Answer Happy

76. A new phlebotomist in training set up a 2-hour GTT with the patient arriving at 0700; ingestion of glucose solution starting at 0710 and ending at 0715; %-hr specimen time of 0730, 1-hour specimen time of 0815; 2-hour specimen time of 0915. You double check her times and note which of the following? a. X-hr specimen time of 0730 should be 0745 b. 1hr specimen time of 0815 should be 0800 c. 2-hour specimen time of 0915 should be 0910 d. All times are correct 77. The waiting room is packed at 0730 when the phlebotomist calls the next patient for blood draw. An elderly patient at the back of the room slowly stands and begins to shuffle toward the phlebotomist at a slow pace. The phlebotomist exhibits professional nonverbal communication by doing which of the following? a. Rolling her eyes and saying, "Here, let me assist you" b. Sighing heavily before offering to assist the patient c. Making eye contact with the other patients, slightly raising his or her eyebrows, and smiling while waiting for the patient d. Smiling and holding her arm out for the patient while offering assistance 78. The phlebotomist is attempting to draw blood from an unconscious trauma patient when the patient suddenly starts jerking violently, causing the needle to come of his arm and into the hand of the phlebotomist. Patient history reveals that he is HIV-positive. The phlebotomist is informed that she must start post-exposure prophylactic treatment for HIV exposure how soon? a. 72 hours of exposure b. 7 days of exposure C. 10 days of exposure d. 2 weeks of exposure 79. The level of a drug that is drawn 30 minutes before the administration of the next dose is known as the: a. Peak level b. Trough level c Therapeutic level d. None of the above 80. When must universal precautions be used? a. When handling blood, body fluids, OPIM b. Only if specimen is visibly contaminated with blood c. When handling specimens of patients with infectious, bloodborne pathogen diseases d. Only for patients in isolation precautions 13
81. A DOT employee came for a urine drug test and filled a sterile urine collection cup with 30ml of urine. The phlebotomist told him that 45ml, minimum was required and told the patient to do which of the following? a. Drink some water, then give a second specimen within an hour to add to the first specimen b. Drink water for the next 3 hours at a reasonably distributed pace, then collect a new specimen c. Aliquot the sample into 20ml and 10ml specimen vials for split sample testing d. Come back tomorrow; the specimen will be discarded. 82. At which of the following are standard precautions directed? a. The care of all patients, with no regard to their diagnosis or presumed infection status b. The approach to infection control to treat all human blood and certain body fluids c. Hospitals, and allowing hospitals to use acceptable alternatives in infection control d. Providing transmission-based infection control 83. All of the following are classified as OPIM except which? a. Semen b. Vaginal secretions c. Amniotic fluid d. Saliva in non-dental procedures 84. The phlebotomist enters the patient's room to draw blood for the third time that day. He notes that the patient's arm band has been removed. It is the same patient in the same room. Which of the following does the phlebotomist do? a. Ask the patient to state his name, then draw the blood b. Go ask the nurse to attach an armband before drawing blood c. Ask the patient's wife to verify the patient's name and DOB, than draw blood d. Ask the patient his name, then draw the sample, making a notation in the computer of missing armband 85. A pediatric patient is hospitalized with Haemophilus influenza type B disease. Before entering the room, which of the following does the phlebotomist don? a. Mask b. Gown and mask c. Gloves and gown d. Gloves, gown, and mask 86. The phlebotomist drew a PT and APTT on a patient who had small veins, using a syringe. She then transferred the blood into the sodium citrate tube by doing which of the following? a. Attaching a transfer device to the syringe b. Removing the top of the tube and gently pressing on the plunger to move blood into the tube through the needle c. Inserting the needle through the rubber stopper, allowing tube vacuum to pull blood into tube d. All are appropriate means of filling a citrate tube from a syringe draw 14