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