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A wide range of topics related to phlebotomy practices and procedures, including patient identification, sample collection, safety precautions, and laboratory testing. It provides detailed information on various aspects of phlebotomy, such as the proper techniques for venipuncture, capillary puncture, and blood culture collection. The document also discusses important considerations for working with pediatric and geriatric patients, as well as the handling and processing of different types of samples. Additionally, it covers relevant regulations, guidelines, and best practices to ensure the safety and quality of phlebotomy services. This comprehensive resource would be valuable for healthcare professionals, particularly those involved in phlebotomy, laboratory medicine, and patient care.
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What is a local infection? - \An infection affecting only one area of the body What pressure must be maintained with the blood pressure cuff when performing a bleeding time test? - \40 mm Hg To which of the following does "airborne precautions" refer? - \Patients known or suspected to have an illness transmitted through small-particle airborne droplets, which may remain suspended in the air The most important step in any routine sample collection is: - \Identifying the patient What is a Total Quality Management plan? - \A plan that ensures expectations are met What additive(s) does the gold-top blood collection tube contain? - \Separating gel and clot activator According to the Clinical Laboratory Standards Institute (CLSI), the blood volume for infants and children is: - \75-100 mL/kg How should you greet a patient? - "Hello, my name is Bob. Today we are going to take a test for Dr. Jones." What is "bleeding time"? - \The time it takes for a standardised incision to stop bleeding Which of the following is an acceptable temperature for the laboratory freezer? - -5 degrees Celsius Which of the following Arterial Blood Gas (ABG) results received at Point-of-Care Testing (POCT) indicates a critical result and should be reported immediately? - \Arterial sO2 of 79 A phlebotomist asks about a patient's current medications prior to performing venipuncture. Of these four medications, which one is least likely to cause excessive bleeding from the puncture site? -
\Contraceptives The term "paediatric" refers to: - \Patients that belong to the toddler (one-three years), preschool (three-six years), and school-age (six-12 years) age groups A patient in the emergency room is being admitted to the operating room for emergency surgery. The nurse who drew the blood specimen for cross-match labelled the tube incorrectly. Which of the following is true? - \An error in specimen labelling requires recollection of the specimen Which of the following is an example of ethical phlebotomy practice? - \Politely declining an invitation to dinner from a patient that frequents your office All of the following are considered standard precautions except: - \Disinfecting hard surfaces such as countertops What is the advantage of pneumatic tube systems? - \Faster sample delivery When collecting a 24-hour urine sample, what is the first sample the patient should be instructed to collect? - \The second void of the day Most healthcare facilities require employees to maintain certification in Cardiopulmonary Resuscitation (CPR). Phlebotomists are encouraged to take the Basic Life Support (BLS) for healthcare providers course. Appropriate actions for a patient in the hospital who is wearing a Do Not Resuscitate (DNR) wristband would include all of the following except: - \Mouth-to-mouth rescue breathing and chest compressions in the case of respiratory arrest Where should a tourniquet be placed? - \3 to 4 inches above the puncture site After entering an order into the Laboratory Information System (LIS), the phlebotomist can do all of the following in the system except: - \Venipuncture What is the most prevalent hazard for phlebotomists? - \Accidental needle stick When using a butterfly collection system, a flash of blood indicates what? -
\Flush her mouth with water for ten minutes What complication often follows nausea? - \Vomiting Phlebotomist documentation should: - \State facts, not feelings Which of the following is within the certified phlebotomy technician's scope of practice? - \Arterial blood gas sampling What is a major disadvantage of pneumatic tube systems? - \Traumatic to samples All of the following are types of diabetes except: - \Post-diabetes Which of the following patients is most at risk for a low pH error? - \A patient with a tourniquet on for more than one minute What is the first test most physicians order in the diagnosis of diabetes? - \Fasting glucose A children's hospital uses 5% as the maximum total blood volume that can be drawn from a preterm infant during a 30-day period. What is the maximum blood volume that can be drawn from an infant weighing 4.4 pounds (lb) in that time period? Base calculations on the average total blood volume in a preterm infant of 100 millilitres (mL) per one kilogram (kg) of weight. - \10 mL You have entered the room to perform a venipuncture. Your patient's identification bracelet has incorrect information. You should: - \Perform the venipuncture after a corrected identification bracelet is attached Where is the antecubital fossa located? - \The bend of the elbow, front of the arm A haemoglobin or hematocrit check is performed prior to blood donation. In order to donate blood, which is true? - \Haemoglobin must be greater than 12.5 g/dL and hematocrit must be more than 38%
According to World Health Organization (WHO) guidelines, hand hygiene includes: - \Handwashing before and after touching a patient All of the following are common tests for blood smears except: - \Liver panels What does "trough level" (predose) refer to? - \A time at which drug levels in the blood are lowest To access documents and medical records in the Laboratory Information System (LIS), most software programs require users to click on which of the following? - \Icons What type of sample is most appropriate for drug testing? - \Urine Why are blood cultures drawn first in the order of the draw? - \The sterility of the site is optimal on the first draw Can coffee and smoking affect test results? - \Yes, they affect metabolism; therefore, they affect test results. Which part of the needle attaches to a syringe or evacuated tube holder? - \The hub Which of the following is the correct sequence for routine Evacuated Tube System (ETS) venipuncture? - \Inspect the needle, ask the patient to make a fist, anchor the vein, insert the needle Which of the following is not recommended for positioning a paediatric patient to maximise comfort and safety while optimising specimen collection? - \Allow younger children to sit by themselves in the blood-drawing chair, and have Mom or Dad hold the child's feet "Therapeutic range" refers to what concept? - \The dosing range of a drug that gives the desired effects without being too toxic to the patient A rapid strep test uses how many swabs? - \Two What is the most common complication with venipuncture? - \Pain
If a phlebotomist were to document the wrong time on a specimen because they are unsure of when the specimen was actually collected, all of the following could happen, except: - \The laboratory could be protected from prosecution The tourniquet should be on the patient's arm for a maximum of: - \One minute What is meconium? - \A dark, tarry material passed from a neonate's rectum in the first days after birth Which are Clinical Laboratory Improvement Amendment (CLIA) waived tests? - \Finger stick blood glucose with a Point-of-Care machine What is the first step in removing isolation attire? - \Removing gloves Post Vasectomy semen samples should be delivered to the laboratory within: - \Two hours Who submits the order for venipuncture? - \The physician or mid-level provider If the phlebotomist can easily visualise and palpate a patient's vein, which angle would be optimal for needle insertion? -
To which of the following does "droplet precautions" refer? - \Patients known or suspected to have illness transmitted through larger droplets containing microorganisms What is an advantage of using the direct-draw collection bottle or the butterfly collection system for blood cultures? - \They eliminate the hazard of inoculating bottles with a syringe What is one advantage the butterfly system has over the needle and syringe technique when performing venipuncture? - \Multiple syringes can be collected At what point should the phlebotomist remove the needle from the patient's arm? - \After removing the tourniquet What type of sample is most often collected for chain-of-custody scenarios? - \Urine
How should a blood sample testing for pH/blood gases be handled immediately after collection? - \Ice and water bath A critically ill geriatric patient receives orders for daily labs to monitor whether he is responding to treatment. At least four tubes are required for the daily labs, and each needs five to ten millilitres (mL) of blood. The patient has a Venous Access Device (VAD) that will be used for collection, and facility policy requires that five to ten millilitres of blood should be wasted before drawing from the site. If daily labs must be drawn for 7 days, what is the minimum total blood volume in litres (L) that will be drawn from this patient for daily labs? - \0.175 L The xylose tolerance test is an indication of the absorption function of which organ? - \Small intestine Avoiding hair and veins, the site of injection for a purified protein derivative (PPD) test is: - \3-4 inches down from the antecubital fossa What is iatrogenic anaemia? - \Anaemia caused by drawing too much blood from a patient Shallow breathing, pale skin, rapid pulse, and perspiring are all symptoms of what complication of venipuncture a phlebotomist may encounter? - \Syncope When performing first aid to a haemorrhaging wound: - \Removal of the original compress can disrupt the clotting process When properly washing one's hands, what minimum amount of time must one scrub with soap? - \15 to 20 seconds What is the most effective way of reducing disease transmission between patients and healthcare providers? - \Washing your hands Why are re-collection of samples most often done? - \To track patient results over time