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30 Cards in this Set
- Front
- Back
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Peak levels of this analyte typically occur around 0800 hours?
A. Bilirubin B. Cortisol C. Eosinophil D. Glucose |
B. Cortisol
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Which of these tests are most affected if the patient is not fasting?
A. CBC and Pro time B. Glucose and Triglyceride C. RA and cardiac enzymes D. Blood culture and thyroid profile |
B. Glucose and Triglyceride
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Veins that feel hard and cord like when palpated may be?
A. Collapsed B. Fistulas C. Thrombosed D. Venules |
C. Thrombosed
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Tiny Red Spots that appear on the patients arm when the tourniquet is applied are a sign that the?
A. patient is allergic to latex B. patient is anemic C. site may bleed excessive D. tourniquet is to tight |
C. site may bleed excessive
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when the arm of a patient is swollen with excess fluids the condition Is called?
A. Edema B.Hemoconcentration C. Icterus D. Syncope |
A. Edema
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A patient has several short length of iv type tubing protruding from his chest. This is most likely a? A. A line B. CVC C. Implanted port D. PICC |
B. CVC |
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The medical term for fainting? A. Edemarous B. Exsanguination C. Reflux D. Syncope |
D. Symcope |
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A phlebotomist needs to collect a plasma specimen for a coagulation test. The patient has a IV in the left arm near the wrist and a hematoma in the antecubital area of the right arm. Which of the following is the best place to collect the specimen? A. Above the IV B. From the iv after shutting it off for 2 minutes C. Distal to the hematoma D. All of the above are acceptable collection sites |
C. Distal to the hematoma |
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A patient's arm is in anatomical position. There appears to be a loop under the skin between the wrist and the elbow. You feel a buzzing sensation when you touch it. You are most likely feeling a? A. AV graft B. Implanted port C. PICC D. Sclerosed vein |
A. AV graft |
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While you are in the middle of drawing a blood specimen, your patient starts to faint. The first thing got should do is? A. Apply a cold compress directly to the patients forehead B. Grab ammonia inhalant and wave it near the patients nose. C. Quickly release the tourniquet and remove the needle D. Tell the patient to lower the head and breath deeply |
C. Quickly release the tourniquet and remove the needle |
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A patient has had a mastectomy on the left side and had a iv midway down the right arm . where Is the best place to perform a venipuncture? A. Above the iv on the right arm B. Below the iv on the right arm C. In the left antecubital area D. In the left hand or wrist |
B. Below the iv on the right arm |
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Blood loss to a point where life cannot be sustained Is called? A. Diulral variation B. Exsanguination C. Latrogenic anemia D. Vasovagal syncope |
B. Exsanguination |
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Which of the following specimens would most likely be rejected for testing? A. A hemolyzed potassium specimen B. An icteric bilirubin specimen C. A non fasting glucose specimen D. An underfilled serum tube |
A. A hemolyzed potassium specimen |
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Which of the following is a clue that you have accidentally punctured an artery instead of a vein? A. The blood is dark bluish red B. The blood spurts into tube C. The patient feels great D. All of the above clues |
B. The blood spurts into tube |
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The serum or plasma of a hemolyzed specimen would most likely look like? A. Cloudy or turbid B. Pale yellow C. Pinkish to red D. Yellowish brown |
C. Pinkish to red |
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Under filling this tube will most likely result in a hemolyzed specimen? A. EDTA tube B. Light-blue top C. Gray top D. SST |
C. Gray top |
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Which activity can contaminate a blood specimen and affect the testing performed on it? A. Cleaning the site with alcohol before dress aging ETOH specimen B. Collecting blood cultures before the povidone-iodine is totally dry C. Using povidone-iodine prior to a finger puncture D. All of the above activities can affect testing done on the specimen |
D. All of the above activities can affect testing done on the specimen |
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Which activity is least likely to lead to failure to draw blood? A. Choosing a vein that has patency B. Leaving the tourniquet on too long C. Loosely anchoring the vein D. Using a tube that was dropped |
A. Choosing a vein that has patency |
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The best way to keep a vein from rolling Is to? A. Insert the needle at a 45-degree angle B. Make certain to anchor it well C. Tie the tourniquet very tight D. Use a large diameter needle |
B. Make certain to anchor it well |
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You insert the needle in a patient's arm and properly engage the tube. No blood flows into the tube. You make subtle needle adjustments and there is still no blood flow. Which of the following is the best thing to do next? A. Discontinue the draw and try something else B. Keep redirecting the needle until you hit a vein C. Lift up on the needle to create a steeper angle D. Try a new tube in case it is a vacuum problem |
D. Try a new tube in case it is a vacuum problem |
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Which one of the following is most likely to affect test results? A. Edema B. Petechiae C. Reflux D. Syncope |
A. Edema |
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According to the CAP guidelines, drugs that interfere with blood test should be stopped? A. 1 to 4 hours before the test B. 4 to 24 hours prior to the test C. 24 to 48 hours prior to the test D. 48 to 72 hours prior to the test |
B. 4 to 24 hours prior to the test |
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Which of the following test is affected the most if collected from a crying infant? A. Bilirubin B. Cholesterol C. Lead level D. WBC count |
D. WBC count |
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A hematoma may result from? A. Inadequate sure pressure applied after a venipuncture B. Needle Penetration through the back wall of the vein C. All of the above can result in hematoma formation |
C. All of the above can result in hematoma formation |
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Results of this test have a direct correlation with the patients age? A. Blood culture B. Creatinine time C. Glucose D. Hemoglobin |
B. Creatinine time |
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Which of the following specimen conditions would lead you to suspect that the patient was not fasting when it was collected? A. Cloudy white serum B. Pale yellow plasma C. Pink to reddish plasma D. Yellowish brown serum |
A. Cloudy white serum |
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Which of the following would be most likely to allow reflux to occur during venipuncture? A. Filling the tube stopper end first B. Lateral redirection of the needle C. Tourniquet release on blood flow D. Using the wrong order of draw |
A. Filling the tube stopper end first |
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A patient complains of extreme pain when you insert the needle during a veinipuncture attempt. The pain does not subside, but the patient does not feel any numbness or burning sensation . you know the needle is in the vein because the blood is flowing in the tube you have only two tubes to fill, and the first one is almost full. What do you do? A. Ask the patient If he or she wants you to continue the draw B. Discontinue the draw and attempt collection at another site C. Distract the patient with small talk and continue the draw D. Tell the patient to hang in there as you have only one tube left |
B. Discontinue the draw and attempt collection at another site |
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Which if the following situations can result in hemoconcentration? A. Drawing a large tube with a small needle B. Leaving the tourniquet on over 1 minute C. Mixing the specimen to vigorously D. Partially filing a normal draw tube |
B. Leaving the tourniquet on over 1 minute |
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You are in the process of collecting a specimen by veinipuncture, you hear a hissing sound, there is a spurt of blood into the tube, and blood flow stops, what had most likely happened? A. Reflux of tube content B. The needle went to deep C. The vein has collapsed D. Tube vacuum escaped |
D. Tube vacuum escaped |
