Term
The forearm vein most commonly used for venipuncture is the__________?
a) median cubital
b) basilica
c) cephalic
d) radial |
|
Definition
|
|
Term
The smallest veins in the human body are known as__________.
a) villi
b) bronchioles
c) venules
d) lymph glands |
|
Definition
|
|
Term
The aorta branches into smaller divisions called arteries, which in turn branch into even smaller divisions called__________.
a) capillaires
b) arterioles
c) venules
d) lymph glands |
|
Definition
|
|
Term
Characteristics of capillaries include__________.
a) having thin walls
b) forming microscopic pathways
c) connecting arterioles with venules
d) all of the above |
|
Definition
|
|
Term
The trachea, nose, lungs and pharynx are in the__________system.
a) skeletal
b) respiratory
c) nervous
d) sensory |
|
Definition
|
|
Term
The sebaceous glands, skin hair and nails are in the__________system.
a) nervous
b) cardiovascular
c) sensory
d) integumentary |
|
Definition
|
|
Term
The body system that is a primary regulator of hormones is the__________system.
a) reproductive
b) endocrine
c) integumentary
d) cardiovascular |
|
Definition
|
|
Term
Neutrophils, eosinophils, basophils, lymphocytes and monocytes are types of __________.
a) red blood cells
b) coagulation factors
b) anticoagulants
c) white blood cells |
|
Definition
|
|
Term
The common name for the thrombocyte is the__________.
a) red blood cell
b) white blood cell
c) bone marrow
d) platelet |
|
Definition
|
|
Term
The liquid portion of an anticoagulated blood sample is known as__________.
a) serum
b) clot
c) plasma
d) hematrocit |
|
Definition
|
|
Term
The instrument that measures blood pressure is called a__________.
a) sphygmomanometer
b) hydration barometer
c) temperature probe
d) co-oximeter |
|
Definition
|
|
Term
Use a_____-topped evacuated tube for collection of blood for a CBC test.
a) black
b) lavender
c) red
d) blue |
|
Definition
|
|
Term
Use a_____-topped evacuated tube for collection of blood for electrolyte testing.
a) yellow
b) red
c) blue
d) lavender |
|
Definition
|
|
Term
Use a_____-topped evacuated tube for collection of blood for cholesterol testing
a) red
b) yellow
c) blue
d) lavender |
|
Definition
|
|
Term
Sodium citrate is an anticoagulant of choice for coagulation studies because it protects__________.
a) clotting factors
b) red blood cells
c) white blood cells
d) enzyme inhibitors |
|
Definition
|
|
Term
When preparing a blood smear directly from a skin puncture, it is best to__________.
a) use plastic slides instead of glass
b) make it as thick as possible
c) wipe away the first drop of blood
d) add sodium citrate to the blood |
|
Definition
| c) wipe away the first drop of blood |
|
|
Term
The purpose of doing blood cultures is to detect__________.
a) anemia
b) cholesterol
c) cancer
d) septicemia |
|
Definition
|
|
Term
Anticoagulants are used to__________.
a) fight infection
b) prevent blood from clotting
c) neutralize stomach acid
d) inhibit bacterial growth |
|
Definition
| b) prevent blood from clotting |
|
|
Term
White blood cells help the body by__________.
a) carrying oxygen to the tissue
b) collecting waste products
c) defending against foreign invaders
d) assisting in hemostasis |
|
Definition
| c) defending against foreign invaders |
|
|
Term
Platelets help the circulation by__________.
a) carrying oxygen
b) collecting waste products
c) defending against foreign invaders
d) participating in hemostasis |
|
Definition
| d) participating in hemostasis |
|
|
Term
When blood seeps into the surrounding tissue during a venipuncture, a__________may form.
a) petechia
b) carbuncle
c) hematoma
d) hemolysis |
|
Definition
|
|
Term
In a patient with a clotting disorder, pressure should be applied to the puncture site for at least__________after venipuncture to insure blood stoppage.
a) 3 minutes
b) 5 minutes
c) 7 minutes
d) 10 minutes |
|
Definition
|
|
Term
If blood does not appear in an evacuated tube upon venipuncture, a phlebotomist's first course of action should be to__________.
a) pop the tourniquet and tie it tighter
b) pull the needle out and start over
c) slightly reposition the needle
d) push the needle further up the lumen |
|
Definition
| c) slightly reposition the needle |
|
|
Term
Redirecting a needle during venipuncture is sometimes necessary when__________.
a) the vein was not properly anchored
b) the patient moves unexpectedly
c) blood flow starts,and then stops
d) all of the above |
|
Definition
|
|
Term
A vein might be prone to collapse if the__________.
1) vacuum tube is too large for vein
2) syringe plunger was pulled back too quickly
3) vacuum tube lost its vacuum
4) tourniquet was too tight
a) 1, 2, 3, 4
b) 1, 2, 3
c) 3, 4
d) 1, 2 |
|
Definition
|
|
Term
Hemolysis would cause rejection of a sample collected for__________testing.
a) potassium
b) pregnancy
c) rubella
d) pyruvate |
|
Definition
|
|
Term
If a patient is prone to syncope during venipuncture, the phlebotomist should__________.
a) cancel the order entirely
b) tie the tourniquet tighter
c) watch in case of fainting
d) use caffeine as a stimulant |
|
Definition
| c) watch in case of fainting |
|
|
Term
A tube of blood that arrives in the laboratory without a label must be__________.
a) labeled by the phlebotomist
b) labeled by the doctor
c) labeled by the nurse
d) rejected automatically |
|
Definition
| d) rejected automatically |
|
|
Term
Which of these test samples are light sensitive?
a) arterial blood gases
b) ammonia
c) bilirubin
d) ACTH |
|
Definition
|
|
Term
Within the capillaries, blood cell functions include__________.
a) releasing oxygen
b) binding carbon dioxide
c) eliminating waste
d) all of the above |
|
Definition
|
|
Term
The heart, lymphatic organs, and blood vessels are in the__________system.
a) respiratory
b) cardiovascular
c) digestive
d) urinary |
|
Definition
| b) cardiovascular (or circulatory) |
|
|
Term
The suffix -URIA at the end of a medical term refers what body fluid?
a) blood
b) urine
c) CSF
d) synovial fluid |
|
Definition
|
|
Term
The study of blood is known as__________.
a) hematology
b) hematoylin
c) hemoglobin
d) hemolysis |
|
Definition
|
|
Term
The liver, stomach, mouth and pancreas are in the__________system.
a) reproductive
b) sensory
c) digestive
d) muscular |
|
Definition
| c) digestive (or gastrointestinal) |
|
|
Term
The most important step to ensure accuracy in sample collection is__________.
a) recording the time accurately
b) by always wearing gloves
c) keeping the patient supine
d) identifying the patient properly |
|
Definition
| d) identifying the patient properly |
|
|
Term
The bladder, urethra, kidneys, and ureters are in the__________system.
a) urinary
b) reproductive
c) respiratory
d) muscular |
|
Definition
|
|
Term
An artery can be distinguished from a vein because an artery will be__________.
a) harder
b) pulsating
c) a different color
d) softer |
|
Definition
|
|
Term
Lancets are used to collect blood samples by__________.
a) venipuncture
b) arterial puncture
c) venous accession devices
d) capillary or skin punctures |
|
Definition
| d) capillary or skin punctures |
|
|
Term
The abbreviation VAD is commonly used in hospitals to refer to__________.
a) venous anesthetic devices
b) venous access devices
c) various anesthetic devices
d) variable antiseptic dilutions |
|
Definition
|
|
Term
To determine the size of the needle, remember that the higher the gauge, the__________.
a) longer the needle length
b) smaller the needle bore
c) shorter the needle length
d) larger the needle bore |
|
Definition
| b) smaller the needle bore |
|
|
Term
Adult capillary punctures most often involve use of the__________finger(s).
a) second (index)
b) little (fifth)
c) third and fourth (middle and ring)
d) second and third (index and middle) |
|
Definition
| c) third and fourth (middle and ring) |
|
|
Term
A centrifuge is used in a clinical laboratory setting to__________.
a) sort tubes of different colors
b) store tubes at correct temperatures
c) measure blood oxygen levels
d) separate liquid from cells in blood |
|
Definition
| d) separate liquid from cells in blood |
|
|
Term
The oral glucose tolerance test is used for detection of__________.
a) hepatitis
b) diabetes
c) mononucleosis
d) AIDS |
|
Definition
|
|
Term
The order of draw recommended by the CLSI for these tubes is__________.
___First a) orange
___Second b) glycolytic inhibitor (gry)
___Third c) coag tube (blu)
___Fourth d) serum tube (red)
___Fifth e) blood culture tube
___Sixth f) heparin tube (grn)
g) EDTA (lavender) |
|
Definition
E__First a) orange
C__Second b) glycolytic inhibitor (gry)
D__Third c) coag tube (blu)
F__Fourth d) serum tube (red)
G__Fifth e) blood culture tube
B__Sixth |
|
|
Term
Skin punctures may be indicated for use when__________.
a) the patient is an infant, toddler, or preschooler
b) only a small amount of blood is needed
c) patient veins need to be preserved for IV therapy
d) all of the above |
|
Definition
|
|
Term
All specimens should be labeled with__________.
a) patient's name (and numeric ID)
b) date and time the specimen was
c) drawn collector's initials
d) all of the above |
|
Definition
|
|
Term
When performing a skin puncture, squeezing the finger too tightly may dilute the blood with__________and ruin the test.
a) swab particles
b) alcohol
c) skin particles
d) tissue fluid |
|
Definition
|
|
Term
One test often used to assess hemostasis before surgery is__________.
a) blood culture
b) hemoglobin
c) platelet count
d) bleeding time |
|
Definition
|
|
Term
One possible cause of unexpected clotting in an anticoagulated blood tube might be__________.
a) insufficient mixing
b) unbalanced centrifuge
c) traumatized specimen
d) incomplete filling of the tube |
|
Definition
|
|
Term
When performing a venipuncture, position the bevel of the needle .
a) facing up
b) facing down
c) turned sideways
d) none of the above |
|
Definition
|
|
Term
If a blood sample should be collected 2 hours post-prandial, the phlebotomist should collect the sample__________.
a) 2 hours after a meal
b) 2 hours before bedtime
c) 2 hours after wake-up
d) 2 hours before a meal |
|
Definition
|
|
Term
Knowing when to collect peak and trough levels is important when drawing__________.
a) blood cultures
b) therapeutic drugs
c) cortisol levels
d) estrogen levels |
|
Definition
|
|
Term
A pre-warming technique may be used to__________.
a) keep the patient warm during phlebotomy
b) warm the vacuum tubes for testing
c) increase patient's tendency to bleed
d) separate plasma from formed elements |
|
Definition
| c) increase patient's tendency to bleed |
|
|
Term
The role of all anticoagulants is ultimately to prevent formation of__________.
a) fibrin
b) factor VII
c) platelets collagen
d) collagen |
|
Definition
|
|
Term
The anticoagulant EDTA works by__________.
a) binding prothrombin
b) lysis of red blood cells
c) inactivating thrombin
d) binding calcium |
|
Definition
|
|
Term
If the tourniquet is not released before the needle is withdrawn from the arm during venipuncture, this will most likely result in__________.
a) bleeding from the site
b) syncope in the phlebotomist
c) bruising at the base of the arm
d) inaccurate test results |
|
Definition
| a) bleeding from the site |
|
|
Term
Which of these test samples are light sensitive?
a) arterial blood gases
b) ammonia
c) bilirubin
d) ACTH |
|
Definition
|
|
Term
The__________must be followed exactly whenever drawing patient test samples that may used in a legal proceeding.
a) chain of command
b) chain of custody
c) standard deviation
d) coefficient of variation |
|
Definition
|
|
Term
The anticoagulant SPS (sodium polyanetholesulfonate) is recommended for use in blood cultures because it__________.
a) is less expensive than most
b) has a longer half-life than most
c) does not inhibit bacterial growth
d) is completely biodegradable |
|
Definition
| c) does not inhibit bacterial growth |
|
|
Term
Before entering an inpatient room if the door is closed, the phlebotomist should always__________.
a) knock
b) ask for permission to ender
c) check for isolation signage
d) all of the above |
|
Definition
|
|
Term
Before entering designated isolation rooms, phlebotomists should always__________.
a) put on masks and foot coverings
b) put on gowns and tie them
c) check requirements on signs
d) call a nurse or physician |
|
Definition
| c) check requirements on signs |
|
|
Term
The single most important means of preventing the spread of infection in a hospital is by__________.
a) wearing gowns
b) hand washing
c) using disposables
d) keeping rooms clean |
|
Definition
|
|
Term
The most prevalent type of nosocomial infections are those of the__________.
a) skin
b) digestive tract
c) gastrointestinal tract
d) urinary tract |
|
Definition
|
|
Term
Phlebotomists have a statistically greater chance of contracting__________in a work-related incident than they do of contracting AIDS.
a) mononucleosis
b) hepatitis
c) cancer
d) strep throat |
|
Definition
|
|
Term
AIDS is caused by__________.
a) parasites
b) virus
c) bacteria
d) kissing |
|
Definition
|
|
Term
When performing heel sticks on infants in a hospital nursery, it is important never to__________.
a) wash hands
b) share supplies from one infant to another
c) wake up a sleeping infant
d) touch the infant in any way |
|
Definition
| b) share supplies from one infant to another |
|
|
Term
When delivering blood samples to a laboratory, they should always be transported__________.
a) inside sealed plastic bags
b) inside triple-sealed plastic bags
c) inside brown paper sacks
d) individually boxed |
|
Definition
| a) inside sealed plastic bags |
|
|
Term
If a biohazard spills in the laboratory, a phlebotomist should first try to__________.
a) call a physician to the site
b) wash his or her hands
c) contain the spill safely
d) pull the fire alarm |
|
Definition
| c) contain the spill safely |
|
|
Term
According to OSHA, a contaminated needle may be safely discarded into a__________.
a) hard sided trash can
b) sharps container
c) plastic cup
d) all of the above |
|
Definition
|
|
Term
In most hospitals, a phlebotomist with a cough may draw blood from a patient provided the__________.
a) patient is not in reverse isolation
b) phlebotomist wears a mask
c) phlebotomist does not have a fever
d) all of the above |
|
Definition
|
|
Term
When drawing blood from pediatric inpatients, a phlebotomist can increase safety for the patients by__________.
a) getting help to hold the patient securely during the draw
b) using a smaller bore needle and smaller collection tubes
c) making sure the bed-rails are left raised if found that way
d) all of the above |
|
Definition
|
|
Term
To eliminate bacteria from the skin of a bacterial culture venipuncture site,__________is sometimes used in addition, to alcohol in the skin cleansing process.
a) chlorine bleach
b) iodine
c) aspirin
d) ammonia |
|
Definition
|
|
Term
The term that refers to right and wrong conduct is__________.
a) empathy
b) sympathy
c) ethics
d) rights |
|
Definition
|
|
Term
An unlawful threat or attempt to do bodily injury to another is__________.
a) litigation
b) assault
c) crime
d) libel |
|
Definition
|
|
Term
Law protects the health worker if it can be determined that he or she acted reasonably as compared with fellow workers; this is called__________.
a) negligence
b) reasonable care
c) duty of care
d) statute |
|
Definition
|
|
Term
Negligence by a professional person is called__________.
a) invasion of privacy
b) slander
c) malpractice
d) tort |
|
Definition
|
|
Term
The ability to see things from another person's point of view is__________.
a) consent
b) sympathy
c) empathy
d) ethics |
|
Definition
|
|
Term
A violation of a person's right not to have his or her name, photograph, or private affairs made public without giving consent is__________.
a) false imprisonment
b) malpractice
c) invasion of privacy
d) statute |
|
Definition
|
|
Term
Information given by a patient to medical personnel that cannot be disclosed without consent constitutes__________.
a) duty of care
b) negligence
c) judgment
d) privileged communication |
|
Definition
| d) privileged communication |
|
|
Term
Failure to do something a reasonable person would do under ordinary circumstances, or doing something a reasonable person would not do under ordinary circumstances thereby causing harm to another person is called__________.
a) malpractice
b) negligence
c) slander
d) defamation |
|
Definition
|
|
Term
Permission granted by a person voluntarily (and in his right mind) is__________.
a) consent
b) litigation
c) breach
d) duty of care |
|
Definition
|
|
Term
A phlebotomist who attempts to draw blood without sufficient training could be accused of__________if the procedure is performed incorrectly, causing harm to the patient.
a) duty of care
b) abandonment
c) negligence
d) incompetence |
|
Definition
|
|
Term
Forcing venipuncture on a patient who has refused it would be considered__________.
a) assault
b) battery
c) slander
d) contributory negligence |
|
Definition
|
|
Term
The branch of study of moral issues, questions, and problems arising in the practice of medicine and biomedical research is called__________.
a) bio-ethics
b) litigation
c) bio-communications
d) privileged communication |
|
Definition
|
|
Term
Conduct, courtesy, and manners, customary in the medical profession, is called__________.
a) ethics
b) judgment
c) tort
d) medical etiquette |
|
Definition
|
|
Term
Each and every patient is entitled to__________as a part of his/her patient rights.
a) respect and complete care
b) what he can afford
c) how much insurance he has
d) what his family can afford |
|
Definition
| a) respect and complete care |
|
|
Term
Some suggested methods for controlling on the job stress during phlebotomy might include__________.
a) reading the newspaper while working
b) drinking lots of coffee
c) taking deep breaths if anxious
d) screaming to rid oneself of anger |
|
Definition
| c) taking deep breaths if anxious |
|
|
Term
An appropriate means of communicating with a patient who is profoundly hearing impaired might include__________.
a) ignoring the patient entirely
b) talking entirely to a hearing relative
c) using written communication
d) trying to speak a little louder |
|
Definition
| c) using written communication |
|
|
Term
In performing phlebotomy on children, it is best to__________.
a) talk softly and gently
b) enlist the help of parents
c) tell the truth if asked
d) all of the above |
|
Definition
|
|
Term
In approaching an elderly patient, it is appropriate to call the patient by name using__________.
a) Miss, Mrs., or Mr.
b) his/her first name
c) his/her nick name
d) something like "honey" |
|
Definition
|
|
Term
A patient who is making a fist and frowning is exhibiting__________body language.
a) positive
b) compliant
c) excited
d) uncooperative |
|
Definition
|
|
Term
A rubber or plastic tube used to drain or inject fluid through a body opening is called__________.
a) injection
b) venipuncture
c) catheter
d) none of the above |
|
Definition
|
|
Term
A 24-hour urine specimen must be kept__________.
a) warm
b) frozen
c) refrigerated
d) at room temperature |
|
Definition
|
|
Term
A chronic disease in which the pancreas fails to secrete enough insulin is called__________.
a) high blood pressure
b) diabetes mellitus
c) AIDS
d) renal disease |
|
Definition
|
|
Term
The purpose of the bleeding time test is to assess__________.
a) platelet plug formation in the capillaries
b) the pressure of the blood vessels
c) elasticity in the major blood vessels
d) the amount of blockage in the veins |
|
Definition
| a) platelet plug formation in the capillaries |
|
|
Term
Diurnal rhythms refer to variations in the body's functions or fluids that occur during__________.
a) nighttime
b) every 24 hours
c) cyclically once per month
d) sleep |
|
Definition
|
|
Term
EMLA is an emulsion of lidocaine and prilocaine that can be used to__________.
a) sterilize a venipuncture site
b) anticoagulant whole blood topically
c) topically anesthetize a draw site
d) put a phlebotomy patient under |
|
Definition
| c) topically anesthetize a draw site |
|
|
Term
Another name for red blood cells is__________.
a) platelets
b) leukocytes
c) bone marrow
d) erythrocytes |
|
Definition
|
|
Term
The artery located in the groin, lateral to the femur bone, which is used as an alternative site for arterial blood gas collections is the__________.
a) radial
b) ulnar
c) carotid
d) femoral |
|
Definition
|
|
Term
The federal law that was expanded in 2000 to protect the confidentiality of electronically stored health information is abbreviated as__________.
a) CLIA
b) HIPPA
c) OSHA
d) EPA |
|
Definition
|
|
Term
The study of all aspects of disease in the body is known as __________.
a) phlebotomy
b) hematology
c) histology
d) pathology |
|
Definition
|
|
Term
The phase of laboratory testing that refers to test orders, test collection and test sample preparation are all part of the__________phase.
a) exponential
b) pre-analytical
c) testing
d) post-prandial |
|
Definition
|
|
Term
A patient in reverse isolation has been so placed because he__________.
a) needs protection form others carrying infection
b) has tuberculosis or a similar respiratory disease
c) needs to keep all blood and body fluids away from staff
d) has an infection in a wound or atop the skin |
|
Definition
| a) needs protection form others carrying infection |
|
|
Term
|
Definition
| anticoagulant in lavender top tubes |
|
|
Term
|
Definition
| anticoagulant in blue top tubes |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| sexually transmitted diseases |
|
|
Term
|
Definition
| hemoglobin and hematocrit |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| center for disease control |
|
|
Term
__________are contaminated objects that can penetrate the skin including, but not limited to needles, scalpels, broken glass, broken capillary tubes, and exposed ends of dental wires.
a) Infectious waste materials
b) Disposable devices
c) Contaminated sharps
d) Dangerous incisors |
|
Definition
|
|
Term
Reasonable possibility of skin, eye, mucous membrane, or parenteral contact with blood or__________other potentially infectious materials that may result from the performance of an employee's regular duties is termed .
a) occupational exposure
b) bio-harzardous probability
c) job-related infestation
d) professional acquisition |
|
Definition
|
|
Term
All of the following are examples of "Personal Protective Equipment" except__________.
a) uniforms
b) gloves
c) aprons
d) masks |
|
Definition
|
|
Term
To use a physical-chemical procedure to destroy all microbial life including highly resistant bacterial endospores is to .
a) eradicate
b) toxify
c) sterilize
d) acid wash |
|
Definition
|
|
Term
__________is the single most important source of HIV and HBV in the workplace.
a) Semen
b) Saliva in dental procedures
c) Pleural fluid
d) Blood |
|
Definition
|
|
Term
OSHA requires that training and educational information on blood borne pathogens be__________provided to hospital or clinical employees .
a) in large workplaces only
b) at no cost to them
c) only if they request it
d) if anyone has had an accident |
|
Definition
|
|
Term
All workers whose jobs involve participation in tasks or activities with exposure to blood or other body fluids, to which universal precautions apply, should be vaccinated with a __________vaccine.
a) human immunodeficiency
b) hepatitis c
c) small pox
d) hepatitis b |
|
Definition
|
|
Term
After they are used; disposable syringes and needles, scalpel blades and other sharp items, should be placed in__________containers for disposal.
a) biodegradable
b) puncture resistant
c) OSHA
d) sanitized |
|
Definition
|
|
Term
Broken glassware that may be contaminated should be picked up by__________.
a) an environmental control specialist
b) someone who's not afraid to do it
c) mechanical means (broom/dustpan)
d) the end of the shift |
|
Definition
| c) mechanical means (broom/dustpan) |
|
|
Term
Contaminated laundry should be__________where it was soiled.
a) destroyed at the location
b) transported away from the location
c) disinfected or discarded at the location
d) bagged or containerized at the location |
|
Definition
| d) bagged or containerized at the location |
|
|
Term
A specific eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or other potentially infectious materials that results from the performance of an employees duties is called__________.
a) unfortunate incident
b) hazardous exposure
c) occupational hazard
d) exposure incident |
|
Definition
|
|
Term
In the health care field when all evaluated services and the results compare with accepted standards, principles of__________have been used.
a) quality assurance
b) regulatory bodies
c) networking
d) management |
|
Definition
|
|
Term
The federal government requires that specimens are transported or shipped in__________.
a) paper containers
b) watertight containers
c) cardboard containers
d) egg crate containers |
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Definition
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Term
The classification the physician's office laboratory (POL) falls into will be determined by__________.
a) complexity of laboratory tests performed
b) number of employees working there
c) ratio of male to female employees
d) length of time in operation |
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Definition
| a) complexity of laboratory tests performed |
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Term
Tests that basically pose insignificant risks to patients if errors occur in the test performance are called__________.
a) level I laboratory tests
b) waived tests
c) level II laboratory tests
d) none of the above |
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Definition
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Term
When you send blood tubes by mail for analysis in a watertight container, they should be enclosed in__________.
a) paper box
b) second durable watertight container
c) secure certified mail envelope
d) overnight envelope |
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Definition
| b) second durable watertight container |
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Term
When you send specimens in the mail, the label should state__________.
a) bio-hazardous materials
b) in case of breakage, send to CDC
c) address of lab
d) all of the above |
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Definition
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