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Phlebotomy Exam
Glucose tolerance test is a measure of which hormone? - correct answer Insulin Ultraviolet light has what effect on the bilirubin molecule? - correct answer degrades the molecule Therapeutic drug monitoring is done at timed intervals after administration of the drug to determine: - correct answer absorption rate,drug distribution and excretion of drug EDTA inhibits clotting of blood through action of: - correct answer capturing calcium The term "universal precautions" refers to an infection control method in which all human blood and other potentially infectious material is treated as if they were known to be infectious (T or F) - correct answer True Procedures involving blood or other potentially infectious material shall be preformed in such a manner as to minimize: - correct answer Splashing and spraying Hep B vaccine must be made available to employees under two circumstances: - correct answer following any infectious exposure incident and if they are exposed at least once a month A facility providing an adequate supply of running water , soap and single use towels or hot air drying machine is a : - correct answer hand washing facility Which of the following body fluids does not contain fibrinogen? - correct answer serum What anticoagulant tube should be used when drawing a Hematocrit? - correct answer EDTA- Ethylene Diaminetracetic Acid
Which of the enzymes listed is not measured as an index of liver function? - correct answer CPK- Creatinine Phosphokinase A Creatinine clearance is done to index the functioning of what physiological system? - correct answer urinary Palmar Digitalis: - correct answer Fifth Subclavian: - correct answer First Axillary: - correct answer Second Basilic: - correct answer Third Brachial: - correct answer Fourth CPK is an: - correct answer enzyme Gentamicin is an: - correct answer antibiotic Hemoglobin is an: - correct answer carrier molecule Chloride is an: - correct answer electrolyte Insulin is an: - correct answer hormone The term obtaining blood from the vein is a: - correct answer venipuncture When using vacutainers, what provides the suction that pulls the blood into the tube? - correct answer vacuum
As a vital member of the clinical laboratory team, the Phlebotomist provides the link between the patient and other health professionals (T or F) - correct answer True When several quantitative blood examinations are to be carried out, it is best to collect several milliliters of blood from a vein. (T or F) - correct answer True A hematoma may be caused by: - correct answer -Failure to have needle completely in vein -Failure to release the tourniquet before withdrawing the needle -jerking needle from vein -failure to apply pressure to wound Anticoagulants have absolutely no effect on morphological changes in blood cells (T or F) - correct answer False Blood collected in an anticoagulated tube must be thoroughly: - correct answer inverted when you insert a needle into a vein, which way should the bevel be placed? - correct answer Up Before performing a venipuncture in an inpatient setting, one should: - correct answer check the patient's identification Which one of these items should not be found on a blood collection tray? - correct answer coffee/donuts Which is the most effective patient prep before performing a venipuncture? - correct answer cleanse with a 70% alcohol swab What is the most acceptable way for preparing blood slides? - correct answer from fresh blood at the patient's bedside
An arm with a I.V hookup should never be used for blood collection because: - correct answer the specimen will contain I.V fluid and I.V fluids will change the lab results All blood that runs through veins and arteries is blue before it hits oxygen (T or F) - correct answer False When a specimen is said to be hemplysed, it is because - correct answer red cells burst causing hemoglobin to be released into the serum Describe the contents of the light blue top tube: - correct answer sodium citrate what coagulant is in a red top tube? - correct answer none of the above What coagulant is in a purple top tube? - correct answer EDTA Patients are placed in isolation: - correct answer -isolate the disease process in patient's room -to protect the patient from outside pathogens to prevent the spread of disease All of the following are types of isolation except: - correct answer intravascular Used needles should never be resheathed or recapped: (T or F) - correct answer True In an in-patient setting, all patients should have on a patient identification bracelet (T or F) - correct answer True Most effective method to stop bleeding and help prevent bruising is to: - correct answer apply pressure to the site. inspect to see if bleeding has stopped. Apply a band-aid
Blood is transported through the body by the: - correct answer circulatory system Which of the following is practical to use when selecting a vein? - correct answer an elastic or flexible vein The innermost wall of a vein is the: - correct answer endothelium Which of the following is not a layer of cross section of the vein? - correct answer myocardium A phlebotomist enters a patient's room. Suddenly the patient gets up, walks into the bathroom and locks the door. Twenty minutes pass with the patient still in the bathroom and the Phlebotomist should: - correct answer inform a nurse on the unit that the patient won't come out of the bathroom After having a blood drawn, a patient feels faint. Which of the following actions is not appropriate? - correct answer Get a glass of water A Phlebotomist enters Johnny's room and a parent is with the patient. the parent asks, "Why do you have to draw more blood from my child?" the Phlebotomist should reply, - correct answer "Your doctor needs to see how Johnny is doing today" The Phlebotomist is in a patient's room who normally gets a daily CBC. today this patient has a chemistry test ordered with no CBC. The Phlebotomist should: - correct answer check with the patient's nurse or physician A Phlebotomist is drawing a patient who suddenly starts vomiting. The needle is still in the patient's arm. what should the Phlebotomist do? - correct answer Withdraw the needle, call for help, and assist the patient A patient has the right to refuse a laboratory procedure (T or F) - correct answer True A Phlebotomist is on the pediatric floor drawing the morning blood work. A nurse requested an extra blood test that requires additional blood to be drawn on the
patient, because the patient has just returned from surgery. what should be the reply? - correct answer "Since i am drawing this patient's blood anyway,give me an add-on request form" A timed specimen is: - correct answer -a specimen that has peak and trough before and after a drug is given -single blood specimen ordered to be drawn at a specific time If you fail to release the tourniquet, before you withdraw the needle from the vein, the patient may develop a: - correct answer hematoma An artificial shunt in which the vein and artery have been fused through surgery is usually found in: - correct answer kidney dialysis patients A Phlebotomist stuck a patient twice and did not obtain the required blood test. what should the phlebotomist do next? - correct answer Ask for assistance from a co-worker or supervisor The primary function of red blood cells is to fight infections (T or F) - correct answer False A Phlebotomist should never give a patient detailed information about why he/she is being stuck for blood work (T or F) - correct answer True Which of the following is a milk sugar that sometimes cannot be digested by healthy individuals? - correct answer Lactose First activity? - correct answer Explain procedure to the patient to get their cooperation Second activity? - correct answer Have equipment on hand for collecting Third activity? - correct answer Collect the specimen
Communicable diseases spread quickly from one person to another: (T or F) - correct answer True When a patient has a communicable disease, isolation techniques should be used (T or F) - correct answer True Various color coded isolation cards are hung on doors to identify certain types of patient isolations (T or F) - correct answer True Laboratory tests are ordered to determine the existence and monitor the progress of a disease ( T or F) - correct answer True The finger is usually massaged to increase circulation (T or F) - correct answer True A finger stick or puncture is usually made on the middle finger (T or F) - correct answer True The massaging action must be heavy and deep so that the finger becomes reddened ( T or F) - correct answer True The massaging action of the finger should be done before the puncture (T or F) - correct answer True Prefix meaning three: - correct answer Tri Prefix meaning two: - correct answer Bi Prefix meaning inside: - correct answer Endo Prefix meaning around: - correct answer Peri
Prefix meaning between: - correct answer Inter Inferior: - correct answer Lower Anastomosis: - correct answer Joining Superior: - correct answer Upper Posterior: - correct answer toward back Anterior: - correct answer toward front Part of word meaning muscle: - correct answer myo Part of word meaning liver: - correct answer hepato Part of word meaning heart: - correct answer cardio Pertaining to artery: - correct answer arterial Pertaining to the chest: - correct answer thoracic Lower heart chamber: - correct answer ventricle Wall of heart: - correct answer septum Heart valve: - correct answer mitral Plural of atrium: - correct answer atria
An acute or chronic infectious disease due to parasites within red blood cells: - correct answer malaria Presence of more than the normal number of mononuclear leukocytes in blood: - correct answer mononucleosis Invasion of the bloodstream by virulent micro-organisms from a local site of infection: - correct answer septicermia Transfer of a disease producing agent from site of disease to another area: - correct answer metastatic Unable to regenerate: - correct answer aplastic An excess of red blood cells: - correct answer polycythemia Hemorrhagic states characterized by patches of purplish discoloration: - correct answer purpura Increase in number of lymphocytes in blood bone marrow: - correct answer lymphocytosis Abnormal growth of small tubercles in lymph nodes and other organs: - correct answer sarcoidosis Malignant enlargement of lymph nodes, spleen, lymphoid tissue: - correct answer Hodgkin's disease Chronic liver infection: - correct answer cirrhosis Irregularity in size of red blood cells: - correct answer anisocytosis Deficient oxygen supply to tissue: - correct answer anoxia
Deficient blood-oxygen content: - correct answer anoxemia Marked decrease in blood-carbon dioxide content: - correct answer acapnia Temporary cessation of breathing: - correct answer apnea Decrease in number of white blood cells: - correct answer leukopenia Disease of the blood with an increase in white blood cells: - correct answer leukemia The formation and development of red blood cells: - correct answer hematopoiesis A below reduction in the number of erythrocytes per cu. Mm of blood, the quality of hemoglobin or volume of packed cells per 100 mils: - correct answer anemia A bluish color of the skin and mucous membranes due to an increased amount of carboxyhemoglobin in the blood: - correct answer cyanosis A new growth of malignant tumor,enclosing epithelial cells in connective tissue, tending to infiltrate and give rises to metastases: - correct answer carcinoma A swelling or mass of blood confined to an organ, tissue, or space and caused by a break in a blood vessel: - correct answer hematoma Accumulations of lipid containing materials within or beneath the internal surface of blood vessels: - correct answer atherosclerosis distorted proliferation and development of leukocytes and their precursors in the blood stream and bone marrow: - correct answer leukemia Enlargement of liver: - correct answer hepatomegaly
The clear,pale,straw colored fluid which remains after coagulation and separation of a blood clot is called: - correct answer serum The word "coagulate" means: - correct answer form a clot The anticoagulant contained in the green top tube is: - correct answer heparin The anticoagulant contained in the grey top tube is: - correct answer sodium fluoride Anticoagulants: - correct answer are substances that prevent blood from clotting What is the most important step when collecting blood specimen? - correct answer Patient identification Which is the highest priority call in phlebotomy area? - correct answer Stat Which blood test requires a "chain of custody protocol"? - correct answer HIV Only plain red top tubes should be used for Blood Bank specimens (T or F) - correct answer false Blood can be packaged and kept in blood banks for emergencies (T or F) - correct answer true In order to keep the blood from clotting, what solution is added? - correct answer Sodium Heparin, EDTA, CPDA (citrate phospate dextrose adenine) Blood may be stored for up to: - correct answer 7 days The supplies of blood in the bank are dated with an expiration date so that blood in which red cells may have disintegrated is not used (T or F) - correct answer True
It is important that there be particularly large supply of what type of blood, in case of an emergency, which can be used on any patient? - correct answer O, Rh- negative The term used to describe whenever a test is ordered to be drawn at a particular time is? - correct answer Timed Specimen Therapeutic drug monitoring test, Glucose Tolerance and Lactose tolerance test have what in common? - correct answer all are timed specimens, and all are chemistry specimens How many specimens would be collected from a patient undergoing a 4 hour tolerance test? - correct answer 5 A glucose tolerance test would be discontinued if the patient: - correct answer eats food The tourniquet should be applied to the antecubital area how many inches from the drawing site? - correct answer 2 to 3 inches When palpating prior to a venipuncture, how is an artery distinguished from a vein?
- correct answer -artery feels hard -artery has a pulse -artery is usually deeper than a vein Which test listen below should be placed on ice? - correct answer ammonia Laboratory reference value are calculated from which type of specimen? - correct answer Early Morning specimens Which of the following factors can be a result in failure to obtaining blood during venipuncture? - correct answer -tourniquet is on too tight -vacuum loss in tube
the Phlebotomist should briefly explain to the patient the procedures used to collect the blood sample (T or F) - correct answer True A cheerful disposition, even temper, methodical manner and reliable nature is a valuable asset in dealing with patients (T or F) - correct answer true Facts about patients are not to be part of conversation but kept confidential (T or F)
- correct answer True A Phlebotomist should become involved in everyone's care out of curiosity (T or F) - correct answer false
