809121
Pregunta 1
Pregunta
Treating all lab specimens as if they are hazardous and infectious is the basis for ______?
Respuesta
-
patient quarantine systems
-
quality assurance programs
-
universal precautions
-
hazardous waste controls
Pregunta 2
Pregunta
If you have received vaccination for Hepatitis B, what would be the next most common exposure?
Respuesta
-
HIV
-
Hepatitis C
-
Chicken pox
-
West Nile virus
Pregunta 3
Pregunta
Microorganisms that cause disease are _____?
Respuesta
-
pathogens
-
normal flora
-
non-pathogenic
-
None of the above
Pregunta 4
Pregunta
The most frequent LAB nosocomial infection is ______?
Respuesta
-
HIV
-
HAV
-
HBV
-
HCV
Pregunta 5
Pregunta
A patient who has diarrhea or gastroenteritis bacteria is placed in which type of isolation?
Respuesta
-
Enteric isolation
-
Respiratory isolation
-
Reverse isolation
-
Strict isolation
Pregunta 6
Pregunta
When a patient needs to be protected because they have an immune system compromise, they are placed in _______?
Respuesta
-
enteric isolation
-
respiratory isolation
-
reverse isolation
-
strict isolation
Pregunta 7
Pregunta
When a patient has a highly contagious illness, they are placed in which type of isolation?
Respuesta
-
Enteric isolation
-
Respiratory isolation
-
Reverse isolation
-
Strict isolation
Pregunta 8
Pregunta
OSHA regulates and enforces standard precautions.
Respuesta
- True
- False
Pregunta 9
Pregunta
Hepatitis C is not a threat to healthcare workers.
Respuesta
- True
- False
Pregunta 10
Pregunta
AIDS is an example of a blood-borne disease.
Respuesta
- True
- False
Pregunta 11
Pregunta
An incident report is not necessary after a needle stick.
Respuesta
- True
- False
Pregunta 12
Pregunta
All needles must be placed in a sharps container.
Respuesta
- True
- False
Pregunta 13
Pregunta
Lab coats are not contaminated and can be worn in the cafeteria.
Respuesta
- True
- False
Pregunta 14
Pregunta
On the National Fire chart, "O" is the most dangerous.
Respuesta
- True
- False
Pregunta 15
Pregunta
Contamination means unclean.
Respuesta
- True
- False
Pregunta 16
Pregunta
OSHA stands for Occupational Safety and Health Administration
Respuesta
- True
- False
Pregunta 17
Pregunta
AIDS stands for Acquired Immune Deficiency Syndrome
Respuesta
- True
- False
Pregunta 18
Pregunta
An evacuated tube system for venipuncture consists of all but which one of these items?
Respuesta
-
Vacuum collection tube
-
Adapter
-
Phlebotomy tray
-
Multi-sample needle
Pregunta 19
Pregunta
Which of these factors will result in failure to obtain blood during collection?
Respuesta
-
Leaving tourniquet on the arm
-
Patient taking medication
-
Insufficient needle depth
-
Making a fist
Pregunta 20
Pregunta
A tube holder (adapter) that has been visibly contaminated with blood should be disposed of in _______?
Respuesta
-
a sealed bag
-
the regular trash
-
biohazard waste container
-
sharps container
Pregunta 21
Pregunta
The greatest number of phlebotomist drawing injuries occur with the use of ________?
Respuesta
-
butterfly needles (winged infusion sets)
-
evacuated tube draws
-
capillary draws
-
tube holders
Pregunta 22
Pregunta
When using tubes with additives, how soon after collection should mixing begin?
Respuesta
-
As soon as the tube clots
-
As long as it's within 5 minutes
-
Immediately after collection
Pregunta 23
Pregunta
An adapter for a vacuum tube system is called a vacuum tube holder.
Respuesta
- True
- False
Pregunta 24
Pregunta
Blood drawn in a non-additive tube, and then centrifuged, yields plasma.
Respuesta
- True
- False
Pregunta 25
Pregunta
An anticoagulant prevents blood from clotting.
Respuesta
- True
- False
Pregunta 26
Pregunta
A butterfly needle (winged infusion set) is used for hand veins and difficult draws.
Respuesta
- True
- False
Pregunta 27
Pregunta
As the gauge of a needle gets bigger, the interior bore of the needle gets bigger.
Respuesta
- True
- False
Pregunta 28
Pregunta
The tourniquet is used in venipuncture to find and enter into the vein more easily.
Respuesta
- True
- False
Pregunta 29
Pregunta
EDTA is in which color tube?
Respuesta
-
Blue
-
Red
-
Lavender
-
Yellow
-
Green
Pregunta 30
Pregunta
Heparin is in which color tube?
Respuesta
-
Blue
-
Red
-
Lavender
-
Yellow
-
Green
Pregunta 31
Pregunta
Which color tube has no additive?
Respuesta
-
Blue
-
Red
-
Lavender
-
Yellow
-
Green
Pregunta 32
Pregunta
Sodium citrate is in which color tube?
Respuesta
-
Blue
-
Red
-
Lavender
-
Yellow
-
Green
Pregunta 33
Pregunta
ACD is in which color tube?
Respuesta
-
Blue
-
Red
-
Lavender
-
Yellow
-
Green
Pregunta 34
Pregunta
What does post prandial mean?
Respuesta
-
Fasting
-
Before a meal
-
After a meal
-
None of the above
Pregunta 35
Pregunta
What is blood in the urine called?
Respuesta
-
Hematuria
-
Abnormal
-
Painful
-
Petechiae
Pregunta 36
Pregunta
A word meaning "kidney" is ____.
Respuesta
-
hepato-
-
lipo-
-
entero-
-
nephro-
Pregunta 37
Pregunta
A word meaning "liver" is ____.
Respuesta
-
entero-
-
hepato-
-
ren-
-
nephro-
Pregunta 38
Pregunta
A prefix that means "a decreased amount" is ______.
Respuesta
-
a-/an-
-
hypo-
-
hyper-
-
incr-
Pregunta 39
Pregunta
A prefix meaning "an excessive amount" is ____.
Respuesta
-
a-/an-
-
hypo-
-
hyper-
-
incr-
Pregunta 40
Pregunta
A prefix meaning "without" is ____.
Respuesta
-
a-/an-
-
hypo-
-
hyper-
-
incr-
Pregunta 41
Pregunta
The suffix meaning "surgical incision" is _____.
Respuesta
-
-ectomy
-
-itis
-
-trophy
-
-otomy
Pregunta 42
Pregunta
The word meaning "inflammation" is _____.
Respuesta
-
-ectomy
-
hypo-
-
hyper-
-
-itis
Pregunta 43
Pregunta
The word meaning vein is ______.
Respuesta
-
phlebo-
-
pulmon-
-
thromb-
-
hepato-
Pregunta 44
Pregunta
Which gland is often called the master gland?
Respuesta
-
Thyroid
-
Pituitary
-
Brain
-
Kidney
Pregunta 45
Pregunta
What is the main function of the kidneys?
Respuesta
-
To store urine
-
To eliminate fluid waste products
-
To aid in the digestive process
-
None of the above
Pregunta 46
Pregunta
The systemic veins carry ______.
Respuesta
-
deoxygenated blood away from the heart
-
deoxygenated blood back to the heart
-
oxygenated blood to the heart
-
oxygenated blood away from the heart
Pregunta 47
Pregunta
Which body system is primarily involved with breathing?
Respuesta
-
Reproductive system
-
Respiratory system
-
Nervous system
-
Digestive system
Pregunta 48
Pregunta
The heart is part of which system?
Respuesta
-
Respiratory
-
Skeletal
-
Reproductive
-
Cardiovascular
Pregunta 49
Pregunta
A patient who stays overnight in the hospital is called a/an _________?
Respuesta
-
inpatient
-
consumer
-
resident
-
outpatient
Pregunta 50
Pregunta
Which body system filters blood to eliminate waste, help maintain blood pH, and regulate water balance?
Respuesta
-
Respiratory
-
Urinary
-
Nervous
-
Cardiovascular
Pregunta 51
Pregunta
The hematology department is involved in testing _______.
Respuesta
-
red blood cells
-
white blood cells
-
Platelets
-
All of the above
Pregunta 52
Pregunta
What is the most common test run in hematology?
Respuesta
-
Cholesterol test
-
Urinalysis
-
Hemogram
-
Pregnancy test
Pregunta 53
Pregunta
A urinalysis involves running a chemical test on urine.
Respuesta
- True
- False
Pregunta 54
Pregunta
Platelets are involved in blood clotting.
Respuesta
- True
- False
Pregunta 55
Pregunta
Arteries carry blood back to the heart.
Respuesta
- True
- False
Pregunta 56
Pregunta
Veins are bigger than arteries.
Respuesta
- True
- False
Pregunta 57
Pregunta
Plasma is the liquid part of the blood.
Respuesta
- True
- False
Pregunta 58
Pregunta
There is more pressure on veins than arteries.
Respuesta
- True
- False
Pregunta 59
Pregunta
Venous blood is used most often for blood tests.
Respuesta
- True
- False
Pregunta 60
Pregunta
The buffy coat contains white blood cells and platelets.
Respuesta
- True
- False
Pregunta 61
Pregunta
Red blood cells have hemoglobin and carry oxygen to cells.
Respuesta
- True
- False
Pregunta 62
Pregunta
The study of blood is called hematology.
Respuesta
- True
- False
Pregunta 63
Pregunta
What additive is in the lavender collection tube?
Respuesta
-
EDTA
-
Sodium heparin
-
Ethyleneadiaminetetraacetic acid
-
Both EDTA and Ethyleneadiaminetetraacetic acid are correct
Pregunta 64
Pregunta
What additive is in the red speckled (SST) collection tube?
Respuesta
-
Sodium heparin
-
Gel with serum separation
-
No additive
-
EDTA
Pregunta 65
Pregunta
What additive is in the green collection tube?
Respuesta
-
Lithium heparin
-
Potassium oxalate
-
Sodium citrate
-
EDTA
Pregunta 66
Pregunta
What additive is in the red collection tube?
Respuesta
-
EDTA
-
Sodium heparin
-
Clot activator gel
-
No additive
Pregunta 67
Pregunta
What additive is in the grey collection tube?
Respuesta
-
Lithium heparin
-
Sodium fluoride
-
Potassium oxalate
-
Both sodium fluoride and potassium oxalate
Pregunta 68
Pregunta
What additive is in the light blue collection tube?
Respuesta
-
Sodium heparin
-
Sodium citrate
-
Sodium fluoride
-
Sodium polyanethole sulfonate
Pregunta 69
Pregunta
Which tube would be used for hematology testing (ex.: WBC)?
Respuesta
-
Lavender top tube
-
Light blue top tube
-
Red top tube
-
Green top tube
Pregunta 70
Pregunta
Which tube would be used for a serum specimen?
Respuesta
-
Lavender top tube
-
Speckled top tube
-
Red top tube
-
Both speckled and red top tubes
Pregunta 71
Pregunta
Which tube needs to be chilled for coagulation studies?
Respuesta
-
Red top tube
-
Green top tube
-
Yellow top tube
-
Light blue top tube
Pregunta 72
Pregunta
Which vein is used most often for venipuncture?
Respuesta
-
Cephalic
-
Basilic
-
Median cubital
-
Radial
Pregunta 73
Pregunta
The tourniquet is placed how far above the antecubital area?
Respuesta
-
5-7 inches
-
4-6 inches
-
3-4 inches
-
1-2 inches
Pregunta 74
Pregunta
How much blood does the average adult have?
Respuesta
-
.05 liters
-
5 liters
-
50 liters
-
15 liters
Pregunta 75
Pregunta
How many times should a collection tube with an additive be inverted?
Respuesta
-
1-2 times
-
3-4 times
-
5-10 times
-
None of the above
Pregunta 76
Pregunta
Which needle has the smallest gauge?
Respuesta
-
23
-
18
-
21
-
16
Pregunta 77
Pregunta
Which can be used for a finger stick collection?
Respuesta
-
Unopette
-
Microtainer
-
Capillary tube
-
All of the above
Pregunta 78
Pregunta
What does OSHA stand for?
Respuesta
-
Occupation Safety and Health Administration
-
Occupation Safety and Health Association
-
Occupational Safety and History Association
-
Occupational Supplies and Health Association
Pregunta 79
Pregunta
When drawing blood using additive tubes, the phlebotomist must remember all but which one of these collection requirements?
Respuesta
-
Mix tubes to keep the blood from clotting
-
Fill the tubes until all vacuum has expired
-
Fill in the correct order
-
Keep tourniquet tied until last tube is filled
Pregunta 80
Pregunta
Tiny clots may appear in anticoagulated tubes due to ________.
Respuesta
-
insufficient mixing
-
centrifuging too slowly
-
an inadequate amount of blood
-
traumatized platelets
Pregunta 81
Pregunta
In hospitals and clinics, the most frequently used needle has a ______ gauge.
Respuesta
-
24
-
21
-
18
-
15
Pregunta 82
Pregunta
The depth of a heel puncture cannot exceed _______.
Respuesta
-
5.3 mm
-
2.0 mm
-
1.3 mm
-
3.0 mm
Pregunta 83
Pregunta
The fragile skin of very ill infants may require phlebotomists to find an alternative for which post-puncture step?
Respuesta
-
Labeling tubes
-
Using adhesive tape
-
Removing the tourniquet
-
Calming the infant
Pregunta 84
Pregunta
There are many bruises on both arms of a 5-year-old child who has had CBCs drawn every day for a month. What collection change could be considered next for the daily CBCs until the bruises have healed?
Respuesta
-
Microcollection by fingerstick
-
Venipuncture in the ankle
-
Using smaller collection tubes
-
Trying a syringe draw from the forearm
Pregunta 85
Pregunta
To reduce pain when performing venipuncture on a child, a physician can apply ______ to the skin.
Respuesta
-
topical antiseptic
-
topical anesthetic (EMLA)
-
a tighter tourniquet
-
warming lights
Pregunta 86
Pregunta
If low weight infants have too much blood drawn, they may be in danger of _____.
Respuesta
-
bilirubinuria
-
hemoglobinuria
-
becoming anemic
Pregunta 87
Pregunta
What should be used to help bleeding on an infant heel?
Respuesta
-
An ice compress
-
Lancing with the grain
-
Pre-warming the heel
-
Multiple punctures
Pregunta 88
Pregunta
Which would be least appropriate in pediatric venipuncture?
Respuesta
-
Winged infusion set (butterfly needle)
-
1 or 3 cc syringe
-
15 gauge needle
-
Pediatric-sized tubes
Pregunta 89
Pregunta
Squeezing the finger too vigorously during collection can cause erroneous lab test results due to ________.
Respuesta
-
skin contamination
-
blood cell concentration
-
clotting at the puncture site
-
dilution with tissue fluid
Pregunta 90
Pregunta
Capillary blood collection would be a good choice for testing when ______.
Respuesta
-
multiple tests are ordered
-
veins are fragile or bruised
-
large amounts of blood are needed
-
pure arterial blood is required
Pregunta 91
Pregunta
Finger puncture on adults is most often performed on the ______.
Respuesta
-
First or second finger
-
Fifth finger
-
Third or fourth finger
-
Heel or foot
Pregunta 92
Pregunta
Which is the preferred location for an infant heel puncture?
Respuesta
-
Previous location
-
Posterior curve
-
Medial or lateral aspect
-
Any location
Pregunta 93
Pregunta
The proper technique for collecting capillary blood is _______.
Respuesta
-
use the thumb because it is the largest
-
puncture more than once to get good flow
-
squeeze hard to get the blood quickly
-
wipe away the first drop of blood
Pregunta 94
Pregunta
Pre-warming the heel of an infant encourages bleeding.
Respuesta
- True
- False
Pregunta 95
Pregunta
The finger should be punctured at an angle perpendicular to the fingerprint.
Respuesta
- True
- False
Pregunta 96
Pregunta
When the tourniquet is placed on too tight, capillaries may rupture, causing _______.
Respuesta
-
rash
-
pain
-
urticaria
-
petechiae
Pregunta 97
Pregunta
What factors should be considered in site selection prior to venipuncture?
Respuesta
-
Scars and burns
-
Edema
-
Mastectomy
-
All of the above
Pregunta 98
Pregunta
Veins that are hard and cord-like are called ______.
Respuesta
-
torturous
-
hematoma
-
sclerosed
-
collapsed
Pregunta 99
Pregunta
When a tourniquet is left on a patient's arm too long, which of the following can occur?
Respuesta
-
Petechiae
-
Hemolysis
-
Hemoconcentration
-
Collapsed vein
Pregunta 100
Pregunta
The term that means rupturing of red blood cells is _____.
Respuesta
-
hemostasis
-
homestasis
-
hemolysis
-
hematoma
Pregunta 101
Pregunta
Which of the following is probably the most common complication from phlebotomy?
Respuesta
-
Convulsions
-
Short draw
-
Hypovolemia
-
Hematoma
Pregunta 102
Pregunta
Which procedure is generally performed by a nurse or respiratory therapist?
Respuesta
-
Glucose tolerance test
-
Arterial blood gases
-
Heel stick on infant
-
IV bleeding time
Pregunta 103
Pregunta
Aspirin may affect a patient's ______.
Respuesta
-
blood culture results
-
bleeding time (platelet function analysis)
-
blood draw
-
glucose level
Pregunta 104
Pregunta
A hematoma can be prevented if _______.
Respuesta
-
pressure is placed on the vein until bleeding has stopped
-
a bandage is placed on the vein after the needle is removed
-
the needle is removed before the tourniquet is released
Pregunta 105
Pregunta
The accumulation of extravascular fluid in the arm is called _______.
Respuesta
-
edema
-
hematoma
-
thrombus
-
synovial fluid
Pregunta 106
Pregunta
Cleanse the vein in a circular motion from the center to the ______.
Respuesta
-
peripheral edge
-
injection point
-
opposite side you started from
-
None of the above
Pregunta 107
Pregunta
The angle of a needle entering a vein should be ______.
Respuesta
-
10 degrees
-
12 degrees
-
15 degrees
-
90 degrees
Pregunta 108
Pregunta
A woman who has had a mastectomy ______.
Respuesta
-
poses no complications for blood draws
-
can have an increased risk of infection on the mastectomy side
-
will always have problems from tourniquet use
-
should never have blood drawn again
Pregunta 109
Pregunta
Edema can cause _______.
Respuesta
-
swelling in venipuncture site
-
dilution of the blood sample
-
difficulty in feeling veins
-
All of the above
Pregunta 110
Pregunta
When a patient becomes faint, symptoms might include _______.
Respuesta
-
perspirations
-
pale skin
-
clammy skin
-
All of the above
Pregunta 111
Pregunta
When a hematoma starts to form while drawing blood, ignore it until you fill all tubes needed.
Respuesta
- True
- False
Pregunta 112
Pregunta
Tubes should be labeled after the blood is drawn.
Respuesta
- True
- False
Pregunta 113
Pregunta
Order of tube draw is not important.
Respuesta
- True
- False
Pregunta 114
Pregunta
Anchoring a vein prevents it from rolling.
Respuesta
- True
- False
Pregunta 115
Pregunta
A thrombosed vein is often chosen for venipuncture.
Respuesta
- True
- False
Pregunta 116
Pregunta
Keeping the tourniquet on for too short a time causes hemoconcentration.
Respuesta
- True
- False
Pregunta 117
Pregunta
The color of normal serum is usually straw to yellow.
Respuesta
- True
- False
Pregunta 118
Pregunta
When should a phlebotomist follow universal precautions?
Respuesta
-
When a patient is known to be infectious
-
While working in a hospital laboratory
-
Whenever a phlebotomy procedure is performed
-
None of the above
Pregunta 119
Pregunta
What type of protection must a phlebotomist use?
Respuesta
-
Lab coat
-
Gloves
-
Face shield
-
All of the above
Pregunta 120
Pregunta
The proper way to dispose of a needle is to ____.
Respuesta
-
put it in the sharps container
-
throw it into a biohazard bag
-
activate the safety feature and put it in the sharps container
-
collect all needles in a cup and dispose of them later
Pregunta 121
Pregunta
The proper way to dispose of a needle is to ____.
Respuesta
-
put it in the sharps container
-
throw it into a biohazard bag
-
activate the safety feature and put it in the sharps container
-
collect all needles in a cup and dispose of them later
Pregunta 122
Pregunta
What should a phlebotomist do first when a patient has a fainting episode while having their blood drawn?
Respuesta
-
Apply a cold compress
-
Remove the needle
-
Remove the tourniquet
-
Use an ammonia inhalant
Pregunta 123
Pregunta
Wheat is the correct ending procedure?
Respuesta
-
Remove needle, apply pressure
-
Remove tourniquet, remove needle, apply pressure
-
Remove tourniquet, remove tube, remove needle
-
Remove tourniquet, remove tube, remove needle, apply pressure
Pregunta 124
Pregunta
This OSHA regulation requires that all healthcare personnel receive vaccinations for ________.
Respuesta
-
hepatitis A
-
hepatitis B
-
hepatitis C
-
hepatitis Delta
Pregunta 125
Pregunta
A specimen may be rejected by the lab if ______.
Respuesta
-
the tube is not full
-
the specimen hemolyzed
-
the tube was not transported properly
-
All of the above
Pregunta 126
Pregunta
The best way to locate a vein is to _______.
Respuesta
-
ask the patient where their best veins are
-
memorize the diagram of arm veins
-
palpate (feel) the antecubital space with your finger
-
None of the above
Pregunta 127
Pregunta
When labeling tubes, the following information should be included, except _______.
Respuesta
-
patient name and birth date
-
time of collection
-
diagnosis
-
phlebotomist's initials
Pregunta 128
Pregunta
When identifying a patient, the phlebotomist must _____.
Respuesta
-
ask the patients name and date of birth
-
just draw the patient - no questions
-
check paperwork or chart
-
Both ask the patients name and date of birth and check paperwork or chart
Pregunta 129
Pregunta
As written in the patient bill of rights, s patient has the right to _____.
Respuesta
-
confidentiality
-
informed consent
-
know the name of the phlebotomist
-
All of the above
Pregunta 130
Pregunta
Inspecting the bevel prior to drawing, the phlebotomist looks to see if ______.
Respuesta
-
there are defects
-
there are burrs
-
the bevel is facing upward
-
All of the above
Pregunta 131
Pregunta
If a phlebotomist is accidentally stuck with a needle, they should ______.
Respuesta
-
put a bandage on it
-
tell their supervisor
-
rinse with water
-
lick their finger clean
Pregunta 132
Pregunta
If a patient has an IV in their arm, the phlebotomist should _____.
Respuesta
-
draw blood from the IV line
-
ask the nurse to remove the IV
-
draw blood from below the IV line
-
draw blood from above the IV line
Pregunta 133
Pregunta
Tourniquets should remain in place for _______.
Respuesta
-
at least 3 minutes
-
the entire time of the draw
-
no longer than 1 minute
-
None of the above
Pregunta 134
Pregunta
Which of these specimens is normally sterile?
Respuesta
-
Throat swab
-
Stool specimen
-
Blood specimen
-
Wound swab
Pregunta 135
Pregunta
If a tube breaks while centrifuging, what action would be best?
Respuesta
-
Evacuate room, open lid, remove tube with forceps
-
Open lid, stop centrifuge, remove tubes wearing gloves
-
Let centrifuge stop, open lid, remove tube with forceps
-
Tip centrifuge over and shake tubes out
Pregunta 136
Pregunta
Drawing areas and the lab are decontaminated with what percentage bleach?
Respuesta
-
1:15
-
1:10
-
1:20
-
1:100
Pregunta 137
Pregunta
Which is a common disinfectant used for collecting blood cultures?
Respuesta
-
Chlorhexidine
-
Methanol
-
Alcohol
-
Lidocaine
Pregunta 138
Pregunta
The rubber sleeve on an evacuated tube needle makes it possible for use with _____.
Respuesta
-
multiple tubes
-
sterile techniques
-
intravenous drips
-
None of the above
Pregunta 139
Pregunta
A possible tube breakage during centrifugation might be due to _______.
Respuesta
-
too much blood in the tube
-
an unbalanced centrifuge
-
not enough blood in the tube
-
centrifuging for too long
Pregunta 140
Pregunta
Which national organization that establishes standards for phlebotomy procedures recently changed its name to Clinical Laboratory Standards Institute (CLSI)?
Respuesta
-
OSHA
-
JCAHO
-
NCCLS
-
TQM
Pregunta 141
Pregunta
HIPAA requires the Department of Health and Human Services to establish national standards for _________.
Respuesta
-
continued access of health insurance
-
electronic health care transactions
-
Medicare and Medicaid
-
improving clinical laboratories
Pregunta 142
Pregunta
The Centers for Medicare and Medicaid regulate all laboratory testing that is performed in the US through _____.
Respuesta
-
CLIA (Clinical Lab Improvement Amendment)
-
HIPAA (Health Insurance Portability and Accountability Act)
-
ASCP (American Society for Clinical Pathology)
-
JCAHO (Joint Commission on Accreditation Healthcare Organization)
Pregunta 143
Pregunta
Which globally recognized, voluntary organization develops and distributes standards and guidelines to improve medical testing?
Respuesta
-
JCAHO
-
ASCP
-
NCCLS
-
NAACLS
Pregunta 144
Pregunta
In order to monitor therapeutic drug levels, the lab needs to know the ______.
Respuesta
-
pharmacy name and number
-
number of pills left to take
-
time of last dose taken
-
time of next dose to be taken
Pregunta 145
Pregunta
What initial patient preparation is required for a glucose tolerance test (GTT)?
Respuesta
-
Make sure the patient has eaten at least 2 hours before
-
Ask the patient whether insulin has been taken yet
-
Make sure patient has been fasting fro 10-12 hours
-
Make sure to collect a first morning urine specimen
Pregunta 146
Pregunta
Which of the following has the highest incidence among healthcare workers?
Respuesta
-
TB
-
Hepatitis B
-
HIV/AIDS
-
Hepatitis C
Pregunta 147
Pregunta
To confirm diabetes mellitus or hyperglycemia, what test would be ordered?
Respuesta
-
Postprandial sucrose test
-
Lactose intolerance test
-
Hemoglobin A1C test
-
Glucose tolerance test
Pregunta 148
Pregunta
Which of these is considered a time-dependent test?
Respuesta
-
Hemogram
-
Glucose tolerance
-
Direct bilirubin
-
Platelet count
Pregunta 149
Pregunta
A glucose meter is an important way to monitor the medical condition of patients with ________.
Respuesta
-
systemic lupus erythematous
-
diabetes mellitus
-
iron deficiency anemia
-
chronic leukemia
Pregunta 150
Pregunta
Whenever a glucose meter is cleaned or its batteries are changed, it is crucial to ______.
Respuesta
-
call clinical support for assistance
-
recheck monitor with controls
-
notify the manufacturer for QC instructions
-
double-check the next couple of patient tests
Pregunta 151
Pregunta
One possible cause for finding fibrin strands in serum tubes after centrifugation might be _____.
Respuesta
-
centrifuging for too long
-
centrifuging before the tube has formed a clot
-
centrifuging at too high of a speed
-
centrifuging after a long delay
Pregunta 152
Pregunta
If samples collected for urinalysis and blood testing are accidentally lost for 2 weeks, can they still be used?
Respuesta
-
No.
-
Yes, if the tops have not been opened.
-
Yes, if tested in the next 24 hours.
-
Yes, if they are refrigerated until tested.
Pregunta 153
Pregunta
Why do phlebotomists use a tourniquet?
Respuesta
-
To elevate blood pressure
-
To dull the pain at the needle site
-
To help locate veins in the antecubital area
-
To distract the patient while drawing
Pregunta 154
Pregunta
Two samples are sent to the lab in the same bag. Both tubes have the same patient name written on them but two different requisitions. What is the best action to take?
Respuesta
-
Call the physician to ask if it's okay to run the samples.
-
Ask the patients if they can identify their sample.
-
Arrange to recollect both samples.
-
Just guess which tube matches which paperwork.
Pregunta 155
Pregunta
Which of these is not an example of parenteral transmission of an infection?
Respuesta
-
Infection through a hangnail
-
Eye/hand contamination
-
Needle stick injury
-
Drinking contaminated water
Pregunta 156
Pregunta
Which lab test evaluates extrinsic coagulation function?
Respuesta
-
Prothrombin time (PT)
-
Extracorpeal circulation workup (ECC)
-
Lupus anticoagulation test (LAT)
-
Activated partial thromboplastin time (APTT)
Pregunta 157
Pregunta
A cholesterol panel provides the most useful information to the physician if it is drawn _____.
Respuesta
-
without a tourniquet
-
along with electrolytes
-
right after a fatty meal
-
while the patient is fasting
Pregunta 158
Pregunta
Which of the following tests should be kept warm after collection and delivered to the lab as soon as possible?
Respuesta
-
Hemogram
-
Type and crossmatch
-
Urinalysis
-
Cold agglutinins
Pregunta 159
Pregunta
OSHA requires training and educational information be given to phlebotomists on all but which of the following topics?
Respuesta
-
Blood-borne pathogens
-
Preventing identification errors
-
Needle safety and handling
-
Glass and sharps disposal
Pregunta 160
Pregunta
According the the College of American Pathologists (CAP), phlebotomists are involved primarily in which phase of lab testing?
Respuesta
-
Pre-analytical
-
Analytical
-
Post-analytical
-
None are correct
Pregunta 161
Pregunta
The National Fire Protection Association labels would use which color and number to indicate that a chemical is easily dispersed in air and will burn readily?
Respuesta
-
Red, 4
-
White, 2
-
Red, 1
-
Yellow 3
Pregunta 162
Pregunta
The abbreviation QNS would be written on a requisition for redraw because ______.
Respuesta
-
the patient was combative
-
the test was cancelled earlier
-
there wasn't enough specimen to run tests
-
the patient was an easy draw
Pregunta 163
Pregunta
The right to know law requires chemical manufacturers to supply what information along with their products?
Respuesta
-
Free fire extinguishers
-
Disposable containers
-
Material Safety Data sheets
-
Radioactive warning signs
Pregunta 164
Pregunta
Ensuring that services and results compare with accepted standards is the foundation for ______.
Respuesta
-
quality assurance
-
standard deviation
-
statistical analysis
-
coefficient of variation
Pregunta 165
Pregunta
Healthcare workers can demonstrate an awareness of safety in hospital corridors by ______.
Respuesta
-
turning corners carefully to avoid collisions
-
quickly reporting items that require clean up
-
granting right-of-way to patients and emergencies
-
All of the above
Pregunta 166
Pregunta
Why is it important to keep a record of all patient specimens collected and tested?
Respuesta
-
For pre-analytical quality control
-
For analytical quality control
-
For post-analytical quality control
-
To meet AMA guidelines
Pregunta 167
Pregunta
Which of these diseases is caused by a blood-borne pathogen?
Respuesta
-
Cystitis
-
Chicken pox
-
Influenza
-
Malaria
Pregunta 168
Pregunta
Communications between physicians and patients are considered privileged, which means that medical records are ______.
Respuesta
-
confidential in nature and protected
-
not open to the patients themselves
-
freely open to anyone
-
accessible to any healthcare worker
Pregunta 169
Pregunta
When mailing blood specimens to a reference lab, the outside label should clearly show ______.
Respuesta
-
biohazard warning sign
-
"In case of breakage, send to CDC"
-
full name and address of lab
-
All of the above
Pregunta 170
Pregunta
Which of these is not part of the Patient Bill of Rights?
Respuesta
-
Right of refusal of treatment
-
Right to select preferred caregivers
-
Right to informed consent of care
-
Right to accurate information about care
Pregunta 171
Pregunta
Medical ethics defines conduct within the medical profession that is deemed to be _____.
Respuesta
-
moral or immoral
-
negligent
-
right or wrong
-
related to malpractice
Pregunta 172
Pregunta
As part of the quality assurance process that ensures accuracy in lab test results, healthcare workers who collect and perform lab testing must demonstrate ongoing ______.
Respuesta
-
competency
-
empathy
-
compliance
-
intelligence
Pregunta 173
Pregunta
AIDS stands for ______.
Respuesta
-
autoimmune deficiency symptoms
-
acquired immune deficiency syndrome
-
acquired infectious disease state
-
accidental inflammation disease state
Pregunta 174
Pregunta
The federal government requires that specimens be transported or shipped in what type of container?
Respuesta
-
Plastic
-
Water-tight
-
Metal-rimmed
-
Egg crate
Pregunta 175
Pregunta
Containers used to dispose of sharps must have all these characteristics except being ______.
Respuesta
-
mold-resistant
-
spill-proof
-
tamper-proof
-
puncture-resistant
Pregunta 176
Pregunta
The purpose of quality control is to ______.
Respuesta
-
check machinery
-
list all mistakes made
-
ensure that patient care is provided
-
All of the above
Pregunta 177
Pregunta
If a patient becomes combative while having his/her blood drawn, the phlebotomist should _____.
Respuesta
-
force patient to stay still
-
transfer control to [of?] patient
-
ignore patient and refuse to draw them
-
report patient to security
Pregunta 178
Pregunta
The primary methods of performing a venipuncture include ______.
Respuesta
-
syringe
-
butterfly (winged infusion set)
-
evacuated tube
-
All of the above
Pregunta 179
Pregunta
The preferred method used for cleaning a venipuncture site is _____.
Respuesta
-
soap and water
-
10% alcohol
-
70% alcohol
-
betadine
Pregunta 180
Pregunta
The proper method of locating a vein is _____.
Respuesta
-
palpating
-
applying cold water
-
memorizing a diagram of the arm veins
-
using a blood pressure cuff
Pregunta 181
Pregunta
The average depth of skin puncture is _____.
Respuesta
-
4.0 mm
-
1.5 mm
-
2.0 mm
-
3.4 mm
Pregunta 182
Pregunta
The evacuated tube used for coagulation tests is _________.
Respuesta
-
red top
-
lavender top
-
yellow top
-
light blue top
Pregunta 183
Pregunta
The preferred finger when performing skin puncture is the _____.
Respuesta
-
index finger
-
thumb
-
little finger
-
third or fourth finger
Pregunta 184
Pregunta
The evacuated tube used for blood (typing) banks is ______.
Respuesta
-
yellow top
-
red top
-
green top
-
marble top
Pregunta 185
Pregunta
The evacuated tube used for chemistry is ______.
Respuesta
-
light blue top
-
red or marble top
-
lavender top
-
yellow top
Pregunta 186
Pregunta
Serum is collected from what color tube?
Respuesta
-
Lavender top
-
Red top
-
Marble top
-
Both red and marble top
Pregunta 187
Pregunta
Plasma is collected from what color tube?
Respuesta
-
Red top
-
Green top
-
Lavender top
-
Both green and lavender top
Pregunta 188
Pregunta
The tube of choice for hematology is _______.
Respuesta
-
lavender top
-
light blue top
-
red top
-
grey top
Pregunta 189
Pregunta
The vein most often used for venipuncture is the _______.
Respuesta
-
antecubital
-
basilic
-
median cubital
-
radial artery
Pregunta 190
Pregunta
What is the additive in lavender top tubes?
Respuesta
-
EDTA
-
ACD
-
Sodium citrate
-
SPS
Pregunta 191
Pregunta
What is the additive in green top tubes?
Respuesta
-
Lithium heparin
-
Potassium oxalate
-
Sodium fluoride
-
SPS
Pregunta 192
Pregunta
What is the additive in grey top tubes?
Respuesta
-
Lithium heparin
-
Sodium heparin
-
Potassium oxalate
-
EDTA
Pregunta 193
Pregunta
What is the additive in light blue top tubes?
Respuesta
-
Sodium heparin
-
Sodium citrate
-
Sodium fluoride
-
EDTA
Pregunta 194
Pregunta
What is the additive in red top tubes?
Respuesta
-
EDTA
-
Sodium heparin
-
Clot activator gel
-
No additive
Pregunta 195
Pregunta
Which needle has the smallest gauge?
Respuesta
-
23
-
18
-
21
-
16
Pregunta 196
Pregunta
What is the correct order of draw?
Respuesta
-
Lavender, red, light blue, yellow, green
-
Yellow, red, light blue, lavender, green
-
Red, light blue, yellow, lavender, green
-
Yellow, light blue, red, green, lavender
Pregunta 197
Pregunta
Tourniquets should remain on the arm for how long?
Respuesta
-
3 minutes
-
Entire time of draw
-
1 minute
-
As long as you want
Pregunta 198
Pregunta
Excessive milking of a skin puncture ______.
Respuesta
-
can cause the blood sample to be hemolyzed
-
should be avoided
-
can cause dilution with tissue fluid
-
All of the above
Pregunta 199
Pregunta
Patients with diarrhea/gastroenteritis bacteria are placed in _____.
Respuesta
-
enteric isolation
-
respiratory isolation
-
reverse isolation
-
strict isolation
Pregunta 200
Pregunta
When a patient is highly contagious, they are placed in ______.
Respuesta
-
enteric isolation
-
respiratory isolation
-
reverse isolation
-
strict isolation
Pregunta 201
Pregunta
When should a phlebotomist follow universal precautions?
Respuesta
-
When a patient is known to be infectious
-
While working in a hospital
-
Whenever a phlebotomy procedure is performed
-
None of the above
Pregunta 202
Pregunta
The proper way to dispose of a needle is to ______.
Respuesta
-
put it in a sharps container
-
throw it out in a biohazard bag
-
activate the safety feature and put it in a sharps container
-
collect a bunch in a cup and dispose of them later
Pregunta 203
Pregunta
Microorganisms that cause a disease are _____.
Respuesta
-
pathogens or pathogenic
-
normal flora
-
non pathogenic
-
None of the above
Pregunta 204
Pregunta
When a tourniquet is placed on too tightly, what can happen?
Respuesta
-
A rash
-
Pain
-
A nevus
-
Petechiae
Pregunta 205
Pregunta
The tourniquet is placed how far above the draw site?
Respuesta
-
5-7 inches
-
4-6 inches
-
3-4 inches
-
1-2 inches
Pregunta 206
Pregunta
Factors to consider in site selection when drawing are ________.
Respuesta
-
scars or burns
-
edema
-
mastectomy
-
All of the above
Pregunta 207
Pregunta
Veins that are hard and cord like are called ______.
Respuesta
-
hematoma
-
sclerosed
-
collapsed
-
torturous
Pregunta 208
Pregunta
Collection tubes with additives need to be inverted ______.
Respuesta
-
1 time
-
5-10 times
-
0 times
-
as many times as desired
Pregunta 209
Pregunta
When a tourniquet is left on the arm too long, _______ can happen.
Respuesta
-
hemolysis
-
petechiae
-
hemoconcentration
-
a collapsed vein
Pregunta 210
Pregunta
What is the most common complication for phlebotomy?
Respuesta
-
Convulsions
-
Short draw
-
Hypovolemia
-
Hematoma
Pregunta 211
Pregunta
Which of the following means thrombocytopenia?
Respuesta
-
Low white blood count
-
Low platelet count
-
Low red blood count
-
Low blood level
Pregunta 212
Pregunta
Thrombophlebitis means _____.
Respuesta
-
a blood clot in the heart
-
a hard blood draw
-
inflammation of a vein with a clot
-
inflammation of the thyroid gland
Pregunta 213
Pregunta
Proper technique for collecting capillary blood is to _______.
Respuesta
-
use the thumb because it is the largest
-
puncture more than once to get more blood
-
squeeze hard to get blood quickly
-
wipe away the first drop of blood
Pregunta 214
Pregunta
If a patient has an IV in their arm, the phlebotomist should _____.
Respuesta
-
draw from the IV line
-
ask a nurse to remove the line
-
draw from below the IV line
-
not draw blood
Pregunta 215
Pregunta
Which is not proper venipuncture technique?
Respuesta
-
Clean arm with alcohol
-
Apply pressure when done drawing
-
Release tourniquet before removing the needle
-
Label tubes before drawing the patient
Pregunta 216
Pregunta
The most important step in performing venipuncture is ______.
Respuesta
-
selecting needle size
-
collecting enough blood
-
identifying the patient
-
positioning the patient
Pregunta 217
Pregunta
Sharps containers must have all characteristics except being _____.
Respuesta
-
odor proof
-
spill proof
-
tamper proof
-
puncture proof
Pregunta 218
Pregunta
Which is a possible route of infection during venipuncture?
Respuesta
-
Skin contact
-
Airborn
-
Ingestion
-
All of the above
Pregunta 219
Pregunta
The process by which an object or area becomes unclean is _____.
Respuesta
-
contaimination
-
infection
-
sepsis
-
pollution
Pregunta 220
Pregunta
Clots in additive tubes can be caused by ______.
Respuesta
-
insufficient mixing
-
centrifuging too slowly
-
inadequate amount of blood
-
traumatized platelets
Pregunta 221
Pregunta
Within the capillaries, blood cells _____.
Respuesta
-
give away oxygen
-
pick up carbon dioxide
-
pick up waste products
-
All of the above
Pregunta 222
Pregunta
Characteristics of capillaries include _______.
Respuesta
-
being thin walled in structure
-
forming microscopic pathways
-
connecting arterioles with venules
-
All of the above
Pregunta 223
Pregunta
Blood cultures require sample collection in ______.
Respuesta
-
anaerobic and aerobic bottles
-
CO2 and sterile saline bottles
-
anaerobic and CO2 bottles
-
aerobic and sterile saline bottles
Pregunta 224
Pregunta
Which of the following is most likely to cause contamination during blood culture collection?
Respuesta
-
Letting the betadine dry between steps
-
Cleansing the bottle tops as well as the draw site
-
Re-palpating the draw site with a prepped finger
-
Rushing the drying process
Pregunta 225
Pregunta
Which of these additives is commonly found in blood culture tubes?
Respuesta
-
SPS
-
EDTA
-
Sodium citrate
-
Sodium oxalate
Pregunta 226
Pregunta
A hemogram includes all of the following except _____.
Respuesta
-
red blood count
-
white blood count
-
platelet count
-
blood sugar level
Pregunta 227
Pregunta
Blood specimens are centrifuged in order to ____.
Respuesta
-
separate the cells from the serum or plasma
-
separate platelets from white blood cells
-
remove interfering substances
-
separate red blood cells from white blood cells
Pregunta 228
Pregunta
Signs of syncope may include ____.
Respuesta
-
nausea
-
sweating
-
turning pale
-
All of the above
Pregunta 229
Pregunta
All of the following can cause a hematoma except ______.
Respuesta
-
excessive probing of the needle
-
removing the tourniquet before the needle
-
placing the needle only partially in the vein
-
placing the needle all the way through the vein
Pregunta 230
Pregunta
The average adult has approximately how much blood?
Respuesta
-
.05 liters
-
5 liters
-
.5 liters
-
15 liters
Pregunta 231
Pregunta
Red blood cells are also called ______.
Respuesta
-
erythrocytes
-
thrombocytes
-
leukocytes
-
phagocytes
Pregunta 232
Pregunta
Aspirin may have an effect on which patient test?
Respuesta
-
CBC
-
Blood culture
-
Bleeding time
-
Glucose level
Pregunta 233
Pregunta
The outer-most layer of the heart wall is called the ______.
Respuesta
-
epicardium
-
myocardium
-
endocardium
-
mesocardium
Pregunta 234
Pregunta
Veins carry ____.
Respuesta
-
oxygen-poor blood away from the heart
-
oxygen-poor blood back to the heart
-
oxygen-rich blood back to the heart
-
oxygen-rich blood away from the heart
Pregunta 235
Pregunta
Which gland is called the master gland?
Respuesta
-
Thyroid
-
Pituitary
-
Brain
-
Thalamus
Pregunta 236
Pregunta
When drawing for therapeutic drug levels _____.
Respuesta
-
trough level is drawn after dose is given
-
trough level is drawn before dose is given
-
peak level is drawn before dose is given
-
Not important to know
Pregunta 237
Pregunta
Accumulation of extra fluid under the skin is called ________.
Respuesta
-
edema
-
hematoma
-
thrombus
-
synovial
Pregunta 238
Pregunta
Which chamber of the heart has the thickest myocardium?
Respuesta
-
The right atrium
-
The left atrium
-
The right ventricle
-
The left ventricle
Pregunta 239
Pregunta
Which artery in the wrist is used for blood gases?
Respuesta
-
Jugular
-
Radial
-
Popliteal
-
Femoral
Pregunta 240
Pregunta
A hemogram is collected in which tube?
Respuesta
-
Light blue top
-
Lavender top
-
Red top
-
Black top
Pregunta 241
Pregunta
The smallest veins in the body are known as ____.
Respuesta
-
capillaries
-
arteries
-
venules
-
arterioles
Pregunta 242
Pregunta
When unclotted blood is centrifuged, what is on top?
Respuesta
-
Serum
-
Cells
-
Plasma
-
Platelets
Pregunta 243
Pregunta
Which lab test evaluates extrinsic coagulation?
Respuesta
-
Protime PT
-
Rapid plasma reagiin
-
Lupus anticoagulant
-
Activated partial thromboplastin (APPT)
Pregunta 244
Pregunta
Speed of centrifuge in RPMs can be checked using a ______.
Respuesta
-
spectrophotometer
-
pH meter
-
water purity meter
-
tachometer
Pregunta 245
Pregunta
When making a blood smear, the spreader slide is made of _____.
Respuesta
-
metal
-
quartz
-
plastic
-
glass
Pregunta 246
Pregunta
What does the lab need to know in order to monitor therapeutic levels?
Respuesta
-
Number of pills taken
-
Pharmacy
-
Time of last dose
-
If eaten with food
Pregunta 247
Pregunta
A bed patient in a hospital is called a(n) ______.
Respuesta
-
inpatient
-
consumer
-
resident
-
outpatient
Pregunta 248
Pregunta
Negligence by a professional is called ______.
Respuesta
-
invasion of privacy
-
slander
-
malpractice
-
tort
Pregunta 249
Pregunta
Lack of physical or mental fitness is called _____.
Respuesta
-
malpractice
-
obesity
-
negligence
-
incompetence
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