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50 Cards in this Set
- Front
- Back
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A blood specimen is required on a patient suffering from tuberculosis. Which of the following items should the phlebotomist remove from the patient's room after completing the venipuncture? |
The blood sample collected during the venipuncuture |
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Cerebral spinal fluid is manufactured in the: |
Meninges of the brain |
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A blood sample is requested from a patient suspected of having septicemia. Which of the following substances should the phlebotomist use to clean the venipuncture site: |
Alcohol and Iodine |
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To prevent blood from clotting in an indwelling line, which of the following substances may be flushed through the line? |
Saline or heparin |
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The surgery unit collects a blood specimen for routine chemistry testing and immediately placed the specimen on ice. A phlebotomist who just happens to be in the unit is asked to take the sample to the lab: |
Request a blood sample submitted at room temperature |
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A blood specimen is collected from a patient who is unable to speak. The upset family member is present at the time of collection and abruptly asks the phlebotomist to explain the procedure: |
Answer the question in a diplomatic way |
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A finger stick is performed and blood flow is minimal. To increase the flow of blood from the site, the phlebotomist should: |
Milk the finger |
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A phlebotomist collected a blood sample in the appropriate tube for an activated coagulation time (ACT) test, but did not mix the tube after collecting the sample. If the sample were used for bedside testing for ACT, the results obtained will likely be: |
Increased |
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Which of the following is required to perform quality control procedures on a centrifuge? |
A tachometer |
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The best course of action to assist a patient who becomes nauseated following a venipuncture is to: |
Apply a cold wet wash cloth to the forehead. |
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Which of the following is the best option to collect venipuncture sample from the hand of a patient with veins that are difficult to palpalte? |
Syringe |
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Capillary blood is acceptable for hemoglobin because it contains: |
Oxygen- carrying red blood cells |
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A specimen for a legal alcohol was collected. Before delivering the blood to the lab for testing the phlebotomist must complete which of the following forms? |
Chain of custody requisiton |
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The appropriate personal protective equipment for collecting blood from a patients under droplet precautions: |
Mask and gloves |
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In the systemic circulatory sytem, deoxygenated blood leaves the heart and is brought to the lungs by which vessel? |
Pulmonary Artery |
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A blood specimen for a complete blood count is collected in an EDTA tube and it is mistakingly left on the accessioning counter overnight. Which of the following parameters if any, would be affected by the delayed processing of the specimen? |
White blood cell differential |
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A 45 year old, 260 pound truck driver in an outpatient clinic is waiting to have his blood collected. While the phlebotomist is assembling the equipment he states that he is feeling faint. What would be done next? |
Have the patient lie down on if there is a cot, or on the floor if necessary and have him raise his feet and breathe deeply |
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What is the function of a lancet? |
It pierces the skin to obtain blood via skin puncture |
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Which part of the following are used for bleeding time? |
Sphymomanometer, filter paper, simplate, and a stop watch |
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Which of the following statements is true concerning phlebotomy of newborn infants? |
The same safety precautions are used for a skin puncture as for a venipuncture |
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What is the effect on a blood gas specifically if it is exposed to air? |
The blood gad would be in error |
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Where is blood gas specimen usually collected from an adult? |
Radial artery near the thumb |
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A phlebotomist is given the following catagories of orders for the patients to be collected: STAT, timed, fasting, pre-op, routine. In what order should the patients be collected? |
STAT, fasting, routine, timed, pre-op |
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What specimen is used to test for the disease "cystic fibrosis" in children? |
Sweat |
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Which of the following should be collected in an anticoagulant tube, placed in ice water, and brought to the lab as soon as possible? |
Lactate level |
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Four patients are waiting for have blood collected as follows: Patient #1: Chemistry 20 screen, Patient #2: Complete blood count and differential, Patient #3: Cyroglobulin level, Patient #4: Type and Screen. Which patient should be the last one collected before returning to the lab? |
Patient #3: Cyroglobulin |
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A specimen for blood ammonia level test was collected at 9:30 AM, but did not reach the lab until 2:30 PM. The ammonia result was 250ug/dL (reference range 15-20 ug/dL) A repeat specimen was collected at 1:00PM and analyzed at 1:15PM, was 25ug/dL. Which of the following statements is the most likely explanation for the discrepent results? |
The first result could have been elevated due to the processing delay. |
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For which of the following must a patient closely follow instructions concerning diet before coming to the lab and a record of the time for each specimen collected is of utmost importance? |
Glucose tolerance test |
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What is the recommended minimum time period for allowing blood to clot in a serum separator tube before centrifuging? |
30 min |
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A patient is scheduled for peak and trough vancomycin levels. When the phlebotomist arrives to collect the peak level at 10:00 AM, he notices that the vancomycin IV bag still contains fluids and the IV site is swollen. After informing the nurse about the IV site, the phlebotomist should: |
Reschedule the peak and trough levels with the next dose |
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AABB standards test states the labels for cross match must include patient name, patient ID # and : |
Date of collection |
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A specimen for urine cytology requires a: |
Random urine |
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Which of the following terms refers to surgical removal of breast tissue: |
Mastectomy |
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"Blood doping" refers to: |
Increasing the oxygen carrying capacity of blood through the use of erythroprotein |
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The preferred specimen in sports drug testing is: |
Urine |
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If a patient had a mastectomy of the right side, which site would be the best choice for collection of a blood specimen? |
Left arm |
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A specimen for blood acetone should be kept tightly sealed during transport and processing to prevent: |
Evaporation |
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Pericardial fluid is collected from the: |
heart cavity |
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A dark blood tube is required for collection of a specimen to be tested for? |
Manganese |
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What kind of fluid is collected during a lumbar puncture? |
Spinal |
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At what angle should the needed used for venipunture enter the site? |
15 degrees |
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Acid washed syringes are used to collect specimens for analysis of: |
Trace elements |
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A child who is crying may have falsely elevated: |
white blood count (WBC) |
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The primary purpose of standard precautions is to: |
prevent disease transmission |
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After preparing the puncture site with alcohol, it must be allowed to dry completely to prevent: |
specimen hemolysis |
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Which profile requires a patient to fast? |
Lipid |
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The maximum depth for heel puncture of: |
2.4 mm |
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The most significant advantage of an automatic lancet device is that: |
the puncture depth is standarized |
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The gel in a serum separator tube aids in: |
Glycolysis prevention |
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Specimens for capillary blood gasses can be stored in an ice slurry for a maximum of: |
2 hours |
