Collections
A phlebotomist is asked to collect a CBC, PT, electrolytes and BUN. The correct order of draw for this collection is
light blue, green, lavender.
The phlebotomist needs to draw routine labs. The skin preparation for this procedure should be (cleanse or sterilize)
Cleanse the site by using a back and forth motion.
A large open container of isopropyl alcohol is spilled on the floor in the clinic waiting area. The phlebotomist should use which of the following resources for information about the chemical and any necessary procedure?
Material Safety Data Sheet (MSDS)
Sodium fluoride keeps which of the following analytes intact for 48 hours?
glucose
In which of the following time frames should a tourniquet be routinely released on a patient while performing a blood draw?
within one minute
A phlebotomist is tasked with drawing an ESR, CMP, PT/INR, and an lactic acid level. Which of the following is the correct order of draw?
light blue, gold, lavender, grey
A patient presents to the emergency department with a fever of unknown origin. The doctor orders blood cultures to be drawn. Which of the following antiseptics should the venipuncture site be cleaned with?
chlorhexadine
Which of the following devices has the highest potential for a needlestick injury?
butterfly winged infusion set
A phlebotomist collects lavender, red(plastic), green, and light blue stopper tubes from a patient. Which of the following lists the additives of these tubes in the correct order of draw?
sodium citrate, clot activator, heparin, EDTA
After cleansing the site for a venipuncture with alcohol, it should be allowed to completely dry to avoid
hemolysis.
a new bariatric patient has come to the lab for CMP and CBC inspection of both arms did not reveal any veins. the patient tell the pbt that blood is usually draw from her hand. which of the following should the pbt use to draw blood from this patient. (21g or 23g)
23 gauge needle at a 10-15 degree angle.
A person was brought to the hospital by the police to be tested for ETOH. The phlebotomist should prep the skin by wiping the area with
antiseptic soap.
While in the processing area, the phlebotomist accidently breaks a vacuum tube filled with blood on the counter, spilling it on the patient requisition form and the laboratory floor. Which of the following actions should the phlebotomist take next?
Absorb the spill using paper towels.
Which of the following is likely to happen to the specimen if the phlebotomist does not invert a lavender top tube 8 to 10 times? (Hemolysis or Microclots will form)
Microclots will form
An ESRD patient has an IV in the left forearm and an AV fistula in the right arm. The phlebotomist used an ETS to collect from the left antecubital area and there was an error in the results. The phlebotomist should have collected
below the IV in the left arm.
A pbt has just gathered her supplies for an outpatient procedure and has selected gray, red, light blue, and lavender tubes. which of the following is the appropriate order of draw? RPR, D-dimer, lactic acid, ESR
D-dimer, RPR , ESR, lactic acid
Which of the following statements reflects open-ended communication?
“Tell me what brings you in today.”
When mixing a 10% bleach disinfectant solution following OSHA guidelines, the solution ratio 1:10 should be mixed by adding
90 ml water to 10 ml bleach.
Which of the following are anticoagulants found in blood collection tubes? (Sodium Fluoride, oxalate, Thrombin, Heparin, Sulfate
oxalate, heparin
A chemotherapy patient comes to have blood drawn and the phlebotomist notices that his veins are thin and fragile. The choice of equipment should be
syringe
Test ordered are for hematology, serum chemistry, and coagulation studies. Which of the following is the correct order of draw?
light blue, red, lavender
What must be included on a tube label?
patient’s name, phlebotomist's identification number
The regulatory agencies for safety in health care settings include which of the following? (OSHA,CMS NFPA,CLIA, CDC,
OSHA, NFPA, CDC
Which of the following are the additives found in a gray-top tube and what are they able to do? (prevent coagulationB. inhibit thrombinC. inhibit calciumD. prevent glycolysisE. inhibit fibrin)
prevent coagulation, inhibit calcium, prevent glycolysis
After drawing an SST tube with a winged infusion set using a syringe adaptor, the phlebotomist waits 20 minutes and centrifuges the specimen. The laboratory later notifies the phlebotomist that the serum sample was pink. Which of the following is likely to have caused this?
The needle gauge was too small.