Phlebotomy Tube & Additive Review NHA CPT Exam Questions and Answers

Phlebotomy Tube & Additive Review NHA CPT Exam Questions and Answers Tube to collect plasma for a STAT chemistry specimen Green EDTA is an Anticoagulant A light blue top tests in which department? Coagulation For which tube is the blood-to-additive ratio most crucial? Light blue Royal blue top tube Prevents the specimen from clotting Gray tube additive Sodium flouride and potassium oxalate, sodium fluoride and EDTA, sodium flouride Green tube additive Sodium heparin Lavender (pink) tube additive EDTA Light blue tube additive Sodium citrate Red glass tube additive None Royal blue tube - red label - additive None Light green tube additive Lithium heparin and gel for plasma separation Yellow tube (blood bank) additive ACD Yellow tube (Microbiology) additive SPS Orange tube additive Thrombin Royal blue tube (lavender label) additive EDTA Royal blue tube (green label) additive Sodium heparin Tan glass tube additive Sodium heparin Additive that prevents the breakdown of glucose by the cells ACD Tan (plastic tube) additive EDTA Red plastic tube additive Clot activator Green tube additive Lithium heparin, sodium heparin Test to detect inflammation; identify collagen vascular diseases ESR lavender hematology Test to determine hemoglobin levels, detect infection, and identify blood disorders CBC Creative Clearance test results are correlated with the patient's ... Age The serum or plasma of a hemolyzed specimen would most likely look like... Pink to red A specimen that is abnormal yellow brown in color is Icteric A specimen that is fatty/cloudy white Lipemic A specimen that is slightly pink is Mild hemolysis A specimen that is pink to red is Moderate hemolysis A specimen that is red is Gross hemolysis A specimen that is yellow to clear is Normal An inherited metabolic disorder detected through newborn screening PKU or phenylketonuria Equipment needed for a malaria test Glass slide A plasma specimen for this type of test cannot be collected by capillary puncture Coagulation Capillary blood composition more closely resembles Arterial blood The concentration for this analyte is normally lower in capillary specimens than in venous specimens Calcium If using capillary puncture to collect the following bullets from a patient, which one would be collected first? Gray, green, lavender or SST? SST What is the recommended site for finger puncture in adults? Proximal segment of the ring finger Do not use provodine iodine to clean skin sites because it interferes with Uric acid, phosphorous, and potassium results Amber bullets do what for the specimen? Protect it from light Aerobic With air Anaerobic Without air GTT - Glucose Tolerance Test Test used to diagnose carbohydrate metabolism problems HCG Human chorionic gonadotropin Which tube additive is preferred for the collection of a blood culture specimen? SPS - sodium polyanehol sulfate A stool sample is needed for what test? Guaiac GTT is performed to evaluate the production of ___________ in the pancreas Insulin Before performing a bleeding time, the phlebotomist should ask the patient about Recent ingestion of aspirin Peak and trough specimens are collected for Therapeutic drug monitoring Specimen is collected a specific length of time after a meal has been eaten 2-hour PP. postprandial Skin antisepsis is critical to accurate test results Blood culture Often requires serial collections of blood specimens at specific times GTT glucose tolerance test Patient id procedures are extra strict Blood type and screen Requires a nine to one ratio of blood to anticoagulant ration in the collection tube PT prothrombin time Test performed to assess collateral circulation to the hand Allen Test It is best if drugs that interfere with blood tests are stopped (how many hours prior to testing)? 4 - 24 hours Ulnar artery location Artery located in the little finger side of the wrist Radial artery location Artery located in the thumb side of the wrist The number one choice site for arterial puncture is Radial artery When performing radial artery puncture the needle should enter the skin Distal to where the pulse is felt An ABG specimen may be rejected if it is QNS quantity not sufficient Arterial blood is what color? Bright cherry red What types of tests must a patient fast for? Glucose, cholesterol, and triglycerides What word means "condition of clotting"? Thrombosis A urine C&S is typically ordered to collect... Presence of UTI Which of the following specimens are least likely to require special handling? Cholesterol and Uric acid An ABG specimen can clot if there is inadequate or delayed ______________of the specimen. Mixing Why are EDTA specimens obtained before other specimens when collected by skin puncture? To minimize effects of platelet clumping Of the following tests, which is most likely to be fatal if the patient is misidentified? Type and crossmatch Fluid that comes from between tissue cells is known as ______________fluid. Interstitial According to CLSI standards, which tube is filled last when using a syringe? EDTA Glass particles present in serum separator tubes.... Enhance clotting You must draw a pro time specimen from a patient with IV's in both arms. Which of the following is the best thing to do? Draw the specimen below an IV after it has been off for 2 minutes Which can be centrifuges immediately upon arrival in specimen processing? Blood culture in An SPS tube Which type of specimen must be protected from light? Amniotic fluid What may happen if you mix a specimen too vigorously? Hemolysis This test requires a specimen with a 9:1 ratio of blood to anticoagulant? Prothrombin time PT Another name for blood bank is.... immunohematology Which fluid is obtained by lumbar puncture? CSF (cerebrospinal fluid) To maintain the integrity of an ABG specimen collected in a plastic syringe, it should be... Analyzed within 30 munutes Which of the following is a function of the urinary system? To maintain electrolyte balance