TOURNIQUET
BEFORE STICKING
VEINS
STICKING
AFTER STICKING
100

How far from the puncture site should the tourniquet be placed?

What is 3 to 4 inches above the puncture site

100
Before drawing blood, information found on the requisition form should be matched against which of the following?
What is The patient’s wristband
100
At what angle should the venipuncture needle be inserted?
What is 15 to 30 degrees
100
When should the tourniquet be removed?
What is While the first tube is filling
100
Which of the following is the next step after removing your gloves? Wash your hands.
What is Wash your hands.
200
What is the term for the small red spots on the skin that are caused by a too-tight tourniquet?
What is Petechiae
200
If the number on the requisition does not match the arm band, what should you do?
What is Contact the patient’s nurse to attach a proper ID wristband to the patient.
200
Which of the following veins is the most common second choice when the median cubital vein is not appropriate for withdrawing a blood sample?
What is Cephalic vein
200
When using a syringe, how do you tell when you have entered a vein?
What is A flash of blood will appear in the syringe hub.
200
When should blood collection tubes be labeled?
What is At the patient’s bedside, after taking the blood
300
What is the term for destruction of red blood cells due to a too-tight tourniquet? Hemolysis
What is Hemolysis
300
If a blood test requires a fasting specimen, what is the best way to verify that the patient is fasting?
What is Ask the patient when the last time was that he had anything to eat or drink.
300
Which vein lies on top of the brachial artery?
What is Basilic
300
After applying alcohol, how long should you allow it to dry before collecting from the site?
What is 30 to 60 seconds
300

How should bleeding be stopped at a venipuncture site?

What is Remove the needle and apply pressure to gauze over the site.

400
Hemoconcentration can occur in which of the following situations?
What is The tourniquet was left on for 2 minutes.
400
When you tell a patient that you need to draw blood, he says that he does not want to have his blood drawn. What is the appropriate action?
What is Explain the procedure and ask the patient if he will consent.
400
What does a vein feel like upon palpation?
What is It feels spongy and firm.
400
If the needle is withdrawn before the tourniquet is removed, what is likely to occur?
What is Hematoma
400
Which of the following steps should be taken with a syringe before using it to collect blood?
What is Pull the plunger back to break the seal, then expel all the air.
500
While having a blood sample collected, the patient complains of pain and tingling in the fingers. What is the likely cause? The tourniquet is too tight or has been on too long.
What is The tourniquet is too tight or has been on too long.
500
What is the single most important step of the blood collection procedure?
What is Patient identification
500
What is the term for a collection of blood under the skin at the site of a venipuncture? Hematoma
What is Hematoma
500
How should a needle be inserted for venipuncture?
What is Bevel up, in a smooth quick motion
500
How should blood be transferred from a syringe to a vacuum tube?
What is Remove the needle and attach a needless transfer device to the syringe.
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