Chapter 8

Question 1

Which of the following is required requisition iinformation?

A. Ordering physicians name
B. Patients first and last names
C. Type of test to be performed
D. All of the above

Answer 1

D. All of the above

Question 2

The following test orders for different patients have been received at the same time. Which test would you collect first?

A. Fasting glucose
B. STAT glucose in the ER
C. STAT hemoglobin in the ICU
D. ASAP CBC in the ICU

Answer 2

B. STAT glucose in the ER

*ER always comes first.

Question 3

A member of the clergy is with the patient when you arrive to collect a ROUTINE specimen. What should you do?

A. Ask the patients nurse what you should do.
B. Come back after the clergy person has gone.
C. Fill out a form saying you were unable to collect the specimen.
D. Say “excuse me, I need to collect a specimen from this patient.”

Answer 3

B. Come back after the clergy person has gone.

Question 4

You are asked to collect a blood specimen from an inpatient. ID bands are required at this facility, but the patient is not wearing one. What is the best thing to do?

A. Ask the patients name, and collect the specimen if it matches the requisition.
B. Ask the patients nurse to attach an ID band before you draw that patient
C. Identify the patient by name card on the door.
D. Refuse to draw the specimen and cancel the request.

Answer 4

B. Ask the patients nurse to attach an ID band before you draw the patient.

Question 5

If a patient adamantly refuses to have blood drawn, you should

A. Convince the patient to be cooperative
B. Notify the patients nurse or physician
C. Restrain the patient, and draw the blood.
D. Write a note to the patients physician

Answer 5

B. Notify the patients nurse or physician.

Question 6

An inpatient is eating breakfast when you arrive to collect a fasting glucose. What is the best thing to do?

(A.) Consult with the patients nurse to see if the specimen should be collected
(B.) Draw the specimen quickly before the patient finishes eating
(C.) Draw the specimen and write “nonfasting” on the requisition.
(D.) Fill out a form stating the patient has eaten to the specimen was not drawn.

Answer 6

A. Consult with the patients nurse to see if the specimen should be collected.

Question 7

After cleaning the venipuncture site with alcohol, the phlebotomist should

(A.) Allow the alcohol to dry completely
(B.) Fan the site to help the alcohol dry.
(C.) Dry the site with a clean guaze pad or cotton ball.
(D.) Insert the needle quickly before the alcohol dries.

Answer 7

A. Allow the alcohol to dry completely

Question 8

The tourniquet should be released

(A.) As soon as blood flow is established.
(B.) Before needle removal from the arm.
(C.) Within one minute of its application
(D.) All of the above

Answer 8

D. All of the above

Question 9

What is the recommended angle of needle insertion when performing venipuncture on an arm vein and on a hand vein, respectively?

(A.) 20° or less, 20° or less
(B.) 25° or less, 15° or less
(C.) 30° or less, 10° or less
(D.) 45° or less, 20° or less

Answer 9

C. 30° or less, 10° or less

Question 10

After inserting a 🦋 needle, the phlebotomist must “seat” it, meaning the phlebotomist will

(A.) Have the patient make a fist to keep it in place.
(B.) Keep the skin taut during the entire process.
(C.) Push the bevel against the back wall of the vein.
(D.) Slightly thread it within the lumen of the vein

Answer 10

D. Slightly thread it within the lumen of the vein.

Question 11

Blood collection tubes are labeled..

(A.) As soon as the test order is received.
(B.) Before the specimen is even collected.
(C.) Immediately after specimen collection
(D.) Whenever it is the most convenient.

Answer 11

C. Immediately after specimen collection

Question 12

What is the best approach to use on an 8yr old child who needs to have blood drawn?

(A.) Explain the draw in simple terms, and ask for the child’s cooperation.
(B.) Have someone restrain the child, and collect the specimen.
(C.) Offer the child a toy or a treat if he/she does not cry.
(D.) Tell the child it won’t hurt and will only take a few seconds.

Answer 12

A. Explain the draw in simple terms, and ask for the child’s cooperation.

Question 13

Which type of patient is most likely to have an anteriovenous fistula or graft?

(A.) Arthritic
(B.) Dialysis
(C.) Hospice
(D.) Wheelchair-bound

Answer 13

B. Dialysis

Question 14

Which of the following is proper procedure when dealing with an elderly patient?

(A.) Address your questions to an attendant if the patient has a hearing problem.
(B.)make certain to hold adequate pressure after the draw until the bleeding stops.
(C.)speak extra loud in order to be certain that the patient can hear you.
(D.) Tie the tourniquet extra tight to make the veins more prominent

Answer 14

B. Make certain to hold adequate pressure after the draw until the bleeding stops.

Question 15

Where is the tourniquet applied when drawing a hand vein?

(A.) A tourniquet is not required
(B.) Above the antiecubital Fossa
(C.) Just distal to the wrist bone
(D.) Proximal to the wrist bone

Answer 15

D. Proximal to the wrist bone.

Question 16

Specimen hemolysis can result from …

(A.) Filling tubes with a transfer device at an angle
(B.) Leaving the tourniquet on until last tube.
(C.) Mixing anticoagulant tubes several extra times.
(D.) Using a large volume tube with a 23ga needle

Answer 16

D. Using a large volume tube with a 23 Guage needle.

Question 17

A critical aspect of the ability to obtain adequate specimens from toddlers while ensuring their safety is….

(A.) Allow the child to sit with one arm bracing the other.
(B.) Having the parent leave the room until the draw is over.
(C.) Keeping a tourniquet on throughout the draw.
(D.) Selecting an adequate method of immobilization

Answer 17

D. Selecting an adequate method of immobilization

Question 18

Criteria used to decide which needle Guage to use for venipuncture include…

(A.) How deep the selected vein is.
(B.) The size and condition of the vein.
(C.) The type of test being collected.
(D.) Your personal preference

Answer 18

B. The size and condition of the vein.

Question 19

Which of the following venipuncture steps are in the correct order?

(A.) Apply tourniquet, position arm, select vein.
(B.) Insert needle, release tourniquet, engage ETS tube.
(C.) Remove needle, place guaze, activate safety device.
(D.) Select vein, clean site, release tourniquet

Answer 19

C. Remove needle, place guaze, activate safety device.

Question 20

Which of the following is the best way to handle a needle phobic patient?

(A.) Ask the most skilled phlebotomist to do the draw.
(B.) Have the patient lie down for the procedure.
(C.) Place an ice pack to the site before draw.
(D.) All of the above.

Answer 20

D. All of the above

Question 21

How long should the site be examined to determine of bleeding has stopped?

(A.) 5-10 seconds
(B.) 10-15 seconds
(C.) 20-25 seconds
(D.) 25-30 seconds

Answer 21

A. 5-10 seconds

Question 22

Examples of timed tests are

(A.) Basic metabolic panel, potassium, and glucose
(B.) Blood cultures, cardiac enzymes, and cortisol
(C.) Calcium, ferritin, and complete blood count
(D.) Creatine, lactic acid, and reticulocyte count.

Answer 22

B. Blood culture, cardiac enzymes, and cortisol

Question 23

Bending the arm up to apply pressure to the site after venipuncture has been shown to do all the following except…

(A.) Disrupt the platelet plug when the arm is eventually lowered
(B.) Enable the site to quickly stop bleeding after needle removal
(C.) Increase the possibility of bruising and hematoma formation
(D.) Keep the would open, especially if it’s at the side of the arm.

Answer 23

B. Enable the site to quickly stop bleeding after needle removal.

Question 24

The unique member assigned to a specimen request is called the…

(A.) Accession number
(B.) Health facility number
(C.) Patient date of birth
(D.) Patient ID number.

Answer 24

A. Accession number