Phlebotomy Test

Which of the following venipuncture steps are in the correct order?
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Terms in this set (79)
Which of the following venipuncture steps are in the correct order?
Withdraw needle, place gaze, activate needle safety device
Which type of test requisition has been shown to decrease lab errors?
Barcoded
The time is 0750 hours. You have received the following test requests on different patients. Which test specimen should you collect first?
Cortisol ordered for 0800
A student asks the patient for permission to draw a blood specimen. Which of the following answers implies that the student does not really have permission?
Yes, but I would rather not
You have a request to collect a STAT specimen. A doctor is with the patient when you arrive. What should you do?
Excuse yourself and politely ask the doctor if you can do the draw
You are in the process of identifying an inpatient. The patient's verbal confirmation of name and Date Of Birth matches requisition, but the medical record number is different. What should you do?
Do not collect the specimen until the problem has been addressed and resolved
You are a phlebotomy student on rotation at an outpatient site. A patient who seems extremely apprehensive about having her blood drawn tells you that she is afraid of needles. What should you do?
Ask an experienced phlebotomist to perform the draw for you
There are two patients in a room. One of them has a latex allergy. You have a request to collect a blood specimen on the other one. How should you proceed?
Do not take anything that contains latex into the room
The best way to judge latency of a vein is the ________________
Press and release it several times to determine resilience
Which of the following statements describe a proper venipuncture technique?
Fill additive tubes until the vacuum is exhausted
What is the most critical error a phlebotomist can make?Misidentifying a patient specimenWhich type of needle can be removed from the blood collection unit before disposal?Syringe needleWhen should additive tubes be mixed?As soon as they are removed from the holderYou have made two unsuccessful attempts while trying to collect an ASAP specimen on an inpatient. The specimen cannot be collected by skin puncture. What should you do next?Ask another phlebotomist to collect itThe proper way to transfer blood from a syringe into an ETS tube is toSafely remove the needle and attach a transfer device to fill the tubeHow can you tell that you are in a vein when drawing blood with a butterfly?Blood usually appears in the tubingYou are performing a venipuncture on a difficult vein using a butterfly, You have an SST and a light blue-top to collect. How do you proceed?Draw a clear tube, fill and mix the light-blue top, then fill and mix the SSTInterventions to ease pain in collecting blood specimens from infants includeEMLA, pacifiers, oral sucroseSkin changes in elderly patients can make it harder to ______________anchor veinsWhich type of disease is most likely to cause tremors?ParkinsonsHow can you tell that you are in a vein when you are using a syringe?A 'flash' of blood will appear in the hub of the syringeDoing what before obtaining a blood specimen from a child is a bad idea?Telling the child it will not hurtWhat is the best to use for needle insertion during routine venipuncture?30 degrees or lessThe flooding precautionary information was given to an outpatient after venipuncture. No other tests were scheduled. All the information was necessary except ________________Do not drink or eat for two hours after collectionWhen is the best time to release the tourniquet during venipuncture?As soon as blood flows freely into the tubeWhat is ACD?Additive used for immunohematology tests such as DNA and HLA typingWhat is an additive?Substance added to a blood collection tubeWhat are Anticoagulants?Additive used for collecting units of bloodWhat is an Antiglycolytic Agent?Substances that prevent blood from clottingWhat are Antiseptics?Substances used for skin cleaning that inhibit the growth of bacteriaWhat is a Bevel?Point of a needle that is cut on a slant for ease of skin entryWhat is Biocide?A Chemical that kills or inhibits the growth of living organismsWhat are Blood Collection Sets?Special winged and non-winged needle sets with attached tubingWhat is Carry-Over/Cross Contamination?Transfer additive from one tube to the nextWhat is a Clear/Discard Tube?Term for a tube drawn to remove air from the tubing and then thrown awayWhat is a Clot Activator?Coagulation enhancing substance, such as silicaWhat is CPD?Additive used for collecting units of bloodWhat are Disinfectants?Solutions used to kill microorganisms in surfaces and instrumentsWhat is EDTA?Anticoagulant that preserves blood cell shape and structure and inhibits platelet clumpingWhat is ETS?Abbreviation for the collection system typically used for routine venipunctureWhat are Evacuated Tubes?Tubes with pre-measured vacuums and color coded stoppersWhat is a Gauge?Number that is related to the diameter of the needle lumenWhat is Glycolysis?Breakdown or metabolism of glucose by blood cellsWhat is Heparin?Anticoagulant that inhibts the formation of thrombinWhich of these materials is not required for routine venipuncture?IodineWhich of these guidelines is not useful in identifying patients?Using non-verbal communication techniques for confused patientsMistakes identification can cause which for informed consent?Pre-analytic errorsWhich of these is not a requirement for informed consent?Level of educationWhich of these is the most preferred venipuncture site?Anticubital fossa (interior fold of elbow)In performing a venipuncture on the dorsum of the hand, all these tips are useful except _________ A. Choose a straight vein B. Choose a bouncy vein C. Anchor the vein by placing your thumb above the puncture site D. Do not select a vein that is branching outC. Anchor the vein by placing your thumb above the puncture siteConcerning the application of an antiseptic agent to a venipuncture site, which of these is correct? A. The one-step procedure involves the use of 70% isopropyl alcohol in tincture of iodine B. The two-step procedure involves the use 70% isopropyl alcohol over 30 seconds and the use of tincture of iodine or 2% Chlorhexidine solution over 30 seconds C. The two-step procedure involves the use of 70% isopropyl alcohol over 30 seconds in the use of povidone-iodine over 30 seconds D. The one-step procedure involves the use of povidone-iodineB. The two-step procedure involves the use 70% isopropyl alcohol over 30 seconds and the use of tincture of iodine or 2% Chlorhexidine solution over 30 secondsConcerning the phlebotomy procedure. Which of these steps is incorrect? A. Extend the patients arm and inspect the anticubital fossa of the arm or the veins in the forearm B. Apply a tourniquet about 2 to 4 inches about the skin site C. Swab the skin site with 70% isopropyl alcohol in 2% Chlorhexidine gluconate solution over 30 seconds D. Place finger over the vein to guide the shaft of the needleD. Place finger over the vein to guide the shaft of the needleWhich of these is correct about the bevel up technique? (angle degree)It punctures the vein at a 30-degree angleYou have just collected a blood sample for serology, blood culture, and coagulation studies. Which of these is the correct order of draw? A. Mood culture, serology and coagulation studies B. Coagulation studies, serology, and blood culture C. Blood culture, coagulation studies, serology D. Serology, blood culture, and coagulation studiesC. Blood culture, coagulation studies, serologyConcerning the blood order of draw, which of these is incorrect? A. The gold-top tube is also called the serum separator tube B. The blood culture bottle is the first bottle in the order of draw C. The sodium citrate tube is filled before lithium heparin D. The oxalate bottle is the last tube in the order of drawA. The gold-top tube is also called the serum separator tubeWhich of these is correct concerning the tube for coagulation studies? A. It is known as the EDTA tube B. It has a dark-green top C. It must have a blood-to-additive ratio of 9:1 D. It is used for cross-matching in blood banksC. It must have a blood-to-additive ratio of 9:1Which of these best describes a hematoma?Accumulation of blood in tissue spacesWhich of these is not a normal finding in a peripheral blood film? A. Neutrophils B. Basophils C. Erythrocytes D. Mast cellsD. Mast cellsWhich of these is not a technique of making peripheral blood smears? A. Wedge technique B. Coverslip technique C. Automated slide making D. Glass slide techniqueD. Glass slide techniqueWhich one of these is not a key difference between a thin blood smear and a thick blood smear? A. Thin blood films are used for parasite speciation; thick blood films are used for parasite quantification B. Thin blood films are not fixed in methanol; while thick blood films are fixed in methanol C. Thin blood films are smears using the wedge technique; whole thick blood films are not smeared D. Thin blood films are used to view blood cells; thick blood films are notB. Thin blood films are not fixed in methanol; while thick blood films are fixed in methanolWhich of these is correct about the wedge technique of peripheral blood films?It is the easiest and most common way of making blood filmsWhich of these is correct about the covership technique of peripheral blood films?It requires the use of capillary pipetteWhich of these is NOT a feature of a good blood smear?It is evenly spread to cover the entire slideConcerning the factors that affect the yield of blood culture tests, which of these is false? A. The rate of isolation of pathogens in the blood is for toy proportional to the quantity of the blood sample B. For an adult patient, each set of culture bottles should be inoculated with about 5 to 10ml of blood C. Vascular access devices, like arterial lines and central venous catheters, are susceptible to colonization by the flora on the skin D. False-negative results can arise from the catheters used for the administration of intravenous antibioticsB. For an adult patient, each set of culture bottles should be inoculated with about 5 to 10ml of bloodWhich of these is incorrect concerning the inculation of blood culture bottles? A. In the use of winged blood collection sets, anaerobic bottles are inculcated first B. In the use of needle and syringes, the anaerobic cultural bottle should be inoculcated first C. The standardized blood-to-broth ratio is 1:3 D. About two sets of culture bottles should be inculated with blood from two different venipuncture sitesC. The standardized blood-to-broth ratio is 1:3In the collection of blood samples from a pediatric patient, which of these statements is true concerning the blood volume?Specialized pediatric culture bottles maintain the standardized blood-to-broth ratioConcerning venipuncture for intermittent bacteriemia, which of these principles is correct? A. Collect blood samples when the patient has a spike in temperature B. Collect blood samples before the. Commencement of antibiotics C. Collect blood samples when the patient has chills and rigors D. Collect four blood samples, at least 13 hours apart before the commencement of antibioticsA. Collect blood samples when the patient has a spike in temperatureAll of these are likely to yield a false-negative blood culture result except A. Collecting samples from a central line B. Collecting samples after administering intravenous antibiotics C. Collecting insufficient blood samples D. Collecting samples contaminated with ChlorhexidineA. Collecting samples from a central lineWhich of these tips is useful for a phlebotomist who has just collected an insufficient blood culture sample from a pediatric patient?Inoculcate the aerobic bottle firstWhich of these is not a clinical feature of septicemia?HemorrhageWhich of these is a potential source of contaminant during a venipuncture for a blood culture?Guiding the needle with the index finger and thumbWhich of these samples requires storage in dark aliquot bottles?PlasmaWhich of these is incorrect in the preparation of whole blood samples? A. Collect the blood samples in an EDTA tube B. Gently invert the bottle 5 to 8 times C. Store the blood specimen in room temperature D. Centrifuge the specimen for 5 to 10 minutesD. Centrifuge the specimen for 5 to 10 minutesWhich of these steps is false in the preparation of serum samples? A. Collect blood samples in the light-blue-top tubes B. Avoid lipemic samples by collecting samples in the basal state C. Centrifuge samples within two hours of venipuncture D. Do not keep tourniquet for more than one minuteA. Collect blood samples in the light-blue-top tubesWhich of these is false about room temperature? A. It is said to be the same as the temperature of the atmosphere in the laboratory B. It typically ranges from 15 to 30 degrees C C. Specimens kept at room temperature are expected to be promptly processed D. Samples for complete blood count can be kept at room temperature for not more than 24 hoursB. It typically ranges from 15 to 30 degrees CWhich of these is a critical value for a patient with end-stage renal failure? A. Potassium - 5.5mmol/L B. Sodium - 125mmol/L C. Hemoglobin - 6g/dL D. Creatinine - 150mmol/LC. Hemoglobin - 6g/dLWhich of these is not a role of phlebotomists in quality control of blood samples? A. Collection of Blood samples for Coagulation Studies in the Lavender bottle B. Preparation of peripheral blood spears using the wedge technique C. Transportation of semen samples at room temperature D. Use of dipstick urinalysis for serum potassiumD. Use of dipstick urinalysis for serum potassiumWhich of these is the role of a phlebotomist in patient care? A. Therapeutic communication in obtaining informed consent B. Primary health education and prevention streptococcus infection C. Commencement of chest physiotherapy for orthostatic pneumonia D. Two-hourly turning of a bedridden patientA. Therapeutic communication in obtaining informed consentWhich of these best describes the inversion process after blood collections?Turning the blood bottle around 180 degrees to the starting position