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The normal range for potassium in the blood is ____.


A) 8.6 to 10.0 mg/dL
B) 136 to 145 mEq/L
C) 3.5 to 5.1 mEq/L
D) 6 to 20 mg/dL
E) 21 to 28 mEq/L

F) A) and E)
G) C) and D)

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C

The rupturing of red blood cells, releasing hemoglobin, is called ________.

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Which of the following are included in steps for collection of a blood specimen?


A) Tell the patient the process will not be painful
B) Identify the patient correctly
C) Ask the patient what test he needs
D) Use the same tubes for chemistry and hematology tests
E) Apply the tourniquet to the patient's lower arm

F) B) and D)
G) A) and B)

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When blood leaks out of the vein around the puncture site during venipuncture and collects under the skin, it forms a(n) ________.

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The total volume of plasma and formed elements is called ________ blood.

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Normal prothrombin time (PT) is ____.


A) 11 to 15 seconds
B) 30 50 60 seconds
C) 2 to 7 minutes
D) 8 to 10 minutes
E) 30 to 45 minutes

F) A) and B)
G) B) and C)

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A

Which procedure for obtaining a blood sample is usually performed on the middle finger or the ring finger?


A) Evacuation system
B) Capillary puncture
C) Needle and syringe system
D) Butterfly system
E) Blood culture system

F) All of the above
G) A) and E)

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Which of the following is most commonly used to cleanse the skin before drawing blood?


A) Alcohol
B) Soap and water
C) Hibiclens
D) Hydrogen peroxide
E) 10% bleach

F) B) and C)
G) B) and D)

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Julia is a pretty, 16-year-old patient who has come to the office for her annual physical. The physician has asked you to draw blood for routine blood tests. When she realizes that you are going to draw her blood, she frowns and backs away. She tells you that when "they" drew her blood last year, it left a huge, ugly bruise that took weeks to go away. Which of the following would be your best response?


A) "They probably didn't draw the blood correctly last time."
B) "Don't worry, I promise I will not cause a bruise on your arm."
C) "If you get a bruise, you can wear long-sleeve shirts for a few weeks."
D) "Some bruising is possible, but I will do everything possible to minimize it."
E) "Bruising is just one of the side effects of having your blood drawn."

F) C) and E)
G) A) and D)

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In addition to using appropriate engineered safety devices, NIOSH recommends that health-care workers ____.


A) recap needles before transporting them to the sharps container
B) throw sharps into the wastebasket
C) attend bloodborne pathogen training every three years
D) avoid using needles with hinged shields
E) use needles only if no safe alternatives are available

F) All of the above
G) A) and B)

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Kaiden is a 32-year-old businessman who is being seen in the office because he has been feeling fatigued all of the time. He says he is having difficulty concentrating at work, and his appetite is off. The physician has ordered several blood tests. When you explain the procedure to Kaiden, he smiles and says, "Oh, sure, I've been through this many times before. Do what you have to do!" A few seconds after you insert the needle and begin drawing the first tube of blood, Kaiden suddenly goes limp. You realize that he has fainted and is beginning to slip out of the chair. What should you do?


A) Thrust his head down between his legs
B) Leave the room immediately to call for help
C) Release the tourniquet, but leave the needle in his arm until the physician arrives
D) Wipe his face with a towel soaked with cool water
E) Gently lower him to the floor while protecting his head

F) B) and C)
G) B) and E)

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Which of the following is characteristic of lancets?


A) They are used when a large amount of blood is required for a specific procedure.
B) They puncture a vein for the purpose of drawing blood.
C) They require the use of a tourniquet and a syringe with a needle.
D) They are disposable instruments with sharp points used to puncture the skin.
E) They eliminate the need for an engineered safety device.

F) B) and C)
G) None of the above

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The insertion of a needle or cannula into a vein for the purpose of withdrawing blood is called ________.

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A(n) ________ is a small, calibrated glass tube that holds a precise volume of fluid.

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A blood test that measures creatine kinase (CK) can identify ____.


A) gout
B) heart disease
C) leukemia
D) diabetes mellitus
E) sickle cell anemia

F) C) and D)
G) A) and B)

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B

The clear, yellow liquid in which the formed elements of blood are suspended is called _______.

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An erythrocyte (RBC) count is used to identify ____.


A) an infection
B) anemia
C) fluid and electrolyte imbalance
D) leukemia
E) viral hepatitis

F) B) and E)
G) B) and D)

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When blood is centrifuged, the red layer below the buffy coat consists of ________ red blood cells.

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Which of the following would you include when preparing a venipuncture site?


A) Elevate the chosen arm for the venipuncture site
B) Apply the tourniquet tight enough to stop the flow of blood
C) Palpate the proposed venipuncture site with your thumb
D) Cleanse the venipuncture site using a circular motion starting at the center and working outward
E) Use sterile gauze to dry the venipuncture site after cleansing it

F) None of the above
G) C) and E)

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Melanie is a 46-year-old unemployed patient who is being seen in the medical office because of a pain in her abdomen that has persisted for three weeks. The physician orders a urinalysis and several blood tests. When you begin preparing to draw her blood, Melanie says, "No! I don't want you to draw my blood. I just want to know what is causing the pain in my stomach. You don't need blood for that! I can't afford all these extra tests." You explain that the blood tests are needed to help diagnose the stomach pain, but Melanie continues to refuse to allow you to draw her blood. What should you do?


A) Inform Melanie that you must draw the blood because the physician ordered it
B) Report her refusal to your supervisor or the physician and make a note in her chart
C) Offer to draw the blood free of charge, since Melanie is unemployed
D) Assure Melanie that insurance will cover the cost of the tests
E) Ask colleagues in the office to assist you in drawing Melanie's blood

F) B) and E)
G) C) and D)

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