Phlebotomy Practice Test

Phlebotomy Practice Test Most important step in venipuncture? Patient identification What is PPE? Personal Protective Equipment What is the best way to let a clean site dry? Air dry OSHA requires all phlebotomist to be trained regarding what? Blood borne pathogens and needle saftey All specimens are considered hazardous and infectious so we must use what? Universal and or Standard precautions What organization should be contacted regarding employee safety and unsafe working conditions? OSHA (occupational safety and health administration What does MSDS mean and what is it part of? Material Safety Data Sheet (right to know law) What color tube, and additive is used for CBC, Hct, Hgb, Sed rate? Lavender, EDTA Which tube has no additive? Red What color tube and which additive is used for protime and APTT? Lt. Blue, sodium citrate What is the ratio of blood to additive in a light blue tube? 9 to 1 Which additive is the best choice for an ethanol specimen? Na fluoride What color tube is an ethanol specimen drawn in? Grey In case of a needle stick accident you should? Cleanse the site, get patient information if able, and notify your supervisor What is the purpose of the tourniquet? To find the vein How long can the tourniquet be in place? 1 minute What is the first thing you must do after every finger stick? Wipe away the first drop Why is it necessary to keep the centrifuge lid closed until it comes to a complete stop? It reduced the chance of aerosol and microbial contamination What angle should your slider be when making blood smears? 30 degrees What should you do if a standard size tube collapses the veins? Use a pediatric tube Which cleansers are most common for blood culture site preparation? povidone iodine or 2% chlorhexidine What characteristics do sharps disposal containers have? Spill proof, tamper proof, and puncture resistant. When used for decontamination, the dilution for bleach in water should be what? 10% bleach, 90% water Which point of care test is done to determine a platelet plug formation? Bleeding time (also known as platelet function assay) Where in the wrist area are ABGs done and which artery? Outer aspect of the wrist and from the radial artery Which are the smallest vessels in the body? Capillaries Which are the smallest veins in the body? Venules The respiratory system is responsible for? Breathing and the exchange of oxygen and carbon dioxide Common site cleanser for a venipuncture is? 70% isopropyl alcohol When anticoagulated blood is spun down in the centrifuge, how does it separate? Plasma (top), buffy coal = WBCs & platelets (middle), Red blood cells (bottom) MSDS is part of the? Right to Know Law When you leave the patient's room, make sure that? Everything is returned to where you found it including the bed rails, (up if up, down if down) What is the difference between serum and plasma? Serum= the fluid portion of clotted blood Plasma= fluid portion of unclotted blood which contains all of its clotting factors (fibrinogen) Empathy is? The Validation of a persons feelings QA indicators are what? Measurable factors System that filters, eliminates wastes, regulates water balance is the? Urinary system If a patient has fragile skin or excessive hair, where should the tourniquet be placed? Over their clothing or a piece of coflex/coband When drawing on a burn victim? Look for a site that is the least damaged or scarred for the draw Even if you wear gloves, your hands should be washed when? Before and after specimen collection, toilet use, every time they could become soiled What happens if you squeeze too much during a finger stick/capillary puncture? Errors in the results by diluting with tissue fluid If an I.V is present you much draw blood where? Below the I.V What vein is most likely to be used for an obese patient? The cephalic If swelling occurs or a hematoma begins to form at the venipuncture site you must? Remove the tourniquet and needle and apply pressure The most prevalent work related acquired infection in the laboratory is? Hepatitis B Fibrin strands may be present in serum because? It was centrifuged What should you do if the information is not correct on the patient's I.D bands/requisitions? Do not draw the blood until the patient is properly identified/banded If a patient who is legally responsible for himself says NO to a blood draw, what should you do? Do not draw Two forms of outpatient I.D are? Spelling name and birthdate Bursting capillaries cause small red pin-point clusters are known as? Petechiae Reverse or protective isolation is for the protections of? Immuno-compromised patients What is the name of the system used for unidentified patients? Special 3 part I.D system What is the most common complications of phlebotomy? Hematoma What happens when the tourniquet is on to long? Hemoconcentration How do you transport Bilirubin? By protecting it from light What test is ordered to determine PH and blood gas? Arterial Blood Gases (ABGs) What test would be ordered to detect hematuria? Urinalysis What test would be ordered if the patient is suffering from FUO? (fever of unknown origin) Blood Cultures What tube is used for STAT electrolytes and what is the additive? Green top and Heparin is the additive Sample mailers have a few distinctive warnings to their label. They are? Biohazard sign, send to CDC in case of breakage, name and address of sender and receiver What is the chain of custody? The tracking of legal samples Doctors order glucose monitoring for patients with which disorder? Diabetes How long do Red blood cells live for? 120 days What is a reticulocyte and how long does it live for? An immature red cell and lives for about one day What does a glucose test monitor? Sugar level All I.V supplies must be handled with care and kept? Sterile What is a sphygmomanometer used for? Blood pressure Medical ethics can identify a professional as? Morally desirable Define negligence vs. malpractice? Negligence is failure to exercise due care Malpractice is negligence by a professional Sedrate or ESR is drawn on what color tube? Lavender Which PPE will keep you the safest when body substance or wounds are present? Gloves What has to be supplied by chemical manufacture according to the Right to Know Law? MSDS (Material Safety Data Sheet) Parenteral transmission means infection can enter through everything except? The digestive tract Does the tourniquet need to be on the entire time? No, its the phlebotomist call In what direction is a concentric circle? Center to periphery What test is ordered to confirm hyper or hypoglycemia? GTT If something is easily combustible what color and number would you expect to see? Red-4 IF a moderate health hazard would exist what color and number would you expect to see? Blue-2 If you do not let the cleaners dry before performing a blood culture you might get what? Contaminated specimen/false positive. Skin prep is the #1 contamination of a blood culture How many ml would be in a typical 24-hour urine container? 2000ml or 2L How do you transport cold agglutinin after collection? At body temperature Cardio vascular system includes? Heart and vessels It is your job as a part of being a health professional to?