Phlebotomy

Question 1

You are asked to draw blood for
reticulocyte count.What tube do you use?

A. Red
B. Green
C. Lavender
D. Blue

Answer 1

C. Lavender

Question 2

What additive is in the yellow sterile
tube?

Answer 2

SST or SPS

Question 3

The single most important means of
preventing spread of infection?

Answer 3

Hand washing

Question 4

Which of the following is the purpose of
warming infants prior to a heel puncture?

A. To increase flow of blood
B. To decrease flow of blood
C. To soften
D. All of the above

Answer 4

A. To increase flow of blood

Question 5

When should blood specimen
labeled?

Answer 5

After collection in patients room

Question 6

most important step in
venipuncture?

Answer 6

Identifying the patient name

Question 7

Which of the following is the safest
area for infant heel puncture?

A. Area of arch
B. Central area
C. Lateral plantar surface
D. Posterior curvature

Answer 7

C. Lateral plantar surface

Question 8

Choose the correct order of draw

A. SST, Red, Non additive, Gray, Blue
B. SPS, Blue, Red, Green
C. SPS, Blue, Lavender, Gray
D. Blue, Lavender, Blue Gray

Answer 8

C. SPS, Blue, Lavender, Gray

Question 9

What is the maximum recommended depth of heel puncture according to NCCLS?

Answer 9

2.0mm

Question 10

A student in a hurry does not wait for
the site on the skin cleaned with antiseptic to dry before probing the phlebotomy site about 8 times with too
small needle before finally managing to get blood by using a syringe and drawing back forcefully on the plunger. Which of
the following specimen is most likely to be the cause?

A. Hemoconcentration
B. Elevation in WBC count
C. Clotting
D. Hemolysis

Answer 10

D. Hemolysis

Question 11

In performing venipuncture in a 85
year-old woman with Cushing syndrome, a hematoma forms. Correct statements
regarding this phenomenon include the
following EXCEPT:

A. Test result may be affected when blood is drawn from a hematoma
B. Elevation in WBC count
C. If another venipuncture site is
unavailable, draw distally from the
hematoma
D. Remove the needle before removing the tourniquet to prevent hematoma formation

Answer 11

D. Remove the needle before removing the tourniquet to prevent hematoma formation

Question 12

A light gray stopper tube contains
sodium fluoride. Which of the following is the most likely mechanism of action of sodium fluoride?

A. Inhibit glycolysis
B. Activate thrombin to promote clotting
C. Form calcium salts to remove calcium
D. Inactivate complement

Answer 12

A. Inhibit glycolysis

Question 13

When collecting blood for laboratory
testing, which of the following procedures should NEVER be done?

A. Wait for venipuncture site to dry after
cleansing
B. Draw blood for microbial culture test
C. Pour blood from a purple top to light
blue top tube
D. Send a partially filled red or light-green top tube to the laboratory

Answer 13

C. Pour blood from a purple top to light
blue top tube

Question 14

The phlebotomist is about to perform
venipuncture on a patient who had a
mastectomy on the right side. Please
mark the precautions that ought to be
observed for this patient.

A. The phlebotomists should avoid the
right arm
B.The phlebotomists should keep the
patient in flat position
C. There are no special precautions for this situation.

Answer 14

A. The phlebotomists should avoid the
right arm

Question 15

Please mark one of the following that
is NOT considered a requirement for a
quality of specimen

A. Right patient,right specimen, right tube, right test, right label.
B. Non-hemolyzed specimen
C. Non-clotted specimen (when
anticoagulant additive is used)
D. Specimen transported to a lab within two hours of collection. (1 hour
only/immediately)

Answer 15

D. Specimen transported to a lab within two hours of collection. (1 hour
only/immediately)

Question 16

A phlebotomists drew for multiple
tests: a CBC, PT PTT, blood glucose level
and thyroid panel. He recalled from the
class that collection tubes are draw in
order. The medtech arranged the
collection tubes in order: lavender top,
light blue top, gray top and SST/ yellow
top. What did the medtech do wrong?

Answer 16

The medtech didn’t follow the order of
draws.The correct order is light blue,
sst/yellow top, lavender top and gray top

Question 17

The Medtech entered the patient and
greeted him by saying “ Hi I am the
Medtech and I will draw a little blood. Are you Mr. Jack?.” What, if anything has the medtech done wrong?

Answer 17

The medtech should allow the patient to
say his name first.

Question 18

The medtech is in a room with patient
and several of his visitors. He needs to
perform another blood draw. The medtech introduced themselves and identify the
patient and then congratulated the patient saying that the patient’s previous blood draw confirmed that the patient is
pregnant. Has the medtech done anything wrong if he did, what?

Answer 18

The tech has breach the patient’s right
and confidentiality.

Question 19

A conscious hospital patient does not
have an armband. The name and number on the door agree with the requisition. What should the phlebotomist do?

Answer 19

Ask the patient for verbal verification of
his name

Question 20

The purpose of gentle inversion to
help the blood

Answer 20

Keep from clotting

Question 21

Your patient ask you to use butterfly
needle on them because it is smaller and doesn’t hurt as much realizing the
butterfly needles are expensive you
would.

Answer 21

Use Butterfly needle to help ease the
patient’s fear

Question 22

The most important responsibility that
a phlebotomist has toward their patient is to:

A. Admit when they have a mistake
B. Respect and provide privacy
C. Provide comfort
D. All of the above

Answer 22

D. All of the above

Question 23

The easiest vein to palpitate in obese
patient

Answer 23

Cephalic

Question 24

Which of the following does not have
to be done when introducing yourself to a patient before collecting a specimen

A. Explaining the test that will be performed
B. Obtain consent for the collection from
patient
C. If you are student, tell the patient so
D. Identify yourself and your title

Answer 24

If you are student, tell the patient so

Question 25

DONNING OF PPE

Answer 25

Inner gloves,
Coverall gown,
Respirator/N95,
Face Shield,
Shoe cover
and Outer gloves

Question 26

DOFFING OF PPE

Answer 26

Shoe cover,
Outer gloves,
Face Shield,
Coverall gown, Respirator/N95, Inner
gloves

Question 27

After how many hrs/days should we
collect blood for Newborn Screening?

Answer 27

after 24 hours of birth