My Phlebotomy – Flashcards
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A quantitative test will have units attached to numeric values. True or False
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True
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Physical hazards in the laboratory can be classified as electrical, fire, or mechanical. True or False
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TRUE
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Laboratories that perform moderate-complexity tests are required to submit to unannounced inspection every 2 years. True or False
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TRUE
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When using a fire safety blanket, be sure to wrap the person securely in the blanket to smother the flames. True or False
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FALSE
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The most effective means of preventing infection is the use of latex gloves. True or False
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FALSE
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The gram is the unit of mass in the metric system. True or False
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TRUE
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The longer the objective of the microscope, the greater the magnification of the lens. True or False
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TRUE
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A centrifuge load always contains an even number of tubes. True or False
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TRUE
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The Red & Gray marbled topped vacutainer tube contains silica particles to enhance clotting and a thixotropic gel to assist in the separation of serum and blood cells. True or False
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TRUE
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Concerning venipuncture needles, the smaller the gauge, the larger the lumen of the needle. True or False
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TRUE
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The smaller the gauge of the venipuncture needle, the less likely that hemolysis of blood cells will occur. True or False
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TRUE
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The NCCLS has recommended the drawing of red topped "waste" tube before darwing a light blue topped vacutainer tube thromboplastin released from cells during the venipuncture can interfere with coagulation testing. True or False
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TRUE
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When drawing a venous blood sample from the hand, a tourniquet should never be used. True or False
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False
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Capillary blood is a mixture of arterial blood and venous blood. True or False
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TRUE
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During insertion of the needle into the vein during a routine venipuncture, the bevel of the needle should be facing down. True or False
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FALSE
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While one is obtaining capillary blood, it is important to squeeze and milk the finger to obtain an aqequate amount of blood. True or False
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TRUE
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According to the American Society of Clinical Pathologists, nearly 80% of physicians decisions are based on laboratory testing. True or False
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TRUE
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The tourniquet should be tied no longer than 5 minutes. True or False
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FALSE
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Rubbing alcohol is commonly used too prevent infection during venipuncture. True or False
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TRUE
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Needles used during venipuncture may be only used once. True or False
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TRUE
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A portion of a well-mixed sample removed for testing is called: Aliquot
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Aliquot
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A term used to describe a blood sample in which the red blood cells have ruptured is referred to. Hemolyzed
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Hemolyzed
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Decreased hemoglobin levels are seen in which of the following illnesses: Iron-deficiency Anemia & Cirrhosis of the Liver
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Iron-deficiency Anemia / Cirrhosis of the Liver
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Involves the study of bacteria, fungi, yeasts, parasites, and viruses: Microbiology
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Microbiology
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The act passed by Congress to established quality standards for all laboratory testing is referred to as: Clinical Laboratory Improvement Amendments CLIA
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Clinical Laboratory Improvement Amendments CLIA
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Catergories to tests performed in the clinical laboratory are assigned by the FDA on the basis of the: Potential risk to public health
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Potential risk to public health
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Laboratory tests performed in a physican's office are most likely to be categorized as: Waived and Moderate-Complexity
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Waived and Moderate-Complexity
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What is not considered a waived test: Gram staining
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Gram staining
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A blood culture and sensitivity (C&S) test is most likely performed in which division of the clinical laboratory: Microbiology
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Microbiology
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In the identification system of the National Fire Protection Association, the White Diamond indicates: Special hazards of the chemical
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Special hazards of the chemical
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Which of the following is least likely to prevent the spread of infection in a laboratory: Using sterile cups in urine collection
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Using sterile cups in urine collection
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The pledge of healthcare professionals to work to achieve the highest degree of excellence in the care given to every patient is otherwise known as: Quality Assurance
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Quality Assurance
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The most common temperature for an incubator in the microbiology laboratory is: 37 degrees celisus
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37 celisus
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Pipets used to prepare reagents include: Graduated and Volumetric
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Graduated and Volumetric
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Which of the following is most accurate to measure 500 mL: 500 mL Volumetric flask
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500 mL Volumetric flask
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The ocular of the microscope generally magnifies an image: 10 x or 10 times bigger
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10 times
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The microscope component that directs the light up through the stages is the: Condenser
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Condenser
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When the 40x objective is in place on the microscope, the total magnification of the specimen is: 400 x or 400 times bigger
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400x
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Immersion oil can used on what objective lense of a microscope: 100 x or 100 times
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100x 100 times
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A centifuge is used to separate: Liquids from solids, Blood cells from serum or plasma, and crystals from urine.
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A centifuge is used to separate: Liquids from solids, Blood cells from serum or plasma, and crystals from urine.
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Preventing aerosolization in a centifuge can be accomplished by ensuring that: The tubes are tightly capped.
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The tubes are tightly capped.
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An autoclave can best be compared to an: Pressure cooker
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Pressure cooker
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The word autoclaved appears on special tape used in an autoclave only if the temperature has reached: 121 degrees celsus
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121 degrees celsus
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What tube is used routinely for Hematology testing: Lavender Topped
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Lavender Topped
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No anticoagulants are found in which tube: Red Topped
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Red Topped
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If a laboratory test requires serum, which tube is the tube of choice: Red Topped
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Red topped
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For collection of blood specimens during a glucose tolerance test which type of tube is used: Gray Topped
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Gary Topped
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Name the anticoagulant that prevents platelets from clumping and preserves the appearance of blood cells for microscopic preparation: Ethylenediamine tetraacetic acid or EDTA
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Ethylenediamine tetraacetic acid or EDTA
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The slant at the open end of a needle used for venipuncture is termed: The Bevel
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bevel
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The needle size most commonly used for adult venipuncture is: 21 gauge
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21 gauge
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The needle size most commonly used by the blood bank for donations is: 16 gauge
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16 gauge
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The needle size most commonly used on infants or elderly patients is: 23 gauge
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23 gauge
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Plasma could be retrieved from what tube or tubes: LAVENDER AND GRAY TUBES
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LAVENDER AND GRAY TUBES
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A tourniquet is used during the phlebotomy procedure to: Prevent venous flow out of the site & Cause the vein to bulge.
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Prevent venous flow out of the site & Cause the vein to bulge
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A tourniquet should remain tied on a patient's arm no longer than: 1 minute
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1 minute
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Without a clot activator, whole blood typically clots in: 30 to 60 minutes
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30 to 60 minutes
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Thixotrpoic gel, found in the SST red and gray marbled-topped vacutainer tube: Is less dense than red blood cells but more dense than serum.
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Is less dense than red blood cells but more dense than serum.
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The portion of the venipuncture needle that fits into the syringe or vacutainer adapter: The Hub The Hub
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The Hub
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A syringe is preferred over a vacutainer collection when: The patient's veins are fragile, and the sample must be drawn from the hand veins.
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The patient's veins are fragile, and the sample must be drawn from the hand veins.
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Leaving a tourniquet tied on a patient's arm for longer than the recommended time results in: Bifurcation Bifurcation
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Bifurcation
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Before a routine venipuncture or capillary puncture, the site is typlically cleaned with: 70% Isopropyl Alcohol 70% Isopropyl Alcohol
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70 % Isopropyl Alcohol
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With a routine venipuncture, the angle in which the needle enters the arm should be how many degrees? 15 to 30 degrees 15 to 30 degrees
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15 to 30
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During a routine venipuncture, when should the phlebotomist request that the patient "make a fist": After applying the tourniquet and before inserting the needle.
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After applying the tourniquet and before inserting the needle.
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During a routine venipuncture, when should the phlebotomist request that the patient "release the fist": When the blood enters the first tube being drawn.
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When the blood enters the first tube being drawn.
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During a routine venipuncture, when is the correct time to remove the tourniquet: As the last tube to be drawn begins to fill.
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As the last tube to be drawn begins to fill.
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The veins that can be used for routine venipuncture are? Median Cephalic vein, Median Basilic vein, and Supplementary cephalic vein
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Median Cephalic vein, Median Basilic vein, and Supplementary cephalic vein
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A winged infusion set is also known as a: Butterfly needle Butterfly needle
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Butterfly needle
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A needlestick is more likely to happen if: An attempt is made to recap a needle.
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An attempt is made to recap a needle.
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A hematoma can be caused by: Excessive probing to locate a vein, Failure to insert the needle far enough into the vein, and if the needle is penetrating all the way through a vein.
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Excessive probing to locate a vein, Failure to insert the needle far enough into the vein, and if the needle is penetrating all the way through a vein.
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The device used for dermal puncture is a: Lancet Lancet
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Lancet
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The Order of draw is as follows: BLOOD CULTURE BOTTLES OR YELLOW LIGHT BLUE TUBE RED OR GOLD TUBE GREEN TUBE LAVENDER TUBE PINK TUBE GRAY TUBE
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The Light Blue tube contains which additive: NA CITRATE OR SODIUM CITRATE
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THE RED TUBE IS CONTAINS NO ADDITIVE BUT IS USED FOR: SERUM SERUM
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The LAVENDER tube contains which additive: Ethylenediamine tetraacetic acid or EDTA EDTA OR Ethylenediamine tetraacetic acid
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THE GREEN TUBE CONTAINS WHAT ADDITIVES: LITHIUM HEPARIN SODIUM HEPARIN AMMONIUM HEPARIN
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LITHIUM HEPARIN SODIUM HEPARIN AMMONIUM HEPARIN
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THE YELLOW TUBES CONTAIN WHAT ADDITIVES: ACD AND SPS ACD AND SPS
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THE GRAY TUBE HAS WHAT ADDITIVE: POTASSIUM OXALATE SODIUM FLOURIDE
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What tubes contain GEL CLOT ACTIVATORS: TIGER TUBE (SPECKLED TOPPED TUBE)
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What tests are LIGHT BLUE tubes used for: PT: PROTHOMBINE TIME PTT: PARTIAL THROMBOPLASTINE TIME
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What tests are Green tubes used for: DRUG TESTING DNA ELECTROLYTES
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What tests are LAVENDER tubes used for: CBC:COMPLETE BLOOD COUNT ESR: ERTHROCYTE SEDIMENTATION RATE Hct: Hematocrit Hgb: Hemoglobin
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What tests are GRAY tubes used for: GTT: GLUCOSE TOLERANCE TEST FBS: FASTING BLOOD SUGAR BLOOD ALCOHOL 2 P.P: 2 HOURS POST PRANDIAL
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What tests are PINK TUBES tubes used for: BLOOD BANK
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What tests are TIGER (SPECKLED) tubes used for: HCG: HUMAN CHORIONIC GONADOTROPIN HIV: HUMAN IMMUNODEFICIENCY VIRUS PROFILES
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What tests are RED AND GOLD tubes used for: HCG: HUMAN CHORIONIC GONADOTROPIN ABO TYPE
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THE DEPARTMENTS OF COLORED TUBES IS AS FOLLOWS: HEMATOLOGY: LAVENDER COAGULATION: LIGHT BLUE TUBE CHEMISTRY: GOLD TUBE, RED TUBE, GREEN TUBE, TIGER TUBE SEROLOGY: GOLD OR RED TUBE BLOOD BANK: PINK (PRIMARY) LAVENDER (SECONDARY) MICROBIOLOGY: BLOOD CULTURE
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