BUSN 206 PHLEBOTOMY PRACTICE TEST 2022 Questions and Answers

PHLEBOTOMY PRACTICE TEST LATEST UPDATE another name for blood bank is - answerimmunohematology with which other hospital department would the laboratory coordinate therapeutic drug monitoring? - answerpharmacy electrolyte testing includes - answersodium & potassium promoting good public relations is a part of the phlebotomist's role because - answera phlebotomist is a representative of the laboratory throughout the facility, good public relations promotes a harmonious relationship with the staff, patients often equate venipuncture experiences with the overall hospital care outpatient phlebotomy, such as in a physician's office or patient care service center, will be assigned a code for reimbursement using which national coding system? - answerCPT which department is responsible for administering oxygen therapy? - answerrespiratory therapy the term used to describe sophisticated and highly complex medical care is - answertertiary care the term "phlebotomy" is derived from Greek words that, literally translated, mean... - answervein incision which of the following is not a phlebotomists duty? - answerstarting IV lines what are the credentials for an ASCP-certified phlebotomist - answerPBT Proof of participation in workshops to upgrade skills required by some agencies to renew certification is called - answerCEUs of the following laboratory personnel, which one is referred to as a "medical laboratory scientist"? - answermedical technologist which of the following is an example of a barrier to effective communication with a patient? - answerpatient does not speak english, patient is very young, patient is emotionally upset which of the following is an example of confirming a response to a patient? - answerI understand how you must be feeling which of the following is an example of negative kinesics - answerfrowning which of the following communicates unprofessionalism - answerintense odor of cologne it is improper telephone protocol to - answerhang up on angry callers which duty is not performed by local public health agencies - answerlicensure of healthcare personnel what does acknowledging a patient's beliefs, customs, knowledge, and attitudes exemplify? - answerdiversity awareness a phlebotomist who gets the specimen for the doctor even if he or she must take shortcuts is exhibiting _____ - answerunprofessionalism the area of the lab where testing is performed to detect infectious diseases and the antibodies produced in response to infection is called - answerimmunology drawing a patient's blood without his or her permission can result in a charge of - answerassault and battery two phlebotomists in an elevator are discussing a patient's condition. They are overheard by the patient's daughter. This is an example of - answerinvasion of privacy which of the following would not violate a patient's right to confidentiality? - answersharing collection site information on a difficult patient malpractice is a claim of - answerimproper treatment if a phlebotomist ____, he or she is negligent - answerfails to put the needle and holder in the sharps container a national organization that sets standards for phlebotomy procedures is - answerCLSI which action will compromise the quality of a specimen - answerpartially filling a liquid EDTA tube the Joint Commission's Sentinel Event QI program policy is designed to do all of the following except - answerdemonstrate flexibility in setting QC measures which one of the following examples is unrelated to quality control? - answeremployees filling out their time sheets daily which analyze test result will be adversely affected by chilling? - answerpotassium when the threshold value of a clinical indicator of QA is exceeded and a problem is identified - answera corrective action plan is implemented significant gaps in the quality of testing practices in physicians' offices resulted in the recent development of - answergood laboratory practices the "standard of care" in the practice of phlebotomy is influenced by which of the following organizations? - answerthe joint commission which one of the following conditions is least likely to be a reason for specimen rejection? - answeran icteric bilirubin specimen a specimen was mislabeled on the floor. The phlebotomist is required to fill out an incident report form. What information is not part of the report? - answersuggestion for new guidelines which of the following is an example of a QA indicator? - answerthe blood culture contamination rate will not exceed the national rate the only phlebotomist in an outpatient drawing center is not familiar with the test that a physician ordered. what is the most appropriate action to take? - answerrefer to collection manual one of NPSG's specified 2014 goals for the laboratory is to - answerimprove communication some test specimens require immediate cooling in ice and water slurry to - answerslow down metabolic processes which one of the following is not included in the various phases of malpractice litigation? - answera healthcare institution is informed of an injury to a patient which one of the following is found in a procedure manual - answerlisting of all revision dates for the procedure QC protocols prohibit use of outdated evacuated tubes because - answertubes may not fill completely, changing additive-sample ratios unauthorized release of confidential patient information is called - answerinvasion of privacy the definition of a minor is anyone - answerwho is not the age of majority one of the screening criteria used by the joint commission to determine accreditation of the clinical laboratory is the category Immediate Threat to Health and Safety. An example of not meeting this criterion would be - answerrecurrent problems with patient identification which pre analytical factor that can affect validity of test results is not always under the phlebotomist's control? - answerpatient preparation according to standard first aid procedures, severe external bleeding is best controlled by - answerapplying direct pressure class C fires - answerinvolve electrical equipment vaccination against HBV involves - answera dose of vaccine, a second dose 1 month later, a third dose 6 months later an example of employee screening for infection control is - answerPPD testing which of the following is not one of the code words in the NFPA order of action in the event of fire? - answersmother the purpose of "protective" isolation is to - answerprotect patients who are highly susceptible to infection the OSHA HazCom Standard is also commonly called the - answerRight to Know law what is the proper order for putting on the following PPEs - answergown first, mask, goggles, gloves last federal law requires that hep B vaccination be made available to employees assigned to duties with occupational exposure risk - answerwithin 10 working days what is the first thing the phlebotomist should do in the event of an accidental needlestick - answerwash the site with soap and water for at least 30 seconds the main principles involved in radiation exposure are - answerexposure time, distance, and shielding examples of nosocomial infections include - answerwhen a catheter site of a patient in ICU becomes infected which of the following is an example of a potential permucosal exposure to biohazardous microorganisms? - answerrubbing an eye with a contaminated hand in what instance might a patient be placed in protective isolation - answerthe patient has severe burns which of the following is an example of a work practice control that reduces the risk of exposure to blood borne pathogens - answerhand decontamination which type of contact infection transmission involves transfer of an infective microbe to the mucous membranes of a susceptible individual by means of a cough or sneeze - answerdroplet the Needlestick safety and prevention act directed OSHA to revise the BBP standard in all of the following areas except - answeravailability of vaccination against HBV for all employees occupational exposure to bloodborne pathogens can occur if which of the following happens while the healthcare worker is performing his or her duties - answera human bite breaks the skin, blood comes in contact with a cut, and body fluids splash into the mouth which type of PPE must be removed after leaving the patient's room and closing the door - answerrespirator to comply with the latest HazCom revision, the label of a hazardous chemical must include a - answerGHS hazard statement, hazard class pictogram, and severity signal word CLSI guidelines state that scrubs or slacks worn in the lab should be how far off of the floor - answer1 to 1.5 inches a sign posted on the door of a patient in contact isolation states that all who enter the room must use soap and water to wash their hands before leaving the room. this is a sign that the patient may be infected with a spore forming microbe such as - answerclostridium difficile a body fluid splash into the eyes requires the victim to immediately flush the eyes with water or sterile saline for a minimum of - answer10 minutes An N-95 respirator must be worn when entering the room of a patient who has which type of precaution sign on the door - answerairborne what part of the term osteochondritis is the suffix - answeritis which of the following word parts is a prefix - answerhypo what does the suffix of the term glycolysis mean - answerbreakdown the singular form of alveoli is - answeralveolus the medical term for white blood cell is - answerleukocyte which of the following terms means kidney inflammation - answernephritis the abbreviation PP means - answerafter a meal the letter "g" is pronounced like a "j" in - answergestation abbreviation ESR means - answererythrocyte sedimentation rate which of these terms means condition of clotting - answerthrombosis which of these terms means muscle pain - answermyalgia which of these terms means hardening of the artery - answerarteriosclerosis what is the word root in the word electrocardiogram - answercardi a prefix - answeradds info about a term, modifies the meaning of a term, and precedes the root word what is the suffix in the term lipase - answerase the word elements of the term polycythemia mean - answerblood condition of many cells the "c" sounds like an "s" in which of the following terms - answercellular the joint commission TJC "do not use" list applies to all of the following except - answerelectronic laboratory reports all of the following are included on TJC "Do not use" list except... (those on it include MS, IU, U) - answerKg if a suffix is added to a word that ends in "x" the "x" changes to a/an - answerg or c what does hyper in hypernatremia mean, and what type of word element is it - answertoo much, prefix the word roots "nephr" and "ren" both refer to the - answerkidneys the e at the end of which medical term is pronounced separately - answersyncope a lumbar puncture is performed by a physician to withdraw what type of fluid - answerCSF which body plane divides the body into equal portion - answermidsagittal which of the following is a nervous system disorder - answermultiple sclerosis a major cause of respiratory distress in infants and young children is - answerrespiratory syncytial virus which of the following is a function of the urinary system - answerto maintain electrolyte balance which of the following is a test of the urinary system - answercreatinine clearance the ability of the body to repair and maintain itself to achieve a steady state defines what term - answerhomeostasis which of the following type of muscle is under voluntary control - answerskeletal which of the following is a test of the respiratory system - answerABG the term distal means - answerfarthest from point of attachment when you are facing someone in normal anatomic position, at which body plane are you looking - answerfrontal the layers of the skin containing blood vessels - answerdermis and subcutaneous which of the following is a test of the respiratory system - answersputum culture the avascular layer of the skin is the - answerepidermis which one of the following basic tissue types covers and lines organs, vessels, and cavities - answerepithelial central nervous system is composed of - answerbrain and spinal cord which gland is often called the master gland of the endocrine system - answerpituitary which of the following is considered an accessory organ of the digestive system as well as a structure associated with the endocrine system - answerpancreas hormones produced in the reproductive system include - answerestrogen and progesterone glomeruli are tufts of capillaries located in the - answernephrons of the kidneys the function of the left ventricle is to deliver - answeroxygenated blood to the aorta the receiving chambers of the heart are - answeratria the relaxing phase of the cardiac cycle is called - answerdiastole a graphic record of the heart's electrical activity during the cardiac cycle is a/an - answerECG which of the following represents the proper direction of blood flow - answerfrom arterioles to capillaries to venules a blood clot circulating in the bloodstream is called a/an - answerembolus the first response in the hemostatic process in vivo is - answervasoconstriction which blood cell has the ability to pass through the blood vessel walls - answerleukocyte an individual's blood type is determined by the presence or absence of a certain type of - answerantigen present on the RBCs how can you visually tell serum from plasma - answeryou cannot visually tell them apart hemostasis refers to - answerstoppage of bleeding lymphatic fluid originates from - answerexcess tissue fluid which is not an antecubital vein? : basilic, cephalic, femoral, median - answerfemoral which test must be performed on anti coagulated whole blood - answerCBC a major difference between arteries and veins is that most veins - answerhave one-way valves if a patient receives transfusion of the wrong blood type - answeran adverse reaction could result in patient death, patient antibodies could react with the donor's RBCs, the donor's RBCs could clump together a patient has the antecubital veins listed below. all the veins are large and easily palpated but basilic is most visible. which one should be chosen for venipuncture? - answermedian the medical terms for red blood cells, white blood cells, and platelets in that order are - answererythrocytes, leukocytes, thrombocytes the primary function of RBCs, platelets, and WBCs, respectively is - answeroxygen transport, blood clotting, pathogen destruction capillaries are - answertiny, one cell thick blood vessels, what link arterioles and venules, where gas exchange occurs what is the proper blood to additive ratio for a light blue tube collected for coagulation test - answer9:1 larger gauge (23) has ____ lumen than 18 - answersmaller the tests performed in the following department are typically collected in a tube with a light blue stopper - answercoagulation a tube with a green stopper normally contains - answerheparin the purpose of an antiglycolytic agent is to - answerpreserve glucose the solution normally used to clean the site before routine venipuncture is - answer70% isopropanol when nitrile or vinyl strap tourniquets become soiled with blood, it is best to - answerthrow them away what is the most important factor in choosing which gauge needle to use for venipuncture - answersize and condition of the vein which additive is usually present in a tube with a lavender stopper - answerEDTA glass particles present in serum separator tubes - answerenhance clotting heparin prevents blood from clotting by - answerinhibiting thrombin which of the following is classified as a disinfectant - answersodium hypochlorite the slanted tip of the needle that enters the vein is called - answerbevel according to CLSI standards, which of the tubes listed below is filled last when using a syringe - answerEDTA when using a winged infusion blood collection set, if the first tube is an additive tube, it is important to collect a few milliliters of blood into a nonadditive tube first to - answermaintain proper blood to additive ratio a phlebotomist collects a light blue top, lavender, gray from inpatient. what additives did they likely contain? - answercitrate, EDTA, sodium fluoride a rapid serum tube contains - answerthrombin the tube additive that is responsible for the most carryover problems is - answerEDTA ethylenediaminetetraacetic acid which of the following substances is a biocide - answerhydrogen peroxide, isopropyl alcohol, povidone iodine you must collect a routine hematology test, coagulation test, and stat chemistry. colors and proper order? - answerlight blue, green, lavender a request is given to draw a specimen from an inpatient by name of John Doe. Which of the following is an acceptable way to confirm the patient's identity? - answermatch ID band and requisition with patient's verbal statement of ID the following tests have been ordered at the same time on different inpatients. which test is collected first? - answerSTAT electrolytes in ER during which of the following during the vein selection process is bad for the specimen - answerallowing patient to pump her fist using which of the following communication strategies before obtaining a blood specimen from a child demonstrates poor technique - answertelling the child it won't hurt the patient is just finishing a big breakfast as the phlebotomist arrives to draw a fasting specimen. what should the phlebotomist do? - answercheck with the patients nurse to see if the specimen should still be collected what may happen if you mix a specimen too vigorously - answerhemolysis never leave a tourniquet on for more than - answer1 minute how can you tell that you are in a vein when using a needle and a syringe - answeryou will normally see blood appear in the hub of a needle what is the most critical error a phlebotomist can make - answermisidentifying a patient specimen what is the best way for a newly trained phlebotomist to handle a venipuncture on a patient with needle phobia - answerask an experienced phlebotomist to do the draw what would be the system of choice to identify laboratory specimens from an unconscious, unidentified woman in the ER? - answeruse a 3 part ID band and labels the priority designation for a test request is based on all of the following except - answerage and gender a phlebotomist arrives to draw a specimen from an inpatient. the patient's door is closed. what should the phlebotomist do? - answerknock softly, open it slowly, and ask permission to enter the patient asks if the specimen about to be drawn is for a diabetes test. how should the question be answered? - answersay "its best to discuss that with the doctor" an unconscious patient is not wearing an ID band. There is one taped to the IV pole with info that matches requisition what should phlebotomist do? - answerwake the patient gently to avoid a startle reaction which of the following is the job of a student phlebotomist - answerletting patient know you are a student phlebotomist an inpatient is sound asleep when the phlebotomist arrives to draw a blood specimen. what should phlebotomist do? - answerwake patient gentle and avoid startle the first step in the testing process begins when the - answertest is ordered by the healthcare provider if a venipuncture site is still bleeding after 5 minutes the phlebotomist should - answeralert the patient's nurse or other healthcare provider what is the recommended angle of needle insertion for an antecubital vein and a hand vein respectively - answer30 degrees or less, 10 degrees or less an elderly patient arrives at outpatient clinic for a blood draw. he is accompanied by his daughter who mentions he's hard of hearing. how should the phlebotomist proceed? - answerspeak distinctly in a normal tone of voice a tourniquet used for venipuncture procedures should be - answerapplied 3 to 4 inches above intended site, tight enough to slow venous flow but not affect arterial, snug or slightly tight but not uncomfortable a phlebotomist starts to perform a venipuncture. as the needle touches the skin the patient moves. the phlebotomist is startled and pulls needle away from arm. after apologizing what should you do? - answerreplace needle, clean site, warn patient, and finish draw the phlebotomist has made two unsuccessful attempts to collect a fasting specimen from an outpatient. what should you do next? - answerask another phlebotomist to take over an additive tube should be mixed - answeras soon as its removed from the holder which instance most closely resembles basal state - answera patient who has just awakened at 0600 after fasting all night you must draw a proem specimen from a patient with IVs in both arms. which of the following is the best thing to do? - answerdraw specimen blow the IV it is not a good idea to collect a CBC specimen from a screaming infant because the - answerwhite blood cell count may be falsely elevated you have no choice but to draw a specimen from a site with a hematoma. where should you obtain the specimen? - answerdistal to the hematoma prolonged tourinquet application may cause change in blood composition primarily because of - answerhemoconcentration which of the following vascular access devices is placed in a peripheral vein for the purpose of blood collection and administration of medication? - answerheparin lock a phlebotomist has attempted twice to draw a PTT specimen from a patient with difficult veins. each time the phlebotomist has only gotten a partial tube. what should they do? - answerhave another phlebotomist attempt to draw the specimen why do pregnant patients have lower reference ranges for RBC counts - answerbody fluid increases in pregnancy, diluting red blood cells levels of which analyze can differ by 50% or more between morning and late afternoon - answercortisol which situation is the best way to tell that you may have accidentally punctured an artery? - answerthe blood pulses into the tube if blood is drawn too quickly from a small vein, the vein will have a tendency to - answercollapse how long before obtaining blood for testing should drugs known to interfere be discontinued? - answer4 to 24 hours a fistula is - answerpermanent fusion of an artery and a vein when a test requires a fasting specimen, but the serum is ___, it is a clue that the patient was not fasting - answerlipemic tests influenced by diurnal variation are often ordered as ____ tests, and it is important to collect them as close to possible to the time ordered - answertimed tattooed areas should be avoided as venipuncture sites because - answerfresh tattoo sites may be more prone to infection, tattoos can mask an adverse reaction to the draw, there could be an undetected infection in that area an arm that is paralyzed has - answerlost muscle function which of the following is the best way to avoid reflux when drawing a blood specimen? - answerfill tubes bottom up if a patient is complaining of sharp radiating pain from the needle insertion site, the phlebotomist should - answerimmediately terminate the venipuncture hemolysis can erroneously elevate - answerammonia, magnesium, potassium a tube fails to fill with blood during a venipuncture. which of the following might lead you to think that the vein has collapsed? - answerthe vein disappears when you engage the tube the creatinine clearance rate decreases in elderly patients due to a normal decline in - answerkidney function a blood smear from an EDTA specimen should be made - answerwithin 1 hour of collection why are capillary blood gases less desirable than arterial blood gases - answerskin puncture contains tissue fluid, skin puncture blood is only partly arterial, blood is exposed to air during collection what is the CLSI recommended maximum depth of heel puncture - answer2mm why are EDTA specimens obtained before other specimens when collected by skin puncture - answerto minimize effects of platelet clumping why should a laboratory report form indicate the fact that a specimen has been collected by capillary puncture - answerbecause test results can vary depending on method of collection which of the following is the safest area for infant heel puncture - answerlateral plantar surface a capillary puncture should be done rather than a venipuncture in all of the following situations except when - answera light blue top is needed the purpose of wiping away the first drop of blood during skin puncture is to - answereliminate tissue fluid contamination capillary puncture blood most closely resembles - answerarterial blood what does the term calcaneous mean - answerheel bone capillary puncture blood reference ranges are higher for which of the following analytes - answerglucose which microbe would be used to collect a specimen for a CBC - answerpurple top what is PKU - answera hereditary inability to metabolize phenylalanine it is necessary to control depth of lancet insertion during capillary puncture to avoid - answerinjuring the heel bone what is the purpose of warming the site before skin puncture - answerit increases blood flow up to 7 times which of the following is a preferred capillary puncture site - answermiddle finger if the alcohol is still wet when a capillary puncture is made it can - answercause hemolysis, lead to errors in testing, prevent round drops from forming what causes microhematocrit tube to fill with blood - answercapillary action capillary punctures that are deeper than recommended are more painful because pain fibers increase in abundance below - answer2.4mm which of the following scenarios represent correct capillary puncture technique - answerpuncturing perpendicular to fingerprint whorls capillary puncture is the preferred method of obtaining blood from infants because - answercapillary blood is preferred for some tests, removing tubes of blood can lead to anemia, venipuncture in infants may damage veins a lab report form should indicate when a specimen has been collected by capillary puncture because - answersome test results vary with specimen source of the following tests, which is most likely to result in fatal consequences if the patient is misidentified - answertype and cross match which test requires strict skin antisepsis procedures before specimen collection - answerblood culture all of the following are included in the DOT's 10 steps to collection site security and integrity except - answerensure that video monitoring equipment is working during specimen collection what type of additive is recommended for collecting an ethanol test specimen - answersodium fluoride when performing a GTT, the timing should begin - answeras soon as the patient finishes the drink which test is used to monitor heparin therapy - answerACT according to CLSI _______ is the recommended blood culture site skin disinfectant for infants 2 months and older - answerchlorhexidine gluconate to prevent introducing a contaminating substance into a trace-element collection tube, it is suggested that the phlebotomist - answerdraw it by itself using a syringe or ETS all POC glucose analyzers approved for hospital use have which of the following in common - answerthey have the ability to use capillary, venous or arterial blood samples, data can be downloaded to a data management program, and require the use of an authorized operator ID number when collecting a blood culture specimen directly from a butterfly into blood culture bottles, which should be filled first - answeraerobic a chain of custody is - answerspecial protocol used when collecting forensic specimens for which condition is a unit of blood withdrawn as treatment - answerhemochromatosis which of the following tubes can be used to collect blood for a type and crossmatch - answerpink top an autologous blood transfusion is a transfusion of blood - answerdonated by the patient for the patient the most critical aspect of blood culture collection is - answerskin antisepsis which test requires a specimen with a 9:1 ratio of blood to anticoagulant - answerprothrombin time the hormone detected in a positive urine pregnancy test is - answerHcG ARD or RAN blood culture bottles - answerremove any antibiotics that are in the blood TDM is used by physicians to - answerdetermine a beneficial drug dosage for a patient a 2 hour postprandial specimen should be drawn - answer2 hours after the patient finishes eating a meal the preferred sample for parentage testing is - answerbuccal swab which one of the following tests could be collected using a tube other than a trace element free tube? - answersodium, potassium,etc the CAP requires QC for many waived tests to be performed - answerwhen the test manufacturer specifies a noninvasive transcutaneous method is available to measure - answerneonatal bilirubin the accumulation of ____ in the blood can cause metabolic acidosis - answerlactate what is the recommended disinfectant for blood culture sites in infants 2 months and older - answerchlorhexidine gluconate which one of the following statements about autologous donations is NOT true - answerunused autologous units may be used by other patients the process of entering a password and gaining access to a computer is called - answerlogging on a specimen would most likely be accepted for testing despite which of the following problems - answerno phlebotomist initials _____ is the permanent computer memory that instructs the computer to carry out user-requested operations - answerROM which of the following is used by the laboratory to identify a specimen throughout the testing process - answeraccession number a barcode is a - answerseries of bars and spaces representing numbers or letters a pneumatic tube is a - answerpressurized air transportation system applications software called middleware - answeraccepts data downloaded from POC instruments an example of a pre analytical error happening during specimen processing is - answerinadequate centrifugation use of one of the newer technologies, RFID is emerging in healthcare as a - answermethod of specimen identification transporting blood specimens with the stopper up has nothing to with - answermaintaining the sterility of the sample which of the following would not be considered a pre analytical error - answermisreporting patient results which of these is a source of pre analytical error that occurs before specimen collection - answerdehydrated patient which of the following specimens needs to be chilled - answerammonia which organization develops standards for specimen handling and processing - answerCLSI according to CLSI, the maximum time limit for separating serum or plasma from cells is - answer2 hours from time of collection which of the following specimens are least likely to require special handling - answercholesterol and uric acid which statement describes proper centrifuge operation - answerplace tubes of equal size and volume opposite one another for balance which of the following collection circumstances is least likely to result in delayed clotting of a serum sample - answercollection was difficult, hemolyzing red cells which specimen can be centrifuged immediately upon arrival in specimen processing - answercalcium in a green top tube which of the following represents improper aliquot preparation - answercarefully pouring contents into the aliquot tube which of the following activities is least likely to take place in central processing or triage - answeranalysis and reporting what type of specimens must be processed before routine specimens - answerSTAT, ASAP, timed which of the following is the best way to prepare routine blood specimen tubes for transportation to an offsite lab - answerseal the tubes in plastic bags CLSI and OSHA guidelines do not require specimen transport bags to have - answershock resistance features critical values (test values that are considered life threatening) are also called - answerpanic values a test sample that is not recommended to be sent in a pneumatic tube is - answerserum potassium what is recommended procedure for collecting a 24 hour urine sample - answervoid first morning specimen, start the timing, and collect all other specimens including next morning what fluid is obtained by lumbar puncture - answerCSF what fluid is aspirated from the peritoneal cavity - answerascitic what additional info is typically required when labeling a non blood specimen - answerspecimen type and source which test involves intravenous administration of histamine or pentagastrin - answergastric analysis which test is used to diagnose cystic fibrosis - answersweat chloride which of the following tests requires a 24 hour urine specimen - answercreatinine clearance a refrigerated stool sample would be unsuitable for a(n) test - answerova and parasites a urine C &S test is typically ordered to detect - answerpresence of a UTI an NP culture swab is collected to detect the presence of organisms that cause - answerwhooping cough a first morning specimen is preferred for hCG testing because it is - answertypically more concentrated drugs of abuse can be detected in - answerhair, saliva, and urine which type of specimen must be protected from light - answeramniotic fluid sputum samples are typically collected to diagnose - answertuberculosis which type of urine collection involves the aspiration of urine directly through the wall of the bladder using a sterile needle and syringe - answersuprapubic which fecal test may require a 72 hour stool collection - answerurobilinogen tests on which type of specimen can detect chronic alcohol or drug use - answerhair which type of specimen is required for urine C & S - answermidstream clean catch the most common reason a throat swab is collected to detect an infection with which type of microorganism - answerstreptococcus breath samples can be used to detect - answerH pylori bacteria, lactose intolerance, recent marijuana use the second choice for the site of arterial puncture is the - answerbrachial artery the first choice artery for ABG collection is the - answerradial artery when performing the Allen test, which artery is released first - answerulnar what happens to an ABG specimen left at room temperature for a prolonged period - answerblood cells continue to consume oxygen, continued metabolism produces acids, levels of CO2 increase after performing arterial puncture, the phlebotomist should check the pulse - answerdistal to puncture site which of the following is the most common arterial puncture complication, occurring even when proper technique is used - answerarteriospasm the most common needle size for routine radial ABG specimen collection is - answer22 gauge to maintain the integrity of an ABG specimen collected in a plastic syringe, it should be - answeranalyzed within 30 minutes which of the following abbreviations represents a test that is typically part of ABG evaluation - answerPaO2 heparin is used in ABG specimen collection to - answerprevent clotting of the specimen which of the following patients would be considered to be in a steady state for ABG specimen collection - answera patient who has been asleep for 30 minutes while breathing room air which of the following is proper needle insertion angle for radial artery puncture - answer45 which of the following is the best way to tell that a specimen is arterial? as the specimen is collected, the blood - answerpulses into the syringe a proper cleaning solution for preparing an arterial puncture site is - answerisopropyl alcohol the site for radial artery puncture is located in the wrist - answerabout 1 inch above crease, on the underside of the arm, on the thumb side of the arm the chance of hematoma formation as a result of arterial puncture is greater if - answerlarge gauge needle is used for puncture, inadequate pressure is applied after draw, patient is receiving anticoagulant therapy the most important factor to consider when selecting an arterial puncture site is the - answerexistence of collateral circulation what should the phlebotomist do if the pulse is faint or absent following ABG collection? - answernotify the patient's doctor or nurse ABG specimen rejection criteria include - answerair bubbles in the specimen, incomplete or missing label, insufficient volume of blood which of the following is a disadvantage of collecting ABGs from the radial artery - answerit can be hard to locate on patients with decreased blood volume