Chapter 10

Question 1

Prior to performing a venipuncture, it is important to get information about whether or not the patient has eaten recently because

Answer 1

Laboratory tests can be affected by the ingestion of food and drink

Question 2

Is a patient is obese, what special equipment, if any, can be used to improve the likelihood of a successful puncture

Answer 2

A large blood pressure cuff

Question 3

When a patient has “difficult” veins, what strategies, if any, can be used to improve the likelihood of a successful venipuncture

Answer 3

All of the above

Question 4

Arteries differ from veins in this way

Answer 4

Thicker vessel walls with a pulsating feel

Question 5

During the venipuncture, the needle should be inserted at this angle to the skin

Answer 5

30 degrees or less

Question 6

During the venipuncture procedure, what should the phlebotomist do after the needle is inserted and blood begins to flow

Answer 6

Release the tourniquet

Question 7

When the evacuated tube method is used for venipuncture, select the correct order of collection for the following tubes: blood culture tubes, coagulation tube, and hematology tube. Choose the order of tubes by their color of closures.

Answer 7

Yellow blood culture tubes, blue, lavender

Question 8

Information that is essential for labeling a patients specimen

Answer 8

The patients name and identification number, date and time of collection, the phlebotomists initials

Question 9

If a patient is frail and has a tendency to faint, what equipment, if any, would be helpful in the specimen collection process

Answer 9

A recliner

Question 10

If a patient has a bruise in the antecubital area of his right arm (his non dominant arm) what alternate sit should be considered

Answer 10

The antecubital area of the left arm

Question 11

One reason for hematoma formation during a venipuncture is that the

Answer 11

Needle is partially inserted in the vein

Question 12

If a venipuncture procedure is almost completed and suddenly you see hints of a hematoma beginning to form, you should

Answer 12

Discontinue the procedure and apply pressure with gauze

Question 13

How many more times should a phlebotomist try to perform a venipuncture on a patient if he has failed once already

Answer 13

Once

Question 14

When using the syringe method to collect a blood specimen, how is the blood added into additive and non additive tubes?

Answer 14

Using a syringe transfer device attached to the syringe, instead each tube into the device and allow the blood to flow freely

Question 15

Specimen collection tube most commonly used for hematology tests

Answer 15

EDTA

Question 16

Specimen collection tube most commonly used for hemostasis tests

Answer 16

Sodium citrate

Question 17

Adding too much blood to a sodium citrate tube can cause

Answer 17

Shorter clotting time

Question 18

Specimens may be rejected for a variety of reasons, most of which can be prevented by experience, professional phlebotomists. Identify one reason for specimen rejection that related to unnecessary, but excessive, mixing of the specimen

Answer 18

Specimen is hemolyzed

Question 19

Specimen tubes should always be pre-labeled with patient information.

Answer 19

False

Question 20

HIV, HBV, and HCV are bloodborne pathogens

Answer 20

True

Question 21

TDM refers to thyroid disease measures

Answer 21

False

Question 22

The preferred way to stop blood flow is to ask the patient to hold a cotton ball over the site until it stops

Answer 22

False

Question 23

After a venipuncture on a one-year old child, be sure to give them a colorful bandage

Answer 23

False

Question 24

Recapping needles after a venipuncture is acceptable in many cases

Answer 24

False

Question 25

Collection tube additives may be accidentally transferred from one specimen tube to the next when the tubes are not oriented in a downward position during filling

Answer 25

True

Question 26

You should release a tourniquet at the end of the procedure after removes the needle from the patients arm

Answer 26

False

Question 27

All hospitalized patients should have a ______ identification number

Answer 27

Unique

Question 28

The order for a laboratory test is often called a requisition or ______

Answer 28

Request

Question 29

Every blood specimen should be treated as if it were hazardous or ______

Answer 29

Infectious

Question 30

One way to cleanse your hands prior to phlebotomy is to use an _______ bases hand sanitizer

Answer 30

Alcohol

Question 31

When washing hands with soap and water prior to performing a venipuncture, ________ soap should be used

Answer 31

Antimicrobial

Question 32

Phlebotomists should monitor the patient closely during venipuncture because some patients may feel ______ or nauseous or queasy

Answer 32

Faint