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NCCT Phlebotomy Exam
NCCT Phlebotomy Exam
209
Medical
Not Applicable
03/22/2013
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Term
The forearm vein most commonly used for venipuncture is the
 Definition
median cubital
Term
The smallest veins in the human body are known as -
 Definition
venules
Term
The aorta branches into smaller divisions called arteries, which in turn branch into even smaller divisions called -
 Definition
arterioles
Term
Characteristics of capillaries include -
 Definition
having thin walls, forming microscopic pathways, and connecting arterioles with venules
Term
Within capillaries, blood cell functions include -
 Definition
release oxygen, bind carbon dioxide, and eliminate waste
Term
The heart, lymphatic organs, and blood vessels are in the - - system.
 Definition
cardiovascular
Term
The suffix -URIA at the end of a medical term refers to what body location?
 Definition
Urine
Term
The study of blood is known as -
 Definition
hemotology
Term
The liver, stomach, mouth, and pancreas are in the - - system.
 Definition
digestive
Term
The most important step to insure accuracy in sample collection is -
 Definition
identifying the patient properly.
Term
The bladder, urethra, kidneys, and ureters are in the - - system.
 Definition
urinary
Term
The trachea, nose, lungs, and pharynx are in the - - system.
 Definition
respiratory
Term
The sebaceous glands, skin, hair, and nails are in the - - system.
 Definition
integumentary
Term
The body system that is a primary regulator of hormones is the - - system.
 Definition
endocrine
Term
Neutrophils, eosinophils, basophils, lymphocytes, and monocytes are types of -
 Definition
white blood cells
Term
The common name for the thrombocyte is the -
 Definition
platlet
Term
The liquid portion of an anticoagulated blood sample is known as -
 Definition
plasma
Term
The instrument that measures blood pressure is called a
 Definition
sphygmomanometer.
Term
An artery can be distinguished from a vein because an artery will be -
 Definition
pulsating
Term
Lancets are used to collect blood samples by -
 Definition
cappilary or skin puncture
Term
The abbreviation VAD is commonly used in hospitals to refer to -
 Definition
venous access devices.
Term
To determine the size of a needle, remember that the higher the gauge, the -
 Definition
the smaller the neeedle bore
Term
Adult capillary punctures most often involve the use of the - - finger(s).
 Definition
third and fourth (middle and ring)
Term
A centrifuge is used in a clinical laboratory setting to
 Definition
separate liquid from cells in blood.
Term
The oral glucose tolerance test is used for the detection of -
 Definition
diabetes
Term
Use a - -topped evacuated tube for collection of blood for a CBC test.
 Definition
lavendar
Term
Use a - -topped evacuated tube for collection of blood for electrolyte testing.
 Definition
red (or green for STAT orders)
Term
Use a - -topped evacuated tube for collection of blood for cholesterol testing.
 Definition
red
Term
Sodium citrate is an anticoagulant of choice for coagulation studies because it protects -
 Definition
clotting factors.
Term
When preparing a blood smear directly from a skin puncture, it is best to -
 Definition
wipe away the first drop of blood.
Term
The purpose of doing blood cultures is to detect -
 Definition
septicemia
Term
Anticoagulants are used to -
 Definition
prevent blood from clotting.
Term
White blood cells help the body by -
 Definition
defending against foreign envaders
Term
Platelets help circulation by -
 Definition
participating in hemostasis.
Term
When blood seeps into the surrounding tissue during venipuncture, a - - may form.
 Definition
hematoma
Term
In a patient with a clotting disorder, pressure should be applied to the puncture site for at least - - minutes after venipuncture to insure blood stoppage.
 Definition
5
Term
Skin punctures may be indicated for use when -
 Definition
1)the patient is an infant, toddler, or preschooler, 2) only a small amount of blood is needed, or 3) patient veins need to be preserved for IV therapy.
Term
All specimens should be labeled with -
 Definition
1) Patient's name, D.O.B., and numeric ID) 2) Date and time collected 3) Collector's initials
Term
One test often used to assess hemostasis before surgery is -
 Definition
bleeding time
Term
One possible cause of unexpected clotting in an anticoagulated blood tube might be -
 Definition
insufficiant mixing
Term
When performing a venipuncture, position the bevel of the needle -
 Definition
facing up (you should be able to see the opening).
Term
If blood does not appear in an evacuated tube upon venipuncture, the phlebotomist's first course of action should be to -
 Definition
slightly reposition or turn the needle.
Term
Redirecting a needle during venipuncture is sometimes necessary when -
 Definition
1) the vein was not properly anchored, 2) the patient moves unexpectedly, 3) blood flow starts, then stops.
Term
A vein might be prone to collapse if the -
 Definition
vacuum tube is too large for the vein, or the syringe plunger was pulled back too quickly.
Term
Hemolysis would cause rejection of a sample collected for - - testing.
 Definition
potassium
Term
If a patient is prone to syncope during venipuncture, the phlebotomist should -
 Definition
watch in case of fainting.
Term
A tube of blood that arrives in the laboratory without a label must be -
 Definition
rejected automatically
Term
If a blood sample must be collected 2 hours post-prandial, the phlebotomist should collect the sample -
 Definition
2 hours after the meal
Term
****Knowing when to collect peak and trough levels is important when drawing -
 Definition
therapeutic drugs.
Term
A pre-warming technique may be used to -
 Definition
increase a patient's tendency to bleed.
Term
***The role of all anticoagulants is ultimately to prevent formation of -
 Definition
Fibrin.
Term
The anticoagulant EDTA works by -
 Definition
binding calcium
Term
If the tourniquet is not released before the needle is withdrawn from the arm during venipuncture, this will most likely result in -
 Definition
bleeding from the site.
Term
The bilirubin test is - - sensitive.
 Definition
light sensitive
Term
The - - must be followed exactly whenever drawing patient test samples that may be used in a legal proceeding.
 Definition
Chain of Custody
Term
***The anticoagulant SPS (sodium polyanetholesulfonate) is recommended for use in blood cultures because it -
 Definition
does not inhibit bacterial growth.
Term
Before entering an inpatient room if the door is closed, phlebotomists should always -
 Definition
Check for isolation signage, knock, and ask for permission to enter.
Term
Before entering designated isolation rooms, phlebotomists should always -
 Definition
check requirements on signs.
Term
The single most important means of prevent the spread of infection in a hospital is by -
 Definition
hand washing
Term
The most prevalent type of nosocomial infections are -
 Definition
uninary tract infections
Term
Phlebotomists have a statistically greater chance of contracting - - in a work-related accident than they do of contracting AIDS.
 Definition
hepatitis
Term
AIDS is caused by -
 Definition
HIV virus
Term
When performing heelsticks on infants in a hospital nursery, it is important to never -
 Definition
share supplies from one infant to another.
Term
When delivering blood samples to a laboratory, they should always be transported inside -
 Definition
sealed plastic bags.
Term
If a biohazard spills in the laboratory, a phlebotomist should first try to -
 Definition
contain the spill carfully
Term
According to OSHA, a contaminated needle may be safely discarded into a -
 Definition
sharps container
Term
In most hospitals, a phlebotomist with a cough may draw from a patient provided the -
 Definition
1) Patient is not in reverse isolation 2) The phlebotomist does not have a fever 3) The phlebotomist wears a mask
Term
When drawing blood from pediatric inpatients, a phlebotomist can increase the safety for the patients by -
 Definition
1) Using a smaller bore needle and smaller collection tubes 2) Getting help to hold the patient securely during the draw 3) Making sure the bed-rails are left raised if found that way
Term
To eliminate bacteria from the skin of a bacterial culture venipuncture site, - - is sometimes used in addition to alcohol in the skin cleansing process.
 Definition
iodine
Term
The term that refers to right and wrong conduct is -
 Definition
ethics
Term
An unlawful threat or attempt to do bodily injury is -
 Definition
assult
Term
Law protects the health worker if it can be determined that he or she acted reasonably as compared with fellow workers; this is called -
 Definition
reasonable care.
Term
Negligence by a professional person is called -
 Definition
malpractice
Term
Information given by a patient to medical personnel that can not be disclosed without consent constitutes -
 Definition
privileged communication.
Term
Permission granted by a person voluntarily (and in his right mind) is -
 Definition
consent
Term
A phlebotomist who attempts to draw blood without sufficient training could be accused of - - if the procedure is performed incorrectly, causing harm to the patient.
 Definition
incompetence
Term
Forcing venipuncture on a patient who has refused it would be considered -
 Definition
battery
Term
The branch of study of moral issues, questions, and problems arising in the practice of medicine and biomedical research is called -
 Definition
bioethics
Term
Conduct, courtesy, and manners, customary in the medical profession, is called -
 Definition
medical etiquette.
Term
Each and every patient is entitled to - - as part of his or her patient rights.
 Definition
respect and complete care
Term
Some suggested methods of controlling on the job stress during phlebotomy might include -
 Definition
taking deep breaths if anxious.
Term
Appropriate means of communicating with a patient that is profoundly hearing impaired might include -
 Definition
using written communication.
Term
In performing phlebotomy on children, it is best to -
 Definition
1) talk softly and gently 2) enlist the help of parents 3) tell the truth if asked
Term
A patient who is making a fist and frowning is exhibiting - - body language.
 Definition
uncooperative
Term
A 24-hour urine specimen must be kept -
 Definition
refrigerated
Term
A 24-hour urine specimen must be kept -
 Definition
refrigerated.
Term
A chronic disease in which the pancreas fails to secrete enough insulin is called -
 Definition
diabetes mellitus
Term
The purpose of the bleeding time test is to assess -
 Definition
platelet plug formation in the capillaries.
Term
Diurnal rhythms refer to variations in the body's functions or fluids that occur during -
 Definition
every 24 hours
Term
EMLA is an emulsion of lidocaine and prilocaine that can be used to -
 Definition
topically anesthetize a draw site.
Term
Another name for red blood cells is -
 Definition
erythrocytes.
Term
The artery located in the groin, lateral to the femur bone, which is used as an alternative site for arterial blood gas collections is the -
 Definition
femoral
Term
The federal law that was expanded in 2000 to protect the confidentiality of electronically stored health information is abbreviated as -
 Definition
HIPAA
Term
The study of all aspects of disease in the body is known as -
 Definition
pathology
Term
The phase of laboratory testing that refers to test orders, test collection, and test sample preparation are all part of the - - phase.
 Definition
pre-analytical
Term
A patient in reverse isolation has been so placed because he or she -
 Definition
needs protection from others carrying infection.
Term
Contaminated objects that can penetrate skin, such as needles, scalpels, broken class, and broken capillary tubes are called -
 Definition
contaminated sharps
Term
To use a physical-chemical procedure to destroy all microbial life including highly resistant bacterial endospores is to -
 Definition
sterilize
Term
The single most important source of HIV and HBV in the workplace is -
 Definition
blood
Term
After they are used, disposable syringes, scalpel blades, and other sharp items should be placed in - - containers for disposal.
 Definition
puncture resistant
Term
Contaminated laundry should be - - where it was soiled.
 Definition
bagged or containerized at the location
Term
The suffix - - means blood.
 Definition
-emia
Term
The literal meaning of the word hemolysis is -
 Definition
blood breaking down.
Term
PT is the lab abbreviation for the - - test.
 Definition
Prothrombin time
Term
When a patient's arm is swollen with excess fluids, this is called -
 Definition
edema
Term
A nosocomial infection is an infection acquired -
 Definition
in the healthcare facility.
Term
Choose the item that is NOT a single use only item: needles, tourniquets, tube holders, winged infusion sets.
 Definition
Tourniquets
Term
The name of the equipment used to separate plasma or serum from red blood cells is -
 Definition
centrifuge.
Term
The tube holder and needle are to be disposed of - - into a sharps container.
 Definition
together as a unit
Term
Needles are color-coded to indicate their -
 Definition
gauge.
Term
According the the CLSI, the maximum recommended depth for heel punctures is -
 Definition
2.0 mm
Term
The - - color stopper indicates the blood collection tube contains sodium heparin.
 Definition
green
Term
When a lipid panel is ordered, the patient should be fasting for -
 Definition
at least 12 hours with water allowed.
Term
The key principle of Universal Precautions is that -
 Definition
the blood and body fluids of all individuals are considered potentially infectious.
Term
A patient having a glucose tolerance test does not have the restriction of -
 Definition
drinking water
Term
In the healthcare setting, HBV, HCV, and HIV can be transmitted by -
 Definition
1) sharps injuries, 2) splash of blood or body fluids to the mucous membranes, 3) touching non-intact skin without gloves
Term
Needlestick injuries can be prevented by -
 Definition
using safe needle devices and following instructions for proper use.
Term
Sharps containers should be closed, sealed, and made ready for disposal when it is -
 Definition
3\4ths full.
Term
If you should recieve a needlestick injury, you should report it
 Definition
report it
Term
Antisepsis is a technique used on -
 Definition
skin
Term
The transmission based isolation category Airborne Precautions is used when a patient is known or suspected to have -
 Definition
tuberculosis
Term
The bloodborne disease most likely to be transmitted by a needlestick in the US is -
 Definition
Hep C
Term
A patient experiences shooting pains in his arm when you are drawing from the antecubital area, which means you may have
 Definition
punctured or nicked the basilic nerve.
Term
The most likely reason a CBC specimen would clot is -
 Definition
the blood and the anticoagulant in the tube were not mixed sufficiently.
Term
The most likely reason a CBC specimen would clot is -
 Definition
the blood and the anticoagulant in the tube were not mixed sufficiently.
Term
A patient had a mastectomy on the right side five years ago. The side you will draw from is -
 Definition
the left side, as blood is never drawn from the side with a mastectomy.
Term
You are drawing blood from an outpatient when they begin to feel faint. The recommended course of action is to -
 Definition
remove the needle, and lower the patient's head between their legs.
Term
Hemoconcentration may be cause by -
 Definition
prolonged application of the tourniquet.
Term
The primary cause of a collapsed vein during venipuncture is
 Definition
blood is withdrawn too quickly or forcefully.
Term
*&*Mixing the blood with the anticoagulant or additive by shaking may result in -
 Definition
a hemolyzed specimen.
Term
If you find blood on the outside of the tube you have just filled, you should -
 Definition
wipe the outside of the tube with a disinfectant.
Term
Name three things that could result in a lawsuit being filed against a phlebotomist.
 Definition
1) Inserting the needle at an incorrect angle. 2) Excessive probing after missing a vein. 3) Mislabeling blood tubes.
Term
Considering patient safety, the most dangerous phlebotomy practice is -
 Definition
labeling the empty collection tubes before the collection.
Term
Per CLSI, the maximum number of venipuncture attempts by an individual phlebotomist is -
 Definition
no more than two
Term
According to standards of good practice, specimen collection tube labeling should always occur -
 Definition
before the phlebotomist leaves the patient's side.
Term
The first drop of blood that forms following a skin puncture should be -
 Definition
wiped away
Term
When identifying a patient, you must ask them to state -
 Definition
their name and date of birth
Term
***The - - vein is recommended for use when drawing 5 mL of blood on an 18 month old.
 Definition
dorsal hand
Term
Cleansing the skin with Betadine for a skin puncture may interfere with the analysis of -
 Definition
bilirubin.
Term
When performing a microcollection procedure, the best way to increase blood flow is to -
 Definition
pre-warm the site.
Term
A patient's wristband matches your requisition form except for the birth date. It shows the same month and day, but the year is 1947 instead of 1945. In order to draw blood -
 Definition
all identification discrepancies must be resolved FIRST!
Term
Drugs used to kill or destroy bacteria that cause disease are called -
 Definition
antibiotics
Term
CSF is the abbreviation for -
 Definition
cerebrospinal fluid.
Term
Red and white blood cell counts are examples of - - tests.
 Definition
hematology
Term
The blood cells most numerous in the circulating blood are the -
 Definition
red
Term
The medical term for fainting is -
 Definition
syncope
Term
Serum or plasma that has a milky white appearance is called -
 Definition
lipemic.
Term
The lab test "T & C" is the abbreviation for -
 Definition
Type & Crossmatch
Term
The rubber sleeve (at the end opposite of the beveled needle tip) on an evacuated tube needle makes it possible for use with -
 Definition
multi-tubes
Term
Capillary blood sampling may be used if the laboratory tests require -
 Definition
very little blood
Term
A tube adapter visibly contaminated with blood should be -
 Definition
disposed in a biohazard waste container.
Term
The evacuated tube containing sodium citrate has a - - colored stopper.
 Definition
blue or light blue
Term
A fasting test is ordered to -
 Definition
eliminate the effects of diet on the test results.
Term
A - - topped tube should be used for a lab test requiring serum.
 Definition
red
Term
The evacuated tube containing sodium citrate has a - - colored stopper.
 Definition
blue or light blue
Term
A fasting test is ordered to -
 Definition
eliminate the effects of diet on the test results.
Term
A - - topped tube should be used for a lab test requiring serum.
 Definition
red
Term
Hepatitis - - is not a blood borne pathogen.
 Definition
A
Term
The LAST choice for blood collection in the antecubital area is the -
 Definition
brachial veins.
Term
The venipuncture site should be cleaned in a circular motion from the center to the -
 Definition
periphery.
Term
A patient on which you have been ordered a draw has no armband. You should -
 Definition
tell the patient's nurse that the patient does not have an armband, and you can not collect until it is placed on the patient.
Term
tell the patient's nurse that the patient does not have an armband, and you can not collect until it is placed on the patient.
 Definition
polycythemia vera.
Term
The formed elements make up about - - percent of the whole blood volume.
 Definition
45
Term
The buffy coat consists of -
 Definition
leukocytes and thrombocytes.
Term
The two components of blood found in a tube without anticoagulant are -
 Definition
serum and clot.
Term
The fluid portion of the whole blood that contains fibrinogen is called -
 Definition
plasma
Term
The fluid portion of blood after clotting has taken place is called -
 Definition
serum
Term
The difference between plasma and serum is -
 Definition
plasma contains fibrinogen; serum does not.
Term
Blood returns to the heart from the lungs into the -
 Definition
left atrium.
Term
The pulmonary - - does NOT carry oxygenated blood.
 Definition
artery
Term
A blood collection on dialysis patient with a fistula or graft should be drawn from -
 Definition
the opposite arm. Never draw on the arm with a fistula or graft.
Term
The order of which veins should be used for draw in the antecubital area is -
 Definition
1) Median Cubital 2) Cephalic 3) Basilic 4) Median
Term
The most common phlebotomy complication is -
 Definition
hematoma formation.
Term
The test with cleaning techniques similar to those for blood culture tests is -
 Definition
Arterial Blood Gases.
Term
The Allen test checks the patient for -
 Definition
collateral arterial circulation.
Term
The two arteries are occluded during the Allen Test are -
 Definition
The radial and the ulnar.
Term
The artery on the thumb side of the wrist is the -
 Definition
radial
Term
The safe area for heel punctures in an infant is
 Definition
the most lateral portion of the plantar surface (the side of the pinkie toe).
Term
Skin puncture blood is more likely to be contaminated by -
 Definition
hemolysis.
Term
An estimate on how much time do you have for ASAP and STAT orders is -
 Definition
2-4 hours for ASAP orders, and 1 hour for a STAT order.
Term
The amount of blood needed for blood culture draws for adults and for children are -
 Definition
8-10 mL for Adults, 1-5 mL for children.
Term
When using a butterfly needle for a blood culture test with two bottles, the - - bottle goes first.
 Definition
Aerobic
Term
Examples of tests that must be chilled immediately after collection are -
 Definition
Ammonia, Catecholamines, Lactic acid, and PH\blood gasses.
Term
Examples of tests that must be kept warm after collection are -
 Definition
Cold agglutinins, Cryoglobulin.
Term
Examples of tests that must be kept from the light are -
 Definition
Bilirubin, and vitamins C, E, and K.
Term
The two bottles used in blood culture collections are -
 Definition
Aerobic and Anaerobic.
Term
Citrate tubes must be within - - percent to full to give accurate results.
 Definition
10
Term
A phlebotomist certified by the American Society of Clinical Pathologists (ASCP) is required to maintain certification by completing and documenting continuing education. This is known as the -
 Definition
Certification Maintenance Program (CMP)
Term
NPO means -
 Definition
Non per os' or 'nothing by mouth'.
Term
The lifespan of a red blood cell is -
 Definition
100 - 120 days.
Term
The order of which veins should be used for draw in the antecubital area is -
 Definition
1) Median Cubital 2) Cephalic 3) Basilic 4) Median
Term
The most common phlebotomy complication is -
 Definition
hematoma formation.
Term
The test with cleaning techniques similar to those for blood culture tests is -
 Definition
Arterial Blood Gases.
Term
The Allen test checks the patient for -
 Definition
collateral arterial circulation.
Term
The two arteries are occluded during the Allen Test are -
 Definition
The radial and the ulnar.
Term
The artery on the thumb side of the wrist is the -
 Definition
radial
Term
The safe area for heel punctures in an infant is
 Definition
the most lateral portion of the plantar surface (the side of the pinkie toe).
Term
Skin puncture blood is more likely to be contaminated by -
 Definition
hemolysis.
Term
An estimate on how much time do you have for ASAP and STAT orders is -
 Definition
2-4 hours for ASAP orders, and 1 hour for a STAT order.
Term
The amount of blood needed for blood culture draws for adults and for children are -
 Definition
8-10 mL for Adults, 1-5 mL for children.
Term
When using a butterfly needle for a blood culture test with two bottles, the - - bottle goes first.
 Definition
Aerobic
Term
Examples of tests that must be chilled immediately after collection are -
 Definition
Ammonia, Catecholamines, Lactic acid, and PH\blood gasses.
Term
Examples of tests that must be kept warm after collection are -
 Definition
Cold agglutinins, Cryoglobulin.
Term
Examples of tests that must be kept from the light are -
 Definition
Bilirubin, and vitamins C, E, and K.
Term
The two bottles used in blood culture collections are -
 Definition
Aerobic and Anaerobic.
Term
Citrate tubes must be within - - percent to full to give accurate results.
 Definition
10
Term
A phlebotomist certified by the American Society of Clinical Pathologists (ASCP) is required to maintain certification by completing and documenting continuing education. This is known as the -
 Definition
Certification Maintenance Program (CMP)
Term
NPO means -
 Definition
Non per os' or 'nothing by mouth'.
Term
The lifespan of a red blood cell is -
 Definition
100 - 120 days.
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