A Good Indicator For Vein Integrity And Platelet Function Is

Question: The puncture site for a Simplate Bleeding Time Test should be:

Answer: 5 cm below the antecubital bend

Question: Tubes should be inverted within ______ seconds of the draw.

Answer: 30 seconds

Question: When performing a blood culture test, the ______________ uses standard vacuum tubes that contain the growth medium. Direct draw, vacutainer, syringe, butterfly

Answer: vacutainer

Question: What test is not part of the blood sugar panel? Insulin, GTT, Insulin Antibody, LDL

Answer: LDL (bad cholesterol)

Question: T or F If a patient is mentally ill, the rules of consent do not apply.

Answer: TRUE

Question: The department performs cross-matching tests to determine if a donor is a match for the recipient of any blood product.

Answer: Blood Bank

Question: When performing a blood culture with povidone-iodine, you should swab the are in a _____ diameter from the site. 8 in, 2in, 2cm, 4in

Answer: 4 in

Question: Without fluoride, glucose will decrease in concentration by ____% within a single hour. 30-40, 20-25, 7-10, 2-5

Answer: ?

Question: Your first step when performing an arterial blood gas test is to:

Answer: conduct the Allen Test

Question: What vein is most commonly used for venipuncture?

Answer: antecubital vein

Question: T or F Inverting plain glass tubes can lead to hemolysis

Answer: TRUE

Question: rolling veins tend to be present mostly in:

Answer: both geriatric patients & extremely muscular patients.

Question: For platelet testing , you use what color topped tube? green, lavender, yellow, green

Answer: lavender

Question: This is an anticoagulant generally used in coagulation sodium citrate, oxalate-fluoride, sodium fluoride, heparin

Answer: sodium citrate (light blue- preform coagulation testing)

Question: T or F Using the finger, pinky, or thumb when performing a finger stick could result in injury to an artery.

Answer: TRUE

Question: To conduct the Allen Test, you should apply pressure to the _____ and _____arteries.

Answer: ulnar, radial

Question: Yellow toped tubes contain ____ Solution. sodium citrate, SST, ACD, WBC

Answer: ACD

Question: What additive do light blue topped tubes hold?

Answer: Sodium citrate

Question: What test is not part of the coronary risk comprehensive profile ? Blood lipid percentile score, triglycerides, fasting glucose, cholesterol

Answer: fasting glucose

Question: What additive do light blue topped tubes hold? sodium citrate, EDTA, SST, nothing

Answer: sodium citrate

Question: EDTA is a strong ___________. antibody, antigen, anti-coagulant, coagulant

Answer: anti-coagulant

Question: Which of these tests are part of both the diabetic panel and the blood sugar panel? Glycohemoglobin, Both glycohemoglobin & HLA-DR3, fructosamine, HlA-DR3

Answer: Both glycohemoglobin & HLA-DR3

Question: The tests included in this panel are all that are in the Executive Panel with the addition of a Thyroxine test. Executive Profile/T4, Executive Profile T, T4 Profile T Profile

Answer: ???

Question: ________ for a PKU screening consists of several circles in the blood should be directly applied after performing a heel stick.

Answer: filter paper

Question: If performing a GTT and a patient's fasting sugar is ____ the physician or nurse should be notified before proceeding.

Answer: Both below 80mg/dl & above 120mg/dl

Question: What test is a light blue topped sodium citrate tube used for? PTT, Blood Culture, RBC, CBC

Answer: PTT

Question: A skin puncture collects ___________. arterial blood, venous blood, capillary blood, all of the above

Answer: capillary blood

Question: A patient should be fasting _____ hours before a GTT.

Answer: 45148

Question: If an Allen Test is negative, what should you do? Contact the doctor, try the other hand, perform the test on the ulnar artery anyways, just perform the test on another artery

Answer: try the other hand

Question: A 6-8 pound baby cannot lose more than ____mL of blood at any given time.

Answer: 2.5

Question: What color topped tubes in the lavender topped tubes being replaced by? Pink, light blue, yellow, grey

Answer: pink (EDTA)

Question: If you're conducting a blood culture on a healthy adult male, you will pull __cc of blood into each bottle. 15, 5, 2, 10

Answer: ???

Question: Selecting the wrong tube for a test is an example of: malpractice, negligence, direct harm, indirect harm

Answer: indirect harm

Question: WBC stands for:White Blood Collection, Wide Blood Cells, White Blood Coagulation, White Blood count

Answer: White Blood Count

Question: HIPPA stands for:

Answer: Health Insurance Portability and Accountability Act

Question: Providing information about the patients acid-base balance as well as the respiratory system, Arterial Blood Gasses test are usually pulled from the: axillary artery, radial artery of the wrist, brachial artery, ulnar vein

Answer: radial artery

Question: ______ shields blood from the glass of the tube and prevents it from clotting. sodium fluoride, SST, EDTA, Sodium Citrate

Answer: sodium citrate

Question: Checking analytes and chemical compounds, the ______ Department tends to be the bigger department in a hospital laboratory. serology, pathology, microbiology, chemistry

Answer: chemistry

Question: A good indicator for vein integrity and platelet function is ______. Triglycerides, Iron, Lipids, Platelets

Answer: platelets

Question: A phlebotomist is part of the _________ Laboratory department.Serology, Microbiology, Chemistry, Clinical Pathology

Answer: Clinical Pathology

Question: The hollow interior of the tube of the vein is called the ________.Hematoma, Vein wall, Tube, Lumen

Answer: lumen

Question: If performing a venipuncture on a patient who is on IV therapy for a coagulation test, a discard tube of ________ is required.0mL, 5mL, 10-20mL, 50mL

Answer: 10-20ml

Question: Petechiae is an indicator of _____________.Platelet issues, Capillary problems, Migraine disorder, Both Platelet issues & migraine disorder

Answer: Capillary

Question: If a patient contracts a nosocomial infection due to poor technique, that is an example of:Malpractice, Negligence, Direct harm, Indirect harm

Answer: (between negligence or direct harm)

Question: What specific diagnostic test checks kidney function?BUN, Bilirubin, PTT, PT

Answer: BUN

Question: The presence of bacteria in the bloodstream is known as:septicemia, bacteremia, hyperglycemia, hypoglycemia

Answer: bacteremia

Question: The ________ department analyzes the blood and analyzes common tests like the CBC. serology, hematology, microbiology, none of the above

Answer: hematology

Question: _______ uses the serum of the blood to test for viruses. Neither serology nor microbiology are correct, both serology and microbiology could be correct, serology, microbiology

Answer: Both serology and microbiology

Question: What test provides information about the patient's acid-base balance and respiratory system? lipid profile, Arterial blood gasses, diabetic profile, the Allen test

Answer: arterial blood gases

Question: Dermal puncture can be performed for which of the following tests? BUN, Blood culture, Thrombin time, ESR

Answer: BUN

Question: Normal time to conduct a Simplate Bleeding Time Test is?

Answer: 2-10 minutes

Question: ________ are used to treat a number of ailments by decreasing inflammation in the body. corticosteroids, antihistamines, insulin injections, Glucophage

Answer: corticosteroids

Question: If a patient contracts a nosocomial infection due to poor technique, that is an example of: indirect harm, malpractice, negligence, direct harm

Answer: negligence

Question: hitting a nerve is considered?

Answer: malpractice

Question: T or F Gloves are infallible barriers to viruses and microbes.

Answer: FALSE

Question: newborns have a blood volume of?

Answer: 60-80ml

Question: Each microtube holds _____ml of blood

Answer: 0.9

Question: Blood cultures are used to find what in the blood? septicemia, bacteremia, bacteremia and septicemia, or diabetes

Answer: bacteremia and septiemia

Question: ________ department processes, stores, and holds blood for transfusion.

Answer: blood blank

Question: What year was HIPPA created?

Answer: 1996

Question: Finger sticks should not be preformed on infants younger than ______ month.

Answer: younger than 6 months

Question: A chemical found in many foods and used in products such as asprin and various pain relievers? chlorophyll, salicylates, sodium carbonate, and fluoride

Answer: salicylates

Question: This department examines the results of micro-organism growth in specimens so the physician can find out what contagions are present and the proper wat to treat the patient. Microbiology, hematology, chemistry

Answer: microbiology

Question: Which test is not part of the coronary risk comprehensive profile? cholesterol, triglycerides, blood lipid percentile score, fasting glucose

Answer: fasting glucose

Question: Hemoconcentration occurs when? The patient drank too much water, the patient is not in a fasting state, the tourniquet is left on too long, no tourniquet is used.

Answer: the tourniquet is left on too long

Question: If the phlebotomist has the training to conduct the procedure properly, but did not that is an example of? malpractice, direct harm, negligence, or indirect harm

Answer: negligence

Question: If you hit a nerve during venipuncture this is an example of? malpractice, direct harm, negligence, or indirect harm

Answer: malpractice

Question: T or F It is your job to uphold HIPPA.

Answer: TRUE

Question: A phlebotomist palpates to determine what?

Answer: direction, size, and depth of a vein

Question: T or F It is not not important to conduct yourself with high importance of integrity.

Answer: FALSE

Question: T or F written, verbal, or nonverbal connect are all forms of acceptable concent.

Answer: TRUE

Question: What is the substance that prevents blood coagulation? antihystamine, saline, anti-coagulant, or antibody

Answer: anti-coagulant.

Question: If an infection is contracted when they are at the hospital you would say they have a what kind of infection?

Answer: nosicomial

Question: Pathogens require a wound, host, antigen, anti-coagulant ?

Answer: host

Question: What is the first step in the gowning procedure? Open the gown, put on the mask, slip on gloves, or wash your hands

Answer: Wash your hands

Question: T or F expiration date on tubes are always correct.

Answer: FALSE

Question: The loss of vacuum causes results to be skewed by an incorrect chemical to blood volume ratio, the plastic tubes to become cloudy, a blown vein, too much blood loss

Answer: Results to be skewed by an incorrect chemical to blood volume ratio

Question: Syringe Systems give the phlebotomist more control over the vacuum, no control over the vacuum, an inaccurate interpretation over the strength of the vein, or more room for error.

Answer: more control over the vacuum of the tube

Question: What is the maximum time limit you can keep a tourniquet on a patient?

Answer: One minute

Question: T or F It is okay to cut the tip of your glove off to feel for a vein.

Answer: FALSE

Question: T or F it is okay to remove the needle while the tourniquet is still in place

Answer: FALSE

Question: T or F A patient may bend their elbow after a venipuncture is performed.

Answer: FALSE

Question: T or F You should recap your needle after performing a venipuncture.

Answer: FALSE

Question: If a patient receives medical treatment at a facility but is not admitted, they are considered an _________________.

Answer: outpatient

Question: If a patient is unconscious who assumes consent? Their physician, no content is needed, consent is assumed by lab requisition form, the person in the patients room

Answer: Their physician

Question: If performing a procedure on a patient who has undergone a unilateral mastectomy where should you draw from?

Answer: The arm on the opposing side of the operation

Question: If a patient faints during a venipuncture what should you do? Albert their nurse, apply a cold compress, lower their head, all of the above

Answer: all of the above

Question: T or F When performing a procedure on a double mastectomy patient the patients doctor must give written consent to the draw site.

Answer: TRUE

Question: What does CYA mean?

Answer: cover your a**

Question: Due to the lack of _________ oncology patients are immunosuppressed. red blood cells, white blood cells, capillaries, or oxygenated blood

Answer: white blood cells

Question: Common procedure placement for patient on dialysis is? Their ankle, their shunt, their hand with a winged tipped needle, or placement doesn't matter.

Answer: their hand with a winged tipped needle

Question: As we get older our senses become more attuned to heat, cold, pain, or all of the above?

Answer: all of the above

Question: Veins on obese people tend to ___________________. Collapse, shallow, deep and be well anchored, deep and anchored poorly

Answer: deep and anchored well

Question: What is an autoimmune disease that causes the body to attack the joints causing inflammation of the patients tissue.

Answer: rheumatoid arthritis

Question: If someone undergoes a mastectomy, they had ___________.

Answer: one or both breasts removed

Question: T or F it okay to draw from an area where there is hematomas is still viable.

Answer: FALSE

Question: If you fail to obtain blood after your second venipuncture you can __________________.

Answer: Ask another phlebotomist for help

Question: Using a lancet over 2.5 mL -3 mL is acceptable when a patient ________an adult, healthy, has calloused fingers, or is an infant

Answer: calloused fingers

Question: T or F if a dialysis patient has a canula included this should be your first sign to draw.

Answer: FALSE

Question: Why is it important to ensure that the patient is in a fasting state if fasting is required? false negatives can occur, the plasma will have lots of kilomicrones, to ensure the patient is in a diurnal state, or ingestion of food or drinks will produce erroneous results

Answer: ingestion of food or drinks will produce erroneous results

Question: A GTT is a?

Answer: Glucose tolerance test

Question: If a patient is taking _________ and you are preforming a GTT this should be recorded. estrogen, blood pressure, anticonvulsants, or all of the above

Answer: all of the above

Question: The normal dose of glucola for an adult is how many grams?

Answer: 100 grams

Question: _______ are groups of test conducted at one time from a single venipuncture. serology panels, blood groups, blood panels, or blood cultures

Answer: blood panels

Question: __________is a soluble protein that is viable in blood plasma. fibrogen, fluid, keroten, serum

Answer: fibrogen

Question: Regarding ethics what should your main concern always be?

Answer: the patient and the standard of care they receive.

Question: What test could be degraded by light and should be stored using a dark vacutainer?

Answer: bilirubin

Question: One drop of blood can contain how many diseases?

Answer: 60

Question: A needle that offers smaller gauge is known as? 21 gauge, a vacutainer, blood collection system, or a winged tipped needle

Answer: winged tipped needle

Question: If there is access alcohol when you clean the site you could ____________.

Answer: Use a STERILE gause pad to wipe it away

Question: The bevel of the needle should be ________.

Answer: in the up direction

Question: If the following labs are ordered what should be drawn first? glucose test in a grey topped tube, a chemistry test in a light green tube, a non additive tube, or CBC

Answer: non additive tubes, chemistry test in light green, CBC in lavender, and glucose test in grey

Question: If you preform a blood culture after an additive tube specimen draw what can occur? coagulation, hematoma, hemolysis, or cross-contamination

Answer: cross-contamination

Question: What test is a light blue top sodium citrate tube used for? PTT, blood culture, CBC, RBC

Answer: PTT

Question: Lithium Heparin is in a _________ topped tube.

Answer: green

Question: Potassium is an additive in the _________ top tube.

Answer: grey (potassium-oxalate) (sodium-fluoride)

Question: T or F If a heparin specimen is draw after the oxalate-flouride cells may rupture and release potassium which can cause and cause a lower potassium reading.

Answer: False (it would be an increased reading)

Question: Finger sticks should never be preformed on a child younger than?

Answer: 6 months old

Question: Stopping or obstruction of a normal lymph flow is called? lymphatic depression, immunosuppression, lymphostasis, or lymphatic parel

Answer: lymphostasis

Question: Used to treat cancer __________ is a form of radioactive therapy or radiation where radioactive materials are placed inside of the body

Answer: brachytherapy

Question: When the ratio of the fluid portion of blood to the cellular portion of blood shifts that is known as? hemolysis, lymphostasis, hemoconcentration, immunosuppression

Answer: hemoconcentration

Question: The fluid to cellular ration to blood is ______ to ______ respectively.

Answer: 55-45

Question: T or F Ketones can evaporate at cooler temperatures.

Answer: TRUE

Question: If you believe the needle is through the vein you may.

Answer: slowly withdraw the needle until it is within the lumen

Question: A stress response that can trigger restriction to the arteries from flowing blood flow through the body is know as ______________. asympathetic blood deterioration, sympathetic blood deterioration, asympathetic blood flow distress, or sympathetic blood flow distress

Answer: sypathetic blood flow distress

Question: Where can a skin puncture be performed? The middle finger and the index finger, the heel, middle and the heel

Answer: middle and the heel

Question: A heel stick can be performed on the tibial plantar, medial plantar, lateral plantar, or both the medial and lateral plantar

Answer: lateral plantar

Question: When using providine iodine you should swab the site for how long?

Answer: 2 minutes

Question: A heel stick should be performed at what a what degree angle to the bone?

Answer: 90 degree

Question: When fenelalinine builds up in the body due to its inability to cover to tiracine this is known as?

Answer: PKU

Question: The distal phalanx is ____________.

Answer: the bone tip of the finger

Question: Blood poisoning is otherwise known as __________. Septicemia, bacteremia, hyperglycemia, hypoglycemia

Answer: septicemia

Question: This blood collection tube facilitates the drawing of blood by creating a vacuum seal.

Answer: Vacationer

Question: Which test may have erroneous results after the phlebotomist has to redirect the needle several times before entering the vein?

Answer: coagulation

Question: T or F When resting the simulate device on the skin you should press the device firmly against the skin until it makes an imprint?

Answer: FALSE

Question: Capillary blood is composed of ________________. interstitial fluid and arterial blood, venous and arterial blood, interstitial fluid and intercellular fluid and arterial and venous blood, interstitial fluid and venous blood

Answer: interstitial fluid, intercellular fluid, arterial and venous blood

Question: Which of the following tests coagulation? PTT, BUN, BMP

Answer: PTT (light blue)

Question: When performing a dermal puncture on a newborn the phlebotomist is choosing all of the locations except; the medial border of plantar surface, the lateral border of plantar surface, the plantar surface of the big toe, or the lateral arch of the plantar surface

Answer: the lateral arch of the plantar surface

Question: You are preparing to draw blood on a geriatrics patient with fragile and small veins, the proper gauge would be?

Answer: 23

Question: When wicking the blood for a simulate bleeding time test you should wick every how often?

Answer: 30 seconds

Question: When performing capillary draws what is the correct order of draw?

Answer: blood gases, peripheral blood smear, SST

Question: The executive profile is otherwise known as? diabetic panel, pulminary panel, coronary-risk comprehensive panel, basic metabolic panel

Answer: basic metabolic panel

Question: Which test is not part of the executive profile?

Answer: insulin antibody

Question: T or F Because the lavender EDTA tube binds calcium, if it's drawn before an SST tube, the calcium values could test lower than accurate.

Answer: TRUE

Question: Hitting a nerve during a procedure is an example of malpractice or negligence?

Answer: malpractice

Question: Small veins become ______ when using a tourniquetunstable, invisible, stable, pronounced

Answer: pronounced

Question: Which of the following won't contribute to excessive bleeding?Heparin,Coumadin, Aspirin, Potassium

Answer: potassium

Question: Which test is part of both the blood sugar panel and the diabetic panel?C-Peptide, Insulin, Fructosamine, PBG Profile

Answer: ?

Question: The blocking of a vein by a clot. Common in those with diabetes, high blood pressure, and high cholesterol diabetic pulmonary disorder, Occluded vein, Sclerosed vein, Rolling vein

Answer: Occluded Vein

Question: This lab department analyzes chemical elements like hormones and enzymes the serum of the plasma and blood.Clinical Pathology, Chemistry, Serology, Microbiology

Answer: Chemistry

Question: When a coronary risk comprehensive profile has been ordered, you should make sure the patient has been fasting for ________.4-6 hours10-12 hours8-10 hours16-18 hours

Answer: 10-12 hr

Question: This is a pump that increases the amount of blood flow through the body.Pulmonary cyclePeritoneal PortVentricular Assist DeviceDefibrillator

Answer: ventricular assit device

Question: T or F If a green Heparin specimen tube is drawn for electrolytes, EDTA contains salts that could show a falsely low reading.

Answer: FALSE

Question: Inflammation of the liver generally caused by a virus is known as _________bacteremia, septicemia, hyperglycemia, hepatitis

Answer: hepatitis

Question: A vector is:The methods by which a pathogen escapes the host and spreads disease, Physical contact that causes disease, Infection that a patient contracts while at the hospital, A microorganism that causes disease

Answer: The methods by which a pathogen escapes the host and spreads disease

Question: T or F When conducting a 24 hour urine sample, the time of the test starts when the first specimen is collected

Answer: FALSE

Question: The flat surface of the forearm is known as the ______.WristDorsalFlexorVolar

Answer: ...

Question: T or F A glucose tolerance test can be used to diagnose adrenal insufficiency.

Answer: TRUE

Question: These anticoagulant tubes offer whole blood and plasma for testing.SSTSodium citrateSodium FluorideEDTA

Answer: Sodium fluoride

Question: T or F Corticosteroids could constitute a variance if taken prior to a GTT.

Answer: TRUE