Grab Bag A
_____ refers to a set of policies and procedures designed to ensure the delivery of consistently high-quality patient care and specimen analysis.
A. quality assurance
B. quality phlebotomy
C. quality controlD. certification
A. quality assurance
If a patient questions the phlebotomist about which tests are ordered and why, what should the phlebotomist do?
A. explain the testing procedures and their clinical significance in simple terms
B. name the tests and refer the patient to their physician
C. indicate that the information is confidential
D. provide an explanatory brochure to the patientB. name the tests and refer the patient to their physician
What is the National Committee for Clinical Laboratory Standards (NCCLS) recommended maximum depth of puncture to be used during heel puncture?
A. 1.0 mm
B. 1.4 mm
C. 2.0 mm
D. 2.8 mm
C. 2.0 mm
The purpose of wiping away the first drop of blood during skin puncture is to _____.
A. avoid bacterial contamination
B. minimize effects of platelet aggregation
C. eliminate tissue fluid contamination
D. minimize effects of hemolysis
C. eliminate tissue fluid contamination
A green stoppered tube normally contains _____.
A. thrombin
B. EDTA
C. heparin
D. sodium citrate
C. heparin
The _____ department identifies pathogenic microorganisms in patient samples.
A. chemistry
B. microbiology
C. blood bank
D. hematology
B. microbiology
Promoting good public relations is a part of the phlebotomist's role because _____.
A. a phlebotomist is a representative of the laboratoryB. good public relations promotes a harmonious relationship with visitors, staff, and patients
C. the patient often equates blood drawing experiences with the caliber of overall care received while in the hospital
D. all of the above
D. all of the above
Why are blood smears and hematology specimens obtained before other specimens when collected by skin puncture?
A. to minimize tissue fluid contamination
B. collection order does not matter
C. to reduce effects of hemolysis
D. to minimize effects of platelet clumping
D. to minimize effects of platelet clumping
What is PKU?
A. an inherited condition caused by lack of thyroid hormone
B. a hereditary inability to metabolize phenylalanine
C. an acquired condition caused by lack of phenylalanine
D. a contagious condition caused by lack of phenylalanine
B. a hereditary inability to metabolize phenylalanine
When disposable latex tourniquets become soiled with blood, it is best to _____.
A. throw them away
B. wash them in bleach
C. wipe them with alcohol
D. autoclave them before reuse
A. throw them away
Communication barriers include _____.
A. English as a second language
B. age
C. hearing ability
D. all of the above
D. all of the above
Two phlebotomists are discussing a patient's condition in the elevator. They are overheard by the patient's daughter. This is an example of _____.
A. breach of confidentiality
B. failure to exercise reasonable careC. improper or unskilled care
D. mistreatment of a patient
A. breach of confidentiality
Why should a laboratory report form indicate the fact that a specimen has been collected by skin puncture?
A. so that the patient's nurse can check the site for signs of infection
B. for liability insurance and billing purposes
C. because test results may vary depending on the method of collection
D. so that subsequent specimens will be collected by skin puncture also
C. because test results may vary depending on the method of collection
It is necessary to control the depth of lancet insertion during skin puncture in order to avoid _____.
A. bacterial contamination
B. excessive bleeding
C. bone injury
D. puncturing an artery
C. bone injury
What is the most important factor in choosing which gauge needle to use for venipuncture?
A. age of the patient
B. type of test being collected
C. number of tubes to be collected
D. size and condition of the patient's vein
D. size and condition of the patient's vein
The Patient's Bill of Rights guarantees the patient all of the following except _____.
C. a private room
D. treatment refusal
C. a private room
Which of the following laboratory personnel has the same qualifications as a medical technologist (MT)?
A. pathologist (MD)B. clinical laboratory scientist (CLS)
C. clinical laboratory technician (CLT)
D. medical laboratory technician (MLT)
B. clinical laboratory scientist (CLS)
Which of the following is the safest area for infant heel puncture?
A. posterior curvature
B. arch of the foot
C. big toe
D. lateral plantar surface
D. lateral plantar surface
What is the purpose of warming the site before skin puncture?
A. it makes the veins more visible
B. the warmth comforts the patient
C. to prevent hemolysis of the sample
D. it increases blood flow up to 7 times
D. it increases blood flow up to 7 times
The following tests have all been ordered at the same time on different inpatients. There is only one phlebotomist on duty. Which test should the phlebotomist collect first?
A. hemoglobin in labor and delivery
B. ASAP CBC in oncology
C. STAT electrolytes in the ER
D. timed blood cultures in ICU
C. STAT electrolytes in the ER
A phlebotomist obtained blood from a confused patient. After collecting the blood, the phlebotomist leaves the bedrail down and exits the room. The phlebotomist may be charged with _____.
A. negligence
B. batteryC. assault
D. malpractice
A. negligence
A skin puncture should be done rather than a venipuncture in all of the following situations except _____.
A. when a light blue stoppered tube is needed
B. a patient with difficult veins
C. when a small volume of blood is adequate
D. a child less than 2 years of age
A. when a light blue stoppered tube is needed
Which test cannot be collected by skin puncture?
A. blood cultures
B. platelet count
C. glucose
D. CBC
A. blood cultures
A phlebotomist has attempted twice to draw a PTT on a patient with difficult veins. Both times the phlebotomist has been able to draw only a partial tube. What should the phlebotomist do?
A. send the tube with the most blood to the laboratory with a note that it was a difficult draw
B. have another phlebotomist attempt to draw the patient
C. collect the specimen by skin puncture
D. pour the two tubes together and mix well
B. have another phlebotomist attempt to draw the patient