Medical Assisting - Chapter 48

Lakukan tugas rumah & ujian kamu dengan baik sekarang menggunakan Quizwiz!

What wording should be imprinted on a box or bag containing bodily fluids? 1) "Contains glass" 2) "Human specimen" 3) "Fragile" 4) "Body fluids"

"Human specimen" "Body fluids"

The patient question medical assistants performing phlebotomy probably hear most often is 1) "Can I lie down?" 2) "Where is the doctor?" 3) "Will this hurt?" 4) "Can I chew gum?"

"Will this hurt?"

The incision depth for a capillary puncture in an adult is 1) 2.5 to 3.0 mm 2) 1.0 to 2.0 mm 3) 1.5 to 2.0 mm 4) 2.0 to 3.0 mm

2.0 to 3.0 mm

When using the needle and syringe system, it is best to use a needle no smaller than a 1) 21-gauge 2) 16-gauge 3) 23-gauge 4) 19-gauge

23-gauge

A spreader slide should be held at approximately a 1) 15 to 30-degree angle 2) 40 to 45-degree angle 3) 30 to 35-degree angle 4) 25 to 30-degree angle

30 to 35-degree angle

HgBA1c gives information over a period of 1) 30 to 40 days 2) 90 to 120 days 3) 3 to 6 months 4) 30 to 60 days

90 to 120 days

Most bruising is caused by 1) A hematoma 2) Platelets 3) Hemolysis 4) Leukocytosis

A hematoma

Microtainer tubes have differently colored tops, indicating the 1) Additive 2) Tests 3) Specimen 4) Volume

Additive

The butterfly system can be used with 1) An evacuated collection tube 2) A syringe 3) Intravenous injections 4) An injection

An evacuated collection tube A syringe

Which of the following patients is more likely to experience a fainting episode? 1) A lost patient 2) A healthy patient 3) An ill patient 4) A concerned patient

An ill patient

Which of the following causes blood to remain in a liquid, uncoagulated state? 1) Serum separator 2) Anticoagulant 3) Stain 4) Plasma

Anticoagulant

Which of the following chemicals would you encounter in a lab? 1) Anticoagulants 2) Autoclave 3) Stains 4) Serum separators

Anticoagulants Stains Serum separators

Match the key terms associated with collecting, processing, and testing blood specimens with their definitions.

Anticoagulants - Substances that prevent clotting Buffy coat - Layer between the packed red blood cell and plasma in a centrifuged sample Hematoma - Swelling caused by blood under the skin Hemolysis - Rupture of red blood cells, which releases hemoglobin

The first steps in preparing to draw blood for testing are to 1) Assemble the equipment and supplies 2) Call the physician to verify the orders 3) Review the written testing request 4) Count the blood vials

Assemble the equipment and supplies Review the written testing request

Which of the following are guidelines for performing an ESR? 1) Avoid bumping or vibrating the rack during the test 2) Carefully watch the time and read the results 3) Maintain the laboratory temperature at 82 degrees 4) Avoid introducing bubbles into the sample

Avoid bumping or vibrating the rack during the test. Carefully watch the time and read the results. Avoid introducing bubbles into the sample.

How should you explain the procedure to a patient when collecting a blood sample? Select all that apply. 1) Be brief 2) Be as detailed as possible 3) Speak in technical terms 4) Speak clearly

Be brief Speak clearly

Hematologic tests include 1) Blood cell counts 2) Morphologic studies 3) Serological studies 4) Coagulation studies

Blood cell counts Morphologic studies Coagulation studies

Which of the following tests for the presence of bacteria in the blood? 1) Blood cultures 2) Serological studies 3) Blood glucose tests 4) Electrolyte studies

Blood cultures

Testing of HgBA1c should always be done in conjunction with routine 1) Daily urinalysis 2) Serum levels 3) Daily meals 4) Blood glucose monitoring

Blood glucose monitoring

Which of the following items are needed for measuring hematocrit percentage using a centrifuge? 1) ESR rack 2) Gray top tube 3) Blood specimen 4) Centrifuge

Blood specimen Centrifuge

Serologic testing methods can be used to detect 1) Blood types 2) Hormones 3) Inflammation 4) Drugs

Blood types Hormones Drugs

Glucose monitoring systems require sterile lancets to perform a(n) _____________________ puncture. 1) Artery 2) Skin 3) Capillary 4) Vein

Capillary

Micropipettes are used to collect 1) Syringe blood 2) Capillary blood 3) Serous fluid 4) Urine

Capillary blood

Which of the following requires a superficial puncture of the skin with a sharp point? 1) Venisection 2) Blood smear 3) Capillary puncture 5) 19-gauge needle

Capillary puncture

The Vacutainer system consists of 1) A butterfly needle 2) Collection tubes 3) A plastic needle holder 4) A double-pointed needle

Collection tubes A plastic needle holder A double-pointed needle

Which of the following items are needed to perform a venipuncture using the VACUTAINER method? 1) Collection tubes 2) Safety needle 3) Syringe and needle 4) Needle holder

Collection tubes Safety needle Needle holder

A morphologic study examines a blood smear sample and records the appearance and shape of cells for abnormal 1) Color 2) Content 3) Size 4) Shape

Content Size Shape

Which of the following are signs of postvenipuncture infection? 1) Platelet plug 2) Drainage 3) Redness 4) Heat

Drainage Redness Heat

Reviewing a written test request and assembling the phlebotomy equipment and supplies are the first steps in preparing to 1) Draw blood 2) Give a TB test 3) Start an IV 4) Start medication

Draw blood

What is the main role of a phlebotomist? 1) Patient referrals 2) Drawing blood 3) Urine testing 4) Capillary testing

Drawing blood

Which of the following tests measures the rate at which red blood cells settle to the bottom of a blood sample? 1) C-reactive protein 2) Prothrombin time 3) Red blood cell count 4) Erythrocyte sedimentation rate

Erythrocyte sedimentation rate

Match the collecting, processing, and testing blood specimens key terms with their definitions.

Formed elements - Red blood cells, white blood cells, and platelets Lancet - Instrument used for capillary puncture Complete blood count - Red blood cell indices and count, white blood cell count, hematocrit, hemoglobin, platelets, and differential blood count Morphology - Study of the shape or form of objects

Before beginning a phlebotomy procedure, it is important to ask patients to state their 1) Full name 2) Place of birth 3) Address 4) Phone number

Full name

Which of the following are standard supplies for phlebotomy procedures? 1) Butterfly tubing 2) Gauze 3) Alcohol wipes 4) Adhesive bandages

Gauze Alcohol wipes Adhesive bandages

Which of the following personal protective equipment should medical assistants wear when working with blood specimens? 1) Gloves 2) Mask 3) Hair net 4) Goggles

Gloves Mask Goggles

Which of the following materials is needed to measure blood glucose? 1) Glucometer 2) Lancet 3) Reagent strips 4) Hemostat

Glucometer Lancet Reagent strips

Which of the following tests measures a patient's ability to metabolize carbohydrates and is used to detect hypoglycemia and diabetes mellitus? 1) Basic metabolic panel 2) Prothrombin time 3) Glucose tolerance test 4) Fasting blood sugar

Glucose tolerance test

The greatest fear of patients undergoing blood tests is contracting 1) Heart disease 2) HAV 3) HIV/AIDS 4) HBV

HIV/AIDS HBV

Which of the following identifies how much of a sample's volume is made up of RBCs after the sample has spun in a centrifuge? 1) Red blood cell count 2) Platelet count 3) Differential WBC count 4) Hematocrit determination

Hematocrit determination

Which of the following occurs when blood leaks out of a vein and collects under the skin? 1) Lysing 2) Dividing 3) Hematoma 4) Hemolysis

Hematoma

Which of the following are venipuncture complications? 1) Diarrhea 2) Hematoma 3) Infection 4) Light-headed

Hematoma Infection Light-headed

The handheld device that makes color evaluation less subjective than older methods of visually matching with color samples is called a 1) Sonicator 2) Microscope 3) Flame photometer 4) Hemoglobinometer

Hemoglobinometer

Which of the following is a disorder in which the blood does not coagulate at a wound or a puncture site? 1) Hematoma 2) Hemophilia 3) Hemolysis 4) Coagulation

Hemophilia

Which of the following additives would be found in a green-top tube? 1) EDTA 2) Heparin 3) Sodium citrate 4) SPS

Heparin

A glucose tolerance test is used to detect 1) Renal disease 2) Hypoglycemia 3) Diabetes mellitus 4) Liver disease

Hypoglycemia Diabetes mellitus

Which of the following is essential before starting a venipuncture? 1) Identify the patient 2) Identify the family 3) Call the lab 4) Notify the physician

Identify the patient

An ESR is a diagnostic tool for 1) Inflammatory disease 2) Cancer 3) Thyroid disease 4) Clotting abnormalities

Inflammatory disease Cancer Thyroid disease

Patients with Type I diabetes need to take 1) Insulin daily 2) Oral hypoglycemic medications daily 3) Heparin daily 4) Coumadin daily

Insulin daily

Select all that apply Which of the following are advantages of an evacuation system over other methods of blood collection? 1) It is easy to collect several samples from 1 venipuncture 2) It is good to use for small, fragile veins 3) The potential for specimen integrity is compromised 4) There is a reduced potential for exposure to contaminated blood

It is easy to collect several samples from 1 venipuncture. There is a reduced potential for exposure to contaminated blood.

Which of the following is a small, disposable instrument with a sharp point used to puncture the skin? 1) ETS needle 2) Syringe needle 3) Lancet 4) Hemostat

Lancet

A uric acid test checks for the presence of 1) Anemia 2) Leukemia 3) Gout 4) Diabetes

Leukemia Gout

A medical assistant drawing a coagulation study on a patient will use which color of tube? 1) Yellow 2) Green 3) Light blue 4) Royal blue

Light blue

When teaching a patient how to test their blood glucose at home, what should the medical assistant state is important to follow? 1) Additional resources 2) Manufacturer's guidelines 3) Self-monitoring complications 4) A diet

Manufacturer's guidelines

Which of the following are the most common sites for venipuncture? 1) Median cubital vein 2) Carotid artery 3) Basilic vein 4) Cephalic vein

Median cubital vein Cephalic vein

Who is responsible for collecting blood specimens from patients? 1) Medical assistant 2) Medical coder 3) File clerk 4) Referral assistant

Medical assistant

Which of the following is a small pipette that holds a small, precise volume of fluid? 1) Lancet 2) Culture bottle 3) Micropipette 4) Syringe

Micropipette

A small plastic tube with a wide-mouthed collector, similar to a funnel, that allows blood to flow quickly and freely into the tube, is called a(n) 1) Microtainer Tube 2) Micropipette Tube 3) Container Tube 4) Lancet Tube

Microtainer Tube

The _____ is the largest WBC and has a gray-blue cytoplasm when stained. 1) Basophil 2) Neutrophil 3) Monocyte 4) Eosinophil

Monocyte

The study of the shape or form of objects is 1) Morphology 2) Biology 3) Shapeology 4) Physiology

Morphology

The dark purple nucleus and pale pink cytoplasm containing fine pink or lavender granules are staining characteristics of 1) Eosinophils 2) Neutrophils 3) Monocytes 4) Basophils

Neutrophils

Capillary puncture on infants is usually performed on the 1) Outer edges of the heel 2) Plantar surface on the top of the heel 3) Big toe 4) Arch on the heel

Outer edges of the heel

The abbreviation for prostate-specific antigen is: 1) PTH 2) PSA 3) SPA 4) ASAP

PSA

Blood in a centrifuged microhematocrit tube is separated into 1) Packed red blood cells 2) Plasma 3) A buffy coat 4) Serum cells

Packed red blood cells Plasma A buffy coat

Coagulation studies include 1) Partial thromboplastin time 2) Platelet count 3) Erythrocyte sedimentation rate 4) Prothrombin time

Partial thromboplastin time Prothrombin time

All specimen-collection tubes should be labeled with the 1) Patient's name 2) Diagnosis of the patient 3) Date of collection 4) Time of collection

Patient's name Date of collection Time of collection

Medical assistants teach patients and their families how to manage diabetes, including 1) Performing the blood glucose test 2) Forming new work habits 3) Accessing additional resources 4) Managing diet and exercise

Performing the blood glucose test Accessing additional resources Managing diet and exercise

Inserting a needle or a cannula into a vein for the purpose of withdrawing blood is known as a ______. 1) Dissection 2) Biopsy 3) Phlebotomy 4) Lobectomy

Phlebotomy

Whole blood contains which of the following? 1) Plasma 2) Buffy coat 3) Formed elements 4) Chemistry

Plasma Formed elements

Formed elements consist of 1) Platelets 2) WBCs 3) Plasma 4) RBCs

Platelets WBCs RBCs

Hemoglobin resides within 1) Plasma 2) WBCs 3) RBCs 4) The buffy coat

RBCs

Which of the following materials are needed for a capillary puncture? 1) Needle holder 2) Reagent strips 3) Lancet 4) Smear slides

Reagent strips Lancet Smear slides

Capillary puncture in adults and children is usually performed on the 1) Index finger 2) Thumb 3) Ring finger 4) Middle finger

Ring finger Middle finger

The introduction of an antigen or antibody into a specimen and the detection of a specific reaction to the antigen or antibody is called a(n) 1) Serologic test 2) Hematologic test 3) Coagulation study 4) Immunoassay

Serologic test Immunoassay

To determine the presence of antibodies associated with infectious mononucleosis, which of the following blood products can be used? 1) Serum 2) Plasma 3) Whole blood 4) Platelets

Serum Plasma Whole blood

An erythrocyte sedimentation rate checks for 1) Sickle cell anemia 2) Electrolyte balance 3) Malignant neoplasms 4) Inflammation

Sickle cell anemia Malignant neoplasms Inflammation

Which of the following should be labeled with the patient's name, the date and time of collection, and the initials of the person collecting the specimen? 1) Slides 2) EOB 3) Specimen-collection tubes 4) Patient medical charts

Slides Specimen-collection tubes

Medical assistants must not downplay the importance of following 1) Carelessness 2) Patients' orders 3) Standard Precautions 4) Unreadiness

Standard Precautions

Which of the following skin organisms can cause a false-positive blood culture test? 1) H. pylori 2) Streptococcus 3) E. coli 4) Staphyloccus

Streptococcus Staphyloccus

Venipuncture requires puncturing a vein with a needle and collecting blood into a 1) Catheter 2) Syringe 3) Tube 4) Bowl

Syringe Tube

Some patients become very anxious before a blood draw; medical assistants can help put them at ease by telling them to 1) Text friends and family members 2) Offer anti-anxiety medication 3) Take a deep breath and let it out slowly 4) Focus on something else in the room

Take a deep breath and let it out slowly Focus on something else in the room

Which of the following can be done to keep a patient from fainting during a blood draw? 1) Talking to the patient 2) Having the patient lie down 3) Having the patient stand up 4) Having the patient sit on the exam table

Talking to the patient Having the patient lie down

Which of the following are reasons to use a needle and syringe system when drawing blood? 1) The patient is difficult to stick 2) The patient has small or fragile veins 3) It is necessary to control the vacuum 4) The patient has good veins

The patient is difficult to stick. The patient has small or fragile veins. It is necessary to control the vacuum.

Why should you explain the procedure to obtain a blood specimen for testing, in briefly and clearly? 1) The patient may run away 2) The patient may pass out 3) The patient may become queasy 4) The patient doesn't care how it is explained

The patient may become queasy

Capillary blood is usually collected from ______. 1) The underside of the heel in adults 2) The middle finger or the ring finger in infants 3) The underside of the heel in infants 4) The middle finger or the ring finger in adults

The underside of the heel in infants The middle finger or the ring finger in adults

Why must microhematocrit tubes be processed in pairs? 1) To get more practice 2) To ensure there is enough blood 3) To keep things even 4) To balance the centrifuge

To balance the centrifuge

What is the purpose of performing a rapid infectious mononucleosis test? 1) To determine the presence of antibodies associated with infectious mononucleosis 2) To meet office quota 3) To upcode the patient 4) To perform the required quality control on the equipment

To determine the presence of antibodies associated with infectious mononucleosis

What is the rationale for performing a required quality control procedure on the glucometer? 1) To reassure the patient 2) To ensure the machine is working 3) To ensure the reagent strips are outdated 4) To code the machine for billing purposes

To ensure the machine is working

Why would a physician order coagulation tests? 1) To check the patient's renal function 2) To identify potential bleeding problems before surgery 3) To detect heart abnormalities, particularly a heart murmur 4) To monitor therapeutic drug levels when a patient is taking heparin

To identify potential bleeding problems before surgery To monitor therapeutic drug levels when a patient is taking heparin

What is the reason for warming a patient's hand before performing a capillary puncture? 1) To make the patient comfortable 2) To stop blood flow 3) To improve circulation 4) To make the patient feel uncomfortable

To improve circulation

What is the reason for using a tourniquet? 1) To make the veins stand out 2) To stop blood flow 3) To practice 4) To make the patient uncomfortable

To make the veins stand out

Several automated devices can be used for metabolic chemistry testing both in POLs and at home. These analyzers test a variety of blood chemicals, including 1) Triglycerides 2) HDL 3) Total protein 4) Glucose

Triglycerides HDL Glucose

Women who have had gestational diabetes have an increased risk of developing 1) Shingles 2) Ovarian cysts 3) Type I diabetes 4) Type II diabetes

Type II diabetes

Patients who have hemophilia or are taking blood-thinning medications are at risk for 1) Uncontrolled bleeding 2) Infection 3) Reserved bleeding 4) Weeping

Uncontrolled bleeding

When performing an ESR, medical assistants must follow guidelines to ensure the test's 1) Weakness 2) Theory 3) Ineffectiveness 4) Validity

Validity

The puncture of a vein is known as 1) Immunization 2) Venipuncture 3) Lancing 4) Probing

Venipuncture

What does the buffy coat contain? 1) WBCs 2) RBCs 3) Plasma 4) Platelets 5) Hemoglobin

WBCs Platelets

Medical assistants are responsible for collecting blood specimens from patients and sometimes for performing 1) Biopsies 2) Waived testing 3) High-complexity testing 4) Surgeries

Waived testing

The total number of WBCs in a sample is known as a 1) Differential WBC count 2) Platelet count 3) White blood cell count 4) Hemoglobin determination

White blood cell count

Hematologic tests can be performed on venous or capillary 1) Plasma samples 2) Whole blood samples 3) Serum samples 4) Fetal serum

Whole blood samples

The butterfly system is also known as the 1) Allergen test 2) VACUTAINER system 3) Syringe-needle system 4) Winged-infusion set

Winged-infusion set

Which materials are needed to prepare a blood slide? 1) Wooden applicator 2) Slide with a frosted end 3) Capillary tubes 4) Microhematocrit tube

Wooden applicator Slide with a frosted end Capillary tubes

The abbreviation for differential blood cell count is 1) ct. 2) cc. 3) diff. 4) bcc.

diff


Set pelajaran terkait

Lord of the Flies: Chapter 1 & Chapter 2

View Set

Negotiation CH.4: Expanding the Pie

View Set