Which blood specimen additive can inhibit the metabolism of glucose by the cells
Which of the following items is unnecessary when performing a routine venipuncture
A serum specimen is requested which of the following evacuated tubes can be used to collect it
Which of the following are all anticoagulants that remove calcium from the specimen by forming insoluble calcium salts and therefore prevent coagulation
Sodium citrate, EDTA, Oxalate
In a successful venipuncture, evacuated tubes fill automatically as soon as the tube stopper is pierced because of
Premeasured vacuum in each tube
Lavender stopper tubes are most commonly used to collect
Which of the following is one reason the evacuated tube system (ETS) is the preferred blood collection system
Exposure of the blood to contaminants is avoided
Lithium heparin is a suitable anticoagulant for which of the following tests
Which one of the following additives can be found in a royal blue–top collection tube
Measurement of copper, a trace element, requires blood collection in a tube with a
The blood additive ratio is most critical for a specimen collected in this tube
If phlebotomist have dermatitis, they should
See if wearing the love liners will help
Decontamination of hands after glove removal is essential because
Hand contamination might not be visible to the naked eye
Which of the following is a disinfectant
Which disinfectant is preferred by the HICPAC for use on surfaces and instruments
EPA-registered sodium hypochlorite products
After a blood spill, a disinfectant is applied and must have at least 10 minutes of contact time for cleanup to be effective
If hands are heavily contaminated with organic material and a sink is not available, the phlebotomist should clean them with
Detergent-containing wipes followed by a sanitizer
The purpose of a transillumination device is to
Locate veins for venipuncture
Which statement is incorrect? A properly applied tourniquet should
Restrict venous and arterial blood flow
This needle gauge is used for autologous blood collection
Needle safety features work by
OSHA regulations require that after use
Tube holders with needle attached be disposed of as unit
The headspace in an evacuated tube is
A consistent amount of air space left when a tube is filled properly
Tube is designed by the manufacture to be “short draw” are
Made to fill only partially
Types of ETS additives include
Plastic red top tubes used to collect blood specimen contain
Improper handling or storage of evacuated tubescan affect
This would be the best to for collecting STAT test that must be performed on serum
Which additive is used to collect donor units of blood
A specimen collected in this type of additive will separate if allowed to stand
What is the advantage of collecting STAT chemistries in a green top tube
This anti-septic has been traditionally used to obtain the higher degree of skin antiseptic required when collecting blood cultures
Which of the following is preferred solution to use to clean up blood spills
An EPA approved bleach product
Safer for use on human skin
A solution use to clean the site before routine venipuncture is
Why are gauze pads a better choice than cotton balls for covering this site and holding pressure following venipuncture
Cotton ball fibers can stick to the site
CLSI standards advise against using these on infant and children younger than two years of age
Which of the following should be detected from a list of required characteristics of a sharps container
It is best if tourniquet are
Used once and then discarded
Wearing gloves during phlebotomy procedure is mandated by the following agency
what criterion is used to decide which needle gauge to use for venipuncture
Size and condition of the vein
To what does the “gauge” of the needle relate
Which needle gauge has the larges bore or lumen
Multi sample needles are typically available in these gauges
The slanted the tip of a needle is called the
The purpose of the rubber sleeve that covers the tube and of a multiple sample needle is to
Prevent leakage of blood during tube changes
A phlebotomy needle that does not have a safety feature
Must be used with a holder that has a safety feature
Which of the following plays no role in deciding what size tubes to use for ETS blood collection
Patient’s allergy to antiseptics
Mixing additive tubes involve
Slowly rocking them back and forth
Which of the following stopper colors identifies a tube used for coagulation testing
Which of the following tubes will yield a serum sample
The cleaning agent in hand sanitizers used in healthcare is
Which of the following tube stopper colors and the kids something other than the present (or absence) and type of additives in the tube
Heparin prevents blood from clotting by
Which department would most likely perform the test on a specimen collected in a SPS
A royal blue top tube with green color coding on the label contains
Which one of the following substances is in anticoagulant
It is important to fill oxalate tubes to the stated fill capacity because excess oxalate
Causes hemolysis of blood specimens
Which of the following substances is contained in a serum separator tube
What is the purpose of an antiglycolytic agent
Glass particles present in serum separator tubes
Which is the best tubes for collecting ETOH (ethanol) specimen
Identify the tubes needed to collect a CBC, PTT, and STAT potassium by color and in the proper order of collection for a multiple tube draw
Light blue top, green top, lavender top
During venipuncture the tourniquet it should not be left on longer than
Which of the following tubes is filled first when multiple tubes are filled from a syringe
This test is collected in a light blue top tube
Which of the following STAT tests is typically collected in a lithium heparin tube
This tube stop or color indicates that the tube contains EDTA
What anticoagulant is contained in a PST
The purpose of sodium citrate in a specimen collection is to
Protect coagulation factors
The part of a syringe that shows measurements in cc or mL is called the
This part of the evacuated tube holder is meant to aid in smooth tube removal
The best choice of equipment for drawing difficult veins is a
Mixing equipment from different manufacturers can result in
Improper fit of the needle
You are most likely to increase the chance of hemolyzing A specimen if you use a
25-gauge butterfly needle to collect a specimen from a small child
The purpose of a Turnock it in the venipuncture procedure is to
In large beans so they are easier to find and enter
If a blood pressure cuff is used for venipuncture in place of a tourniquet it, the pressure used must be
Below the patients diastolic pressure
In general, an anticoagulant is unavailable to
Inhibit the metabolism of glucose
Needle safety devices must
Create a barrier between a user’s hand and the needle after use
This gel separator to contain EDTA
Which additive contains a substance that inhibits phagocytosis of bacteria by white blood cells
Sodium polyanethol sulfonate
Which type of test can potentially be affected by tissue thromboplastin contamination
Which of the following tests would be most affected by carryover of K2EDTA
Carryover from this too has a greater potential to negatively affect the specimen in the next tube drawn
A trace element specimen to should be collected
A pink top tube containing EDTA is primarily used for
The blood collection equipment shown in figure 7–1 can be used
Identify the tubes needed to collect a PT, STAT lytes and BC in proper order of collection
Which one of the following tubes is additive free
Which chemistry two could contain either of two different forms of an anticoagulant because both have the same stopper color
Which additive can be found in four separate tubes with different stopper colors
Which stopper color is the same for two completely different types of additives used by two different departments
Due to allergenic reaction’s, which type of glove is not recommended to be used in healthcare facilities
Which of the following additives is most commonly used for chemistry tests
And ETS holder and a syringe transfer device look very similar. What is the difference between the two
There is a permanently attached needle with a sleeve inside the transfer device
A thrombintime (PT) and platelet count are ordered on an 80-year-old female patient deciding to use a butterfly and “short draw” evacuated tube‘s on the tiny cephalic vein on the dorsal side of her right arm the phlebotomist collects one light blue top tube and then a lavender top why would you suspect that the PT results might be incorrect and the platelet count unaffected
No tube was drawn to remove the air in the butterfly tubing
A homecare phlebotomist has a requisition to collect a CBC, plasma K, PTT, and PT. He collected the tubes from the client, who was lying on the sofa with her arm elevated above her shoulder on a table next to the sofa. As he collected tests in the following order CBC, K and finally the PT and PTT, he was careful and inverted the tubes as specified. Later that day, the lab called the phlebotomist to say that three of the tests would have to be re-drawn. Which three test most likely had questionable results and needed to be re-drawn
While collecting a STAT blood culture and electrolytes on a child in the emergency room, the position ask the phlebotomist to get an extra tube of blood to check for metal poisoning. Which one of the following tubes with the phlebotomist add to the ones already being collected
Which one of the following tube/additives would be used to collect a DNA test
Electrolytes should never be collected in a
When properly anchoring a vein the
Them is 1 to2 and below the intended site and is pulling the skin towards the wrist
Which of the following actions is unlikely to help a phlebotomist gain a patient’s trust
Collecting a specimen before the requested time
It is unlikely that misidentifying a patient specimen would result
No reprimand if no one was hurt