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State Exam Flashcards

(104 cards)

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1
Q

What would be the appropriate equipment to use for drawing from a patient with small, thin, fragile vein?

A

Butterfly with syringe

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2
Q

How much urine would an adult female patient need to produce for STD testing?

A

20/30 mls

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3
Q

If patient is being drawn for a PT/INR test, what medication are they on?

A

Warfarin

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4
Q

If patient comes in asking for results, what should you do?

A

Advise them to make an appt with their doctor

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5
Q

When instructing a patient to collect a stool sample, make sure that you instruct the patient..

A

Do not mix stool and urine

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6
Q

When drawing blood from a hemophiliac patient instruct them to..

A

hold pressure on the site for 2 minutes

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7
Q

How often does a centrifuge need to be calibrated?

A

Every 6 months

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8
Q

What test do you draw for without a tourniquet?

A

Lactic acid

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9
Q

If a patient faints during a blood draw, what is the vital sign that has to be checked before you let them leave?

A

Pulse

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10
Q

How long can plasma sit at room temp?

A

8 hours

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11
Q

How long do you rotate a NP swab in each nostril when collecting a covid screening test?

A

15 seconds

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12
Q

How do you collect a POC glucose test?

A

Strip and a drop of blood

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13
Q

If patient presents to the lab for a fasting glucose blood draw but indicates he or she is NOT fasting, what should the phlebotomist do?

A

Draw anyways and documents “non-fasting”

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14
Q

If you suspect child or elder abuse or neglect, what should you do?

A

Notify your supervisor

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15
Q

What steps is NO LONGER recommended for a patient who is passing out?

A

Ammonia inhalants

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16
Q

How long should a patient fast for a fasting blood sugar?

A

8 hours

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17
Q

What contains documentation of chemical safety and precautions?

A

SDS log

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18
Q

What equipment is needed for a urine C&S?

A

Sterile cup and alcohol wipe

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19
Q

What kind of checks need to be performed on POC equipment in a doctor’s office?

A

Quality Control Checks

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20
Q

What agency mandates a written exposure plan?

A

OSHA

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21
Q

What is the normal BP for an adult?

A

120/80

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22
Q

What is outside of the normal range for BP on an adult?

A

139/94 (high)

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23
Q

If a coworker comes back late from lunch and ask you to cover for him or her, what will you do?

A

Tell them you cannot cover for them

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24
Q

What test will you collect in an amber colored tube?

A

Bilirubin

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25
Abbreviation for FBS
Fast Blood Sugar
26
Abbreviation for QID
4 times daily
27
Abbreviation for PP
Post Prandial (after a meal)
28
Abbreviation for HS
Hours of Sleep
29
When drawing multiple tubes, when would the tourniquets be released?
As soon as blood flow is established
30
What department is responsible for sterile supplies?
Central supply
31
What is the most important part of blood culture collection?
Aseptic procedure (cleaning the site)
32
If you have an order to collect a protime specimen from a patient with IV’s in both arms, where would you draw?
The Hand
33
At what age and weight will you no longer perform a heel puncture?
Older than 12 months and more than 21 pounds
34
What can happen if you draw an EDTA tube before a serum tube?
Cross contamination resulting in high potassium levels, and false low calcium levels
35
What does the term Hematona mean?
Blood leaking from the vessel under the skin
36
What are the special handling requirements for a vitamin B12?
Protect from light
37
When perform a bleeding timed test, how high should the blood pressure cut be inflated to?
40 mm Hg
38
Sweating, looking pale, and complaining of blurred vision can be signs of what?
Vasovagal Syncope
39
Which coagulation tests can be performed at bedside using a point of care instrument?
PTT and INR
40
What tube is a CBC collected in?
Lavender
41
What tube is an Erythrocyte Sedimentation Rate drawn in?
Lavender
42
According to OSHA why do we activate the safety feature on a needle?
To prevent accidental needle sticks
43
What does FBS stand for?
Fasting blood sugar
44
What is the normal range for fasting glucose for an adult?
Anything under 100
45
What two analytes are included in an electrolyte panel?
Sodium and Potassium
46
If you could draw blood from a patient without his or her consent, what can the phlebotomist be charged with?
Battery
47
What is the substanace at the bottom of a serum separator tube?
Thixtropic gel
48
What color top will an aluminum be drawn in?
Royal Blue
49
How many tubes are needed for a 3 hour GTT?
4 tubes
50
When do you change out the sharp container?
3/4 full
51
What color tubes are used for a hemoglobin A1C, and a PT/PTT drawin in, and what is the correct order of draw?
1.Lt blue, 2. lavender
52
What is the special handling required for paternity testing?
Chain of custody
53
If asked to draw a red, lt. blue, blood cultures, and lavender. Which is last?
Lavender
54
What is the recommended disinfectant to clean up blood, or other bodily fluid contamination?
Sodium Hypochorite (bleach)
55
Informed consent is required for _____
Invasive surgery and Biopsy
56
Red top used for the following tests
Blood pregnancy and hepatic panel
57
Which vein is the first choice for a routine venipuncture?
Median cubital
58
Tiger top is used for a..
Thyroid panel
59
After the needle is withdrawn, what is the NEXT step?
Activate the safety
60
Is it okay to use 70% isopropyl alcohol for cleansing the site when drawing blood for ethanol testing?
No
61
What is the FIRST thing you will do in case of an accidental needle stick?
Wash the site for 30/60 seconds with soap and water
62
When drawing from a patient who has had a mastectomy where is the appropriate place to draw?
Opposite side in the hand
63
What is the best side for a dermal puncture on an adult?
Middle Finger
64
If the processing lab is backed up on resulting, what will you do with your samples?
Send them anyways
65
When drawing from an HIV patient, what extra precautions do you need to take?
None, always wear gloves
66
What would be a reason for a light blue top to be rejected for processing?
QNS (Quantity Not Sufficient)
67
What is the proper blood to additive ration for a light blue top tube?
9:1
68
When does a phlebotomist wash their hands?
Before and after the draw
69
What PPE is required when drawing and handling blood products?
Gloves
70
What is the additive in a dark green tube?
Sodium Heparin
71
How do you explain a phlebotomy procedure to a young child?
In simple terms
72
What uses heat, steam, and chemicals?
Sterilization
73
What can be caused by leaving the tourniquet on too long?
Hemoconcentration
74
What are the special handling requirements for an ammonia sample?
Place on ice
75
If a hematoma starts to form and the patient says it hurts, what should the phlebotomist do?
Stop the draw, apply pressure, reassess
76
What BBP can remain on surfaces up to 7 days if not properly disinfected?
HBV (hepatitis B)
77
If a Dr. orders a CMP, CBC, PT and blood cultures, what is the correct order of draw?
blood cultures, light blue, SST (gold) and lavender
78
Where is the proper place for the tourniquet to be placed during a vein puncture?
3-4 inches above the site
79
What is the appropriate equipment used for a hand draw?
23 gauge butterfly
80
What does warming the site do?
increases localized blood flow
81
Where does FDP (fibrin degradation products) go for processing?
Coagulation
82
What is the purpose of checking the arm band on an in-patient who has lab orders?
avoiding patient identification errrors
83
If a patient extends his or her arm, this is an example of what type of consent?
Implied consent
84
What is the #1 way to prevent cross contamination of microorganisms from one patient to another?
Handwashing (hand decontamination)
85
How long should a specimen draw in an SST tube be allowed to sit and clot before centrifugation?
30 to 60 minutes
86
According to the CLSI standards, what is the maximum time a specimen (plasma or serum) should be left at room temp before centrifugation?
2 hours
87
What is it that states that a patient has the right to refuse medical procedures and be informed in all consequences in doing so?
Patient bill of rights
88
If a patient is on blood thinners or an aspirin regimen, what should be used after the draw?
Coban wrap
89
Out of red, green, light blue, and lavender top tubes, which will produce serum?
Red
90
What agency is responsible for the health and safety of workers?
OSHA
91
Once the draw is complete, what is the next step?
Dispose of the needle into a puncture resistant container (sharp container)
92
Why is it important to ask for feedback when communication with a patient?
To make sure they understand what is being said
93
What type of isolation requires special handling and ventilation?
Airborne isolation
94
If a specimen is lipemic, what can this be an indication for?
Patient not fasting
95
What is used to collect DNA samples by swabbing the inside of the cheek?
Buccal swab
96
What is the purpose of patient ID numbers being on the tube labels?
Avoiding confusing patients with the same first and last name
97
What carries blood away from the heart?
Arteries
98
What does a sputum test for?
Tuberculosis
99
At what position angle do you use a semi-fowler?
30-45 degrees
100
Aseptic sterile techniques be used in?
Blood culture
101
What is a semi-fowler used for?
Lung expansion
102
A patient taking blood thinner should use what after a blood is drawn?
Coban
103
What is the correct labeling for specimen?
Patient last, first name, patient’s ID number, time and date of collection, PB initials
104
The ability of the body to repair and maintain itself to achieve a “steady state” defines what term?
Homeostasis

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