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Worksheets

Chp 46

Total questions: 77

Worksheet time: 41mins

Name
Class
Date
1.

Venipuncture cannot be done in the medical office but must be performed in an outside laboratory.

a)

True

b)

False

2.

When a physician orders a blood test, the medical assistant draws the patient's blood, ensures proper specimen labeling, and ensures that the blood is stored correctly.

a)

True

b)

False

3.

Veins act as a bridge between capillaries and arteries.

a)

True

b)

False

4.

The heart sends returned blood to the lungs, where oxygen is exhaled and carbon dioxide is inhaled.

a)

True

b)

False

5.

Capillary walls are only one cell thick, so oxygen can pass out of the blood, and waste material can pass into the blood.

a)

True

b)

False

6.

When the body is cool, capillaries dilate to retain heat.

a)

True

b)

False

7.

Point of care testing commonly uses blood drawn from capillaries.

a)

True

b)

False

8.

Veins carry blood toward the heart, and arteries carry blood away from the heart.

a)

True

b)

False

9.

Clinical Laboratory Improvement Amendments (CLIA) set standards to which all laboratories must adhere. These standards include training of personnel and testing and transport of specimens.

a)

True

b)

False

10.

Plasma, the liquid component of blood, is mostly water.

a)

True

b)

False

11.

The formed elements of blood are the red and white blood cells and platelets.

a)

True

b)

False

12.

Hemoglobin in the white blood cells transports oxygen.

a)

True

b)

False

13.

Arteries have one-way valves that prevent the backflow of blood.

a)

True

b)

False

14.

Fibrinogens are minerals found in blood serum.

a)

True

b)

False

15.

The most common capillary puncture site for adults is the palm of the hand.

a)

True

b)

False

16.

Capillary blood collection tubes that contain heparin (to prevent clotting) are identified by a red mark.

a)

True

b)

False

17.

A tourniquet should be left in place for the duration of the blood draw, for at least a minute.

a)

True

b)

False

18.

The most common method of venipuncture is the syringe and needle method.

a)

True

b)

False

19.

Following the Clinical and Laboratory Standards Institute (CLSI) order of draw, blue Vacutainers are drawn first.

a)

True

b)

False

20.

It is appropriate to control the filling of an evacuated blood-collection tube manually.

a)

True

b)

False

21.

The antecubital space is the most commonly used site for venipuncture.

a)

True

b)

FAlse

22.

If a patient shows signs of fainting, first complete the draw, and then have the patient lie down.

a)

True

b)

False

23.

The role of the medical assistant in collecting blood specimens requires knowledge of each of the following EXCEPT ________.

a)

asepsis

b)

basic circulatory anatomy

c)

vascular surgery

d)

phlebotomy equipment

24.

The first step in performing manual capillary puncture is to ________.

a)

assemble the equipment

b)

explain the procedure to the patient

c)

wipe the site of the puncture with alcohol

d)

perform hand hygiene

25.

The last step in performing manual capillary puncture is to ________.

a)

remove the gloves

b)

perform hand hygiene

c)

apply a bandage over clean gauze at the puncture site

d)

record the procedure in the patient's medical record

26.

Red blood cells carry ________ molecules.

a)

plasma

b)

fibrinogen

c)

heparin

d)

hemoglobin

27.

Fibrinogens are ________ involved in clotting.

a)

vitamins

b)

minerals

c)

oxides

d)

proteins

28.

Arteries ________ because of the high pumping pressure they receive from the heart.

a)

stiffen

b)

make a hissing sound

c)

expand

d)

pulsate

29.

The medical assistant performing a venipuncture for a human immunodeficiency virus (HIV) test must ________.

a)

wash hands thoroughly

b)

maintain temperature at a certain level

c)

tell the patient to fast for 8 hours prior

d)

take the blood sample while the patient is lying down

30.

The blood carried in the arteries contains ________.

a)

ammonia

b)

carbon monoxide

c)

oxygen

d)

bile

31.

When the body is cold, the capillaries ________, allowing for less blood flow, which increases the body temperature.

a)

dilate

b)

disintegrate

c)

constrict

d)

explode

32.

Which of the following is NOT one of the three methods of venipuncture?

a)

Vacuum tube method

b)

Caterpillar method

c)

Syringe and needle method

d)

Butterfly method

33.

Vacuum blood tubes come in all of the following sizes, EXCEPT ________.

a)

7 mL

b)

10 mL

c)

15 mL

d)

20 mL

34.

When drawing blood by the Vacutainer method, it is important to fill the tubes in the recommended order. Which one of the following tubes would be filled first?

a)

Lavender

b)

Blue

c)

Red

d)

Yellow

35.

When using the vacuum container method, it is important to use a(n) ________.

a)

small vein

b)

large vein

c)

large artery

d)

areteriole

36.

One drawback to performing the butterfly method is the ________.

a)

cost

b)

mortality rate

c)

pain

d)

availability

37.

Which vein(s) is/are a commonly used site for venipunctures?

a)

Cephalic

b)

Basilic

c)

Median cubital

d)

All of the above

38.

Which of the following sites are commonly used for manual capillary puncture?

a)

Middle finger

b)

Ring finger

c)

Heel of the foot on an infant

d)

All of the above

39.

A patient cannot be forced to undergo a blood draw procedure unless there is ________.

a)

documented evidence that the medical assistant explained the need for the procedure

b)

a signed statement from the physician that the procedure is necessary

c)

a signed court order that specifically overrides the right to refuse to have the procedure done

d)

a state law allowing the health care facility the authority to force the patient to undergo the procedure

40.

If a patient is allergic to latex, a ________ tourniquet can be used.

a)

cotton

b)

paper

c)

rubber

d)

spandex

41.

Needles used for blood draws are ________.

a)

made of copper

b)

hollow

c)

reusable

d)

rounded at the tip

42.

The smaller the gauge number of the venipuncture needle, the ________ the hole within.

a)

flatter

b)

rounder

c)

smaller

d)

larger

43.

The tip of the venipuncture needle is ________.

a)

pointed

b)

beveled

c)

flat

d)

round

44.

General phlebotomy needles are ________ gauge.

a)

12- to 15-

b)

20- to 21-

c)

22- to 25-

d)

25- to 30-

45.

When should venipuncture be avoided?

a)

In patients with syncope

b)

On dry skin

c)

In the antecubital space

d)

On sites with tattoos

46.

The preferred finger for capillary puncture is the ________ of the non-dominant hand.

a)

thumb

b)

pinky finger

c)

index finger

d)

middle or ring finger

47.

Which method of venipuncture is limited in the amount of blood that can be drawn by the size of the equipment used?

a)

Vacuum tube

b)

Syringe and needle

c)

Butterfly

d)

All of the above

48.

Capillary puncture is used for blood tests for all of the following, EXCEPT ________.

a)

glucose levels

b)

cholesterol levels

c)

plasma studies

d)

hematocrit levels

49.

The initials POC stand for ________.

a)

physician on call

b)

phlebotomist on call

c)

patient's overall condition

d)

point of care

50.

It is important to maintain the correct order of draw to ________.

a)

ensure the correct amount of blood is drawn

b)

maintain the drawn blood at the correct temperature

c)

ensure that the tubes are labeled with the name of the correct patient

d)

prevent contamination of a sample with chemicals from another tube

51.

To prevent the backflow of blood, veins are closed by ________.

a)

lumens

b)

arteries

c)

valves

d)

capillaries

52.

________ is the destruction of red blood cells with the release of hemoglobin into the plasma.

a)

Hematocrit

b)

Hemolysis

c)

Hematoma

d)

Hematology

53.

A synonym for fainting or loss of consciousness is ________.

a)

palpate

b)

cannula

c)

hematoma

d)

syncope

54.

When preparing to collect blood from a dialysis patient with a fistula, the phlebotomist must ________.

a)

wait until the dialysis is completed

b)

wait three minutes after dialysis is completed

c)

avoid the fistula site

d)

use a large vein, such as the subclavian

55.

Before inserting the needle, the medical assistant should do all of the following, EXCEPT ________.

a)

make sure the patient understands the procedure

b)

have the patient sit upright for two minutes

c)

ask the patient about allergies and other possible complications

d)

clean the puncture site with an alcohol wipe

56.

There is a higher incidence of injury and contamination when using which venipuncture method?

a)

Sterile syringe and needle method

b)

Vacuum container method

c)

Butterfly needle method

d)

Evacuated tube method

57.

When using laboratory requisition forms to transport specimens, the forms should be ________.

a)

attached to the patient's identification label

b)

filled out with the patient's name and address

c)

completely filled out and attached to the specimen

d)

filled out before the blood is collected

58.

After a lancet is used, it should immediately be placed in a(n) ________ to prevent needlesticks.

a)

biohazard container

b)

trash can

c)

sharps container

d)

any of the above

59.

When responding to a patient with hypoglycemia, the phlebotomist should ________.

a)

get a court order to proceed with the venipuncture

b)

have the patient drink cold water to reduce discomfort

c)

ask the patient about any anticoagulant therapies

d)

give the patient sugar by any means tolerated and call the physician

60.

Venous blood is ________ than arterial blood.

a)

lighter in color

b)

lighter in weight

c)

darker

d)

heavier

61.

Which test requires stat processing?

a)

Hemoglobin

b)

Warfarin level

c)

Calcium

d)

PT INR

62.

The discomfort and swelling from a hematoma with significant swelling formed after a venipuncture can by reduced by ________.

a)

heat

b)

using ibuprofen

c)

cold compress

d)

pressure dressing

63.

Which of the following is NOT a way to make a vein stand out?

a)

Having the patient drink lots of fluids before the procedure

b)

Having the patient gently squeeze a rubber ball

c)

Applying a warm cloth over the site

d)

Applying a cold compress

64.

When performing a venipuncture on a diabetic patient who has not eaten, the medical assistance knows the patient is at risk for ________ and may ________.

a)

a spike in the glucose level of the blood; vomit

b)

dehydration; pass out

c)

insulin shock; convulse

d)

all the above

65.

Patients are required to fast for ________ hours for a glucose tolerance, cholesterol, or lipid level test.

a)

8 to 10

b)

10 to 12

c)

12 to 14

d)

14 to 16

66.

A patient being well-________ is helpful for finding veins.

a)

nourished

b)

rested

c)

hydrated

d)

none of the above

67.

If the wrong tube is used to draw blood for venipuncture, then ________.

a)

it may not be possible to perform a particular test

b)

the phlebotomist must go before the Occupational Safety and Health Administration (OSHA)

c)

the specimen must be relabeled

d)

the blood must be hemolyzed

68.

If the patient does not speak English, and you enlist the help of someone other than the patient to explain the blood draw procedure in the patient's native language, you must have the patient's permission because ________.

a)

the patient's confidential medical information may be disclosed

b)

you cannot verify that the translation is accurate

c)

you can explain the procedure better by speaking slowly and showing examples

d)

the patient may not want an explanation at all

69.

For patients who have bleeding disorders, the medical assistant ________.

a)

may need to apply a pressure dressing after venipuncture

b)

must ensure that the patient takes aspirin before venipuncture

c)

should ask the physician to draw the blood sample

d)

should give the patient a cold compress to constrict the blood vessels

70.

For each tube being filled with blood, the phlebotomist must invert the tube ________.

a)

six to eight times gently

b)

then shake vigorously

c)

to release any excess plasma

d)

for 20 minutes

71.

A beveled needle is cut at a slant and ________.

a)

inserted into the vein facing down

b)

allows blood to flow easily

c)

penetrates the vein easily with minimal damage

d)

inhibits valves from closing when inserted

72.

Failure to obtain blood because the needle was not inserted deeply enough can be remedied by ________.

a)

advancing the needle slightly forward

b)

withdrawing the needle and trying again with a thinner gauge needle

c)

withdrawing the needle and trying again with a thicker gauge needle

d)

withdrawing the needle and reinserting it

73.

Which color Vacutainer tube comes fourth in the order of blood draw?

a)

Yellow

b)

Light blue

c)

Red marbled

d)

Green

74.

Which color Vacutainer tube comes fourth in the order of blood draw?

a)

Green

b)

Lavender

c)

Light green

d)

Pink

75.

A ________-topped Vacutainer is used for cultures on blood or body fluid.

a)

red

b)

yellow

c)

gray

d)

dark blue

76.

What additive does a red-stoppered plastic Vacutainer tube contain?

a)

Lithium heparin

b)

Ethylenediaminetetraacetic acid (EDTA)

c)

Sodium citrate

d)

Clot activator

77.

A glucose tolerance test would require which color Vacutainer tube?

a)

Gray

b)

Red

c)

Light blue

d)

Lavender