Chapter 13 Special Phlebotomy Procedures

8) Which procedures are performed using aseptic technique? (Choose all that apply)

) Therapeutic drug monitoring B) Malaria smear preparation C) Forensic specimen collection

17) Forcing blood collected through a venous access device out of a syringe while transferring into tubes may cause:

) hemolysis.

16) After you perform an arterial puncture on an outpatient, that patient should not leave the drawing area for:

C) 30 minutes.

39) For which test is blood collected directly from an artery instead of a vein?

C) Arterial blood is used to test for oxygen and carbon dioxide.

57) For which laboratory procedure are specific and extended patient and specimen identification used?

C) Cross-match for transfusion

In an arterial puncture:

C) a tourniquet is not used.

35) In a glucose tolerance test, it is unsafe to give a patient with an elevated glucose:

C) additional glucose.

5) It is important to calm a patient before an arterial puncture procedure because:

C) anxiety will alter blood gas values.

31) Venous access devices, such as heparin locks:

C) must be flushed with saline prior to collection for special coagulation studies.

40) State-required testing for neonatal screening tests are collected:

C) onto special forms.

2) When collecting a specimen for blood culture, some blood is placed into an anaerobic bottle and will be exposed to a(n):

C) oxygen-free environment.

50) A special diet low in certain amino acids may reduce the effects of:

C) phenylketonuria.

5) Using blood cultures to differentiate among bacteria in the blood provides information for:

C) prescribing the most effective antibiotics.

52) Which of the following may a patient have during a glucose tolerance test?

C) water

12) Arterial specimens should be tested ________ after being drawn.

C)immeditely

When a blood culture specimen is contaminated with organisms that did not originate in the blood, this can cause a:

false positive

59) Which of these conditions would least likely be diagnosed with a two- or three-hour glucose tolerance test?

A) Diabetes insipidus

51) Neonatal screening for CF (cystic fibrosis) includes performing a dermal puncture and collecting blood on a special card called a:

A) Guthrie card.

When preparing blood smears with blood from newborns, you notice that the smears are usually shorter than using blood from older children. What may be causing this to happen?

A) Newborns normally have higher hematocrits than older children.

30) Which medical personnel are allowed to perform arterial puncture? (Choose all that apply)

A) Nurses B) Physicians C) Respiratory therapists

44) Hospitals have strict protocols for patient identification prior to blood collection for transfusion testing. One of these protocols is:

A) a special identification wristband.

10) Blood cultures may be collected using: (Choose all that apply)

A) an evacuated tube system. B) a syringe and transfer device. C) a winged infusion (butterfly) set

60) People with sickle cell disease should avoid

A) anesthesia during surgery.

33) Specialized training beyond phlebotomy certification is required in order for phlebotomists to be able to perform: (Choose all that apply)

A) arterial blood collection. C) collection of units from blood bank donors.

49) Vitamin supplements may be used to treat:

A) biotinidase deficiency.

42) Polycythemia is a disease that: (Choose all that apply)

A) causes the body to produce too many red blood cells. C) may put the body's organs under a great deal of stress. D) is treated by removing large amounts of blood.

32) Types of glucose testing include: (Choose all that apply)

A) fasting blood draw. B) 3-hour tolerance. C) 2-hour postprandial. D) 1-hour challenge.

A shunt that is surgically inserted to connect an artery and a vein to allow for hemodialysis is a:

A) fistula

46) Potential blood donors may be disqualified if they: (Choose all that apply

A) have recently traveled out of the country. B) are on medications or have taken drugs. C) live a sexually promiscuous lifestyle.

The ARD resin in some blood culture bottles:

A) removes antibiotics.

55) What does it mean to clean in concentric circles?

A) start at the center of the puncture site and spiral outward

41) The collection of blood for type and cross-match requires: (Choose all that apply)

A) the use of aseptic technique for site preparation. D) collection of blood into pink-topped EDTA tubes.

38) Healthy adults may have blood removed for: (Choose all that apply)

A) transfusion for other patients. B) transfusion for themselves.

Which of the following is correct when banding patients for blood bank collections? (Choose all that apply)

B) A special blood bank bracelet is placed above or below the hospital ID bracelet. ) The transfusion number on the blood bank wristband must match the number on the requisition and on the blood product tag.

45) A female student is registering to become a blood donor at a community blood drive. Which of the following characteristics disqualifies her from being an eligible donor at this time?

B) She weighs 105 pounds.

28) When friction cleaning the blood culture site, the site is allowed to air dry. Why?

B) So the antiseptic has time to kill the germs

9) Most facilities require that blood smear slides be labeled:

B) after making the slide.

47) A blood donation given in the event that the donor may need his/her own blood during or after surgery is known as:

B) autologous.

) Conditions that may require arterial blood measurements include: (Choose all that apply)

B) cardiac failure. C) lung cancer.D) severe shock.A) pulmonary disease.

48) Cystic fibrosis causes damage to the: (Choose all that apply)

B) digestive system. D) respiratory system

3) Sterile technique is required during blood collection for culture to:

B) ensure that no normal flora are included in the specimen.

61) Sickle cell disease is a group of disorders in which the blood cells have

B) hemoglobin with a genetic mutation.A) an abnormal form of hemoglobin.

26) Typical blood culture orders require:

B) one aerobic and one anaerobic bottle.

3) Hemochromatosis is a disease that: (Choose all that apply)

B) results in the body storing abnormal amounts of iron. D) is treated by removing large amounts of blood.

18) To correct a thin blood smear that is too short make another slide using a: (Choose all that apply)

B) slower spreading speed. C) shallower angle of the spreader slide.

7) Blood cultures must be performed using tubes or bottles:

B) that contain culture media.

29) In collecting a blood culture using a butterfly system, it is important to collect:

B) the aerobic bottle first.

56) To ensure that all bacteria are removed from the puncture site for blood cultures, the site should be cleansed using friction for a minimum of

D) 60 seconds

11) You have just backed up the spreader slide toward the frosted end until the spreader touches the blood drop to prepare a blood smear. What will you do next?

D) Allow the blood drop to spread almost to the edges of the spreader slide.

58) Which test is least likely to be used to identify a risk for diabetes?

D) CBC with differential

36) Which statement is TRUE regarding the order for type and screen?

D) Type and screen is included in type and cross-match.

9) Usually, patients who have arterial blood gases drawn are:

D) critically ill.

54) Which cleansing agent would least likely be used during the collection of blood cultures?

D) hydrogen peroxide

27) A thick blood smear is used to screen for:

D) malaria parasites.

6) False positive blood culture results may occur due to:

D) re-palpating the puncture site after cleansing.

21) The presence of pathogenic microorganisms in the blood is called:

D) septicemia.

14) During specimen processing of an arterial blood gas specimen, the phlebotomist should refer to the patient information on the:

D) syringe with the specimen.