NCCT - Medical Procedures - Part C - Phlebotomy
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Phlebotomy is the process in which a medical practitioner punctures a vein through a needle so as to extract blood or fluid that will be tested by a lab technician. The quiz below is on NCCT - Medical Procedures - Part C – Phlebotomy and is designed to see just how much you are prepared for the final exams. Give it a shot and keep on revising.
- 1.THE BLOOD LANCET IS USED FOR THE COLLECTION OF BLOOD SPECIMENS BY?
- A.
INJECTION
- B.
SUCTION
- C.
CUTTING
- D.
SKIN PUNCTURE
- 2.THE STANDARD POINT OF THE LANCET TO BE USED WHEN COLLECTING BLOOD FROM A NEWBORN HEEL IS __________IN LENGTH? (NOTE: PLEASE CHECK CURRENT GUIDELINES, AS THIS CHANGES.)
- A.
2.4 mm
- B.
3.6 mm
- C.
4.7 mm
- D.
5.5 mm
- 3.THE MOST IMPORTANT STEP IN THE PERFORMANCE OF A VENIPUNCTURE IS?
- A.
SELECTING THE CORRECT NEEDLE GAUGE
- B.
SELECTING THE APPROPRIATE CLEANSING AGENT
- C.
POSITIVELY IDENTIFYING THE PATIENT
- D.
SELECTING THE APPROPRIATE TOURNIQUET
- 4.WHEN CLEANSING THE VENIPUNCTURE SITE, IT IS GOOD PRACTICE TO:
- A.
WIPE THE SITE BACK & FORTH QUICKLY WITH AN ALCOHOL PREP
- B.
BLOW ON THE ALCOHOL TO DRY IT SO IT DOESN'T BURN
- C.
CLEANSE THE SITE FROM THE INSIDE OUT & ALLOW IT TO AIR DRY
- D.
HAVE THE PATIENT WAVE THEIR ARM IN THE AIR TO DRY IT FASTER
- 5.TO DETERMINE THE SIZE OF THE NEEDLE REMEMBER THAT THE HIGHER THE GAUGE NUMBER THE __________ THE NEEDLE?
- A.
LONGER
- B.
SMALLER
- C.
LARGER
- D.
SHORTER
- 6.AN INSTRUMENT CALLED A CENTRIFUGE?
- A.
FREEZES SPECIMENS
- B.
HEATS SPECIMENS
- C.
IS USED FOR INCUBATION
- D.
SEPARATES THE CELLULAR & LIQUID PORTION OF THE BLOOD
- 7.RUBBER SLEEVES ON AN EVACUATED TUBE SYSTEM MAKE IT POSSIBLE FOR?
- A.
STERILIZATION
- B.
SLOWER DRAW OF BLOOD
- C.
MULTIPLE USE
- D.
FASTER DRAW OF BLOOD
- 8.PREPARING FOR A GLUCOSE TOLERANCE TEST __________ HOURS BEFORE OR DURING THE TEST, THE PATIENT SHOULD NOT EAT, SMOKE, DRINK COFFEE OR ALCOHOL?
- A.
1
- B.
10
- C.
1/2
- D.
2
- 9.IN THE EVACUATED BLOOD COLLECTION SYSTEM THE EVACUATED GLASS TUBES COME IN DIFFERENT SIZES, AND THE STOPPERS ARE __________ TO DENOTE THE TYPE OF ADDITIVE OR LACK OF ONE?
- A.
STRIPED
- B.
SERRATED
- C.
STAMPED
- D.
COLOR CODED
- 10.DURING A VENIPUNCTURE, TO SECURE THE NEEDLE DURING INSERTION INTO THE TUBE STOPPER, YOU NEED A __________ ?
- A.
HOLDER
- B.
SLEEVE
- C.
TAPE
- D.
BALL OF COTTON
- 11.WHICH NEEDLE GAUGES ARE MOST COMMONLY USED FOR VENIPUNCTURE?
- A.
24-25
- B.
21-22
- C.
19-20
- D.
16-18
- 12.WHEN PERFORMING A VENIPUNCTURE, THE TOURNIQUET SHOULD BE WRAPPED AROUND THE ARM ABOUT 3-4 INCHES FROM WHERE YOU ARE GOING TO __________ FOR A VEIN?
- A.
APPLY SOAP
- B.
SCRAPE
- C.
TAP
- D.
FEEL
- 13.WHEN PERFORMING A VENIPUNCTURE, IF YOU HAVE THE PATIENT __________ THE VEINS WILL BECOME MORE PROMINENT?
- A.
COUGH
- B.
HOLD THEIR BREATH
- C.
MAKE A FIST
- D.
TAKE A DEEP BREATH
- 14.WHICH OF THE FOLLOWING IS FALSE?
- A.
VEINS FEEL LIKE AN ELASTIC TUBE
- B.
VEINS PULSATE
- C.
VEINS GIVE UNDER PRESSURE
- D.
VEINS GO IN DIFFERENT DIRECTIONS
- 15.USE YOUR INDEX FINGER WHEN YOU __________ FOR A VEIN?
- A.
STICK
- B.
SCRATCH
- C.
PALPATE
- D.
INJECT
- 16.ARTERIOLES ARE THE SMALLES TYPE OF?
- A.
TENDONS
- B.
ARTERIES
- C.
BONES
- D.
VEINS
- 17.THE MAXIMUM TIME A TOURNIQUET SHOULD BE TIED ON THE UPPER ARM WHILE DRAWING BLOOD IS?
- A.
4 MINUTES
- B.
3 MINUTES
- C.
2 MINUTES
- D.
1 MINUTE
- 18.TO CLEANSE THE TYPICAL VENIPUNCTURE SITE, BEGIN AT THE INTENDED SITE OF THE DRAW AND __________ ?
- A.
WORK IN A CIRCLE TO THE PERIPHERY
- B.
WIPE CAREFULLY BACK & FORTH
- C.
CLEANSE VIGOROUSLY FOR 30 SECONDS
- D.
USE A LIFTING MOTION TO MOVE AWAY FROM THE SKIN
- 19.THE VENIPUNCTURE SITE SHOULD BE CLEANSED WITH?
- A.
A DAMP SOLUTION
- B.
A PAPER TOWEL
- C.
THE BACK OF YOUR HAND
- D.
AN ALCOHOL PREP
- 20.WHEN USING A CENTRIFUGE, MAKE SURE EQUAL WEIGHTS ARE?
- A.
SIDE BY SIDE
- B.
LIQUID
- C.
OPPOSITE EACH OTHER
- D.
ONE SPACE APART
- 21.THE LID TO THE CENTRIFUGE SHOULD BE KEPT __________ WHEN IN USE?
- A.
CLOSED
- B.
OPEN
- C.
AJAR
- D.
LIFTED
- 22.WHEN USING AN EVACUATED TUBE FOR COLLECTION OF ELECTROLYTES USE A?
- A.
BLUE-TOP TUBE
- B.
RED-TOP TUBE
- C.
BLACK-TOP TUBE
- D.
LAVENDER-TOP TUBE
- 23.WHEN COLLECTING BLOOD FOR A HEMATOCRIT TEST USE A?
- A.
LAVENDER-TOP EVACUATED TUBE
- B.
RED-TOP EVACUATED TUBE
- C.
BLUE-TOP EVACUATED TUBE
- D.
YELLOW-TOP EVACUATED TUBE
- 24.WHEN COLLECTING BLOOD FOR CHOLESTEROL TESTS USE A __________ TOP EVACUATED TUBE?
- A.
RED
- B.
YELLOW
- C.
BLUE
- D.
LAVENDER
- 25.THE PRIMARY ANTICOAGULANT ADDITIVE EDTA REMOVES CALCIUM BY FORMING INSOLUBLE OR UN-IONIZED CALCIUM SALTS. IT HAS AN ADVANTAGE OF PREVENTING PLATELET CLUMPING & THE FORMATION OF ARTIFACTS, THEREFORE, GOOD FOR THE PREPARATION OF?
- A.
BACKGROUND STAINING
- B.
RED CELL PRESERVATION
- C.
CLOTTING
- D.
BLOOD FILMS
- 26.SODIUM CITRATE IS AN ANTICOAGULANT OF CHOICE FOR COAGULATION STUDIES BECAUSE IT PROTECTS CERTAIN AMOUNTS OF THE __________ ?
- A.
PRO-COAGULANTS
- B.
RED BLOOD CELLS
- C.
WHITE BLOOD CELLS
- D.
ENZYME INHIBITORS
- 27.THE TUBE TO COLLECT WHOLE BLOOD WITH AN ADDITIVE IN IT HAS A __________ STOPPER?
- A.
RED
- B.
LAVENDER
- C.
GREEN
- D.
YELLOW
- 28.THE COLOR CODING FOR A STOPPER OF A TUBE WITH NO ADDITIVES IS (FOR COLLECTION OF SERUM)?
- A.
GREEN
- B.
BLACK
- C.
RED
- D.
BLUE
- 29.AT THE LOCATION WHERE YOU ARE GOING TO FEEL FOR A VEIN, WRAP THE TOURNIQUET AROUND THE ARM APPROXIMATELY _____ ABOVE THE AREA?
- A.
9-10 INCHES
- B.
1 FOOT
- C.
3-4 INCHES
- D.
1 INCH
- 30.THE CEPHALIC, MEDIAL CUBITAL, AND BASILIC VEINS ARE __________ USED FOR VENIPUNCTURE?
- A.
SELDOM
- B.
NEVER
- C.
DANGEROUS WHEN
- D.
PRIMARILY
- 31.WHEN DOING A VENIPUNCTURE THE SYRINGE OR TUBE SHOULD BE __________ THE VENIPUNCTURE SITE TO PREVENT BACK-FLOW?
- A.
ABOVE
- B.
BELOW
- C.
MOVED FROM SIDE TO SIDE
- D.
MOVED IN & OUT
- 32.WHEN ANTICOAGULATED BLOOD IS CENTRIFUGED __________ GOES TO THE TOP OF THE TUBE?
- A.
WHITE BLOOD CELLS
- B.
RED BLOOD CELLS
- C.
PLASMA
- D.
WATER
- 33.WHEN ANTICOAGULATED BLOOD IS CENTRIFUGED __________ GOES TO THE BOTTOM OF THE TUBE?
- A.
RED BLOOD CELLS
- B.
WHITE BLOOD CELLS
- C.
PLASMA
- D.
WATER
- 34.WHEN COLLECTING BLOOD BY SKIN PUNCTURE ON AN INFANT, YOU SHOULD USE A?
- A.
25 GA NEEDLE
- B.
LANCET
- C.
SCALPEL
- D.
23 GA NEEDLE
- 35.THE TUBE USED TO COLLECT A BLOOD SAMPLE FOR A COMPLETE BLOOD COUNT (CBC) IS?
- A.
RED TOP, NO ADDITIVE
- B.
BLUE TOP, SODIUM CITRATE ADDITIVE
- C.
LAVENDER TOP, ETHYLENEDIAMINETETRAACETIC ACID ADDITIVE
- D.
GREEN TOP, LITHIUM HEPARIN ADDITIVE
- 36.WHICH OF THESE LAB TESTS MONITOR ANTICOAGULATION THERAPY?
- A.
PT AND PTT
- B.
T3 AND T4
- C.
Hb AND Hct
- D.
ABO AND Rh
- 37.WHICH ONE OF THE FOLLOWING EVACUATED TUBES WOULD BE DRAWN FIRST?
- A.
RED
- B.
LAVENDER
- C.
GRAY
- D.
GREEN
- 38.MAKING SURE THAT A TUBE IS CORRECTLY LABELED WITH THE PATIENT'S COMPLETE NAME & IDENTIFICATION NUMBER IS PART OF THE FACILITIES __________ PLAN?
- A.
EXPOSURE CONTROL
- B.
INCIDENT REPORT
- C.
QUALITY CONTROL
- D.
ALL CHOICES
- 39.WHEN PERFORMING A VENIPUNCTURE, IF NO BLOOD FLOWS INTO THE TUBE, HOW WOULD YOU CORRECT THIS SITUATION?
- A.
GENTLY INSERT THE NEEDLE A LITTLE DEEPER
- B.
GENTLY PULL THE NEEDLE OUT JUST A LITTLE
- C.
REMOVE THE NEEDLE & TOURNIQUET AND PREPARE ANOTHER SITE
- D.
ALL CHOICES COULD BE CORRECT
- 40.IF DURING A VENIPUNCTURE, A PATIENT HAS A SYNCOPAL EPISODE, WHAT WOULD BE YOUR BEST COURSE OF ACTION?
- A.
CONTINUE THE DRAW, YOU NEED THE SPECIMEN
- B.
REMOVE THE NEEDLE & TOURNIQUET AND LOWER THE PATIENT'S HEAD & ARMS
- C.
BEGIN CPR & ACTIVATE 911
- D.
RESTRAIN THE PATIENT TO KEEP THE PATIENT FROM CAUSING BODILY INJURY
- 41.THE MOST APPROPRIATE SITE FOR PERFOMING A CAPILLARY PUNCTURE IN A HEALTHY ADULT IS THE?
- A.
GREAT TOE
- B.
EARLOBES
- C.
FINGERS
- D.
FOREARMS
- 42.IT IS VERY IMPORTANT WHEN PERFORMING A CAPILLARY STICK TO DO WHICH OF THE FOLLOWING?
- A.
WIPE AWAY THE FIRST DROP OF BLOOD
- B.
TO FORCEFULLY MAKE THE PUNCTURE
- C.
NOT USE ALCOHOL TO CLEAN THE SITE
- D.
IT IS VERY IMPORTANT TO DO ALL OF THE ABOVE
- 43.PERFORMING A __________ AS PART OF A COMPLETE COUNT DETERMINES THE RATIO OF THE VOLUME PACKED RED BLOOD CELLS TO THAT OF WHOLE BLOOD?
- A.
DIFFERENTIAL
- B.
HEMATOCRIT
- C.
HEMOGLOBIN
- D.
GLUCOSE
- 44.__________ VALUES ARE INCREASED IN INFECTIONS & INFLAMMATORY DISEASE?
- A.
GLUCOSE
- B.
HEMATOCRIT
- C.
ERYTHROCYTE SEDIMENTATION RATES
- D.
COAGULATION STUDIES
- 45.WHAT TYPE OF BLOOD SAMPLE WILL BE NEEDED TO PERFORM A HEMOGLOBIN TEST?
- A.
EDTA ADDED
- B.
SERUM ONLY
- C.
WHITE BLOOD CELLS
- D.
NO CORRECT ANSWER
- 46.HOW MANY HEMATOCRIT TUBES SHOULD BE COLLECTED FROM THE PATIENT?
- A.
1
- B.
2
- C.
3
- D.
5
- 47.WHAT TYPE OF BLOOD SAMPLE IS NEEDED WHEN PERFORMING A PKU?
- A.
VENIPUNCTURE
- B.
CAPILLARY
- C.
EITHER ONE IS ACCEPTABLE
- D.
NO CORRECT ANSWER
- 48.A __________ IS A SMALL, STERILE, NEEDLE LIKE PIECE OF METAL USED TO MAKE SMALL PUNCTURES IN THE DERMIS?
- A.
SCARIFICATOR
- B.
FLEAM
- C.
LANCET
- D.
CUP
- 49.IN DRUG TESTING THE __________ REGULATES DESCRIBE HOW EVIDENCE IS TO BE COLLECTED & HANDLED?
- A.
CHAIN OF COMMAND
- B.
CHAIN OF CUSTODY
- C.
PERSON IN CHARGE
- D.
LOCAL LAW ENFORCEMENT
- 50.A(N) __________ REQUIRES THE PATIENT TO BE FASTING & THEN BLOOD IS TAKEN EVERY HOUR FOR A PREDETERMINED TIME?
- A.
CHOLESTEROL TEST
- B.
WHITE BLOOD CELL COUNT
- C.
DIFFERENTIAL
- D.
GLUCOSE TOLERANCE TEST
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