Phlebotomy Exam 2 Study Guide Practice Questions And Correct Detailed Answers.

What should you do fist when a patient is having a syncope episode while you are performing a venipuncture? - correct answers Lay them down so they don't fall and take out the needle. Take the needle out and keep the patient safe. If blood does not appear in an evacuated tube upon venipuncture, a phlebotomist's first course of action should be to? - correct answers Adjust/reposition the needle To eliminate bacteria from the skin of a bacterial culture venipuncture site, it is sometimes essential to use which cleansing agent in addition to alcohol in the skin cleansing process? - correct answers Betadine Broken glassware that may be contaminated should be picked up by? - correct answers Broom and dustpan Infant heel sticks lancet size is? - correct answers Smaller than 2.5 mL The federal government requires that specimens are transported or shipped in what? - correct answers Water tight containers The lab report on a patient indicates a hemoglobin of 7 g/dL. What is the first action for the phlebotomist to take? - correct answers Notify the provider How would you dispose of a used needle? - correct answers In a sharps container What device is used for pa'tients with fragile veins? - correct answers Butterfly or winged infusion set On an obese patient, what is the most likely vein you will find to draw blood? - correct answers Cephalic vein The special delivery for an arterial blood gas (ABG) must be placed in: - correct answers Ice If a biohazard spill in the lab, a phlebotomist should first try to? - correct answers Contain the spill safely Knowing when to collect peak and trough levels is important when drawing what? - correct answers Therapeutic drug levels Which anticoagulant should be added to a plastic tube with a red stopper? - correct answers None What is blood plasma? - correct answers Straw color liquid portion of blood. 55% of total blood Contaminated laundry should be? - correct answers Bag it. Containerized at the location. How many tubes of blood would you draw for a 3 hour GTT? - correct answers Four. 1 + (# of hours) You are working alone on the night shift, and within minutes you receive orders for a blood alcohol in the ER, CBC in labor and delivery, STAT electrolytes in CCU, and timed blood culture in ICU, which would you do first? - correct answers STAT electrolytes in CCU One possible cause of unexpected clotting in an anticoagulated blood tube might be? - correct answers Insufficient mixing What is the order of draw for capillary fill? - correct answers First lavender, then tubes with additives, then tubes with no additives. What is the most important factor to consider when collecting a chain of custody specimen? - correct answers Proper identification (ID) When drawing blood, what statement must the patient follow? - correct answers Making a fist Which anticoagulant is added to a plastic tube with a gold stopper? - correct answers None What is the most critical error a phlebotomist can make? - correct answers Wrong patient Why would you warm a site prior to a dermal puncture? - correct answers Get more blood flow Evacuated tube top for collection of a CBC test is which color? - correct answers Lavender What is the name of a medical test in which glucose drink is given to the patient and blood samples taken afterward to determine how quickly it is cleared from the blood? - correct answers Glucose tolerant test You have trouble finding a vein on a patient that is contact precautions, but you feel you could find the vein better if you take off your gloves. What should you do? - correct answers Don't take off your gloves and ask a coworker. If the gauge size is 23 what size is the needle compared to a 21? - correct answers Smaller Neutrophils, eosinophil's, basophils, lymphocytes and monocytes are type of? - correct answers White blood cells What are the correct steps (in order) in doing a glucose tolerance test (GTT)? - correct answers Baseline blood sample, drink glucose drink, draw blood sample according to interval. What is the purpose of assessing bleeding time? - correct answers To see how long it takes for blood to clot To determine the size of the needle, remember that the higher the gauge, the? - correct answers Smaller the needle Hemolysis would cause rejection of a sample collected for testing which mineral? - correct answers Potassium EDTA is what? - correct answers Anticoagulant found in lavender tube What is required when drawing a forensic sample? - correct answers Chain of custody When you send specimens in the mail, the label should state what? - correct answers Biohazard, address of the lab, do not want to send it to the CDC. An artery can be distinguished from a vein because an artery will be? - correct answers Pulsating What color is the serum tube? - correct answers Red What color is the glycolytic tube? - correct answers Gray Hemolysis is: - correct answers Break down of RBCs Where do you draw an infant PKU test? - correct answers The heel What is the purpose of the tourniquet? - correct answers Blocks the blood flow and allows to find the vein After the phlebotomist uses disposable syringes, needles, scalpel blades and other sharp itens, these items should be place in? - correct answers Puncture resistant container Anticoagulants are used to? - correct answers Prevent blood from clogging.