Chapter 8 Multiple Choice

Which statement is true of syringe venipuncture? A. a syringe is sometimes used for veins that collapse easily B. a syringe is recommended for drawing most blood specimens C. you must pull the plunger all the way back when you see the "flash" D. with a syringe, it is difficult to tell when the needle is in the vein

A. a syringe is sometimes used for veins that collapse easily

After cleaning a venipuncture site with alcohol, the phlebotomist should: A. allow the alcohol to dry completely B. fan the site to help the alcohol dry C. dry the site with a clean gauze pad or cotton ball D. insert the needle quickly before the alcohol dries

A. allow the alcohol to dry completely

Skin changes in elderly can make it harder to: A. anchor veins B. injure veins C. palpate veins D. see the veins

A. anchor veins.

You are a phlebotomy student on rotation at an outpatient site. A patient who seems extremely apprehensive about having her blood drawn tells you that she is afraid of needles. What should you do? A. ask an experienced phlebotomist to perform the draw for you B. explain to her that you will use a small needle that barely hurts C. tell her that its not a big deal and that she shouldn't be afraid D. use an ice pack to numb the site before drawing the specimen

A. ask an experienced phlebotomist to perform the draw for you.

You have made two unsuccessful attempts while trying to collect an ASAP specimen on an inpatient. The specimen cannot be collected by skin puncture. What should you do next? A. ask another phlebotomist to collect it B. ask the patients nurse to do the draw C. collect it by arterial puncture D. try to draw it one more time

A. ask another phlebotomist to collect it.

Which type of test requisition has been show to decrease laboratory errors? A. bar coded B. computer C. manual D. verbal

A. bar coded

An inpatient is eating breakfast when you arrive to collect a fasting glucose. What is the best thing to do? A. consult with the patients nurse to see if the specimen should be collected B. draw the specimen quickly before the patient finishes eating C. draw the specimen and write "non fasting" on the requisition D. fill out a form stating the patient had eaten so the specimen was not drawn

A. consult with the patients nurse to see if the specimen should be collected

What is the best approach to use on an 8-year-old-chilld who needs to have blood drawn? A. explain the draw in simple terms and ask for the child's cooperation B. have someone restrain the child and collect the specimen C. offer the child a treat of toy if he or she does not cry D. tell the child it won't hurt and will only take a few seconds

A. explain the draw in simple terms and ask for the child's cooperation

The following test orders for different patients have been received at the same time. Which test would you collect first? A. fasting glucose B. STAT glucose in the ER C. STAT hemoglobin in the ICU D. ASAP CBC in ICU

B. STAT glucose in the ER

When should addictive tubes be mixed? A. after all the tubes have been collected B. as soon as they are removed from the holder C. never. additive tubes do not require mixing D. when you are filling any of the other tubes

B. as soon as they are removed from the holder.

You are asked to collect a blood specimen from an inpatient. The patient is not wearing an ID band. What is the best thing to do? A. ask the patients name and collect the specimen if it matches the requisition B. ask the patients nurse to put an ID band on the patient before you draw the specimen C. identify the patient by the name card on the door D. refuse to draw the specimen and cancel the request

B. ask the patients nurse to put an ID band on the patient before you draw the specimen

How can you tell that you are in a vein when drawing blood with a butterfly? A. engage the tube to see if it will fill B. blood usually appears in the tubing C. you can hear a soft hoping sound D. there is no easy way you can tell

B. blood usually appears in the tubing.

A member of the clergy is with the patient when you arrive to collect a routine specimen. What would you do? A. ask the patients nurse what you should do B. come back after the clergy person has gone C. fill out a form saying you were unable to collect the specimen D. say "excuse me. I need to collect a specimen from this patient"

B. come back after the clergy person has gone

The time is0750 hours. You have received the following tests requests on different patients. Which test specimen should you collect first? A. CBC ordered asap B. cortisol order for 0800 C. fasting glucose D. postop hemoglobin

B. cortisol ordered for 0800.

Which type of patient is most likely to have an arteriovenous fistula or graft? A. arthritic B. dialysis C. hospice D. wheelchair bound

B. dialysis

There are two patients in a room. One of them has a latex allergy. You have a request to collect a blood specimen on the other one. How should you proceed? A. ask the allergic patient to wear a mask until you leave B. do not take anything that contains latex into the room C. pull the curtain between beds and proceed normally D. your patient is not allergic to latex so proceed as usual

B. do not take anything patient to wear a mask unit you leave.

You have a request to collect a stat specimen. A doctor is with the patient when you arrive. What should you do? A. call your supervisor and ask what you should do B. excuse yourself and politely ask the doctor for permission to do the draw C. leave the room and return when the doctor is gone D. stand there quietly until the doctor notices you and asks you want you want

B. excuse yourself and politely ask the doctor for permission to do the draw

Which of the following statements describes proper venipuncture techniques? A. clean the site quickly while the tourniquet is still on B. fill addictive tubes until the vacuum is exhausted C. keep the tourniquet on until the last tube is full D. wipe the alcohol dry to prevent it from stinging

B. fill addictive tubes until the vacuum is exhausted

A vein that has patency: A. feels hard and cord-like B. has a bounce or resilience to it C. is fairly deep in the tissues D. should not be used for venipuncture

B. has a bounce or resilience to it.

Which of the following is proper procedure when dealing with an elderly patient? A. dress your questions to an attendant if the patient has a hearing problem B. make certain to hold adequate pressure after the draw until bleeding stops C. speak extra laud in order to be certain that the patient can hear you D. tie the tourniquet extra tight to make the veins more prominent

B. make certain to hold adequate pressure after the draw until bleeding stops

If a patient adamantly refuses to have blood drawn, you should: A. convince the patient to be cooperative B. notify the patients nurse of physician C. restrain the patient and draw the blood D. write a note to the patients physician

B. notify the patients nurse of physician

A student asks the patient for permission to draw a blood specimen. Which of the following answers implies that the student does not really have permission. A. as long as you're good at it B. which arm do you want? C. yes, but I would rather not D. all of the above

C. Yes, but I would rather not.

You are in the process of identifying an inpatient. The patient's verbal confirmation of name and date of birth matches the requisition, but the medical record number is different. When should you do? A. change the requisition number to match the ID band and collect the specimen B. collect the specimen and inform the patients nurse that the ID needs correcting C. do not collect the specimen until the patient's nurse that the I'D needs and resolved D. fill out an incident report and return to the lab without collecting a specimen

C. do not collect the specimen until the patient's nurse that the I'D needs and resolved.

You are performing a venipuncture on a difficult vein using a butterfly. You have an SST and a light blue-topped tube to collect. How do you proceed? A. collect and mix the SST before filling and mixing the light blue top B. collect and mix the light blue top before filling and mixing the SST C. draw a clear tube, fill and mix the light-blue top, then fill and mix SST D. draw half of the SST, the fill and mix the light blue top, then finish the SST

C. draw a clear tube, fill and mix the light-blue top, then fill and mix SST.

Blood collection tubes are labeled: A. as soon as the test order is received B. before the specimen is even collected C. immediately after specimen collection D. whenever it is most convenient

C. immediately after specimen collection

NPO means: A. new patient orders B. needed post operative C. nothing by mouth D. nutrition postoperative

C. nothing by mouth

The best way to judge patient of a vein is to: A. feel it to determine the strength of the pulse B. palpate above and below where you first feel it C. press and release it several times to determine resilience D. roll your finger from side to side while pressing against it

C. press and release it several times to determine resilience.

Which needle can be removed from the blood collection unit before disposal? A. butterfly needle B. ETS needle C. syringe needle D. none of the above

C. syringe needle

Which type of disease is most likely to cause tremors? A. Alzheimers B. Arthritis C. Diabetes D. Parkinsons

D. Parkinson's.

Interventions to ease pain in collecting blood specimens from infants include: A. EMLA B. oral sucrose C. pacifiers D. all of the above

D. all of the above

The tourniquet should be released: A. as soon as blood flow is established B. before needle removal from the arm C. within one minute of its application D. all of the above

D. all of the above

Which of the following is required requisition information? A. ordering physicians name B. patients first and last names C. type of test to be performed D. all of the above

D. all of the above

Which is the most critical error a phlebotomist can make? A. collecting a timed specimen late B. failing to collect a specimen C. giving a patient a hematoma D. misidentifying a patient specimen

D. misidentifying a patient specimen.

The proper way to transfer blood from a syringe into an ETS tube is to: A. discard the needle, open the tube, and slowly eject the blood into it B. hold the tube carefully and insert the needle through the tube stopper C. place the tube in a race and insert the needle through the tube stopper D. safely remove the needle and attach a transfer device to fill the tube

D. safely remove the needle and attach a transfer device to fill the tube.

After inserting a butterfly needle, the phlebotomist must "seat" it, meaning: A. have the patient make a fist to keep it in place B. keep the skin taunt during the entire procedure C. push the bevel against the back of the vein D. slightly thread it within the lumen of the vein

D. slightly thread it within the lumen of the vein