Question 1

Hyperextending the patient's arm may make vein location more difficult.

Accepted Answer

A) True 
 B)False

Question 2

Failure to allow the alcohol to dry on the patient's arm after site cleansing can cause all of the following except:

Accepted Answer

A)  increased bacteriostatic action. 
B)  a stinging sensation for the patient. 
C)  a possible unsterile site. 
D)  specimen hemolysis. 
A)  increased bacteriostatic action. 
B)  a stinging sensation for the patient. 
C)  a possible unsterile site. 
D)  specimen hemolysis.

Question 3

The appearance of petechiae on a patient's arm during site selection indicates that the:

Accepted Answer

A)  patient has deep veins. 
B)  tourniquet is tied too tightly. 
C)  basilic vein should not be used. 
D)  radial pulse beat is very strong. 
A)  patient has deep veins. 
B)  tourniquet is tied too tightly. 
C)  basilic vein should not be used. 
D)  radial pulse beat is very strong.

Question 4

Bracing the hand holding the needle assembly against the patient's arm:

Accepted Answer

A)  decreases the patient discomfort. 
B)  prevents excess needle movement. 
C)  decreases the possibility of hemolysis. 
D)  causes the tubes to fill more quickly. 
A)  decreases the patient discomfort. 
B)  prevents excess needle movement. 
C)  decreases the possibility of hemolysis. 
D)  causes the tubes to fill more quickly.

Question 5

When collecting specimens in a patient's room, tubes are routinely labeled:

Accepted Answer

A)  prior to collecting the blood. 
B)  using preprinted labels. 
C)  after collecting the blood. 
D)  after leaving the patient's room. 
A)  prior to collecting the blood. 
B)  using preprinted labels. 
C)  after collecting the blood. 
D)  after leaving the patient's room.

Question 6

Which of the following is not acceptable sterile technique?

Accepted Answer

A)  Cleansing the site in a circular motion 
B)  Putting on gloves and palpating the cleansed area 
C)  Allowing the alcohol to completely air-dry 
D)  Cleansing the palpating finger 
A)  Cleansing the site in a circular motion 
B)  Putting on gloves and palpating the cleansed area 
C)  Allowing the alcohol to completely air-dry 
D)  Cleansing the palpating finger

Question 7

Prior to leaving a patient's room, a phlebotomist should do all of the following except:

Accepted Answer

A)  dispose of gauze and alcohol pads in a biohazard container. 
B)  return bedrails to their original position. 
C)  eject the needle from the adapter into a sharps container. 
D)  discard the needle and adapter into a sharps container. 
A)  dispose of gauze and alcohol pads in a biohazard container. 
B)  return bedrails to their original position. 
C)  eject the needle from the adapter into a sharps container. 
D)  discard the needle and adapter into a sharps container.

Question 8

Which specimen should be collected last?

Accepted Answer

A)  STAT specimen 
B)  Specimen requiring special handling 
C)  Clotted specimen 
D)  Fasting specimen 
A)  STAT specimen 
B)  Specimen requiring special handling 
C)  Clotted specimen 
D)  Fasting specimen

Question 9

Basic information that should be present on all requisition forms includes all of the following except the:

Accepted Answer

A)  patient's location. 
B)  patient's identification number. 
C)  tests requested. 
D)  type of collection tubes. 
A)  patient's location. 
B)  patient's identification number. 
C)  tests requested. 
D)  type of collection tubes.

Question 10

Tips to shorten the time the tourniquet is applied to the patient's arm and therefore to reduce preexamination variables when performing venipunctures include all of the following except:

Accepted Answer

A)  feeling for veins with a stroking motion. 
B)  feeling for the characteristic spongy, resilient, tube-like feel of veins. 
C)  feeling for veins with a pushing motion. 
D)  feeling for veins with the tip of the index finger on the nondominant hand. 
A)  feeling for veins with a stroking motion. 
B)  feeling for the characteristic spongy, resilient, tube-like feel of veins. 
C)  feeling for veins with a pushing motion. 
D)  feeling for veins with the tip of the index finger on the nondominant hand.

Question 11

Matching
Place the following steps of the venipuncture technique in the correct order.
-Activate needle safety device.

Accepted Answer

A) 1 
B) 2 
C) 3 
D) 4 
E) 5
F)6
G)7
H)8 
A) 1 
B) 2 
C) 3 
D) 4 
E) 5
F)6
G)7
H)8

Question 12

The phlebotomist should be prepared to tell the patient the purpose of the tests that have been ordered.

Accepted Answer

A) True 
 B)False

Question 13

The phlebotomist should not tell the patient that the procedure is painless.

Accepted Answer

A) True 
 B)False

Question 14

Each phlebotomist develops his or her own style for which of the following parts of the routine venipuncture process?

Accepted Answer

A)  Dealing with patients and performing the actual venipuncture 
B)  Identifying the patient 
C)  Drawing multiple blood collection tubes in order 
D)  Labeling the blood collection tubes. 
A)  Dealing with patients and performing the actual venipuncture 
B)  Identifying the patient 
C)  Drawing multiple blood collection tubes in order 
D)  Labeling the blood collection tubes.

Question 15

Before you draw a blood specimen you must always:

Accepted Answer

A)  check the patient's identification number and name on the wrist band. 
B)  ask the patient his or her name. 
C)  ask the nurse in charge to identify the patient. 
D)  tell the patient what type of blood test you are going to perform. 
A)  check the patient's identification number and name on the wrist band. 
B)  ask the patient his or her name. 
C)  ask the nurse in charge to identify the patient. 
D)  tell the patient what type of blood test you are going to perform.

Question 16

Two identifiers for patient identification before specimen collection are routinely secured by all the following means except:

Accepted Answer

A)  verifying the patient's identification number on the wrist or ankle identification band. 
B)  asking the patient to state his or her first name and last name. 
C)  asking the patient "Are you John Doe?" or "Are you Mary Doe?". 
D)  comparing information obtained verbally and from the patient's identification band with the information on the test requisition. 
A)  verifying the patient's identification number on the wrist or ankle identification band. 
B)  asking the patient to state his or her first name and last name. 
C)  asking the patient "Are you John Doe?" or "Are you Mary Doe?". 
D)  comparing information obtained verbally and from the patient's identification band with the information on the test requisition.

Question 17

The Clinical Laboratory and Standards Institute (CLSI) recommends that all patient specimens are delivered to the laboratory no more than 2 hours after collection to reduce preexamination variables caused by cellular action and the effects of prolonged exposure of specimens to room temperatures, such as:

Accepted Answer

A)  glycolysis caused by cells' use of glucose; hemolysis and leakage of potassium from the cells into the plasma or serum; the destruction of coagulation factors from exposure to room temperatures. 
B)  leakage of coagulation factors into the serum or plasma by cellular metabolism; increased potassium values caused by exposure to room temperature; increased glucose values caused by cellular metabolism. 
C)  glycolysis caused by leakage from cells; increased levels of coagulation factors caused by prolonged exposure to room temperatures; decreased potassium levels caused by cellular metabolism. 
D)  glycolysis caused by exposure to room temperatures; hemolysis and leakage of coagulation factors from the cells; decreased potassium levels in the serum and plasma by cellular utilization. 
A)  glycolysis caused by cells' use of glucose; hemolysis and leakage of potassium from the cells into the plasma or serum; the destruction of coagulation factors from exposure to room temperatures. 
B)  leakage of coagulation factors into the serum or plasma by cellular metabolism; increased potassium values caused by exposure to room temperature; increased glucose values caused by cellular metabolism. 
C)  glycolysis caused by leakage from cells; increased levels of coagulation factors caused by prolonged exposure to room temperatures; decreased potassium levels caused by cellular metabolism. 
D)  glycolysis caused by exposure to room temperatures; hemolysis and leakage of coagulation factors from the cells; decreased potassium levels in the serum and plasma by cellular utilization.

Question 18

Matching
Place the following steps of the venipuncture technique in the correct order.
-Remove the needle and apply pressure.

Accepted Answer

A) 1 
B) 2 
C) 3 
D) 4 
E) 5
F)6
G)7
H)8 
A) 1 
B) 2 
C) 3 
D) 4 
E) 5
F)6
G)7
H)8

Question 19

A properly labeled tube must have all of the following information except:

Accepted Answer

A)  patient location. 
B)  patient identification number. 
C)  date of collection. 
D)  phlebotomist's initials. 
A)  patient location. 
B)  patient identification number. 
C)  date of collection. 
D)  phlebotomist's initials.

Question 20

When encountering a patient with casts on both arms and no wrist band, the phlebotomist should first:

Accepted Answer

A)  check the casts for the patient identification number. 
B)  ask the patient if his name is John Jones. 
C)  check the patient's ankles. 
D)  look for the identification band on the nightstand. 
A)  check the casts for the patient identification number. 
B)  ask the patient if his name is John Jones. 
C)  check the patient's ankles. 
D)  look for the identification band on the nightstand.

Hyperextending the patient's arm may make vein location more difficult.

Failure to allow the alcohol to dry on the patient's arm after site cleansing can cause all of the following except:

The appearance of petechiae on a patient's arm during site selection indicates that the:

Bracing the hand holding the needle assembly against the patient's arm:

When collecting specimens in a patient's room, tubes are routinely labeled:

Which of the following is not acceptable sterile technique?

Prior to leaving a patient's room, a phlebotomist should do all of the following except:

Which specimen should be collected last?

Basic information that should be present on all requisition forms includes all of the following except the:

Tips to shorten the time the tourniquet is applied to the patient's arm and therefore to reduce preexamination variables when performing venipunctures include all of the following except:

Matching Place the following steps of the venipuncture technique in the correct order. -Activate needle safety device.

The phlebotomist should be prepared to tell the patient the purpose of the tests that have been ordered.

The phlebotomist should not tell the patient that the procedure is painless.

Each phlebotomist develops his or her own style for which of the following parts of the routine venipuncture process?

Before you draw a blood specimen you must always:

Two identifiers for patient identification before specimen collection are routinely secured by all the following means except:

Matching Place the following steps of the venipuncture technique in the correct order. -Remove the needle and apply pressure.

A properly labeled tube must have all of the following information except:

When encountering a patient with casts on both arms and no wrist band, the phlebotomist should first:

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

Venipuncture Complications and Preexamination Variables

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 9: Routine Venipuncture

Hyperextending the patient's arm may make vein location more difficult.

Failure to allow the alcohol to dry on the patient's arm after site cleansing can cause all of the following except:

The appearance of petechiae on a patient's arm during site selection indicates that the:

Bracing the hand holding the needle assembly against the patient's arm:

When collecting specimens in a patient's room, tubes are routinely labeled:

Which of the following is not acceptable sterile technique?

Prior to leaving a patient's room, a phlebotomist should do all of the following except:

Which specimen should be collected last?

Basic information that should be present on all requisition forms includes all of the following except the:

Tips to shorten the time the tourniquet is applied to the patient's arm and therefore to reduce preexamination variables when performing venipunctures include all of the following except:

Matching Place the following steps of the venipuncture technique in the correct order. -Activate needle safety device.

The phlebotomist should be prepared to tell the patient the purpose of the tests that have been ordered.

The phlebotomist should not tell the patient that the procedure is painless.

Each phlebotomist develops his or her own style for which of the following parts of the routine venipuncture process?

Before you draw a blood specimen you must always:

Two identifiers for patient identification before specimen collection are routinely secured by all the following means except:

Matching Place the following steps of the venipuncture technique in the correct order. -Remove the needle and apply pressure.

A properly labeled tube must have all of the following information except:

When encountering a patient with casts on both arms and no wrist band, the phlebotomist should first:

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

Venipuncture Complications and Preexamination Variables

Special Blood Collection

Dermal Puncture

Quality Assessment and Management in Phlebotomy

Arterial Blood Collection

Point-Of-Care Testing

Additional Duties of the Phlebotomist

Filters