Phlebotomy Chapter 8

What is the best way for a newly trained phlebotomist to handle a venipuncture on a patient with needle phobia? A) Ask an experienced phlebotomist to do the draw. B) Use a small gauge butterfly needle for the draw. C) Have the patient lie down for the draw. D) Tell the patient it will only hurt a little.

A) Ask an experienced phlebotomist to do the draw.

Doing which of the following during the vein selection process is bad for the specimen? A) Allowing the patient to pump her fist multiple times B) Lowering the patient's arm C) Palpating the antecubital area D) Using a warm towel to increase blood flow

A) Allowing the patient to pump her fist multiple times

The phlebotomist has made two unsuccessful attempts to collect a fasting specimen from an outpatient. What should the phlebotomist do next? A) Ask another phlebotomist to collect the specimen. B) Call a supervisor and ask permission to try again. C) Make a third attempt on the patient's other arm. D) Tell the patient to come back the next morning.

A) Ask another phlebotomist to collect the specimen.

The patient is just finishing a big breakfast as the phlebotomist arrives to draw a fasting specimen. What should the phlebotomist do? A) Check with the patient's nurse to see if the specimen should still be collected. B) Draw the specimen since breakfast was just eaten and probably not absorbed. C) Draw the specimen, but write "nonfasting" on the lab requisition. D) Refuse to collect the specimen and fill out an incident report slip.

A) Check with the patient's nurse to see if the specimen should still be collected

A phlebotomist arrives to draw a specimen from an inpatient. The patient's door is closed. What should the phlebotomist do? A) Knock softly, open it slowly, and ask permission to enter. B) Knock softly and wait for someone to come to the door. C) Leave to draw another patient and come back later. D) Open the door and proceed directly into the room.

A) Knock softly, open it slowly, and ask permission to enter.

The priority designation for a test request is based on all of the following EXCEPT A) age and gender. B) diet restrictions. C) patient condition. D) timed collection.

A) age and gender

If a venipuncture site is still bleeding after 5 minutes the phlebotomist should A) alert the patient's nurse or other healthcare provider. B) bandage the site and come back to check on it later. C) tell the patient to apply pressure for 15 minutes. D) wrap an elastic bandage tightly around the site.

A) alert the patient's nurse or other healthcare provider.

The procedure of identifying a patient using the written requisition, arm band, and verbal confirmation is known as A. 3-way ID B. Photo identification ID C. Confirmation ID D. Verbal ID

A. 3-way ID

Never leave a tourniquet on for more than A) 30 seconds. B) 1 minute. C) 2 minutes. D) 3 minutes.

B) 1 minute

Which of the following is the job of a student phlebotomist? A) Explaining to the patient why a particular test was ordered B) Letting the patient know that you are a student phlebotomist C) Telling a patient what can happen if he or she refuses to be drawn D) Telling the patient what disease or condition he or she might have

B) Letting the patient know that you are a student phlebotomist

The patient asks if the specimen about to drawn is for a diabetes test. How should the question be answered? A) If the test is for glucose, say, "Yes, it is." B) Say, "It's best to discuss that with the doctor." C) Say, "No," even if the test is for diabetes. D) Tell the patient that you do not know.

B) Say, "It's best to discuss that with the doctor."

An additive tube should be mixed A) after the next tube is placed in the holder. B) as soon as it is removed from the holder. C) when all the tubes have been collected. D) while the label is being put on the tube.

B) as soon as it is removed from the holder.

A specimen that must be drawn immediately is called a A. ASAP B. STAT C. Timed D. Important

B. STAT

Hospice is a type of care for patients who are A. Healthy B. Moderately ill C. Terminally ill D. In a nursing home

C. Terminally ill

Folding the arm to apply pressure after venipuncture can disrupt _______________ __________________ when the arm is lowered. A. Platelet Plug Formation B. Fibrinolysis C. Anticoagulation D. Hemoconcentration

A. Platelet Plug Formation

What is the recommended angle of needle insertion for an antecubital vein and a hand vein, respectively? A) 20 degrees or less for arm and hand B) 25 degrees or less, 15 degrees or less C) 30 degrees or less, 10 degrees or less D) 40 degrees or less, 20 degrees or less

C) 30 degrees or less, 10 degrees or less

What may happen if you mix a specimen too vigorously? A) Glycolysis B) Hemoconcentration C) Hemolysis D) Microclot formation

C) Hemolysis

A request is given to draw a specimen from an inpatient by the name of John Doe. Which of the following is an acceptable way to confirm the patient's identity? A) Ask the patient, "Are you Mr. John Doe?" and see if he says "Yes." B) Check the patient's ID band and say, "I see that you are John Doe." C) Match the ID band and requisition with the patient's verbal statement of ID. D) See if the ID band matches the requisition to be sure of the patient's identity.

C) Match the ID band and requisition with the patient's verbal statement of ID.

A phlebotomist starts to perform a venipuncture. As the needle touches the skin, the patient moves his arm. The phlebotomist is startled and pulls the needle away from the arm. How should the phlebotomist proceed after apologizing to the patient? A) Anchor the vein, tell the patient not to move this time, and finish the draw. B) Clean the site again, anchor the vein, and complete the venipuncture. C) Replace the needle, clean the site, warn the patient, and finish the draw. D) Take a break and ask another phlebotomist to collect the specimen.

C) Replace the needle, clean the site, warn the patient, and finish the draw.

The following tests have all been ordered at the same time on different inpatients. Only one phlebotomist is on duty. Which test should the phlebotomist collect first? A) ASAP CBC in the cardiac unit B) Routine Hgb in long-term care C) STAT electrolytes in the ER D) Timed blood culture in ICU

C) STAT electrolytes in the ER

Using which of the following communication strategies before obtaining a blood specimen from a child demonstrates poor technique? A) Establishing rapport with the child B) Greeting the parent and the child C) Telling the child it won't hurt D) Telling the child what to expect

C) Telling the child it won't hurt

The first step in the testing process begins when the A) laboratory technician receives the sample. B) specimen.is collected from the patient. C) specimen is delivered to the laboratory. D) test is ordered by the healthcare provider.

D) test is ordered by the healthcare provider.

A person with belonephobia has an irrational fear of A. Snakes and Frogs B. Blood and Body Fluid C. Belon and Phobia D. Pins and Needles

D. Pins and Needles

A tourniquet used for venipuncture procedures should be A) applied 3 to 4 inches above the intended venipuncture site. B) tight enough to slow venous flow, but not affect arterial flow. C) snug, or slightly tight, but not uncomfortable to the patient. D) All of the options are correct.

D) All of the options are correct

What 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

An unconscious patient is not wearing an ID band. There is an ID band taped to the patient's IV pole with information that matches the requisition. What should the phlebotomist do? A) Call the laboratory supervisor and ask how to proceed. B) Draw the specimen and fill out an incident report form. C) Draw the specimen and then ask the nurse to ID the patient. D) Only draw the specimen after an ID band has been applied.

D) Only draw the specimen after an ID band has been applied

An elderly patient arrives at an outpatient clinic for a blood draw. He is accompanied by his daughter, who mentions that he is hard of hearing. How should the phlebotomist proceed? A) Address all questions directly to the patient's daughter. B) Get close to the patient's face and speak very loudly. C) Repeat every question and statement twice. D) Speak distinctly in a normal tone of voice.

D) Speak distinctly in a normal tone of voice.

What would be the system of choice to identify laboratory specimens from an unconscious, unidentified woman in the emergency room? A) Assign a name to the patient such as Jane Doe. B) Assign a number to the patient until admitted. C) Process the specimens after she is identified. D) Use a three-part identification band and labels.

D) Use a three-part identification band and labels.

An inpatient is sound asleep when the phlebotomist arrives to draw a blood specimen. What should the phlebotomist do? A) Draw the patient quickly before he or she wakes up. B) Raise the head of the bed and shake the patient's arm. C) Turn on a bright light and say patient's name loudly. D) Wake the patient gently to avoid a startle reaction.

D) Wake the patient gently to avoid a startle reaction.

How can you tell that you are in a vein when using a needle and a syringe? A) The blood will pump into the syringe under its own power. B) There is no way to tell this when you use a needle and syringe. C) You cannot tell until you pull back the plunger and see blood. D) You will normally see blood appear in the hub of the needle.

D) You will normally see blood appear in the hub of the needle.