Question 1

Recent strenuous exercise may affect the results of tests for:

Accepted Answer

A)  creatinine and creatine kinase. 
B)  bilirubin and alanine transaminase (ALT). 
C)  glucose and blood urea nitrogen (BUN). 
D)  amylase and uric acid. 
A)  creatinine and creatine kinase. 
B)  bilirubin and alanine transaminase (ALT). 
C)  glucose and blood urea nitrogen (BUN). 
D)  amylase and uric acid.

Question 2

Hematomas can be caused by all of the following except:

Accepted Answer

A)  having the patient bend the elbow. 
B)  inserting the needle partially into the vein. 
C)  drawing below an intravenous line. 
D)  removing the tourniquet after removing the needle. 
A)  having the patient bend the elbow. 
B)  inserting the needle partially into the vein. 
C)  drawing below an intravenous line. 
D)  removing the tourniquet after removing the needle.

Question 3

When collecting blood from a patient with a very edematous right arm and a large hematoma in the antecubital area of the left arm, the phlebotomist should collect the specimen from:

Accepted Answer

A)  below the hematoma. 
B)  above the hematoma. 
C)  the antecubital area of the right arm. 
D)  the antecubital area of the left arm. 
A)  below the hematoma. 
B)  above the hematoma. 
C)  the antecubital area of the right arm. 
D)  the antecubital area of the left arm.

Question 4

Collection of blood from a vigorously crying child may cause a falsely:

Accepted Answer

A)  decreased white blood cell count. 
B)  increased glucose level. 
C)  increased white blood cell count. 
D)  decreased glucose level. 
A)  decreased white blood cell count. 
B)  increased glucose level. 
C)  increased white blood cell count. 
D)  decreased glucose level.

Question 5

The effects of a posture change in the patient, from a supine position to standing, can have a significant effect on some laboratory test results. All of the following are true statements about these changes, except:

Accepted Answer

A)  patients should generally be lying down or sitting for 5 minutes prior to having blood samples collected. 
B)  the effects are about the same for all laboratory tests. 
C)  the effects are greatest in patients with congestive heart failure and liver disease. 
D)  the effects are most noticeable for lipid profiles 
A)  patients should generally be lying down or sitting for 5 minutes prior to having blood samples collected. 
B)  the effects are about the same for all laboratory tests. 
C)  the effects are greatest in patients with congestive heart failure and liver disease. 
D)  the effects are most noticeable for lipid profiles

Question 6

A phlebotomist is making morning rounds in the medical-surgical patient unit. Patient A is an elderly man requiring venipuncture for glucose and electrolytes. Patient B has an intravenous line running in the left antecubital area, and a prothrombin time (PT) and liver profile are requested. Patient C has a large hematoma in the right antecubital area and a fistula in the left arm. Answer the following questions in relation to these patients.
-The puncture site begins swelling while the specimen is being collected from patient A. What should the phlebotomist do?

Accepted Answer

Remove the tournique

Question 7

While performing a venipuncture, the phlebotomist notices bright red blood spurting into the tube. The phlebotomist should:

Accepted Answer

A)  immediately withdraw the needle. 
B)  immediately remove the tourniquet. 
C)  lower the patient's head. 
D)  apply pressure for 10 minutes after withdrawing the needle. 
A)  immediately withdraw the needle. 
B)  immediately remove the tourniquet. 
C)  lower the patient's head. 
D)  apply pressure for 10 minutes after withdrawing the needle.

Question 8

When a patient is receiving an intravenous line, blood should be collected from:

Accepted Answer

A)  the other arm. 
B)  an area above the intravenous line. 
C)  an area below the intravenous line. 
D)  both A and C 
A)  the other arm. 
B)  an area above the intravenous line. 
C)  an area below the intravenous line. 
D)  both A and C

Question 9

When using a syringe:

Accepted Answer

A)  the plunger should be pulled back slowly. 
B)  the needle should be inserted bevel down. 
C)  a tourniquet should not be used. 
D)  blood should be rapidly withdrawn. 
A)  the plunger should be pulled back slowly. 
B)  the needle should be inserted bevel down. 
C)  a tourniquet should not be used. 
D)  blood should be rapidly withdrawn.

Question 10

Attempting to draw blood from a vein that is occluded may result in:

Accepted Answer

A)  patient syncope. 
B)  formation of a hematoma. 
C)  failure to obtain sufficient blood. 
D)  excessive bleeding. 
A)  patient syncope. 
B)  formation of a hematoma. 
C)  failure to obtain sufficient blood. 
D)  excessive bleeding.

Question 11

After filling the first tube of a three-tube collection, blood does not flow into the second tube. The phlebotomist should: 
1. move the needle slightly.
2. remove the tube and try the third tube.
3. try a new second tube.
4. immediately discontinue the phlebotomy and stick the other arm.

Accepted Answer

A)  1 and 3 
B)  2 and 4 
C)  1 and 2 
D)  1, 2, and 3 
A)  1 and 3 
B)  2 and 4 
C)  1 and 2 
D)  1, 2, and 3

Question 12

Collecting blood from an area containing a tattoo may result in:

Accepted Answer

A)  hemolysis. 
B)  an infection. 
C)  elevated test results. 
D)  syncope. 
A)  hemolysis. 
B)  an infection. 
C)  elevated test results. 
D)  syncope.

Question 13

Hemolysis can be present in a sample even though the plasma does not appear pink.

Accepted Answer

A) True 
 B)False

Recent strenuous exercise may affect the results of tests for:

Hematomas can be caused by all of the following except:

When collecting blood from a patient with a very edematous right arm and a large hematoma in the antecubital area of the left arm, the phlebotomist should collect the specimen from:

Collection of blood from a vigorously crying child may cause a falsely:

The effects of a posture change in the patient, from a supine position to standing, can have a significant effect on some laboratory test results. All of the following are true statements about these changes, except:

While performing a venipuncture, the phlebotomist notices bright red blood spurting into the tube. The phlebotomist should:

When a patient is receiving an intravenous line, blood should be collected from:

When using a syringe:

Attempting to draw blood from a vein that is occluded may result in:

After filling the first tube of a three-tube collection, blood does not flow into the second tube. The phlebotomist should: 1. move the needle slightly. 2. remove the tube and try the third tube. 3. try a new second tube. 4. immediately discontinue the phlebotomy and stick the other arm.

Collecting blood from an area containing a tattoo may result in:

Hemolysis can be present in a sample even though the plasma does not appear pink.

Phlebotomy and the Health-Care Delivery System

The Clinical Laboratory

Regulatory, Ethical, and Legal Issues

Safety and Infection Control

Basic Medical Terminology

Basic Anatomy and Physiology

Circulatory System

Venipuncture Equipment

Routine Venipuncture

Special Blood Collection

Dermal Puncture

Quality Assessment and Management in Phlebotomy

Arterial Blood Collection

Point-Of-Care Testing

Additional Duties of the Phlebotomist

Filters

Exam 10: Venipuncture Complications and Preexamination Variables

Recent strenuous exercise may affect the results of tests for:

Hematomas can be caused by all of the following except:

When collecting blood from a patient with a very edematous right arm and a large hematoma in the antecubital area of the left arm, the phlebotomist should collect the specimen from:

Collection of blood from a vigorously crying child may cause a falsely:

The effects of a posture change in the patient, from a supine position to standing, can have a significant effect on some laboratory test results. All of the following are true statements about these changes, except:

While performing a venipuncture, the phlebotomist notices bright red blood spurting into the tube. The phlebotomist should:

When a patient is receiving an intravenous line, blood should be collected from:

When using a syringe:

Attempting to draw blood from a vein that is occluded may result in:

After filling the first tube of a three-tube collection, blood does not flow into the second tube. The phlebotomist should: 1. move the needle slightly. 2. remove the tube and try the third tube. 3. try a new second tube. 4. immediately discontinue the phlebotomy and stick the other arm.

Collecting blood from an area containing a tattoo may result in:

Hemolysis can be present in a sample even though the plasma does not appear pink.

Phlebotomy and the Health-Care Delivery System

The Clinical Laboratory

Regulatory, Ethical, and Legal Issues

Safety and Infection Control

Basic Medical Terminology

Basic Anatomy and Physiology

Circulatory System

Venipuncture Equipment

Routine Venipuncture

Special Blood Collection

Dermal Puncture

Quality Assessment and Management in Phlebotomy

Arterial Blood Collection

Point-Of-Care Testing

Additional Duties of the Phlebotomist

Filters