NHA Phlebotomy Toughest Quiz: Exam
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What is another name for winged infusion sets?
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Caterpillar
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Dragonfly
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Butterfly
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Beetlebug
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About This 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 your 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 See moreintricate 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.
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- 2.
If a patient refuses treatment you should
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Restrain him
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Call 911
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Tell your supervisor
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Tell them it is their life
Correct Answer
A. Tell your supervisorExplanation
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.Rate this question:
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- 3.
The most important step in a routine venipuncture.
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Gathering equipment
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Palpate veins
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Identify patient
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Tying the tourniquet
Correct Answer
A. Identify patientExplanation
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.Rate this question:
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- 4.
What part of the infant is a PKU test performed on?
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Toe
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Finger
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Heel
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Forehead
Correct Answer
A. HeelExplanation
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.Rate this question:
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- 5.
An open wound can be a portal of entry in an infection chain.
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True
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False
Correct Answer
A. TrueExplanation
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.Rate this question:
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- 6.
Latex sensitivity is an allergic reaction.
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True
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False
Correct Answer
A. TrueExplanation
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.Rate this question:
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- 7.
The proper way to insert a needle is with the bevel facing ____________.
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Up
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Down
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Left
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Right
Correct Answer
A. UpExplanation
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.Rate this question:
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- 8.
What is the preferred antiseptic for venipuncture?
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Betadine
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Iodine
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Isopropyl alcohol
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Jack Daniels
Correct Answer
A. Isopropyl alcoholExplanation
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.Rate this question:
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- 9.
What is the most important step in preventing infections?
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Using tissues
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Handwashing
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Wearing gloves
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Isolation
Correct Answer
A. HandwashingExplanation
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.Rate this question:
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- 10.
Which is not a PPE?
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Mask
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Goggles
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Room dividers
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Glocves
Correct Answer
A. Room dividersExplanation
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.Rate this question:
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- 11.
When you explain the venipuncture procedure to the patient and they agree to the test it is called _______.
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Getting the blood
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Informed consent
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Constant talking
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HIPAA
Correct Answer
A. Informed consentExplanation
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.Rate this question:
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- 12.
A patient in the Oncology Dept. is probably being treated for _______________.
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Diabetes
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Pregnancy
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Phlebitis
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Cancer
Correct Answer
A. CancerExplanation
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.Rate this question:
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- 13.
Which additive is usually in a lavender tube?
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Citrate
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EDTA
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Heparin
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Oxalate
Correct Answer
A. EDTAExplanation
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.Rate this question:
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- 14.
The hormone detected in a positive pregnancy test is
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ACTH
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GH
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HCG
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TSH
Correct Answer
A. HCGExplanation
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.Rate this question:
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- 15.
In a routine blood draw the red tube is drawn before the green tube.
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True
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False
Correct Answer
A. TrueExplanation
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.Rate this question:
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- 16.
Sclerosed veins feel ______________.
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Spongy
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Cordlike
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Movable
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Square
Correct Answer
A. CordlikeExplanation
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.Rate this question:
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- 17.
Tubes may lose their vacuum due to ______________________.
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Manufacturing defects
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Expired tube
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A fine crack in the tube
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All of the above
Correct Answer
A. All of the aboveExplanation
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.Rate this question:
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- 18.
Which tube contains sodium citrate?
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Light-blue
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Red
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Green
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Yellow
Correct Answer
A. Light-blueExplanation
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.Rate this question:
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- 19.
The first drop of blood in a capillary puncture is the best for analysis.
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True
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False
Correct Answer
A. FalseExplanation
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.Rate this question:
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- 20.
Lipemic bloodserum appears:
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Bluish
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Milky
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Purple
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Thick
Correct Answer
A. MilkyExplanation
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.Rate this question:
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- 21.
The following were collected for a routine venipuncture. Which item is incorrect?
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Tubes
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Iodine swab
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Tourniquet
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Safety needles
Correct Answer
A. Iodine swabExplanation
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.Rate this question:
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- 22.
Where do blood cells originate?
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Heart
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Lungs
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Bone marrow
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Capillaries
Correct Answer
A. Bone marrowExplanation
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.Rate this question:
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- 23.
The order of draw for venipuncture is: BC, blue, serum, green, EDTA, gray.
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True
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False
Correct Answer
A. TrueExplanation
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.Rate this question:
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- 24.
Lavender, Yellow and Green tubes should all be inverted 8 times each.
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True
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False
Correct Answer
A. TrueExplanation
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.Rate this question:
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- 25.
Wher is blood collected, stored and prepared for transfusions?
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Hematology
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Blood Bank
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Chemistry
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Immunology
Correct Answer
A. Blood BankExplanation
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.Rate this question:
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- 26.
Taking aspirin is most likely going to affect a BT test.
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True
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False
Correct Answer
A. TrueExplanation
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.Rate this question:
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- 27.
There is a 9 to 1 ratio of blood to anticoagulant in a light blue tube.
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True
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False
Correct Answer
A. TrueExplanation
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.Rate this question:
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- 28.
What is the preferred site for venipuncture?
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Thrombotic vein
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Antecubital fossa
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Elbow
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Ulnar vein
Correct Answer
A. Antecubital fossaExplanation
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.Rate this question:
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- 29.
Using a butterfly may be necessary if the vein collapses with the evacuated tube system.
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True
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False
Correct Answer
A. TrueExplanation
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.Rate this question:
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- 30.
Sodium Citrate is the additive in which tube?
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Red
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Gray
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Light blue
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Green
Correct Answer
A. Light blueExplanation
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.Rate this question:
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- 31.
All patients are presumed to be infectious for ___________.
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Blood borne pathogens
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TB
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Flu
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Common cold
Correct Answer
A. Blood borne pathogensExplanation
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.Rate this question:
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- 32.
Which of the following veins in the arm are most subjected to venipuncture?
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Basilic
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Median Cubital
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Brachial
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Cephalic
Correct Answer
A. Median CubitalExplanation
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.Rate this question:
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- 33.
Which needle has the largest gauge?
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16
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21
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22
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23
Correct Answer
A. 16Explanation
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.Rate this question:
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- 34.
POC testing is done _____________.
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At the patient's bed
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In a medical lab
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By a respiratory therapist only
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With a larger needle
Correct Answer
A. At the patient's bedExplanation
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.Rate this question:
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- 35.
A clean catch test is collected in a:
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Red tube
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Royal blue tube
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Sterile cup
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Yellow tube
Correct Answer
A. Sterile cupExplanation
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.Rate this question:
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- 36.
Microorganisms that cause diseases
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Hereditary
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Normal flora
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Nonpathogens
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Pathogenic
Correct Answer
A. PathogenicExplanation
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.Rate this question:
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- 37.
Which tube is drawn last in a standard venipuncture procedure?
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Blood culture tube
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Lavender
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Light-blue
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Red
Correct Answer
A. LavenderExplanation
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.Rate this question:
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- 38.
Sodium Citrate have what color stoppers?
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Light blue
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Red
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Lavender
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Green
Correct Answer
A. Light blueExplanation
Sodium Citrate has light blue stoppers.Rate this question:
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- 39.
Which tube is used for PTT?
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Light blue
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Green
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Red
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Gray
Correct Answer
A. Light blueExplanation
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.Rate this question:
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- 40.
Always recap your needle before putting it into the sharps container.
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True
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False
Correct Answer
A. FalseExplanation
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.Rate this question:
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- 41.
Failing to provide reasonable standards of care causing someone to suffer an injury is know as ____________.
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Trauma
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Negligence
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Tort
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Battery
Correct Answer
A. NegligenceExplanation
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.Rate this question:
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- 42.
Which is used for PT and PTT?
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Red top
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Green top
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Light blue top
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Gray top
Correct Answer
A. Light blue topExplanation
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.Rate this question:
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- 43.
A drug known to interfere with urine tests should be discontinued 48-72 hours prior to the test.
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True
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False
Correct Answer
A. TrueExplanation
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.Rate this question:
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- 44.
What is the normal lifespan of a RBC?
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9-12 days
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120 days
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365 days
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45 days
Correct Answer
A. 120 daysExplanation
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.Rate this question:
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- 45.
What kind of blood do arteries and arterioles carry?
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Oxygenated
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Deoxygenated
Correct Answer
A. OxygenatedExplanation
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.Rate this question:
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- 46.
Postprandial means ______________.
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After eating
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After sleeping
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After blood testing
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After midnight
Correct Answer
A. After eatingExplanation
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.Rate this question:
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- 47.
To disinfect a surface you can use boiling water or _______________.
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Ammonia
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Alcohol
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Bleach
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Betadine
Correct Answer
A. BleachExplanation
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.Rate this question:
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- 48.
Bacteria and parasites belong to which type of hazard?
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Biologic
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Chemical
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Physical
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Allergic
Correct Answer
A. BiologicExplanation
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.Rate this question:
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- 49.
The additive in a pink tube is:
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ADP
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SPS
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Heparin
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EDTA
Correct Answer
A. EDTAExplanation
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.Rate this question:
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