Scenarios
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 say, "I dont want my blood drawn." Which response should the technician make:
A- I am going to start the draw now
B- May I draw your blood?
C-Do you want me to get the nurse?
D-You can go home
B- May I draw your blood?
Which of the following reasons explains why a phlebotomist should have all the necessary supplies before entering a patient's area for blood collection?
A- to look professional
B-to prevent the need to leave the room
C-to prevent cross-contamination and ensure accurate test resutls
D-to save time and have things ready
C-to prevent cross-contamination and ensure accurate test resutls
A phlebotomy technician is drawing blood through a hematoma. Which of the following errors should the technician expect to see in the specimen?
A-Decrease electrolytes
B-increased potassium
C-Hemolysis
D-Increased epithelial tissue
C-Hemolysis
Hemolysis: the premature destruction of red blood cells (RBCs) in the body
A phlebotomy technician is preparing to collect a variety of blood specimens. Which of the following specimens should the technician collect first
A-blood culture
B-cholesterol
C-complete blood count(CBC)
D-basic metabolic panel(BMP)
A-blood culture
Blood cultures must be collected first to ensure the sterility of the specimen and prevent contamination from potential skin flora or additives in other collection tubes
Which of the following accommodations should a technician make when performing a venipuncture on older adult patients who have condition such as arthritis in the hands and arms?
A-using a smaller needle
B-avoiding the use of tourniquets
C-colleting blood from the wrist only
D-providing extra padding to increase comfort
D-providing extra padding to increase comfort
A phlebotomy technician is performing a dorsal venipuncture with the needle at a 15 degree angle, result in slow blood flow and the development of a hematoma. Which reason should the technician identify as the cause of the hematoma?
A-needle beside the vein
B-needle at too shallow of an angle
C-needle bevel opening in the vein
D-needle completely through the vein
D-needle completely through the vein
Hematoma-are caused due to blood leaking from veins and surrounding the tissue
A phlebotomy technician is performing a dermal puncture for an adult patient. Which of the following locations should the technician use
A- side of index finger
B-side of ring finger
C-tip of index finger
D-tip of ring finger
B-side of ring finger
What is the main purpose of using a tourniquet?
A- prevent patient from moving their arm
B- to make a vein more prominent
C-to hold down a vein
D-to see how much blood is flowing through the vein
B- to make a vein more prominent
Which of the following explains why a winged infusion test(butterfly needles) should be used instead of a straight needle during a venipuncture
A-easier to use it
B-causes less pain to patient
C- it is used for patients who small or difficult to access veins
D-it collects blood faster
C- it is used for patients who small or difficult to access veins
Why do you wipe away the first drop of blooding during a capillary puncture?
A-to test it separately
B- because is procedure
C-to remove potential contaminants
D-to make sure it doesn't clot
C-to remove potential contaminants
A phlebotomy technician accidentally punctured a patient's artery during a venipuncture procedure. Which of the following actions should the technician take
A-instruct the patient to bend the arm and elbow
B-apply pressure to the site for at least 5 minutes
C-apply self-adherent tape with a cotton ball
D-instruct the patient to the arm below the heart
B-apply pressure to the site for at least 5 minutes
A phlebotomy technician is performing a venipuncture. After removing the needle cap, which of the following steps should the technician take?
A-Position the needle at a 40 degree angle above the puncture site
B- Perform a "C" hold over the intended puncture site
C-Anchor the vein 1-2 in below the puncture site
D-Inset the needle quickly into the puncture site
C-Anchor the vein 1-2 in below the puncture site
What does CBC stand for
A-complete body count
B-complete blood collection
C-collection of blood count
D-complete blood count
D-complete blood count
A phlebotomy technician is using povidone-iodine during a capillary specimen collection. Which of the following outcomes should the technician expect?
A-increased potassium level
B-decreased potassium level
C-increased glucose level
D-decrease glucose level
A-increased potassium level
Using povidone-iodine for a capillary specimen collection can contaminate the sample with iodine and potassium from the solution itself, leading to a falsely elevated or increased potassium level in the test results. Povidone-iodine is not recommended for capillary collections; alcohol wipes are the standard
What should you do if a patient ask you to stop the blood collection procedure?
You should the procedure immediately, as requested by the patient
A phlebotomy technician is performing a venipuncture for a lipid profile, WBC and a clotting time test. Which of the following is the correct order of draw
A-light blue, SST, lavender
B-purple, grey, light blue
C-serum, green, light yellow ACD
D-green, light yellow ACD, serum
A-light blue, SST, lavender
A phlebotomy technician is performing a venipuncture on a patient's deep median cubital vein. Which of the following method of withdrawal should the technician use
A-withdraw with the bevel down at a 25-30 angle
B-withdraw with the bevel down at a 10-15 angle
C-withdraw with the bevel up at a 10-15 angle
D-withdraw with the bevel up at a 25-30 angle
D-withdraw with the bevel up at a 25-30 angle
Which of the following microcontainer colors indicate clotting activators?
A-purple
B-green
C-gold
D-gray
C-gold
Gold microcontainers (SST) contain a clotting activator (usually silica) and often a gel separator.
A phlebotomy technician is performing a venipuncture for a bilirubin test, a cold agglutinin titer, a CBC and a PTT test. Which of the following tubes should the technician use?
A-one gray, two light yellow SPS, and one dark blue tube
B- one serum top, two purple, and one light blue
C-two gray, one light yellow SPS, and one dark blue tube
D- one light blue, two serum tops and one lavender tube
D- one light blue, two serum tops and one lavender tube
light blue top blood- collection tube contains a sodium citrate anticoagulant (3.2%3.2 %) used primarily for coagulation studies, such as PT, PTT, and D-dimer
serum tops-blood collection tubes designed to produce serum for diagnostic tests.
lavender tube- purple-top tube for blood tests like CBC, a soil analysis for gardening, a visual amenity planning standard, or the "Lavender Scare" historical period
A fire occurs in a clinic and the cause of the fire seems to be a flammable liquid such as gasoline. Which class of fire is this?
Class B
Class A (ordinary combustibles like wood, paper), Class B (flammable liquids/gases like gasoline, propane), Class C (energized electrical equipment), Class D (combustible metals like magnesium, titanium), and Class K (cooking oils/fats in commercial kitchens)
What does it mean for a vein to collapse and tell me a reason why a phlebotomist technician could have caused it
A vein collapsing means that blood flow stopped
a reason:
-tourniquet is too tight
-big needle for a small vein
-pulling hard on a syringe
Which two finger are you allowed to form a dermal puncture on and which hand is prefered
Name the 3 veins you draw blood from
Median Cubital Vein (Inner Elbow)
Cephalic Vein (Lateral Forearm)
Basilic Vein (Medial Forearm)
A "tiger top" tube, also known as a Serum Separator Tube (SST) with a gold or marbled red/grey top, is used for tests requiring blood serum, like most chemistry panels, endocrine tests, and viral antibody screens, because it contains a clot activator and a gel that separates the serum from blood cells after centrifugation.
What does HIPAA stand for
Health Insurance Portability and Accountability Act