Chapter 7 8 & 9

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Questions and Answers
  • 1. 
    Important aspects of bedside manner are:
    • A. 

      Putting the patient at ease with procedure

    • B. 

      Demonstrating confidence

    • C. 

      Professionalism

    • D. 

      All of the above

  • 2. 
    A fasting blood sugar is ordered. What should you be asking the patient?
    • A. 

      Are you fasting?

    • B. 

      When is the last time you had something to eat or drink?

    • C. 

      When is the last time you had something to eat?

    • D. 

      Any of the above is fine

  • 3. 
    What should you do after you have removed the last tube before you withdraw the needle?
    • A. 

      Thank the patient

    • B. 

      Release the tourniquet

    • C. 

      Up the gauze

    • D. 

      Mix your tubes with anticoagulants

  • 4. 
    Applying the tourniquet and palpating the venipuncture serves what purpose except?
    • A. 

      Distracts the patient from the discomfort of the procedure

    • B. 

      Helps to determine the angle to insert needle

    • C. 

      Provides indication of the depth of vein

    • D. 

      Provides indication of the size of vein

  • 5. 
    If an arterial specimen is accidentally draw, what should you do?
    • A. 

      Call your supervisor

    • B. 

      Label as arterial

    • C. 

      Discard and draw a venous sample

    • D. 

      Do nothing

  • 6. 
    What does the ID band list?
    • A. 

      Medical record number

    • B. 

      Dietary restrictions

    • C. 

      Cell phone

    • D. 

      Insurance information

  • 7. 
    The patient you are drawing asks what tests are ordered and why. What is your response?
    • A. 

      List the tests and explain what each one means

    • B. 

      Refer the patient to the provider

    • C. 

      Tell them all you know

    • D. 

      Just ignore the question

  • 8. 
    When identifying a patient, the phlebotomist should:
    • A. 

      Ask "Are you Mrs. Doe?"

    • B. 

      Spell the last name for the patient

    • C. 

      Ask the patient to state his or her name

    • D. 

      All of the above

  • 9. 
    The liquid portion of an antocoagulated blood specimen is called:
    • A. 

      Plasma

    • B. 

      Serum

    • C. 

      Cellular components

    • D. 

      Buffy coat

  • 10. 
    After eating too much fatty foods and not fasting, we should expect the patient's serum to appear:
    • A. 

      Lipemic

    • B. 

      Bright pink

    • C. 

      Pale yellow

    • D. 

      Bright red

  • 11. 
    What type of information would you not likely see on a requisition?
    • A. 

      Patient's full name

    • B. 

      Phone number

    • C. 

      Test to be ordered

    • D. 

      Date of birth

  • 12. 
    If an isolation precaution sign is displayed on the door of an inpatient's room, what should you do?
    • A. 

      Bring the patient outside the room

    • B. 

      Skip drawing the patient

    • C. 

      Check with the nurse before entering

    • D. 

      Follow the specific isolation procedure

  • 13. 
    The maximum time the tourniquet should be left on is:
    • A. 

      2 minutes

    • B. 

      30 Seconds

    • C. 

      3 minutes

    • D. 

      1 minute

  • 14. 
    Whose responsibility is it to see if the patient has been fasting?
    • A. 

      Nurse

    • B. 

      Doctor

    • C. 

      The patient

    • D. 

      Phlebotomist

  • 15. 
    Which of the following lead to failure to obtain blood?
    • A. 

      Needle not deep enough

    • B. 

      Needle is on the side of the vein

    • C. 

      Tube position and vacuum

    • D. 

      All of the above

  • 16. 
    ________________is the result of accumulated fluid in the tissue, and may result in erroneous test results.
    • A. 

      Burns

    • B. 

      Edema

    • C. 

      Cut down

    • D. 

      Fat

  • 17. 
    What are some of the challenges presented to the phlebotomist when collecting blood from the pediatric patient?
    • A. 

      Dealing with the parent

    • B. 

      Collecting the minimum amount of blood needed

    • C. 

      Experience and Skill

    • D. 

      All of the above

  • 18. 
    A hematoma occurring during a venipuncture could be the result of
    • A. 

      The vein is too small for the needle size

    • B. 

      Excessive or blindly probing

    • C. 

      The needle is partially inserted into the vein

    • D. 

      All of the above

  • 19. 
    When anchoring a patient's vein you must use:
    • A. 

      A finger you feel comfortable with

    • B. 

      The thumb below

    • C. 

      The finger above and the thumb below

    • D. 

      All of the above

  • 20. 
    An inpatient may be identified by which of the following ways?
    • A. 

      Patient in the next bed

    • B. 

      Ward clerk

    • C. 

      Patient armband

    • D. 

      Patient chart

  • 21. 
    Prolonged tourniquet application will cause:
    • A. 

      Hemolysis

    • B. 

      Hematoma

    • C. 

      Hemoconcentration

    • D. 

      All of the above

  • 22. 
    Arriving in ICU you find a patient has an IV running. The NAACLS recommends that we have the nurse shut off the IV for a minumum of ___________minutes and draw a _________tube first.
    • A. 

      2, Blue top

    • B. 

      5, Discard tube

    • C. 

      2, Discard tube

    • D. 

      10, Lavender tube

  • 23. 
    We are not allowed to apply a tourniquet to a person that has had:
    • A. 

      Breast implants

    • B. 

      Tattoo

    • C. 

      Mastectomy

    • D. 

      Amputated wrist

  • 24. 
    What does VAD stand for?
    • A. 

      Venous Access Device

    • B. 

      Vascular Access Device

    • C. 

      Vascular Accessory Device

    • D. 

      None of the above

  • 25. 
    If proper pressure is not applied to the venipuncture site, it may cause:
    • A. 

      Sclerosed vein

    • B. 

      Scar

    • C. 

      Hematoma

    • D. 

      All of the above

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