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NHA PHLEBOTOMY EXAM # 2

NHA PHLEBOTOMY EXAM # 2
100問 • 2年前
  • Gloria Herrera
    • 通報

    問題一覧

  • 1

    #1- What is informed consent?

    Clear consent from a patient after hearing a detailed explanation from the phlebotomist.

  • 2

    #2-The only time you should get consent from anyone else is?

    From the parent/guardian if the patient is a minor

  • 3

    #3-What is medical malpractice?

    When you continue with treatment without obtaining patient consent

  • 4

    #4-Patients cannot take consent back once they have given it?

    False

  • 5

    #5-Whatis the most commonly selected vein for venipuneture?

    Cephalic and median cubital veins

  • 6

    #6-What must you do to find the right vein?

    Always palpate the site first

  • 7

    #7-What is the first thing you must do if you struggle to see a vein?

    Palpate or massage from the patient's wrist up to the elbow

  • 8

    #8-How many times should you mix tubes with an anticoagulant additive?

    Eight times

  • 9

    #9-A patient must remain calm because high stress can cause the blood sample to have?

    High adrenal hormone value

  • 10

    #10-What is it called when you assign a unique number for patient identification?

    Accessioning

  • 11

    #11-Which of the following is not one of the three primary goals of the Patient's Bill of Rights?

    Promise affordable care

  • 12

    #12-To deliver quality patient care, which actions should be avoided?

    All of the above

  • 13

    #13-Which of the following duties is outside the scope of the phlebotomist's practice?

    Collecting a tissue sample.

  • 14

    #14-What organization gives out phlebotomy certifications?

    None of the above

  • 15

    #15-Implied consent to draw blood from a patient can be obtained by which action?

    The patient extends their arm.

  • 16

    #16-A patient's name is spelled differently on the wristband than on the reg-uisition form. What should you do?

    Verify the information with your supervisor or attending nurse

  • 17

    #17-Which of the following options is one way phlebotomists uphold their ethical obligations?

    Respect for patient's privacy

  • 18

    #18-Cleanliness and personal hygiene are important for?

    Personal and patient safety

  • 19

    #19-The term right to know refers to?

    The patient's legal right to know about the medical treatments and procedures they will receive

  • 20

    #20-What is a characteristic of geriatric patients that may make venipuncture challenging?

    The veins move more quickly if not anchored well enough

  • 21

    #21-What is a characteristic of pediatric patients that may make venipuncture challenging?

    They have a lower blood volume than adults

  • 22

    #22-How must you approach drawing blood from a pediatric patient?

    You must monitor and document the amount of blood drawn

  • 23

    #23-Why do newborns need more blood?

    They have a higher ratio of red blood cells to plasma than adults do

  • 24

    #24-If a patient has an IV in both arms, how long before venipuncture should the nurse turn both IVs off?

    2-15 minutes before drawing

  • 25

    #25-How should consent be obtained in emergency blood collections?

    Patient consent is assumed

  • 26

    #26-A timed specimen is used to measure how the body's metabolization of a substance, monitor anticoagulant therapy, and __________

    Monitor changes in a patient's condition

  • 27

    #27-What tests can be inaccurate if the patient is not fasting?

    All of the above

  • 28

    #28-A phlebotomy technician is preparing to perform a neonatal screening test. The technician should identify which of the following is the optimal time to perform the test?

    Between 24 and 72 hours after birth

  • 29

    #29-What information is needed for the requisition form?

    Patient billing information and test status

  • 30

    #30-When should a patient begin the collection of their 24-hour urine collection?

    At the second void of the day

  • 31

    #31-What test is used to screen for diabetes?

    2-hour postprandial specimens

  • 32

    #32-What is the name for the daily fluctuations in body hormonal levels and chemistry?

    Diurnal variation

  • 33

    #33-What is the first thing to do when collecting blood using a central venous access device?

    Discard 5 mL of blood

  • 34

    #34-How much blood should be flushed or discarded for coagulation tests?

    20 ml

  • 35

    #35-What do the following tests have in common: ammonia, lactic acid, ace-tone, PTH, homocysteine, ABG?

    They all must be chilled right after collection

  • 36

    #36-What do the following tests have in common: Bilirubin, Vitamin A, fo-late, vitamins A, B6, and B12?

    'They are all tests that are affected by light exposure

  • 37

    #37-What do the following tests have in common: molecular diagnostic spec-imens, drug screening, and blood alcohol specimens?

    All are used for forensic studies

  • 38

    #38-What is the first course of action if a patient has an IV?

    Use the other arm

  • 39

    #39-Where should you select the site if drawing from the same arm as the IV?

    Below the IV site

  • 40

    #40-What should you document in the case of venipuncture on the same arm of an IV?

    Document that the draw was distal to the IV and the type of solution

  • 41

    #41-What should you not do after disinfecting the venipuncture site?

    Wipe the skin dry with a cotton ball

  • 42

    #42-What should you do during venipuncture if the patient has many se vere burns?

    Avoid the burned areas

  • 43

    #43-How long should a tourniquet remain on the patient?

    1 minute

  • 44

    #44-What does not have a risk of hemolysis?

    Using a huge needle

  • 45

    #45-When collecting a sample to determine blood alcohol levels, what color tube should be used?

    Gray

  • 46

    #46-What do you add to a sample if it needs to be diluted?

    Diluent

  • 47

    #47-Potassium EDTA binds to what element in the blood?

    Calcium

  • 48

    #48-A failure to fast when ordered can impact a blood sample in the following ways?

    Increasing its turbidity

  • 49

    #49-How must you anchor a vein?

    Place the thumb of the non-dominant hand below the vein and stretch the skin tightly

  • 50

    #50-What is the most common cause of blood culture contamination?

    Not preparing the selected venipuncture site properly

  • 51

    #51-What is another name for a thrombocyte?

    Platelet

  • 52

    #52-What is a common complication in capillary sampling?

    All of the above

  • 53

    #53-How many liters of blood does the average human adult body have?

    5

  • 54

    #54-What can cause the rejection of a blood sample?

    All of the above

  • 55

    #55-What can happen if you do not allow the alcohol to dry completely after disinfecting the venipuncture site?

    Hemolysis

  • 56

    #56-What is the nerve most susceptible to injury during venipuncture?

    Median

  • 57

    #57-What do you do if you have attempted blood draw twice without success?

    Call for a more experienced phlebotomist or nurse

  • 58

    #58-Which of the following additive should be used for a CBC test?

    EDTA

  • 59

    #59-The patient becomes pale and diaphoretic during venipuncture? What is going on?

    The patient has syncope

  • 60

    #60-What happens if you have collected a STAT specimen but forget to label it with the patient ID number?

    The lab will reject the specimen

  • 61

    #61-What can be used as patient identification for inpatients?

    All of the above

  • 62

    #62-What should you do if the patient says they feel a sharp pain down the arm?

    Remove tourniquet and needle ASAP

  • 63

    #63-What does the word phlebotomy mean?

    Vein, cut

  • 64

    #64-What is a venesection?

    Another word for phlebotomy

  • 65

    #65-An emergency lab test request occurs in which phase of lab testing?

    Preanalytical

  • 66

    #66-In what phase of lab testing is disinfecting the selected site before veni-puncture a part of?

    Preanalytical

  • 67

    #67-During which phase does centrifugation start?

    Preanalytical

  • 68

    #68-During which phase is a blood specimen tested?

    Analytical

  • 69

    #69-What is the best way to apply antiseptic agents to the site?

    Use friction in a back-and-forth motion

  • 70

    #70-What should you say to a patient to know if they have ever fainted before during a blood draw?

    Have you ever experienced difficulty in previous blood draws?"

  • 71

    #71-If a patient faints, how long should you stay with them?

    15 minutes

  • 72

    #72-What if the patient does not regain consciousness?

    Call a nurse or a physician

  • 73

    #73-What should you do if a patient's artery is accidentally punctured?

    Remove the needle and apply firm pressure for 5 minutes

  • 74

    #74-What colors are blood culture tube caps?

    Blue and purple

  • 75

    #75-What is the recommended blood-to-anticoagulation ratio of a tube?

    9:1

  • 76

    #76-What if it takes longer than 1 minute to find the vein?

    Remove the tourniquet, wait 2 minutes, put it back on, and try again

  • 77

    #77-What makes some veins harder to find or more collapsable?

    Dehydration

  • 78

    #78-What is a complication caused by blood leaking into the tissues?

    Hematoma

  • 79

    #79-You can only draw from the IV if you

    Have a nurse or doctor's permission

  • 80

    #80-What two things can help dilate veins and make them easier to find?

    Heat and exercise

  • 81

    #81-This feature is a shield that covers the needle and retracts the needle back into the needle cap.

    Re-sheathing device

  • 82

    #82-What is a slowly performed blood draw called?

    Incorrect blood draw

  • 83

    #83-What can probing or too much needle repositioning within the vein do?

    Hemolysis

  • 84

    #84-What should you do when conducting a second venipuncture?

    Always use a new tube when conducting a second blood draw

  • 85

    #85-What can occur if you combine two partially filled tubes with the same additive?

    Both A and B

  • 86

    #86-How many times should you invert blue top tubes (sodium citrate)?

    3-4 times

  • 87

    #87-How many times should you invert gold top tubes (SST)?

    5 times

  • 88

    #88-How many times should you invert green (PST) tubes?

    8-10 times

  • 89

    #89-How many times should you invert lavender EDTA?

    8-10 times

  • 90

    #90-What should you use to transfer a blood sample from a syringe to a vacutainer tube?

    Blood transfer device

  • 91

    #91-What can lead to a change in the blood-to-additive ratio?

    Both

  • 92

    #92-Massaging the site of a capillary blood collection can lead to?

    Hemolysis

  • 93

    #93-The results show false high potassium, indicating?

    Hemoconcentration

  • 94

    #94-What bandages are recommended for most venipunctures?

    Latex

  • 95

    #95-When a patient's lab test must be redone for emergency reasons, what is necessary if there is a missing / inaccurate label?

    Emergency release form

  • 96

    #96-What type of reaction can lead to fainting or hypotension?

    Vasovagal reaction

  • 97

    #97-What tubes are used for serum tubes with gel separator?

    Red and gold cap

  • 98

    #98-How should the blood culture be taken if a patient has an unexplained fever?

    2-3 blood culture samples must be taken simultaneously via two separate venipunctures

  • 99

    #99-What additive do light blue topped tubes have?

    Sodium citrate

  • 100

    #100-For how long do gray tubes for glucose preserve blood specimens?

    24 hours

    • Phlebotomist

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    Gloria Herrera · 120問 · 3年前

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    問題一覧

  • 1

    #1- What is informed consent?

    Clear consent from a patient after hearing a detailed explanation from the phlebotomist.

  • 2

    #2-The only time you should get consent from anyone else is?

    From the parent/guardian if the patient is a minor

  • 3

    #3-What is medical malpractice?

    When you continue with treatment without obtaining patient consent

  • 4

    #4-Patients cannot take consent back once they have given it?

    False

  • 5

    #5-Whatis the most commonly selected vein for venipuneture?

    Cephalic and median cubital veins

  • 6

    #6-What must you do to find the right vein?

    Always palpate the site first

  • 7

    #7-What is the first thing you must do if you struggle to see a vein?

    Palpate or massage from the patient's wrist up to the elbow

  • 8

    #8-How many times should you mix tubes with an anticoagulant additive?

    Eight times

  • 9

    #9-A patient must remain calm because high stress can cause the blood sample to have?

    High adrenal hormone value

  • 10

    #10-What is it called when you assign a unique number for patient identification?

    Accessioning

  • 11

    #11-Which of the following is not one of the three primary goals of the Patient's Bill of Rights?

    Promise affordable care

  • 12

    #12-To deliver quality patient care, which actions should be avoided?

    All of the above

  • 13

    #13-Which of the following duties is outside the scope of the phlebotomist's practice?

    Collecting a tissue sample.

  • 14

    #14-What organization gives out phlebotomy certifications?

    None of the above

  • 15

    #15-Implied consent to draw blood from a patient can be obtained by which action?

    The patient extends their arm.

  • 16

    #16-A patient's name is spelled differently on the wristband than on the reg-uisition form. What should you do?

    Verify the information with your supervisor or attending nurse

  • 17

    #17-Which of the following options is one way phlebotomists uphold their ethical obligations?

    Respect for patient's privacy

  • 18

    #18-Cleanliness and personal hygiene are important for?

    Personal and patient safety

  • 19

    #19-The term right to know refers to?

    The patient's legal right to know about the medical treatments and procedures they will receive

  • 20

    #20-What is a characteristic of geriatric patients that may make venipuncture challenging?

    The veins move more quickly if not anchored well enough

  • 21

    #21-What is a characteristic of pediatric patients that may make venipuncture challenging?

    They have a lower blood volume than adults

  • 22

    #22-How must you approach drawing blood from a pediatric patient?

    You must monitor and document the amount of blood drawn

  • 23

    #23-Why do newborns need more blood?

    They have a higher ratio of red blood cells to plasma than adults do

  • 24

    #24-If a patient has an IV in both arms, how long before venipuncture should the nurse turn both IVs off?

    2-15 minutes before drawing

  • 25

    #25-How should consent be obtained in emergency blood collections?

    Patient consent is assumed

  • 26

    #26-A timed specimen is used to measure how the body's metabolization of a substance, monitor anticoagulant therapy, and __________

    Monitor changes in a patient's condition

  • 27

    #27-What tests can be inaccurate if the patient is not fasting?

    All of the above

  • 28

    #28-A phlebotomy technician is preparing to perform a neonatal screening test. The technician should identify which of the following is the optimal time to perform the test?

    Between 24 and 72 hours after birth

  • 29

    #29-What information is needed for the requisition form?

    Patient billing information and test status

  • 30

    #30-When should a patient begin the collection of their 24-hour urine collection?

    At the second void of the day

  • 31

    #31-What test is used to screen for diabetes?

    2-hour postprandial specimens

  • 32

    #32-What is the name for the daily fluctuations in body hormonal levels and chemistry?

    Diurnal variation

  • 33

    #33-What is the first thing to do when collecting blood using a central venous access device?

    Discard 5 mL of blood

  • 34

    #34-How much blood should be flushed or discarded for coagulation tests?

    20 ml

  • 35

    #35-What do the following tests have in common: ammonia, lactic acid, ace-tone, PTH, homocysteine, ABG?

    They all must be chilled right after collection

  • 36

    #36-What do the following tests have in common: Bilirubin, Vitamin A, fo-late, vitamins A, B6, and B12?

    'They are all tests that are affected by light exposure

  • 37

    #37-What do the following tests have in common: molecular diagnostic spec-imens, drug screening, and blood alcohol specimens?

    All are used for forensic studies

  • 38

    #38-What is the first course of action if a patient has an IV?

    Use the other arm

  • 39

    #39-Where should you select the site if drawing from the same arm as the IV?

    Below the IV site

  • 40

    #40-What should you document in the case of venipuncture on the same arm of an IV?

    Document that the draw was distal to the IV and the type of solution

  • 41

    #41-What should you not do after disinfecting the venipuncture site?

    Wipe the skin dry with a cotton ball

  • 42

    #42-What should you do during venipuncture if the patient has many se vere burns?

    Avoid the burned areas

  • 43

    #43-How long should a tourniquet remain on the patient?

    1 minute

  • 44

    #44-What does not have a risk of hemolysis?

    Using a huge needle

  • 45

    #45-When collecting a sample to determine blood alcohol levels, what color tube should be used?

    Gray

  • 46

    #46-What do you add to a sample if it needs to be diluted?

    Diluent

  • 47

    #47-Potassium EDTA binds to what element in the blood?

    Calcium

  • 48

    #48-A failure to fast when ordered can impact a blood sample in the following ways?

    Increasing its turbidity

  • 49

    #49-How must you anchor a vein?

    Place the thumb of the non-dominant hand below the vein and stretch the skin tightly

  • 50

    #50-What is the most common cause of blood culture contamination?

    Not preparing the selected venipuncture site properly

  • 51

    #51-What is another name for a thrombocyte?

    Platelet

  • 52

    #52-What is a common complication in capillary sampling?

    All of the above

  • 53

    #53-How many liters of blood does the average human adult body have?

    5

  • 54

    #54-What can cause the rejection of a blood sample?

    All of the above

  • 55

    #55-What can happen if you do not allow the alcohol to dry completely after disinfecting the venipuncture site?

    Hemolysis

  • 56

    #56-What is the nerve most susceptible to injury during venipuncture?

    Median

  • 57

    #57-What do you do if you have attempted blood draw twice without success?

    Call for a more experienced phlebotomist or nurse

  • 58

    #58-Which of the following additive should be used for a CBC test?

    EDTA

  • 59

    #59-The patient becomes pale and diaphoretic during venipuncture? What is going on?

    The patient has syncope

  • 60

    #60-What happens if you have collected a STAT specimen but forget to label it with the patient ID number?

    The lab will reject the specimen

  • 61

    #61-What can be used as patient identification for inpatients?

    All of the above

  • 62

    #62-What should you do if the patient says they feel a sharp pain down the arm?

    Remove tourniquet and needle ASAP

  • 63

    #63-What does the word phlebotomy mean?

    Vein, cut

  • 64

    #64-What is a venesection?

    Another word for phlebotomy

  • 65

    #65-An emergency lab test request occurs in which phase of lab testing?

    Preanalytical

  • 66

    #66-In what phase of lab testing is disinfecting the selected site before veni-puncture a part of?

    Preanalytical

  • 67

    #67-During which phase does centrifugation start?

    Preanalytical

  • 68

    #68-During which phase is a blood specimen tested?

    Analytical

  • 69

    #69-What is the best way to apply antiseptic agents to the site?

    Use friction in a back-and-forth motion

  • 70

    #70-What should you say to a patient to know if they have ever fainted before during a blood draw?

    Have you ever experienced difficulty in previous blood draws?"

  • 71

    #71-If a patient faints, how long should you stay with them?

    15 minutes

  • 72

    #72-What if the patient does not regain consciousness?

    Call a nurse or a physician

  • 73

    #73-What should you do if a patient's artery is accidentally punctured?

    Remove the needle and apply firm pressure for 5 minutes

  • 74

    #74-What colors are blood culture tube caps?

    Blue and purple

  • 75

    #75-What is the recommended blood-to-anticoagulation ratio of a tube?

    9:1

  • 76

    #76-What if it takes longer than 1 minute to find the vein?

    Remove the tourniquet, wait 2 minutes, put it back on, and try again

  • 77

    #77-What makes some veins harder to find or more collapsable?

    Dehydration

  • 78

    #78-What is a complication caused by blood leaking into the tissues?

    Hematoma

  • 79

    #79-You can only draw from the IV if you

    Have a nurse or doctor's permission

  • 80

    #80-What two things can help dilate veins and make them easier to find?

    Heat and exercise

  • 81

    #81-This feature is a shield that covers the needle and retracts the needle back into the needle cap.

    Re-sheathing device

  • 82

    #82-What is a slowly performed blood draw called?

    Incorrect blood draw

  • 83

    #83-What can probing or too much needle repositioning within the vein do?

    Hemolysis

  • 84

    #84-What should you do when conducting a second venipuncture?

    Always use a new tube when conducting a second blood draw

  • 85

    #85-What can occur if you combine two partially filled tubes with the same additive?

    Both A and B

  • 86

    #86-How many times should you invert blue top tubes (sodium citrate)?

    3-4 times

  • 87

    #87-How many times should you invert gold top tubes (SST)?

    5 times

  • 88

    #88-How many times should you invert green (PST) tubes?

    8-10 times

  • 89

    #89-How many times should you invert lavender EDTA?

    8-10 times

  • 90

    #90-What should you use to transfer a blood sample from a syringe to a vacutainer tube?

    Blood transfer device

  • 91

    #91-What can lead to a change in the blood-to-additive ratio?

    Both

  • 92

    #92-Massaging the site of a capillary blood collection can lead to?

    Hemolysis

  • 93

    #93-The results show false high potassium, indicating?

    Hemoconcentration

  • 94

    #94-What bandages are recommended for most venipunctures?

    Latex

  • 95

    #95-When a patient's lab test must be redone for emergency reasons, what is necessary if there is a missing / inaccurate label?

    Emergency release form

  • 96

    #96-What type of reaction can lead to fainting or hypotension?

    Vasovagal reaction

  • 97

    #97-What tubes are used for serum tubes with gel separator?

    Red and gold cap

  • 98

    #98-How should the blood culture be taken if a patient has an unexplained fever?

    2-3 blood culture samples must be taken simultaneously via two separate venipunctures

  • 99

    #99-What additive do light blue topped tubes have?

    Sodium citrate

  • 100

    #100-For how long do gray tubes for glucose preserve blood specimens?

    24 hours