final exam

Card Set Information

Author:
studysuccess
ID:
136230
Filename:
final exam
Updated:
2012-02-18 21:36:37
Tags:
LBCC Tanya Meyer Phlebotomy
Folders:

Description:
Phlebotomy
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user studysuccess on FreezingBlue Flashcards. What would you like to do?


  1. an ABG (arterial blood gas) test assesses which of the following organ systems:
    A) nervous
    B) digestive
    C) skeletal
    D) respiratory
    D) respiratory
    (this multiple choice question has been scrambled)
  2. 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)
  3. the clean catch procedure is used for which of the following tests:
    A) UA
    B) spinal fluid
    C) CBC
    D) UDS
    e) none of the above
    A) UA
    (this multiple choice question has been scrambled)
  4. the flanges on the vacutainer adapter should be used when:
    A) none of these
    B) pushing tubes onto the holding needle
    C) pulling tubes off the holding needle
    D) pushing tubes onto the holding needle and pulling tubes off the holding needle
    E) the vein has been transfixed
    D) pushing tubes onto the holding needle and pulling tubes off the holding needle
    (this multiple choice question has been scrambled)
  5. the smallest gauge needle that should be used to obtain blood specimens is:
    A) 23g
    B) 21g
    C) 18g
    D) 25g
    A) 23g
    (this multiple choice question has been scrambled)
  6. which of the following tubes will produce a plasma sample that, after centrifugation, will be separated from the blood cells by a gel barrier.
    A) green
    B) red
    C) gold
    D) purple
    A) green
    (this multiple choice question has been scrambled)
  7. the following results were posted to a patient's chart:
    12/10/03 Hct. 38%
    12/11/03 Hct. 52%
    the discrepancy detween these two results is probably due to:
    A) forgetting to use a tourniquet during venipuncture
    B) hemolysis in the second specimen
    C) none of these
    D) drawing the specimen above a running IV
    E) hemoconcentration from leaving the tourniquet on too long
    E) hemoconcentration from leaving the tourniquet on too long
    (this multiple choice question has been scrambled)
  8. the trough level of an oral medication should be drawn:
    A) 15 minutes after the completion of the infusion
    B) 15 minutes before the next dose
    C) 30 minutes before the next dose
    D) none of the these
    E) 30 minutes after the completion of the infusion
    D) none of the these
    (this multiple choice question has been scrambled)
  9. the peak level of a medication represents:
    A) the level of the toxicity of that medication
    B) the lowest concentration of a medication before the first dose
    C) the highest concentration of medication after the last dose
    D) the lowest concentration of a medication before the next dose
    C) the highest concentration of medication after the last dose
    (this multiple choice question has been scrambled)
  10. which of the following fasting glucose results represents the cut off limit for a glucose tolerance test?
    A) >400mg/dl
    B) >200mg/dl
    C) >100mg/dl
    D) >300mg/dl
    B) >200mg/dl
    (this multiple choice question has been scrambled)
  11. match the following test with the best tube listed below CBC
    A) green top
    B) purple top
    C) blue top
    D) gold top
    E) grey top
    B) purple top
    (this multiple choice question has been scrambled)
  12. match the following test with the best tube listed below
    PT
    A) grey top
    B) purple top
    C) green top
    D) blue top
    E) gold top
    D) blue top
    (this multiple choice question has been scrambled)
  13. match the following test with the best tube listed below
    STAT glucose
    A) blue top
    B) green top
    C) purple top
    D) grey top
    E) gold top
    D) grey top
    (this multiple choice question has been scrambled)
  14. match the following test with the best tube listed below
    CMP
    A) grey top
    B) green top
    C) blue top
    D) gold top
    E) purple top
    B) green top
    (this multiple choice question has been scrambled)
  15. match the following test with the best tube listed below
    ESR
    A) gold top
    B) purple top
    C) grey top
    D) blue top
    E) green top
    B) purple top
    (this multiple choice question has been scrambled)
  16. which of the following arteries is most commonly selected for performing an arterial puncture:
    A) ulnar
    B) femoral
    C) one of these
    D) brachial
    E) radial
    E) radial
    (this multiple choice question has been scrambled)
  17. Mr. Jones' bleeding time test is abnormally prolonged. This is most likely a result of:
    A) inadequate mixing of the blood specimen
    B) none of these
    C) improper ratio of anticoagulant to blood in the blue top tube
    D) abnormal functioning platelets
    E) abnormal function of clotting factors
    D) abnormal functioning platelets
    (this multiple choice question has been scrambled)
  18. therapeutic phlebotomies are performed on patients suffering from which of the following condition:
    A) chronic lymphocytic leukemia
    B) acute lymphocytic leukemia
    C) polyhemoglobin urea
    D) polycythemia vera
    D) polycythemia vera
    (this multiple choice question has been scrambled)
  19. 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) hemoconcentration
    C) diluting the specimen with tissue fluid
    D) bruising the patient's heel or finger
    E) none of these
    C) diluting the specimen with tissue fluid
    (this multiple choice question has been scrambled)
  20. patients should not have a phlebotomy procedure performed on the side of a mastectomy because:
    A) none of these
    B) the risk of metastasizing breast cancer
    C) some of the veins have been removed
    D) test results will be inaccurate
    A) none of these
    (this multiple choice question has been scrambled)
  21. a patient comes into the lab with an order for Type and Screen, PT and glucose. Choose the best combination
    A) red, green, purple and blue
    B) blue, gray, and red
    C) purple, green and blue
    D) purple, red, blue and a gold
    D) purple, red, blue and a gold
    (this multiple choice question has been scrambled)
  22. the anticoagulant in a blue top tube is
    A) lithium heparin
    B) sodium citrate
    C) EDTA
    D) sodium heparin
    E) potassium oxalate
    B) sodium citrate
    (this multiple choice question has been scrambled)
  23. when drawing in the vacutainer system, list the correct order of draw for the following tests: CBC, PT, BMP, ESR:
    A) CBC, PT, BMP, ESR
    B) ESR, PT, BMP, CBC
    C) PT, CBC, ESR, BMP
    D) PT, BMP, ESR, CBC
    E) CBC, BMP, PT, ESR
    D) PT, BMP, ESR, CBC
    (this multiple choice question has been scrambled)
  24. which of the following reasons best describe why green top tubes are not used for lithium levels:
    A) heparin interferes with the test methods
    B) EDTA interferes with the test results
    C) if there is lithium in the test prior to the draw the test results can be falsely elevated.
    D) lithium must be tested on serum
    E) none of these
    C) if there is lithium in the test prior to the draw the test results can be falsely elevated.
    (this multiple choice question has been scrambled)
  25. coumadin therapy is monitored by which of the following tests:
    A) D-dimer
    B) ESR
    C) APTT
    D) FDP
    E) PT
    E) PT
    (this multiple choice question has been scrambled)
  26. you receive an order from CCU for an APTT. which medication may the patient be receiving?
    A) heparin
    B) aspirin
    C) none of these
    D) coumadin
    E) morphine
    A) heparin
    (this multiple choice question has been scrambled)
  27. if a physician orders and ESR, the proper tube to draw is:
    A) blue
    B) lavender
    C) gold
    D) red
    E) green
    B) lavender
    (this multiple choice question has been scrambled)
  28. which of the following medications will interfere with the bleeding time test:
    A) aspirin
    B) coumadin
    C) heparin
    D) rhogam
    e) none of the above
    A) aspirin
    (this multiple choice question has been scrambled)
  29. the minimum acceptable volume in a 5 ml light blue tube is:
    A) 3.5 ml
    B) 2.5 ml
    C) 5.5 ml
    D) 4.5 ml
    D) 4.5 ml
    (this multiple choice question has been scrambled)
  30. you enter Mr. Duffy's room and notice that he has an IV in both arms. what is your best course of action?
    A) draw from the port in the IV
    B) none of these
    C) draw the specimen from lower on either arm and document the position of the IV
    D) draw from the patient's foot
    C) draw the specimen from lower on either arm and document the position of the IV
    (this multiple choice question has been scrambled)
  31. a CBC is ordered on a patient that is an known "platelet clumper" what should you do?
    A) draw purple and blue tubes
    B) draw a purple tube and transport in a prewarmed container
    C) none of these
    D) draw a purple tob and transport on ice
    B) draw a purple tube and transport in a prewarmed container
    (this multiple choice question has been scrambled)
  32. under normal circumstances, plasma or serum must be separated from blood cells as soon as possible when drawing for a glucose test. the one exception is if the specimen is drawn into a:
    A) gray tube
    B) none of these
    C) green tube
    D) blue tube
    E) lavender tube
    A) gray tube
    (this multiple choice question has been scrambled)
  33. list all the elements that must be included on a hand labeled tube:
    • patients name
    • patient's date of birth
    • MRN
    • date of draw
    • time of draw
    • phleb ititials
  34. a person who is blood type A positive has which of the following naturally occurring antibodies in their plasma
    A) anti O
    B) anti A
    C) Anti Rh
    D) anti B
    E) none of these
    D) anti B
    (this multiple choice question has been scrambled)
  35. Mrs. Kidd is an outpatient that was sent to the lab for pre surgical work. as part of her testing the doctor has ordered a crossmatch for 3 units. she tells you this is her second surgery in the last month. her blood bank specimen will be good for how many days?
    A) 3 days
    B) 7 days
    C) 5 days
    D) 2 days
    E) none of these
    A) 3 days
    (this multiple choice question has been scrambled)
  36. which of the following specimens is acceptable to submit to the blood bank
    A) red
    B) blue
    C) red and blue
    D) none of these
    E) green
    A) red
    (this multiple choice question has been scrambled)
  37. which lab personnel are required to document problems with a patient sample, those who
    A) receives the specimen
    B) procures the specimen
    C) both the receiver and procurer of the specimen
    e) none of these
    C) both the receiver and procurer of the specimen
    (this multiple choice question has been scrambled)
  38. T/F the tourniquet must NOT be left on for longer than two minutes before performing a venipuncture
    • F
    • The tourniquet must not be left on for 1 minute

    P.s. I didn't make the test or write these answers. I chose T and I'm "wrong" for choosing it in this red neck town.
  39. the majority of errors that occur in the blood bank are
    A) technical errors
    B) clerical errors
    C) inventory errors
    D) nursing errors
    B) clerical errors
    (this multiple choice question has been scrambled)
  40. all of the following procedures are performed in the blood bank except:
    A) type and screen
    B) H&H
    C) IAT
    D) DAT
    B) H&H
    (this multiple choice question has been scrambled)
  41. urine and blood samples are collected from patients suspected of having a transfusion reaction because both can be:
    A) checked visually for signs of intravascular hemolysis
    B) tested for blood group antigens
    C) none of these
    D) tested with the donor unit to verify compatibility
    A) checked visually for signs of intravascular hemolysis
    (this multiple choice question has been scrambled)
  42. which of the following conditions would warrant keeping a lavender tube warm while in transit to the lab:
    A) none of these
    B) warm agglutinin
    C) platelet clumper
    D) cold agglutinin
    E) EDTA clumper
    C) platelet clumper
    (this multiple choice question has been scrambled)
  43. T/F the term 'anaerobic' means requiring oxygen
    F
  44. T/F the liquid portion of a red top tube is plasma
    F
  45. the acronym for PASS stands for
    pull, aim, squeeze, swipe
  46. all of the following are considered PPE except
    A) mask
    B) aprons
    C) needles
    D) glove
    e) none of the above
    C) needles
    (this multiple choice question has been scrambled)
  47. CQI is an acronym that means:
    A) core query information
    B) code quantity instrument
    C) none of these
    D) continuous quality improvement
    D) continuous quality improvementv
    (this multiple choice question has been scrambled)
  48. the normal adult blood volume is approximately:
    A) 5 L
    B) none of these
    C) 4 L
    D) 8 L
    E) 2 L
    A) 5 L
    (this multiple choice question has been scrambled)
  49. the normal composition of blood is approximately:
    A) 55% plasma, 45% formed elements
    B) 30% plasma, 70% formed elements
    C) 10% plasma. 90% formed elements
    D) none of these
    E) 90% plasma, 10% formed elements
    A) 55% plasma, 45% formed elements
    (this multiple choice question has been scrambled)
  50. breakage or rupture of red blood cells is called:
    A) hematocrite
    B) none of these
    C) hemolysis
    D) hemostasis
    E) hemoconcentration
    C) hemolysis
    (this multiple choice question has been scrambled)
  51. your patient is not wearing an ID band. It is fastened to the bed rail. the information matches the requisition. what should you do?
    A) go to the nurse's station and make out an ID for the patient then proceed with the draw
    B) ask the patient's nurse to attach an ID band
    C) fill out an incident form and return to the lab without drawing the specimen
    D) ask patient to state his or her name and go ahead and draw the specimen if the name matches
    C) fill out an incident form and return to the lab without drawing the specimen
    (this multiple choice question has been scrambled)
  52. More blood can be obtained on neonates with minimal trauma by using:
    A) syringe and butterfly in an antecubital area
    B) lancet on great toe
    C) small gauge needle in dorsal hand vein
    D) pediatric lancet on heel
    A) syringe and butterfly in an antecubital area
    (this multiple choice question has been scrambled)
  53. how can you tell you are in a vein when using a syringe and needle?
    A) pull back on the plunger to see blood flowing into the syringe
    B) you should see blood appear in the hub of the needle
    C) there is no way to tell
    D) the blood will pump into the syringe if you are in the vein
    B) you should see blood appear in the hub of the needle
    (this multiple choice question has been scrambled)
  54. you are in the middle of drawing a blood specimen using the evacuated tube method when you realize that you filled the EDTA tube before the green tube. What should you do?
    A) it is acceptable to fill the EDTA before the green
    B) skip collecting the green tube and come back to collect it later
    C) draw several millimeters into a plane discard tube; then fill the green one.
    D) draw the green one next and hope there is no carry over
    C) draw several millimeters into a plane discard tube; then fill the green one.
    (this multiple choice question has been scrambled)

What would you like to do?

Home > Flashcards > Print Preview