Question 1

Failure to puncture across the fingerprint during a finger puncture will cause:

Accepted Answer

A)   blood to run down the finger.
B)   hemolysis.
C)   contamination of the sample.
D)   additional patient discomfort.E) A) and B)
F) None of the above

Question 2

The patient identification number is not required on microcollection tube labels.

Accepted Answer

A) True 
 B)False

Question 3

Selection of an improper heel puncture site can result in:

Accepted Answer

A)   puncture of the calcaneus.
B)   sample hemolysis.
C)   the need for vigorous massaging.
D)   increased blood flow.E) None of the above
F) A) and C)

Question 4

Vigorous massaging of the area during dermal puncture will result in:

Accepted Answer

A)   decreased blood flow to the site.
B)   a hematoma.
C)   sample contamination by tissue fluid.
D)   increased glucose results.E) A) and D)
F) B) and C)

Question 5

Failure to wipe away the first drop of blood when collecting a newborn filter paper screening test could:

Accepted Answer

A)   cause a false-negative result.
B)   enhance bacterial growth.
C)   destroy the filter paper.
D)   cause a false-positive result.E) A) and C)
F) All of the above A

Question 6

Newborns who appear jaundiced:

Accepted Answer

A)   have increased red blood cells.
B)   are always premature.
C)   have increased bilirubin levels.
D)   will develop liver disease.E) B) and C)
F) None of the above

Question 7

Which is the right way to handle samples for filter paper newborn screening tests?

Accepted Answer

A)   Stack samples after drying
B)   Dry samples in sunlight
C)   Suspend samples horizontally to air-dry
D)   Stack samples while they are dryingE) A) and B)
F) None of the above

Question 8

The major vascular area of the skin is located in the:

Accepted Answer

A)   dermal layer.
B)   cutaneous layer.
C)   soft tissue.
D)   dermal-subcutaneous juncture.E) A) and B)
F) A) and C) D

Question 9

Which of the following statements about newborn filter paper screening tests is true?

Accepted Answer

A)   One large drop of blood is used to fill a circle.
B)   Stacking of samples will cause cross-contamination.
C)   Samples are dried in a suspended,horizontal position.
D)   All of the aboveE) A) and B)
F) A) and C)

Question 10

Using a lancet that produces a puncture deeper than recommended may cause:

Accepted Answer

A)   septicemia.
B)   hemolysis.
C)   osteomyelitis.
D)   sample contamination.E) A) and B)
F) A) and C)

Question 11

Upon completion of a heel puncture on a 4-month-old infant,which of the following actions are acceptable?

Accepted Answer

A)   Raising the heel and applying pressure
B)   Placing capillary pipettes in a large tube for transport
C)   Thanking the parents for their cooperation
D)   All of the aboveE) B) and C)
F) A) and D)

Question 12

The presence of air bubbles will most seriously affect a:

Accepted Answer

A)   bilirubin collected in a Caraway pipette.
B)   complete blood count (CB
C)   collected in a microcollection tube.
C)   hematocrit collected in a microhematocrit tube.
D)   blood gas collected in a micropipette.E) A) and D)
F) C) and D)

Question 13

Microcollection tubes containing separation gel are available.

Accepted Answer

A) True 
 B)False

Question 14

Blood collected by dermal puncture most closely resembles:

Accepted Answer

A)   venous blood.
B)   anticoagulated blood.
C)   arterial blood.
D)   clotted blood.E) None of the above
F) C) and D)

Question 15

Excessive squeezing of a dermal puncture site can cause which of the following?

Accepted Answer

A)   Bruising of the area
B)   Tissue fluid contamination
C)   Hemolysis
D)   All of the aboveE) B) and D)
F) B) and C)

Question 16

Microcollection tubes are color-coded in the same way as evacuated tubes.

Accepted Answer

A) True 
 B)False

Question 17

Dermal puncture is preferred over venipuncture in infants because:

Accepted Answer

A)   superficial veins may not be large enough.
B)   collection from deep veins is dangerous.
C)   restraining the child can cause injury.
D)   All of the aboveE) A) and B)
F) None of the above

Question 18

The major concern when determining the order of draw for a dermal puncture is the:

Accepted Answer

A)   speed of sample collection.
B)   amount of blood needed.
C)   ability to adequately mix the sample.
D)   adherence of platelets to the puncture site.E) A) and B)
F) A) and C) D

Question 19

Puncturing through a previous puncture site may cause an infection.

Accepted Answer

A) True 
 B)False

Question 20

A bilirubin collected from a jaundiced infant has a normal result.This result:

Accepted Answer

A)   should be expected because the infant is jaundiced.
B)   may indicate that the sample was collected under the bili light.
C)   can be accepted if a control has been run.
D)   should be called immediately to the health-care provider.E) B) and D)
F) C) and D)

Exam 6: Dermal Puncture

Failure to puncture across the fingerprint during a finger puncture will cause:

Correct AnswerverifiedShow Answer

The patient identification number is not required on microcollection tube labels.

Correct AnswerverifiedShow Answer

Selection of an improper heel puncture site can result in:

Correct AnswerverifiedShow Answer

Vigorous massaging of the area during dermal puncture will result in:

Correct AnswerverifiedShow Answer

Failure to wipe away the first drop of blood when collecting a newborn filter paper screening test could:

Correct AnswerverifiedA

Newborns who appear jaundiced:

Correct AnswerverifiedShow Answer

Which is the right way to handle samples for filter paper newborn screening tests?

Correct AnswerverifiedShow Answer

The major vascular area of the skin is located in the:

Correct AnswerverifiedD

Which of the following statements about newborn filter paper screening tests is true?

Correct AnswerverifiedShow Answer

Using a lancet that produces a puncture deeper than recommended may cause:

Correct AnswerverifiedShow Answer

Upon completion of a heel puncture on a 4-month-old infant,which of the following actions are acceptable?

Correct AnswerverifiedShow Answer

The presence of air bubbles will most seriously affect a:

Correct AnswerverifiedShow Answer

Microcollection tubes containing separation gel are available.

Correct AnswerverifiedShow Answer

Blood collected by dermal puncture most closely resembles:

Correct AnswerverifiedShow Answer

Excessive squeezing of a dermal puncture site can cause which of the following?

Correct AnswerverifiedShow Answer

Microcollection tubes are color-coded in the same way as evacuated tubes.

Correct AnswerverifiedShow Answer

Dermal puncture is preferred over venipuncture in infants because:

Correct AnswerverifiedShow Answer

The major concern when determining the order of draw for a dermal puncture is the:

Correct AnswerverifiedD

Puncturing through a previous puncture site may cause an infection.

Correct AnswerverifiedShow Answer

A bilirubin collected from a jaundiced infant has a normal result.This result:

Correct AnswerverifiedShow Answer

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