Chapter 31 Test

1. 1Hugh Everett comes to the medical office to have his blood drawn for an FBG and CBC. Dori Glover, CMA (AAMA), prepares for the venipuncture. What should Dori do first?

   1. AGet out her rabbit’s foot and hope for a good vein
   2. BLabel the evacuated tube and complete a laboratory requisition
   3. CCleanse the puncture site thoroughly with an antiseptic wipe
   4. DAsk Hugh when he last ate or drank
2. 2Dori is getting ready to apply the rubber tourniquet to Hugh’s arm. All of the following are correct techniques for Dori to use when applying the tourniquet except

   1. AApplying the tourniquet 3 inches above the bend in the elbow
   2. BApplying the tourniquet loosely so that it is not uncomfortable for Hugh Correct
   3. CAsking Hugh to clench his fist to make the antecubital veins more prominent
   4. DMaking sure not to leave the tourniquet on for more than 1 minute
3. 3After applying the tourniquet to Hugh’s arm, Dori determines that the median cubital vein on his left arm would be the best vein to use. Dori performs an assessment of the vein by

   1. APalpating the size and depth of the vein
   2. BTracing the path of the vein
   3. CMentally mapping the location of the vein on Hugh’s arm
   4. Dall of the above
4. 4Dori is getting ready to draw blood from Hugh using the vacuum tube method of venipuncture. Which of the following is not a correct technique for Dori to use when inserting the needle?

   1. AInserting the needle with the bevel facing up
   2. BPointing the needle in the same direction as the vein to be entered
   3. CInserting the needle at a 45-degree angle to the arm
   4. DPositioning the evacuated tube with the label facing downward
5. 5After filling the lavender-stoppered evacuated tube to the exhaustion of the vacuum and removing it from the plastic holder, Dori proceeds to the next step of the procedure, which is to

   1. AGently invert the tube back and forth eight times
   2. BRemove the needle from the vein
   3. CBreak into song for performing a successful stick
   4. DApply pressure to the puncture site with a gauze pad
6. 6Amy Anderson has come to the medical office to have her blood drawn as part of a college sports physical requirement. Which of the following is a good question for Dori Glover, CMA (AAMA), to ask Amy to facilitate this procedure?

   1. AWhat kind of sports are you involved in?
   2. BWho is your next of kin?
   3. CWhat vein has been used in the past to draw your blood?
   4. DAre you allergic to any medications?
7. 7Dori examines the veins of both of Amy’s arms and cannot palpate a median cubital vein. Dori is able to palpate a large cephalic vein in the antecubital space of Amy’s left arm and decides to draw the blood specimen from that vein. Of the following, which is an important step to perform when drawing blood from Amy’s cephalic vein?

   1. AApplying the tourniquet as tightly as possible
   2. BApplying firm pressure below and to the side of the vein
   3. CUsing a small-gauge needle to collect the specimen
   4. DUsing a Hemogard tube to collect the specimen
8. 8Dori successfully collects a blood specimen from Amy. All of the following are correct techniques for Dori to use when withdrawing the needle except

   1. ARemoving the tourniquet before withdrawing the needle
   2. BRemoving the needle at the same angle as that for penetration
   3. CAsking Amy to keep her fist clenched as the needle is withdrawn
   4. DApplying pressure to the puncture site after withdrawing the needle
9. 9Dr. Hemolysis asks Dori Glover, CMA (AAMA), to collect a capillary blood specimen from Ashley Mackenzie, age 6 months, to check her hemoglobin level. What is an appropriate puncture site for Dori to use?

   1. Aplantar surface of the heel
   2. Btip of the thumb
   3. Cearlobe
   4. Dlateral side of the third fingertip
10. 10Dori uses a disposable retractable lancet to collect the blood specimen from Ashley. After making the puncture, Dori should

    1. ASqueeze the puncture site to increase the blood flow
    2. BWipe away the first drop of blood
    3. CCollect the blood specimen
    4. DWarm the site to increase the blood flow

11. 11Venipuncture is performed when a large blood specimen is needed for laboratory testing.

    1. AVerdadeiro
    2. BFalso
12. 12The vacuum tube method is the fastest and most convenient venipuncture method.

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13. 13Identify the patient by asking the patient to state his or her last name and Social Security number

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14. 14The patient should be asked if she has prepared properly after performing the venipuncture.

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15. 15A 25-gauge needle should be used to perform a venipuncture

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16. 16A red-stoppered tube should be used to collect a specimen for a CBC

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17. 17Outdated evacuated tubes may no longer have a vacuum.

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18. 18A lavender-stoppered tube should be drawn before a serum separator tube.

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19. 19The tourniquet should be applied 3 to 4 inches above the bend in the elbow

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20. 20The tourniquet should be applied as tightly as possible.

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21. 21The tourniquet should never be left on for more than 1 minute at a time.

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22. 22The alcohol should be allowed to dry at the puncture site to provide enough time for it to destroy microorganisms on the skin.

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23. 23The needle should be positioned at a 30-degree angle to the patient’s skin

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24. 24As the vein is entered, a sensation of resistance is felt followed by a “release.”

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25. 25The evacuated tube should be filled to the exhaustion of the vacuum.

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26. 26The flange should be used to remove the evacuated tube from the holder.

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27. 27If the tube contains an anticoagulant, it should be vigorously shaken 8 to 10 times

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28. 28The needle should be withdrawn at the same angle as that for penetration.

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29. 29The SST should be allowed to stand in an upright position for 10 to 15 minutes before centrifuging it.

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30. 30The blood tubes should be placed in a biohazard specimen bag for transport to an outside laboratory

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31. 31The butterfly method of venipuncture is also known as the winged infusion method

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32. 32The butterfly method is used for small or sclerosed veins.

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33. 33The gauge of the needle for the butterfly method ranges between 18 and 20.

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34. 34The tubing of the butterfly setup should be stretched slightly to permit a free flow of blood in the tubing.

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35. 35The vein selected for the venipuncture should be thoroughly palpated with the thumb

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36. 36The puncture site should be cleansed using a circular motion

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37. 37If the alcohol is not permitted to dry, the patient may experience a stinging sensation when the needle is inserted

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38. 38The needle should be positioned so that it points in the same direction as the vein to be entered.

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39. 39If the butterfly needle is in the vein, a flash of blood will appear at the top of the tubing.

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40. 40Seating the needle lets you use both hands for changing tubes

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41. 41The evacuated tube should be allowed to fill from the top downward.

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42. 42If the tube is removed before the vacuum is exhausted, the patient will get a hematoma

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43. 43The tube should be gently inverted 5 times if it contains a clot activator.

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44. 44The needle should be removed before removing the tourniquet.

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45. 45The patient should be instructed to bend the arm at the elbow after the needle is removed

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46. 46The index or little finger should be used when performing a finger puncture.

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47. 47If the alcohol is not allowed to dry, the blood may leach out and run down the finger.

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48. 48Wet alcohol should be wiped off the puncture site with a gauze pad

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49. 49The puncture should be made in the center of the fingertip.

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50. 50Moving the lancet too soon after making the puncture can lead to an inadequate puncture and poor blood flow.

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51. 51The first drop of blood should be wiped away with an antiseptic wipe

    1. AVerdadeiro
    2. BFalso
52. 52Squeezing or massaging the puncture site excessively causes dilution of the blood sample with tissue fluid leading to inaccurate test results

    1. AVerdadeiro
    2. BFalso

Descrição

Quiz sobre Chapter 31 Test , criado por Audrey Harbour em 25-04-2018.

Autor

Audrey Harbour

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English

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12th grade

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