Which agency overseas the categorization of laboratory tests according to the level of complexity and risk involved for the patient if errors are made?

CLIA

Which of the following aspects whould do the most to promote a professional appearance in the patient care setting?

The term right to know refers to?

a patients right to information about test procedures and who is performing them

A patient's medical record can best be described as?

A legal document that provides a chronological log of care

Failure to act or perform duties according to the standard of care for phlebotomy is?

negligence

When a phlebotomist gives aid during an emergency, he/she is usually protected through?

Implied consent

Before a patient's laboratory test results can legally be released to another physician or health care facility, the patient must?

provide his/her informed consent

Professional negligence in blood collection is the same as?

malpractice

Which of the following is designed to reduce the risk of transmission or microorganisms from both recognized and unrecognized sources of infection in health care facilities?

Standard precautions

Which of the following is an agency of the U.S. Department of Labor that requires employers to provide measures that will protect workers exposed to biological hazards?

OSHA

If an accident such as a needlestick occurs, the injured health care worker should immediately:

cleanse the area with isophopyl alcohol and apply an adhesive

Which of trhe following chemicals should be used to disenfect tourniquets and items contaminated with blood?

1:10 dilution of chlorine bleach

Which of the following is the proper sequence for removal of isolation apparel after blood collection in an isolation room?

gloves goggles then gown

Which of the following is the most important procedure in the prevention of disease transmission in health care institutions?

hand washing

The phlebotomist is most likely to encounter which of the following hazards upon entering the nuclear medicine department to obtain a blood specimen from a patient?

radiation hazard

The first step in controlling severe bleeding is to?

Apply pressure directly over the wound or venipuncture site

The abbreviation RACE is used in?

Fire emergencies

Protection is the primary function of which of the following systems?

integumentary

Which of the following veins is most commonly used for venipuncture?

median cubital

Which of the following is true of a serum specimen?

it does not contain antiquagulant additive

The most common blood type?

Type O blood

Which of the following anticoagulants is found in a purple-topped blood collection vacuum tube?

EDTA

Which of the following vacuum tubes is used to collect blood so that the serum can be separated from the blood cells as quickly as possible?

SST

From the listed needle guages, which one has the smallest diameter?

23

Which of the following needs to be collected in a purple-topped vacuum blood collection tube?

CBC (complete blood count)

The abnormal accumulation of fluid in the intercellular spacs of the body that is localized or diffused is referred to as?

Edema

A hospitalized patient may not be identified by which of the following means?

A patients chart

The most common sites for venipuncture are in which of the following areas?

the antecubital area of the arm

Palpating the venipuncture site serves which purpose?

provides an indication of the size and depth of the vein

Using a butterfly needle is beneficial for?

geriatric patients

How long should the tourniquet be placed around the patient's arm?

no longer than one minute

What is the best angle for needle insertion during venipuncture?

30 degrees or less

Of the following specimens, which should be the first tube collected in the suggested order of draw using the evacuated tube system?

blood culture

Containers for the disposal of needles and syringes should have which features?

puncture resistance

True or False

An example of Quality Control would be theroutine checking of the refrigerator temperature.

True

True or False

Confidentiality is considered a "Patient Right"

True

True or False

Ethics ar societal rules or regulations that are obligattory to serve.

False

True or False

HIPAA was created to protect the public from substandard laboratory testing practices and provide a safe work environment for laboratory personnel.

False

True or False

Infection control programs aim to link the infection chain.

True

True or False

OSHA requires health care workers to wear gloves when working with blood

True

True or False

Some plasma specimens can be remixed after centrifugation.

True

True or False

Serum specimens can be remixed after centrifugation.

False

True or False

The gauge number for the syringe indicates the length of the needle.

False

True or False

If the patient pumps his/her fist prior to blood collection, this action can lead to a falsely increased plasma phosphate concentrations.

True

True or False

Recapping needles after a venipuncture is acceptable.

False

True or False

You should release a tourniquet at the end of the procedure after removing the needle from the patient's arm.

False

Fill In The Blank

Clinical documents must be kept private and __________.

confidential

Fill In The Blank

Clinical compounds Lysol that are used to remove or kill pathogenic microorganisims are called _________.

disinfectants

Fill In The Blank

RACE for the fire refers to as Rescue, ________, Confine, and Extinguish.

Alert

Fill In The Blank

In case of a chemical spill in the eye, the victim should rinse his/her eyes at the __________________.

eye wash station

Fill In The Blank

The ___________ side of the arm antecubital area is preferred for venipuncture.

Anterior

Fill In The Blank

The __________ number indicates the diameter of the needle.

gauge

Fill In The Blank

Venipuncture should never be performed on the _______ side as that of a mastectomy.

same

Fill In The Blank

Every blood specimen should be treated as if it were hazardous or ___________.

contaminated

Fill In The Blank

After a venipuncture procedure, activation of the ________ device will prevent accidental needlesticks.

safety

Fill In The Blank

A serum separator tube does not contain _________

clotting factors

A-Arterial     V-Venous     C-Capillaries

Carries deoxygenated blood toward the heart

Venous

A-Arterial     V-Venous     C-Capillaries

Blood is bright red.

Arterial

A-Arterial     V-Venous     C-Capillaries

Has thin walls and no pulse

Venous

A-Arterial     V-Venous     C-Capillaries

Carries a mixture of oxygenated and deoxygenated blood.

Capillaries

A-Arterial     V-Venous     C-Capillaries

Has thick walls and a pulse.

Arterial

A-Arterial     V-Venous     C-Capillaries

Carries oxygenated blood away from the heart.

Arterial

A-Arterial     V-Venous     C-Capillaries

Bleeding easiest to control with slight pressure.

Capillaries

A-Arterial     V-Venous     C-Capillaries

Blood is dark red

Venous

A-Arterial     V-Venous     C-Capillaries

Bleeding is the hardest to control

Arterial

A-Arterial     V-Venous     C-Capillaries

Blood is between bright red and dark red color.

Capillaries

White blood cells

Leukocytes

Accumulation of blood in tissues after blood has leaked out as a result of injury or trauma.

Hematoma

Have valves to prevent backflow of blood

Veins

Muscular organ about the size of an adult's fist

Heart

Complete blood count

CBC

Destruction or rupturing of RBC's

Hemolysis

Substance that prevents blood from clotting

anticoagulant

To form a clot

coagulate

Red blood cells

Erytrocytes

Located deep in muscles/tissue

Arteries

Request or order for a laboratory test

Requisiton form

Blood collector

phlebotomist

If a purple-topped (EDTA) tube is underfilled, what problems can be encountered in the patient's test results?

It can evaluate the patients k or Na values.

1. If you do not have a successful venipuncture attempt after the first try what should you do?

2. After the second attempt what should you do?

1. Try again

2. Seek another person to do the venipuncture.

What is the correct order of draw for lavender or purple-topped tube, yellow topped for blood culture, serum separator tube (red/black-speckled), light blue tube (coagulation), and green topped (Heparin)?

yellow, light blue, sst, green, purple

List 5 common causes of hemoysis during blood collection.

1. Too small needle used

2. Too large needle used

3. pulling syrenge plunger too fast

4. Tube choice

5. Preforming collection before alcohol dries

List 3 ways a hematoma can form from phlebotomy.

1. needle goes completely through the vein

2. beveled opening is partially in the vein

3. phlebotomist does not apply pressure after needle removal

Which type of tube contains a polymer barrier that is present in the bottom of the tube and forms a stable barrier separating the serum from the fabrin and blood cells after blood is collected?

SST tube

What size needles are usually used for collecting specimens for laboratory tests?

21 and 22 gauge

List three ways to identify patients prior to blood collection.

1. Ask patient their name

2. Check their arm band

3. Ask their nurse