Pre-Analytical Phase Testing

Question 1

ideal in establishing reference range; most stable and optimal time of collecting blood from the px

Answer 1

Basal State - after 12 hrs of fasting/exercise

Question 2

impaired circulation and therefore yield erroneous test results

Answer 2

Burns, Scars, Tattoo

Question 3

puncturing damaged veins may produce inaccurate results
*sclerosed
*thrombin

Answer 3

Damaged Veins
hardened
clotted

Question 3

caused by accumulation of fluid in tissue; fluid from IV infiltrates tissues

Answer 3

Edema

Question 4

mass of blood leaking from blood vessel following venipuncture

Answer 4

Hematoma

Question 5

surgical breast removal

Answer 5

Masectomy

Question 6

obstruction of normal lymph flow

Answer 6

Lymphostasis

Question 7

impaired lymph flow makes arm susceptible to swelling

Answer 7

Lymphedema

Question 8

most commonly placed in radial artery to provide accurate measurement of patient’s blood pressure

Answer 8

Arterial line

Question 9

permanent surgical connection of an artery and vein; used for dialysis

Answer 9

Arteriovenous Shunt/Fistula/Graft

Question 10

used to avoid the use of needle-sticks, prevent infections; collect blood from arterial/central venous catheter

Answer 10

Blood-sampling device

Question 11

IV catheter to provide access for administering medication or drawing blood

Answer 11

Heparin/Saline Lock

Question 12

inserted in vein to administer fluids; how to collect blood in an IV line?

Answer 12

Intravenous Sites
Collect blood below IV line; Stop IV line for 2 mins

Question 13

indwelling lines; tubings inserted to the vein/artery used for blood collection, medication

Answer 13

Central Vascular Access Devices (CVADs)

Question 14

known as “central lines”, inserted into large vein into superior vena cava

Answer 14

Central Venous Catheter lines

Question 15

surgically implanted disk-shaped chamber; placed on upper chest below collarbone

Answer 15

Implanted Port

Question 16

flexible tube inserted into veins of extremities

Answer 16

Peripherally Inserted Central Catheter (PICC)

Question 17

condition appearance of small red spots due to prolonged tourniquet

Answer 17

Petechiae

Question 18

results from blood loss due to blood draw

Answer 18

Iatrogenic Anemia

Question 19

when blood is filling up the tube rapidly; formation of hematoma

Answer 19

Inadvertent arterial puncture

Question 20

If failed venipuncture on first attempt, what to do?

Answer 20

opposite site, use butterfly/syringe on second attempt
*if unsuccessful, ask another phlebotomists

Question 21

increase number formed elements in RBC results from decrease in plasma volume caused by tourniquet

Answer 21

Hemoconcentration

Question 22

consciousness due to lack of oxygen in the brain

Answer 22

Syncope (fainting)

Question 23

abnormal vascular condition which thrombus develop within vessel of body

Answer 23

Thrombosis

Question 24

inflammation of vein accompanied by clot result of trauma to vessel wall

Answer 24

Thrombophlebitis

Question 25

rupture of RBC resulting release of hemoglobin circulation

Answer 25

Hemolysis

Question 26

angle for venipuncture

Answer 26

15-30° intravenous (25°)

Question 27

Afferent TAT Pretest phase Test phase Efferent TAT

Answer 27

*Specimen Collection, Receipt at Lab, Testing *Specimen Collection, Receipt at Lab *Receipt at Lab, Testing *Testing, Result received by clinic, Result received by patient

Question 28

routine blood collection must reach within delivery time limits

Answer 28

45 MINS

Question 29

apparatus used to separate cells, plasma/serum of blood specimens

Answer 29

Centrifuge

Question 30

depressed hematocrit elevated hematocrit

Answer 30

Anemia Polycythemia

Question 31

Layers of Spun Hematocrit

Answer 31

Fatty layers Plasma - proteins Buffy coat - wbc, platelets Hematocrit - rbc

Question 32

portion of sample taken for chemical analysis; prepared for multiple test on single specimen *specimens with different anticoagulants should not be put in the same aliquot tube.

Answer 32

Aliquot specimen

Question 33

act requires protective equipment worn when processing equipment

Answer 33

OSHA ACT RA 11058

Question 34

presence of excessive amounts of lipid particles in the blood

Answer 34

Lipemic

Question 35

there is a high level of bilirubin in the blood

Answer 35

Icteric/Jaundice