NCCT Phlebotomy Tech Practice

Descrição

Quiz sobre NCCT Phlebotomy Tech Practice, criado por jRoxy13 em 30-04-2014.
jRoxy13
Quiz por jRoxy13, atualizado more than 1 year ago
jRoxy13
Criado por jRoxy13 mais de 10 anos atrás
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4

Resumo de Recurso

Questão 1

Questão
Treating all lab specimens as if they are hazardous and infectious is the basis for ______?
Responda
  • patient quarantine systems
  • quality assurance programs
  • universal precautions
  • hazardous waste controls

Questão 2

Questão
If you have received vaccination for Hepatitis B, what would be the next most common exposure?
Responda
  • HIV
  • Hepatitis C
  • Chicken pox
  • West Nile virus

Questão 3

Questão
Microorganisms that cause disease are _____?
Responda
  • pathogens
  • normal flora
  • non-pathogenic
  • None of the above

Questão 4

Questão
The most frequent LAB nosocomial infection is ______?
Responda
  • HIV
  • HAV
  • HBV
  • HCV

Questão 5

Questão
A patient who has diarrhea or gastroenteritis bacteria is placed in which type of isolation?
Responda
  • Enteric isolation
  • Respiratory isolation
  • Reverse isolation
  • Strict isolation

Questão 6

Questão
When a patient needs to be protected because they have an immune system compromise, they are placed in _______?
Responda
  • enteric isolation
  • respiratory isolation
  • reverse isolation
  • strict isolation

Questão 7

Questão
When a patient has a highly contagious illness, they are placed in which type of isolation?
Responda
  • Enteric isolation
  • Respiratory isolation
  • Reverse isolation
  • Strict isolation

Questão 8

Questão
OSHA regulates and enforces standard precautions.
Responda
  • True
  • False

Questão 9

Questão
Hepatitis C is not a threat to healthcare workers.
Responda
  • True
  • False

Questão 10

Questão
AIDS is an example of a blood-borne disease.
Responda
  • True
  • False

Questão 11

Questão
An incident report is not necessary after a needle stick.
Responda
  • True
  • False

Questão 12

Questão
All needles must be placed in a sharps container.
Responda
  • True
  • False

Questão 13

Questão
Lab coats are not contaminated and can be worn in the cafeteria.
Responda
  • True
  • False

Questão 14

Questão
On the National Fire chart, "O" is the most dangerous.
Responda
  • True
  • False

Questão 15

Questão
Contamination means unclean.
Responda
  • True
  • False

Questão 16

Questão
OSHA stands for Occupational Safety and Health Administration
Responda
  • True
  • False

Questão 17

Questão
AIDS stands for Acquired Immune Deficiency Syndrome
Responda
  • True
  • False

Questão 18

Questão
An evacuated tube system for venipuncture consists of all but which one of these items?
Responda
  • Vacuum collection tube
  • Adapter
  • Phlebotomy tray
  • Multi-sample needle

Questão 19

Questão
Which of these factors will result in failure to obtain blood during collection?
Responda
  • Leaving tourniquet on the arm
  • Patient taking medication
  • Insufficient needle depth
  • Making a fist

Questão 20

Questão
A tube holder (adapter) that has been visibly contaminated with blood should be disposed of in _______?
Responda
  • a sealed bag
  • the regular trash
  • biohazard waste container
  • sharps container

Questão 21

Questão
The greatest number of phlebotomist drawing injuries occur with the use of ________?
Responda
  • butterfly needles (winged infusion sets)
  • evacuated tube draws
  • capillary draws
  • tube holders

Questão 22

Questão
When using tubes with additives, how soon after collection should mixing begin?
Responda
  • As soon as the tube clots
  • As long as it's within 5 minutes
  • Immediately after collection

Questão 23

Questão
An adapter for a vacuum tube system is called a vacuum tube holder.
Responda
  • True
  • False

Questão 24

Questão
Blood drawn in a non-additive tube, and then centrifuged, yields plasma.
Responda
  • True
  • False

Questão 25

Questão
An anticoagulant prevents blood from clotting.
Responda
  • True
  • False

Questão 26

Questão
A butterfly needle (winged infusion set) is used for hand veins and difficult draws.
Responda
  • True
  • False

Questão 27

Questão
As the gauge of a needle gets bigger, the interior bore of the needle gets bigger.
Responda
  • True
  • False

Questão 28

Questão
The tourniquet is used in venipuncture to find and enter into the vein more easily.
Responda
  • True
  • False

Questão 29

Questão
EDTA is in which color tube?
Responda
  • Blue
  • Red
  • Lavender
  • Yellow
  • Green

Questão 30

Questão
Heparin is in which color tube?
Responda
  • Blue
  • Red
  • Lavender
  • Yellow
  • Green

Questão 31

Questão
Which color tube has no additive?
Responda
  • Blue
  • Red
  • Lavender
  • Yellow
  • Green

Questão 32

Questão
Sodium citrate is in which color tube?
Responda
  • Blue
  • Red
  • Lavender
  • Yellow
  • Green

Questão 33

Questão
ACD is in which color tube?
Responda
  • Blue
  • Red
  • Lavender
  • Yellow
  • Green

Questão 34

Questão
What does post prandial mean?
Responda
  • Fasting
  • Before a meal
  • After a meal
  • None of the above

Questão 35

Questão
What is blood in the urine called?
Responda
  • Hematuria
  • Abnormal
  • Painful
  • Petechiae

Questão 36

Questão
A word meaning "kidney" is ____.
Responda
  • hepato-
  • lipo-
  • entero-
  • nephro-

Questão 37

Questão
A word meaning "liver" is ____.
Responda
  • entero-
  • hepato-
  • ren-
  • nephro-

Questão 38

Questão
A prefix that means "a decreased amount" is ______.
Responda
  • a-/an-
  • hypo-
  • hyper-
  • incr-

Questão 39

Questão
A prefix meaning "an excessive amount" is ____.
Responda
  • a-/an-
  • hypo-
  • hyper-
  • incr-

Questão 40

Questão
A prefix meaning "without" is ____.
Responda
  • a-/an-
  • hypo-
  • hyper-
  • incr-

Questão 41

Questão
The suffix meaning "surgical incision" is _____.
Responda
  • -ectomy
  • -itis
  • -trophy
  • -otomy

Questão 42

Questão
The word meaning "inflammation" is _____.
Responda
  • -ectomy
  • hypo-
  • hyper-
  • -itis

Questão 43

Questão
The word meaning vein is ______.
Responda
  • phlebo-
  • pulmon-
  • thromb-
  • hepato-

Questão 44

Questão
Which gland is often called the master gland?
Responda
  • Thyroid
  • Pituitary
  • Brain
  • Kidney

Questão 45

Questão
What is the main function of the kidneys?
Responda
  • To store urine
  • To eliminate fluid waste products
  • To aid in the digestive process
  • None of the above

Questão 46

Questão
The systemic veins carry ______.
Responda
  • deoxygenated blood away from the heart
  • deoxygenated blood back to the heart
  • oxygenated blood to the heart
  • oxygenated blood away from the heart

Questão 47

Questão
Which body system is primarily involved with breathing?
Responda
  • Reproductive system
  • Respiratory system
  • Nervous system
  • Digestive system

Questão 48

Questão
The heart is part of which system?
Responda
  • Respiratory
  • Skeletal
  • Reproductive
  • Cardiovascular

Questão 49

Questão
A patient who stays overnight in the hospital is called a/an _________?
Responda
  • inpatient
  • consumer
  • resident
  • outpatient

Questão 50

Questão
Which body system filters blood to eliminate waste, help maintain blood pH, and regulate water balance?
Responda
  • Respiratory
  • Urinary
  • Nervous
  • Cardiovascular

Questão 51

Questão
The hematology department is involved in testing _______.
Responda
  • red blood cells
  • white blood cells
  • Platelets
  • All of the above

Questão 52

Questão
What is the most common test run in hematology?
Responda
  • Cholesterol test
  • Urinalysis
  • Hemogram
  • Pregnancy test

Questão 53

Questão
A urinalysis involves running a chemical test on urine.
Responda
  • True
  • False

Questão 54

Questão
Platelets are involved in blood clotting.
Responda
  • True
  • False

Questão 55

Questão
Arteries carry blood back to the heart.
Responda
  • True
  • False

Questão 56

Questão
Veins are bigger than arteries.
Responda
  • True
  • False

Questão 57

Questão
Plasma is the liquid part of the blood.
Responda
  • True
  • False

Questão 58

Questão
There is more pressure on veins than arteries.
Responda
  • True
  • False

Questão 59

Questão
Venous blood is used most often for blood tests.
Responda
  • True
  • False

Questão 60

Questão
The buffy coat contains white blood cells and platelets.
Responda
  • True
  • False

Questão 61

Questão
Red blood cells have hemoglobin and carry oxygen to cells.
Responda
  • True
  • False

Questão 62

Questão
The study of blood is called hematology.
Responda
  • True
  • False

Questão 63

Questão
What additive is in the lavender collection tube?
Responda
  • EDTA
  • Sodium heparin
  • Ethyleneadiaminetetraacetic acid
  • Both EDTA and Ethyleneadiaminetetraacetic acid are correct

Questão 64

Questão
What additive is in the red speckled (SST) collection tube?
Responda
  • Sodium heparin
  • Gel with serum separation
  • No additive
  • EDTA

Questão 65

Questão
What additive is in the green collection tube?
Responda
  • Lithium heparin
  • Potassium oxalate
  • Sodium citrate
  • EDTA

Questão 66

Questão
What additive is in the red collection tube?
Responda
  • EDTA
  • Sodium heparin
  • Clot activator gel
  • No additive

Questão 67

Questão
What additive is in the grey collection tube?
Responda
  • Lithium heparin
  • Sodium fluoride
  • Potassium oxalate
  • Both sodium fluoride and potassium oxalate

Questão 68

Questão
What additive is in the light blue collection tube?
Responda
  • Sodium heparin
  • Sodium citrate
  • Sodium fluoride
  • Sodium polyanethole sulfonate

Questão 69

Questão
Which tube would be used for hematology testing (ex.: WBC)?
Responda
  • Lavender top tube
  • Light blue top tube
  • Red top tube
  • Green top tube

Questão 70

Questão
Which tube would be used for a serum specimen?
Responda
  • Lavender top tube
  • Speckled top tube
  • Red top tube
  • Both speckled and red top tubes

Questão 71

Questão
Which tube needs to be chilled for coagulation studies?
Responda
  • Red top tube
  • Green top tube
  • Yellow top tube
  • Light blue top tube

Questão 72

Questão
Which vein is used most often for venipuncture?
Responda
  • Cephalic
  • Basilic
  • Median cubital
  • Radial

Questão 73

Questão
The tourniquet is placed how far above the antecubital area?
Responda
  • 5-7 inches
  • 4-6 inches
  • 3-4 inches
  • 1-2 inches

Questão 74

Questão
How much blood does the average adult have?
Responda
  • .05 liters
  • 5 liters
  • 50 liters
  • 15 liters

Questão 75

Questão
How many times should a collection tube with an additive be inverted?
Responda
  • 1-2 times
  • 3-4 times
  • 5-10 times
  • None of the above

Questão 76

Questão
Which needle has the smallest gauge?
Responda
  • 23
  • 18
  • 21
  • 16

Questão 77

Questão
Which can be used for a finger stick collection?
Responda
  • Unopette
  • Microtainer
  • Capillary tube
  • All of the above

Questão 78

Questão
What does OSHA stand for?
Responda
  • Occupation Safety and Health Administration
  • Occupation Safety and Health Association
  • Occupational Safety and History Association
  • Occupational Supplies and Health Association

Questão 79

Questão
When drawing blood using additive tubes, the phlebotomist must remember all but which one of these collection requirements?
Responda
  • Mix tubes to keep the blood from clotting
  • Fill the tubes until all vacuum has expired
  • Fill in the correct order
  • Keep tourniquet tied until last tube is filled

Questão 80

Questão
Tiny clots may appear in anticoagulated tubes due to ________.
Responda
  • insufficient mixing
  • centrifuging too slowly
  • an inadequate amount of blood
  • traumatized platelets

Questão 81

Questão
In hospitals and clinics, the most frequently used needle has a ______ gauge.
Responda
  • 24
  • 21
  • 18
  • 15

Questão 82

Questão
The depth of a heel puncture cannot exceed _______.
Responda
  • 5.3 mm
  • 2.0 mm
  • 1.3 mm
  • 3.0 mm

Questão 83

Questão
The fragile skin of very ill infants may require phlebotomists to find an alternative for which post-puncture step?
Responda
  • Labeling tubes
  • Using adhesive tape
  • Removing the tourniquet
  • Calming the infant

Questão 84

Questão
There are many bruises on both arms of a 5-year-old child who has had CBCs drawn every day for a month. What collection change could be considered next for the daily CBCs until the bruises have healed?
Responda
  • Microcollection by fingerstick
  • Venipuncture in the ankle
  • Using smaller collection tubes
  • Trying a syringe draw from the forearm

Questão 85

Questão
To reduce pain when performing venipuncture on a child, a physician can apply ______ to the skin.
Responda
  • topical antiseptic
  • topical anesthetic (EMLA)
  • a tighter tourniquet
  • warming lights

Questão 86

Questão
If low weight infants have too much blood drawn, they may be in danger of _____.
Responda
  • bilirubinuria
  • hemoglobinuria
  • becoming anemic

Questão 87

Questão
What should be used to help bleeding on an infant heel?
Responda
  • An ice compress
  • Lancing with the grain
  • Pre-warming the heel
  • Multiple punctures

Questão 88

Questão
Which would be least appropriate in pediatric venipuncture?
Responda
  • Winged infusion set (butterfly needle)
  • 1 or 3 cc syringe
  • 15 gauge needle
  • Pediatric-sized tubes

Questão 89

Questão
Squeezing the finger too vigorously during collection can cause erroneous lab test results due to ________.
Responda
  • skin contamination
  • blood cell concentration
  • clotting at the puncture site
  • dilution with tissue fluid

Questão 90

Questão
Capillary blood collection would be a good choice for testing when ______.
Responda
  • multiple tests are ordered
  • veins are fragile or bruised
  • large amounts of blood are needed
  • pure arterial blood is required

Questão 91

Questão
Finger puncture on adults is most often performed on the ______.
Responda
  • First or second finger
  • Fifth finger
  • Third or fourth finger
  • Heel or foot

Questão 92

Questão
Which is the preferred location for an infant heel puncture?
Responda
  • Previous location
  • Posterior curve
  • Medial or lateral aspect
  • Any location

Questão 93

Questão
The proper technique for collecting capillary blood is _______.
Responda
  • use the thumb because it is the largest
  • puncture more than once to get good flow
  • squeeze hard to get the blood quickly
  • wipe away the first drop of blood

Questão 94

Questão
Pre-warming the heel of an infant encourages bleeding.
Responda
  • True
  • False

Questão 95

Questão
The finger should be punctured at an angle perpendicular to the fingerprint.
Responda
  • True
  • False

Questão 96

Questão
When the tourniquet is placed on too tight, capillaries may rupture, causing _______.
Responda
  • rash
  • pain
  • urticaria
  • petechiae

Questão 97

Questão
What factors should be considered in site selection prior to venipuncture?
Responda
  • Scars and burns
  • Edema
  • Mastectomy
  • All of the above

Questão 98

Questão
Veins that are hard and cord-like are called ______.
Responda
  • torturous
  • hematoma
  • sclerosed
  • collapsed

Questão 99

Questão
When a tourniquet is left on a patient's arm too long, which of the following can occur?
Responda
  • Petechiae
  • Hemolysis
  • Hemoconcentration
  • Collapsed vein

Questão 100

Questão
The term that means rupturing of red blood cells is _____.
Responda
  • hemostasis
  • homestasis
  • hemolysis
  • hematoma

Questão 101

Questão
Which of the following is probably the most common complication from phlebotomy?
Responda
  • Convulsions
  • Short draw
  • Hypovolemia
  • Hematoma

Questão 102

Questão
Which procedure is generally performed by a nurse or respiratory therapist?
Responda
  • Glucose tolerance test
  • Arterial blood gases
  • Heel stick on infant
  • IV bleeding time

Questão 103

Questão
Aspirin may affect a patient's ______.
Responda
  • blood culture results
  • bleeding time (platelet function analysis)
  • blood draw
  • glucose level

Questão 104

Questão
A hematoma can be prevented if _______.
Responda
  • pressure is placed on the vein until bleeding has stopped
  • a bandage is placed on the vein after the needle is removed
  • the needle is removed before the tourniquet is released

Questão 105

Questão
The accumulation of extravascular fluid in the arm is called _______.
Responda
  • edema
  • hematoma
  • thrombus
  • synovial fluid

Questão 106

Questão
Cleanse the vein in a circular motion from the center to the ______.
Responda
  • peripheral edge
  • injection point
  • opposite side you started from
  • None of the above

Questão 107

Questão
The angle of a needle entering a vein should be ______.
Responda
  • 10 degrees
  • 12 degrees
  • 15 degrees
  • 90 degrees

Questão 108

Questão
A woman who has had a mastectomy ______.
Responda
  • poses no complications for blood draws
  • can have an increased risk of infection on the mastectomy side
  • will always have problems from tourniquet use
  • should never have blood drawn again

Questão 109

Questão
Edema can cause _______.
Responda
  • swelling in venipuncture site
  • dilution of the blood sample
  • difficulty in feeling veins
  • All of the above

Questão 110

Questão
When a patient becomes faint, symptoms might include _______.
Responda
  • perspirations
  • pale skin
  • clammy skin
  • All of the above

Questão 111

Questão
When a hematoma starts to form while drawing blood, ignore it until you fill all tubes needed.
Responda
  • True
  • False

Questão 112

Questão
Tubes should be labeled after the blood is drawn.
Responda
  • True
  • False

Questão 113

Questão
Order of tube draw is not important.
Responda
  • True
  • False

Questão 114

Questão
Anchoring a vein prevents it from rolling.
Responda
  • True
  • False

Questão 115

Questão
A thrombosed vein is often chosen for venipuncture.
Responda
  • True
  • False

Questão 116

Questão
Keeping the tourniquet on for too short a time causes hemoconcentration.
Responda
  • True
  • False

Questão 117

Questão
The color of normal serum is usually straw to yellow.
Responda
  • True
  • False

Questão 118

Questão
When should a phlebotomist follow universal precautions?
Responda
  • When a patient is known to be infectious
  • While working in a hospital laboratory
  • Whenever a phlebotomy procedure is performed
  • None of the above

Questão 119

Questão
What type of protection must a phlebotomist use?
Responda
  • Lab coat
  • Gloves
  • Face shield
  • All of the above

Questão 120

Questão
The proper way to dispose of a needle is to ____.
Responda
  • put it in the sharps container
  • throw it into a biohazard bag
  • activate the safety feature and put it in the sharps container
  • collect all needles in a cup and dispose of them later

Questão 121

Questão
The proper way to dispose of a needle is to ____.
Responda
  • put it in the sharps container
  • throw it into a biohazard bag
  • activate the safety feature and put it in the sharps container
  • collect all needles in a cup and dispose of them later

Questão 122

Questão
What should a phlebotomist do first when a patient has a fainting episode while having their blood drawn?
Responda
  • Apply a cold compress
  • Remove the needle
  • Remove the tourniquet
  • Use an ammonia inhalant

Questão 123

Questão
Wheat is the correct ending procedure?
Responda
  • Remove needle, apply pressure
  • Remove tourniquet, remove needle, apply pressure
  • Remove tourniquet, remove tube, remove needle
  • Remove tourniquet, remove tube, remove needle, apply pressure

Questão 124

Questão
This OSHA regulation requires that all healthcare personnel receive vaccinations for ________.
Responda
  • hepatitis A
  • hepatitis B
  • hepatitis C
  • hepatitis Delta

Questão 125

Questão
A specimen may be rejected by the lab if ______.
Responda
  • the tube is not full
  • the specimen hemolyzed
  • the tube was not transported properly
  • All of the above

Questão 126

Questão
The best way to locate a vein is to _______.
Responda
  • ask the patient where their best veins are
  • memorize the diagram of arm veins
  • palpate (feel) the antecubital space with your finger
  • None of the above

Questão 127

Questão
When labeling tubes, the following information should be included, except _______.
Responda
  • patient name and birth date
  • time of collection
  • diagnosis
  • phlebotomist's initials

Questão 128

Questão
When identifying a patient, the phlebotomist must _____.
Responda
  • ask the patients name and date of birth
  • just draw the patient - no questions
  • check paperwork or chart
  • Both ask the patients name and date of birth and check paperwork or chart

Questão 129

Questão
As written in the patient bill of rights, s patient has the right to _____.
Responda
  • confidentiality
  • informed consent
  • know the name of the phlebotomist
  • All of the above

Questão 130

Questão
Inspecting the bevel prior to drawing, the phlebotomist looks to see if ______.
Responda
  • there are defects
  • there are burrs
  • the bevel is facing upward
  • All of the above

Questão 131

Questão
If a phlebotomist is accidentally stuck with a needle, they should ______.
Responda
  • put a bandage on it
  • tell their supervisor
  • rinse with water
  • lick their finger clean

Questão 132

Questão
If a patient has an IV in their arm, the phlebotomist should _____.
Responda
  • draw blood from the IV line
  • ask the nurse to remove the IV
  • draw blood from below the IV line
  • draw blood from above the IV line

Questão 133

Questão
Tourniquets should remain in place for _______.
Responda
  • at least 3 minutes
  • the entire time of the draw
  • no longer than 1 minute
  • None of the above

Questão 134

Questão
Which of these specimens is normally sterile?
Responda
  • Throat swab
  • Stool specimen
  • Blood specimen
  • Wound swab

Questão 135

Questão
If a tube breaks while centrifuging, what action would be best?
Responda
  • Evacuate room, open lid, remove tube with forceps
  • Open lid, stop centrifuge, remove tubes wearing gloves
  • Let centrifuge stop, open lid, remove tube with forceps
  • Tip centrifuge over and shake tubes out

Questão 136

Questão
Drawing areas and the lab are decontaminated with what percentage bleach?
Responda
  • 1:15
  • 1:10
  • 1:20
  • 1:100

Questão 137

Questão
Which is a common disinfectant used for collecting blood cultures?
Responda
  • Chlorhexidine
  • Methanol
  • Alcohol
  • Lidocaine

Questão 138

Questão
The rubber sleeve on an evacuated tube needle makes it possible for use with _____.
Responda
  • multiple tubes
  • sterile techniques
  • intravenous drips
  • None of the above

Questão 139

Questão
A possible tube breakage during centrifugation might be due to _______.
Responda
  • too much blood in the tube
  • an unbalanced centrifuge
  • not enough blood in the tube
  • centrifuging for too long

Questão 140

Questão
Which national organization that establishes standards for phlebotomy procedures recently changed its name to Clinical Laboratory Standards Institute (CLSI)?
Responda
  • OSHA
  • JCAHO
  • NCCLS
  • TQM

Questão 141

Questão
HIPAA requires the Department of Health and Human Services to establish national standards for _________.
Responda
  • continued access of health insurance
  • electronic health care transactions
  • Medicare and Medicaid
  • improving clinical laboratories

Questão 142

Questão
The Centers for Medicare and Medicaid regulate all laboratory testing that is performed in the US through _____.
Responda
  • CLIA (Clinical Lab Improvement Amendment)
  • HIPAA (Health Insurance Portability and Accountability Act)
  • ASCP (American Society for Clinical Pathology)
  • JCAHO (Joint Commission on Accreditation Healthcare Organization)

Questão 143

Questão
Which globally recognized, voluntary organization develops and distributes standards and guidelines to improve medical testing?
Responda
  • JCAHO
  • ASCP
  • NCCLS
  • NAACLS

Questão 144

Questão
In order to monitor therapeutic drug levels, the lab needs to know the ______.
Responda
  • pharmacy name and number
  • number of pills left to take
  • time of last dose taken
  • time of next dose to be taken

Questão 145

Questão
What initial patient preparation is required for a glucose tolerance test (GTT)?
Responda
  • Make sure the patient has eaten at least 2 hours before
  • Ask the patient whether insulin has been taken yet
  • Make sure patient has been fasting fro 10-12 hours
  • Make sure to collect a first morning urine specimen

Questão 146

Questão
Which of the following has the highest incidence among healthcare workers?
Responda
  • TB
  • Hepatitis B
  • HIV/AIDS
  • Hepatitis C

Questão 147

Questão
To confirm diabetes mellitus or hyperglycemia, what test would be ordered?
Responda
  • Postprandial sucrose test
  • Lactose intolerance test
  • Hemoglobin A1C test
  • Glucose tolerance test

Questão 148

Questão
Which of these is considered a time-dependent test?
Responda
  • Hemogram
  • Glucose tolerance
  • Direct bilirubin
  • Platelet count

Questão 149

Questão
A glucose meter is an important way to monitor the medical condition of patients with ________.
Responda
  • systemic lupus erythematous
  • diabetes mellitus
  • iron deficiency anemia
  • chronic leukemia

Questão 150

Questão
Whenever a glucose meter is cleaned or its batteries are changed, it is crucial to ______.
Responda
  • call clinical support for assistance
  • recheck monitor with controls
  • notify the manufacturer for QC instructions
  • double-check the next couple of patient tests

Questão 151

Questão
One possible cause for finding fibrin strands in serum tubes after centrifugation might be _____.
Responda
  • centrifuging for too long
  • centrifuging before the tube has formed a clot
  • centrifuging at too high of a speed
  • centrifuging after a long delay

Questão 152

Questão
If samples collected for urinalysis and blood testing are accidentally lost for 2 weeks, can they still be used?
Responda
  • No.
  • Yes, if the tops have not been opened.
  • Yes, if tested in the next 24 hours.
  • Yes, if they are refrigerated until tested.

Questão 153

Questão
Why do phlebotomists use a tourniquet?
Responda
  • To elevate blood pressure
  • To dull the pain at the needle site
  • To help locate veins in the antecubital area
  • To distract the patient while drawing

Questão 154

Questão
Two samples are sent to the lab in the same bag. Both tubes have the same patient name written on them but two different requisitions. What is the best action to take?
Responda
  • Call the physician to ask if it's okay to run the samples.
  • Ask the patients if they can identify their sample.
  • Arrange to recollect both samples.
  • Just guess which tube matches which paperwork.

Questão 155

Questão
Which of these is not an example of parenteral transmission of an infection?
Responda
  • Infection through a hangnail
  • Eye/hand contamination
  • Needle stick injury
  • Drinking contaminated water

Questão 156

Questão
Which lab test evaluates extrinsic coagulation function?
Responda
  • Prothrombin time (PT)
  • Extracorpeal circulation workup (ECC)
  • Lupus anticoagulation test (LAT)
  • Activated partial thromboplastin time (APTT)

Questão 157

Questão
A cholesterol panel provides the most useful information to the physician if it is drawn _____.
Responda
  • without a tourniquet
  • along with electrolytes
  • right after a fatty meal
  • while the patient is fasting

Questão 158

Questão
Which of the following tests should be kept warm after collection and delivered to the lab as soon as possible?
Responda
  • Hemogram
  • Type and crossmatch
  • Urinalysis
  • Cold agglutinins

Questão 159

Questão
OSHA requires training and educational information be given to phlebotomists on all but which of the following topics?
Responda
  • Blood-borne pathogens
  • Preventing identification errors
  • Needle safety and handling
  • Glass and sharps disposal

Questão 160

Questão
According the the College of American Pathologists (CAP), phlebotomists are involved primarily in which phase of lab testing?
Responda
  • Pre-analytical
  • Analytical
  • Post-analytical
  • None are correct

Questão 161

Questão
The National Fire Protection Association labels would use which color and number to indicate that a chemical is easily dispersed in air and will burn readily?
Responda
  • Red, 4
  • White, 2
  • Red, 1
  • Yellow 3

Questão 162

Questão
The abbreviation QNS would be written on a requisition for redraw because ______.
Responda
  • the patient was combative
  • the test was cancelled earlier
  • there wasn't enough specimen to run tests
  • the patient was an easy draw

Questão 163

Questão
The right to know law requires chemical manufacturers to supply what information along with their products?
Responda
  • Free fire extinguishers
  • Disposable containers
  • Material Safety Data sheets
  • Radioactive warning signs

Questão 164

Questão
Ensuring that services and results compare with accepted standards is the foundation for ______.
Responda
  • quality assurance
  • standard deviation
  • statistical analysis
  • coefficient of variation

Questão 165

Questão
Healthcare workers can demonstrate an awareness of safety in hospital corridors by ______.
Responda
  • turning corners carefully to avoid collisions
  • quickly reporting items that require clean up
  • granting right-of-way to patients and emergencies
  • All of the above

Questão 166

Questão
Why is it important to keep a record of all patient specimens collected and tested?
Responda
  • For pre-analytical quality control
  • For analytical quality control
  • For post-analytical quality control
  • To meet AMA guidelines

Questão 167

Questão
Which of these diseases is caused by a blood-borne pathogen?
Responda
  • Cystitis
  • Chicken pox
  • Influenza
  • Malaria

Questão 168

Questão
Communications between physicians and patients are considered privileged, which means that medical records are ______.
Responda
  • confidential in nature and protected
  • not open to the patients themselves
  • freely open to anyone
  • accessible to any healthcare worker

Questão 169

Questão
When mailing blood specimens to a reference lab, the outside label should clearly show ______.
Responda
  • biohazard warning sign
  • "In case of breakage, send to CDC"
  • full name and address of lab
  • All of the above

Questão 170

Questão
Which of these is not part of the Patient Bill of Rights?
Responda
  • Right of refusal of treatment
  • Right to select preferred caregivers
  • Right to informed consent of care
  • Right to accurate information about care

Questão 171

Questão
Medical ethics defines conduct within the medical profession that is deemed to be _____.
Responda
  • moral or immoral
  • negligent
  • right or wrong
  • related to malpractice

Questão 172

Questão
As part of the quality assurance process that ensures accuracy in lab test results, healthcare workers who collect and perform lab testing must demonstrate ongoing ______.
Responda
  • competency
  • empathy
  • compliance
  • intelligence

Questão 173

Questão
AIDS stands for ______.
Responda
  • autoimmune deficiency symptoms
  • acquired immune deficiency syndrome
  • acquired infectious disease state
  • accidental inflammation disease state

Questão 174

Questão
The federal government requires that specimens be transported or shipped in what type of container?
Responda
  • Plastic
  • Water-tight
  • Metal-rimmed
  • Egg crate

Questão 175

Questão
Containers used to dispose of sharps must have all these characteristics except being ______.
Responda
  • mold-resistant
  • spill-proof
  • tamper-proof
  • puncture-resistant

Questão 176

Questão
The purpose of quality control is to ______.
Responda
  • check machinery
  • list all mistakes made
  • ensure that patient care is provided
  • All of the above

Questão 177

Questão
If a patient becomes combative while having his/her blood drawn, the phlebotomist should _____.
Responda
  • force patient to stay still
  • transfer control to [of?] patient
  • ignore patient and refuse to draw them
  • report patient to security

Questão 178

Questão
The primary methods of performing a venipuncture include ______.
Responda
  • syringe
  • butterfly (winged infusion set)
  • evacuated tube
  • All of the above

Questão 179

Questão
The preferred method used for cleaning a venipuncture site is _____.
Responda
  • soap and water
  • 10% alcohol
  • 70% alcohol
  • betadine

Questão 180

Questão
The proper method of locating a vein is _____.
Responda
  • palpating
  • applying cold water
  • memorizing a diagram of the arm veins
  • using a blood pressure cuff

Questão 181

Questão
The average depth of skin puncture is _____.
Responda
  • 4.0 mm
  • 1.5 mm
  • 2.0 mm
  • 3.4 mm

Questão 182

Questão
The evacuated tube used for coagulation tests is _________.
Responda
  • red top
  • lavender top
  • yellow top
  • light blue top

Questão 183

Questão
The preferred finger when performing skin puncture is the _____.
Responda
  • index finger
  • thumb
  • little finger
  • third or fourth finger

Questão 184

Questão
The evacuated tube used for blood (typing) banks is ______.
Responda
  • yellow top
  • red top
  • green top
  • marble top

Questão 185

Questão
The evacuated tube used for chemistry is ______.
Responda
  • light blue top
  • red or marble top
  • lavender top
  • yellow top

Questão 186

Questão
Serum is collected from what color tube?
Responda
  • Lavender top
  • Red top
  • Marble top
  • Both red and marble top

Questão 187

Questão
Plasma is collected from what color tube?
Responda
  • Red top
  • Green top
  • Lavender top
  • Both green and lavender top

Questão 188

Questão
The tube of choice for hematology is _______.
Responda
  • lavender top
  • light blue top
  • red top
  • grey top

Questão 189

Questão
The vein most often used for venipuncture is the _______.
Responda
  • antecubital
  • basilic
  • median cubital
  • radial artery

Questão 190

Questão
What is the additive in lavender top tubes?
Responda
  • EDTA
  • ACD
  • Sodium citrate
  • SPS

Questão 191

Questão
What is the additive in green top tubes?
Responda
  • Lithium heparin
  • Potassium oxalate
  • Sodium fluoride
  • SPS

Questão 192

Questão
What is the additive in grey top tubes?
Responda
  • Lithium heparin
  • Sodium heparin
  • Potassium oxalate
  • EDTA

Questão 193

Questão
What is the additive in light blue top tubes?
Responda
  • Sodium heparin
  • Sodium citrate
  • Sodium fluoride
  • EDTA

Questão 194

Questão
What is the additive in red top tubes?
Responda
  • EDTA
  • Sodium heparin
  • Clot activator gel
  • No additive

Questão 195

Questão
Which needle has the smallest gauge?
Responda
  • 23
  • 18
  • 21
  • 16

Questão 196

Questão
What is the correct order of draw?
Responda
  • Lavender, red, light blue, yellow, green
  • Yellow, red, light blue, lavender, green
  • Red, light blue, yellow, lavender, green
  • Yellow, light blue, red, green, lavender

Questão 197

Questão
Tourniquets should remain on the arm for how long?
Responda
  • 3 minutes
  • Entire time of draw
  • 1 minute
  • As long as you want

Questão 198

Questão
Excessive milking of a skin puncture ______.
Responda
  • can cause the blood sample to be hemolyzed
  • should be avoided
  • can cause dilution with tissue fluid
  • All of the above

Questão 199

Questão
Patients with diarrhea/gastroenteritis bacteria are placed in _____.
Responda
  • enteric isolation
  • respiratory isolation
  • reverse isolation
  • strict isolation

Questão 200

Questão
When a patient is highly contagious, they are placed in ______.
Responda
  • enteric isolation
  • respiratory isolation
  • reverse isolation
  • strict isolation

Questão 201

Questão
When should a phlebotomist follow universal precautions?
Responda
  • When a patient is known to be infectious
  • While working in a hospital
  • Whenever a phlebotomy procedure is performed
  • None of the above

Questão 202

Questão
The proper way to dispose of a needle is to ______.
Responda
  • put it in a sharps container
  • throw it out in a biohazard bag
  • activate the safety feature and put it in a sharps container
  • collect a bunch in a cup and dispose of them later

Questão 203

Questão
Microorganisms that cause a disease are _____.
Responda
  • pathogens or pathogenic
  • normal flora
  • non pathogenic
  • None of the above

Questão 204

Questão
When a tourniquet is placed on too tightly, what can happen?
Responda
  • A rash
  • Pain
  • A nevus
  • Petechiae

Questão 205

Questão
The tourniquet is placed how far above the draw site?
Responda
  • 5-7 inches
  • 4-6 inches
  • 3-4 inches
  • 1-2 inches

Questão 206

Questão
Factors to consider in site selection when drawing are ________.
Responda
  • scars or burns
  • edema
  • mastectomy
  • All of the above

Questão 207

Questão
Veins that are hard and cord like are called ______.
Responda
  • hematoma
  • sclerosed
  • collapsed
  • torturous

Questão 208

Questão
Collection tubes with additives need to be inverted ______.
Responda
  • 1 time
  • 5-10 times
  • 0 times
  • as many times as desired

Questão 209

Questão
When a tourniquet is left on the arm too long, _______ can happen.
Responda
  • hemolysis
  • petechiae
  • hemoconcentration
  • a collapsed vein

Questão 210

Questão
What is the most common complication for phlebotomy?
Responda
  • Convulsions
  • Short draw
  • Hypovolemia
  • Hematoma

Questão 211

Questão
Which of the following means thrombocytopenia?
Responda
  • Low white blood count
  • Low platelet count
  • Low red blood count
  • Low blood level

Questão 212

Questão
Thrombophlebitis means _____.
Responda
  • a blood clot in the heart
  • a hard blood draw
  • inflammation of a vein with a clot
  • inflammation of the thyroid gland

Questão 213

Questão
Proper technique for collecting capillary blood is to _______.
Responda
  • use the thumb because it is the largest
  • puncture more than once to get more blood
  • squeeze hard to get blood quickly
  • wipe away the first drop of blood

Questão 214

Questão
If a patient has an IV in their arm, the phlebotomist should _____.
Responda
  • draw from the IV line
  • ask a nurse to remove the line
  • draw from below the IV line
  • not draw blood

Questão 215

Questão
Which is not proper venipuncture technique?
Responda
  • Clean arm with alcohol
  • Apply pressure when done drawing
  • Release tourniquet before removing the needle
  • Label tubes before drawing the patient

Questão 216

Questão
The most important step in performing venipuncture is ______.
Responda
  • selecting needle size
  • collecting enough blood
  • identifying the patient
  • positioning the patient

Questão 217

Questão
Sharps containers must have all characteristics except being _____.
Responda
  • odor proof
  • spill proof
  • tamper proof
  • puncture proof

Questão 218

Questão
Which is a possible route of infection during venipuncture?
Responda
  • Skin contact
  • Airborn
  • Ingestion
  • All of the above

Questão 219

Questão
The process by which an object or area becomes unclean is _____.
Responda
  • contaimination
  • infection
  • sepsis
  • pollution

Questão 220

Questão
Clots in additive tubes can be caused by ______.
Responda
  • insufficient mixing
  • centrifuging too slowly
  • inadequate amount of blood
  • traumatized platelets

Questão 221

Questão
Within the capillaries, blood cells _____.
Responda
  • give away oxygen
  • pick up carbon dioxide
  • pick up waste products
  • All of the above

Questão 222

Questão
Characteristics of capillaries include _______.
Responda
  • being thin walled in structure
  • forming microscopic pathways
  • connecting arterioles with venules
  • All of the above

Questão 223

Questão
Blood cultures require sample collection in ______.
Responda
  • anaerobic and aerobic bottles
  • CO2 and sterile saline bottles
  • anaerobic and CO2 bottles
  • aerobic and sterile saline bottles

Questão 224

Questão
Which of the following is most likely to cause contamination during blood culture collection?
Responda
  • Letting the betadine dry between steps
  • Cleansing the bottle tops as well as the draw site
  • Re-palpating the draw site with a prepped finger
  • Rushing the drying process

Questão 225

Questão
Which of these additives is commonly found in blood culture tubes?
Responda
  • SPS
  • EDTA
  • Sodium citrate
  • Sodium oxalate

Questão 226

Questão
A hemogram includes all of the following except _____.
Responda
  • red blood count
  • white blood count
  • platelet count
  • blood sugar level

Questão 227

Questão
Blood specimens are centrifuged in order to ____.
Responda
  • separate the cells from the serum or plasma
  • separate platelets from white blood cells
  • remove interfering substances
  • separate red blood cells from white blood cells

Questão 228

Questão
Signs of syncope may include ____.
Responda
  • nausea
  • sweating
  • turning pale
  • All of the above

Questão 229

Questão
All of the following can cause a hematoma except ______.
Responda
  • excessive probing of the needle
  • removing the tourniquet before the needle
  • placing the needle only partially in the vein
  • placing the needle all the way through the vein

Questão 230

Questão
The average adult has approximately how much blood?
Responda
  • .05 liters
  • 5 liters
  • .5 liters
  • 15 liters

Questão 231

Questão
Red blood cells are also called ______.
Responda
  • erythrocytes
  • thrombocytes
  • leukocytes
  • phagocytes

Questão 232

Questão
Aspirin may have an effect on which patient test?
Responda
  • CBC
  • Blood culture
  • Bleeding time
  • Glucose level

Questão 233

Questão
The outer-most layer of the heart wall is called the ______.
Responda
  • epicardium
  • myocardium
  • endocardium
  • mesocardium

Questão 234

Questão
Veins carry ____.
Responda
  • oxygen-poor blood away from the heart
  • oxygen-poor blood back to the heart
  • oxygen-rich blood back to the heart
  • oxygen-rich blood away from the heart

Questão 235

Questão
Which gland is called the master gland?
Responda
  • Thyroid
  • Pituitary
  • Brain
  • Thalamus

Questão 236

Questão
When drawing for therapeutic drug levels _____.
Responda
  • trough level is drawn after dose is given
  • trough level is drawn before dose is given
  • peak level is drawn before dose is given
  • Not important to know

Questão 237

Questão
Accumulation of extra fluid under the skin is called ________.
Responda
  • edema
  • hematoma
  • thrombus
  • synovial

Questão 238

Questão
Which chamber of the heart has the thickest myocardium?
Responda
  • The right atrium
  • The left atrium
  • The right ventricle
  • The left ventricle

Questão 239

Questão
Which artery in the wrist is used for blood gases?
Responda
  • Jugular
  • Radial
  • Popliteal
  • Femoral

Questão 240

Questão
A hemogram is collected in which tube?
Responda
  • Light blue top
  • Lavender top
  • Red top
  • Black top

Questão 241

Questão
The smallest veins in the body are known as ____.
Responda
  • capillaries
  • arteries
  • venules
  • arterioles

Questão 242

Questão
When unclotted blood is centrifuged, what is on top?
Responda
  • Serum
  • Cells
  • Plasma
  • Platelets

Questão 243

Questão
Which lab test evaluates extrinsic coagulation?
Responda
  • Protime PT
  • Rapid plasma reagiin
  • Lupus anticoagulant
  • Activated partial thromboplastin (APPT)

Questão 244

Questão
Speed of centrifuge in RPMs can be checked using a ______.
Responda
  • spectrophotometer
  • pH meter
  • water purity meter
  • tachometer

Questão 245

Questão
When making a blood smear, the spreader slide is made of _____.
Responda
  • metal
  • quartz
  • plastic
  • glass

Questão 246

Questão
What does the lab need to know in order to monitor therapeutic levels?
Responda
  • Number of pills taken
  • Pharmacy
  • Time of last dose
  • If eaten with food

Questão 247

Questão
A bed patient in a hospital is called a(n) ______.
Responda
  • inpatient
  • consumer
  • resident
  • outpatient

Questão 248

Questão
Negligence by a professional is called ______.
Responda
  • invasion of privacy
  • slander
  • malpractice
  • tort

Questão 249

Questão
Lack of physical or mental fitness is called _____.
Responda
  • malpractice
  • obesity
  • negligence
  • incompetence

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