WorksheetsMA Specimen Collection and Testing
Total questions: 73
Worksheet time: 2hrs 26mins
device that makes veins easier to find for venipuncture, non-latex bands measure 0.5-1 inch wide
tube
lancet
tourniquet
gauze
most common tubes used for blood collection, top is colored based on additive
vacutainer tubes
capillary tubes
culture swabs
urine specimen that can be collected at any time with no special measures needed
urine ph
24 hour urine specimen
midstream urine specimen
random urine specimen
collected over a 24 hour period, regrigerated or chilled to prevent the growth of microbes
urine ph
24 hour urine specimen
midstream urine specimen
random urine specimen
also called a clean-catch specimen or clean-voided specimen, the perineal area is cleaned before the specimen is collected
urine ph
24 hour urine specimen
midstream urine specimen
random urine specimen
a test used to identify components of the urine, is usually conducted on patients that are pregnant, sick or suspected of abusing illegal substances
urinalysis
24 hour urine specimen
midstream urine specimen
random urine specimen
tested due to disorders of the lungs and bronchi, studied for blood, microbes and abnormal cells, NOT SALIVA
urinalysis
sputum specimen
stool specimen
urine specimen
collected to identify any type of bacteria or virus that may be responsible for a patient experiencing DIARRHEA, ABDOMINAL PAIN, must collect in a clean dry container and have a tight lid
throat specimen
sputum specimen
stool specimen
urine specimen
testing that refers to the process of cultivating a specimen in order to determine whether the developed organism is sensitive to antibiotics; the process begins with the collection of a direct specimen which is then cultivated in a special media, or agar; the special media functions to encourage the growth of present microorganisms in the specimen; when the growth of a microorganism is detected, the organism is tested against different antibiotics for sensitivity to antibiotics; an antibiotic is considered effective if it can stop or slow down the organism's growth in a controlled situation
glucose
ketones
ph testing
culture and sensitivity
performed on a patient to detect a disease-causing organism and determine an appropriate method of treatment, swab of the very back of the mouth and tonsils, usually done to detect strep throat, whooping cough, etc
throat culture
urine culture
wound culture
nasal culture
performed to identify the pathogen that is responsible for an infection of a patient's wound; specimens may be collected from animal bites, ulcers, and skin wounds; performed by swabbing the inside of a wound and placing the swab in a transport container
throat culture
urine culture
wound culture
nasal culture
(PP) means after a meal; glucose specimen is collected 2 hours after a patient eats a meal
Bleeding Time Test
Lactose Tolerance Test
2 hour Post Prandial Glucose
Arterial Blood Gas
(GTT) is used to diagnose carbohydrate metabolism problems; patients must eat well balanced meals 3 days prior to the test and must fast at least 12 hours before the test; p[atients must drink glucose prior to testing and have 5 minutes to finish the drink; levels will peak within 30 minutes to an hour following glucose ingestion
Bleeding Time Test
Lactose Tolerance Test
Glucose Tolerance Test
Arterial Blood Gas
same procedures as GTT but the patient must drink lactose rather than glucose
Bleeding Time Test
Lactose Tolerance Test
Glucose Tolerance Test
Arterial Blood Gas
performed on the forearm and uses a blood pressure cuff inflated to 40 mm Hg; phlebotomists will use an automated incision device to puncture skin and will use filter paper to blot the blood drops; this is a timed test and phlebotomist will blot blood every 30 seconds until the patient stops bleeding
Bleeding Time Test
Lactose Tolerance Test
Glucose Tolerance Test
Arterial Blood Gas
not done by MA's, most common site radial artery; use a Modified Allen Test to see if patient has adequate circulation; you must cleanse the site with alcohol and then clean with iodine; insert syringe needle at a 45-degree angle; when complete apply pressure for at least 3 to 5 minutes; this test is drawn in an inpatient setting and analyzed immediately after collection
Bleeding Time Test
Lactose Tolerance Test
Glucose Tolerance Test
Arterial Blood Gas
an area in a healthcare facility where inpatient and outpatient diagnostic testing is conducted; certain areas of the medical laboratory are designated for clinical analysis, while others are for surgical and anatomical pathology analysis
Clinical Laboratory
Hematology Laboratory
Chemistry Laboratory
Blood Bank Laboratory
this department deals with the handling of various blood specimens; tests performed in this department include WBC counts, RBC counts, hemoglobin, hematocrit (HCT), RBC indices, and platelet counts; the results of these tests indicate conditions such as dehydration, anemia, leukemia, and a wide variety of other diseases
Clinical Laboratory
Hematology Laboratory
Chemistry Laboratory
Blood Bank Laboratory
the most performed tests within this department include those for blood glucose levels, electrolytes (sodium, potassium, chloride), total protein etc.; the results of these tests can range from the confirmation of pregnancy to the presence of a liver disorder
Clinical Laboratory
Hematology Laboratory
Chemistry Laboratory
Blood Bank Laboratory
this is the section of the laboratory where blood is collected, stored, and prepared for transfusion; it is essential for all staff members to comply with the standards for patient identification and specimen handling to ensure the safety of all the patients
Clinical Laboratory
Hematology Laboratory
Chemistry Laboratory
Blood Bank Laboratory
anti-clotting chemicals
Collection Tube Additives: EDTA and Sodium (NA) Citrate
Collection Tube Additives: Lithium Heparin
Collection Tube Additives: Sodium Fluoride
Collection Tube Additives: Serum Separator Gels
used to separate red blood cells and clotting factors from serum to maintain correct chemistry levels found in blood
Collection Tube Additives: EDTA and Sodium (NA) Citrate
Collection Tube Additives: Lithium Heparin
Collection Tube Additives: Sodium Fluoride
Collection Tube Additives: Serum Separator Gels
used as an anticlotting factor and preservative for some chemistry analysis
Collection Tube Additives: EDTA and Sodium (NA) Citrate
Collection Tube Additives: Lithium Heparin
Collection Tube Additives: Sodium Fluoride
Collection Tube Additives: Serum Separator Gels
used to maintain glugose levels
Collection Tube Additives: EDTA and Sodium (NA) Citrate
Collection Tube Additives: Lithium Heparin
Collection Tube Additives: Sodium Fluoride
Collection Tube Additives: Serum Separator Gels
used to nourish microbes in blood culture tubes and bottles for identification and remediation of infections
Collection Tube Additives: EDTA and Sodium (NA) Citrate
Collection Tube Additives: Lithium Heparin
Collection Tube Additives: Sodium Fluoride
Collection Tube Additives: Blood Culture Media
No additive required. Commonly used for serum determinations in the following: Chemistry testing & Blood bank testing
Blood Collection Tubes: Red Topped
Blood Collection Tubes: Blue Topped
Blood Collection Tubes: Green Topped
Blood Collection Tubes: Lavender and Pink
additive used is sodium citrate. Additive prevents coagulation by binding calcium; it is advised to draw 2 to 3 ml of blood in a tube without additives before drawing this tube; commonly used for coagulation tests/heparin therapy (PT, APTT, fibrinogen)
Blood Collection Tubes: Red Topped
Blood Collection Tubes: Blue Topped
Blood Collection Tubes: Green Topped
Blood Collection Tubes: Lavender and Pink
additive used is ethylenediaminetetraacetic acid (EDTA); additive binds the calcium needed for clot formation; commonly used for hematology testing (CBC, reticulocyte count) Used for ESR testing (Erythrocyte sedimentation)
Blood Collection Tubes: Red Topped
Blood Collection Tubes: Blue Topped
Blood Collection Tubes: Green Topped
Blood Collection Tubes: Lavender and Pink
additive used is Heparin, a natural anticoagulant that inhibits thrombin; commonly used for routine chemistry testing.
Blood Collection Tubes: Red Topped
Blood Collection Tubes: Light Green
Blood Collection Tubes: Dark Green Topped
Blood Collection Tubes: Lavender and Pink
additive used is Lithium Heparin; this additive action is as an anticoagulant; not to be used for lithium levels; used for many chemistry tests
Blood Collection Tubes: Red/Gray Camouflage, Tiger Top
Blood Collection Tubes: Light Green
Blood Collection Tubes: Dark Green Topped
Blood Collection Tubes: Gray
additives used are sodium fluoride, a preservative that inhibits glycolytic action, and potassium oxalate, an anticoagulant that binds calcium; commonly used for glucose tolerance tests and lactic acid measurement
Blood Collection Tubes: Red/Gray Camouflage, Tiger Top
Blood Collection Tubes: Light Green
Blood Collection Tubes: Dark Green Topped
Blood Collection Tubes: Gray
additives used are clot activator and serum gel separator; activator encourages clot formation while gel creates a barrier between the serum and the cells which prevents contamination of the serum; commonly used for chemistry and immunology testing
Blood Collection Tubes: Red/Gray Camouflage, Tiger Top
Blood Collection Tubes: Light Green
Blood Collection Tubes: Dark Green Topped
Blood Collection Tubes: Gray
microbial growth media; there are two major types: aerobic growth media and anaerobic growth media; there are also microbe specific tubes and bottles which are ordered by the provider
Blood Collection Tubes: Red/Gray Camouflage, Tiger Top
Blood Collection Tubes: Light Green
Blood Collection Tubes: Dark Royal Blue
Blood Collection Tubes: Blood Culture tube or bottle, yellow
additive is EDTA; EDTAQ inhibits clot formation; used for trace metal levels including lead
Blood Collection Tubes: Red/Gray Camouflage, Tiger Top
Blood Collection Tubes: Light Green
Blood Collection Tubes: Dark Royal Blue
Blood Collection Tubes: Blood Culture tube or bottle, yellow
performed for visual examination of cells under a microscope; can be performed on blood (peripheral smear) and cervical epithelium (pap smear)
Throat Swabs
Smears
Blood Cultures
Wound Cultures
measures visual acuity which determines the amount of visual details at given distances on the eye chart
Hearing Test
Ishyihara Test
Snellen Test
a color perception test that uses specialized color plates with numbers to assess for red-green color blindness
Hearing Test
Ishyihara Test
Snellen Test
The veins used for drawing blood can be found in the ___________ space.
scalp vein
antecubital space
wrist
The most common vein used for drawing blood is the cephalic vein which is located in the antecubital space.
true
false
When obtaining a capillary sample, it is recommended to
leave the tourniquet on as long as necessary
squeeze the finger or heel over and over
gently massage the finger or heel
make sure the finger or heel is cold
When drawing a patients blood, they should always be
standing
sitting or lying down
After drawing blood, vigourously shake the tube to make sure it mixes with the additive
true
false
Before running tests on a patient, the MA should perform which measures to make sure the equipment is functioning properly and the results will be accurate.
cleaning of rooms
stocking of supplies
quality control
Chain of Custody testing is most likely needed for which of the following tests?
pregnancy test
urine ph
blood alcohol levels
glucose test
The most common type of pulmonary function or breathing test. This test measures how much air you can breathe in and out of your lungs, as well as how easily and fast you can the blow the air out of your lungs. Your doctor may order spirometry if you have wheezing, shortness of breath, or a cough.
spirometry test
nebulizer treatment
oxygen saturation
chest xray
changes liquid medicine into fine droplets (in aerosol or mist form) that are inhaled through a mouthpiece or mask. They can be used to deliver many types of medicines. The medicines and moisture help control breathing problems like wheezing and help loosen lung secretions.
spirometry test
nebulizer treatment
oxygen saturation
chest xray
Which of the following stopper colors identifies a tube used for coagulation testing
light blue
green
lavender
red
What are lavender stopper tubes most commonly used to collect?
immunology tests
coagulation tests
chemistry tests
hematology tests
What does the abbreviation PT stand for?
prenatal therapy
partial thromboplastin
prothrombin time
patient temperature
How does heparin prevent blood clotting?
inhibiting thrombin
activating calcium
binding calcium
chelating thrombin
What is the purpose of an antiglycolytic agent?
it preserves glucose
it enhances the clotting process
it inhibits electrolyte breakdown
it prevents clotting
What must the MA do in preparation for a venipuncture or capillary stick?
blow on the alcohol for quicker drying time
fan the alcohol with your hand
wipe the alcohol off with dry gauze
allow the alcohol to air dry
Which of the following should an ordered blood culture be drawn in?
red top tube
lavender top tube
green top tube
yellow top tube
What is the proper method of urine specimen collection that will avoid contamination?
avoiding urinating directly into the urine container
avoiding touching the inside of the container or the lid
adding a preservative to the midstream container
asking the patient to wear gloves during the collection
How does the serum or plasma of a lipemic specimen appear?
dark yellow
cloudy white
foamy pink
pink to red
A lipemic specimen is a clue that the patient was probably which of the following?
in a basal state
dehydrated
jaundiced
not fasting
What statement describes proper centrifuge operation?
remove stoppers before placing tubes in centrifuge
centrifuges serum specimens before they have a chance to clot
never centrifuge both serum and plasma specimens in the same centrifuge
place tubes of equal size and volume across from each other
What is PKU?
a hereditary inability to metabolize phenylalanine
a contagious condition caused by the lack of phenylalanine
an acquired condition caused by the lack of phenylalanine
an inherited condition caused by the lack of thyroid hormone
A 12 hour fast is normally required in testing for which analyte?
bilirubin
calcium
triglycerides
electrolytes
What is a blood smear?
blood collected on a special filter paper
blood used to identify the types of bacteria
blood made from a heparinized specimen
blood spread out on a microscope slide
Which of the following is NOT a phlebotomist's duty?
collecting blood specimens
performing laboratory computer operations
starting intravenous (IV) lines
transporting specimens to the lab
What is the national organization that sets standards for phlebotomy procedures?
ASCP
NAACLS
NCA
NCCLS
Which of the following is urine C & S typically ordered to detect?
Abnormal urine ph
Glucose spillage into urine
Kidney damage
Presence of a UTI (urinary tract infection)
Which type of motion would a phlebotomist use when cleaning a site for a routine venipuncture?
vertical
horizontal
Concentric
Crossing
A patient was experiencing a successful venipuncture when petechiae arose on their forearm. What was this the result of?
allergy to the antiseptic used to cleanse the area
the needle puncturing completely through the vein
the tourniquet being applied too tightly
a rare genetic disorder
What should a MA do FIRST when a patient is having a syncopal episode while venipuncture is being performed?
remove the needle from the arm
call for help
apply a cold compress
use an an ammonia inhalant
Which of the following information does NOT need to be on a specimen label?
patient name
date
time of collection
diagnosis
Which test is collected in a tube with a light blue top?
glucose
platelet count
prothrombin time
red blood count
Which of the following tests may require a special "chain of custody" documentation when collected?
blood culture
drug screen
prothrombin time
red blood count
What is the hormone detected in positive urine pregnancy tests?
ACTH
GH
HCG
TSH
When should a tube collecting heparin be collected?
Between a blood culture and before a serum tube
Between a citrate additive tube and a serum tube
Between an EDTA tube and a glycolytic inhibitor tube
Between a serum tube and an EDTA tube
You must draw a protime specimen from a patient with IV's in both arms. Which of the following locations is the best place to draw the specimen?
Above an IV
Below an IV
From an ankle vein
From an IV
Which government agency regulates the quality of gloves worn when performing phlebotomy procedures?
CDC/HICPAC
FDA
JCAHO
OSHA
