Phlebotomy Test 2

Front 1

Antiseptic

Back 1

Solution used to clean skin before venipuncture

Front 2

Disinfectant

Back 2

Solution containing an agent intended to kill microorganisms

Front 3

Sharps

Back 3

Any sharp object; goes in sharps container

Front 4

Tourniquet

Back 4

Device applied to a limb prior to venipuncture to restrict venous flow

Front 5

Gauges

Back 5

Standard for measuring diameter of needle’s lumen

Front 6

Re-sheathing

Back 6

To recap or replace the sheath on a needle

Front 7

ETS

Back 7

Evacuated tube system- closed system in which blood flows directly into collection tube through needle

Front 8

Barrel

Back 8

Cylindrical body of syringe with gradual marks in either ml or cc

Front 9

Plunger

Back 9

Rodlike device that fits tightly into barrel

Front 10

Blood transfer device

Back 10

Syringe transfer device- safely transfers blood from syringe into ETS tubes

Front 11

Hub

Back 11

End that attaches to blood collection device

Front 12

Shaft

Back 12

Long, cylindrical portion

Front 13

Bevel

Back 13

End that pierces skin

Front 14

Lumen

Back 14

Internal space of needle

Front 15

Rubber sleeve

Back 15

Sleeve that covers smaller needle inside the tube holder

Front 16

ECHO (details)

Back 16

EDTA- prevents coag by binding to calcium

Citrate- prevents coag by binding to calcium

Heparin- prevents clotting by inhibiting thrombin formation

Oxalates-Prevents clotting by precipitating calcium

Front 17

Antiglycolytic agent

Back 17

Additive category that inhibits glucose metabolism by blood cells

Front 18

Clot activator

Back 18

Substance that enhances coagulation factors

Front 19

Thixotropin gel

Back 19

Inert substance that forms a physical barrier between cells and liquid potions of a specimen when centrifuged

Front 20

Cross contamination

Back 20

Transfer of additives from one tube to another

Front 21

Requisition

Back 21

Form on which test orders are entered and sent to the lab

Front 22

3-way ID

Back 22

Verbal ID statement, check ID band, visual comparison of labeled specimen

Front 23

Fasting

Back 23

No food or drink except water for 12 hours

Front 24

Anchoring

Back 24

To secure firmly, as in holing a vein in place by pulling the skin tightly with thumb

Front 25

Hospice

Back 25

Type of care for patients who are terminally ill

Front 26

Basal sate

Back 26

Resting metabolism state of the body in the morning after fasting for min. 12 hours

Front 27

Jaundice

Back 27

Abnormal deep yellow color, increase in biliruben levels

Front 28

Syncope

Back 28

Medical term for fainting

Front 29

Petechiae

Back 29

Tiny, nonraised red spots that appear on skin when tourniquet is applied

Front 30

Hematoma

Back 30

Caused by blood leaking into tissues during or following venipuncture; rapid swelling

Front 31

Infection

Back 31

Invasion of the body by pathogenic microorganism resulting in disease

Front 32

Reflux

Back 32

Back flow of blood from tube to vein

Front 33

Anticoagulant

Back 33

Substance that prevents blood from clotting

Front 34

PKU

Back 34

Phenylketonuria- genetic disorder characterized by defect in the enzyme that breaks down amino acid tyrosine

Front 35

Autologous

Back 35

Your own blood; person donates their own blood for own use

Front 36

FUO

Back 36

Fever of unknown origin- blood cultures help determine presence and extent of infection, organism responsible and antibiotic to which is most susceptible

Front 37

Bacteremia

Back 37

Bacteria in the blood

Front 38

Septicemia

Back 38

Microorganisms or toxins in blood

Front 39

Aerobic

Back 39

With air

Front 40

Anaerobic

Back 40

Without air

Front 41

Post Prandial

Back 41

PP- After meal

Front 42

GTT

Back 42

Glucose tolerance test- Used to diagnose carbohydrate metabolic problems

Front 43

Hyperglycemia

Back 43

High blood glucose

Front 44

Hypoglycemia

Back 44

Low blood glucose

Front 45

TDM

Back 45

Therapeutic drug monitoring- testing of drug levels at specific times

Front 46

Peak

Back 46

Maximum level, must not exceed toxic levels

Front 47

Trough

Back 47

Minimum level, must remain within therapeutic range

Front 48

ETOH

Back 48

Ethanol- Blood alcohol level

Front 49

ABG

Back 49

Arterial blood gasses- Radial artery, Brachial artery, Femoral artery

Front 50

Accession number

Back 50

Unique number generated when test request is entered into computer

Front 51

Aerosol

Back 51

A fine mist of specimen

Front 52

Aliquot

Back 52

Portion of specimen used for testing

Front 53

Bar code

Back 53

Parallel array of alternating spaced black bars and white spaces representing a code

Front 54

Central processing

Back 54

Screening and prioritizing area where specimens are received and prepared for testing

Front 55

Mnemonic

Back 55

Memory aiding code or abbreviation

Front 56

Password

Back 56

A secret code that identifies a person and allows them to become a system user

Front 57

QNS

Back 57

Quantity not sufficient

Front 58

Sclerosed

Back 58

Hardening

Front 59

List 3 blood collection systems

Back 59

Multisample- vacutainer
Syringe- hypodermic
Winged infusion- Butterfly

Front 60

What is the significant of vacuum within tubes?

Back 60

Negative pressure is premeasured so the tube draw volume will be precise.

Front 61

What is a short draw?

Back 61

Removing the tube before vacuum is exhausted resulting in an under filled tube

Front 62

Why might a syringe draw be done instead of an ETS?

Back 62

Elderly patients or for collapsed veins; you control pressure- be able to pull blood out of vein

Front 63

What is a syringe transfer device

Back 63

Allows safe transfer of blood into tubes without using syringe needle or removing tube stopper

Front 64

Why are trace element tubes used? And what tube color are they?

Back 64

Made of materials that are free of trace elements. Used for element test, toxicology study, and nutrient determination. Dark blue tubes

Front 65

What is the difference between a manual and computer requisition?

Back 65

Manuel- three part form serves as request, report, and billing form; used as backup for computer failure

Computer- contains labels that are placed on specimen tubes after collection. Contains patient’s ID, test status info, indicate type of tube, and additional notes.

Front 66

List 2 signs or bands on or near a patient phlebotomists should be aware of

Back 66

Infection control precaution signs, signs that prohibits blood drawing from particular arm

Front 67

What is the difference of identification of an outpatient and inpatient?

Back 67

Inpatient- Full name, date of birth, MRN on ID band

Outpatient- Full name, date of birth (proof of ID), req form, and lab labels

Front 68

How do you ID an ER patient

Back 68

3 part identification band
First part becomes patient ID band

Second part is attached to specimen

Third part used if patient needs transfusion

Front 69

Why is it important to find out if a patient is sensitive to latex?

Back 69

Exposure to latex can trigger life-threatening reactions. Make use all equipment is latex free

Front 70

What are concentric circles?

Back 70

Circles with common center. Starts in center and moves outward

Front 71

What is the needle insertion, using a butterfly

Back 71

10 Degree angle

Front 72

How do you get blood from a syringe to collection tubes?

Back 72

Syringe transfer device

Front 73

How many attempts does a phlebotomist have, when drawing blood

Back 73

Twice

Front 74

List 3 challenges when drawing blood a geriatric patient.

Back 74

Skin changes, hearing and vision problems, mobility issues, mental and emotional conditions

Front 75

List 3 ways to prevent an infection from a venipuncture

Back 75

Don’t open tape prior, do not touch site with figure after cleaned, don’t wait too long between antiseptic and puncture

Front 76

Write 3 ways nerve injury can occur?

Back 76

Insertion of needle too deeply or quickly, excessive lateral redirection of needle, blind probing

Front 77

List 3 ways vein damage can be prevented?

Back 77

Don’t draw from same site
Don’t blind probe
Don’t use improper technique when redirecting

Front 78

List 4 trouble-shooting skills during a venipuncture

Back 78

Anchor, change tubes, back needle out a little, feel above site w/non dominate figure for vein

Front 79

Capillary blood is a mixture of?

Back 79

Arterial, venous, and capillary blood, interstitial fluid, intracellular fluid

Front 80

List 5 types of urine specimens

Back 80

Random- Collection at any time
Timed- First morning/ 8 hour, tolerance test, 24- hour, double urine

Front 81

List 3 arteries

Back 81

Radial artery, brachial artery, femoral artery

Front 82

What does POCT stand for and what benefits does it offer?

Back 82

Point of care testing- Portable testing device; convenience to patient, short turnaround time

Front 83

What is the most common size needle?

Back 83

21- Green