Deck 7: Special Collection Procedures

Question 1

Which of the following is a normal bleeding time test result?

A) 30 seconds or less
B) 1 to 8 minutes
C) Greater than 15 minutes
D) None of the above

Answer 1

B

Question 2

Proper cleansing of the site for arterial blood gas specimen collection requires the use of:

A) 70% isopropyl alcohol
B) Povidone-iodine (Betadine)solution
C) Either 70% isopropyl alcohol or povidone-iodine (Betadine)solution
D) None of the above

Answer 2

B

Question 3

The proper incubation temperature for cold agglutinin specimens is ________________.

A) 25°C
B) 37°C
C) 42°C
D) 54°C

Answer 3

B

Question 4

When culture bottles are prepared for inoculation with the patient sample,the bottles should be:

A) cleansed with alcohol
B) cleansed with Betadine scrub
C) cleansed with alcohol followed by Betadine scrub
D) cleansed with Betadine scrub followed by alcohol

Question 5

The most critical role of the phlebotomist for this procedure is properly labeling time of collection on the specimens as they are collected:

A) glucose tolerance test
B) syringe collection
C) cold agglutinin tests
D) arterial blood samples

Question 6

Which of the following is most likely to cause a vein to collapse during a syringe collection procedure?

A) Using a butterfly needle on the syringe
B) Using a regular needle on the syringe
C) Pulling back too hard,creating to forceful vacuum on the vein
D) None of the above

Question 7

The clinical condition in which bacteria enter the bloodstream is known as:

A) nosocomial infection
B) septicemia
C) incubation
D) none of the above

Question 8

Which of the following is not part of the bleeding time test procedure?

A) Apply a sphygmomanometer to the patient arm and inflating to 40 mm Hg
B) Cleansing the arm with 70% isopropyl alcohol
C) Using a commercially available standardized device to make an incision in the patient arm
D) Blotting the blood from the incision every 1 minute until bleeding stops

Question 9

A bleeding time test is used for:

A) evaluation of platelet function
B) evaluation of effective anticoagulation therapy
C) the length of time required for venipuncture
D) none of the above

Question 10

Which of the following methods involves the use of a barrel and plunger to create a vacuum during venipuncture?

A) Syringe method
B) Tourniquet
C) Capillary tube
D) Evacuated tube method

Question 11

Which of the following is the appropriate collection device to use when performing blood culture collection?

A) Gray-top tube
B) Yellow-top SPS tube
C) Blood culture bottles
D) Both b and c

Question 12

Which of the following tubes is designed especially for glucose collection?

A) Blue
B) Green
C) Gray
D) Red

Question 13

The phlebotomist must carefully and completely explain the proper preparation for the glucose tolerance test including:

A) eating a well-balanced diet for 3 days before the test
B) drinking water before and during the test
C) avoiding stressful exercise in the days leading up to the test
D) all of the above

Question 14

Which of the following is proper protocol for collection of arterial blood gases?

A) Collect from the artery,collected in heparinized syringe; transport on ice
B) Collect from the artery,collected in heparinized syringe; transport at room temperature
C) Collect from the artery,collected in plain syringe; transport on ice
D) Collect from the artery,collected in plain syringe; transport at room temperature

Question 15

The cold agglutinin antibody is made in response to a form of pneumonia caused by which of the following bacteria?

A) Streptococcus pneumoniae
B) Mycoplasma pneumoniae
C) Mycobacterium pneumoniae
D) Mycobacterium tuberculosis

Question 16

The glucose tolerance test (GTT)is used to evaluate which of the following conditions?

A) Hypoglycemia
B) Diabetes mellitus
C) Hyperglycemia
D) All of the above

Question 17

Upon collection of an arterial blood specimen for blood gas analysis,it is necessary to:

A) Maintain pressure on the blood collection site for at least 15 minutes after collection to make sure that the bleeding has completely stopped before leaving the patient.
B) Place the arterial blood specimen in an ice slurry for transportation to the laboratory for testing.
C) Deliver the specimen to the laboratory for testing immediately to avoid changes to the specimen's blood gas composition.
D) All of the above.

Question 18

The most important consideration when collecting a blood culture specimen is:

A) aseptic technique
B) minimizing hemoconcentration
C) selection of the venipuncture site
D) amount of blood collected

Question 19

The presence of aspirin or other aspirin containing medications in the patient's blood will have what effect on the bleeding time?

A) Prolong the bleeding time
B) Shorten the bleeding time
C) Enhance the aggregating ability of the platelets
D) None of the above

Question 20

This test must be performed before arterial blood is collected to make sure that both arteries in the lower arm are delivering blood to the hand:

A) Ivy test
B) Allen test
C) FDP test
D) GTT

Question 21

When a peripheral blood smear is prepared,which of the following statements is not true?

A) Keep the smear on a flat surface
B) Make the smear 1 minute after placing the blood on the slide
C) Make the smear in a smooth fashion without ridges or bubbles
D) Allow the smear to air-dry

Question 22

Phlebotomy for blood donation collection differs from therapeutic phlebotomy in the following ways:

A) blood donors must be extensively screened for infectious diseases
B) blood donors must be screened for proper blood hemoglobin levels to prevent induction of anemia
C) the units of blood collected for blood donation must be properly processed to be vital for future transfusion
D) all of the above

Question 23

The proper cleansing technique to prepare the site for blood culture collection is:

A) Use a one step cleansing process with the antiseptic chlorhexidine gluconate/isopropyl alcohol
B) Use a two step cleansing process with isopropyl alcohol used first followed by iodine or povidone
C) Either a or b
D) Neither a or b

Question 24

Collection of a specimen for fibrin degradation products (FDP)requires:

A) specific preparation of the collection site,including cleansing with Betadine and alcohol
B) specific preparation of the patient,including fasting for 10 to 12 hours before the specimen is collected
C) collection into a specific tube provided with the test kit
D) all of the above

Question 25

Blood collected during therapeutic phlebotomy is:

A) discarded after collection
B) used for pooled platelets
C) used for blood transfusion
D) frozen for later use

Question 26

Therapeutic phlebotomy is not performed for treatment of which of the following conditions?

A) Anemia
B) Polycythemia vera
C) Hemochromatosis
D) Myasthenia gravis