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Phlebotomy Certification EXAM--------------Phlebotomy Certification EXAM
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Capillary Puncture - correct answer 3rd or 4th finger for adults, heel stick for infants; Lancet cut across ridges; hold the tube horizontal when filling. Don't sqeeze finger too tightly or milk the finger. Wipe off 1st drop. The vein can collapse - correct answer If you pull on the plunger of the syringe too hard or too quickly during a draw or you use too strong of a vaccum for the vein, this can happen... Anticoagulant - correct answer An agent used to preven blood clotting and to keep the specimen whole blood Red top - correct answer NO ADDITIVE --- Clot Forms ----Serum used for Chemistries, Electrolytes, Thyroids (TSH, T4), Hormone, Liver, Kidney, Lipid stuidies, CMP, BMP. Tiger top - correct answer Aka Red/Gray top: Clot activator additive - Clot Forms - SERUM STUDIES Lavender top - correct answer EDTA additive - No Clot - WHOLE BLOOD for: Complete blood count (CBC), Blood smear, Blood banking (ABO/Rh), ESR, HCT, Hmg,Glyco Alc ****Must be filled sufficiently and inverted (gentle rocked) several times**** Gold Top - correct answer Clot activator additive - Clot Forms - SERUM Studies Grey top - correct answer Sodium Fluoride/Potassium oxalate - Glucose, Alcohol, FBS Light blue top - correct answer Sodium citrate additive - No Clot - Used for coagulation studies (PT, PTT) ****Tube must be filled to the proper level and inverted (gentle rocked) several times****
Wipe away the first drop - correct answer We do this to remove tissue juices, skin cells, alcohol, contaminates, avoid activating clotting process, avoid producing incorrect results, avoid diluting specimen. The basilic, cephilic, and the median - correct answer What veins are in the antecubical area? Hemoconcentration - correct answer This is the increase of the cellular/solid elements in direct ratio to plasma This can be caused by "pumping of the fist" and begins after the tourniquet is left on longer than 1 minute. Provodine/iodine - correct answer Agent used on the skin to sterilize the area. Tourniquet - correct answer Elastic device used ti restrict blood flow to distend veins for phelbotomy. Wing infusion set - correct answer Aka butterfly - for small or fragile veins or difficult veins Erythrocytes, leukocytes, and Thrombocytes (Platelets) - correct answer The solid portion of blood contains: Plasma - correct answer The liquid portion of whole blood; contains all clotting factor Serum - correct answer The liquid portion of clotted blood; contains NO clotting factors. 3-4 inches abouve the puncture site. 1 minute. - correct answer Where should the tourniquet be placed in regards to the draw site and how long should it be left on? Immediately remove the tourniquet and needle and stop the patient from falling. Lower the patients head and arms. Put something cold on the back of the neck. - correct answer What should the MA do if the patient begins to feel dizzy during the blood draw?
Hemolysis - correct answer Breaking apart of RBC's, causing serum or plasma to appear pink-red. This can be caused by a strong vaccum for the size of the vein, to small needle gauge, plunger pulled too quickly, pt has a hemolytic disorder, shaking the tube, taking to long to complete draw. Blood Smear - correct answer For this you must clean the glass slide and use whole blood or capillary sample. Erythrocyte Sedimentation Rate (ESR) - correct answer This is a Non-specific test for inflammation in the body. Use Whole Blood. Collected in lavender tube top. Soap and water - correct answer When cleaning a site for a veinpuncture for alcohol test, use: Spinning a centrifuge - correct answer You must always balance out, making sure euqally filled tubes are on each side when doing this: Hematocrit (Hct) - correct answer % of RBC's to total blood volume Bevel - correct answer Angle end of needle that is inserted into vein/skin Hub - correct answer Holds needle Gauge - correct answer Size of Lumen or hole in needle, the smaller the number/guage, the larger the lumen. -- 18g: large size, not often used for veinpuncture 21g: Used with vaccutainers 23g: used with butterfly system or syringes 0-5 ml in capacity 25g: smallest gauge needle, often causes hemolysis of blood. Lumen - correct answer center of needle (hole) Safety needles - correct answer needles with a mechanical cap attached for use after removal from pt.
blood cultures - correct answer need special training to draw these, so MA's usually don't draw them. ETOH - correct answer ethyl alcohol, when drawing for this test, use soap and water to draw to insure no contamination of specimen