NHA Phlebotomy Toughest Quiz: Exam

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1. What is another name for winged infusion sets? 

Explanation

Winged infusion sets are commonly referred to as butterfly needles due to their shape resembling the wings of a butterfly. These needles are used for venipuncture and are designed to provide stability and control during the procedure. The "caterpillar," "dragonfly," and "beetlebug" options are not relevant to the context of the question and do not relate to winged infusion sets.

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About This Quiz
NHA Phlebotomy Toughest Quiz: Exam - Quiz


Preparing to go on a journey to become a certified phlebotomist requires a solid foundation of knowledge and practical skills. The NHA Phlebotomy Quiz is designed to be... see moreyour ultimate companion in preparing for the National Healthcareer Association's Phlebotomy Technician Certification (CPT) exam. This meticulously curated quiz covers a wide array of topics, from the basics of venipuncture to the intricate principles of handling and transporting specimens, ensuring a comprehensive understanding of phlebotomy practices.

Crafted with care by experts in the field, the NHA Phlebotomy Quiz not only tests your readiness for the certification but also enhances your learning through detailed feedback on each question. This quiz offers a valuable learning experience. It aims to boost your confidence and ensure you're well-prepared for the challenges of the NHA exam. By integrating practical scenarios and up-to-date guidelines, the quiz provides an engaging and effective way to solidify your phlebotomy knowledge, setting you on the path to achieving your certification with confidence. see less

2. If a patient refuses treatment you should 

Explanation

If a patient refuses treatment, it is important to inform your supervisor. This is because your supervisor needs to be aware of the situation and can provide guidance on how to handle the refusal. They may have specific protocols or procedures in place for dealing with such situations. Additionally, involving your supervisor ensures that there is documentation of the refusal, which can be important for legal and liability purposes.

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3. What is the preferred antiseptic for venipuncture? 

Explanation

Isopropyl alcohol is the preferred antiseptic for venipuncture because it is effective in killing bacteria and preventing infection. It is commonly used in medical settings as it has a broad spectrum of antimicrobial activity and is relatively safe to use. Isopropyl alcohol also evaporates quickly, which makes it convenient for use in venipuncture procedures. Betadine and iodine are also commonly used antiseptics, but they may cause skin irritation and are not as effective in killing certain types of bacteria. Jack Daniels is not a suitable antiseptic for venipuncture as it is an alcoholic beverage and not intended for medical use.

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4. The  most important step in a routine venipuncture. 

Explanation

Identifying the patient is the most important step in a routine venipuncture because it ensures that the correct patient is receiving the procedure. This step helps prevent any potential errors or mix-ups in patient identification, ensuring patient safety and accurate record-keeping. It also allows healthcare providers to confirm important information such as allergies, medical history, and any special considerations before proceeding with the venipuncture.

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5. What part of the infant is a PKU test performed on? 

Explanation

A PKU test is performed on the heel of an infant. This is because the heel is easily accessible and has a good blood supply, making it an ideal location for collecting a blood sample for testing. The test is used to screen for phenylketonuria (PKU), a genetic disorder that affects the body's ability to process an amino acid called phenylalanine. Early detection and treatment of PKU is important to prevent intellectual disabilities and other health problems.

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6. An open wound can be a portal of entry in an infection chain.

Explanation

An open wound can be a portal of entry in an infection chain because it provides a direct pathway for pathogens to enter the body. When the skin is broken, whether through a cut, scrape, or puncture, it creates an opening that allows bacteria, viruses, and other microorganisms to enter the bloodstream or tissues. This can lead to an infection if the wound is not properly cleaned and treated. Therefore, it is important to keep open wounds clean, covered, and monitored to prevent the spread of infection.

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7. Latex sensitivity is an allergic reaction. 

Explanation

Latex sensitivity is indeed an allergic reaction. Latex is a natural rubber material that is commonly used in gloves, condoms, balloons, and other products. Some individuals may develop an allergic reaction when they come into contact with latex, resulting in symptoms such as skin rash, itching, hives, or even difficulty breathing. This allergic reaction is known as latex sensitivity or latex allergy. Therefore, the statement "Latex sensitivity is an allergic reaction" is true.

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8. When you explain the venipuncture procedure to the patient and they agree to the test it is called _______. 

Explanation

Informed consent refers to the process of explaining a medical procedure to a patient and obtaining their agreement to undergo the procedure. In the context of the given question, when the venipuncture procedure is explained to the patient and they agree to it, it is considered as obtaining informed consent. This ensures that the patient is fully aware of the procedure, its potential risks and benefits, and gives their voluntary consent to proceed with it.

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9. The proper way to insert a needle is with the bevel facing ____________. 

Explanation

The proper way to insert a needle is with the bevel facing up. This is because the bevel is the slanted opening at the tip of the needle, and inserting it with the bevel facing up allows for easier penetration and reduces the risk of tissue damage. Additionally, inserting the needle with the bevel facing up ensures that the medication or fluid being administered is properly delivered into the desired area.

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10. What is the most important step in preventing infections? 

Explanation

Handwashing is the most important step in preventing infections because it helps to remove and kill germs that can cause illnesses. It is a simple and effective way to prevent the spread of bacteria and viruses from person to person. Proper handwashing involves using soap and water, scrubbing all surfaces of the hands for at least 20 seconds, and rinsing thoroughly. It should be done before and after preparing food, before eating, after using the restroom, after coughing or sneezing, and after touching surfaces that may be contaminated. Handwashing is a crucial hygiene practice in healthcare settings as well as in everyday life.

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11. Which is not a PPE? 

Explanation

Room dividers are not considered personal protective equipment (PPE) as they do not provide any form of protection against hazards or contaminants. PPE is typically designed to protect the wearer from potential risks in the environment, such as masks to filter out airborne particles, goggles to protect the eyes, and gloves to protect the hands. Room dividers, on the other hand, are used for partitioning spaces and do not offer any form of personal protection.

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12.  A patient in the Oncology Dept. is probably being treated for _______________.

Explanation

A patient in the Oncology Dept. is probably being treated for cancer. Oncology is the branch of medicine that deals with the prevention, diagnosis, and treatment of cancer. Therefore, it is logical to assume that a patient in the Oncology Dept. is being treated for cancer.

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13. Which additive is usually in a lavender tube? 

Explanation

EDTA is usually found in a lavender tube. EDTA is an anticoagulant that is commonly used in blood collection tubes to prevent the blood from clotting. It works by binding to calcium ions, which are necessary for the clotting process. The lavender tube is typically used for hematology tests, such as complete blood count (CBC), as it preserves the integrity of the blood sample and prevents clotting during transportation and analysis.

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14.  Which tube contains sodium citrate?

Explanation

The correct answer is light-blue because sodium citrate is typically stored in a light-blue tube. Different tubes are used for different types of blood tests, and the color coding helps to identify the specific additive or anticoagulant present in the tube. In this case, the light-blue tube contains sodium citrate, which is commonly used as an anticoagulant for coagulation tests.

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15. The first drop of blood in a capillary puncture is the best for analysis. 

Explanation

The first drop of blood in a capillary puncture is not necessarily the best for analysis. While it is true that the first drop may contain interstitial fluid, which can dilute the blood sample and affect the accuracy of the analysis, subsequent drops can provide a more accurate representation of the blood composition. Therefore, it is important to discard the first drop and collect subsequent drops for analysis.

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16. In a routine blood draw the red tube is drawn before the green tube. 

Explanation

In a routine blood draw, the red tube is drawn before the green tube. This is because the red tube is used to collect blood samples for tests that require serum or plasma, while the green tube is used to collect blood samples for tests that require whole blood or anticoagulated plasma. Drawing the red tube first ensures that the appropriate samples are collected in the correct order for testing.

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17. The hormone detected in a positive pregnancy test is 

Explanation

Human Chorionic Gonadotropin (HCG) is the hormone detected in a positive pregnancy test. HCG is produced by the placenta after implantation occurs, and its levels increase rapidly during early pregnancy. This hormone is responsible for maintaining the production of progesterone, which is crucial for sustaining the pregnancy. Therefore, the presence of HCG in a woman's urine or blood indicates pregnancy.

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18. The following were collected for a routine venipuncture.  Which item is incorrect?

Explanation

The item that is incorrect is the iodine swab. During a routine venipuncture, an iodine swab is not typically used. Instead, an alcohol swab or a chlorhexidine swab is used to clean the area before the needle is inserted. Iodine swabs are more commonly used for surgical procedures or when a more thorough disinfection is required.

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19. Sclerosed veins feel ______________. 

Explanation

Sclerosed veins feel cordlike because when veins become sclerosed, they can harden and lose their elasticity. This can cause them to feel like a firm cord or rope under the skin.

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20. Tubes may lose their vacuum due to ______________________. 

Explanation

Tubes may lose their vacuum due to manufacturing defects, an expired tube, or a fine crack in the tube. All of these factors can contribute to the loss of vacuum in a tube. Manufacturing defects can cause a leak in the tube, an expired tube may no longer maintain the necessary vacuum, and a fine crack in the tube can also lead to a loss of vacuum. Therefore, all of the options given are possible reasons for the loss of vacuum in tubes.

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21.  Lavender, Yellow and Green tubes should all be inverted 8 times each.

Explanation

The explanation for the given answer is that inverting the tubes helps to mix the contents thoroughly. By inverting the tubes 8 times each, it ensures that the lavender, yellow, and green substances are evenly distributed within the tubes. This is important for accurate and reliable results in any experiment or analysis that involves these tubes.

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22. Lipemic bloodserum appears: 

Explanation

Lipemic blood serum appears milky due to the presence of excess lipids (fats) in the serum. This can be caused by various factors such as high levels of triglycerides, certain medical conditions, or the ingestion of fatty foods prior to blood collection. The milky appearance is a result of the scattering of light by the lipid particles, giving the serum a cloudy or turbid appearance.

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23.  The order of draw for venipuncture is:  BC, blue, serum, green, EDTA, gray.

Explanation

The order of draw for venipuncture is a specific sequence that ensures accurate and reliable test results. BC (blood culture) tubes are drawn first to prevent contamination, followed by blue tubes for coagulation tests, serum tubes for chemistry tests, green tubes for heparinized plasma tests, EDTA tubes for hematology tests, and gray tubes for glucose tests. Following this order helps prevent cross-contamination between different additives in the tubes and ensures accurate test results. Therefore, the statement is true.

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24.  Sodium Citrate is the additive in which tube?

Explanation

Sodium citrate is the additive commonly found in light blue tubes. This additive is used to prevent blood from clotting by binding to calcium ions. This allows for accurate testing of coagulation factors and other blood components. Therefore, light blue tubes are typically used for coagulation tests.

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25. Wher is blood collected, stored and prepared for transfusions? 

Explanation

Blood is collected, stored, and prepared for transfusions in a blood bank. A blood bank is a specialized facility where blood donations are collected, processed, tested, and stored. It ensures the safety and availability of blood and blood products for transfusions. The blood collected undergoes various tests to determine its compatibility and suitability for transfusion. Once the blood is deemed safe for use, it is stored under specific conditions until it is needed for transfusion to patients in need.

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26. Which of the following veins in the arm are most subjected to venipuncture? 

Explanation

The median cubital vein is most subjected to venipuncture in the arm. This vein is located in the middle of the arm and is commonly used for drawing blood or inserting IV lines. It is preferred for venipuncture because it is relatively large, easy to access, and less likely to move during the procedure. Additionally, it is less prone to complications such as nerve damage compared to other veins in the arm.

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27. Taking aspirin is most likely going to affect a BT test. 

Explanation

Taking aspirin is most likely going to affect a BT test because aspirin is a blood thinner that can interfere with the clotting process. This can result in prolonged bleeding during the test and affect the accuracy of the results.

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28. There is a 9 to 1 ratio of blood to anticoagulant in a light blue tube. 

Explanation

In a light blue tube, there is a 9 to 1 ratio of blood to anticoagulant. This means that for every 9 parts of blood, there is 1 part of anticoagulant. This ratio is important because it helps prevent the blood from clotting while it is being tested or stored in the tube. Therefore, the statement is true.

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29. Which tube is drawn last in a standard venipuncture procedure? 

Explanation

In a standard venipuncture procedure, the lavender tube is drawn last. This tube is used to collect blood samples for complete blood count (CBC) tests, which include the analysis of red and white blood cells, hemoglobin, and platelets. Drawing this tube last ensures that the other tubes, such as the blood culture tube, light-blue tube, and red tube, are collected first to prevent any cross-contamination or interference with the lavender tube sample.

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30. Where do blood cells originate? 

Explanation

Blood cells originate in the bone marrow. The bone marrow is a soft, spongy tissue found inside the bones. It is responsible for producing different types of blood cells, including red blood cells, white blood cells, and platelets. These cells are then released into the bloodstream, where they perform various functions such as carrying oxygen, fighting infections, and helping with blood clotting.

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31. What is the preferred site for venipuncture? 

Explanation

The preferred site for venipuncture is the antecubital fossa. This area is located in the bend of the elbow and is easily accessible for drawing blood. It contains several large veins, such as the median cubital vein, which is commonly used for venipuncture. The antecubital fossa is a convenient and reliable site for blood collection, as it minimizes the risk of complications and provides a good blood flow for accurate testing. Other options, such as the ulnar vein or thrombotic vein, may not be as suitable or accessible for venipuncture.

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32. Using a butterfly may be necessary if the vein collapses with the evacuated tube system. 

Explanation

Using a butterfly may be necessary if the vein collapses with the evacuated tube system. This suggests that the use of a butterfly needle may be required in certain situations where the vein collapses during blood collection using the evacuated tube system. The butterfly needle is a smaller gauge needle with a flexible tubing that can be used to access difficult veins or veins that tend to collapse. Therefore, the statement is true as it highlights a potential need for using a butterfly needle in specific circumstances.

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33. All patients are presumed to be infectious for ___________. 

Explanation

All patients are presumed to be infectious for blood borne pathogens. This means that healthcare providers should take precautions to prevent the transmission of diseases that are transmitted through blood, such as HIV, hepatitis B, and hepatitis C. This includes using personal protective equipment, such as gloves and masks, and following proper infection control protocols. TB, flu, and the common cold are not specifically mentioned in the question and therefore are not the correct answer.

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34. Failing to provide reasonable standards of care causing someone to suffer an injury is know as ____________. 

Explanation

Negligence refers to the failure to provide reasonable standards of care, resulting in someone suffering an injury. It involves a breach of duty of care owed to another person, where the negligent party fails to exercise the level of care that a reasonable person would in similar circumstances. Negligence can occur in various settings, such as medical malpractice, car accidents, or slip and fall incidents. It is a key concept in tort law, which deals with civil wrongs and the compensation of victims for harm caused by others' negligence.

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35. Which needle has the largest gauge? 

Explanation

The needle with the largest gauge is 16. Gauge refers to the size of the needle's opening or the thickness of the needle. In this case, a larger gauge means a smaller opening or a thicker needle. Therefore, out of the given options, 16 has the largest gauge.

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36.  Which is used for PT and PTT?

Explanation

The light blue top is used for PT (prothrombin time) and PTT (partial thromboplastin time) tests. These tests are used to evaluate the blood's ability to clot properly. The light blue top tube contains sodium citrate, which acts as an anticoagulant and prevents the blood from clotting. This allows for accurate measurement of clotting times and helps in diagnosing bleeding disorders or monitoring anticoagulant therapy.

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37. POC testing is done _____________. 

Explanation

POC testing is done at the patient's bed because it allows for immediate results and faster decision-making for patient care. This type of testing is often used in emergency situations or in situations where quick diagnosis and treatment are crucial. By conducting the testing at the patient's bed, healthcare professionals can quickly assess the patient's condition and provide appropriate interventions without the need to send samples to a medical lab and wait for results. This helps to expedite the treatment process and improve patient outcomes.

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38.  A clean catch test is collected in a:

Explanation

A clean catch test is collected in a sterile cup because it is important to collect a urine sample in a clean and uncontaminated container. A sterile cup ensures that there are no external contaminants that could affect the test results. Additionally, a sterile cup allows for proper storage and transportation of the urine sample without compromising its integrity.

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39. Microorganisms that cause diseases

Explanation

Pathogenic microorganisms are those that are capable of causing diseases in humans, animals, or plants. They have the ability to invade and multiply within the host organism, leading to various harmful effects. These microorganisms can produce toxins or enzymes that damage tissues, disrupt normal bodily functions, and trigger immune responses. Examples of pathogenic microorganisms include bacteria, viruses, fungi, and parasites. Understanding the characteristics and behavior of pathogenic microorganisms is crucial for the prevention, diagnosis, and treatment of infectious diseases.

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40. Sodium Citrate have what color stoppers? 

Explanation

Sodium Citrate has light blue stoppers.

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41. What is the normal lifespan of a RBC? 

Explanation

The normal lifespan of a red blood cell (RBC) is approximately 120 days. This means that after 120 days, the RBC will undergo natural cell death and be replaced by new RBCs. This process ensures the continuous supply of oxygen and nutrients to the body's tissues.

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42. Which tube is used for PTT?

Explanation

The light blue tube is used for PTT (Partial Thromboplastin Time) testing. PTT is a blood test used to evaluate the clotting ability of the blood and to monitor the effectiveness of blood-thinning medications. The light blue tube contains sodium citrate, which acts as an anticoagulant by binding to calcium in the blood, preventing it from clotting. This tube is specifically designed for coagulation studies and is the correct choice for PTT testing.

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43. OSHA requires that healthcare professionals receive a vaccine for: 

Explanation

Healthcare professionals are required by OSHA (Occupational Safety and Health Administration) to receive a vaccine for HBV (Hepatitis B Virus). This is because healthcare workers are at a higher risk of exposure to blood and body fluids, which can transmit the HBV infection. By receiving the vaccine, healthcare professionals can protect themselves from contracting and spreading the virus to patients and colleagues.

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44. The additive in a pink tube is: 

Explanation

EDTA is the correct answer because it is commonly used as an additive in pink tubes for blood collection. EDTA helps to prevent blood from clotting by binding to calcium ions, which are necessary for the clotting process. This allows the blood to remain in a liquid state for further testing and analysis.

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45. Which test must be performed on whole blood? 

Explanation

A complete blood count (CBC) is a test that must be performed on whole blood. It provides important information about the different components of blood, such as red blood cells, white blood cells, and platelets. This test can help diagnose various conditions, such as anemia, infections, and blood clotting disorders. By analyzing the CBC results, healthcare professionals can assess a person's overall health and detect any abnormalities or imbalances in the blood. Therefore, performing a CBC is essential for evaluating a person's blood composition and identifying potential health issues.

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46. A drug known to interfere with urine tests should be discontinued 48-72 hours prior to the test. 

Explanation

It is true that a drug known to interfere with urine tests should be discontinued 48-72 hours prior to the test. This is because certain drugs can affect the composition of urine and potentially interfere with the accuracy of the test results. By discontinuing the drug for a sufficient amount of time before the test, the drug's effects on urine composition can diminish, allowing for more accurate test results.

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47. What kind of blood do arteries and arterioles carry? 

Explanation

Arteries and arterioles carry oxygenated blood. Arteries are responsible for carrying oxygen-rich blood away from the heart to the rest of the body, while arterioles are smaller branches of arteries that also carry oxygenated blood.

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48. Tiny red spots on the skin caused by the rupturing of capillaries are called _____________. 

Explanation

Petechiae are tiny red spots on the skin that occur when capillaries rupture and cause bleeding under the skin. They are typically caused by trauma or injury and can be a sign of various medical conditions such as infections, autoimmune diseases, or certain medications. Phlebitis refers to inflammation of a vein, trauma refers to physical injury, and pimples are small papules on the skin caused by clogged pores. Therefore, the correct answer is petechiae.

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49. Permanent surgical connection between an artery and a vein. 

Explanation

A fistula is a permanent surgical connection between an artery and a vein. This connection allows for the direct flow of blood between the two vessels, bypassing the capillaries. Fistulas are commonly created for dialysis patients to provide easy access for the removal and return of blood during treatment. They are also used in certain surgical procedures to improve blood flow or for the delivery of medications.

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50. Which is not a reason for failure to collect blood? 

Explanation

Drinking too much liquid is not a reason for failure to collect blood because it does not directly affect the process of blood collection. The other options listed are all potential reasons for failure to collect blood, such as a tube losing vacuum, the bevel of the needle not being against the vein side, or the needle not being fully inserted into the vein.

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51. Postprandial means ______________. 

Explanation

Postprandial means "after eating." It is a term used to describe the period of time following a meal. This term is commonly used in medical and scientific contexts to refer to the physiological changes that occur in the body after consuming food.

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52. Always recap your needle before putting it into the sharps container. 

Explanation

Recapping needles before putting them into the sharps container is not recommended because it increases the risk of accidental needlestick injuries. When needles are recapped, there is a higher chance of the person handling the needle getting pricked. To prevent these injuries, it is advised to dispose of needles directly into the sharps container without recapping them.

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53. To disinfect a surface you can use boiling water or _______________. 

Explanation

Bleach is a common household disinfectant that can effectively kill bacteria, viruses, and other pathogens on surfaces. It contains chlorine, which acts as a powerful germicide. When diluted with water, bleach can be used to clean and disinfect various surfaces, making it an effective alternative to boiling water for disinfection purposes.

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54. Bacteria and parasites belong to which type of hazard? 

Explanation

Bacteria and parasites belong to the biologic type of hazard because they are living organisms that can cause harm or disease to humans. Unlike chemical hazards, which involve toxic substances, or physical hazards, which involve physical dangers like radiation or noise, biologic hazards are specifically related to the presence of living organisms that can pose a risk to human health.

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55. Glycolysis occurs faster in newborns. 

Explanation

Glycolysis is the process by which glucose is broken down to produce energy in the form of ATP. It is a vital metabolic pathway in all living organisms. In newborns, glycolysis occurs at a faster rate compared to adults. This is because newborns have a higher metabolic rate and energy demand to support their rapid growth and development. Additionally, newborns have a higher concentration of enzymes involved in glycolysis, which further enhances the speed of this process. Therefore, the statement that glycolysis occurs faster in newborns is true.

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56. Which is not true off WBCs? 

Explanation

The statement "they are all the same size and shape" is not true for WBCs. White blood cells, or leukocytes, come in different sizes and shapes depending on their type. For example, neutrophils are larger and have multi-lobed nuclei, while lymphocytes are smaller and have spherical nuclei. This variation in size and shape allows different types of WBCs to perform their specific functions in the immune system.

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57. Which is NOT a reason the tourniquet is used. 

Explanation

The tourniquet is not used to make veins blue. A tourniquet is typically used to prevent venous flow of blood, which helps in locating veins and making them bulge, aiding in procedures such as blood draws or intravenous injections. The blue color of veins is a natural result of deoxygenated blood, and the tourniquet does not play a role in changing the color of veins.

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58. Accumulation of fluid in the tissues. 

Explanation

Edema refers to the accumulation of fluid in the tissues. This can occur due to various reasons such as an underlying medical condition, injury, or inflammation. When there is an excess of fluid in the tissues, it can cause swelling, pain, and discomfort. Therefore, edema is the correct answer as it accurately describes the accumulation of fluid in the tissues.

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59. Another name for blood in the urine: 

Explanation

Hematuria is the medical term used to describe the presence of blood in the urine. It can be a sign of various underlying conditions, such as urinary tract infections, kidney stones, bladder or kidney infections, or even certain cancers. The presence of blood in the urine can be visually noticeable or detected through laboratory tests. Therefore, hematuria is another name for blood in the urine.

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60. When the body has adequate rest and no food for 12 hours it is said to be in the___________state.

Explanation

When the body has adequate rest and no food for 12 hours, it enters a basal state. This refers to the body's metabolic state when it is at rest and not actively digesting or processing food. During this state, the body's metabolism slows down and energy is conserved. It is an essential state for the body to maintain balance and conserve energy during periods of rest and fasting.

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61. The following is a test of the respiratory system 

Explanation

This question is asking which of the given options is a test of the respiratory system. The correct answer is ABGs, which stands for Arterial Blood Gases. This test measures the levels of oxygen, carbon dioxide, and other gasses in the blood, providing information about how well the respiratory system is functioning.

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62. A green top tube usually contains 

Explanation

A green top tube usually contains heparin. Heparin is an anticoagulant that prevents blood from clotting by inhibiting the activity of clotting factors. This type of tube is commonly used for collecting blood samples for various tests, such as blood gas analysis or some chemistry tests. Heparin prevents the blood from clotting during the collection process, allowing for accurate test results.

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63. What is the function of a leukocyte? 

Explanation

Leukocytes, also known as white blood cells, are responsible for protecting the body from infections. They are part of the immune system and work to identify and destroy pathogens such as bacteria, viruses, and fungi. Leukocytes can engulf and destroy foreign substances, produce antibodies, and coordinate immune responses to keep the body healthy and free from infections.

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64. How many inches above the site should the tourniquet be tied? 

Explanation

When applying a tourniquet, it is important to tie it several inches above the wound site to effectively stop blood flow to the injured area. Tying the tourniquet too close to the wound may not sufficiently occlude blood flow, while tying it too far away may make it less effective or increase the risk of complications. Therefore, the tourniquet should typically be tied around 3-4 inches above the site of the injury.

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65. What is the recommended depth of a heel puncture on an infant? 

Explanation

The recommended depth of a heel puncture on an infant is 2.0mm. This depth is necessary to ensure an adequate sample of blood is obtained for testing purposes. A puncture that is too shallow may not provide enough blood, while a puncture that is too deep may cause unnecessary pain and potential complications for the infant. Therefore, it is important to adhere to the recommended depth of 2.0mm for a heel puncture on an infant.

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66. What organ would a doctor be interested in if he ordered an ALP, AST, ALT, GTT, and bilirubin? 

Explanation

A doctor would be interested in the liver if they ordered an ALP, AST, ALT, GTT, and bilirubin test. These tests are commonly used to assess liver function. ALP (alkaline phosphatase), AST (aspartate aminotransferase), and ALT (alanine aminotransferase) are liver enzymes that can indicate liver damage or disease. GTT (glucose tolerance test) can be used to evaluate liver function in relation to glucose metabolism. Bilirubin is a waste product produced by the liver and high levels can indicate liver dysfunction. Therefore, the liver is the organ of interest in this case.

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67. Invert a gray tube __________ times. 

Explanation

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68. Contact, droplet and airborne are ____________. 

Explanation

The terms "contact," "droplet," and "airborne" refer to different ways in which diseases can be transmitted from one person to another. These terms describe the various modes through which infectious agents can spread, such as direct physical contact, respiratory droplets, or particles suspended in the air. Therefore, they are all examples of modes of transmission.

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69. Medical Asepsis is the destruction of pathogens outside the body. 

Explanation

Medical Asepsis refers to the practices and procedures used to prevent the spread of infection. It involves the destruction of pathogens, such as bacteria and viruses, outside the body. This can be achieved through various methods, such as cleaning and disinfection of surfaces, sterilization of equipment, and proper hand hygiene. Therefore, the statement "Medical Asepsis is the destruction of pathogens outside the body" is true.

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70.  The left ventricle delivers oxygenated blood to the aorta.

Explanation

The left ventricle is responsible for pumping oxygenated blood to the aorta, which is the largest artery in the body. From the aorta, the oxygenated blood is distributed to the rest of the body's organs and tissues. This process is essential for delivering oxygen and nutrients to the cells and removing waste products. Therefore, the statement "The left ventricle delivers oxygenated blood to the aorta" is true.

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71. In a routine venipuncture the lavender tube should be drawn before the red tube. 

Explanation

In a routine venipuncture, the lavender tube should not be drawn before the red tube. This is because the lavender tube is used to collect blood for complete blood count (CBC) tests, while the red tube is used to collect blood for chemistry tests. It is important to collect the red tube first to prevent any contamination from additives in the lavender tube that may affect the chemistry test results. Therefore, the correct order is to draw the red tube before the lavender tube.

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72. Which test may require a chain of custody? 

Explanation

A drug screen test may require a chain of custody because it is important to maintain a documented record of the handling and transportation of the specimen to ensure its integrity and prevent tampering. This is especially crucial in legal and forensic settings where the results of the drug screen may have significant consequences. The chain of custody process involves documenting who has had possession of the specimen at all times, from the moment it is collected until it is tested in the laboratory.

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73. What causes vacuum tubes to fill with blood? 

Explanation

Vacuum tubes are specifically designed to collect blood samples by creating a negative pressure inside the tube, also known as a tube vacuum. This vacuum helps in drawing the blood into the tube without the need for any additional pressure or force. Therefore, the correct answer is "tube vacuum" because it is the main cause of the vacuum tubes filling with blood during the blood collection process.

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74. Veins are located deeper than arteries.

Explanation

Veins are not located deeper than arteries. In fact, veins are usually located closer to the surface of the body compared to arteries. This is why veins are more visible and can be easily felt or seen under the skin. Arteries, on the other hand, are deeper within the body and carry oxygenated blood away from the heart, while veins carry deoxygenated blood back to the heart.

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75. Lavender tubes must be 2/3 full. 

Explanation

Lavender tubes must be 2/3 full because this ensures that there is enough blood sample for testing purposes. If the tube is not filled to this level, there may not be enough blood to perform the necessary tests accurately. Therefore, it is important to ensure that the lavender tubes are filled to the appropriate level.

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76. Which is NOT a common symptom of shock? 

Explanation

Blinking eyes is not a common symptom of shock. Shock is a life-threatening condition that occurs when there is insufficient blood flow to the body's organs and tissues. Common symptoms of shock include clammy skin, weak pulse, and shallow breathing. Blinking eyes, on the other hand, is not directly related to the body's response to shock and is not typically observed as a symptom in individuals experiencing shock.

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77. Touching someone without permission is called____________. 

Explanation

Battery refers to the intentional and unlawful physical contact with another person without their consent. It involves touching someone without permission, which can be considered a violation of their personal boundaries and rights. Battery can range from minor physical contact to more severe forms of harm, and it is generally considered a legal offense.

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78. If someone is cyanotic their skin may appear ____________. 

Explanation

If someone is cyanotic, it means that they have a reduced amount of oxygen in their blood. This lack of oxygen can cause their skin to appear bluish in color. This is because when the blood is not properly oxygenated, it appears darker and can give the skin a bluish tint.

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79. Oxygen-poor blood enters the heart through the right atrium. 

Explanation

Oxygen-poor blood enters the heart through the right atrium. This is because the right atrium receives deoxygenated blood from the body through the superior and inferior vena cava. From the right atrium, the blood is then pumped into the right ventricle and eventually sent to the lungs to receive oxygen. Therefore, the statement is true.

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80. When collecting a Blood culture with a butterfly into culture bottles, which is filled first? 

Explanation

When collecting a blood culture with a butterfly into culture bottles, the aerobic bottle should be filled first. This is because aerobic bacteria require oxygen to grow, and filling the aerobic bottle first ensures that they have access to oxygen. Anaerobic bacteria, on the other hand, do not require oxygen and can survive in the absence of it. Therefore, filling the aerobic bottle first allows for the optimal growth of aerobic bacteria in the culture.

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81. Veins have thinner walls than arteries. 

Explanation

Veins have thinner walls than arteries because they are responsible for carrying deoxygenated blood back to the heart. The thinner walls allow for easier expansion and contraction, accommodating the lower pressure of blood flow in veins compared to the higher pressure in arteries. Additionally, veins contain valves to prevent backflow of blood, which further supports the need for thinner walls.

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82. The myocardium is the layer of the heart that is made of ___________-. 

Explanation

The myocardium is the layer of the heart that is made of muscle. This muscle layer is responsible for the contraction of the heart, which allows it to pump blood throughout the body. The myocardium is composed of specialized cardiac muscle cells that are interconnected and work together to create the pumping action of the heart.

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83. What is the liquid portion of blood called? 

Explanation

Plasma is the correct answer because it refers to the liquid portion of blood. It is a yellowish fluid that makes up about 55% of blood volume and carries various substances such as nutrients, hormones, waste products, and clotting factors. Plasma also plays a crucial role in regulating body temperature and maintaining blood pressure.

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84. A pad used to correct the patient's clothing. 

Explanation

A Chux is a type of pad that is used to correct the patient's clothing. It is often placed under the patient to protect the bed or chair from any spills or accidents. The Chux pad is absorbent and helps to keep the patient dry and comfortable. It is commonly used in hospitals, nursing homes, and other healthcare settings to maintain cleanliness and hygiene.

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85. If the patient continues to bleed after 8 minutes of pressure you should ______________. 

Explanation

If the patient continues to bleed after 8 minutes of pressure, it is important to call for help. This is because the bleeding may be severe and require additional medical intervention. Calling for help ensures that medical professionals with the necessary expertise and resources can provide the appropriate treatment and support to stop the bleeding effectively.

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86. If the needle passes completely through the vein you must pull it out of the arm and try another vein. 

Explanation

If the needle passes completely through the vein, it is not necessary to pull it out of the arm and try another vein. This is because the needle is already in the vein and has successfully accessed it. Pulling it out and trying another vein would be unnecessary and potentially harmful.

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87. Blood cultures are collected in a ___________ tube. 

Explanation

Blood cultures are collected in a yellow tube. This is because the yellow tube contains a specific type of media that helps in the growth and detection of bacteria or other microorganisms in the blood sample. The yellow color of the tube indicates the presence of a specific additive that is necessary for the blood culture process.

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88. A group of tests collected as one unit: 

Explanation

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89. Which order of draw is correct. 

Explanation

The correct order of draw is red, green, lavender. This order is followed in blood collection to prevent cross-contamination between different tubes. The red tube is used for serum tests, the green tube is used for plasma tests, and the lavender tube is used for complete blood count (CBC) tests. By following this order, the risk of introducing additives or anticoagulants from one tube to another is minimized, ensuring accurate test results.

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90. What tube is used for a WBC differential? 

Explanation

Lavender top tubes are used for hematology tests, including the WBC differential, because they contain EDTA anticoagulant that prevents blood clotting, ensuring the whole blood sample remains in a suitable condition for accurate hematology analysis.

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91. Which tube can be used to collect blood for a type and crossmatch? 

Explanation

The Pink top EDTA tube can be used to collect blood for a type and crossmatch. EDTA is an anticoagulant that prevents the blood from clotting, allowing for accurate testing and typing of blood. The type and crossmatch test is performed to determine the compatibility of blood for transfusion purposes.

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92. The first tube collected with a butterfly will underfill due to air in the line. 

Explanation

The explanation for the given correct answer is that when using a butterfly needle, there may be air in the line that can cause the first tube collected to be underfilled. This is because the air takes up space in the tubing, reducing the amount of blood that can be collected in the tube. Therefore, the first tube collected with a butterfly needle is likely to be underfilled.

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93.  Another name for RBC's:

Explanation

Erythrocytes are another name for red blood cells (RBCs). RBCs are responsible for carrying oxygen from the lungs to the rest of the body and removing carbon dioxide. They are the most abundant type of blood cell and have a unique shape that allows them to squeeze through narrow blood vessels. Thrombocytes, leukocytes, and phagocytes are different types of blood cells with different functions. Thrombocytes are platelets involved in blood clotting, leukocytes are white blood cells involved in the immune response, and phagocytes are a type of leukocyte that engulf and destroy pathogens.

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94. How many minutes does normal coagulation take in a red topped tube? 

Explanation

Normal coagulation takes 30-60 minutes in a red topped tube. This is the typical time frame for blood to clot in this type of tube.

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95. What gauge multi-sample needle is considered to be standard? 

Explanation

The standard gauge multi-sample needle is considered to be 21.

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96. The hollow part of the needle is called the lumen.

Explanation

The statement is true because the lumen refers to the hollow part or channel inside a needle or tube. It is the space through which substances or fluids can flow. In the case of a needle, the lumen allows for the passage of medication or fluids into the body or for the withdrawal of blood or other samples.

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97. A person should sustain from eating for how many hours prior to a fasting blood test. 

Explanation

A person should refrain from eating for 12 hours prior to a fasting blood test. This is necessary to ensure accurate test results, as eating can affect the levels of certain substances in the blood, such as glucose and triglycerides. Fasting helps to establish a baseline for these measurements and allows healthcare professionals to interpret the results correctly.

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98.  Direct contact transmission is defined as ___________.

Explanation

Direct contact transmission refers to the spread of infectious agents through physical contact between an infected individual's skin and the skin of a susceptible person. This type of transmission does not involve any intermediate objects or fluids, but rather occurs directly from one person to another through skin-to-skin contact.

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99. The ability of the body to achieve "steady state". 

Explanation

Homeostasis refers to the body's ability to maintain a stable internal environment despite external changes. It involves various physiological processes that work together to regulate temperature, pH levels, blood pressure, and other vital parameters within a narrow range. This balance is crucial for the proper functioning of cells, tissues, and organs. Anabolism and catabolism are metabolic processes involved in building and breaking down molecules, while hemostasis refers to the body's ability to stop bleeding. However, only homeostasis accurately describes the body's ability to achieve a steady state.

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100. A urine C & S is ordered to detect 

Explanation

A urine C & S (Culture and Sensitivity) test is ordered to detect the presence of a urinary tract infection (UTI). This test helps identify the specific bacteria causing the infection and determines which antibiotics would be most effective in treating it. The presence of UTI can be confirmed by analyzing the growth of bacteria in the urine sample. The other options mentioned in the question (abnormal urine pH, glucose overload, kidney damage) are not specifically detected through a urine C & S test.

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101. Which fluid is obtained by lumbar puncture. 

Explanation

Lumbar puncture is a medical procedure in which a needle is inserted into the lower back to collect a sample of cerebrospinal fluid (CSF). CSF is a clear fluid that surrounds the brain and spinal cord, providing protection and nutrients. It is obtained through lumbar puncture to diagnose various conditions, such as infections, bleeding, or tumors in the central nervous system. Peritoneal fluid is found in the abdominal cavity, pleural fluid is found in the chest cavity, and synovial fluid is found in the joints.

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102. Sputum is collected to diagnose 

Explanation

Sputum is collected to diagnose tuberculosis because it is a respiratory infection that primarily affects the lungs. Sputum, which is mucus coughed up from the lower respiratory tract, can contain the bacteria that cause tuberculosis. Analyzing sputum samples for the presence of these bacteria helps in confirming the diagnosis of tuberculosis.

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103. The heart disorder characterized by fluid buildup in the lungs 

Explanation

Congestive heart failure is a heart disorder where there is a buildup of fluid in the lungs. This occurs when the heart is unable to pump blood effectively, causing blood to back up into the lungs. The fluid buildup in the lungs leads to symptoms such as shortness of breath, coughing, and wheezing. Treatment for congestive heart failure includes medication, lifestyle changes, and in some cases, surgery.

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104. What kind of valve is the tricuspid valve? 

Explanation

The tricuspid valve is a type of atrioventricular valve. It is located between the right atrium and the right ventricle of the heart. The tricuspid valve has three leaflets or cusps, which allow blood to flow from the atrium to the ventricle during the relaxation phase of the heart's pumping cycle. When the ventricle contracts, the tricuspid valve closes to prevent backflow of blood into the atrium. Therefore, the tricuspid valve is specifically classified as an atrioventricular valve.

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105. What is the size (in inches) of the needle routinely used for venipuncture? 

Explanation

The size of the needle routinely used for venipuncture is typically 1-1.5 inches.

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106. The OGTT test diagnoses ______________. 

Explanation

The OGTT test, also known as the oral glucose tolerance test, is used to diagnose diabetes. This test involves drinking a sugary solution and then measuring blood glucose levels at specific intervals. If the blood glucose levels remain high after consuming the solution, it indicates that the body is not effectively regulating blood sugar levels, which is a characteristic of diabetes. Therefore, the OGTT test is used to diagnose diabetes.

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107. Blood cultures are used to diagnose ________________. 

Explanation

Blood cultures are used to diagnose FUO (Fever of Unknown Origin). FUO refers to a persistent fever that cannot be explained by routine medical examinations. By taking blood samples and culturing them in a laboratory, healthcare professionals can identify any bacteria or fungi present in the bloodstream that may be causing the fever. This information is crucial in determining the appropriate treatment for the patient.

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108. What is the first link in the chain of infection? 

Explanation

The first link in the chain of infection is the agent. The agent refers to the microorganism or pathogen that causes the infection. It can be a virus, bacteria, parasite, or fungus. The agent is responsible for initiating the infection and can be transmitted from one person to another through various modes of transmission.

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109. When someone is in shock you should keep them cool. 

Explanation

When someone is in shock, it is important to keep them warm, not cool. Shock is a condition in which the body's vital organs are not receiving enough blood flow, and cooling them down can worsen this condition. Keeping the person warm helps to maintain their body temperature and prevent further complications.

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110. Serum is depleted of fibrinogen.

Explanation

This statement is true because serum is the liquid part of blood that remains after the removal of blood cells and clotting factors, including fibrinogen. Fibrinogen is a protein involved in blood clotting, and when serum is depleted of fibrinogen, it means that the clotting factors have been removed. Therefore, the statement is correct.

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111. Which should not be done during vein selection? 

Explanation

During vein selection, it is important not to have the patient pump their fist. Pumping the fist can cause the veins to collapse or become smaller, making it more difficult to find a suitable vein for the procedure. It is important to keep the patient's arm still and relaxed to ensure successful vein selection.

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112. Blood types are determined by the presence or absence of which of the following on RBCs. 

Explanation

Blood types are determined by the presence or absence of antigens on red blood cells (RBCs). Antigens are substances that can trigger an immune response in the body. Different blood types have different antigens on their RBCs, such as A, B, AB, or O antigens. These antigens are important in determining compatibility for blood transfusions and organ transplants. Antibodies, chemicals, and hormones are not directly involved in determining blood types.

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113. How many liters of blood does the average adult have? 

Explanation

The average adult has approximately 5-6 liters of blood in their body.

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114. Another name for thrombocytes is______________. 

Explanation

Thrombocytes, also known as platelets, are small cell fragments in the blood that play a crucial role in blood clotting. They are responsible for forming a plug at the site of a damaged blood vessel to prevent excessive bleeding. Platelets are not the same as white blood cells or red blood cells, which have different functions in the body. Monocytes are a type of white blood cell involved in the immune response. Therefore, the correct answer is platelets.

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115. Which tube would you use to measure lactic acid? 

Explanation

The gray tube would be used to measure lactic acid because different colored tubes are used for different types of tests. Gray tubes are typically used for tests that require the measurement of glucose, lactic acid, or alcohol levels. Therefore, the gray tube would be the appropriate choice for measuring lactic acid.

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116. Which of the following is the best definition of destruction of red blood cells? 

Explanation

Hemolysis is the best definition of destruction of red blood cells. Hemolysis refers to the rupture or destruction of red blood cells, leading to the release of hemoglobin into the surrounding fluid. This can occur due to various factors such as infections, toxins, immune reactions, or certain medical conditions. Hemolysis can result in anemia and other health complications.

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117. The most common source of carry over problems is EDTA. 

Explanation

EDTA, which stands for ethylenediaminetetraacetic acid, is a common chelating agent used in various industries, including the medical and laboratory fields. It is often added to blood collection tubes to prevent clotting by binding calcium ions. However, EDTA can cause carry over problems if not properly washed out or removed from the samples. This can lead to inaccurate test results or contamination of subsequent samples. Therefore, the statement that EDTA is the most common source of carry over problems is true.

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118. Capillary puncture reference ranges are higher for this analyte. 

Explanation

Capillary puncture reference ranges for glucose are higher compared to other analytes such as calcium, phosphorus, and protein. This is because capillary blood, which is obtained through a finger prick, may have slightly higher glucose levels compared to venous blood. Therefore, the reference ranges for glucose in capillary blood are adjusted to account for this difference.

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119. Endocardium is which layer of the heart. 

Explanation

The endocardium is the innermost layer of the heart. It is a thin, smooth membrane that lines the chambers of the heart and covers the heart valves. The endocardium is composed of endothelial cells and connective tissue, and its main function is to provide a smooth surface for blood flow and prevent blood clot formation.

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120. To measure diurnal variation of cortisol hormone what kind of specimen would be required? 

Explanation

To measure the diurnal variation of cortisol hormone, a timed specimen would be required. This means that the specimen would need to be collected at specific intervals throughout the day to capture the natural fluctuations of cortisol levels. This is because cortisol levels vary throughout the day, with the highest levels typically in the morning and the lowest levels in the evening. Collecting a timed specimen would provide a more accurate representation of the diurnal variation of cortisol hormone.

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121. Vigorous mixing can activate platelets and shorten clotting times. 

Explanation

Vigorous mixing can activate platelets, which are responsible for blood clotting. When platelets are activated, they release various substances that promote clot formation. This can lead to a shorter clotting time, as the platelets become more efficient in forming a clot. Therefore, the statement "Vigorous mixing can activate platelet and shorten clotting times" is true.

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122. The Good Samaritan Law allows healthcare workers to provide medical care above and beyond their normal field without being sued. 

Explanation

The Good Samaritan Law does not specifically apply to healthcare workers. It is a law that protects individuals who provide assistance in emergency situations from being sued for any harm caused while providing aid. This law applies to any person, not just healthcare workers, who voluntarily and in good faith provide emergency care at the scene of an accident or emergency. Therefore, the statement that the Good Samaritan Law allows healthcare workers to provide medical care beyond their normal field without being sued is false.

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123. Which body plane divides the body in equal portions? 

Explanation

The midsagittal plane, also known as the median plane, divides the body into equal left and right halves. This plane passes through the midline of the body, specifically through the midline of the head, neck, and trunk. It is used as a reference point in anatomical studies and is important for understanding the symmetry and organization of the body.

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124. If an infant is screaming during a CBC test the  

Explanation

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125. Capillary puncture blood most closely resembles ____________. 

Explanation

Capillary puncture blood most closely resembles arterial blood because both types of blood are oxygenated and have a similar composition. Capillary blood is obtained by pricking the capillaries, which are small blood vessels located close to the surface of the skin. Arterial blood, on the other hand, is the oxygen-rich blood that is pumped from the heart to the rest of the body through the arteries. Both types of blood have a high concentration of oxygen and nutrients, making them similar in composition.

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126. The two circulations of the heart are _________and ___________. 

Explanation

The correct answer is Pulmonary and Systemic. The circulatory system of the heart consists of two main circulations: the pulmonary circulation and the systemic circulation. The pulmonary circulation carries deoxygenated blood from the heart to the lungs to be oxygenated, while the systemic circulation carries oxygenated blood from the heart to the rest of the body's tissues and organs.

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127. Which layer of the heart is the epicardium? 

Explanation

The epicardium is the outermost layer of the heart. It is a protective layer that covers the heart and helps to reduce friction as the heart beats.

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128. What tube is used for ESR? 

Explanation

Lavender tube is used for ESR (Erythrocyte Sedimentation Rate) testing. The lavender tube contains an anticoagulant called EDTA (ethylenediaminetetraacetic acid) which prevents the blood from clotting. This is important for ESR testing as it measures the rate at which red blood cells settle in a tube over a certain period of time. The lavender tube is commonly used for various hematological tests including complete blood count (CBC) and ESR.

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129. Which lab sectioin would analyze the C&S test? 

Explanation

The correct answer is microbiology because the C&S (Culture and Sensitivity) test is a microbiological test used to identify and determine the susceptibility of bacteria or fungi causing an infection. This test is performed in microbiology labs where samples are cultured and analyzed to identify the specific microorganism causing the infection and determine which antibiotics would be effective in treating it.

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130. What are the 3 components of a urinalysis? 

Explanation

Urinalysis involves the examination of urine to assess various aspects of a person's health. The three components of a urinalysis are physical, chemical, and microscopic exams. The physical exam involves assessing the color, clarity, and odor of the urine. The chemical exam involves testing for the presence of substances such as glucose, protein, and blood. The microscopic exam involves examining the urine under a microscope to identify and quantify cells, bacteria, and other particles.

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131. Which is a test of the urinary system? 

Explanation

Creatinine clearance is a test used to measure how well the kidneys are functioning. It involves collecting urine samples and blood samples to measure the level of creatinine, a waste product that is filtered out of the blood by the kidneys. By comparing the levels of creatinine in the urine and blood, the creatinine clearance test can provide information about the kidneys' ability to filter waste products. This test is commonly used to diagnose and monitor kidney diseases and assess kidney function.

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132. At what intervals should blood be blotted during a bleeding time test? 

Explanation

During a bleeding time test, blood should be blotted at 30-second intervals. This is because the test measures the time it takes for bleeding to stop after a small incision is made on the skin. Blotting the blood at regular intervals allows for accurate measurement of the bleeding time.

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133. What is the oxygen carrying protein in erythrocytes? 

Explanation

Hemoglobin is the oxygen carrying protein in erythrocytes. It binds to oxygen in the lungs and transports it to the body's tissues. Hemoglobin is found in red blood cells and is responsible for their red color. It plays a crucial role in the transportation of oxygen throughout the body, allowing cells to receive the oxygen they need for energy production. Reticulocytes are immature red blood cells, plasma is the liquid component of blood, and leukocytes are white blood cells, none of which are the oxygen carrying protein in erythrocytes.

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134. The most common complication of phlebotomy. 

Explanation

Hematoma is the most common complication of phlebotomy. A hematoma occurs when there is bleeding under the skin, resulting in the formation of a localized blood clot. This can happen if the needle used during phlebotomy punctures a blood vessel, causing blood to leak into the surrounding tissues. Hematomas can vary in size and severity, and may cause pain, swelling, and discoloration at the site of the phlebotomy.

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135. Leaving the tourniquet on too long may cause ________________. 

Explanation

Leaving the tourniquet on too long can cause hemoconcentration. This is because the tourniquet restricts blood flow to the area, leading to an accumulation of blood and an increase in the concentration of blood cells and proteins. Hemoconcentration can have negative effects on the body, such as thickening of the blood and decreased oxygen delivery to tissues.

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136. To check for trace elements a phlebotomist would use a ______ tube.

Explanation

A phlebotomist would use a royal blue tube to check for trace elements. This type of tube is specifically designed to collect and preserve samples for trace element analysis. The royal blue color of the tube indicates that it contains an additive that helps stabilize and preserve the trace elements in the sample. By using a royal blue tube, the phlebotomist can ensure accurate and reliable results when testing for trace elements.

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137. This organization develops standards for specimen handling and processing

Explanation

CLSI, the Clinical and Laboratory Standards Institute, is an organization that develops standards for specimen handling and processing. They provide guidelines and best practices for laboratories and healthcare professionals to ensure accurate and reliable test results. These standards cover various aspects such as collection, transportation, storage, and processing of specimens, aiming to improve patient care and safety. The CLSI standards are widely recognized and followed in the field of laboratory medicine.

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138. Which tube does not contain EDTA?

Explanation

The mottled green and gray topped tubes do not contain EDTA. This is because EDTA is commonly used as an anticoagulant in blood collection tubes to prevent clotting. The lavender tube tops, pink plastic top tubes with special blood bank patient ID label, and pearl top tubes with thixotropic gel separator are all commonly used tubes that contain EDTA as an anticoagulant.

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139.  The test used to evaluate intrinsic pathway is called ____________.

Explanation

The correct answer is APTT. The APTT, or activated partial thromboplastin time, is a test used to evaluate the intrinsic pathway of the coagulation cascade. It measures the time it takes for blood to clot in response to certain activators. This test is commonly used to diagnose and monitor clotting disorders, such as hemophilia, and to assess the effectiveness of anticoagulant medications.

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140. Crooked or winding veins are also called ___________________. 

Explanation

Crooked or winding veins are also called tortuous. This term is used to describe veins that have twisted or curved paths, often appearing as bulging or knotted. The word "tortuous" is derived from the Latin word "tortus," meaning twisted.

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141. Which test is NOT a light sensitive test? 

Explanation

Ammonia is not a light-sensitive test because it does not undergo any changes or reactions when exposed to light. Light-sensitive tests, such as the ones mentioned in the other options, involve substances that react or undergo color changes when exposed to light.

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142. Light blue tubes must be ____ full. 

Explanation

The correct answer is "completely" because the statement is indicating that the light blue tubes must be filled entirely or completely.

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143. Sodium Fluoride preserves glucose for how many days? 

Explanation

Sodium fluoride preserves glucose for 3 days.

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144. An example of a nosocomial infection is 

Explanation

A nosocomial infection refers to an infection that is acquired in a hospital or healthcare facility. In this case, the catheter site of an ICU patient becoming infected is an example of a nosocomial infection because it occurred during the patient's stay in the hospital. Nosocomial infections are often caused by bacteria or other pathogens that are present in the healthcare environment and can be transmitted through medical procedures or contaminated equipment.

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145. What is a condition that could cause leukopenia? 

Explanation

Leukopenia is a condition characterized by a low white blood cell count. Leukemia, a type of cancer that affects the blood and bone marrow, can cause leukopenia. In leukemia, the bone marrow produces abnormal white blood cells, which can crowd out healthy cells and lead to a decrease in overall white blood cell count. Therefore, leukemia is a condition that could cause leukopenia.

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146. Which tube is used for a sickle cell screen?

Explanation

The lavender tube is used for a sickle cell screen. This is because lavender tubes contain an anticoagulant called EDTA, which helps preserve the blood sample for testing. Sickle cell screening involves analyzing the blood sample for the presence of abnormal hemoglobin, which causes sickle cell disease. The lavender tube ensures that the blood sample remains in a suitable condition for accurate testing.

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147. Microorganism cultures are collected in _____________tubes. 

Explanation

Microorganism cultures are collected in yellow tubes. This is because yellow tubes are specifically designed for collecting and storing biological samples, including microorganism cultures. The yellow color of the tubes helps to protect the samples from light exposure, which can be harmful to the microorganisms. Additionally, the yellow color also helps to differentiate the tubes from other types of tubes used in the laboratory, making it easier to identify and handle the cultures correctly.

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148. A CBC would be sent to what lab section? 

Explanation

A CBC (Complete Blood Count) is a common blood test that measures different components of the blood, including red blood cells, white blood cells, and platelets. Hematology is the branch of laboratory medicine that focuses on the study of blood and blood-forming tissues. Therefore, a CBC would be sent to the hematology lab section for analysis and interpretation.

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149. Which laboratory section performs blood pregnancy tests? 

Explanation

The correct answer is chemistry. Chemistry is the laboratory section that typically performs blood pregnancy tests. This is because blood pregnancy tests involve measuring the levels of certain hormones in the blood, which can be analyzed using chemical tests. Hematology focuses on the study of blood cells and disorders, serology deals with the study of antibodies and antigens in the blood, and blood bank is responsible for collecting, storing, and distributing blood products.

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150. When serum is _________ it is a clue that the patient is not fasting. 

Explanation

When serum is lipemic, it appears cloudy or milky due to the presence of high levels of lipids (fats). This can be a clue that the patient is not fasting because after a meal, the body releases lipids into the bloodstream for digestion and energy production. Therefore, the presence of lipemic serum suggests that the patient has recently eaten and is not in a fasting state.

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151. The pulmonic valve is situated between ____________________. 

Explanation

The pulmonic valve is situated between the right ventricle and the pulmonary artery. This valve allows blood to flow from the right ventricle to the pulmonary artery, which carries oxygen-depleted blood to the lungs to be oxygenated.

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152. Which tube is sometimes called a serum separator tube? 

Explanation

A red/gray tube is sometimes called a serum separator tube because it contains a gel separator that helps to separate the serum (liquid portion of blood) from the blood cells when the tube is centrifuged. This allows for easier and more accurate testing of the serum without interference from the cells.

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153.  Invert a tiger top tube ___ times.

Explanation

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154. Test for this dept. are usually collected in a light blue tube. 

Explanation

Coagulation is the correct answer because the question states that tests for this department are usually collected in a light blue tube. Coagulation tests, such as prothrombin time (PT) and activated partial thromboplastin time (aPTT), require blood to be collected in a light blue tube containing sodium citrate as an anticoagulant. This ensures that the blood does not clot and allows accurate measurement of clotting factors. Therefore, the use of a light blue tube indicates that the tests being performed are related to coagulation.

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155. The internal space of a blood vessel 

Explanation

The correct answer is lumen. The lumen refers to the internal space or cavity within a blood vessel. It is the hollow area through which blood flows, and it is surrounded by the vessel wall. The lumen plays a crucial role in allowing the passage of blood and maintaining proper blood flow within the vessel.

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156. The breakdown and removal of a clot in the hemostasis process is ______________. 

Explanation

Fibrinolysis is the process of breaking down and removing a clot in the hemostasis process. It involves the conversion of the protein fibrin, which forms the clot, into soluble fragments that can be cleared from the body. This process is important in preventing excessive clot formation and maintaining normal blood flow. Coagulation refers to the formation of a clot, vascular refers to blood vessels, and aggregation refers to the clumping together of platelets.

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157. In therapeutic blood monitoring, the trough levels are tested ______________. 

Explanation

In therapeutic blood monitoring, trough levels are tested 30 minutes before the scheduled dose. This is done to measure the lowest concentration of a medication in the blood, which occurs just before the next dose is administered. By testing the trough levels before the scheduled dose, healthcare professionals can ensure that the medication is at an appropriate level in the blood and adjust the dosage if necessary.

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158. What special handling does an ABG require? 

Explanation

An ABG (Arterial Blood Gas) requires special handling that involves chilling. This is because ABG samples need to be kept at a specific temperature to prevent any changes in the blood gas values. Chilling the sample helps to slow down any metabolic processes that could alter the results. It also helps to preserve the integrity of the sample until it can be analyzed in the laboratory. Therefore, chilling is necessary to ensure accurate and reliable ABG results.

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159. According to CLSI which tube is filled last when using a syringe? 

Explanation

According to CLSI, when using a syringe, the tube that is filled last is the one containing EDTA.

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160. The most critical aspect of blood culture collection is 

Explanation

Skin antisepsis is the most critical aspect of blood culture collection because it helps to prevent contamination of the blood sample with bacteria or other microorganisms from the surface of the skin. Properly cleaning and disinfecting the skin before collecting the blood sample reduces the risk of introducing pathogens into the culture, which could lead to false-positive results or misdiagnosis. Therefore, ensuring effective skin antisepsis is crucial for accurate and reliable blood culture testing.

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161.  Which of the following specimens are least likely to require special handling?

Explanation

Cholesterol and Uric Acid are least likely to require special handling because they are stable and can be easily measured in routine laboratory tests. Bilirubin and Folate, Gastrin and Lactic Acid, and Homocysteine and Renin may require special handling due to their sensitivity to light, temperature, or other factors that can affect their stability and accuracy of measurement.

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162. In the order of draw for capillary specimens should you draw tubes with or without additives first? 

Explanation

Tubes with additives should be drawn first in the order of draw for capillary specimens. This is because additives can potentially contaminate subsequent tubes if drawn after tubes without additives. Drawing tubes with additives first helps to ensure the accuracy and reliability of the test results.

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163. Repeated venipuncture in the same vein can cause: 

Explanation

Repeated venipuncture in the same vein can cause phlebitis, which is the inflammation of the vein. This can occur due to irritation or damage to the vein wall during the procedure. Phlebitis can cause pain, redness, and swelling at the site of the venipuncture. If left untreated, it can lead to the formation of blood clots or thrombus in the vein, which can further complicate the condition. Therefore, it is important to avoid repeated venipuncture in the same vein to prevent the development of phlebitis.

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164. Which test requires a 24-hour urine specimen?

Explanation

Creatinine clearance is a test that measures how well the kidneys are functioning by determining the amount of creatinine cleared from the blood in a 24-hour urine sample. Creatinine is a waste product produced by muscles, and its level in the blood can indicate kidney function. By collecting urine over a 24-hour period, the test provides a more accurate measurement of kidney function compared to a single urine sample. Therefore, creatinine clearance requires a 24-hour urine specimen.

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165. Lymph originates from 

Explanation

Lymph originates from tissue fluid. Tissue fluid is the fluid that surrounds the cells in the body and is formed from the blood plasma that leaks out of the capillaries. This fluid contains various substances and waste products that need to be removed from the tissues. The lymphatic system collects this fluid and filters it through lymph nodes before returning it to the bloodstream. Therefore, tissue fluid is the correct answer as it is the source of lymph.

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166. Blood culture tests can be done with a dermal puncture when venipuncture is not possible. 

Explanation

Blood culture tests cannot be done with a dermal puncture when venipuncture is not possible. Dermal puncture, also known as a fingerstick or heelstick, is a method of collecting a small amount of blood for testing. However, blood culture tests require a larger volume of blood and are typically performed through venipuncture, which involves inserting a needle into a vein. Therefore, a dermal puncture is not suitable for blood culture tests when venipuncture is not possible.

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167. Ammonia Chemical Test would be done with a _______ tube. 

Explanation

The correct answer is green because ammonia gas turns green when it reacts with Nessler's reagent in the chemical test.

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168. Which vein in the antecubital fossa is usually easiest to palpate in an obese patient? 

Explanation

In an obese patient, the cephalic vein in the antecubital fossa is usually easiest to palpate. This is because the cephalic vein is located on the lateral side of the forearm, closer to the surface of the skin. In contrast, the basilic vein is located on the medial side of the forearm and may be more difficult to palpate in an obese patient due to the increased adipose tissue. The median cubital vein is typically used for blood draws and may not be as easily palpable in an obese patient. The ulnar vein is located on the medial side of the forearm and is not commonly used for venipuncture.

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169. The relaxing phase of the cardiac cycle is:bradycardia 

Explanation

Diastole refers to the relaxing phase of the cardiac cycle when the heart muscle relaxes and fills with blood. During diastole, the heart chambers expand and the atria and ventricles fill with blood. This phase allows for the heart to rest and refill with oxygenated blood before the next contraction. Bradycardia, on the other hand, refers to an abnormally slow heart rate, systole is the contraction phase of the cardiac cycle, and infarction refers to tissue death due to lack of blood supply.

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170. Cortisol peaks late in the afternoon. 

Explanation

Cortisol does not peak late in the afternoon. In fact, cortisol levels are typically highest in the morning upon waking and gradually decrease throughout the day. This is known as the diurnal cortisol rhythm. Therefore, the statement that cortisol peaks late in the afternoon is false.

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171. What special handling does a cold agglutinins test require? 

Explanation

A cold agglutinins test requires pre-warmed tubes because cold agglutinins are antibodies that can cause red blood cells to clump together at low temperatures. By using pre-warmed tubes, the test can be performed at a temperature that prevents agglutination and ensures accurate results.

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172. Which is the best tube for collecting an ethanol specimen? 

Explanation

Sodium fluoride is the best tube for collecting an ethanol specimen because it acts as a preservative and inhibits the growth of microorganisms. It prevents the degradation of ethanol and maintains its stability during storage and transportation. This tube is commonly used for forensic and legal purposes to ensure accurate and reliable results in alcohol testing.

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173. An NP culture swab  is collected to help diagnose 

Explanation

An NP culture swab is collected to help diagnose whooping cough. Whooping cough, also known as pertussis, is a highly contagious respiratory infection caused by the bacteria Bordetella pertussis. Collecting an NP (nasopharyngeal) culture swab involves inserting a swab into the back of the nasal passage to collect a sample of mucus and bacteria. This sample can then be tested in a laboratory to identify the presence of the bacteria and confirm a diagnosis of whooping cough.

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174. Hemostasis is defined as _______________. 

Explanation

Hemostasis is defined as the stoppage of blood. This refers to the body's natural process of preventing and controlling bleeding. It involves a series of complex mechanisms that occur in response to injury or damage to blood vessels. These mechanisms include vasoconstriction, platelet aggregation, and the formation of a blood clot to seal the damaged area. Hemostasis is essential for maintaining the integrity of the circulatory system and preventing excessive blood loss.

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175. Which would be considered a preanalytical error? 

Explanation

Improper time of collection refers to the error of collecting a sample at the wrong time. This can result in inaccurate test results as certain tests require samples to be collected at specific times to ensure accurate measurements. Collecting a sample at the wrong time can lead to false positives or false negatives, potentially leading to incorrect diagnoses or treatment plans. It is important to follow proper protocols and guidelines for sample collection to minimize pre-analytical errors.

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176. The proper order for donning PPE 

Explanation

The correct order for donning PPE is gown, mask, gloves. This order ensures that the healthcare worker first protects their body with a gown, then protects their respiratory system by wearing a mask, and finally protects their hands by putting on gloves. This sequence minimizes the risk of contamination and infection.

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177. Glass particles in serum separator tubes

Explanation

The presence of glass particles in serum separator tubes can enhance clotting. This is because the glass particles provide a surface for the activation of the coagulation cascade, leading to the formation of a clot. This can be beneficial in certain laboratory tests that require the separation of serum from blood cells, as the clot formation helps in the separation process.

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178.  Collecting urine by aspiration through the bladder wall

Explanation

Suprapubic refers to a method of collecting urine by aspiration through the bladder wall. This technique involves inserting a catheter into the bladder through a small incision in the lower abdomen, above the pubic bone. It is commonly used in pediatric patients and in cases where other methods of urine collection are not feasible or effective.

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179. The chamber of the heart that receives blood from the systemic circulation 

Explanation

The right atrium is the chamber of the heart that receives blood from the systemic circulation. This is because the systemic circulation carries oxygenated blood from the lungs to the rest of the body, and the right atrium is responsible for receiving this deoxygenated blood after it has circulated through the body.

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180. What percentage of the blood is made up of formed elements? 

Explanation

Formed elements refer to the cellular components of blood, which include red blood cells, white blood cells, and platelets. These formed elements make up approximately 45% of the total volume of blood, while the remaining 55% is plasma. Therefore, the correct answer is 45%.

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181. How many types of leukocytes are in blood?

Explanation

There are five types of leukocytes, also known as white blood cells, in the blood. These types include neutrophils, lymphocytes, monocytes, eosinophils, and basophils. Each type of leukocyte plays a different role in the immune system and helps to protect the body against infections and diseases.

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182. Which represents the proper order of blood flow? 

Explanation

The proper order of blood flow starts from arterioles, which are small branches of arteries, then it moves into capillaries, which are tiny blood vessels where oxygen and nutrients are exchanged with tissues, and finally it flows into venules, which are small branches of veins. Therefore, the correct order of blood flow is from arterioles to capillaries to venules.

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183. How many times should a red top tube be inverted? 

Explanation

A red top tube is used for collecting blood samples without any additives. It is commonly used for collecting serum or plasma samples. Inverting the tube helps in mixing the blood with any clotting factors present in the tube. However, a red top tube does not require any inversion as it does not contain any additives. Therefore, the correct answer is 0.

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184. Which blood vessel is NOT part of systemic circulation? 

Explanation

The pulmonary artery is not part of systemic circulation because it carries deoxygenated blood from the heart to the lungs for oxygenation. Systemic circulation refers to the circulation of oxygenated blood from the heart to the rest of the body through arteries, capillaries, and veins. Therefore, the pulmonary artery is not part of this process as it carries deoxygenated blood in the opposite direction.

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185. The first tube in the order of draw for cap specimens is lavender. 

Explanation

The first tube in the order of draw for cap specimens is lavender. This means that when collecting multiple tubes of blood for laboratory testing, the lavender tube should be drawn first. The lavender tube is typically used for collecting specimens for hematology tests, such as complete blood count (CBC) and blood cell differentials. Following the correct order of draw helps to prevent cross-contamination between tubes and ensures accurate test results.

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186.  How many times should a light-blue tube be inverted?

Explanation

The correct answer is 3-4. This means that the light-blue tube should be inverted 3 to 4 times. Inverting a tube helps to mix the contents inside thoroughly. By inverting the tube multiple times, the liquid or substance inside will be mixed more effectively, ensuring an accurate result or measurement.

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187. How many hours before a blood test should a patient discontinue the use of medications known to interfere with blood tests? 

Explanation

Patients should discontinue the use of medications known to interfere with blood tests 4-24 hours before the test. This is because certain medications can affect the results of blood tests, so it is important to stop taking them for a sufficient amount of time before the test to ensure accurate results.

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188. Which WBC carries histamine? 

Explanation

Basophils are a type of white blood cell (WBC) that carry histamine. Histamine is an important chemical involved in the immune response and allergic reactions. When basophils are activated, they release histamine, which causes blood vessels to dilate and increases blood flow to the site of infection or injury. This helps to recruit other immune cells to the area and promotes inflammation. Therefore, basophils play a crucial role in the body's immune response.

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189. Serum contains the same chemical make up as plasma. 

Explanation

Serum is a component of blood that is obtained after the blood has clotted and the clot has been removed. It is similar to plasma, which is the liquid part of blood, but it does not contain clotting factors. Since serum is derived from plasma, it has the same chemical composition as plasma, making the statement true.

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190. What percentage of formed elements is erythrocytes?

Explanation



Erythrocytes, or red blood cells, make up about 45% of the blood's volume in a healthy adult, a value known as the hematocrit.
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191.  20%-40% of WBC are comprised of _______________.

Explanation

20%-40% of white blood cells (WBC) are lymphocytes. Lymphocytes are a type of white blood cell that play a crucial role in the immune system. They are responsible for recognizing and attacking foreign substances in the body, such as bacteria, viruses, and cancer cells. The percentage of lymphocytes in the total WBC count can vary depending on various factors, including the individual's health and any ongoing infections or diseases.

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192. The first phase of hemostasis is _________________. 

Explanation

The correct answer is the vascular stage. This refers to the initial response of blood vessels to injury, where the damaged blood vessels constrict to reduce blood flow and prevent further bleeding. This vasoconstriction is followed by the release of substances that promote platelet activation and aggregation, leading to the formation of a platelet plug.

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193. Arteries have valves that prevent the blood from flowing back. 

Explanation

Arteries do not have valves. Valves are present in veins, not arteries. Veins have valves to prevent the backflow of blood, especially in the lower extremities where gravity can cause blood to pool. Arteries, on the other hand, have thick, muscular walls that help to maintain the pressure and flow of blood throughout the body.

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194. The purpose of an antiglycolytic agent is 

Explanation

An antiglycolytic agent is used to preserve glucose. Glucose is an important source of energy for cells, including microbes. By preserving glucose, an antiglycolytic agent can inhibit the growth and metabolism of microbes, which rely on glucose for their survival. This can be beneficial in medical settings, where the prevention of microbial growth is important. Additionally, preserving glucose can also be important in certain laboratory procedures or storage of biological samples, where maintaining the integrity of glucose is necessary.

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195. A red top tube is usually drawn for which lab department? 

Explanation

A red top tube is usually drawn for the chemistry lab department because it contains no additives and is used for collecting blood samples for various chemistry tests. The red top tube is specifically designed to allow the blood to clot so that serum (the liquid portion of the blood) can be separated from the clot and used for testing. This tube is commonly used for tests such as liver function tests, lipid profiles, and glucose levels.

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196. Fluid aspirated from the peritoneal cavity. 

Explanation

Ascites is the accumulation of fluid in the peritoneal cavity, which is the space between the abdominal organs. This condition can occur due to various reasons such as liver disease, heart failure, kidney disease, or cancer. The fluid is aspirated from the peritoneal cavity to relieve symptoms such as abdominal swelling and discomfort.

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197. Which element prevents glycolysis?

Explanation

Sodium fluoride (NaF) is not an element but rather a chemical compound. It is used as an inhibitor or antagonist in the context of glycolysis. Glycolysis is a series of chemical reactions that convert glucose into pyruvate while producing ATP (adenosine triphosphate) and NADH (nicotinamide adenine dinucleotide) molecules, which are sources of cellular energy. Sodium fluoride acts as an inhibitor of glycolysis by inhibiting a key enzyme in the glycolytic pathway called enolase

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198. Which WBC comprises 40%-60% of the white blood cells? 

Explanation

Neutrophils comprise 40%-60% of the white blood cells.

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199.  Which would be considered a post-analytical error?

Explanation

An improper use of a serum separator would be considered a post-analytical error. This error occurs when the serum separator is not used correctly, leading to inaccurate test results. The serum separator is designed to separate the serum from the blood cells, allowing for more accurate analysis. If it is not used properly, the blood cells may mix with the serum, leading to incorrect test results. This error can be avoided by following proper procedures and ensuring that the serum separator is used correctly.

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What is another name for winged infusion sets? 
If a patient refuses treatment you should 
What is the preferred antiseptic for venipuncture? 
The  most important step in a routine venipuncture. 
What part of the infant is a PKU test performed on? 
An open wound can be a portal of entry in an infection...
Latex sensitivity is an allergic reaction. 
When you explain the venipuncture procedure to the patient and they...
The proper way to insert a needle is with the bevel facing...
What is the most important step in preventing infections? 
Which is not a PPE? 
 A patient in the Oncology Dept. is probably being treated for...
Which additive is usually in a lavender tube? 
 Which tube contains sodium citrate?
The first drop of blood in a capillary puncture is the best for...
In a routine blood draw the red tube is drawn before the green...
The hormone detected in a positive pregnancy test is 
The following were collected for a routine venipuncture.  Which...
Sclerosed veins feel ______________. 
Tubes may lose their vacuum due to ______________________. 
 Lavender, Yellow and Green tubes should all be inverted 8 times...
Lipemic bloodserum appears: 
 The order of draw for venipuncture is:  BC, blue, serum,...
 Sodium Citrate is the additive in which tube?
Wher is blood collected, stored and prepared for...
Which of the following veins in the arm are most subjected to...
Taking aspirin is most likely going to affect a BT test. 
There is a 9 to 1 ratio of blood to anticoagulant in a light blue...
Which tube is drawn last in a standard venipuncture procedure? 
Where do blood cells originate? 
What is the preferred site for venipuncture? 
Using a butterfly may be necessary if the vein collapses with the...
All patients are presumed to be infectious for ___________. 
Failing to provide reasonable standards of care causing...
Which needle has the largest gauge? 
 Which is used for PT and PTT?
POC testing is done _____________. 
 A clean catch test is collected in a:
Microorganisms that cause diseases
Sodium Citrate have what color stoppers? 
What is the normal lifespan of a RBC? 
Which tube is used for PTT?
OSHA requires that healthcare professionals receive a vaccine...
The additive in a pink tube is: 
Which test must be performed on whole blood? 
A drug known to interfere with urine tests should be discontinued...
What kind of blood do arteries and arterioles carry? 
Tiny red spots on the skin caused by the rupturing of capillaries are...
Permanent surgical connection between an artery and a vein. 
Which is not a reason for failure to collect blood? 
Postprandial means ______________. 
Always recap your needle before putting it into the sharps...
To disinfect a surface you can use boiling water or...
Bacteria and parasites belong to which type of hazard? 
Glycolysis occurs faster in newborns. 
Which is not true off WBCs? 
Which is NOT a reason the tourniquet is used. 
Accumulation of fluid in the tissues. 
Another name for blood in the urine: 
When the body has adequate rest and no food for 12 hours it is said to...
The following is a test of the respiratory system 
A green top tube usually contains 
What is the function of a leukocyte? 
How many inches above the site should the tourniquet be tied? 
What is the recommended depth of a heel puncture on an infant? 
What organ would a doctor be interested in if he ordered an...
Invert a gray tube __________ times. 
Contact, droplet and airborne are ____________. 
Medical Asepsis is the destruction of pathogens outside the...
 The left ventricle delivers oxygenated blood to the aorta.
In a routine venipuncture the lavender tube should be drawn before the...
Which test may require a chain of custody? 
What causes vacuum tubes to fill with blood? 
Veins are located deeper than arteries.
Lavender tubes must be 2/3 full. 
Which is NOT a common symptom of shock? 
Touching someone without permission is called____________. 
If someone is cyanotic their skin may appear ____________. 
Oxygen-poor blood enters the heart through the right atrium. 
When collecting a Blood culture with a butterfly into culture bottles,...
Veins have thinner walls than arteries. 
The myocardium is the layer of the heart that is made of...
What is the liquid portion of blood called? 
A pad used to correct the patient's clothing. 
If the patient continues to bleed after 8 minutes of pressure you...
If the needle passes completely through the vein you must pull it...
Blood cultures are collected in a ___________ tube. 
A group of tests collected as one unit: 
Which order of draw is correct. 
What tube is used for a WBC differential? 
Which tube can be used to collect blood for a type and...
The first tube collected with a butterfly will underfill due to air in...
 Another name for RBC's:
How many minutes does normal coagulation take in a red topped...
What gauge multi-sample needle is considered to be standard? 
The hollow part of the needle is called the lumen.
A person should sustain from eating for how many hours prior to a...
 Direct contact transmission is defined as ___________.
The ability of the body to achieve "steady state". 
A urine C & S is ordered to detect 
Which fluid is obtained by lumbar puncture. 
Sputum is collected to diagnose 
The heart disorder characterized by fluid buildup in...
What kind of valve is the tricuspid valve? 
What is the size (in inches) of the needle routinely used for...
The OGTT test diagnoses ______________. 
Blood cultures are used to diagnose ________________. 
What is the first link in the chain of infection? 
When someone is in shock you should keep them cool. 
Serum is depleted of fibrinogen.
Which should not be done during vein selection? 
Blood types are determined by the presence or absence of which of the...
How many liters of blood does the average adult have? 
Another name for thrombocytes is______________. 
Which tube would you use to measure lactic acid? 
Which of the following is the best definition of destruction of...
The most common source of carry over problems is EDTA. 
Capillary puncture reference ranges are higher for this analyte. 
Endocardium is which layer of the heart. 
To measure diurnal variation of cortisol hormone what kind of specimen...
Vigorous mixing can activate platelets and shorten clotting...
The Good Samaritan Law allows healthcare workers to provide...
Which body plane divides the body in equal portions? 
If an infant is screaming during a CBC test the  
Capillary puncture blood most closely resembles ____________. 
The two circulations of the heart are _________and ___________. 
Which layer of the heart is the epicardium? 
What tube is used for ESR? 
Which lab sectioin would analyze the C&S test? 
What are the 3 components of a urinalysis? 
Which is a test of the urinary system? 
At what intervals should blood be blotted during a bleeding time...
What is the oxygen carrying protein in erythrocytes? 
The most common complication of phlebotomy. 
Leaving the tourniquet on too long may cause ________________. 
To check for trace elements a phlebotomist would use a ______ tube.
This organization develops standards for specimen handling and...
Which tube does not contain EDTA?
 The test used to evaluate intrinsic pathway is called...
Crooked or winding veins are also called...
Which test is NOT a light sensitive test? 
Light blue tubes must be ____ full. 
Sodium Fluoride preserves glucose for how many days? 
An example of a nosocomial infection is 
What is a condition that could cause leukopenia? 
Which tube is used for a sickle cell screen?
Microorganism cultures are collected in _____________tubes. 
A CBC would be sent to what lab section? 
Which laboratory section performs blood pregnancy tests? 
When serum is _________ it is a clue that the patient is not...
The pulmonic valve is situated between ____________________. 
Which tube is sometimes called a serum separator tube? 
 Invert a tiger top tube ___ times.
Test for this dept. are usually collected in a light blue tube. 
The internal space of a blood vessel 
The breakdown and removal of a clot in the hemostasis process is...
In therapeutic blood monitoring, the trough levels are...
What special handling does an ABG require? 
According to CLSI which tube is filled last when using a...
The most critical aspect of blood culture collection is 
 Which of the following specimens are least likely to require...
In the order of draw for capillary specimens should you draw tubes...
Repeated venipuncture in the same vein can cause: 
Which test requires a 24-hour urine specimen?
Lymph originates from 
Blood culture tests can be done with a dermal puncture when...
Ammonia Chemical Test would be done with a _______ tube. 
Which vein in the antecubital fossa is usually easiest to palpate in...
The relaxing phase of the cardiac cycle is:bradycardia 
Cortisol peaks late in the afternoon. 
What special handling does a cold agglutinins test require? 
Which is the best tube for collecting an ethanol specimen? 
An NP culture swab  is collected to help diagnose 
Hemostasis is defined as _______________. 
Which would be considered a preanalytical error? 
The proper order for donning PPE 
Glass particles in serum separator tubes
 Collecting urine by aspiration through the bladder wall
The chamber of the heart that receives blood from the systemic...
What percentage of the blood is made up of formed elements? 
How many types of leukocytes are in blood?
Which represents the proper order of blood flow? 
How many times should a red top tube be inverted? 
Which blood vessel is NOT part of systemic circulation? 
The first tube in the order of draw for cap specimens is...
 How many times should a light-blue tube be inverted?
How many hours before a blood test should a patient discontinue the...
Which WBC carries histamine? 
Serum contains the same chemical make up as plasma. 
What percentage of formed elements is erythrocytes?
 20%-40% of WBC are comprised of _______________.
The first phase of hemostasis is _________________. 
Arteries have valves that prevent the blood from flowing...
The purpose of an antiglycolytic agent is 
A red top tube is usually drawn for which lab department? 
Fluid aspirated from the peritoneal cavity. 
Which element prevents glycolysis?
Which WBC comprises 40%-60% of the white blood cells? 
 Which would be considered a post-analytical error?
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