (arterial blood gasses)
44
A Hemogard top:
- A plastic top that fits over the stopper. It is used to reduce aerosol and splattering of blood
45
Cold agglutinin test must be maintained at a temperature of:
37c
46
Chilling a specimen will:
-Mantain the stability of the specimen during transport
47
Specimens for the following tests must be kept chilled:
- Ammonia
- Pyruvate
- Lactic acid
48
When labeling tubes, all of the following information must be placed on them:
- patients name
- date
- time of draw
- phlebotomist initials
49
The following is not needed for a routine phlebotomy procedure:
-Iodine
50
The depth of a heel puncture cannot exceed:
2.0 mm
51
How many inches above the site of draw is the tourniquet placed?
3-4 inches
52
When a tourniquet is left on too tight, capillaries may rupture, causing:
-Petechiae
53
A phlebotomist must inspect a needle for:
Burrs
Expiration date
Bevel facing up
54
```
Which of the following is the smallest needle:
A.18 gauge
B.19 gauge
C.20 gauge
D.21 gauge
```
D. 21 gauge
55
A butterfly needle should be used:
For patients with sclerosis veins and one tube being drawn
On adults dorsal and metacarpal veins
On pediatric and geriatric patients
56
Tube holder is used to connect needle and evacuated tube to:
Ensure a firm, stable connection between them
57
The proper way to dispose of a needle is to:
-Put into the sharps container, without recapping, immediately after withdrawing it from the patient
58
In making a site of selection, the phlebotomist should consider the following when making a venipuncture:
- scars and burns
- edema
- mastectomy
59
Process of ending the phlebotomy procedure:
1. Remove tourniquet
2. Remove the tube
3. Place gauze
4. Remove the needle
5. Apply pressure, and discard needle in container
60
The most common complication of phlebotomy is:
- Hematoma
61
A tourniquet that has been left on for too long can cause:
- Petechiae
- Hemolysis
- Hemoconcentration
62
What should a phlebotomist do first if a patient has syncope during a phlebotomy procedure?
-Remove the needle and tourniquet, and apply pressure
63
What is a sign of syncope?
-Cold, damp, clammy skin
64
Meaning of Hematoma:
- Reddened, swollen area in which blood collects under the skin.
65
In a CSF collection the phlebotomist will:
- Transport the specimen to the lab
66
Meaning of amniocentesis:
-The process of collecting amniotic fluid
67
What is the best sample to determine blood PH and blood gases?
-Arterial blood
68
An un-iced ABG must be delivered to the lab within:
5-10 minutes
69
Arterial blood gas must be processed immediately to minimize:
A.Blood loss into tissue
B.Hematoma
C.Changes in the Analyte
C.Changes in the analyte
70
```
All of the following are safety equipment for arterial blood gas collection expect a:
A.Smalll rubber block
B.Fluid resistant gown
C.Transport container
D.Face shield
```
C.Transport container
71
```
The NP culture is used to diagnose?
A.whooping cough
B.Croops
C.Upper respiratory infections
D.All of the above
```
D.All of the above
72
The SE test is used to diagnose:
A.whoooping cough
B.Elevated salt levels
C.Cystic Fibrosis
C.Cystic Fibrosis
73
Which procedure is normally collected by a nurse or respiratory therapist?
A.Glucose tolerance test
B.Routine blood
C.Arterial Blood Gas
C. Arterial Blood Gas
74
```
Dermal puncture can be used as an alternate for all of the following expect:
A. CBC
B. Glucose tolerance test
C. ESR
D. ABG determination
```
D. Arterial blood gas determination
75
Derma punctures should be performed to the following patients:
- patients who required frequent blood draws
- patients with burns on the arms
- patients who are at risk for venous thrombosis
76
What is the reason for cleaning the first drop of blood in a dermal puncture?
A. To get rid of sample of arterial blood
B. To get rid of specimen of fluid from tissue
C. To rid the specimen of pattasium
B. To rid the specimen of fluid from tissue
77
When collecting blood from a child, the phlebotomist should:
A. Consider the physiological aspect of the draw
B. Log the amount collected to avoid depletion
C. Collect dermal punctures whenever possible
D. All the above
D. All the above
78
Which of the following should a phlebotomist not do when drawing blood from a child?
- Tell the child that the procedure does not hurt
79
What does the phlebotomist look for when trying to ID a newborn patient:
A. First and last name of baby
B. The hospital ID number and the last name
C. The DOB
B. The hospital ID number and the last name
80
Improper cleaning of a venipuncture site can cause:
A. Hematoma
B. septicemia
C. Petechiae
B. septicemia
81
A pathogen is:
A. The invasion and growth of microorganism
B. and infectios, disease-causing microorganism
C. Always bacterium
D. Never virus
B. and infectios, disease-causing microorganism
82
Which of the following component is needed in order to make shat is known as the chain of infection?
A. Causative agent
B. etiology
C. Droplet
A. Causative agent
83
A health care related infection is:
- an infection contracted within a Heath care institution
84
When a patient has a highly contagious disease he/she is paced in:
A. Enteric isolation
B. protective environment
C. Strict isolation
C. Strict isolation
85
Elevation of________is an indication of an infection
A. Erythrocytes
B. Leukocytes
C. Thrombocytes
D. Platelets
B. Leukocytes (White Blood Cells)
86
Meaning of Erythrocyte:
- Red blood cells
87
Primary function of a red blood cell:
-Carry Himoglobin
88
The most abundant white blood cell:
-Neutrophil
89
The liquid portion of the blood is:
Plasma
