Description
Test Bank For Phlebotomy A Competency Based Approach 4th Edition By Kathryn Booth
Chapter 06
Patient and Specimen Requirements
Multiple Choice Questions
1. When the laboratory scientists have questions concerning a specimen, the most helpful information contained on the specimen label is:
A. a computerized barcode.
B. the laboratory accession number.
C. the phlebotomist’s identification.
D. the test status (stat or RT).
When the laboratory scientists have questions concerning a specimen, the most helpful information contained on the specimen label is identification of the person collecting the specimen.
ABHES: 10.d Collect, label, and process specimens
Accessibility: Keyboard Navigation
Blooms: Remember
CAAHEP: IV.P.8 Document patient care
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 06.05
NAACLS: 4.1 Describe the legal and ethical importance of proper patient/sample identification.
Topic: Specimen Identification
2. A patient located in which of the following settings may not be expecting to have his/her blood collected, and may therefore become anxious at your arrival?
A. A patient in a hospital setting
B. A patient in a nursing home setting
C. An outpatient who brings a lab test order from his physician
D. A patient in the emergency room who may need a transfusion
A patient located in a nursing home may not be expecting to have his/her blood collected and may therefore become anxious at your arrival.
ABHES: 10.d.1 Perform venipuncture
Accessibility: Keyboard Navigation
Blooms: Understand
CAAHEP: IV.A.7 Demonstrate recognition of the patient’s level of understanding in communications
CAAHEP: IV.P.5 Instruct patients according to their needs to promote health maintenance and disease prevention
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 06.02
NAACLS: 9.3 Interact appropriately and professionally.
Topic: Professional Communication
3. Which of the following must be present for an action to be considered negligence?
A. The patient is owed a duty of care.
B. There is a breach in the duty of care.
C. There is a recognizable injury to the patient.
D. All of these
For an action to be considered negligence, there exist a duty of care, a breach in the duty of care, and a recognizable injury to the patient, and the breach is the direct cause of the injury.
ABHES: 4.g Display compliance with Code of Ethics of the profession
Accessibility: Keyboard Navigation
Blooms: Understand
CAAHEP: IX.C.10.a Explain how the following impacts the medical assistant’s practice and give examples: negligence
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 06.03
NAACLS: 4.1 Describe the legal and ethical importance of proper patient/sample identification.
NAACLS: 9.8 Define and use medicolegal terms and discuss policies and protocol designed to avoid medicolegal problems.
Topic: Healthcare Ethics and Law
4. What liquid is acceptable to drink when fasting?
A. Water
B. Milk
C. Fruit juice
D. Coffee
Drinking water is acceptable during fasting.
ABHES: 10.d.1 Perform venipuncture
Accessibility: Keyboard Navigation
Blooms: Remember
CAAHEP: IV.P.5 Instruct patients according to their needs to promote health maintenance and disease prevention
CAAHEP: IV.P.6 Prepare a patient for procedures and/or treatments
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 06.06
NAACLS: 4.5 Explain the importance of timed, fasting and stat specimens, as related to specimen integrity and patient care.
Topic: Factors Affecting Specimen Quality and Test Results
5. Which of the following tests is most often a timed specimen?
A. Therapeutic drug monitoring
B. Toxicology for lead levels
C. Triglycerides and other lipids
D. Troponin and other heart enzymes
Therapeutic drug monitoring (TDM) specimens are most often timed specimens.
ABHES: 10.d.1 Perform venipuncture
Accessibility: Keyboard Navigation
Blooms: Remember
CAAHEP: I.P.2 Perform venipuncture
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 06.06
NAACLS: 4.2 Describe the types of patient specimens that are analyzed in the clinical laboratory.
Topic: Factors Affecting Specimen Quality and Test Results
Check All That Apply Questions
6. Two specimens for James Smith were delivered to a hospital laboratory from the same client facility. Upon investigation, it is discovered that the physician’s office did see two patients who are both named James Smith. What other information should have been available to help distinguish these specimens? (Choose all that apply)
__X__ Unique identifier number
_____ Laboratory accession number
__X__ Patient’s date of birth
_____ Patient’s insurance information
Two identifiers are needed for every specimen collected. In addition to the patient’s name, the date of birth should appear on the specimen. A unique patient identifier number may also appear on the label.
ABHES: 10.d Collect, label, and process specimens
Accessibility: Keyboard Navigation
Blooms: Understand
CAAHEP: IV.C.10 Diagram medical terms, labeling the word parts
CAAHEP: IV.C.14 Recognize the role of patient advocacy in the practice of medical assisting
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 06.04
NAACLS: 4.0 Demonstrate understanding of the importance of specimen collection and specimen integrity in the delivery of patient care.
NAACLS: 7.5 Identify and report potential pre-analytical errors that may occur during specimen collection, labeling, transporting, and processing.
Topic: Patient Identification
Multiple Choice Questions
7. Blood collection for therapeutic drug monitoring requires:
A. standard venipuncture procedure.
B. sterile technique be followed.
C. use of alternate antiseptic.
D. chain-of-custody procedure.
Blood collection for therapeutic drug monitoring requires standard venipuncture procedure.
ABHES: 10.d.1 Perform venipuncture
Accessibility: Keyboard Navigation
Blooms: Remember
CAAHEP: I.P.2 Perform venipuncture
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 06.05
NAACLS: 4.5 Explain the importance of timed, fasting and stat specimens, as related to specimen integrity and patient care.
Topic: Specimen Identification
Check All That Apply Questions
8. A patient needs to have a specimen collected for a “peak-level” TDM. What two circumstances must be followed for a correct blood draw? (Choose all that apply)
__X__ The specimen should be collected midway between doses of a drug.
_____ The specimen should be collected just before the next dose is given.
__X__ The specimen should be collected at its highest serum concentration.
_____ The specimen should be collected at its lowest serum concentration.
A specimen collected for a “peak-level” TDM must be drawn at its highest serum concentration, which is usually midway between doses of a drug.
ABHES: 10.d.1 Perform venipuncture
Accessibility: Keyboard Navigation
Blooms: Understand
CAAHEP: I.P.2 Perform venipuncture
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 06.06
NAACLS: 4.5 Explain the importance of timed, fasting and stat specimens, as related to specimen integrity and patient care.
Topic: Factors Affecting Specimen Quality and Test Results
9. A specimen collected for a “trough-level” TDM must be drawn: (Choose all that apply)
_____ right after the “peak-level.”
__X__ just before the next dose is given.
_____ during the administration of medication.
__X__ at its lowest serum concentration.
A specimen collected for a “trough-level” TDM must be drawn at its lowest serum concentration, which is just before the next dose is given.
ABHES: 10.d.1 Perform venipuncture
Accessibility: Keyboard Navigation
Blooms: Understand
CAAHEP: I.P.2 Perform venipuncture
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 06.06
NAACLS: 4.5 Explain the importance of timed, fasting and stat specimens, as related to specimen integrity and patient care.
Topic: Factors Affecting Specimen Quality and Test Results
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