Phlebotomy Exam #3

1.When palpating, a vein having which one of the following characteristics would be most appropriate to select for venipuncture?

2. What is the first step the phlebotomist should take if the patient faints or vomits during venipunture

3. When dealing with patients who suspect that they have a latex allergy the phlebotomist should use

4. Personnel drawing blood must follow Standard Precautions, which include all of the following except

5. Blood specimens should be drawn according to standards of the

6. The term used to describe when the body is still at rest, approximately 12 hours after the last intake of food, exercise, or activity is the

7. What is the most appropriate way for a phlebotomist to initially address a new patient?

8. A phlebotomist enters a patient’s room to draw a routine blood specimen and a member of the clergy is visiting the patient. What should the phlebotomist do?

9. Which of the following is the most common injury occurring during venipuncture if the procedure is not performed according to standards

10. Which of the following tubes is normally used to collect a serum sample?

11. Which of the following are nongranular leukocytes that produce antibodies to combat specific pathogens

12. Which if the following is the abbreviation for the blood group system?

13. Red blood cells, white blood cells, and platelets are known as the

14. The central nervous system includes the

15. The phlebotomist gas a patient who has known allergies and preparing the venipuncture site phlebotomist uses iodine to clean the site. Is this the best antiseptic to use and the most commonly used antiseptic to prepare a routine venipunture site on a patient with no known allergies?

16. Hemoconcentration of a specimen can be avoided by

17. Which of the following is proper care of a patient following collection of an arterial blood specimen

18. The main reason not to use expired evacuated tubes for blood specimen collection is

19. The most common antiseptic for routine blood collection is

20. Completing clotting of blood specimen can take up to

21. The physician order says to puncture a vein, which of the following would the phlebotomist perform?

22. If blood begins to flow and then stops when an evacuated tube is pushed in the needle the most likely cause is the

23. The reaction resulting from a slowed heart rate and lowered blood pressure causing decreased blood flow to the brain is

24. Healthcare facilities achieve the greatest reduction in accidental exposures by requiring a combination of which of the following?

25Gloves worn for phlebotomy should be changed

26. Preanalytical errors are mistakes made

27. If a patient is critical or an antibiotic needs to be given right away, and two blood cultures sets are collected

28. A falsely decreased blood alcohol level may be obtained if

29. What is the correct procedure to stop the bleeding at a venipuncture site?

30. Which of the following conditions would be most likely to cause hemoconcentration?

31. Petechiae are tiny, non raised red spots on a patient’s skin when the tourniquet is applied. This indicated that

32. What is an important reason to use proper labeling of laboratory specimens?

33. Which of the following tubes is normally used to collect a serum sample?

34. Which of the following information does not necessarily need to be on a laboratory requisition form?

35. Which of the following is the most appropriate procedure when preparing a patient for blood specimen collection?

36. What instrument may be used when trying to visualize the veins during venipuncture?

37. A patient has come in for a blood draw. The phlebotomist cleanses the patient skin with a Betadine swab and notices that the patient’s skin has turned red and bumpy. What questions should the phlebotomist have asked prior to cleansing?

38. Alcohol should be allowed to dry completely prior to skin puncture to

39. Completing clotting of blood specimen can take up to

40. A basal-state specimen, used to establish reference ranges for inpatients, is best collected

41. Areas from which blood should not be collected included all the following with the exception of

42. What is an important reason to use proper labeling of laboratory specimens?

43. Partial penetration of the upper wall of a vein may

44. The most common venipunture site is located in which one of the following areas?

45. What is the most appropriate way for a phlebotomist to initially address a new patient?

46. The anticoagulant heparin is used in tubes with tops of what color?

47. When blood collected in a syringe must be placed in evacuated tubes it is best if

48. A phlebotomist would help to prevent needle sticks by

49. When a patient developed syncope during a venipunture, the phlebotomist should first:

50. Which of the following represents the proper sequential draw from first to last?

51. If addictive contamination occurred from EDTA evacuated tube, what test would potentially be affected?

52. Which of the following is of primary importance in preventing rolling veins during venipuncture

53. The color-coded tube that is most frequently associated with hematological tests is

54. What abnormal color will be observed in serum collected from a patient with jaundice due to elevated bilirubin levels?

55. Which of the following anticoagulants is found in a green-topped blood collection vacuum tube?

56. Prior to bandaging the puncture site the phlebotomist should

57. How far above the venipuncture site should the tourniquet be wrapped around the arm?

58. The liquid portion of an anticoagulated blood specimen is called

59. An anticoagulant is issued when collecting a sample for a blood glucose test because its ability to inhibit glycolysis. What colored stopper would be found on an evacuated blood collection tube used for this purpose?

60. After the last tube is filled, which of the following is done next?

61. A blood sample is needed from dialysis patient. Which of the following is an acceptable procedure?

62. The primary reason for suing a syringe transfer device is to

63. How many identifiers are required to identify prior to obtaining a blood sample?

64. When is Phlebotomist allowed to perform a venipuncture on and ankle vein?

65. Which of the following situations would most likely trigger hematoma formation?

66. What approach is important for the phlebotomist to use when dealing with ill or irritable patients?

67. To avoid contamination when should the needle cap be removed?

68. As the phlebotomist, you have just completed drawing blood sample tube; you place gauze over the puncture site, remove the needle from the arm, activate the needle safety device and then release the tourniquet before applying pressure. Is this the correct sequence of steps?

69. What abnormal color will be observed in serum collected from a patient with jaundice due to elevated bilirubin levels?

70. During venipuncture, a hematoma may result from which of the following?

71. Older patients are more prone to hematoma formation because

72. Color coding indicates a needles

73. Which tube or tubes have no additives?

74. Why is the order of the draw important?

75. Order of draw?

77. What supplies does a phlebotomist need to draw a blood specimen?

78. Which tube will you get plasma out of if you centrifuge it?