phlebotomy 1
What is the single most important step of the blood collection procedure?
a.Selection of the proper tubes.
b.Appropriate vein selection.
c.Patient identification.
d.Application of the tourniquet.
c: Patient identification.
Which of the following is an appropriate dermal puncture site for adults?
a.Fleshy center of thumb.
b.Thumb side of index finger.
c.Ring finger, perpendicular to the ridges.
d.Middle finger, parallel to the ridges.
c: Ring finger, perpendicular to the ridges
What position is being described when the body is erect and facing forward and the arms are at the side with the palms facing forward?
a.Supine position.
b.Anatomic position.
c.Physiologic position.
d.Standing position.
b: Anatomic position
What is the maximum amount of time that a tourniquet can be left on?
a.30 seconds.
b.1 minute.
c.2 minutes.
d.5 minutes.
b: 1 minute
The intentional touching of another person without consent can lead to what charge?
a.Assault.
b.Battery.
c.Civil action.
d.Tort.
b: Battery
In which of the following choices are the steps in the correct order?
a.Select equipment, identify patient, collect specimen, stop bleeding, label tubes.
b.Select equipment, identify patient, label tubes, collect specimen, stop bleeding.
c.Select equipment, collect specimen, identify patient, stop bleeding, label tubes.
d.Select equipment, label tubes, identify patient, collect specimen, stop bleeding.
a: Select equipment, identify patient, collect specimen, stop bleeding, label tubes.
Betadine may elevate results of which tests if used to clean the skin for a dermal puncture?
a.Bilirubin, acid phosphatase, potassium, sodium.
b.Bilirubin, uric acid, phosphorus, potassium.
c.Sodium, potassium, chloride, bicarbonate.
d.Glucose, BUN, creatinine, uric acid.
b: Bilirubin, uric acid, phosphorus, potassium
The emergency department has requested that blood alcohol level be drawn on a patient. What is the proper way to obtain the specimen?
a.Clean the site with alcohol and perform a routine venipuncture.
b.Clean the site with Betadine (povidone-iodine) and perform a routine venipuncture.
c.Call the laboratory to get a phlebotomist who is experienced in drawing from arteries.
d.Use alcohol to clean the site and perform a dermal puncture.
b: Clean the site with Betadine (povidone-iodine) and perform a routine venipuncture
Which of the following organizations mandates quality assurance programs?
a.AMA.
b.ASCP.
c.Joint Commission.
d.OSHA.
c: Joint Commission
Which of the following terms represents the failure to perform an action that is consistent with the accepted standard of care?
a.Assault.
b.Dereliction.
c.Liability.
d.Negligence.
d: Negligence
When you tell a patient that you need to draw blood, he says that he does not want to have his blood drawn. What is the appropriate action?
a.Explain the procedure and ask the patient if he will consent.
b.Tell the patient the doctor ordered it, so he must have it collected.
c.Call for help to restrain the patient, so you can get the specimen.
d.Keep trying to convince the patient to have his blood drawn.
a: explain the procedure and ask the patient if he will consent
What are the smallest living units in the body?
a.Cells.
b.Organs.
c.Systems.
d.Tissues.
a: Cells
A patient has a seizure while you are performing a venipuncture. What should you do?
a.Finish collecting the specimen and then call the nurse for help.
b.Remove the tourniquet and needle immediately and call the nurse for help.
c.Call the laboratory for help restraining the patient, so you can obtain the sample.
d.Ignore the seizure and continue the procedure as usual.
b: Remove the tourniquet and needle immediately and call the nurse for help
Which of the following refers to the quantitative methods used to monitor the quality of procedures to ensure accurate test results?
a.QA.
b.QC.
c.CQI.
d.TQM.
b: QC
What is the legal term for the delivery of substandard care that results in harm to a patient?
a.Damages.
b.Duty.
c.Liability.
d.Malpractice.
d: Malpractice
Advance Beneficiary Notice of noncoverage may be required for what patient?
a.Workers compensation.
b.Medicare.
c.Tricare.
d.Uninsured.
b: Medicare
Hematopoiesis occurs in what type of tissue?
a.Bone.
b.Muscle.
c.Integumentary.
d.Nerve.
a: Bone
Which of the following tests is most seriously affected by hemolysis?
a.Chloride.
b.Creatine kinase (CK).
c.Glucose.
d.Potassium.
d: Potassium
What document in the laboratory contains information about the principles underlying testing and other protocols?
a.Delta check.
b.Floor book.
c.Procedure manual.
d.QA manual.
b. Battery
When drawing blood, the usual standard of care is to perform a maximum of how many unsuccessful punctures before calling for assistance?
a.One.
b.Two.
c.Three.
d.Five.
b: Two
Which of the following is the preferred collection site for laboratory testing of a patient at high risk for venous thrombosis?
a.Arterial sample.
b.Dermal puncture.
c.Hand vein with butterfly needle and syringe.
d.Routine venipuncture of median cubital vein.
b: Dermal puncture.
Which of the following is the protein within red blood cells that binds oxygen?
a.Albumin.
b.Cilia.
c.Hemoglobin.
d.Hormone.
c: Hemoglobin
Collections for which department require a special patient identification system in addition to the hospital ID bracelet?
a.Blood bank.
b.Chemistry.
c.Coagulation.
d.Hematology.
a:: Blood bank
Which of the following medications causes a prolonged bleeding time?
a.Aspirin.
b.Accutane.
c.Benadryl.
d.Tylenol.
a: Aspirin
What type of consent is acceptable in emergency situations?
a.Implied consent.
b.Written consent.
c.Explained consent.
d.Informed consent.
a: Implied consent