Phlebotomy exam
Which of the following is a blood cell?
Lymphocyte
The most commonly used vein is the:
Median cubital
The Brain is part of the ___________system
Nervous
What is the inflammation if the lining of a vein, accompanied by clotting of blood in the vein?
Phlebitis
What kind of nurse is one who graduated from an accredited nursing program (typically with a bachelor's degree), passed a state exam for licensure, and is registered and licensed to practice by state authority?
RN
There is a considerably less risk of creating a hematoma if ABGS are drawn from the artery.
Radial
How many valves does the heart have?
4.
Alcohol pads or alcohol wipes should contain what perceht if isopropyl alcohol solution?
70%
The point of the needle that has been cut on a slant for ease of entry is called, what?
Bevel
Chronic liver infection
Cirrhosis
Which one of these items should not be found on a blood collection tray?
Coffee/donuts
Chloride is an
Electrolyte
T or F: All blood that runs though veins and arteries is blue before it hits oxygen
False
T or F: Anticoagulants have absolutely no effect of morphologica changes in the blood cells.
False
T/F: A utility tray is considered a "tool of the trade" when t comes to phlebotomy.
False
T/F: Glass slides are NOT commonly found in a phlebotomy drawing tray.
False
The Colon is part of the __________system.
Gastrointestinal
After having blood drawn, a patient feels faint. Which of the following actions is not appropriate?
Get a glass of water.
What is a hereditary blood disease marked by greatly prdlonged blood coagulation time wtn the failure of clotting?
Hemophilia
Malignant enlargement of lymph nodes, spleen, lymphoid tissue
Hodgkin's disease
When a specimen is said to be hemplysed, it is because
Red cells burst causing hemoglobin to be released into the serum
The Bronchus is part of the _____________system.
Respiratory
When selecting veins for venipuncture, try to avoid veins that are hard or cordlike because the/ may be, what?
Sclerosed
Which of the following body fluids does not contain fibrinogen
Serum
Describe the contents of the light blue top tube
Sodium citrate
Process of killing all micro-organisms
Sterilization
What is the order of blood flow from the heart down?
Subclavian, Axillary, Basilic, Brachial, Palmar Digitalis
What branch of medicine deals with manual and operative procedures for the correction of deformities and defects, repair of injuries, and diagnosis and treatment and cure of certain diseases?
Surgery
Patients are placed in isolation
To isolate the disease process in the patient's room, to protect the patient from outside pathogens, to prevent the spread of disease. All of the above.
Laboratory tests are ordered to determine the existence and monitor the progress of a diseasa
True
The lower chambers of the heart are called:
Ventricles
Valves are present in:
Ventricles
Gentamicin is an
a. Antibiotic
What coagulant is in a purple top tube
a. EDTA
Insulin is a
a. Hormone
Hemoglobin is a
a. carrier molecule
Anemia is a
a. decreased red cell count
The infant's leg should be held securely with the phlebotomist's hand and arm, while the hand uses a pediatric lancet to perform a capillary heel stick.
a. nondominant b. dominant
What coagulant is in a red top tube
a. none of the above
What tube contains EDTA as an additive?
a. royal blue b. pink c. lavender
What are the upper two chambers of the heart?
atria
What is also called the mitral valve and is an atrioventricular valve of the left side of the heart
bicuspid valve
The most commonly performed test requiring protection from light is a _________test.
bilirubin
Which of the following tests are performed first?
blood smear slide
When lead determinations are being made, what color top evacuated tube is drawn?
brown
Microcollection containers are often referred to as because of their size and shape.
bullets
Arterial punctures can be performed in various sites, such as?
dorsalis pedis
Patients must not be permitted to do what, during a blood draw?
eat
T/F: 0.5cc is a common syringe size in the lab.
false
T/F: 18-gauge IV catheter needles are commonly used during an outpatient procedure.
false
T/F: the CNA assists with specimen collecting and processing
false
T/F: using too small of a needle can cause a hematoma
false
What protects the phlebotomist from aerosol exposure?
goggles
Which evacuated tube has the special requirement of inversion for proper mixing?
green-gray
Which department is concerned with women's health issues?
gynecology
Nitrile gloves are
hard to tear
The chance of a is increased in an arterial puncture.
hematoma
What occurs when an improperly placed needle results inblood escaping from a vein?
hematoma
What is the medical abbreviation for hemoglobin?
hgb
What causes a blood specimen to be rejected by the laboratory?
improper labeling of tubes
When palpating the vein, use the tip of the finger.
index
Sclerosed or __________veins are often the result of inflammation and disease, or they occur in patients who have repeated punctures to veins.
occuluded
Who helps people with physical or mental disabilities usirg the activities of everyday living to achieve maximum functioning?
occupational therapists
what is the study of the nature and cause of disease thrdugh clinial laboratory tests results?
pathology
When using the method of drawing, the phlebotomist can control the amount of pressure placed on the vein.
syringe
What establishes the basic meaning of a medical term?
word roots
A patient's blood may be drawn, on average, times a day.
а. 3
" an artery is accidentally punctured, the phlebotomist should apply pressure for minimum of how many minutes?
а. 5
A phlebotomist is ok the pediatric floor draeing the morning blood work. A bursr requested an extra blood test that requires additional blood to be drawn on the patient, becayse the patient has just returned from surgery. What should be the reply?
"Since I am drawing this patien's blood anyway, give me an add-request form" (follow hospital protocol)
Before doing a venipuncture, the Phlebotomist should tell the patient:
"This will be slightly painful"
A phlebotomist enters johnny's room and a parent is with the patient. The parent asks, "why do you have to draw more blood from my child?" The phlebotomist should reply,
"Your doctor needs to see how Johnny is doing today."
The medical suffix that means dilation is, what?
-ectasis
When performing an ABG, a local anesthetic solution of percent lidocaine is used to numb the site.
0.5-1
ABGS are typically collected in milliliter syringes depending on the amount of blood required.
1 to 5
A lithium heparin solution of units/milliliter is used to prevent the specimen needed for an ABG from clotting.
1,000
The most common multisample needle length used is what?
1- 1.5 inches
A tourniquet may stay on the patient for how many minutes?
1-2 minutes
The phlebotomist may use up to a inch blood collection needle when using the Saf-T Clik needle adaptor.
1.5
A butterfly infusion set contains a needle that is inches long and is made of stainless stee
1/2 - 3/4
Removal of over percent of an infant's blood can cause cardiac arrest.
10
The most common size syringe used for a routine venipurcture is a cc syringe
10
when you are using a butterfly infusion set the needle should be inserted into the vein at what degree angle?
10 to 15 degree
When warming an area for a capillary blood collection, a warm moist towel must be no hotter than degrees Fahrenheit.
108
Outpatients should remain sitting for minutes before attempting a venipuncture for certa n procedures.
15
When you are using the evacuated tube system, the needle should be inserted into the site at what degree angle?
15 - 30
The Penrose drain tubing, used as a tourniquet, is typically- inches in length and 1/2 to 1 inch wide.
18 to 20
The blood smear is performed immediately after wiping away the drop of blood capillary puncture.
1st
On a butterfly infusion set draw, the tourniquet may be left in place until the draw is complete, long as the draw is accomplished within a ________minute wndow.
2
The phlebotomist, if there are no other options, may draw blood at least_________ inches below ar IV site once permission has been given by the patient's physician.
2
Evacuated tubes are made of either glass or plastic and are available in a range of sizes of millimeters.
2- 15
NCCLS guidelines state that an infant's heel puncture should not exceed mm in depth.
2.4
Specimens must be allowed to clot at room temperature for a minimum of _________minutes before centrifuging.
20
Which multidraw needle is required equipment for an evacuated tube system venipuncture?
20 gauge
If the patient experiences a hematoma, the phlebotomist should apply an ice pack for minutes on, minutes off when returning home.
20, 20
The most common gauge multisample need used by a phebotomist is, what?
20-21
The most commonly used needle is a gauge, inch for radial and brachial punctures.
22, 1
Any needle smaller than a _________gauge causes the red blood cells to lyse.
23
gauge butterfly infusion set with a 2- to 3-millimeter evacuated tube provides the best results for blood specimen collection from an infant.
23
What is the typical gauge and length of the needle of a butterfly infusion set?
23 gauge, 5/8 inch
Wrap the tourniquet around the patient's arm approximately inches above the venipuncture site.
3-4
Direct pressure to the venipuncture site should be applied for minutes.
3-5
After the spreader slide has been backed into the drop of blood, it should be lowered to a ________degree angle in order to quickly push the slide along the length of the stationary glass slide.
30
Patients that are on anticoagulant therapy or have bleedihg disorders must be monitored closely for a minimum of minutes after a blood draw.
30
The average adult has how many RBCS per cubic millimeter of blood?
4.5 to 5.0 million
After a venipuncture is performed, the bleeding should stop within minutes or the physician must be notified.
5
Immediately after a blood draw, additive tubes must be gently inverted_________ times.
5 - 8
Using a ______milliliter tube with a _________gauge needle may cause hemolysis during a butterfly infusion set draw.
5-, 23-
A patient should remove a bandage how long after a venipuncture?
5-10 minutes
Hypodermic needles for an ABG are inches in length.
5/8 to 1.5
What fingertip is the only one that should not be used for a capillary puncture?
5th - thumb
Instruct patients to not lift or carry anything heavy with the arm the venipuncture occurred on or approximately minutes.
60
7. In the prevention of erthroblastosis fetalis, a special injection of immune globulin, RHO-gam, can be given to an RH- mother how soon after delivery?
72 hours
Plasma makes up about 55% of the total blood volume ahd is approximately what percent water?
92%
An individual belonging to what blood group can accept blood from all blood types?
AB
What is the medical abbreviation for arterial blood gases?
ABGS
Who is a registered nurse with a minimum of a masters degree in nursing who provides patient services?
APRN
Specimens that require centrifuging are spun down, and then the serum or plasma is pipetted off and transfered into a(n) _______tube.
Aliquot
Who administers anesthia to provide partial or complete loss of sensation prior to surgical procedures?
Anesthesiologist
Irregularity in size of red blood cells
Anisocytosis
Veins:
Are flexible and carry increased carbon dioxide levels and waste.
The upper chambers of the heart are called
Atria
What type of blood accounts for 12% of the U.S. population?
B
Which enzyme is not measure as an index of liver function?
CPK-creainine Phosphokinase
The Atrium is part of the _______________system.
Cardiovascular
The phlebotomistis in a patient's room who normally gets a daily CBC. Today this patient has a chemistry test ordered with no CBC. The phlebotomist should:
Check with the patient's nurse of physician.
Blood is transported through the body by the:
Circulatory system
The outer membrane of human red blood cells may also contain what kind of antigen? AKA Rh factor
D antigen
What anticoagulant tube should be used when drawing a Hematocrit?
EDTA - ethylene Diaminetracetic Acid
The innermost wail of a vein is the
Endothelium
If you fail to release the tourniquet, before you withdraw the needle from the vein, the patient may develop a:
Hematoma
The glucose tolerance test is a measure of which hormone?
Insulin
All of the following are types of isolation, except:
Intravascular
Blood collected in an anticoagulant tube must be thoroughly:
Inverted
Which of the following is not a layer of cross section of the vein?
Myocardium
The guidelines state which areas may be punctured and how deep the puncture may be on an infant heel stick.
NCCLS
Who has determined the criteria for meeting the qualificațions required for those who are to perform ABGS?
NCCLS
Which blood type is considered the universal donor?
O
Medical supply manufacturers have produced some innovative new products to accommodate the new regulations.
OSHA
requires wearing protective apparel during the processing of a specimen.
OSHA
Puncturing the calcaneous bone of an infant may not only be painful, but can cause what?
Osteomyelitis
What is a catheter inserted into the peripheral venous system and then threaded into the centıal venous system?
PICC
Face gear is an example of, what?
PPE
What is an OSHA-required item, such as the gloves that a phlebotomist is required to wear when in contact with body fluids?
PPE
Blood leaves the heart to go to the lungs by the
Pulmonary artery
The left side of the heart:
Receives oxygenated blood from lungs
The heart is divided in half by:
The septum
Communicable diseases spread quickly from one person tb another.
True
Direct pressure should be applied to the site of venipuncture to prevent hematoma formation.
True
Everything you touch has germs on it
True
If you have a choice, take soap from dispenser rather thar using bar soap
True
T or F: An anticoagulant works by preventing the blood from clotting through the removing of or in the activating of one of the essential factors in coagulation
True
T or F: As a vital member of the clinical laboratory team, the Phlebotomist provides the link between :he patient and other health professionals.
True
T or F: In an in-patient setting, all patients should have on a patient identification bracelet.
True
T or F: The term "universal precautions" refer to an infection control method in which all human blood and other potentially infectious material is treated as if they were known to be infectious.
True
T or F: Used needles should never be resheathed or recapped.
True
T or F: Vacutainers are test tubes, sealed under vacuum by a pliable stopper; they may be punctured by the back end of a special needle held by its own adapter
True
T or F: When several quantitative blood examinations are to be carried out, it is best to collect severa milliliters of blood from a vein.
True
T/F : using a needle with too small a bore, using too large of an evacuated tube with a butterfly and forcing blood from a syringe into a tube all cause hemolysis?
True
Various color coded isolation cards are hung on doors to identify certain types of patient isolations.
True
When a patient has a communicable disease, isolation techniques should be used
True
You should wash your hands before and after contact with patient.
True
Blood smears that are improperly prepared will have a(n) distribution of cells, which will zive inaccurate test results.
Uneven
When you insert a needle into a vein, which way should the bevel be placed?
Up
A Creatinine clearance is done to index the functioning of what physiological system?
Urinary
The Urethra is part of the __________system.
Urinary
"Hitting" a during a venipuncture can cause permanent damage.
a nerve
If the patient has had seizure, he or she should stay in the area for at least and should te instructed not to operate a vehicle for at least
a. 15 minutes b. 30 minutes
Because of the danger of aspiration and suffocation, a bandage should not be used on a patie it who is less than year(s) old.
a. 2
If drawing blood from a venipuncture site with an IV has the nurse to turn the IV off for a minimum of _________minutes prior to the draw.
a. 2
It is recommended that pediatric-sized milliliter evacuated tubes be used with pediatric sized tube adapters.
a. 2
The phlebotomist must wash his or her hands thoroughly for a minimum of minutes be invasive procedures.
a. 3
A patient must be in a "steady state" for a minimum ofminutes before collection of ABGS.
a. 30
Blood cultures are often ordered in sets that may be performed at the same time from two different sites or can be collected apart.
a. 30 minutes
During the centrifuge process, specimens are spun down for minutes.
a. 5
A timed specimen is:
a. A specimen that has peak and trough before and after a drug is given and single blood specimen ordered to be drawn at a specific time.
Which of the following is practical to used when selecting a vein?
a. An elastic or flexible vein.
Arteries:
a. Are hard in texture and pump oxygenated blood
What skills are required of a phlebotomist?
a. CPR and AED certification b. ability to obtain blood samples C. ECG
A hematoma may be caused by
a. Failure to have the needle completely in the vein, failure to release the tourniquette betore withdrawing the needle, jerkng the needle from the vein, and failure to apply pressure to the wound after removal of the needle. All of the above.
What are the essential factors for capillary punctures:
a. Free flow of blood, gentle squeezing, large drops.
Blood smears for RBC morphology are most accurate when prepared from:
a. Fresh blood b. Capillary blood is usually obtained from: c. finger and heel
The right side of the heart:
a. Pumps deoxygenated blood to lungs
T or F: A patient has the right to refuse a laboratory procedure.
a. True
When using vacutainers, what provides the suction that pulls the blood into the tube?
a. Vacuum
Therapeutic drug monitoring is done at timed intervals after administration of the drug to determine:
a. absorption rate of the drug, b. drug distribution of the drug, and excretion of the drug.
VADS are inserted for what reasons?
a. administering fluids & medications b. monitoring pressures c. drawing blood
What is needed to perform an arterial puncture?
a. alcohol prep b. 0.5%-1% lidocaine c. plastic bag with ice
When you are operating a centrifuge, the tubes must remain stoppered to prevent, what?
a. alteration of the specimens pH b. formation of an aerosol c. splashing of the specimen
The noint of a needle that has been cut on a slant for ease of entry is called a
a. bevel
What pieces of equipment are required when performing a finger stick?
a. biohazardous waste container b. pen c. gloves
Which groups would require the use of a lancet for blood specimen collection? r
a. children b. elderly
What are all of the possible sites for a capillary puncture?
a. ears b. heels C. toes d. fingertips
If the physician has ordered a patient to be NPO, you must verify that he or she has NOT
a. eaten or drunk anything since midnight
T/F: using too small of a needle can cause a hematoma
a. false
What is released into the blood during the process of a capillary puncture and contaminates thhe blood sample?
a. interstitial fluid
Arterial blood is used for blood gases because its composition
a. is the same throughout the body
What are the risks of using a small gauge needle?
a. long draw time b. hemolysis C. hard-to-draw large quantities
What can be applied to the finger during a capillary puncture to ensure a steady flow of blood"
a. massaging b. firm pressure c. milking
What may also contain the same additive as evacuated tupes, and they are color coated in the same manner?
a. microcollection containers
When collecting blood specimens for a blood culture, inadvertent contamination can occur by
a. not allowing the antiseptic to dry b. using the wrong antiseptic C. not properly cleaning the site or blood culture botles
Clot activators and polymer gels are a special requirement for which color top evacuated tube?
a. red-gray b. green-black c. red-green collecting
An arm with a IV hookup should never be used for blood collection because:
a. the specimen will contain IV fluid & IV fluids will change the lab results
The technique is not recommended because it increases the risk of an accidental needle stick.
a. two-finger
Never a needle from the tube adapter or syringe prior to disposal.
a. unscrew b. recap C. bend
What should you do if an elderly patient tells you that their veins are fragile?
a. use pediatric evacuated tube set b. use butterfly infusion set C. use a syringe and small gauge needle
A child's blood vessel is smaller and harder to, what?
a. visualize b. palpitate
Anaphylactic shock is an immediate allergic reaction characterized by what?
acute respiratory distress, hypotension, edema, rash
Evacuated tubes are labeled with which of the following? a. hospital ID number b. patient's room number c. tracking labels d. all of the above
all of the above
The withdrawal of large quantities of blood over a long period of time can cause a pediatric patient to become, what?
anemic
Who administers anesthesia to provide partial or complete loss of sensation prior to surgical procedures?
anesthesiologist
The is the most frequent area used to perform venipuncture.
antecubital area
The most critical factor in collecting blood culture specimens is of the patient's skin.
antisepsis
The most effective method to stop bleeding and help preyent bruising is to:
apply pressure to the site. Inspect to see if bleeding has stopped. Apply a band-aid
What test provides physicians with information about the respiratory status and acid-base balance of a patient?
arterial blood gases
A reflectively contracted artery during an ABG can be caused by, what?
arteriospasm
When you are performing a finger stick, the activity to be done first should be, what?
assemble and prepare equipment and supplies
Which is a step in the collection of an ABG?
assessing collateral circulation
Tube holders/adapters are
available in pediatric sizes
When you are performing a, a small incision is made in the patient's forearm, and the blood IS blotted at 30-second intervals.
bleeding time
Alcohol wipes should NOT be used for draws when testing what?
blood alcohol level
A ________specimen must be chilled after collection.
blood glass
Which of the following tests are performed first? a. blood glucose b. blood smear slide c. hematocrit d. hemoglobin
blood smear slide
Microhematocrit tubes without any anticoagulation have a band at one end.
blue
In the order of draw, a gray top evacuated tube is drawn before a top evacuated tube.
brown
Microhematocrit tubes are also known as, what?
capillary tubes
EDTA inhibits clotting of blood through it's action of:
capturing calcium
Who educates patients, treats and assesses patient response to therapy, and manages cardiopulmonary function?
cardiologist
What is a subspeciality of internal medicine dealing with the blood vessels and the heart?
cardiology
Before perfoming a venipuncture in an inpatient setting, one should:
check the patient's identification
Microcollection tubes provide for all the following except: a. centrifugation of the capillary specimen b. easy measuring c. chilling d. storing
chilling
Cleanse the venipuncture site in a motion.
circular
is used to seal the open end of microhematocrit tubes.
clay sealer tray
Which the most effective patient prep before performing a venipuncture?
cleanse with a 70% alcohol swab
What is one of the steps of performing an ABG?
cleansing the site with povidone-iodine
Who is generally required to have a high school diploma and some prior clinical training?
clinical laboratory clerical staff person
The word root with the combining vowel "thromb/o" refers to what?
clot
The Allen test determines, what?
collateral circulation
What supplies blood to an area by more than one artery?
collateral cirçulation
The letter "o" or "i" used with a word root is called what?
combining vowel
What should be drawn in a lavender top evacuated tube?
complete blood counts
Needle phobias can be so intense that the patient may experience, what?o
convulsions, death, or fainting
Infection by a new of different micro-organisms
cross infection
In a capillary blood draw, a stick ensure a better bloo flow.
deep
Ultraviolet light has what effect on the bilirubin molecule?
degrades the molecule
Destruction of as many harmful organisms
disinfection
What unit is a specific amount of blood, approximately 1 pint, supplied by a volunteer as part of a blood bank procedure?
donor unit
A venipuncture needle is generally inserted so that the
entire bevel is directly into the patient's vein
CPK is an:
enzyme
What numbers increase in allergic reactions and parasitic Infestations, and their primary functicn is in the defense of invading organisms?
eosinophils
Transferring blood from a syringe to a(n) poses a greater risk to the phlebotomist for accidental needle sticks than collection from an evacuated tube.
evacuated tube
What should not be used for the collection of ABGS because they alter the partial pressure of the gas in the blood sample?
evacuated tubes
What is a temporary connection between a vein and artery used for dialysis and for drawn blood
external AV shunt
If an antecubital vein cannot be located on either arm, check the wrists and hands. If a suitable site cannot be located, what other location may be drawn on with permission from the patient s physician?
feet & ankle veins
When you are performing an arterial blood gas collection, the site with the highest risk of infection is what artery?
femoral
When an artery has been effectively entered, a _________ of blood appears in the hub in the need
flash
The Hepatitis B vaccine must be made available to emplovees under two circumstances:
following any infectous exposure incident & if they are exposed at least once a month
A phlebotomist may perform venipuncture on a patient with directly above their veins.
freckles
What is the most acceptable way for preparing blood slides?
from fresh blood at the patient's bedside
When handling routine specimens after the blood draw, additive tubes must be
gently inverted
What levels are higher than total proteins in capillary blood specimens?
glucose
Lithium iodoacetate is an additive found in a top evacuated tube.
gray
Cytogenics testing is drawn in a top evacuated tube.
green
A facility providing an adequate supply of running water, soap and single use towels or hot ai drying machine is a:
hand washing facility
If the venipuncture needle has been inserted through the vein, blood seeps into the tissues causing a
hematoma
Do not as a patient to vigorously open and close a fist prjor to a venipuncture, because this ciin contribute to , causing inaccurate test results.
hemoconcentration
___________is a relative increase in the number of red blood cells resulting from a decrease in the volume of plasma.
hemoconcentration
Destruction of the membrane of red blood cells and the liberation of hemoglobin, which diffus es into the surrounding fluid, is called
hemolysis
Destruction of the membrane of red blood cells and the liberation of hemoglobin, which diffuses into the surrounding fluid, is called _____________
hemolysis
What occurs when red blood cells rupture?
hemolysis
What is an arrest of bleeding or circulation?
hemostasis
Coagulation studies cannot be drawn from, what?
heparin lock
the evacuated tube is not filling with blood, the phlebotomist should check what?
i. that the tube is sealed properly into the needle b. that the tube has not lost its vacuum C. that the needle is in the correct position
"Antecubital" means, what?
in front of the elbow
The medical prefix "infra-" means, what?
inferior to
A phlebotomist enters a patient's room. Suddenly the patient gets up, walks into the bathroom and locks the door. Twenty minutes pass with the patient still in the bathroom and the phlebotomist should:
inform nurse on the unit that the patient won't come out of the bathroom
What is fluid between the tissues, surrounding a cell?
interstitial fluid
The first thing a phlebotomist should do when meeting alpatient for the first time is
introduce yourself and identify yourself as a phlebbtomist
What type of antiseptic should NOT be used when testing for blood-alcohol levels?
iodine preparations
When collecting a capillary specimen on an infant, what should always be remembered?
label specimens with the patient's name and other appropriate information
Whose responsibilities include the overseeing of all the business operations of the laboratory
laboratory manager
All of the following causes an arterial blood sample to render inaccurate results or to be rejected EXCEPT: a. improper chilling of specimen b. incorrect anticoagulation c. lack of air bubbles in the specimen d. air bubbles in the specimen
lack of air bubbles in the specimen
All of the following causes an arterial blood sample to rerder inaccurate results or to be rejected EXCEPT:
lack of air bubbles in the specimen
are small, sterile, single-use instruments used to purcture the capillaries of the skin.
lancets
As a matter of routine the phlebotomist should ask all patjents if they are allergic to antiseptic:, adhesives, and as a means of preventing allergic reactions.
latex
What tube is NOT required to have a full draw?
lavender
top evacuated tubes are drawn for hematology studjes and are NEVER centrifuged.
lavender
Which of the following is NOT a method for temporarily marking a vein for venipuncture? a. leaving a small dot of ink with a pen b. leaving your finger over the vein c. referencing the vein with a mole d. positioning the corner of a clean alcohol prep bad in direct line with the vein
leaving a small dot of ink with a pen
What is a cancer or malignant condition in which there is a great increase in the number of white blood cells?
leukemia
What is an abnormal decrease in WBCS?
leukopenia
When collecting a specimen for bilirubin testing, you must protect the specimen from, what?
light
In sustaining the order of draw, a top evacuated tube must be drawn before a lavender top evacuated tube.
light blue
PT tests are drawn using a top evacuated tube.
light blue
Sodium citrate is an additive in what tube?
light blue
What tube must be a full draw or rejection occurs?
light blue
Before performing any procedure on an inpatient, the phlebotomist should
look at the patient's ID bracelet
The standard for measuring the diameter of the of a needle is called the needle gauge.
lumen
What vein is usually large and well anchored and therefore the best first choice for a venipuncture?
median cubital
preventing conditions that allow pathogens to live, multiply and spread
medical asepsis
Who graduated with a two-year associates degree and completed several semesters of hands on clinical training?
medical laboratory technicians or clinical laboratory technicians
Who has a four-year degree in medical technology?
medical technologist or clinical laboratory scientist
What may also contain the same additive as evacuated tupes, and they are color coated in the same manner?
microcollection containers
The longitudinal imaginary line dividing the body into equal right and left parts is called, what?
midsagittal plane
What needle is most commonly used with the evacuated tube system because it has two shar ends, one beveled and the other covered with a rubber sheath?
multisample
What is the muscle layer of the heart?
myocardium
Dorsal hand veins are excellent sites for drawing labs on, who?
neonates
A yellow top sterile evacuated tube is drawn after a top evacuated tube.
none
Who provides diagnosis and treatment of malignant tumors and blood disorders?
oncologist
Puncturing the bone during a heel stick on an infant can cause, what?
osteomyelitis
What is an inflammation of the bone marrow caused by alpathogenic organism?
osteomyelitis
When performing a capillary puncture, position the patient seated or lying down, with the side of the hand facing up.
palmar
What is a type of nonallergenic tape that can bê used if a patient is sensitive to adhesive?
paper tape
Who is a physician who practices, evaluates, or supervises diagnostic tests, using materials removed from living or deceased patients?
pathologist
A capillary puncture should be made to the fingerprirt.
perpendicular
Who is a clinical employee whose primary responsibility is the collection of blood samples from patients?
phlebotomist
patient's initials a. b. patient's social security number c. phlebotomist's initials d. patient's age
phlebotomist's initials
Who is a person who has been educated, trained, and state-licensed to practice the art and science of medicine?
physician
Who is a health care professional who provides patient services ranging from physical examination to surgical procedures and works under the supervision of a physician?
physician's assistant
What is the best way to ensure that the centrifuge is balanced prior to spinning down your specimen for a STAT test?
place an empty tube filled with equal amounts of water opposite your specimen
How do you position a tourniquet when a patient's skin is fragile or tears easily?
place the tourniquet on top of the patient's shirt
What type of specimen is required when using a gray top evacuated tube?
plasma
What type of circulation is a division of systemic venous circulation?
portal
If a patient is allergic to isopropyl alcohol, use what type þf antiseptic instead?
povidone-iodine
a. basilic b. cephalic C. median cubital d. radial
radial
What color evacuated tube should not be inverted?
red
_____________top evacuated tubes drawn for blood banking are never inverted.
red
To obtain a serum specimen, a top evacuated tube must be used.
red-gray
If a patient tells you he or she feels faint or starts to faint during a phlebotomy procedure, whit should you do first?
remove the tourniquet and withdraw the needle
What may be necessary to do if a patient is severely ill, drug-overdosed, or uncooperative, in order to obtain a blood specimen?
restraints
Toxicology profiles may be performed on blood from a top evacuated tube.
royal blue
The loose ends of a tourniquet should be the patient's arm, away from the venipuncture :site.
running up
Pulling the skin taut when inserting the needle for venipuncture accomplishes, what?
secures the vein for ease of insertion
What is the part of blood that has been removed from the body and allowed to clot for 30/6C minutes before centrifuging?
serum
An incomplete, or ______________draw refers to an evacuated tube or syringe that does not contain the required amount of blood to perform the requested tests
short
An incomplete, or_, draw refers to an evacuated tube or syringe that does not contain the required amount of blood to perform the requested tests
short
Hypodermic needles are typically needles, used when performing syringe draws.
single-sample
Procedures involving blood or other potentially infectious material shall be performed in such a manner as to minimize:
splashing and spraying
When you are performing a venipuncture, the patient can be in any position except for wich one?
standing
When removing the stopper from a tube, be sure to pull it ___________
straight up
What branch of medicine deals with manual and operative procedures for the correction of deformities and defects, repair of injuries, and diagnosis and cure of certain diseases?
surgery
What is a common complication of blood collection and altransient loss of consciousness resulting from an inadequate blood flow to the brain.
syncope
What should be used when drawing blood from fragile velns?
syringe
a. the smear should be less than half the length of the slide D. once the slide has been made, you should blow on it to dry it quickly the feathered edge the most important area of the slide d. mark on the slide only with black ink
the feathered edge is the most important area of the slide
Ointments prescribed by a physician and applied can reduce an allergic rash reaction.
topically
A is used to distend veins to facilitate venipuncture for intravenous injection.
tourniquet
The equipment needed for a finger stick includes all of the following EXCEPT: a. microcollection container b. biohazardous waste container c. tourniquet d. bandages
tourniquet
What are designed to temporarily reduce the flow of venous blood in the arm?
tourniquets
The outermost layer of a vein is called, what?
tunica adventitia
One of the most common blood-banking tests performed is a
type and cross match
What carries deoxygenated blood toward the heart?
veins
A puncture of a vein for any reason is called, what?
venipuncture
The term obtaining blood from the vein is a
venipuncture
What is a small cavity or chamber of the heart or brain?
ventricle
Capillary blood flow can be greatly increased when the site is, what?
warm
If a proper venipuncture site cannot be attained, try doing what?
warming an area with moist heat
The total volume of blood drawn each day on a patient is determined by
weight
When is it more appropriate to perform a venipuncture than a capillary puncture?
when a substantial vein can be located
The best way to learn to palpate veins is
with gloves on
A phlebotomist is drawing a patient who suddenly starts vomitting. The beedle is still in the patient's arm. What should the phlebotomist do?
withdraw needle, call for help, and assist the patient.
In the correct order of evacuated tube filling from a syringe draw, the first tube is
yellow
What color of evacuated tube is used for blood cultures?
yellow
The complete blood count is commonly referred to as
СВС
A(n) concentration is taken prior to the collection of a specimen for an ABG.
охудen
