Study Guide

Question 1

Explain the area in which to draw a PKU test on an infant.

Answer 1

dermal puncture, medial and lateral portions fo plantar surface.
can also be done via urine.

Question 2

what is the additive in a light blue top tube?

Answer 2

sodium citrate

Question 3

define neonate

Answer 3

human child from birth to 1st month

Question 4

which way should the bevel be facing when entering in the arm?

Answer 4

up

Question 5

what tube contains a preservative and an anticoagulant?

Answer 5

gray

Question 6

who usually will draw an arterial blood gas?

Answer 6

respiratory therapist, nurse or physician

Question 7

what are the four things an arterial blood gas looks for?

Answer 7

pH, carbon dioxide, oxygen, bicarb

Question 8

which tubes contain anticoagulants? (6)

Answer 8

Lavender, green, pink, royal blue with LB strip, light blue, grey

Question 9

what is the anticoagulant in a lavender top tube?

Answer 9

EDTA

Question 10

what is the anticoagulant in a green top tube?

Answer 10

heparin

Question 11

what is the anticoagulant in a pink top tube?

Answer 11

K-EDTA

Question 12

what is the anticoagulant in a royal blue with LB strip top tube?

Answer 12

EDTA

Question 13

what is the anticoagulant in a light blue top tube?

Answer 13

sodium citrate

Question 14

what is the anticoagulant in a grey top tube?

Answer 14

potassium oxolate

Question 15

what is implied consent?

Answer 15

when a patients actions gives permission, like sticking out the arm

Question 16

what two gloves may be used if latex gloves cause skin allergies for your patient?

Answer 16

vinyl or nitrile

Question 17

another name for a winged infusion set

Answer 17

butterfly

Question 18

what is creatine clearance? How must it be stored?

Answer 18

24 hour blood/urine test.

must be refrigerated

Question 19

is cavicide used to cleanse an area on a patient for venipuncture?

Answer 19

no. it is a ready to use intermediate level surface disinfectant.

Question 20

If you got an accidental needle-stick on your finger with a used butterfly needle, what is your next course of action?

Answer 20

wash hands for 10-15 min
report to supervisor
refer to MSDS
fill out report

Question 21

what is protective isolation?

Answer 21

protecting vulnerable persons, separating infected from the not infected

Question 22

What tube would you draw an APTT in?

Answer 22

light blue

Question 23

What is the proper way to identify a patient?

Answer 23

name/DOB or wrist band

Question 24

What is LIS?

Answer 24

laboratory information system, used to order tests, print labels for specimens and enter the results.

Question 25

under the patients bill of rights, can a patient decline medical treatment?

Answer 25

yes

Question 26

What is the correct way to end a veinipuncture?

Answer 26

remove tourniquet, remove tube, gauze over site, remove needles, activate.

Question 27

if a person is having a syncope episode what is the most important thing the phlebotomist needs to do?

Answer 27

remove the needle

Question 28

raised blotches on the skin after tourniquet placement may be as gin of what? What do you do?

Answer 28

allergic reaction to latex | remove tourniquet, report to supervisor

Question 29

a group of tests ordered as one is often described as what? Give an example.

Answer 29

panel or profile | CMP

Question 30

What kind of tube does a CMP require?

Answer 30

tiger top

Question 31

name the three levels of the heart

Answer 31

endocardium - inner myocardium - middle epicardium - outer

Question 32

which part of the heart is the inner layer lining? epicardium endocardium myocardium

Answer 32

endocardium

Question 33

which part of the heart is the muscular middle layer? epicardium endocardium myocardium

Answer 33

myocardium

Question 34

which part of the heart is the fibrous outer layer? epicardium endocardium myocardium

Answer 34

epicardium

Question 35

If a patient declines medial treatment what is the first thing you should do?

Answer 35

tell superviser

Question 36

If a patient asks you what tests their physician has ordered do you have to tell them.

Answer 36

yes

Question 37

What is the easiest and most effective way to break the chain of transmission?

Answer 37

wash hands

Question 38

true or false: eating in the lab is not an OSHA violation.

Answer 38

FALSE

Question 39

What is the most common cause for blood culture contamination?

Answer 39

improper site preparation | use cloroprep

Question 40

What would be the correct order of draw for: a blood culture, APTT, CBC, ESR, LYTES and CMP

Answer 40

``` Blood culture APTT - LB CMP - tiger LYTES - mint ESR - lav CBC - lav ```

Question 41

what are the four types of OSHA compliance (inspections)?

Answer 41

1. complaint inspection 2. fatality/ accident 3. programmed inspection 4. imminent danger inspection

Question 42

semen must reach the lab in what time frame and at what temperature?

Answer 42

1 hour close to body temp no extreme light

Question 43

If you draw a sample for a culture and sensitivity, what section of the lab would receive said sample?

Answer 43

microbiology

Question 44

CBCs should never be _____

Answer 44

centrifuged

Question 45

list the 5 white blood cells (leukocytes)

Answer 45

``` Neutrophils Lymphocytes Monocytes Eosinophils Basophils ``` Never Let Monkeys Eat Bananas

Question 46

what does an icteric specimen look like?

Answer 46

green/brown, jaundice.

Question 47

What does OSHA stand for and what do they do?

Answer 47

Occupational Safety and Health Administration | to ensure safety of work and healthful work environment.

Question 48

What does CLSI stand for and what do they do?

Answer 48

clinical and laboratory standards Institute | standards development, use of voluntary laboratory consensus standards

Question 49

What is an H pylori test? What substance is required and what does the patient do with the substance?

Answer 49

breath test | swallow urea substance