Quiz 6 - Ch 9 & 11

Question 1

What is the correct identification procedure when an unidentified person is brought to ER

Answer 1

You must wait until the identity of the patient has been confirmed before collecting the blood

Question 2

A phlebotomists who encounters a comatose patient with no ID band should

Answer 2

Ask the nurse to band the patient

Question 3

What should a phlebotomist do when a patient is sleeping

Answer 3

Gently wake the patients and allow him or her to become oriented

Question 4

When must a phlebotomist document the name of the person who has verified a patients identity

Answer 4

When the patient is cognitively impaired

Question 5

Increased Hgb levels

Answer 5

Tobacco

Question 6

Decreased glucose

Answer 6

Prolonged fasting

Question 7

Increased WBC

Answer 7

Erect posture

Question 8

Increased skeletal enzymes

Answer 8

Long term exercise

Question 9

Increased cholesterol level

Answer 9

Stress

Question 10

A patient who appears pale and has a cold, damp skin may develope

Answer 10

Syncope (fainting)

Question 11

When a patient refuses to have his or her blood drawn the phlebotomist should

Answer 11

Document the patients decision and notify the nursing personnel

Question 12

When a patient developed a seizure, the phlebotomist should

Answer 12

Document the time the seizure started and ended

Question 13

Hemoconcentration can be caused by

Answer 13

Tourniquet applied for longer than 1 minute

Question 14

Which of the following methods can be used to locate veins that are not prominent

Answer 14

Tapping the patients arm

Question 15

Physician approval is required when collecting blood from

Answer 15

A patients foot and leg veins

Question 16

Which of the following areas should be used for venipunctures

Answer 16

Deep cephalic

Question 17

What complication can occur when you draw blood from an arm located on the same side of the body as a patients mastectomy

Answer 17

Lymphedema

Question 18

When encountering a patient with an AV fistula, the phlebotomist should

Answer 18

Use the other arm

Question 19

Which of the following is acceptable when collecting blood using a winged blood collection set

Answer 19

Collecting blood into a syringe

Question 20

If the plunger of a syringe is pulled back too quickly

Answer 20

The specimens may be hemolyzed

Question 21

What can cause blood to flow slowly into the tube while leaking into the tissue causing a hematoma

Answer 21

Needle insertion angle is too shallow

Question 22

Which of the following techniques is acceptable when blood is not obtained after needle insertion

Answer 22

Gently pulling the needle back and redirecting the needle in a forward motion

Question 23

A patient verbalizes a shooting burning and tingling pain when the needle is inserted. This could be caused b y

Answer 23

Nicked nerve

Question 24

What should you do first when a patient develops syncope

Answer 24

Firmly anchoring the vein during the needle inerstion

Question 25

What error in technique can hemolyses a blood specimen.

Answer 25

Using needle with too small of a diameter

Question 26

Which of the following is most critically affected in a hemolyzed specimen

Answer 26

Potassium

Question 27

A puncture site may require additional pressure to stop bleeding when the patient

Answer 27

Frequently takes aspirin

Question 28

Which of these would cause a laboratory to reject a specimen

Answer 28

Clots in a lavender stopper tube

Question 29

Dermal punctures are often performed on

Answer 29

Patients receiving chemotherapy, geriatric patients, and diabetic patients

Question 30

Drawing excess amounts of blood from premature infant can cause

Answer 30

Latrogentic anemia

Question 31

Which of the following tests must be collected by capillary blood

Answer 31

Newborn screening tests

Question 32

The concentration of the analyte is higher in blood collection by dermal puncture than by venipuncture

Answer 32

Glucose

Question 33

When a dermal puncture device is selected the most critical consideration is the

Answer 33

Depth of the incision

Question 34

The equipment required for a dermal puncture excludes

Answer 34

A tourniquet

Question 35

On newborns dermal punctures are performed on the

Answer 35

Medial or lateral plantar areas of the heel

Question 36

The maximum length of a puncture device used on the heel is

Answer 36

2mm

Question 37

Selection of an improper heel puncture site can result in

Answer 37

Puncture of the calcaneus

Question 38

Failure to puncture across the fingerprint will cause

Answer 38

Blood to run down the finger

Question 39

Why should a dermal puncture collection site be warmed

Answer 39

To increase blood flow

Question 40

Wiping away the first drop of blood

Answer 40

Prevents specimen contamination

Question 41

Failure to allow alcohol to dry on the puncture site may cause

Answer 41

Inability to form a round drop, specimen contamination, and RBC hemolysis

Question 42

The order of draw for bilirubin, blood smear, and CBC by dermal puncture is

Answer 42

Blood smear, CBC, and bilirubin

Question 43

The blood specimen for this test must be protected from light

Answer 43

Bilirubin

Question 44

Why do phlebotomists perform their routine blood collections early in the morning

Answer 44

Patients are in a basal state

Question 45

What should you do first when a patient developed syncope

Answer 45

Remove the tourniquet and needle