Routine Blood Collections
A patient sits down for a venipuncture in an outpatient setting, rolls up her sleeve, and extends her arm. The patient turns her head away from the phlebotomy technician and says “I don’t want my blood drawn” This is the response the tech should make.
"May I draw your blood?"
A phlebotomy technician is preparing to perform a venipuncture for a patient who has pneumonia. Besides gloves, this is the PPE the technician should wear.
Face mask
This is of urine specimen a phlebotomy tech should instruct a patient to collect for a pregnancy test
First morning
A phlebotomy technician should identify that a patient who has this blood type is a universal recipient:
AB
A phlebotomy technician is preparing to load two tubes into a centrifuge. This is the action they should take.
Place tubes of equal volume across from each other
A phlebotomy tech is preparing equipment for a blood draw. The tech notices that one of the tubes on the tray is expired. The tech should use a new tube from ___________
The front of the shelf
A phlebotomy technician is performing a glucometer reading for a young adult patient. The patient’s parent is in the room and asks about the patient’s glucose level. The technician should _______
Ask the patient for permission to disclose the results
A phlebotomy tech is preparing to collect blood from a patient who has experienced syncope during previous draws. This is the position the tech should place the patient in
Supine
This additive is used when performing a peripheral blood smear for a WBC count
EDTA
A phlebotomy technician has received a urine drug test specimen with a thermometer reading of 29.4 C (85 F). The technician should ____
Have the patient provide another urine specimen under observation
A phlebotomy tech is performing a venipuncture. After removing the needle cap, the technician should anchor the vein 2.5 - ___cm below the puncture site.
5
A phlebotomy technician observes a glucometer reading of 250 mg/dL. A second test is performed and returns a reading within the expected reference range. This is likely the reason that the first result was inaccurate.
Too much blood
A phlebotomy tech is positioning a patient for a venipuncture. To prevent reflux or backflow, the tech should instruct the patient to put their arm in this position
Fully extended in a downward position
A phlebotomy technician is preparing to perform a neonatal screening test. This is the optimal time to perform this test.
Between 24 and 72 hours after birth
A phlebotomy technician should refrigerate these specimens before transportation.
Lactic Acid
A phlebotomy tech has three bar coded labels but has filled four tubes. The tech needs to create one more label for evacuated tubes. These three pieces of information are what the tech should include on the label.
Technician’s initials, date, and time of collection
While a phlebotomy technician is using a centrifuge, the device catches on fire. This is the class of the fire.
Class C
A phlebotomy tech is processing the blood sample of a patient who ate a meal of meat and cheese prior to the draw. The tech should expect to find that the specimen is ______
Lipemic
A phlebotomy technician is performing two sets of blood cultures for a patient. This is how they should collect them.
Collect one set from the patient's left arm and one set from a different site on the same arm
A phlebotomy tech notices that the volume of blood required to fill the tests ordered by a patient's endocrinologist exceeds the recommended draw amount for the day. The technician should ______
Contact the patient's endocrinologist
A phlebotomy tech is drawing blood through a hematoma. This is the error the tech should expect to see in the specimen
Hemolysis
A phlebotomy technician experiences a needlestick injury during a draw. This is the bloodborne pathogen that they are most at risk of contracting.
Hepatitis B
These are the 3 pieces of information required for a positive identification in an outpatient facility
Picture ID, full name, date of birth
A phlebotomy technician is preparing to process a WBC differential test, testosterone test, and a glucose test. This is the action they should make to process these tests.
Prepare a slide from a lavender topped tube and centrifuge a red topped tube and a gray topped tube
A phlebotomy technician is preparing to obtain a forensic specimen to determine a patient's blood alcohol level. This is the information that should be included on the chain of custody form.
Date and time of specimen collection