Take Home Quiz Chapter 8
- 1.When properly anchoring a vein, the:
- A.
Index and middle finger are pulling the skin parallel to the arm just below the site.
- B.
Index finger is pulling the skin above the site and thumb is pulling toward the wrist.
- C.
Thumb is 1 to 2 in. Below the intended site and is pulling the skin toward the wrist.
- D.
Thumb is next to the intended vein and pressing heavily downward into the tissue.
- 2.Which of the following actions is unlikely to help a phlebotomist gain a patient's trust?
- A.
Acting confident and assured in beside manner
- B.
Being professional in dress and personal appearance
- C.
Collecting a specimen before the requested time
- D.
Remaining at ease while interacting with the patient
- 3.It is unlikely that a misidentifying a paitent specimen would result in:
- A.
A civil action malpractice lawsuit.
- B.
Being dismissed from the facility.
- C.
No reprimand if no one was hurt.
- D.
Temporary suspension of duties.
- 4.Needle phobia is defined as a/an:
- A.
Anxiety about admission to the hospital.
- B.
Inability to watch while others are drawn.
- C.
Intense fear of needles and being stuck.
- D.
Personal preference for smaller needles.
- 5.Symptoms of needle phobia can include:
- A.
Arrhythmia.
- B.
Fainting.
- C.
Light-headedness.
- D.
All of the above.
- 6.A basic step that can be taken to minimize any trauma assoicated with a venipuncture is to:
- A.
Allow the paitent to sit in the waiting room for half an hour before collection.
- B.
Choose the most skilled phlebotomist available to perform the venipuncture.
- C.
Have the patient wear an eye mask or close his or her eyes during the procedure.
- D.
Thoroughly explain every detail of the draw before doing the venipuncture.
- 7.Proper use of a hand sanitizer includes:
- A.
Allowing the alcohol to evaporate completely.
- B.
Rubbing it in between and around the fingers.
- C.
Using a very generous amount of the sanitizer.
- D.
All of the above.
- 8.To examine by touch or feel is to:
- A.
Ambulate.
- B.
Anchor.
- C.
Palpate.
- D.
Pronate.
- 9.In most cases, needle insertion should be performed:
- A.
At a 45-degree angle to the surface of the arm.
- B.
Using a smooth, steady motion forward,
- C.
With a deliberate and rapid forward jab.
- D.
With the bevel of the needle face down.
- 10.To "seat" the needle in the vein means to:
- A.
Anchor the vein while inserting the needle.
- B.
Increase the angle needed to enter the vein.
- C.
Redirect the needle to gain entry to the vein.
- D.
Thread part of the needle with the lumen.
- 11.Going without food or drink except for water for 8 to 12 hours is defined as:
- A.
Fasting.
- B.
NPO.
- C.
Routine.
- D.
TDM.
- 12.The reason a test is ordered "timed" is to:
- A.
Assess a patient's condition after surgery.
- B.
Determine patient suitability for surgery.
- C.
Draw it at the best time for accurate results.
- D.
Establish a clinical diagnosis or prognosis.
- 13.Examples of timed tests include:
- A.
Basic metabolic panel, potassium, and glucose.
- B.
Blood cultures, cardiac enzymes, and cortisol.
- C.
Calcium, ferritin, and complete blood count.
- D.
Creatinine, lactic acid, and reticulocyte count.
- 14.A test is ordered "fasting" to:
- A.
Assess a patient after outpatient surgery.
- B.
Eliminate the effects of diet on test results.
- C.
Determine patient eligibility for surgery.
- D.
Standardize test results on critical patients.
- 15.Bending the arm up to apply pressure to the site after venipuncture has not been shown to:
- A.
Disrupt the platelet plug when the arm is eventually lowered
- B.
Enable the site to quickly stop bleeding after needle removal.
- C.
Increase the possibility of bruising and hematoma formation.
- D.
Keep the wound open, especially if it is at the side of the arm.
- 16.The unique number assigned to a specimen request is called the:
- A.
Accession number.
- B.
Health facility number.
- C.
Patient date of birth.
- D.
Patient ID number.
- 17.Failure of the paitent to follow required diet restrictions before specimen collection could lead to:
- A.
Compromised patient care and treatment.
- B.
Erroneous and meaningless test results.
- C.
Misinterpreted test results by the physician.
- D.
All of the above.
- 18.Which of the following individuals has legal authority to authorize paitent testing?
- A.
Laboratory director
- B.
Patient's nurse
- C.
Patient's physician
- D.
Phlebotomist
- 19.Test requisition information must include the:
- A.
Ordering physician.
- B.
Patient's diagnosis.
- C.
Patient's location
- D.
Prior draw times.
- 20.Which type of requisition often serves as a test request, report, and billing form?
- A.
Bar code
- B.
Computer
- C.
Manual
- D.
Verbal
- 21.Information represented by a patient ID bar code typically includes the patient's:
- A.
Credit information and employer
- B.
DNA information and next of kin,
- C.
Health status and lab test results
- D.
Medical record number and name.
- 22.Outpaitent requisitions are typically of this type:
- A.
Computer
- B.
E-mail
- C.
Manual
- D.
Verbal
- 23.When reveived by the laboratory, inpaitent requisitions are typically sorted according to:
- A.
Alphabetical order by name and then by test requested.
- B.
Collection priority, date and time, and patient location.
- C.
Difficulty of draw and type of equipment needed.
- D.
Proximity of the patient's room to the laboratory.
- 24.Steps taken to unmistakeably connect a specimen and the accompanying paperwork to a specific individual are called:
- A.
Accessioning the specimen.
- B.
Bar-coding specimen labels.
- C.
Collection verification.
- D.
Patient identification.
- 25.Which priority does a timed test typically have?
- A.
First
- B.
Second
- C.
Third
- D.
Fourth
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