Study Guide

Question 1

A test is ordered fasting to

Answer 1

Eliminate the effects of diet on test results

Question 2

Going without food or drink except for water for 8-12 hours is defined as

Answer 2

Fasting

Question 3

A basic step that can be taken to minimize any trauma associated with venipuncture is to

Answer 3

Choose the most skilled Phlebotomist to perform the venipuncture

Question 4

To examine by touch or feel is to

Answer 4

Palpate

Question 5

In most cases, needle insertion should be performed

Answer 5

Using a smooth steady motion forward

Question 6

The reason a teat is ordered times is to

Answer 6

Draw it at the best time for accurate results.

Question 7

Bending the arm up after venipuncture

Answer 7

Enables the site to quickly stop bleeding

Question 8

The unique # assigned to a request is the

Answer 8

Accession #

Question 9

Information represented by the bar code (patient ID) includes the patient’s

Answer 9

Medical records # & name

Question 10

If a test is ordered STAT it may mean that the patient is in

Answer 10

Critical condition

Question 11

Which of the following tests is commonly ordered STAT

Answer 11

Lytes

Question 12

A pre-op patient

Answer 12

Will soon be going to surgery

Question 13

A patient who is NPO

Answer 13

Cannot have any food or drink

Question 14

An example for a test commonly ordered timed is

Answer 14

Glucose

Question 15

Which liquid is acceptable to drink when one is fasting

Answer 15

Water

Question 16

A common post-op test is

Answer 16

H&H

Question 17

DNR means

Answer 17

Do not resuscitate

Question 18

A patient says it’s not okay to draw their blood, you should

Answer 18

Determine what the problem is before proceeding

Question 19

Which one of the tests is used to identify protein disorders that leads to nerve damage?

Answer 19

SPEP

Question 20

Your patient is asleep, you should

Answer 20

Call out the patient’s name softly and shake the bed gently

Question 21

There is a sign above the patient’s bed that says no blood draw in right arm but has an IV in left forearm. Where should you draw for a CBC?

Answer 21

A finger stick in the left hand

Question 22

Lab results can be negatively affected if the phlebotomist while preparing to collect

Answer 22

Startles the person in their sleep

Question 23

In collecting a blood specimen from an unconscious patient it us unnecessary to

Answer 23

Move the patient to a special Phlembotomy collection area

Question 24

What do you do if a physician is in the room with a patient that has a test ordered STAT?

Answer 24

Introduce yourself and ask if you can draw the test STAT

Question 25

What us the best thing to do if the family or visitors are in the room?

Answer 25

Ask them to wait outside

Question 26

How do you verify that the person in 32B is John Doe

Answer 26

Ask for his name & DOB and match the lab requisition

Question 27

Your patient is cranky and rude to you, what do you do?

Answer 27

Be as professional as you can and collect the specimen in a normal way

Question 28

What is the most critical mistake a phlebotomist can make?

Answer 28

Misidentify the patient's specimen

Question 29

Where is the best place yo apply the tourniquet?

Answer 29

3-4" above the venipuncture site

Question 30

A national organization that sets standards for phlebotomy procedures

Answer 30

CLSI

Question 31

Which of the following veins are in the proper order of vein selection for venipuncture?

Answer 31

Median cubicle, cephalic, basilic

Question 32

The difference between serum and plasma is

Answer 32

Plasma contains fibrinogen

Question 33

Which needle gauge has the smallest diameter

Answer 33

23

Question 34

Which tube contains EDTA

Answer 34

Lavender stopper

Question 35

If you centrifuge a specimen collected in a __ tube, the clear liquid portion is called serum

Answer 35

red stopper

Question 36

Which of the following tubes are in the proper order of draw for the evacuated tube method?

Answer 36

Light blue, red, green

Question 37

Which needle gauge is the standard needle for the evacuated tub method?

Answer 37

21 guage

Question 38

what special handling does a bilirubin specimen require?

Answer 38

Protect from light

Question 39

The BEST way to avoid reflux

Answer 39

Ensure the tube fills from the bottom up

Question 40

For which of the following tubes is the blood-to-anticoagulant ratio most critical?

Answer 40

Lavender stopper

Question 41

The recommended angle of needle insertion for routine venipuncture is

Answer 41

30 degrees or less

Question 42

The tourniquet must not be longer than

Answer 42

1 minute

Question 43

Which test may be elevated if collected from a screaming baby?

Answer 43

White blood count

Question 44

Capillary puncture blood more closely resembles

Answer 44

Arterial blood than venous blood

Question 45

The maximum allowable depth a lancer should penetrate during heel puncture is

Answer 45

2.0 mm

Question 46

When performing a GTT, the fasting specimen is collected at 0610. The patient is given the glucose beverage at 0613 and finishes at 0618. When is the 1-hour specimen collected?

Answer 46

0718

Question 47

Which of the following is an unsafe site for heel puncture?

Answer 47

Posterior curvature of the heel

Question 48

Damage to the red blood cells and release of hemoglobin into the serum or plasma is called

Answer 48

Hemolysys

Question 49

The silica in an SST

Answer 49

Activates and enhances clotting

Question 50

Which test is most affected by tissue fluid contamination

Answer 50

Protime

Question 51

What is the advantage of collecting STAT chemistries in green stopper tubes?

Answer 51

The test can be performed sooner

Question 52

Which anticoagulant inhibits formation

Answer 52

Heparin

Question 53

Which of the following tests is commonly ordered on patients with FUO?

Answer 53

Blood cultures

Question 54

The substance typically used to clean a site prior to routine venipuncture is

Answer 54

70% isopropyl alcohol