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Q 1/100
Score 0
Speak with the patient's guardian before performing the venipuncture to ensure the explanation is understood
30
A phlebotomist has a requisition to draw blood on a patient who has severe Downs' Syndrome. Which of the following steps should the phlebotomist take?
Q 2/100
Score 0
Confirm the correct identity of the patient
30
Which of the following procedural steps for a finger stick should the phlebotomist do first?
100 questions
Q.
Speak with the patient's guardian before performing the venipuncture to ensure the explanation is understood
1
30 sec
Q.
Confirm the correct identity of the patient
2
30 sec
Q.
Apply pressure after collecting the specimen. The development of petechiae is a sign of reduced platelet function and carries an increased risk of bleeding.
3
30 sec
Q.
SST
4
30 sec
Q.
"As soon as you collect the specimen, keep it next to your body. We will need to submit it right away for testing." Semen samples for fertility must be delivered to the laboratory within 2 hr of collection and kept at body temperature.
5
30 sec
Q.
Potassium
6
30 sec
Q.
An aerobic and an anaerobic bottle
7
30 sec
Q.
Pre-surgical test results are a priority to report, because the results may alter how or if a surgery is performed.
8
30 sec
Q.
Shaking the collection tube vigorously. This will cause the red blood cells to rupture, causing hemolysis.
9
30 sec
Q.
Send the results to the physician in a marked envelope.
10
30 sec
Q.
perform the venipuncture as normal per OSHA regulations.
11
30 sec
Q.
Benzalkonium chloride
12
30 sec
Q.
Sodium citrate
13
30 sec
Q.
When a patient is tested
14
30 sec
Q.
O2 levels. The infant may cry due to the draw, so every attempt must be made to collect the O2 levels as close to resting as possible.
15
30 sec
Q.
Saturate each circle.
16
30 sec
Q.
Green, lavender, gray
17
30 sec
Q.
an increased rate of coagulation
18
30 sec
Q.
Winged infusion set and adapter
19
30 sec
Q.
Inform the patient to contact the ordering physician to get the results
20
30 sec
Q.
Release the tourniquet and remove the needle
21
30 sec
Q.
The specimen was insufficient
22
30 sec
Q.
Apply pressure to prevent leakage of blood into the tissues.
23
30 sec
Q.
Median cubital
24
30 sec
Q.
Attempt to draw from the antecubital region. With any patient the antecubital region is the first choice for a draw.
25
30 sec
Q.
N-95 respirator
26
30 sec
Q.
Blood Cultures are collected first to prevent contamination
27
30 sec
Q.
clotting
28
30 sec
Q.
SHOCK
29
30 sec
Q.
The site is cleaned more stringently
30
30 sec
Q.
Autologeous donation
31
30 sec
Q.
for no longer than 60 seconds
32
30 sec
Q.
Implied consent
33
30 sec
Q.
1-2 minutes
34
30 sec
Q.
laboratory test
35
30 sec
Q.
Cleanse the site in an outward spiral
36
30 sec
Q.
Labeling specimens at the time of collection in front of the patients.
37
30 sec
Q.
36-38 degrees C.
38
30 sec
Q.
Insert a new tube to see if it will fill.
39
30 sec
Q.
Engage the needle safety device
40
30 sec
Q.
Test requisition
41
30 sec
Q.
veins are inaccessible
42
30 sec
Q.
implied consent
43
30 sec
Q.
The laboratory rejects the mislabeled specimen
44
30 sec
Q.
Choose a syringe and butterfly assembly and transfer to an ETS tube.
45
30 sec
Q.
Iatrogenic anemia. This disease is caused by too much blood loss from testing, and clearing of lines.
46
30 sec
Q.
The biohazard bag prevents a possible exposure incident
47
30 sec
Q.
The median cubital vein could be more accessible on one side than the other.
48
30 sec
Q.
When a new lot number or kit is opened.
49
30 sec
Q.
A transfusion reaction. Could cause a fatal transfusion.
50
30 sec
Q.
An incorrect needle gauge. A large-guage needle indicates a smaller lumen, which causes hemolysis.
51
30 sec
Q.
return after drawing other patients if it isn't a STAT test.
52
30 sec
Q.
Describe the procedure
53
30 sec
Q.
requires time for antiseptic action
54
30 sec
Q.
cells must be separated from the serum. If not the cells continue to metabolize into the serum.
55
30 sec
Q.
Ask the patient when she last ate or drank
56
30 sec
Q.
Dorsal veins (veins on the back of the hand)
57
30 sec
Q.
Discontinue the draw.
58
30 sec
Q.
"I will collect the specimen in a sterile container and return with 1 hr."
59
30 sec
Q.
Flush the injured area with running water
60
30 sec
Q.
Check for breathing
61
30 sec
Q.
"I will cleanse the area with povidone iodine"
62
30 sec
Q.
Shut off power to the instrument
63
30 sec
Q.
Accession number. This is the number which identifies the specimen as long as it remains in the laboratory.
64
30 sec
Q.
2-10 degrees C
65
30 sec
Q.
Wear gloves when contact with blood is anticipated.
66
30 sec
Q.
Complete medical history
67
30 sec
Q.
Patient's information
68
30 sec
Q.
Insert until a change in resistance
69
30 sec
Q.
Inspect the integrity of the needle's seal
70
30 sec
Q.
Place a 1mm drop of blood a half-inch from the edge of the slide
71
30 sec
Q.
Lavender top, this minimizes the platelet clumping and microclot formation.
72
30 sec
Q.
Place the specimen tube in a icewater slurry
73
30 sec
Q.
Either heel. For children under 12 months
74
30 sec
Q.
position the needle in the same direction as the vein and at a 30 degree agnle with the bevel up.
75
30 sec
Q.
These areas are more susceptible to infection
76
30 sec
Q.
Syncope
77
30 sec
Q.
To determine if the patient is at risk for developing iatrogenic anemia
78
30 sec
Q.
Below the IV
79
30 sec
Q.
Don't draw until the nurse has attached a wristband to the patient
80
30 sec
Q.
A syringe draw transferred into a light blue Vacutainer
81
30 sec
Q.
release the tourniquet and stop the draw.
82
30 sec
Q.
Access the site, cleanse the site, insert the needle
83
30 sec
Q.
Apply direct pressure to the wound.
84
30 sec
Q.
Paternity testing
85
30 sec
Q.
Place in a box with cold packs and a biohazard label.
86
30 sec
Q.
Initial and date/time mark each tube drawn
87
30 sec
Q.
Arterial blood gases
88
30 sec
Q.
240 to 330 ml
89
30 sec
Q.
Lavender and red
90
30 sec
Q.
15-30 degree angle
91
30 sec
Q.
"When was the last time you ate?"
92
30 sec
Q.
The incorrect data may be reported to the health care provider
93
30 sec
Q.
Check with the nurse to verify the exact time the medication was given.
94
30 sec
Q.
EDTA
95
30 sec
Q.
"Hi my name is Sally Smith. I am a student phlebotomist and I'm here to collect a blood specimen."
96
30 sec
Q.
the ordered tests can be performed on a capillary specimen.