Take Home Quiz Chapter 9

100 Questions  I  By Phbmuststudy

  
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1.  The preanalytical phase of the testing process begin for the laborataory when a:
A.
B.
C.
D.
2.  Most reference ranges are based on normal laboratory test valyes for:
A.
B.
C.
D.
3.  Diurnal variation associated with some blood components are:
A.
B.
C.
D.
4.  A patient;s arm is swollen. The term used to describe this condition is:
A.
B.
C.
D.
5.  Lipemia results from:
A.
B.
C.
D.
6.  A patient with a high degree of jaundice typically has:
A.
B.
C.
D.
7.  Lymphostasis is:
A.
B.
C.
D.
8.  This is the medical term for a nervious system response to abrupt pain, stress, or trauma:
A.
B.
C.
D.
9.  Small non-rasied red spots appear on the patient's skin below where the tourniquet has been tied. What are they and what causes them?
A.
B.
C.
D.
10.  Venous stasis is:
A.
B.
C.
D.
11.  A hematoma is a:
A.
B.
C.
D.
12.  Mastectomy is the medical term for breast:
A.
B.
C.
D.
13.  Exsanguination is:
A.
B.
C.
D.
14.  Which of the following is a product of the breakdown of red blood cells (RBCs)?
A.
B.
C.
D.
15.  A vein that is thrombosed is:
A.
B.
C.
D.
16.  A patient goes into convulsion while you are drawing his blood. The last tube has just started to fill. Which of the following is the wrong thing to do?
A.
B.
C.
D.
17.  The patient has in IV in the left foreawm and a large hematoma in the antecubital area of the right arm. The best place to collect a specimen by venipuncture is the:
A.
B.
C.
D.
18.  Which of the following is not true of Hematomas?
A.
B.
C.
D.
19.  Hemoconcentration from prolonged tourniquet application increases:
A.
B.
C.
D.
20.  Which of the following is the medical term for fainting?
A.
B.
C.
D.
21.  In which instance if the patient closest to the basal state? The patient who:
A.
B.
C.
D.
22.  The best specimens to use for establishing inpatient reference ranges for blood tests are:
A.
B.
C.
D.
23.  Which test requires the parient's age in calculating results?
A.
B.
C.
D.
24.  Which of the following tests is most affected by altitude?
A.
B.
C.
D.
25.  Persistent diarrhea in the absence of fluid replacement may cause:
A.
B.
C.
D.
26.  The serum or plasma of a lipemic specimen appears:
A.
B.
C.
D.
27.  A lipemic specimen is a clue that the patient was probably:
A.
B.
C.
D.
28.  A 12-hour fast is normally required in testing for this analyte:
A.
B.
C.
D.
29.  This blood component exhibits diurnal varisation, with peak levels occurring in the morning:
A.
B.
C.
D.
30.  Test influenced by diurnal variation are typically ordered:
A.
B.
C.
D.
31.  A drug known to interfere with a blood test should be discontinuted for this many hours before the test ranges for RBC counts?
A.
B.
C.
D.
32.  A test result can be fasely decreased if:
A.
B.
C.
D.
33.  Which of the following analytes can remain elevated for 24 hours or more after exercise?
A.
B.
C.
D.
34.  Which hormone is most affected by the presence of a fever?
A.
B.
C.
D.
35.  Which analyte has a higher reference range for males than for females?
A.
B.
C.
D.
36.  An icteric blood specimen indicates that:
A.
B.
C.
D.
37.  What changes occur in the bloodstream when a patient goes from supine to standing?
A.
B.
C.
D.
38.  Why do pregnant patients have lower reference ranges for RBC counts?
A.
B.
C.
D.
39.  Which of the following analytes is typically increased in chronic smokers?
A.
B.
C.
D.
40.  It is not a good idea to collect a cbc from a screaming infant because the:
A.
B.
C.
D.
41.  Of the following factors known to affect basal state, which is automatically accounted for when reference ranges are established?
A.
B.
C.
D.
42.  Temperature and humidity control in a laboratory is important because it:
A.
B.
C.
D.
43.  Scarred or burned areas should be avoided as blood collection sites because:
A.
B.
C.
D.
44.  A vein that feels hard, cord-like, and lakcs resiliency is most likely:
A.
B.
C.
D.
45.  Drawing blood from an edmatous extermity may cause:
A.
B.
C.
D.
46.  If you have no choice but to collect a specimen from an arm with a hematoma, collect the specimen:
A.
B.
C.
D.
47.  One reason collecting blood specimens from an arm on the same side as a mastectomy without permission from the patient's physician is prohibited is because:
A.
B.
C.
D.
48.  Which of the following veins is often the easiest to feel on obese patients?
A.
B.
C.
D.
49.  You must collect a protime specimen from a patient with IV's in both arms. The best place to collect the specimen is:
A.
B.
C.
D.
50.  A phlebotomist must collect a hemoglobin specimen from a patient in the ICU. There is an IV in the patient's left wrist. There is no suitable antecubital vein or hand vein in the right arm. What should the phlebotomist do?
A.
B.
C.
D.
51.  In selecting a venipuncture site, do not use an arm with:
A.
B.
C.
D.
52.  A type of line commonly used to monitor blood pressure and collect blood gas specimens is:
A.
B.
C.
D.
53.  A vascular access pathway that is surgically created to provide access for dialysis is:
A.
B.
C.
D.
54.  When a blood specimen is collected from a heparin lock, it is important to draw:
A.
B.
C.
D.
55.  Which of th efollowing is a type of CVC?
A.
B.
C.
D.
56.  A subcutaneous vascular access device consisting of a small chamber attached to an indwelline line that is implanted under the skin and located by palpating the skin is:
A.
B.
C.
D.
57.  The way to bandage a venipuncture site when the patient is allergic to the glue in adesive bandages is to:
A.
B.
C.
D.
58.  You may have to be careful about what type of equipment is brought into the room if a patient is severely allergic to:
A.
B.
C.
D.
59.  What is the best thing to do if a cenipuncture site continues to bleed after 5 minutes
A.
B.
C.
D.
60.  Which patient should be asked to lie down during a blood draw? A patient with a:
A.
B.
C.
D.
61.  During a blood draw, a patient says he feels faint. What should the phlebotomist do?
A.
B.
C.
D.
62.  An outpatient becomes weak and pale after a blood draw. What should the phlebotomist do?
A.
B.
C.
D.
63.  If an outpatient tells you before a blood draw that she is feeling nauseated, you should:
A.
B.
C.
D.
64.  Pain associated with venipuncture can be minimized by:
A.
B.
C.
D.
65.  A site could potentially be used for venipuncture even if:
A.
B.
C.
D.
66.  A vein with walls that have temporarily drawn togehter and shut off lbood flow during venipuncture is called a:
A.
B.
C.
D.
67.  You are in the process of collecting a blood specimen on a patient with difficult veins. You had to redirect the needle but it is now in the vein, and the first tube has just started to fill. The blood is filling the tube slowly. The skin around the venipuncture site starts to swell. You have several more tubes to fill. What should you do?
A.
B.
C.
D.
68.  Which of the following can cause a hematoma to form during venipuncture procedures?
A.
B.
C.
D.
69.  Which of the following is the best indication that you have accidentally punctureed an artery?
A.
B.
C.
D.
70.  Anemia brought on by the withdrawal of blood for testing purposes is described as:
A.
B.
C.
D.
71.  If you spuspect that you have accidentally collected an arterial specimen instead of a venous specimen:
A.
B.
C.
D.
72.  Infection of a venipuncture site can result from:
A.
B.
C.
D.
73.  Blind or deep probing for a vein can result in
A.
B.
C.
D.
74.  A patient complains of marked pain when you insert the needle. The pain radiates down his arm and does not subside. What should you do?
A.
B.
C.
D.
75.  A stinging sensation when the needle is first inserted is most likely the result of:
A.
B.
C.
D.
76.  Which is the best way to avoid reflux?
A.
B.
C.
D.
77.  Which of the following is least likely to impair vein patency?
A.
B.
C.
D.
78.  Prolonged tourniquet application can affet blood composition because it causes:
A.
B.
C.
D.
79.  The serum or plasma of a hemolyzed specimen appears:
A.
B.
C.
D.
80.  Which action is least likely to cause specimen hemolysis?
A.
B.
C.
D.
81.  The ratio of blood to anticoagulant is most critical for which of the following tests?
A.
B.
C.
D.
82.  A phlebotomist has tried twice to collect a light blue top tube on a patient with difficult veins. Both times the phlebotomist has been able to collect only a partial tube. What should the phlebotomist do?
A.
B.
C.
D.
83.  Which of the following situations is least likely to cause contaimination of the specimen?
A.
B.
C.
D.
84.  You are collecting a blood specimen. The needle is in the vein and blood flow has been established. As the tube is flling, you hear a hissing sound, there is a spurt of blood into the tube, and blood flow stops. What most likely happened is that the:
A.
B.
C.
D.
85.  A needle that has gone through the back wall of the vein may cause:
A.
B.
C.
D.
86.  When a vein rolls, the needle typically:
A.
B.
C.
D.
87.  You are in the process of collecting a blood specimen. The needle is inserted but the tube is filling very slowly. A hematoma starts to form rapidly. What has most likely happened is that the:
A.
B.
C.
D.
88.  You are performing a multi-tube blood draw. You collect the first rube without a problem. The second tube fails to fill with blood. You pull the needle back and nothing happenens. You push the needle a little deeper and nothing happens. You remove the tube, pull back the nuddle a little, rotate the bevel, and reset the tube. Still nothing hapens. Which of the following actions should you take next?
A.
B.
C.
D.
89.  You insert the needle during a venipuncture. You engage the tube in the tube holder but do not get blood flow. You determine that the needle is beside the vein. You redirect it two times and still do not get blood flow, even after trying a new tube. What should you do next?
A.
B.
C.
D.
90.  Which of the following is most apt to be the cause of vein collapse during venipuncture?
A.
B.
C.
D.
91.  Jaundice in a patient may indicate inflammation of the colon.
A.
B.
92.  When confronted with damaged veins, select a site proximal to the damaged veins.
A.
B.
93.  Never perform a venipuncture through a hematoma.
A.
B.
94.  Never apply a tourniquet on an arm with a shunt.
A.
B.
95.  If a patient vomits during a venipuncture procedure, leave the needle in until they are done, then complete the procedure.
A.
B.
96.  Never pour two partially filled additive tubes together to fill one tube.
A.
B.
97.  Hand or fist pumping can elevate potassium levels by 50%
A.
B.
98.  Tube vacuum may hold the vein wall against the needle bevel.
A.
B.
99.  Blood that polls beneath a vein can put pressure on underlying nerves.
A.
B.
100.  Cholesterol levels can elevate 5% after 2 minutes of the tourniquet application.
A.
B.