exam 1

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studysuccess
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136086
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exam 1
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2012-02-21 18:04:38
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LBCC Tanya Meyer phlebotomy
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Phlebotomy
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  1. the hepatitis B virus may be transmitted by all of the following modes except?
    A) blood transfusion
    B) fecal-oral rout
    C) sexual contact
    d) all of the above
    B) fecal-oral rout
    (this multiple choice question has been scrambled)
  2. Personal Protective Equipment should be worn:
    A) at all times when at the hospital
    B) before leaving for break
    C) whenever you may come into contact with blood and fluids
    D) only when you expect to experience large splatters of blood
    C) whenever you may come into contact with blood and fluids
    (this multiple choice question has been scrambled)
  3. the most commonly acquired bloodborn pathogen in the laboratory is:
    A) Human Immunodeficiency Virus
    B) Hepatitis C
    C) Hepatitis B
    D) Hepatitis A
    B) Hepatitis C
    (this multiple choice question has been scrambled)
  4. the flanges on the vacutainer adapter should be used when:
    A) the vein has been transfixed
    B) pushing tubes into the holding needle and pulling tubes off the holding needle
    C) pushing tubes into the holding needle
    D) pulling tubes off the holding needle
    e) none of the above
    B) pushing tubes into the holding needle and pulling tubes off the holding needle
    (this multiple choice question has been scrambled)
  5. all of the following situations represent breaches of patient confidentiality EXCEPT:
    A) looking up a patients phone number in the computer to reschedule a test
    B) leaving results on a patient's answering machine
    C) discussing an interesting case with a co-worker at lunch in the cafeteria
    D) scheduling a lab test with a patient's spouse
    A) looking up a patients phone number in the computer to reschedule a test
    (this multiple choice question has been scrambled)
  6. acronym for RACE stands for:
    rescue, alarm, contain, extinguish
  7. the anticuagulant in a light blue top tube is:
    A) sodium citrate
    B) sodium heparin
    C) potassium oxalate
    D) EDTA
    E) lithium heparin
    A) sodium citrate
    (this multiple choice question has been scrambled)
  8. the simplest yet most effective method of controlling the spread of disease in the hospital environment is:
    A) adherence to contact precautions
    B) strict patient isolation
    C) wearing proper personal protective equipment
    D) hand washing
    D) hand washing
    (this multiple choice question has been scrambled)
  9. anchoring or fixing the vein before insertion of the needle will accomplish all of the following EXCEPT
    A) prevents partial insertion of the needle
    B) keeps the vein from moving
    C) prevent the vein from rolling
    D) facilitate easier insertion of the needle
    A) prevents partial insertion of the needle
    (this multiple choice question has been scrambled)
  10. what is the best way to dispose of a contaminated needle after the completion of a venipuncture?
    a) cut the needle with a cutting device so it no longer poses a puncture hazard
    b) recap using the 'two-handed' method
    c) recap using the one-handed method
    d) none of the above methods are considered safe.
    d) none of the above methods are considered safe.
  11. True or false: cleaning the venipuncture site with 70% isopropyl alcohol will sterilize the site
    a) true
    b) false
    b) false
  12. the most common size of needle to use for routine venipuncture is:
    A) 23G
    B) 18G
    C) 21G
    D) 25G
    C) 21G
    (this multiple choice question has been scrambled)
  13. Veins carry blood in which direction?
    A) towards the heart
    B) away from the heart
    C) towards the tissue
    d) none of the above
    A) towards the heart
    (this multiple choice question has been scrambled)
  14. which of the following vessels contain valves?
    A) veins
    B) valves
    C) arteries
    D) capillaries
    A) veins
    (this multiple choice question has been scrambled)
  15. arteries carry blood in which direction?
    A) towards the tissues
    B) away from the heart
    C) towards the heart
    d) none of the above
    B) away from the heart
    (this multiple choice question has been scrambled)
    • 1) bronchiocephalic artery
    • 2) right pulmonary artery
    • 3) ascending aorta
    • 4) superior vena cava
    • 5) pulmonary veins
    • 6) right atrium
    • 7) trisuspid valve
    • 8) inferior vena cava
    • 9) right ventricle
    • 10) apex
    • 11) epicardium
    • 12) interventricular septum
    • 13) myocardium
    • 14) left ventricle
    • 15) endocardium
    • 16) mitral valve (bicuspid)
    • 17) aortic valve
    • 18) left atrium
    • 19) left pulmonary vein
    • 20) pulmonic valve
    • 21) left pulmonary artery
    • 22) pulmonary artery
    • 23) aortic arch
    • 24) left subclavian artery
    • 25) left common carotid artery
  16. list the heart circulation in order
    • 1) superior vena cava
    • 2) right atrium (as oxygen poor blood)
    • 3) tricuspid valve
    • 4) right ventricle
    • 5) pulmonary valve
    • 6) pulmonary artery (to lungs for oxygen)
    • 7) pulmonary vein (oxygen rich)
    • 8) left atrium
    • 9) mitral valve (bicuspid valve)
    • 10) left ventricle
    • 11) aortic valve
    • 12) aorta to body systems
  17. list 3 veins in the anecubital area when patient is in a supine (hands up) position:
    1) the vein closest to the body when drawing blood is ____.
    2) the vein in the middle of the arm is the ____.
    3) the vein furthest from the body is the____.
    • 1) basilic
    • 2) median cubital
    • 3) cephalic
  18. the time is 1500. you are the phlebotomist assigned to ICU. You received orders for three draws as listed:
    Jones, tome ICU rm. 215-routine (electrolytes and CBC).
    Smith, Sharon ICU rm. 211-Times draw for 1500 (H&H)
    Edwards, Rick ICU Rm. 201-STAT (potassium)
    prioritize these three draws as you would draw them in succession:
    A) rm 215, rm 211, rm 201
    B) rm 201, rm 215, rm 211
    C) rm 211, rm 201, rm 215
    D) rm 201, rm 211, rm 215
    E) rm 211, rm 215, rm 201
    D) rm 201, rm 211, rm 215
    (this multiple choice question has been scrambled)
  19. hematopoisis occurs in primarily which site in adults?
    A) red bone marrow
    B) yellow bone marrow
    C) liver
    D) heart
    e) none of the above
    A) red bone marrow
    (this multiple choice question has been scrambled)
  20. list the information that must appear on a properly labeled tube of blood:
    • 1) name,
    • 2) date of birth
    • 3) medical record number
    • 4) time of draw
    • 5) date of draw
    • 6) phlebotomists initials
  21. glycolysis is:
    A) measured in mg/dl
    B) anemia
    C) to pierce a vein
    D) reduction in number of platelets
    E) white blood cells
    F) the rupture of red blood cells
    G) reduction of sugars
    H) red blood cells
    G) reduction of sugars
    (this multiple choice question has been scrambled)
  22. leukocytes are:
    A) anemia
    B) to pierce a vein
    C) reduction in number of platelets
    D) white blood cells
    E) measured in mg/dl
    F) reduction of sugars
    G) red blood cells
    H) the rupture of red blood cells
    D) white blood cells
    (this multiple choice question has been scrambled)
  23. thrombocytopenia is
    A) red blood cells
    B) the rupture of red blood cells
    C) to pierce a vein
    D) reduction in number of platelets
    E) measured in mg/dl
    F) white blood cells
    G) anemia
    H) reduction of sugars
    D) reduction in number of platelet
    (this multiple choice question has been scrambled)
  24. phlebotomy is:
    A) to pierce a vein
    B) the rupture of red blood cells
    C) white blood cells
    D) red blood cells
    E) reduction of sugars
    F) reduction in number of platelets
    G) measured in mg/dl
    H) anemia
    A) to pierce a vein
    (this multiple choice question has been scrambled)
  25. glucose is
    A) red blood cells
    B) to pierce a vein
    C) measured in mg/dl
    D) reduction in number of platelets
    E) the rupture of red blood cells
    F) white blood cells
    G) reduction of sugars
    H) anemia
    C) measured in mg/dl
    (this multiple choice question has been scrambled)
  26. which of the following represents the correct order of draw when performing a skin puncture
    A) green, red, purple
    B) purple, green, red
    C) red, green, purple
    D) purple, red, green
    B) purple, green, red
    (this multiple choice question has been scrambled)
  27. why are gauze pads rather than cotton balls considered a better choice for covering the site while holding pressure following venipuncture?
    A) cotton balls are as absorbent
    B) cotton tends to stick to the site
    C) gauze creates more pressure
    D) gauze is more sterile
    B) cotton tends to stick to the site
    (this multiple choice question has been scrambled)
  28. when performing a skin puncture, the first drop of blood is wiped away before collecting the specimen to avoid:
    A) contamination of the specimen with alcohol
    B) bruising the patient's heel (or finger)
    C) hemoconcentration
    D) diluting the specimen with tissue fluid
    D) diluting the specimen with tissue fluid
    (this multiple choice question has been scrambled)
  29. the concept that a patient must be notified of intended treatments and their risk before they are performed is known as:
    A) confidentiality
    B) informed consent
    C) professional detachment
    D) accreditation
    B) informed consent
    (this multiple choice question has been scrambled)
  30. prolonged tourniquet application may cause a change in blood composition primarily because of:
    A) hemolysis
    B) hemoconcentration
    C) homeostasis
    D) hemoglobin
    e) none of the above
    B) hemoconcentration
    (this multiple choice question has been scrambled)
  31. given the following tubes, arranged them in the correct order of draw when using the evacuated tube (vacutainer) system (plastic tubes):
    a) light blue
    b) gray
    c) red
    d) lavender
    e) green
    light blue, red, green, lavender, gray
  32. hematopoisis is the process of
    A) producing hormones
    B) forming a blood clot
    C) producing blood cells
    D) forming spermatozoa
    C) producing blood cells
    (this multiple choice question has been scrambled)
  33. the normal adult blood volume is approximately
    A) 2 L
    B) 8L
    C) 4 L
    D) 5 L
    e) none of the above
    D) 5 L
    (this multiple choice question has been scrambled)
  34. a specimen was mislabeled on the floor. you are required to fill out an incident report form. what information would you not include?
    A) suggestion for new guidelines
    B) description of the consequence
    C) explanation of the problem
    D) details of the corrective action taken
    A) suggestion for new guidelines
    (this multiple choice question has been scrambled)
  35. you are the only phlebotomist in an outpatient drawing center. A physician orders a test with which you are not familiar. what is the most appropriate action to take?
    A) call the physician's office for assistance
    B) send the patient to another drawing center
    C) refer to the user manual for instructions
    D) draw both a serum and plasma sample
    C) refer to the user manual for instructions
    (this multiple choice question has been scrambled)
  36. when performing a venipuncture, the needle is inserted at which degree of angle:
    A) 25
    B) 55
    C) 10
    D) 5
    A) 25
    (this multiple choice question has been scrambled)
  37. plasma is composed of all the following substances EXCEPT:
    A) water
    B) erythrocytes
    C) hormones
    D) proteins
    e) none of the above
    B) erythrocytes
    (this multiple choice question has been scrambled)
  38. serum contains all of the following substances EXCEPT:
    A) electrolytes
    B) clotting factors
    C) proteins
    D) glucose
    B) clotting factors
    (this multiple choice question has been scrambled)
  39. needles smaller than 23g should never be used to obtain blood specimens because:
    A) they break easily during the phlebotomy procedure
    B) they are very expensive to purchase
    C) they tend to cause hemolysis of the blood sample
    D) they tend to cause more pain to the patient
    C) they tend to cause hemolysis of the blood sample
    (this multiple choice question has been scrambled)
  40. the term used to describe the situation that occurs when the puncturing needle passes through the back wall of the vein during entrance is
    A) posterior venous puncture
    B) anterior venous puncture
    C) partial entrance
    D) transfixion
    D) transfixion
    (this multiple choice question has been scrambled)
  41. how many platelets are found in 1 square mm of an adult in normal health?
    150,000-400,000 platelets
  42. the development of a hematoma can be avoided by:
    A) holding pressure for 2-5 minutes after venipuncture
    B) using a large gauge needle
    C) allowing the alcohol to completely dry before venipuncture
    D) warming the site prior to venipuncture
    A) holding pressure for 2-5 minutes after venipuncture
    (this multiple choice question has been scrambled)
  43. what's the additive in the light blue tube
    sodium citrate
  44. what's the additive in the gold tube
    tixotropic gel and clot activator
  45. what's the additive in the gray tube
    sodiumm flouride and potassium oxilate
  46. what's the additive in the green tube
    heprin
  47. what's the additive in the red plastic tube
    clot activator
  48. what's the additive in the lavender tube
    EDTA
  49. what's the additive in the red glass tube
    glass is a natural clot activator. There is no additive
  50. what's the additive in the red marble tube
    thixotopic gel and clot activator
  51. T/F oxygen poor blood enters the left atrium through the superior vena caba
    F
  52. T/F a green needle cover is disposed of in the sharps container
    F
  53. T/F iron is an essential ingredient to the oxygen transport system
    T
  54. T/F the tourniquet should be tied 6-8 inches above the venipuncture site
    F
  55. T/F the vena cava is the largest artery in the human body
    F
  56. T/F pumping of the patient's fist will enhance vein selection without any complications
    f
  57. T/F hemoconcentration can be caused by a tourniquet left on the arm for over a minute
    T

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