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A false high potassium or a false low calcium value may be obtained due to - V/V /ANSWER-V V VEDTA tubes being collected before serum tubes A needle safety feature that is not activated in the vein or automatically should be activated when? - /V /ANSWER- VV VImmediately after the needle is withdrawn A patient came in with a low grade fever of 1 month duration.. the physician ordered an ESR which stands for Erythrocyte Sedimentation Rate.. what color tube? - /VW /ANSWER- VV V lavender A patient fell while exiting the lab. What information would be included in the incident report? - VV /ANSWER-V V Vdate, time, and location of the fall A phlebotomy student who notices a rash on his/her hands should... - VV /ANSWER-V V Vapply antihistamine lotion A sample for Fibrin Degradation Product (FDP) testing would be sent to which of the following departments? - /V /ANSWER- VV JCoagulation dept A tourniquet should not be left on for longer than.. - VV VANSWER-VV V1 minute Electrolyte testing includes - /V /ANSWER-V V Vsodium and potassium Erythrocytes are also known as.. - /V /ANSWER-VV V red blood cells (RBCs) For a bleeding time test, what should you pump the blood pressure cuff to? - VV VANSWER-V VV 40 How long do you perform a buccal (cheek) swab? - VJ VANSWER-V V V¥30 seconds How many tubes are drawn for a 3 hour glucose tolerance test? (GTT) - V/V VANSWER-V V V4 How should the phlebotomist dispose of a needle after drawing blood from a patient? - /V /ANSWER-V V V close safety and dispose in a puncture resistant container (sharps container) How should you hold a winged infusion collection needle? - VV VJANSWER-V V ¥ By the wings If a criminal comes in for a blood draw and they are cuffed and shackled; which arm do you draw from? - V/V /ANSWER- VV VJ Cuffed arm (realistically BOTH arms should remain cuffed) If a laboratory test requires serum, which vacutainer tube is the tube of choice? - /V /ANSWER-V V VRed If a procedure is performed on a patient who refuses consent, what can the phlebotomist be charged with? - /V /ANSWER- VV V battery If someone has an IV in their right arm, which arm should you draw blood from? / IV in both arms? - /V /ANSWER-V V V Left arm / below IV site. Nurse should turn off IV 2 minutes prior to blood draw If someone makes 2 unsuccessful attempts at a venipuncture they should... - M/W /ANSWER-V V V Get someone else to try If the blood specimen is a milky color, what would that mean? - VV VJVANSWER-V V V Lipemia - fat Measurement of copper requires blood collection in what tube? - /V /ANSWER-VV V royal blue Most coagulation tests require a plasma specimen collected in a..- VV VANSWER-V V Vlight blue topped tube Mr Jones needs to give a specimen from home, what should be done first? - /V /ANSWER-V V Vhand washing Order for selecting a venipuncture site - /V /ANSWER-VV V1. Antecubital space (median cubital preferred) 2. Back of hand 3. Back of wrist 4. Ankle or foot (provider permission needed) Select the correct statement below for preparing the site for blood collection - /V /ANSWER-V VVUse a sterile alcohol prep pad (70% isopropyl alcohol) for cleaning the site Sputum is defined as - /V /ANSWER-V VV Mucus from the lungs TB test administration involves: - /V /ANSWER-V V V Injecting the antigen just under the skin The 3 components of the chain of infection are... - VV VJANSWER-V V VSource, Mode of Transmission, Susceptible Host The balanced or "steady state" of the body is called: - VV VANSWER-V V /Homeostasis The bevel of the needle should be.. - /VW /ANSWER- VV VJ facing upward when inserted into the skin The blood vessel that only carries blood away from the heart is .- VV VANSWER-V V Vartery The clear, colorless liquid that functions to protect and nourish the brain and spinal cord is called.. - /V /ANSWER- VV VJ cerebral spinal fluid The gray topped tube is usually drawn for which test? - VVVJANSWER-V V V glucose The hospital department that is responsible for sterile supplies - VV JVANSWER-V V V Central Supply The lab is backed up, and one of your specimens is delayed for more than an hour after collection, what do you do? - VV VJANSWER-V V VTell the patient they will have to come back to repeat the test The liquid portion of a clotted blood specimen is called - V/V J ANSWER-V VV plasma The most common point of care test performed at home or in the hospital is.. - /W /ANSWER-V V V glucose testing The muscle layer of the heart is called the - V/V /ANSWER- VV myocardium The normal composition of blood is - /V /ANSWER-V V V55% plasma / 45% formed elements The patient's specimen is lipemic, this is usually an indicator that the patient .- VV JVANSWER-V JV V Has not fasted The phlebotomist must collect pro time specimen from a patient with IVs in both arms, where should they draw from? - VV VJ/ANSWER-V V Vslightly under IV site, 2 minutes after IV has been turned off The phlebotomist uses nitro gloves during finger stick procedure, the use of gloves is considered.. - /V /ANSWER- VV VPPE The principle reason for requiring feedback when communicating with patients is to determine weather they .- VV VANSWER-V V Vhave understood what is being said The procedure used to collect DNA from the cells inside of a person's cheek is called.. - V/V /ANSWER-V V V Buccal swab To prevent cross contamination of microorganisms from one patient to another, OSHA standards require .- VV VJANSWER-V V7 V Barrier protection equipment (PPE personal protective equipment) Venipuncture is usually performed in the antecubital area. Which vein is usually the best to draw from? - /V /ANSWER- V/V median cubital What can happen if a tourniquet is left on for too long? - VV VANSWER-V ¥V /Hemoconcentration What can happen if blood was drawn from the patient's arm too quickly? - /V /ANSWER-V VV Vein collapse What does an increase in bilirubin, lipid protein and enzymes indicate? - VV J/ANSWER-V V V Intravenous fluids resulting in an edematous area What gauge size would be appropriate when drawing a hand with winged infusion needle/butterfly? - V/V /ANSWER- VVV23 What is a major drawback of 24 hour urine collection? - VV VJ/ANSWER-V V V patient cooperation and it is hard to get What is the additive for a green topped tube? - V/V /ANSWER- VV VJ Sodium lithium What is the additive in a green top tube? - /V /ANSWER- VV Vsodium heparin What is the anticoagulant in a gray topped tube? - V/V VJANSWER-V V V potassium oxalate What is the anticoagulant in a gray topped tube? - VV VJANSWER-V V Vsodium fluoride What is the best specimen for urine collection? - VV VANSWER-V V Vclean-catch midstream When a phlebotomist observes actions or suspects child abuse, what should be the next step to take? - V/V /ANSWER- VV Vadvise supervisor privately When drawing on blood thinners, what will you use after you complete the draw? - // /ANSWER-V V VCoband wrap When preparing for a specimen collecting by venipuncture, how should the patient be positioned? - /V /ANSWER- ¥VVVJWith the arm in a straight line from shoulder to wrist When should a blood collection tube be labeled? - VV VJANSWER-V V7 V After the specimen is collected Where does the phlebotomist document poor techniques affecting sample quality? - /VW /ANSWER-V V ¥ quality improvement form Where should blood be drawn on a patient who has had a right side mastectomy and lymph node removal? - / V /ANSWER- VJ V Left antecubital space Which department would perform a CBC? - /V /ANSWER- VV VJ/Hematology Which of the following additives would be found in a yellow topped tube? - VV /ANSWER-V V VSPS Which of the following is a normal result for a fasting glucose test? - VV /ANSWER-V VV Under 100 Which of the following is a reason for a sample to be rejected by QNS (quantity not sufficient)? - /W /ANSWER-V VV Green PST half full Which of the following is not a part of a complete blood count? - VV J ANSWER-VVVAPTT - Activated Partial Thromboplastin Time Which of the following is required by OSHA? - V/V /ANSWER- VV VHepatitis B vaccine Which of the following must be done for a blood culture evaluation microorganism growth for septicemia? - Which test requires a whole blood specimen? - /V /ANSWER- ¥VVJVJCBC - Complete Blood Count Which test should be collected in a royal blue topped tube? - VV VJANSWER-VV V Trace metal analysis / nutrients and toxicology studies (magnesium) Which type of specimen may require collection of a discarded tube before the test specimen is collected? - /V /ANSWER- VV V blood culture specimen 
