WorksheetsPhleb Chapter 14
Total questions: 50
Worksheet time: 31mins
The normal daily fluctuations in body chemistry related to hormonal cycles, sleep-wake cycles, and other regular patterns of change are known as:
Therapeutic drug monitoring
Hyperglycemia
Diurnal variation
Septicemia
By definition, the basal state of the body is the body' state after abstention from exercise and fasting for _____ hours.
6
12
20
24
All of the following factors influence blood composition, except:
Age
Stress
Diet
Height
The phlebotomist must check the fasting status of the patient before performing the venipuncture. Which of the following substances is not prohibited during a fasting period?
Caffeine
Water
Nicotine
Glucose
Which of the following ordered tests is usually drawn as a timed specimen?
Cholesterol
Triglycerides
Digoxin
CBC
Which of the following tests are used to test for diabetes mellitus?
2-hour postprandial test
Epinephrine tolerance test
Lactose tolerance test
Glucagon tolerance test
An abnormally elevated blood sugar is found in which of the following condition(s)?
Hyperglycemia
Hypoglycemia
Hyperlipidemia
Hyperhidrosis
Which of the following tests is used to diagnose hypoglycemia?
Glycohemoglobin
3-hour OGTT
5-hour OGTT
Epinephrine tolerance test
When testing a 2-hour postprandial sample for glucose, the patient who is diabetic would have a glucose level that is:
Higher than normal reference range
Lower than normal reference range
Identical to normal reference range
Identical to the baseline sample value
How long must a patient fast before beginning an oral glucose tolerance test?
2 hours
6 hours
10 hours
12 hours
The body’s state after 12 hours of fasting and abstention from strenuous exercise.
Aerobic bacteria
Basal state
Blood culture
Diurnal variation
The time for half the ingested amount of drug to be metabolized.
Half-life
Peak level
Sepsis
Trough level
Sticking together.
Anaerobic bacteria
Bacteremia
Agglutination
Cryofibrinogen
Test for the presence of microorganisms in the blood.
Blood culture
Cold agglutinins
Differential count
Fasting specimen
Specimen drawn after a 12 hour complete fast.
Blood culture
Feathered edge
Gestational diabetes
Fasting specimen
Excess iron in the blood.
Hyperglycemia
Hemochromatosis
Hypoglycemia
Polycythemia
Excessive production of red blood cells.
Hemochromatosis
Hyperglycemia
Peak level
Polycythemia
Lowest serum level of a drug.
Trough level
Chain of custody
Cryoglobulin
Fever of unknown origin
Bacteria that live without oxygen.
Aerobic bacteria
Anaerobic bacteria
Bacteremia
Glucagon tolerance test
Test for diabetes mellitus.
Sepsis
2 hour postprandial test
Oral glucose tolerance test
Lactose tolerance test
Which of the following must a blood donor provide on his or her registration?
Name
Address
Date of birth
All of the above
The phlebotomist will be performing blood donor draws at the local university and will be involved with screening the potential donors. Which of the following is NOT a reason for donor rejection during blood donor collection procedures?
Exposure to HIV
Exposure to hepatitis
Race/ethnicity
Drug consumption
The blood donor is screened for hemoglobin levels using this solution __________
Copper sulfate
Copper oxalate
Sodium sulfate
Sodium oxalate
A first-time blood donor wants to know how much blood will be taken during the procedure. The phlebotomist states that the average volume of a "unit" of blood is:
250 mL
350 mL
450 mL
550 mL
The minimum gauge needle used for collection of blood for blood donation is ________ in size.
22 gauge
21 gauge
20 gauge
18 gauge
The donation of blood by a patient for his or her own use at a later time is known as:
Directed donation
Therapeutic phlebotomy
Autologous donation
None of the above
You have a patient with polycythemia vera who comes in on a regular basis to have blood drawn. The removal of blood from a patient's system to aid in treatment of a particular disorder is known as:
Directed donation
Therapeutic phlebotomy
Autologous donation
None of the above
The phlebotomist has just completed the collection of a specimen for cold agglutinins. What special collection and/or transport measures must be taken by the phlebotomist after collection of this sample?
The specimen must be protected from light
The specimen must be transported on ice
The specimen must be collected in a prewarmed tube
The specimen must be collected in a heparinized syringe
which of the following specimen collections does not require the collection of the sample in a prewarmed tube?
Cryoglobulin
Sedimentation rate
Cold agglutinins
Cryofibrinogen
Which of the following sample collections does NOT require transportation of the sample to the laboratory in a chilled environment?
Ammonia
Vitamin A
Gastrin
Parathyroid hormone
The phlebotomist has just collected a specimen that needs to be protected from light during transportation to the laboratory. Which of the following specimens did the phlebotomist collect?
Alkaline phosphatase
Lactate dehydrogenase
Beta-carotene
Triglycerides
Which of the following specimens is NOT a time-sensitive specimen collection and does not need to be delivered to the lab immediately?
Ammonia
Glucagon
Lactate
Aldolase
Which of the following sample is NOT collected for use as evidence in a legal proceeding?
Alcohol
DNA analysis
PKU testing
Drug testing
The phlebotomist is called to the ER to pick up forensic specimens for a sexual assault. The most important concept the phlebotomist must adhere to in handling forensic specimens is proper:
Specimen volume
Specimen transportation
Chain of custody
Temperature of specimen
Collection of specimens for blood alcohol should be obtained using any of the following antiseptics, EXCEPT:
Soap and water
Iodine
Cyclohexadiene
Alcohol
Which of the following statements is NOT true regarding the collection of blood alcohol specimens?
The site must not be cleaned with alcohol
The patient must recline during blood collection
Tubes must be filled as full as the vacuum tube will allow
Specimen should remain capped until testing
Which of the following cells is NOT found on a normal peripheral blood smear?
White blood cells
Red blood cells
Platelets
Mast cells
Which of the following criteria is evaluated to determine if a peripheral blood smear is of adequate quality?
The slide has a feathered edge
The slide has no holes
The slide has no streaks
All of the above
When making a smear for examination for malaria, the phlebotomist should prepare which of the following?
Three normal and one thick blood smear
One normal and one thick blood smear
Three wedge and one thick blood smear
Two wet mounts and two normal blood smears
When should the phlebotomist draw a specimen for examination for malaria?
On the patient's arrival at the facility
just before the patient's febrile episode
72 hours after onset of symptoms
After chills and shaking subside
during glucose tolerance testing, the patient must be instructed to drink the glucose solution with _____ minutes?
5
10
15
20
your GTT pt has just vomited in the waiting room not more than 20 minutes after ingesting the glucose solution. How should you proceed?
stop the test, document, send pt home
give pt another dose
continue the test but document the time the pt vomited
call the MD to see if the test should be continued or rescheduled
to maintain constant drug levels & make sure a drug dose does not reach toxic levels in a pt, you may be called to perform blood collection for...
lipid monitoring
therapeutic drug monitoring
drug screening
toxicology
A blood infection by a pathogenic microorganism is known as...
septic shock
septicemia
bacteremia
fever of unknown origin
The optimal collection time for retrieval of a bacterial sample in the bloodstream is...
morning when temp is normal
evening when temp is elevated
just before temp spike
after medication to reduce the fever
the level of a drug that is drawn 30 minutes before the administration of the next dose is known as the...
peak level
trough level
therapeutic level
none of the above
blood cultures are drawn at timed intervals from multiple sites for all the following reasons, EXCEPT...
increase the likelihood of retrieving pathogens
decrease number of false positive tests
retrieve different organisms colonizing various vessels
verify presence of known contanminant
when collecting blood cultures and using butterfly needle, which sample is drawn FIRST?
anaerobic bottle
aerobic bottle
anticoagulated tube
SST Tube
all of the following antiseptic solutions are acceptable when preparing a venipuncture site for blood cultures EXCEPT..
alcohol & povidone-iodine
povidone-iodine
isopropyl alcohol
soap & water
which of the following organizations regulates & safeguards the collection procedures for blood donor collections?
US Food & Drug Administration
Drug Enforcement Agency
Centers for Disease Contol
Occupational Health & Safety Adminstration
