Phlebotomist Flashcards
A Phlebotomy collect’s blood sample from a patient, the patient has a seizure after removing the needle. What should you do?
Clear the area surrounding patient
What is the correct order of draw ?
Yellow, Light Blue, Red, Green, Lava, Gray
When ordering a 24 hr. urine specimen for a doctor with preservations to be collected what are the instructions for the patient?
Begin urine collection immediately starting your next urination
A Phlebotomist is providing information to a patient about collection of a stool sample. What should you tell the patient?
Urinate prior tot he collection
When a patient has his hands in a tight fist during venipuncture using the syringe method when should the patient release his fist?
Once the blood flow is established
What blood collection system is used to interchange multi-sample tubes to draw several blood specimens at one time?
Evacuation System
A Phlebotomist should identify that a blood spot collection for an inborn error of metabolism requires what ?
Completely dried before the test can be processed
a requisition form requesting a (PT) and a (PTT) the additives tube would be what ?
Sodium Citrate (Light Blue)
In identifying the patient which of the following actions should you take to collect a specimen?
Verify the orders
A Phlebotomist us using a butterfly needle to perform a venipuncture on a dorsal hand vein. What should you do?
You should direct the needle almost parallel to the vein
When performing a multi-specimen collection using a syringe transfer method. What error could result from filling collection tubes in improper order?
Carryover
When performing a 3 hr glucose test, a Phlebotomy should verify that the patient has fasted how many hours?
8 to 12 hours
A Phlebotomy should instruct a patient a preferred time to collect a sputum when?
Upon waking up in the AM
Which of the following is the easiest site for the phlebotomy to palpate when performing a venipuncture on a patient who is Obese?
Cephalic
A Phlebotomist is preparing a collection for transport. What should be placed into an ice bath within 30 min of collection?
Lactic acid
What action should a phlebotomist take to comply with the guide lines for CLIA-Waived procedure?
Document Quality Control Results
A new Medical Office, and an Old Medical Office, are merging and combining all medical equipment into one office. What blood glucose monitors will need to have a QC measurement daily?
all blood glucose monitors that is in use
What methods should be used to cleanse the selected site for a venipuncture ?
clean the site with a alcohol pad in an outward motion
When performing brief examination to determine whether a potential blood donor is in good condition to donate blood. What excludes the patient from blood donation?
Body temp more than 37.5C or 99.5F
What should you do when collection a specimen for a new born screening ?
wipe away the first blood drop
What action should a phlebotomist take for a patient who has has a mastectomy?
contact the ordering provider and obtain permission to draw from either of the arms.
A Phlebotomist should take the following actions with a patient who has a contract precaution sign on door ?
a gown prior to entering the patient’s room and remove it before leaving the room
What tube should be drawn first for a capillary collection?
Lavender Tube ( EDTA)
What’s the volume of blood that can be safely drawn at one time or a short period of time, before the patient faces latrogenic anemia?
20% of the body weight
When preparing a patient to collect a stool specimen at home for an ova and parasite test , what instruction should you give the patient?
include only stool that is free of urine
Phlebotomist errors occur most often when?
patient identification
A Phlebotomist has inadvertently squeezed a patient puncture site firmly during a capillary procedure. What complication could result from this action?
Hemolysis
A Phlebotomist is ordered to collect blood for a liver profile. Which tube should be used?
Tiger Top ( chemical tube)
A Phlebotomist has orders to obtain a fecal sample from a infant. Which method should you use to collect the sample?
collect the specimen in a diaper made of “plastic wrap”
Which of the following meets recommended handling requirements for a blood specimen that is to be collected and tested for presence bilirubin ?
protect the collected specimen from source of “bright light”
OSHA is responsible for regulating which of the following ?
universal precautions
A Phlebotomist should collect which of the following equipment for an ordering CMP?
Tourniquet, Multi-sample needle, and collection tube
A Phlebotomist has completed a venipuncture procedure. What should you do after removing the needle?
Apply gauze activate safety cover
When preforming a venipuncture, a patient begins to lose consciousness the Phlebotomist should recognize that the patient is experiencing what?
Syncope “faint”
Which vein is a good venipuncture choice procedure?
median cubital
Which tube additives promotes clot formation?
Thrombin
You are preparing to perform a blood collection from a patient who had a radical mastectomy of the right breast what site should the phlebotomist use?
Left antecubital “ opposite side”
Which of the following forms commonly accompanies a toxicology drug screen for legal purpose?
chain of custody
When handling a vitamin B6 specimen, what actions should you take?
Wrap the tube in foil “ protect vitamin from light”
Which of the following is the desired antiseptic for the collection of a BAC venipuncture ?
chlorhexidine
Which of the following is a characteristic of CLIA- waived level test?
the test poses minimal risk to the patient if it is performed incorrectly
A phlebotomist accidently gets stuck with a needle what actions should be taken?
” wash with soapy water” report to supervisor
What actions should you take for a patient who fear needles?
Have the most skilled phlebotomist perform the venipuncture
A chemical spill occurred in the lab. who should you refer to clean up?
MSDS
who should distribute patient results to an ordering provider?
charge nurse
should you ensure on the laboratory requisition obtaining a blood specimen the patient’s gender?
yes
which of the following anticoagulants is found in a lavender top blood collection vacuum tube ?
EDTA
a lab is scheduled for a routine annual inspection, what is their primary focus of equipment logs?
mechanical safety
when should it be determined whether a child should have his or her capillary heel or finger stick method?
age and development “ 0-12mon”
Which of the following transmission based precaution should you follow to perform collecting a patient that has a clostridium difficile infection?
contact precaution
you are called to the ER dept for a STAT venipuncture for chemistry testing, which tube should you ensure be drawn ?
green
what size needle gauge should you select to preform a venipuncture on a blood donation?
16 - 18 guage needle
what information should you provide to a patient who is doing a urine culture?
clean the genital area prior to collection
what is a critical patient identification on a requisition?
DOB
what should you do to describe appropriate method of inverting tubes to prevent clotting?
moving tube in a figure 8 to 10 motion after collection
the OSHA requirement for material safety data sheets falls under what safety category?
chemical
which point of care tests is used to detect chemicals in urine
Reagent strips
which of the following complications can you cause by filing a gray topped tube?
hemolysis
you are planning to collect a specimen to ensure a patent serum cortisol level, what should you consider?
time of day
you should recognize the following complications that can be caused by removing he needle from a patient arm before removing the tourniquet is called ?
Hematoma
A Phlebotomist should recognize the clinical and laboratory standards CLSI recommends that a heel stick should not be penetrated no deeper than ?
2.0MM
how many times should you invert an EDTA tube? (lavender tube)
8 to 10
a puncture of the bone during an infant heel stick can result in what ?
osteochondritis
when drawing a specimen from a 6 month old and they have an IV in the left antecubital and serve bruises on the right hand which site should you select?
right antecubital
which of the following actions you should take when preparing a blood smear
spread the blood using a second slide at 45 angle ( should have a feathered edge)
which term is used to describe hard and cord like veins?
sclerosis
a phlebotomist should identify that which of the following is an example of why a collection tube would lose its vaccum?
expiration date has passed
you should verify that a patient has fasted for how long prior to obtaining a fasting specimen?
8 to 12 hrs
a phlebotomist should administer CPR to what kind of patient ?
a patient who has no pulse
you should always use equipment when preforming a PKU Phenylketonuria test on a new born ?
Filter paper
a physician order blood culture on a patient which antiseptic should you use to collect site?
Chlorhexidine
a phlebotomist should verify the quality of equipment by inspecting for which of the following ?
counterfeit trademark
which action may a patient demonstrate implied consent for a procedure?
permission and extend the arm to tech
ER department provider orders a venipuncture on a unidentified/ unconscious patient. what actions should a tech take when labeling the blood specimen?
leave the specimen label blank until patient’s name is confirmed
a patient is scheduled for a CBC and prothrombin what is the correct order of draw?
Light Blue, Lavender
which conditions result from exceeding the maximum blood volume parameter during collection?
latrogenic anemia
a phlebotomist should expect to collect a blood culture from the following patient’s?
a patient who has a fever of unknown origin
when is it appropriate for a tech to label a a specimen
after collecting the specimen before leaving the room
when collecting a lactic acid sample that will be going to another outside lab. what should you do ?
chill the sample
which of the following means of a specimen collection is the mot accurate method?
automatic
in which of the following location should you direct dispose of a contaminated microscope slide?
red sharp containers
describe the process of obtaining implied consent for venipuncture
the provider explains the procedure, the tech review the consent form with the patient prior obtaining signature
a tech should use a blood transfer device with what method of blood collection?
syringe
a new patient present to a lab. with a requisition, how should you introduce yourself?
hi Mr. john, my name is Mia, I am from the lab and here to collect your blood for your lab work today
what is the most important step to ensure a patient safety during lab work?
identify and verification
which id is not required on a patient specimen label?
gender
when using a butterfly needle for venipuncture on dorsal hand veins, following actions be taken is ?
hold the needle by the wings “butterfly”
a tech is preparing to perform a venipuncture for blood collection from a 5 yr old patient what gauge needle should you use?
23 guage
what is the best site to perform a PRK (newborn)
the median or lateral areas of the heel
the tech has a req to collect a bingle sample what actions should you take?
rapid transport of the sample
what is the proper way to select a vein for venipuncture?
palpate for veins using tourniquet
what can you cause when you shake the tube of blood excessively or too hard?
hemolysis
when performing tech for blood donation you are required to inform the patient about which of the following?
rights to ask about the procedure
how should you clean up a blood spill on a counter?
disinfection
you are performing a capillary puncture on adult patient what position should you orient the lancet?
across the fingerprint of the ring finger
when performing a venipuncture a tech should use a blood pressure cuff for what kind of patient?
a patient who is overweight
a tech has a specimen that was collected for research in a clinical setting what methods can be used for the specimen identification?
chart number
you inform a patient who is anxious, restrains will have to be used if the patient continue to move. when using this language, the tech is liable for what?
assault
what actions should a tech take when labeling specimen?
include on the req the date and time “important”
which of the following statements by a phlebotomist promotes active involvement from the patient during ID process?
can you tell me your first and last name please?
a tech should recognize rapid swelling near the venipuncture site during the collection of blood as which of the following complications?
hematoma
which of the following guidelines should a phlebotomist follow when delivering printed lab results to a provider?
HIPAA
a nonblood specimen that is delivered to lab should have which of the following information included?
the specimen source
a large spill occurred in a lab involving venous blood. what action should you take?
pour bleach on the spill and let it soak for 30 sec
when using the evacuated tube method, which of the following will result in a venipuncture if the needle at 45 angle upon insertion?
the needle will go completely thru the vein “ 30-35 degrees” bevel up
it may be more difficult to obtain a blood specimen from an older adult patient due to which of the following?
impaired peripheral circulation
a phlebotomist has duplicate order for a patient how should the order be verified?
call the physician to confirm the patient test request
a phlebotomist is preforming a venipuncture and realizes the vacuum tube has stopped filling. what causes the tube from filling?
the needle gone thru the vein
improper aseptic technique during blood culture collection can result in which of following complications?
contamination
a patient might experience manifestation prior to an episode of syncope? ( faint)
dizziness
a patient has an infection accompanied by inflammation and tissue destruction. an erythrocyte sedimentation rate (ESR) has been ordered. what color tube is used?
Lavender (EDTA)
when providing a sputum specimen, a tech should instruct the patient to take the following actions
take a deep breath and then expectorate
what size needle needs to be used to collect units of blood for donation?
16 guage
a phlebotomist should identify which of the following actions as an acceptable HIPPAA practice?
discussing patient info with assisting co worker
a phlebotomist touches a patient arm and begins to perform venipuncture before obtaining consent from the patient. what tort have the phlebotomist committed?
battery ‘touching’
a phlebotomist is preparing to draw blood from a patient or a for a patient and in testing. what question should you ask the patient for compliance with the test?
when was your last dose of anticoagulation medication
which of the following actions by the phlebotomist during venipuncture can produce a hematoma?
instruct the patient to bend the elbow after the needle is moved
which of the following specimens has a phlebotomist appropriately prepare for transport?
a green top tube for an ammonia testing that is being ship in a icey water mixture
which of the following test requires fasting?
thyroid , pregnancy, creatine, cholesterol
