Phlebotomy test 1 – Flashcards
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Which of the following communicates unprofessionalism?
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Intense odor of cologne
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Proof of participation in workshops to upgrade skills required by some agencies to renew certification is called
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CEUs
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Which of the following is an example of a confirming response to a patient?
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I understand how you must be feeling.
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It is improper telephone protocol to
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hang up on angry callers.
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Which of the following is an example of a barrier to effective communication with a patient?
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All of the answers are correct.
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The term "phlebotomy" is derived from Greek words that, literally translated, mean
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vein incision.
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Which duty is not performed by local public health agencies?
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Licensure of healthcare personnel
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What does acknowledging a patient's beliefs, customs, knowledge, and attitudes exemplify?
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Diversity awareness
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Promoting good public relations is a part of the phlebotomist's role because
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All of the options are correct.
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What are the credentials for an ASCP-certified phlebotomist?
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PBT
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Another name for blood bank is
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immunohematology.
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Outpatient phlebotomy, such as in a physician's office or patient care service center, will be assigned a code for reimbursement using which national coding system?
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CPT
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The area of the lab where testing is performed to detect infectious diseases and the antibodies produced in response to infection is called
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immunology.
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Electrolyte testing includes
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sodium, potassium.
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Which of the following is NOT a phlebotomist's duty?
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Starting intravenous (IV) lines
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Which department is responsible for administering oxygen therapy?
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Respiratory therapy
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A phlebotomist who gets the specimen for the doctor even if he or she must take shortcuts is exhibiting?
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unprofessionalism
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Which of the following is an example of negative kinesics?
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Frowning
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The term used to describe sophisticated and highly complex medical care is
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tertiary care.
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Of the following laboratory personnel, which one is referred to as a "medical laboratory scientist"?
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Medical technologist
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With which other hospital department would the laboratory coordinate therapeutic drug monitoring?
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Pharmacy
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Which preanalytical factor that can affect validity of test results is not always under the phlebotomist's control?
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Patient preparation
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Which action will compromise the quality of a specimen?
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Partially filling a liquid EDTA tube
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The only phlebotomist in an outpatient drawing center is not familiar with the test that a physician has ordered. What is the most appropriate action to take?
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Refer to the collection manual for instruction.
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QC protocols prohibit use of outdated evacuated tubes because
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tubes may not fill completely, changing additive-to-sample ratios.
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Which one of the following conditions is LEAST likely to be a reason for specimen rejection?
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An icteric bilirubin specimen
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Which of the following is an example of a QA indicator?
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The blood culture contamination rate will not exceed the national rate.
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Which one of the following examples is unrelated to quality control?
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Employees filling out their time sheets daily
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Drawing a patient's blood without his or her permission can result in a charge of
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assault and battery.
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Some test specimens require immediate cooling in ice and water slurry to
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slow down metabolic processes.
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Significant gaps in the quality of testing practices in physicians' offices resulted in the recent development of:
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good laboratory practices.
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Malpractice is a claim of
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improper treatment.
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Which one of the following is found in a procedure manual?
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listing of all revision dates for the procedure
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Which of the following would NOT violate a patient's right to confidentiality?
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Sharing collection site information on a difficult patient
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Which analyte test result will be adversely affected by chilling?
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Potassium
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One of NPSG's specified 2014 goals for the laboratory is to
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improve communication.
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When the threshold value of a clinical indicator of QA is exceeded and a problem is identified
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a corrective action plan is implemented.
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A national organization that sets standards for phlebotomy procedures is
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CLSI.
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The "standard of care" in the practice of phlebotomy is influenced by which of the following organizations?
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The Joint Commission
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Which one of the following is NOT included in the various phases of malpractice litigation?
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A healthcare institution is informed of an injury to a patient.
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The definition of a minor is anyone
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who is not the age of majority.
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One of the screening criteria used by The Joint Commission to determine accreditation of the clinical laboratory is the category Immediate Threat to Health and Safety. An example of not meeting this criterion would be
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recurrent problems with patient identification.
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If a phlebotomist __________, he or she is negligent.
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fails to put the needle and holder in the sharps container
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Two phlebotomists in an elevator are discussing a patient's condition. They are overheard by the patient's daughter. This is an example of
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invasion of privacy.
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Unauthorized release of confidential patient information is called
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invasion of privacy.
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A specimen was mislabeled on the floor. The phlebotomist is required to fill out an incident report form. What information is NOT part of the report?
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Suggestion for new guidelines
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The Joint Commission's Sentinel Event QI program policy is designed to do all of the following EXCEPT
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demonstrate flexibility in setting QC measures.
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Occupational exposure to bloodborne pathogens can occur if which of the following happens while the healthcare worker is performing his or her duties?
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A human bite breaks the skin. Blood comes in contact with a cut. Body fluids splash into the mouth.
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An example of employee screening for infection control is
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PPD testing
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Which of the following is not one of the code words in the NFPA order of action in the event of fire?
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Smother
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Vaccination against HBV involves
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a dose of vaccine, a second dose 1 month later, a third dose 6 months later.
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The Needlestick Safety and Prevention Act directed OSHA to revise the BBP standard in all of the following areas EXCEPT
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availability of vaccination against HBV for all employees.
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CLSI guidelines state that scrubs or slacks worn in the lab should be how far off of the floor?
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1 to 1½ inches
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Which type of contact infection transmission involves transfer of an infective microbe to the mucous membranes of a susceptible individual by means of a cough or sneeze?
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Droplet
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What is the proper order for putting on the following protective clothing?
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Gown first, then mask, then goggles, gloves last
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The purpose of "protective" isolation is to
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protect patients who are highly susceptible to infection.
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An N-95 respirator must be worn when entering the room of a patient who has which type of precaution sign on the door?
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Airborne
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The OSHA HazCom Standard is also commonly called the
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Right-to-Know law.
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Which of the following is an example of a work practice control that reduces the risk of exposure to bloodborne pathogens?
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Hand decontamination
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In what instance might a patient be placed in protective isolation?
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The patient has severe burns.
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The main principles involved in radiation exposure are
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exposure time, distance, and shielding.
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Which of the following is an example of a potential permucosal exposure to biohazardous microorganisms?
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Rubbing an eye with a contaminated hand
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A sign posted on the door of a patient in contact isolation states that all who enter the room must use soap and water to wash their hands before leaving the room. This is a sign that the patient may be infected with a spore-forming microbe such as
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Clostridium difficile.
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According to standard first aid procedures, severe external bleeding is best controlled by
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applying direct pressure.
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What is the FIRST thing the phlebotomist should do in the event of an accidental needlestick?
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Wash the site with soap and water for at least 30 seconds.
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To comply with the latest HazCom revision, the label of a hazardous chemical must include a
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GHS hazard statement. hazard class pictogram. severity signal word.
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Federal law requires that hepatitis B vaccination be made available to employees assigned to duties with occupational exposure risk
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within 10 working days of initial assignment.
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A body fluid splash to the eyes requires the victim to immediately flush the eyes with water or sterile saline for a minimum of
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10 minutes
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Class C fires
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involve electrical equipment.
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Examples of nosocomial infections include
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when a catheter site of a patient in ICU becomes infected.
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Which type of PPE must be removed after leaving the patient's room and closing the door?
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Respirator
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Which of the following is classified as a disinfectant?
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Sodium hypochlorite
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A rapid serum tube contains
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thrombin
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The slanted tip of the needle that enters the vein is called the
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bevel
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Glass particles present in serum separator tubes
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enhance clotting
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When using a winged infusion blood collection set, if the first tube is an additive tube, it is important to collect a few milliliters of blood into a nonadditive tube first to
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maintain proper blood-to-additive ratio.
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The solution normally used to clean the site before routine venipuncture is
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70% isopropanol.
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When nitrile or vinyl strap tourniquets become soiled with blood, it is best to
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throw them away.
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A tube with a green stopper normally contains
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heparin
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What is the proper blood-to-additive ratio for a light-tube collected for a coagulation test?
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9: 1
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According to CLSI standards, which of the tubes listed below is filled last when using a syringe?
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EDTA
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The tests performed in the following department are typically collected in a tube with a light-blue stopper.
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Coagulation
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You must collect a routine hematology test, a coagulation test, and a stat chemistry test. Which of the following are the tubes you would most likely use, listed in the correct order of draw?
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Light-blue-top, green-top, purple-top.
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The tube additive that is responsible for the most carryover problems is
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ethylenediaminetetraacetic acid.
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What is the most important factor in choosing which gauge needle to use for venipuncture?
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Size and condition of the vein
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Heparin prevents blood from clotting by
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inhibiting thrombin
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A phlebotomist collects a light-blue-top, lavender-top, and gray-top tube from an inpatient. Respectively, which of the following additives do the tubes most likely contain?
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Citrate, EDTA, sodium fluoride
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Which needle gauge has the largest lumen?
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18
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Which additive is usually present in a tube with a lavender stopper?
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EDTA
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Which of the following substances is a biocide?
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Hydrogen peroxide Isopropyl alcohol Povidone iodine
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The purpose of an antiglycolytic agent is to
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preserve glucose.
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The patient asks if the specimen about to drawn is for a diabetes test. How should the question be answered?
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Say, "It's best to discuss that with the doctor."
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Never leave a tourniquet on for more than
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1 minute
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Communicating in this way before obtaining a blood specimen from a child is poor technique.
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Telling the child it won't hurt
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Which of the following is the job of a student phlebotomist?
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Letting the patient know that you are a student phlebotomist
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An unconscious patient is not wearing an ID band. There is an ID band taped to the patient's IV pole with information that matches the requisition. What should the phlebotomist do?
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Only draw the specimen after an ID band has been applied.
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What may happen if you mix a specimen too vigorously?
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Hemolysis
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What is the purpose of waiting 30 seconds for the alcohol to dry before needle insertion?
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To let evaporation help destroy microbes To avoid a stinging sensation To prevent hemolysis of the specimen
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The patient is just finishing a big breakfast as the phlebotomist arrives to draw a fasting specimen. What should the phlebotomist do?
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Check with the patient's nurse to see if the specimen should still be collected..
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The priority designation for a test request is based on all of the following except
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age and gender.
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A phlebotomist arrives to draw a specimen from an inpatient. The patient's door is closed. What should the phlebotomist do?
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Knock softly, open it slowly, and ask permission to enter.
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Doing this during the vein selection process is bad for the specimen.
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Allowing the patient to pump his or her fist.
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What would be the system of choice to identify laboratory specimens from an unconscious, unidentified woman in the emergency room?
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Use a three-part identification band and labels.
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How can you tell that you are in a vein when using a needle and a syringe?
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You will normally see blood appear in the hub of the needle.
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There is a request to draw a specimen from an inpatient by the name of John Doe. Which of the following is an acceptable way to confirm the patient's identity?
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Match the ID band and requisition with his verbal statement of ID.
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What is the most critical error a phlebotomist can make?
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Misidentifying a patient specimen
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What is the best way for a newly trained phlebotomist to handle a venipuncture on a patient with needle phobia?
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Ask an experienced phlebotomist to do the draw.
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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?
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STAT electrolytes in the ER
