87. The phlebotomist performed a heelstick on an infant and clearsed the feel with Betadine because she ran out of alcoh

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87. The phlebotomist performed a heelstick on an infant and clearsed the feel with Betadine because she ran out of alcohol pads. Tests ordered included potassium, calcium, bilirubin, and a CBC. Which of the following is true of the collection process? a. It followed accepted protocol b. It required that bilirubin be collected first, followed by the CBC, then potassium and calcium c. It may yield erroneous results as a result of Betadine use d. It should have been performed using a butterfly 88. Warming at 42°C for 3 minutes is recommended for which of the following? a. Prewarming tubes for temperature-sensitive specimens b. Warming a CBC from a patient who has cold agglutinins before testing c. Warming an infant's heel before heelstick d. ABG syringes before arterial draw 89. The phlebotomist was having difficulty getting blood for electrolyte testing from a patient in the ED but finally got blood to flow after a minute of adjusting and re-adjusting the needle. Test results came back abnormal, some with physiologically impossible results. The lab requested a redraw on the patient, and the new specimen yielded normal results. Which of the following is the most likely explanation? a. Hemoconcentration resulting from the tourniquet's having been left on too long b. Patient having just drunk electrolyte replacement beverage c. Tube having underfilled, resulting in incorrect anticoagulant blood ratio d. Error resulting from use of wrong needle size for vein 90. Which of the following is true of laboratory requests from the emergency department? a. Treated as routine or STAT depending on the test b. Must be treated as STAT c. Prioritized along with the in-house requests d. Can be batched with ambulatory care requests 91. Which of the following specimens is acceptable? a. Trough drug level drawn 1 hour before next dose b. Semen specimen delivered to the lab in a condom 40 minutes after collection c. Refrigerated 24-hour urine collection for creatinine d. Fasting glucose drawn in SST at 0500 and centrifuged at 0800 92. Which of the following urine specimens requires protection from light? a. porphyrin/porphobilinogen b. Creatinine clearance c. Heavy metal d. Metanephrines 15
93. The phlebotomist has a CBC on a newborn and finds the mother trying to calm the baby in her room. On inquiry, the mother tells the phlebotomist that the baby has been crying for the past 20 minutes. Which of the following should the phlebotomist do? a. Perform heelstick, because the dermal puncture will make the baby cry anyway b. Come back after the baby has not been crying for at least one hour c. Give the baby a pacifier dipped in glucose solution to calm him, then draw blood d. Get the nurse to hold baby during the heelstick procedure 94. The phlebotomist was performing a syringe draw on a child who required three people to restrain. She hurried to get the draw completed as fast as she could, pulling hard on the syringe plunger to speed up the process. Problems resulting from her performance during the procedure include all of the following except which? a. Hemolyzed specimen b. Hemoconcentration c. Vein collapse d. Specimen rejection 95. All of the following descriptions of point-of-care testing are correct except which? a. It occurs at the patient's bedside b. Some instruments use the first drop of blood from dermal puncture c. Most tests are CLIA-waived d. It does not require the usual quality assurance and controls 96. Which of the following does the pulmonary artery carry? a. Oxygenated blood heading to the coronary arteries Deoxygenated blood heading to the lungs b. c. Deoxygenated blood heading to the heart d. Oxygenated blood from the left ventricle 97. The Hazard Communication Standard (HCS) is now aligned with the Globally Harmonized System of Classification and Labeling of Chemicals (GHS) and provides all of the following except which? a. Common approach to classifying chemicals b. Common approach to communicating hazard information on labels and safety data sheets c. Reduced trade barriers and increased productivity for American businesses d. All of the above 98. Pregnancy tests detect the presence of which of the following hormones? a. Estrogen b. Progesterone c. Human chorionic gonadotropin (HCG) d. Testosterone 99. The OSHA Hazardous Communication Standard includes all of the following except which? a. Labeling of all hazardous materials b. Safety data sheets for each hazardous chemical c. Information for emergency personnel who are responding to a chemical fire or spill d. Right-to-know law 16
100. All of the following apply to a patient who is in protective isolation except which? a. All food and other articles are sterilized before being taken into the patient's room b. A private room is required c. Gowns, gloves, mask, hair net, and shoe covers may be required d. All of the above are required.
87. The phlebotomist performed a heelstick on an infant and cleansed the feel with Betadine because she ran out of alcohol pads. Tests ordered included potassium, calcium, bilirubin, and a CBC. Which of the following is true of the collection process? a. It followed accepted protocol b. It required that bilirubin be collected first, followed by the CBC, then potassium and calcium c. It may yield erroneous results as a result of Betadine use d. It should have been performed using a butterfly 88. Warming at 42°C for 3 minutes is recommended for which of the following? a. Prewarming tubes for temperature-sensitive specimens b. Warming a CBC from a patient who has cold agglutinins before testing c. Warming an infant's heel before heelstick d. ABG syringes before arterial draw 89. The phlebotomist was having difficulty getting blood for electrolyte testing from a patient in the ED but finally got blood to flow after a minute of adjusting and re-adjusting the needle. Test results came back abnormal, some with physiologically impossible results. The lab requested a redraw on the patient, and the new specimen yielded normal results. Which of the following is the most likely explanation? a. Hemoconcentration resulting from the tourniquet's having been left on too long b. Patient having just drunk electrolyte replacement beverage c. Tube having underfilled, resulting in incorrect anticoagulant:blood ratio d. Error resulting from use of wrong needle size for vein 90. Which of the following is true of laboratory requests from the emergency department? a. Treated as routine or STAT depending on the test b. Must be treated as STAT c. Prioritized along with the in-house requests d. Can be batched with ambulatory care requests 91. Which of the following specimens is acceptable? a. Trough drug level drawn 1 hour before next dose b. Semen specimen delivered to the lab in a condom 40 minutes after collection c. Refrigerated 24-hour urine collection for creatinine d. Fasting glucose drawn in SST at 0500 and centrifuged at 0800 92. Which of the following urine specimens requires protection from light? a. porphyrin/porphobilinogen b. Creatinine clearance c. Heavy metal d. Metanephrines
93. The phlebotomist has a CBC on a newborn and finds the mother trying to calm the baby in her room. On inquiry, the mother tells the phlebotomist that the baby has been crying for the past 20 minutes. Which of the following should the phlebotomist do? a. Perform heelstick, because the dermal puncture will make the baby cry anyway b. Come back after the baby has not been crying for at least one hour c. Give the baby a pacifier dipped in glucose solution to calm him, then draw blood d. Get the nurse to hold baby during the heelstick procedure 94. The phlebotomist was performing a syringe draw on a child who required three people to restrain. She hurried to get the draw completed as fast as she could, pulling hard on the syringe plunger to speed up the process. Problems resulting from her performance during the procedure include all of the following except which? a. Hemolyzed specimen b. Hemoconcentration c Vein collapse d. Specimen rejection 95. All of the following descriptions of point-of-care testing are correct except which? a. It occurs at the patient's bedside b. Some instruments use the first drop of blood from dermal puncture C. Most tests are CLIA-waived d. It does not require the usual quality assurance and controls 96. Which of the following does the pulmonary artery carry? a. Oxygenated blood heading to the coronary arteries b. Deoxygenated blood heading to the lungs- c. Deoxygenated blood heading to the heart d. Oxygenated blood from the left ventricle 97. The Hazard Communication Standard (HCS) is now aligned with the Globally Harmonized System of Classification and Labeling of Chemicals (GHS) and provides all of the following except which? a. Common approach to classifying chemicals b. Common approach to communicating hazard information on labels and safety data sheets C Reduced trade barriers and increased productivity for American businesses d. All of the above 98. Pregnancy tests detect the presence of which of the following hormones? a. Estrogen b. Progesterone c. Human chorionic gonadotropin (HCG) d. Testosterone 99. The OSHA Hazardous Communication Standard includes all of the following except which? a. Labeling of all hazardous materials b. Safety data sheets for each hazardous chemical c. Information for emergency personnel who are responding to a chemical fire or spill d. Right-to-know law 16
100. All of the following apply to a patient who is in protective isolation except which? a. All food and other articles are sterilized before being taken into the patient's room b. A private room is required c. Gowns, gloves, mask, hair net, and shoe covers may be required d. All of the above are required.