Blood
Phlebotomy
VEINS & VESSELS
Blood Collection
Clinical Challenge
100


What are the three main cellular components of blood?


Red blood cells, white blood cells, platelets


100


Why do we ask the patient to make a fist before venipuncture?


To make veins more prominent 

100


What is the main difference between an artery and a vein?


Arteries carry blood away; veins carry blood toward the heart

100


Why is the skin cleaned before inserting the needle?


To reduce the risk of infection


100


A patient has bright-red blood that appears to pulse from the needle. What might you have entered?


An artery

200


What is the main function of red blood cells?


Transport oxygen 

200


What is the purpose of a tourniquet?


To restrict venous return and make veins more prominent

200


Which type of vessel commonly contains valves to prevent backflow?


Veins

200


Why should pressure be applied after removing the needle?


To stop bleeding and reduce hematoma formation


200


A patient develops a large bruise after blood collection. What likely happened?


Blood leaked into surrounding tissue, causing a hematoma


300


What is the normal lifespan of a red blood cell?


120 days

300


What should you do if a patient becomes dizzy during blood collection?



Stop the procedure and safely position the patient


300


Why are veins preferred over arteries for routine blood collection?


Lower pressure and generally easier/safer to access


300


What is hemolysis?


Rupture of RBCs, releasing hemoglobin


300

What are some common complications of venipuncture?


Hematoma, bleeding, infection, nerve injury, vasovagal reaction


400


What does the “+” in a blood group mean?


Rh(D) antigen is present 

400

What can happen if a tourniquet is left on for too long?


Hemoconcentration, potentially affecting lab result


400


What is the most commonly used vein for venipuncture?


Median Cubital Vein

400


Why is the order of blood collection tubes important?


To prevent tube additives from contaminating other samples


400


What causes a hematoma during blood collection?


Blood leaking from the vein into surrounding tissue


500


What is the difference between serum and plasma?


Plasma contains clotting factors; serum does not


500


Which direction should the needle bevel face during venipuncture?


Bevel up

500


Where is the median cubital vein located?


Antecubital fossa, connecting the cephalic and basilic veins


500


What happens if you underfill a coagulation tube?


Incorrect blood-to-and citrate ratio, causing inaccurate coagulation results


500


What should you do if swelling develops around the cannula site?


Stop the procedure/infusion and assess the site; possible infiltration