chapter 3 Quiz Flashcards
A phlebotomist is performing a hand venipuncture on a 25 year old patient who has small veins that are difficult to access. Which of the following equipment should the technician use to perform the procedure?
A. 21 gauge ETS eclipse needle
B. 25 gauge ETS eclipse needle
C. 23 gauge winged collection set
D. 23 gauge syringe collection set
A phlebotomist is preparing equipment for a blood draw. The technician notices that one of the tubes on the tray is expired. Which of the following actions should the technician take to ensure accurate test results?
A. Use a new tube from the front of the shelf
B. Use a tube from the back on the shelf
C. Use the expired tube regardless of the date
D. Use the tube within 5 days of expiration
A phlebotomist is performing a venipuncture for a potassium test, CBC, and glucose test. The technician has left the tourniquet tied on the patient for 3 min. Which of the following outcome should the technician expect?
A. High potassium level
B. Low iron level
C. High CBC level
D. Low potassium level
A phlebotomist is performing a blood collection for a patient who has edema in her right arm. Which of the following locations should the technician identify as the best vein choice for venipuncture?
A. Right side median cubital
B. Right side median cephalic
C. Left side basilic
D. Left side dorsal hand
A phlebotomist is using povidone-iodine during a capillary specimen collection. Which of the following outcomes should the technician expect?
A. Increased potassium level
B. Decreased potassium level
C. Increased glucose level
D. Decreased glucose level
A phlebotomist is performing a venipuncture. After removing the needle cap, which of the following steps should the technician take?
A. Position the needle at a 40 Degree angle about the puncture site
B. Perform a “C” hold over the intended puncture site
C. Anchor the vein 2.5 to 5 cm (1-2 in) below the puncture site
D. Insert the needle quickly at the puncture site
A phlebotomist is drawing blood through a hematoma. Which of the following errors should the technician expect to see in the specimen?
A. Hemolysis
B. Increased potassium
C. Decreased electrolytes
D. Increased epithelial tissue
A phlebotomist is performing a venipuncture for bilirubin test, a cold agglutinin titer, a CBC, and a PTT test. Which of the following tubes should the technician use?
A. 1 light blue, 2 serum tops, and 1 lavender tube
B. 1 serum top, 2 purple, and 1 light blue tube
C. 2 gray, 1 light yellow SPS, and 1 dark blue tube
D. 1 gray, 1 light yellow SPS, and 1 dark blue tube
A patient sits down for a venipuncture in an outpatient setting, rolls up her sleeve, and extends her arm. The patient turns her head away from the phlebotomist and says, “I don’t want my blood drawn.” Which of the following responses should the technician make to the patient?
A. “I am going to start the draw now
B. “May I draw your blood
C. “Do you want me to get the nurse
D. “I will get another phlebotomist
A phlebotomist is performing a venipuncture on a deep median cubital vein. Which of the following methods of withdrawal should the technician use?
A. Withdraw with the bevel up at a 25 to 30 degree angle
B. Withdraw with the bevel down at a 10 to 15 degree angle
C. Withdraw with the bevel up at a 10-15 degree angle.
D. Withdraw with the bevel down at a 25-30 degree angle
A phlebotomist is performing a dorsal venipuncture with the needle at a 15 degree angle, resulting in slow blood flow and the development of a hematoma. Which of the following should the technician identify as the cause of the hematoma?
A. Needle completely through the vein
B. Needle at too shallow of an angle
C. Needle bevel opening in the vein
D. Needle beside the vein
