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Phlebotomy > Phlebotomy review questions > Flashcards

Phlebotomy review questions Flashcards

1
Q

The forearm vein most commonly used for venipuncture is the

A

Median cubital

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2
Q

The smallest veins in the human body are known as

A

Venules

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3
Q

The aorta branches into smaller divisions called arteries, which in turn branch into even smaller divisions called

A

Arterioles

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4
Q

Characteristics of capillaries include:

A

having thin-walls
forming microscopic pathways
connecting arterioles with venules

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5
Q

Within the capillaries, blood cell functions include:

A

releasing oxygen
binding carbon dioxide
eliminating waste

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6
Q

The heart, lymphatic organs, and blood vessels are in which system

A

cardiovascular

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7
Q

The suffix -uria at the end of a medical term refers what body location?

A

urine

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8
Q

The study of blood is known as

A

hematology

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9
Q

The liver, stomach, mouth and pancreas are in which system

A

digestive

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10
Q

The most important step to ensure accuracy in sample collection is

A

identifying the patient properly

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11
Q

The bladder, urethra, kidneys, and ureters are in which system

A

urinary

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12
Q

The trachea, nose, lungs and pharynx are in which system

A

respiratory

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13
Q

The sebaceous glands, skin hair and nails are in which system

A

integumentary

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14
Q

The body system that is a primary regulator of hormones is which system

A

endocrine

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15
Q

Neutrophils, eosinophils, basophils, lymphocytes and monocytes are types of

A

white blood cells

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16
Q

The common name for the thrombocyte is the

A

platelet

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17
Q

The liquid portion of an anticoagulated blood sample is known as

A

plasma

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18
Q

The instrument that measures blood pressure is called

A

sphyngmomanometer

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19
Q

An artery can be distinguished from a vein because an artery will be

A

pulsating

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20
Q

Lancets are used to collect blood samples by

A

capillary or skin puncture

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21
Q

The abbreviation VAD is commonly used in hospitals to refer to

A

venous access devices

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22
Q

To determine the size of the needle, remember that the higher the gauge

A

the smaller the needle bore

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23
Q

A centrifuge is used in a a clinical laboratory setting to

A

separate liquid from cells in blood

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24
Q

The oral glucose tolerance test is used for detection of

A

diabetes

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25
Q

Which evacuated tube is used for collection of blood for a CBC tet

A

lavender top

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26
Q

Which evacuated tube is used for collection of blood for electrolyte testing

A

Red top

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27
Q

Adult capillary punctures most often involve the use of which fingers

A

second and third (index and middle)

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28
Q

Which evacuated tube is used for collection of blood for cholesterol testing

A

Red top

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29
Q

Sodium citrate is an anticoagulant of choice for coagulation studies because it protects

A

clotting factors

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30
Q

When preparing a blood smear directly from a skin puncture it is best to

A

wipe away the first drop of blood

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31
Q

What is the order of draw recommended by the CLSI for these tubes
gray (glycolytic inhibitor)
blue (coagulation tube)
red (serum tube w or w/o clot activator gel)
blood culture tube
green (heparin tube
lavender (EDTA)

A
  1. blood culture tube
  2. blue
  3. red
  4. green
  5. lavender
  6. gray
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32
Q 
Put these 10 selected phlebotomy steps in the correct order
Greet and identify the patient
Insert the needle
Cleanse the venipuncture site
Explain the procedure to the patient
Anchor the vein
Collect blood in vaccum tubes
Label tubs
Dispose of needle
Remove tourniquet
Assemble equipment
A
  1. Greet and identify the patient
  2. Explain the procedure to the patient
  3. Assemble equipment
  4. Cleanse the venipuncture site
  5. Anchor the vein
  6. Insert the needle
  7. Collect blood in vacuum tubes
  8. Remove tourniquet
  9. Dispose of needle
  10. Label tubes
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33
Q

The purpose of doing blood cultures is to detect

A

septicemia

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34
Q

Anticoagulants are used to

A

prevent blood from clotting

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35
Q

White blood cells help the body by

A

defending against foreign invaders

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36
Q

Platelets help the circulation by

A

participating in hemostasis

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37
Q

When blood seeps into the surrounding tissue during a venipuncture what may form

A

hematoma

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38
Q

In a patient with a clotting disorder, pressure should be applied to the puncture site for at least _____after venipuncture to insure blood stoppage

A

5 minutes

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39
Q

Skin punctures may be indicated for use when

A

the patient is an infant, toddler or prescholer
only a small amount of blood is needed
patient veins need to be preserved for IV therapy

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40
Q

All specimens should be labeled with

A

patient’s name (and numeric ID) or DOB
date and time the specimen was drawn
collector’s initials

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41
Q

When performing a skin puncture, squeezing the finger too tightly may dilute the blood with ___ and ruin the test

A

tissue fluid

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42
Q

One test used to assess hemostasis before surgery is

A

bleeding time

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43
Q

One possible cause of unexpected clotting in an anticoagulated blood tube might be

A

insufficient mixing

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44
Q

When performing a venipuncture, position the bevel of the needle

A

facing up

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45
Q

If blood does not appear in an evacuated tube upon venipunture, a phlebotomist’s first course of action should be to

A

slightly reposition the needle

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46
Q

Redirecting a needle during venipuncture is sometimes necessary when

A

the vein was not properly anchored
the patient moves unexpectedly
blood flow starts, and then stops

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47
Q

A vein might be prone to collapse if

A

vacuum tube is too large for the vein

syringe plunger was pulled back too quickly

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48
Q

Hemolysis would cause rejection of a sample collected for______ testing

A

potassium

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49
Q

If a patient is prone to syncope during venipuncture, the phlebotomist should

A

watch in case of fainting

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50
Q

A tube of blood that arrives in the laboratory without a label must be

A

rejected automatically

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51
Q

If a blood sample should be collected 2 hrs post-prandial, the phlebotomist should collect the sample _______

A

2 hours after a meal

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52
Q

Knowing when to collect peak and through levels is important when drawing _________

A

therapeutic drugs

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53
Q

A pre-warming technique may be used to

A

increase patient’s tendency to bleed

54
Q

The role of all anticoagulants is ultimately to prevent formation of

A

fibrin

55
Q

The anticoagulant EDTA works by

A

binding calcium

56
Q

If the tourniquet is not released before the needle is withdrawn from the arm during venipuncture, this will most likely result in

A

bleeding from the site

57
Q

Which test is light sensitive

A

bilirubin

58
Q

The ______ must be followed exactly whenever drawing patient test samples that may be used in a legal proceeding

A

chain of custody

59
Q

The anticoagulant SPS (sodium polyanetholesulfonate) is recommended for use in blood cultures becuase it

A

does not inhibit bacterial growth

60
Q

Before entering an inpatient room if the door is closed, the phlebotomist should always

A

knock
ask for permission to enter
check for isolation signage

61
Q

Before entering designated isolation rooms, phlebotomists should always

A

check requirements on signs

62
Q

The single most important means of preventing the spread of infection in a hospital is by

A

hand washing

63
Q

The most prevalent type of nosocomial infections are those of the

A

urinary tract

64
Q

Phlebotomsits have a statistically greater chance of contracting _________ in a work-related incident than they do of contracting AIDS

A

hepatitis B

65
Q

AIDS is caused by

A

HIV virus

66
Q

When performing heelsticks on infants in a hospital nursery, it is important never to

A

share supplies from one infant to another

67
Q

When delivering blood samples to a laboratory, they should always be transported ________

A

inside sealed plastic bags

68
Q

If a biohazard spills in the laboratory, a phlebotomist shuld first try to _____

A

contain the spill safely

69
Q

According to OSHA, a contaminated needle may be safely discarded into a _____

A

sharps container

70
Q

In most hospitals, a phlebotomist with a cough may draw blood from a patient provided the __________

A

patient is not in reverse isolation
phlebotomist wears a mask
phlebotomist does not have a fever

71
Q

When drawing blood from pediatric inpatients, a phlebotomist can increase safety for the patients by ___

A

getting help to hold the patient securely during the draw
using a smaller bore needle and smaller collection tubes
making sure the bedrails are left raised if found that way

72
Q

To eliminate bacteria from the skin of a bacterial culture venipuncture site, __________ is sometimes used in addition to alcohol in the skin cleansing process

A

iodine

73
Q

The term that refers to right and wrong conduct is

A

ethics

74
Q

An unlawful threat or attempt to do bodily injury to another is _________

A

assault

75
Q

Law protects the health worker if it can be determined that he or she acted reasonably as compared with fellow workers; this is called _______

A

reasonable care

76
Q

Negligence by a professional person is called ____

A

malpractice

77
Q

The ability to see things from another person’s point of view is ___________

A

empathy

78
Q

A violation of a person’s right not to have his or her name, photograph, or private affairs made public without giving consent is ________

A

invasion of privacy

79
Q

Information given by a patient to medical personnel that cannot be disclosed without consent constitutes _______

A

privileged communication

80
Q

Failure to do something a reasonable person would do under ordinary circumstances, or doing something a reasonable person would not do under circumstances thereby causing harm to another person is called

A

negligence

81
Q

Permission granted by a person voluntarily (and in his right mind) is _______

A

consent

82
Q

A phlebotomist who attempts to draw blood without sufficient training could be accused of _________ if the procedure is performed incorrectly, causing harm to the patient.

A

incompetence

83
Q

Forcing venipuncture on a patient who has refused it would be considered ____

A

battery

84
Q

The branch of study of moral issues, questions, and problems arising in the practice of medicine and biomedical research is called

A

bioethics

85
Q

Conduct, courtesy, and manners, customary in the medical profession, is called _________

A

medical etiquette

86
Q

Each and every patient is entitled to _________ as a part of his/her patient rights

A

respect and complete care

87
Q

Some suggested methods for controlling on the job stress during phlebotomy might include ____

A

taking keep breaths if anxious

88
Q

An appropriate means of communicating with a patient who is profoundly hearing imparied might include ____

A

using written communication

89
Q

In performing phlebotomy on children, it is best to ______

A

talk softly and gently
enlist the help of parents
tell the truth if asked

90
Q

In approaching an elderly patient, it is appropriate to call the patient by name using__

A

Miss, Mrs., or Mr.

91
Q

A patient who is making a fist and frowning is exhibiting ______ body language.

A

uncooperative

92
Q

A rubber or plastic tube used to drain or inject fluid through a body opening is called ________

A

catheter

93
Q

A 24 hour urine specimen must be kept _____

A

refrigerated

94
Q

A chronic disease in which the pancreas fails to secrete enough insulin is called ______

A

diabetes mellitus

95
Q

The purpose of the bleeding time test is to assess ______

A

platelet plug formation in the capillaries

96
Q

Diurnal rhythms refer to variations in the body’s functions or fluids that occur during __________

A

every 24 hrs

97
Q

EMLA is an emulsion of lidocaine and prilocaine that can be used to ________

A

topically anesthetize a draw site

98
Q

Another name for red blood cell is

A

erythrocyte

99
Q

The artery located in the groin, lateral to the femur bone, which is used as an alternative site for arterial blood gas collections is the

A

femoral

100
Q

The federal law that was expanded in 2000 to protect the confidentiality of electronically stored health information is abbreviated as

A

HIPAA

101
Q

The study of all aspects of disease in the body is known as

A

pathology

102
Q

The phrase of laboratory testing that refers to test orders, test collection and test sample preparation are all parts of the _________phase

A

pre-analytical

103
Q

A patient in reverse isolation has been so placed because she/he __________

A

needs protection from others carrying infection

104
Q

Anticoagulant in lavender top tubes

A

EDTA

105
Q

anticoagulant in blue top tubes

A

NaCitrate

106
Q

ABG

A

arterial blood gases

107
Q

FUO

A

fever of unknown origin

108
Q

STD

A

sexually transmitted diseases

109
Q

H&H

A

hemoglobin and hematocrit

110
Q

CBC

A

complete blood count

111
Q

Tube used for electrolytes

A

red top or speckled tube

112
Q

QC

A

quality control

113
Q

CDC

A

center for disease control

114
Q

______are contaminated objects that can penetrate the skin including, but not limited to needles, scalples, broken glass, broken capillary tubes, and exposed ends of dental wires.

A

contaminated sharps

115
Q

Reasonable possibility of skin, eye, mucous membranes, or parenteral contact with blood or other potentially infectious materials that may result from the perfomance of an employee’s regular duties is termed _____

A

occupational exposure

116
Q 
All of the following are examples of "Personal Protective Equipment" except:
uniforms
gloves
aprons
masks
A

uniforms

117
Q

To use a physical-chemical procedure to destroy all microbial life including highly resistant bacterial endospores is to _______

A

sterilize

118
Q

________is the single most important source of HIV and HBV in the workplace.

A

blood

119
Q

OSHA requires that training and educational information on bloodborne pathogens be provided to hospital or clinical employees _________

A

at no cost to them

120
Q

All workers whose jobs involve participation in tasks or activities with exposure to blood or other body fluids, to which universal precautions apply, should be vaccinated with a __________ vaccine.

A

Hepatitis B

121
Q

After they are used, disposable syringes and needles, scalpel blades and other sharp items, should be placed in _______ containers for disposal

A

puncture-resistant

122
Q

Broken glassware that may be contaminated should be picked up by

A

mechanical means (broom/dustpan)

123
Q

Contaminated laundry should be __________ where it was soiled

A

bagged or containerized at the location

124
Q

A specific eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or other potentially infectious materials that results from the performance of an employees duties is called

A

exposure incident

125
Q

In the health care field when all evacuated services and the results compare with accepted standards, principles of ________ have been used

A

quality assurance

126
Q

The federal government requires that specimens are transported or shipped in

A

watertight containers

127
Q

The classification the physician’s office laboratory (POL) falls into will be determined by ________

A

complexity of laboratory tests performed

128
Q

Tests that basically pose insignificant risks to patients if errors occur in the test performance are caled

A

waived tests

129
Q

When you send blood tubes by mail for analysis in a watertight container, they should be enclosed in ________

A

second durable watertight container

130
Q

When you send specimens in the mail, the label should state __________

A

biohazardous materials
in case of breakage, send to CDC
address of lab

Phlebotomy (3 decks)

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