QUESTION 1

1. Which of the following statements is true? ____

	a.	Urine controls are necessary with manual, but not automated, urinalysis
	b.	Urine controls are known-value specimens that test the accuracy of urine procedures, reagents, and equipment.
	c.	Reagent strips do not require extra care in storage or protection from strong chemicals.
	d.	Urine controls come in only one level: abnormal.

5 points   

QUESTION 2

1. Plasma is obtained by ____

	a.	using a red top tube.
	b.	using a gold top tube.
	c.	centrifuging a clotted tube.
	d.	using a tube that contains an anticoagulant.

5 points   

QUESTION 3

1. Which of the following is incorrect when performing a capillary puncture? ____

	a.	Allow the alcohol to dry, and do not fan or blow on the cleansed site.
	b.	Collect the first drop of blood.
	c.	Clean the site with 70% isopropyl alcohol.
	d.	Warm the site, if needed, by massaging the area or applying a warming device to the site for 3 to 5 minutes.

5 points   

QUESTION 4

1. Which of the following statements regarding chemical urinalysis strip procedures is incorrect? ____

	a.	Any bottle that has been open more than 2 months should not be used.
	b.	The chemical strip bottle must be kept tightly sealed when not in use.
	c.	The strips must be stored in the refrigerator.
	d.	Do not use expired strips.

5 points   

QUESTION 5

1. Which of the following is incorrect about the use of tourniquets? ____

	a.	If it is left on too long, results may be inaccurate because of hemoconcentration.
	b.	A tourniquet should be very tight.
	c.	It causes the vein to be more visible.
	d.	It should be looped so that it can be easily released with one hand.

5 points   

QUESTION 6

1. Which of the following would be a goal to determine the effectiveness of new safety devices? ____

	a.	decreasing injuries
	b.	acceptance of the device by users
	c.	the ability of the device to not adversely affect patient care
	d.	all of the above

5 points   

QUESTION 7

1. Determine which of the following statements best describes a waxy cast: ____

	a.	frequently contains neutrophils that are refractile because of the presence of granules and multilobed nuclei
	b.	appears very refractile, is homogenously smooth, have blunt and cracked ends, and represents extreme urine stasis signifying chronic renal failure
	c.	contains renal tubule epithelial cells and can be very hard to differentiate from white blood cell casts
	d.	contains granules throughout the matrix that can appear coarse or finely granular, but it is not necessary to distinguish between the two

5 points   

QUESTION 8

1. Which of the following describes the process in which fluids and dissolved substances that are in the blood are forced through the pores of the glomerulus into the glomerular capsule by hydrostatic pressure? ____

	a.	reabsorption
	b.	secretion
	c.	renal threshold
	d.	filtration

5 points   

QUESTION 9

1. Which of the following are analytes that are affected when hemolyzed blood releases chemicals into the plasma and serum? ____

	a.	potassium and magnesium
	b.	iron and lactate dehydrogenase
	c.	phosphorus, ammonia, and total protein
	d.	all of the above

5 points   

QUESTION 10

1. Which crystals are yellow-brown granules often found in clumps that give the urine a macroscopic (large enough to see with the eyes) pink, “brick dust” color and are found in urine at pH levels under 7? ____

	a.	leucine crystals
	b.	uric acid crystals
	c.	amorphous urates
	d.	calcium oxalates

5 points   

QUESTION 11

1. Which of the following is a site that could be used when performing a venipuncture procedure? ____

	a.	sites on an arm adjacent to a mastectomy
	b.	sites that are burned and susceptible to infection
	c.	site on the arm below an IV insertion area
	d.	sites that are sclerosed with plaque, scarred, or occluded

5 points   

QUESTION 12

1. Which of the following statements concerning performing a venipuncture on an arm adjacent to a mastectomy is incorrect? ____

	a.	A patient who has had a mastectomy may have no lymph flow to that arm.
	b.	Lymph nodes in the adjacent area to a mastectomy have been removed.
	c.	Tourniquet will not injure the patient’s arm.
	d.	Mastectomy carries a potential risk for infection, along with alterations in body fluids and blood analytes.

5 points   

QUESTION 13

1. The normal pH of urine is ____.

	a.	2.0-9.0
	b.	4.5-8.0
	c.	6.5-7.5
	d.	3.0-7.0

5 points   

QUESTION 14

1. The specific gravity is determined in what part of the urinalysis procedure? ____

	a.	collection
	b.	microscopic analysis
	c.	physical analysis
	d.	chemical analysis

5 points   

QUESTION 15

1. Which of the following substances is/are not normally found in urine? ____

	a.	urea, uric acid
	b.	ammonia
	c.	creatinine
	d.	glucose

5 points   

QUESTION 16

1. A Clinitest is correlated with the glucose strip test to determine which of the following conditions? ____

	a.	vigorous exercise
	b.	galactose in the urine
	c.	ketones in the urine
	d.	emotional stress

5 points   

QUESTION 17

1. Determine which of the following matches A or B.

–           a.           b.           c.           d.           e.       Total protein higher          –           a.           b.           c.           d.           e.       Hemoglobin higher          –           a.           b.           c.           d.           e.       Potassium higher          –           a.           b.           c.           d.           e.       Calcium higher          –           a.           b.           c.           d.           e.       Glucose higher

a. Venous Blood b. Capillary Blood c. Venous Blood d. Venous Blood e. Capillary Blood

5 points   

QUESTION 18

1. What color tube is used to collect blood for coagulation studies? ____

	a.	Red
	b.	Gray
	c.	Green
	d.	Light blue

5 points   

QUESTION 19

1. Which of the following is incorrectif the needle should hit a nerve in a venipuncture procedure? ____

	a.	An incident report does not need to be completed.
	b.	The patient will probably experience a tingling sensation radiating down the affected nerve.
	c.	The venipuncture procedure should be immediately stopped, and pressure must be applied to the site.
	d.	Notify an authorized person.

5 points   

QUESTION 20

1. Match the following words with the correct statement.

–           a.           b.           c.           d.           e.       bilirubin          –           a.           b.           c.           d.           e.       blood          –           a.           b.           c.           d.           e.       ketone          –           a.           b.           c.           d.           e.       urobilinogen          –           a.           b.           c.           d.           e.       leukocytes

a. increases during liver disease b. normally found in urine in small amounts c. red blood cells in the urine; may indicate infection, trauma, or menses d. white blood cells in urine; found during urinary tract infections e. increased during fat metabolism, and an increase may indicate starvation or diabetes mellitus when present with glucose