Medical Terminology and Laboratory Procedures, Exams of Health sciences

Download Medical Terminology and Laboratory Procedures and more Exams Health sciences in PDF only on Docsity! Another name for blood bank is – answer immunohematology With which other hospital department would the laboratory coordinate therapeutic drug monitoring? – answer pharmacy Electrolyte testing includes – answer sodium & potassium promoting good public relations is a part of the phlebotomist's role because – answer a phlebotomist is a representative of the laboratory throughout the facility, good public relations promotes a harmonious relationship with the staff, patients often equate venipuncture experiences with the overall hospital care Outpatient phlebotomy, such as in a physician's office or patient care service center, will be assigned a code for reimbursement using which national coding system? – answer CPT Which department is responsible for administering oxygen therapy? – answer respiratory therapy The term used to describe sophisticated and highly complex medical care is – answer tertiary care The term "phlebotomy" is derived from Greek words that, literally translated, mean... – answer vein incision PHLEBOTOMY PRACTICE TEST. Which of the following is not a phlebotomists duty? – answer starting IV lines What are the credentials for an ASCP-certified phlebotomist – answer PBT Proof of participation in workshops to upgrade skills required by some agencies to renew certification is called - answerCEUs of the following laboratory personnel, which one is referred to as a "medical laboratory scientist"? - answermedical technologist which of the following is an example of a barrier to effective communication with a patient? - answerpatient does not speak english, patient is very young, patient is emotionally upset which of the following is an example of confirming a response to a patient? - answerI understand how you must be feeling which of the following is an example of negative kinesics - answerfrowning which of the following communicates unprofessionalism - answerintense odor of cologne it is improper telephone protocol to - answerhang up on angry callers a national organization that sets standards for phlebotomy procedures is - answerCLSI which action will compromise the quality of a specimen - answerpartially filling a liquid EDTA tube the Joint Commission's Sentinel Event QI program policy is designed to do all of the following except - answerdemonstrate flexibility in setting QC measures which one of the following examples is unrelated to quality control? - answeremployees filling out their time sheets daily which analyze test result will be adversely affected by chilling? - answerpotassium when the threshold value of a clinical indicator of QA is exceeded and a problem is identified - answera corrective action plan is implemented significant gaps in the quality of testing practices in physicians' offices resulted in the recent development of - answergood laboratory practices the "standard of care" in the practice of phlebotomy is influenced by which of the following organizations? - answerthe joint commission which one of the following conditions is least likely to be a reason for specimen rejection? - answeran icteric bilirubin specimen a specimen was mislabeled on the floor. The phlebotomist is required to fill out an incident report form. What information is not part of the report? - answersuggestion for new guidelines which of the following is an example of a QA indicator? - answerthe blood culture the clinical laboratory is the category Immediate Threat to Health and Safety. An example of not meeting this criterion would be - answerrecurrent problems with patient identification which pre analytical factor that can affect validity of test results is not always under the phlebotomist's control? - answerpatient preparation according to standard first aid procedures, severe external bleeding is best controlled by - answerapplying direct pressure class C fires - answerinvolve electrical equipment vaccination against HBV involves - answera dose of vaccine, a second dose 1 month later, a third dose 6 months later an example of employee screening for infection control is - answerPPD testing which of the following is not one of the code words in the NFPA order of action in the event of fire? - answersmother the purpose of "protective" isolation is to - answerprotect patients who are highly susceptible to infection the OSHA HazCom Standard is also commonly called the - answerRight to Know law what is the proper order for putting on the following PPEs - answergown first, mask, goggles, gloves last federal law requires that hep B vaccination be made available to employees assigned to duties with occupational exposure risk - answerwithin 10 working days what is the first thing the phlebotomist should do in the event of an accidental needlestick - answerwash the site with soap and water for at least 30 seconds the main principles involved in radiation exposure are - answerexposure time, distance, and shielding examples of nosocomial infections include - answerwhen a catheter site of a patient in ICU becomes infected which of the following is an example of a potential permucosal exposure to biohazardous microorganisms? - answerrubbing an eye with a contaminated hand in what instance might a patient be placed in protective isolation - answerthe patient has severe burns which of the following is an example of a work practice control that reduces the risk of exposure to blood borne pathogens - answerhand decontamination which type of contact infection transmission involves transfer of an infective microbe to the mucous membranes of a susceptible individual by means of a cough what part of the term osteochondritis is the suffix - answeritis which of the following word parts is a prefix - answerhypo what does the suffix of the term glycolysis mean - answerbreakdown the singular form of alveoli is - answeralveolus the medical term for white blood cell is - answerleukocyte which of the following terms means kidney inflammation - answernephritis the abbreviation PP means - answerafter a meal the letter "g" is pronounced like a "j" in - answergestation abbreviation ESR means - answererythrocyte sedimentation rate which of these terms means condition of clotting - answerthrombosis which of these terms means muscle pain - answermyalgia which of these terms means hardening of the artery - answerarteriosclerosis what is the word root in the word electrocardiogram - answercardi a prefix - answeradds info about a term, modifies the meaning of a term, and precedes the root word what is the suffix in the term lipase - answerase the word elements of the term polycythemia mean - answerblood condition of many cells the "c" sounds like an "s" in which of the following terms - answercellular the joint commission TJC "do not use" list applies to all of the following except - answerelectronic laboratory reports all of the following are included on TJC "Do not use" list except... (those on it include MS, IU, U) - answerKg if a suffix is added to a word that ends in "x" the "x" changes to a/an - answerg or c what does hyper in hypernatremia mean, and what type of word element is it - answertoo much, prefix the word roots "nephr" and "ren" both refer to the - answerkidneys the e at the end of which medical term is pronounced separately - answersyncope the layers of the skin containing blood vessels - answerdermis and subcutaneous which of the following is a test of the respiratory system - answersputum culture the avascular layer of the skin is the - answerepidermis which one of the following basic tissue types covers and lines organs, vessels, and cavities - answerepithelial central nervous system is composed of - answerbrain and spinal cord which gland is often called the master gland of the endocrine system - answerpituitary which of the following is considered an accessory organ of the digestive system as well as a structure associated with the endocrine system - answerpancreas hormones produced in the reproductive system include - answerestrogen and progesterone glomeruli are tufts of capillaries located in the - answernephrons of the kidneys the function of the left ventricle is to deliver - answeroxygenated blood to the aorta the receiving chambers of the heart are - answeratria the relaxing phase of the cardiac cycle is called - answerdiastole a graphic record of the heart's electrical activity during the cardiac cycle is a/an - answerECG which of the following represents the proper direction of blood flow - answerfrom arterioles to capillaries to venules a blood clot circulating in the bloodstream is called a/an - answerembolus the first response in the hemostatic process in vivo is - answervasoconstriction which blood cell has the ability to pass through the blood vessel walls - answerleukocyte an individual's blood type is determined by the presence or absence of a certain type of - answerantigen present on the RBCs how can you visually tell serum from plasma - answeryou cannot visually tell them apart hemostasis refers to - answerstoppage of bleeding lymphatic fluid originates from - answerexcess tissue fluid which is not an antecubital vein? : basilic, cephalic, femoral, median - answerfemoral the tests performed in the following department are typically collected in a tube with a light blue stopper - answercoagulation a tube with a green stopper normally contains - answerheparin the purpose of an antiglycolytic agent is to - answerpreserve glucose the solution normally used to clean the site before routine venipuncture is - answer70% isopropanol when nitrile or vinyl strap tourniquets become soiled with blood, it is best to - answerthrow them away what is the most important factor in choosing which gauge needle to use for venipuncture - answersize and condition of the vein which additive is usually present in a tube with a lavender stopper - answerEDTA glass particles present in serum separator tubes - answerenhance clotting heparin prevents blood from clotting by - answerinhibiting thrombin which of the following is classified as a disinfectant - answersodium hypochlorite the slanted tip of the needle that enters the vein is called - answerbevel according to CLSI standards, which of the tubes listed below is filled last when using a labels the priority designation for a test request is based on all of the following except - answerage and gender a phlebotomist arrives to draw a specimen from an inpatient. the patient's door is closed. what should the phlebotomist do? - answerknock softly, open it slowly, and ask permission to enter the patient asks if the specimen about to be drawn is for a diabetes test. how should the question be answered? - answersay "its best to discuss that with the doctor" an unconscious patient is not wearing an ID band. There is one taped to the IV pole with info that matches requisition what should phlebotomist do? - answerwake the patient gently to avoid a startle reaction which of the following is the job of a student phlebotomist - answerletting patient know you are a student phlebotomist an inpatient is sound asleep when the phlebotomist arrives to draw a blood specimen. what should phlebotomist do? - answerwake patient gentle and avoid startle the first step in the testing process begins when the - answertest is ordered by the healthcare provider if a venipuncture site is still bleeding after 5 minutes the phlebotomist should - answeralert the patient's nurse or other healthcare provider what is the recommended angle of needle insertion for an antecubital vein and a hand vein respectively - answer30 degrees or less, 10 degrees or less obtain the specimen? - answerdistal to the hematoma prolonged tourinquet application may cause change in blood composition primarily because of - answerhemoconcentration which of the following vascular access devices is placed in a peripheral vein for the purpose of blood collection and administration of medication? - answerheparin lock a phlebotomist has attempted twice to draw a PTT specimen from a patient with difficult veins. each time the phlebotomist has only gotten a partial tube. what should they do? - answerhave another phlebotomist attempt to draw the specimen why do pregnant patients have lower reference ranges for RBC counts - answerbody fluid increases in pregnancy, diluting red blood cells levels of which analyze can differ by 50% or more between morning and late afternoon - answercortisol which situation is the best way to tell that you may have accidentally punctured an artery? - answerthe blood pulses into the tube if blood is drawn too quickly from a small vein, the vein will have a tendency to - answercollapse how long before obtaining blood for testing should drugs known to interfere be discontinued? - answer4 to 24 hours a fistula is - answerpermanent fusion of an artery and a vein when a test requires a fasting specimen, but the serum is , it is a clue that the patient was not fasting - answerlipemic tests influenced by diurnal variation are often ordered as tests, and it is important to collect them as close to possible to the time ordered - answertimed tattooed areas should be avoided as venipuncture sites because - answerfresh tattoo sites may be more prone to infection, tattoos can mask an adverse reaction to the draw, there could be an undetected infection in that area an arm that is paralyzed has - answerlost muscle function which of the following is the best way to avoid reflux when drawing a blood specimen? - answerfill tubes bottom up if a patient is complaining of sharp radiating pain from the needle insertion site, the phlebotomist should - answerimmediately terminate the venipuncture hemolysis can erroneously elevate - answerammonia, magnesium, potassium a tube fails to fill with blood during a venipuncture. which of the following might lead you to think that the vein has collapsed? - answerthe vein disappears when you engage the tube capillary puncture blood most closely resembles - answerarterial blood what does the term calcaneous mean - answerheel bone capillary puncture blood reference ranges are higher for which of the following analytes - answerglucose which microbe would be used to collect a specimen for a CBC - answerpurple top what is PKU - answera hereditary inability to metabolize phenylalanine it is necessary to control depth of lancet insertion during capillary puncture to avoid - answerinjuring the heel bone what is the purpose of warming the site before skin puncture - answerit increases blood flow up to 7 times which of the following is a preferred capillary puncture site - answermiddle finger if the alcohol is still wet when a capillary puncture is made it can - answercause hemolysis, lead to errors in testing, prevent round drops from forming what causes microhematocrit tube to fill with blood - answercapillary action capillary punctures that are deeper than recommended are more painful because pain fibers increase in abundance below - answer2.4mm which of the following scenarios represent correct capillary puncture technique - the most critical aspect of blood culture collection is - answerskin antisepsis which test requires a specimen with a 9:1 ratio of blood to anticoagulant - answerprothrombin time the hormone detected in a positive urine pregnancy test is - answerHcG ARD or RAN blood culture bottles - answerremove any antibiotics that are in the blood TDM is used by physicians to - answerdetermine a beneficial drug dosage for a patient a 2 hour postprandial specimen should be drawn - answer2 hours after the patient finishes eating a meal the preferred sample for parentage testing is - answerbuccal swab which one of the following tests could be collected using a tube other than a trace element free tube? - answersodium, potassium,etc the CAP requires QC for many waived tests to be performed - answerwhen the test manufacturer specifies a noninvasive transcutaneous method is available to measure - answerneonatal bilirubin the accumulation of in the blood can cause metabolic acidosis - answerlactate what is the recommended disinfectant for blood culture sites in infants 2 months and older - answerchlorhexidine gluconate of specimen identification transporting blood specimens with the stopper up has nothing to with - answermaintaining the sterility of the sample which of the following would not be considered a pre analytical error - answermisreporting patient results which of these is a source of pre analytical error that occurs before specimen collection - answerdehydrated patient which of the following specimens needs to be chilled - answerammonia which organization develops standards for specimen handling and processing - answerCLSI according to CLSI, the maximum time limit for separating serum or plasma from cells is - answer2 hours from time of collection which of the following specimens are least likely to require special handling - answercholesterol and uric acid which statement describes proper centrifuge operation - answerplace tubes of equal size and volume opposite one another for balance which of the following collection circumstances is least likely to result in delayed clotting of a serum sample - answercollection was difficult, hemolyzing red cells which specimen can be centrifuged immediately upon arrival in specimen processing - answercalcium in a green top tube which of the following represents improper aliquot preparation – answer carefully pouring contents into the aliquot tube which of the following activities is least likely to take place in central processing or triage – answer analysis and reporting what type of specimens must be processed before routine specimens – answer STAT, ASAP, timed which of the following is the best way to prepare routine blood specimen tubes for transportation to an offsite lab - answerseal the tubes in plastic bags CLSI and OSHA guidelines do not require specimen transport bags to have - answershock resistance features critical values (test values that are considered life threatening) are also called - answerpanic values a test sample that is not recommended to be sent in a pneumatic tube is - answerserum potassium what is recommended procedure for collecting a 24 hour urine sample - answervoid first morning specimen, start the timing, and collect all other specimens including drugs of abuse can be detected in - answerhair, saliva, and urine which type of specimen must be protected from light - answeramniotic fluid sputum samples are typically collected to diagnose - answertuberculosis which type of urine collection involves the aspiration of urine directly through the wall of the bladder using a sterile needle and syringe - answersuprapubic which fecal test may require a 72 hour stool collection - answerurobilinogen tests on which type of specimen can detect chronic alcohol or drug use - answerhair which type of specimen is required for urine C & S - answermidstream clean catch the most common reason a throat swab is collected to detect an infection with which type of microorganism - answerstreptococcus breath samples can be used to detect - answerH pylori bacteria, lactose intolerance, recent marijuana use the second choice for the site of arterial puncture is the - answerbrachial artery the first choice artery for ABG collection is the - answerradial artery when performing the Allen test, which artery is released first - answerulnar what happens to an ABG specimen left at room temperature for a prolonged period - answerblood cells continue to consume oxygen, continued metabolism produces acids, levels of CO2 increase after performing arterial puncture, the phlebotomist should check the pulse - answerdistal to puncture site which of the following is the most common arterial puncture complication, occurring even when proper technique is used - answerarteriospasm the most common needle size for routine radial ABG specimen collection is - answer22 gauge to maintain the integrity of an ABG specimen collected in a plastic syringe, it should be - answeranalyzed within 30 minutes which of the following abbreviations represents a test that is typically part of ABG evaluation - answerPaO2 heparin is used in ABG specimen collection to - answerprevent clotting of the specimen which of the following patients would be considered to be in a steady state for ABG specimen collection - answera patient who has been asleep for 30 minutes while breathing room air