question

A blood bank is also referred to as

answer

Immunohematology

question

the pbt has orders to draw a K+ on a patient awaiting dialysis and proceeds to the following division:

answer

Nephrology

question

pbt has just completed centriuging specimens for the chemistry department and notes that one of the tubes is cloudy and pinkish red. This specimen is

answer

lipemic and hemolyzed

question

this test will be delivered to immunology for testing

answer

RPR

question

physician calls the lab requesting the procedure for a patient who wishes to donate his own blood before his surgery. this type of donation is knowns as:

answer

Autologous donation

question

analysis of the chemical components of blood

answer

the basic purpose of the chemistry department:

question

pbt is processing speciments received for lead testing and is preparing them to be delivered to which departments?

answer

toxicology

question

health maintenance organization (HMO)

answer

functions as a full-service outpatient clinic

question

pbt returns to lab with a specimen for cross-match or compatibility testing and delivers it to

answer

Immunohematology

question

required specimen for the occult blood test is:

answer

Feces/Dookie

question

A patient is recovering from deep vein thrombosis and the doctor wishes to access the rate of fibrinolysis. The physician orders which of the following tests?

answer

ALL of the above

question

A herediatary blood disorder that results in a decreased production of hemoglobin and anemia is:

answer

Thalassemia

question

pbt must draw blood for a STAT glucose, BUN, and electrolytes in ER and deliver it to the lab for testing as the I-Stat instrument is not fxning properly. Which type of sample is most appropriate?

answer

Plasma (green top tube0

question

a patient has been diagnosed with anemia and the physician wants to assess how well the bone marrow is producing RBC's. The physician requests which of the following test to be drawn and tested?

answer

Reticulocyte

question

another term for WBC is

answer

Leukocyte

question

cellular element that plays an impt role in coagulation is

answer

Platelet

question

Coagulation testing includes which of the following:

answer

PTT

question

impaired blood flow leading to reduced level or lack of oxygen to a tissue is referred to as:

answer

Ischemia

question

a patient is admitted to the ER complaining of severe chest pain. All of the following lab test may be ordered to assist in the diagnosis of a myocardial infarct, except:

answer

CBC

question

veins suitable for possible venipuncture in the antecubital area include all of the following:

answer

Brachial veins

question

A plasma protein that serves to help regulate blood volume by maintaining osmotic pressure and by transporting many different types of molecules is:

answer

Albumin

question

a muscular skeletal test includes:

answer

Creatine Kinase

question

when the body acts to maintain a dynamic steady state, it is referred to as:

answer

Homeostasis

question

the following term means a decrease of red blood cells:

answer

Erythrocytopenia

question

Thrombocytosis means:

answer

increased number of platelets

question

Agency or Agencies that approve pbt training programs:

answer

National Accrediting Agency of Clinical Laboratory Science (NAACLS)

question

NPO means

answer

Nothing By Mouth

question

the suffix in the term hemostasis means:

answer

Control

question

the difference between arteries and veins is that:

answer

arteries have a thicker muscular wall and are deeper that veins in tissue (hmm..that's what the review says??)

question

Hyperglycemia is a symptom of which endocrine disorger?

answer

diabetes mellitus

question

all of the following are common lab tests for the digestive system, except

answer

Microalbumin

question

preventing the spread of infection to patients, health care workers, and visitors requires breaking the chain of infection through use of all of the following except

answer

HIPAA

question

pbt is about to enter the room of a patient in airborne isolation. which of the following PPE will be needed

answer

Glove, N95 respirator

question

another name for nosocomial infection is

answer

Health care associated infection

question

terms that refers to RBCs is

answer

Erythrocytes

question

Inflammation of a vein is referred to as:

answer

Phlebitis

question

all manufacturers of hazardous chemicals are required to provide users of hazardous chemicals a __________

answer

MSDS (Material Safety Data Sheet)

question

to prevent parenteral exposure to blood borne pathogens during venipuncture procedures, the pbt should not:

answer

hold evacuated tube while transferring blood from syringe into tube

question

a color-coded, numeric system for indicating the health, flammability, and reactivity hazards of chemicals was developed by:

answer

NFPA

question

blue quadrant of the NFPA label lists the relative danger of a chemical in the area of:

answer

Health

question

OSHA regulation requires that all health care personnel in job classifications where there is exposure to blood and body fluids be offered the opportunity to receive a caccination free of charge or sign a declination form for which of the following infectious agents:

answer

HBV

question

greatest bloodborne pathogen risk to lab employees is:

answer

HBV infection

question

employee right to know law allows employees to review the

answer

Hazard Communication Standard

question

Standard Precautions is used in the hospital setting to prevent the spread of HIV and HBV during patient care and applies to all body fluids, except:

answer

sweat

question

as a member of the health care team, the pbt knows the importance of standard of precautions and routinely applies them to the care of:

answer

ALL PATIENTS

question

anatomic and surgical pathology

answer

the main division of the lab that analysis cells and tissues is

question

analysis of DNA samples is performed in:

answer

Molecular Diagnostics

question

pbt is called to the ER for blood work on a patient suspected of having an MI. One test that will most likely be drawn is

answer

Troponin

question

accreditation of labs is a fxn of which of the following....

answer

JCAHO and CAP

question

standards and guidelines for laboratory patient testing are set forth by:

answer

CLSI

question

most common microbiology tests are....

answer

culture and sensitivity (C&S)

question

pbt is working in specimen processing and notices tha tone of the specimens is a dark yellow color after centrifugation and states that the specimen is

answer

lcteric

question

Urinanalyis testing includes all of the following except:

answer

VOLUME

question

newborn born with severe anemia and the pbt has collected a specimen for a direct antibody test (Coombs) to be delivered immediately to:

answer

blood bank/immunohematology

question

Pbt has received a specimen for chromosomal studies and delivers it to which lab dept?

answer

Cytogenetics

question

pbt is working in the outpatient dept and has an order for a patient who routinely faints when his/her blood is drawn. The best practice to employ for this patient is to:

answer

put the patient in the room with a reclining chair or bed

question

most commonly used antiseptic in routine venipuncture is:

answer

70% isopropyl alcohol

question

The following antiseptic should not be used on infants under the age of two months:

answer

Chlorhexidine Gluconate

question

pbt decides to use a winged infusion set and small volume tubes on an accident victim who is bleeding internally and will be transferred to surgery as soon as the draw is completed. He carefully draws the coagulation test, chemistry and a CBC, in that order and delivers them to the lab for testing. There appears to be a problem with the coagulation results:

answer

tube not completely full due to air space in the length of the tubing

question

The use of anticoagulant will yield which type of blood specimen?

answer

whole blood and serum

question

Antiglycolytics include which of the following

answer

Sodium Flouride

question

pbt has a request from the blood bank to draw a nonadditive tube on a specific patient in addition to the pink top tube. The tube selected is:

answer

Red Glass

question

Clot activators include all of the following except:

answer

Silicone

question

pbt has an order for a routine CBC, metabolic panel, and a blood typing. The pbt will select which of the following sets of tubes:

answer

Gold, Lavendar, Pink

question

pbt is in the midst of a diff. pre-op for a CBC, PT, PTT, and electrolytes. After placing the last tube holder, the pbt picks up the previous two tubes to continue inversions and notices that the PT/PTT tube did not completely fill. The proper course of action is to:

answer

draw an appropriate discard tube first and then collect the PT, PTT

question

The pbt is preparing to go to several of the nursing homes to collect routine blood draws for glucose and CBC's on several patients and will be gone for the morning. The following tube will be used to draw the glucose:

answer

Gray (Flouride - -preservative)

question

Which of the following tests must be drawn first?

answer

STAT

question

Blood tests that may be affected by leaving the tourniquet on greater than one minute include all of the following except:

answer

BUN

question

When inspecting the antecubital fossa to select a vein for venipunture, the order of selection is:

answer

Median cubital, Cephalic, Basilica

question

After the need is removed, pressure should be applied until:

answer

Platelet plug forms

question

All of the following test analytes are higher in venous blood than capillary blood, except:

answer

Glucose

question

During the course of a 5 hour glucose tolerance test, the pbt began having diff. getting a venous sample and switched over to dermal punctures to finish out the later three glucose tests. The pbt decision:

answer

Compromises the test interpretation venous glucose levels are lower than capillary levels.

question

The term "bullet" in blood collection refers to:

answer

Microcollection Tubes

question

The composition of capillary blood includes:

answer

venous and arterial

question

Screening test that involves the vascular system and platet fxn to assess the overall integrity of primary hemostasis

answer

bleeding time

question

An abnormal bleeding time test may indicate all of the following except:

answer

secondary hemostasis disorder

question

A patient who requires a blood alchol level has a wrist band confirming an allergy to iodine, what is the proper cleansing agent to use?

answer

Chlorhexidine Gluconate

question

pbt must redraw a patient that was reported to be a difficult draw due to veins that collapse during venipuncture. Which of the following techniques could the pbt use to minimize the likelihood of collapsing a vein?

answer

Threading the needle up into the vein

question

You must redraw a patient for a potassium level because the first specimen was hemolyzed. Knowing that the patient is a difficult draw, which of the following would you do to prevent hemolysis of the sample?

answer

use a winged infusion needle for a routine venipuncture

question

Which of the following analytes would not be affected by hemolysis?

answer

Cholesterol

question

Which of the following tests are not affected by the patient's position?

answer

Potassium

question

Bright red blood is spurting into the tube causing you to suspect thta you may have punctured an artery during your venous draw. How should you proceed?

answer

Complete the draw and label the specimen arterial

question

Small, nonraised red spots that appear on the skin when the tourniquet is applied are known as ________

answer

petchaie

question

Povidone-Iodine is not recommended for cleansing the site for dermal puncture when collecting which of the following tests?

answer

Biliruben (Liver)

question

Which of the following represents the correct ratio of plasma to red blood cells in newborns?

answer

40% plasma, 60% red blood cells

question

A 4 yr old outpatient requires a blood draw for collection of a CBC and venous blood gases. The child had been crying excessingly before your arrival. Which of the following lab values may be elevated because of prolonged stress or crying by an infant or child if you were to proceed with the draw?

answer

Both A and B

question

When drawing blood from a patient arm containing an IV, which of the following is true?

answer

pbt must identify the draw location on the requisition

question

The purpose of the Allen Test before collection of an arterial blood gas is to:

answer

Assess collateral circulation in the radial artery

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