Phlebotomy
To prevent hospital -acquired infections, a phlebotomy technician should clean items that have been contaminated by blood with 1:10 dilution of which substances and water?
Sodium hypochlorite or chlorine bleach
Splash to forearm what to do and how long?
rinse for 15 minutes
Patient has cutaneous diphtheria, besides gloves what PPE should you wear?
Gown
Which type of the following types of urine specimen should a PT instruct a patient to collect for a pregnancy test.
first-morning
PT is using a syringe method to collect a blood cultures set, PTT, and CBC test. WHich of the following should the tech. identify as the proper order of draw?
anaerobic bottle, aerobic bottle, light blue topped tube, EDTA
infectious agent
reservoir
port of exit
mode of transmission
port of entry, susceptible host
Cycle of infection
PT is preparing to draw a blood specimen that must be protected from light. WHich of the following laboratory tests will be performed on the specimen.
Bilirubin
After exiting a patient's room, which of the following is the last piece of personal equipment (PPE) a phlebotomy technician should remove.
Mask
its a patient who states this is his 1st blood draw, what actions should be taken?
Explain the procedures
PT has three bar-coded labels but has filled four tubes. The tech. needs to create one more label for evacuated tubes. Which of the following info. should the tech. include on the label.
Tech. initials, date, and time of collection
Pt collecting blood/draw from a outpatient person, what positive identification is needed to identify the patient?
Pic. ID, full name, and date of birth
PT is preparing to perform a neonatal screening test. The tech. should identify that which of the following is optimal time to perform the test?
between 24 and 72 hours after birth
micro-organism that causes infections and diseases
Virus
PT working in a lab. has received 6 filled evacuated tubes, one of which is missing a label. WHich of the following actions should the tech. take?
recollect the unlabeled specimen
PT is preparing equipment for a blood draw. The tech. notices that one of the tubes on the tray is expired. Which of the following actions should be taken?
use new tube from the front of the shelf
PT is performing venipuncture on a patient. When the tech. inserts needle, the vein collapse. What is a possible cause?
apply the tourniquet too tightly
PT is collecting a sample for cholesterol, troponin, and HDL blood results. Which of the following departments is responsible for processing theses tests?
Chemistry
PT preparing a draw from someone admitted w/ life threatening cardiac symptoms. What actions should the PT take?
proceed w/ collecting the patient's blood
PT is screening potential blood donors. The tech. should identify which of the following patients is able to donate blood?
1. 15 yr who weighs 135 lbs or 65 yr old who weighs 120 lbs
OSHA
Occupational & Safety Health Administration
Which of the following actions should a PT take when collecting a urine specimen for drug testing?
Seal the specimen in tamper-evident container.
PT performing a hand venipuncture on a 25yr. old pt. who has small veins that are difficult to access. What needle should be used to perform draw?
23-gauge winged collection set
PT is preparing to collect a variety of blood specimens. Which specimens should the should the tech. collect first?
blood culture
PT observes a glucometer reading of 250 mg/dl. A second test is performed and returns a reading within the expected reference range. What could have caused this?
too much blood
PT accidentlently punctures a patients' artery during a venipuncture procedure. Which of the following actions should the tech. take?
Apply pressure on the site for at least 5 minutes.
PT should identify that a patient who has which of the following blood types is a universal recipient?
AB
PT is performing two sets of blood cultures for a patient. WHich of the following actions should the tech. take?
Collect one set from the patient's left arm and one set from a different site on the same arm.
PT has received a urine drug test specimen with a thermometer reading of 29.4 C (85 F). Which of the following actions should the technician take?
Have the patient provide another urine specimen under observation.
PT tech. performing a venipuntuce for a potassium test, CBC and glucose test. Tech. left on for 3 min. what outcome?
High potassium
While collecting a blood specimen, a PT notices the glass collection tube is cracked. Which of the following actions should the tech. take?
dispose of the tube in a sharps container
Yellow tube Top
Lab use-DNA and HLA
PT is collecting a specimen to test a patent's lithium level following a recent dose of medication. Which level should the tech. collect?
Peak
PT should recognize that which of the following blood types is compatible w/ type O blood.
O type
PT is instructing a patient about how to collect a fecal specimen at home. WHich of the following instructions should the tech. include?
Do not mix urine with the fecal sample.
PT is performing a point of care glucose test for a patient and receives a glucometer reading of 46mg/dl. Which of the following findings should the phlebotomist expect the patient to exhibit?
rapid heartbeat
PT is preparing to perform a CBC for 7 month old infant. Which of the following equipment will the tech. need?
lancet with 2 min depth and EDTA microcollection container
PT taking 3rd blood draw for a glucose tolerance test (GTT). The pt. starts to cry and refuses to extend arm for the draw, which statement should the PT take?
May I please perform the draw
Pt is performing a venipuncture on a patient who has a wound infected with methicillin-resistant MRSA and has been placed in isolation. Next steps when the procedure is complete, what should be removed.
Dispose of gown before leaving the room
PT is performing a dermal puncture for an adult patient. which of the following locations should the tech. use this procedure.
side of the ring finger
PT is performing a venipuncture for a lipid profile, WBC, and a clotting time test. What is the correct draw?
light blue, SST, lavender
PT is preparing to load two tubes into centrifuge. Which of the following actions should the tech. take?
place tubes of equal volume across from each other.
PT is performing a point of care hemoglobin test for a patient. Which of the following values should the technician report to the provider?
9.2 g/dl
PT is drawing blood through a hematoma. WHich of the following errors should the tech. expect to see in the specimen.
hemolysis
PT experiences a needle stick injury while performing a draw. The PT is at greatest risk for exposure to what Bloodborne pathogens?
Hep B
Evacuated tube method, syringe, and Winged method
types of blood collections
PT receives a forensic specimen. The tech. should verify that which of the following specimen information matches the requisition form?
case number
PT is performing a brief physical examination on a prospective blood donor. WHich of the following measurements would indicate the donor's eligibility to donate blood?
Hematocrit level 42%
PT is performing a venipuncture for a bilirubin test, a cold agglutinin titer, a CBC, and PTT test. Which tubes should be used to complete the draw?
One light blue, two serum tops, and lavender tube
PT is performing a point of care total cholesterol test for a patient. Which of the following values should the tech. report to the provider?
250 mg/dl