PHLEBOTOMY PRACTICE TEST LATEST UPDATE

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 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