Deck 8: Routine Blood Collection

Question 1

Which of the following is NOT a step in the blood collection procedure?

A) greet the patient
B) perform aseptic technique
C) provide post-puncture care
D) perform the blood test

Answer 1

perform the blood test

Question 2

The best location to place the phlebotomy cart or tray during routine procedures is

A) at the patient's bedside.
B) at the foot of the patient's bed.
C) just inside the door of the patient's room.
D) just outside the door of the patient's room.

Answer 2

at the patient's bedside.

Question 3

Using a needle and needle holder from two different manufacturers may cause (choose all that apply)
i. difficulty in connecting the needle to the holder.
ii. improper filling of the tube.
iii. the needle to become disconnected from the holder.
iv. no problems at all.

A) i and ii
B) ii and iv
C) i and iii
D) ii and iii

Answer 3

i and iii

Question 4

When collecting blood using the venipuncture method, the holder falls away from the needle. What may have caused this to happen?

A) there was not enough vacuum in the tube.
B) the patient's blood pressure was very high.
C) the needle and holder were not made by the same manufacturer.
D) an artery was punctured instead of a vein.

Question 5

A co-worker is assisting you with the venipuncture procedure and hands you a needle on which the sterility label is broken. How should you proceed?

A) Use the needle because is has not yet been unsheathed.
B) Discard the needle because its sterility is in question.
C) Use the needle because it was probably just opened by your co-worker.
D) The needle integrity is irrelevant to the blood draw.

Question 6

You are assembling equipment for a venipuncture and notice that the date on the needle's sterility label has passed. How should you proceed?

A) Use the needle because is has not yet been unsheathed.
B) Discard the needle because its sterility is in question.
C) Use the needle because all of your needles display the same date.
D) The needle integrity is irrelevant to the blood draw.

Question 7

Which of the following positions used for venipuncture may cause harm to the patient?

A) patient sitting; phlebotomist sitting
B) patient sitting; phlebotomist standing
C) patient lying; phlebotomist standing
D) patient standing; phlebotomist standing

Question 8

During a venipuncture, if the area surrounding the vein begins to swell, you should first:

A) take the needle out of the arm.
B) probe to get back into the vein.
C) remove the tourniquet.
D) finish collecting the specimens needed, then apply ice.

Question 9

All of the following are situations in which an arm vein should NOT be used EXCEPT:

A) an IV is running in the patient's only arm
B) both arms are edematous
C) both arms are badly burned
D) both arms are strapped

Question 10

In general, what is the maximum number allowed for attempted blood collection on a patient with difficult veins?

A) One time
B) Two times
C) Three times
D) Unlimited

Question 11

The purpose of using a tourniquet for venipuncture procedures is to

A) keep the patient still
B) stop blood flowing
C) make veins prominent
D) ensure that clotting begins

Question 12

What will happen if a tourniquet is left on too long?

A) excessive bleeding
B) hemoconcentration
C) infection of the site
D) specimen contamination

Question 13

When a venipuncture is completed and bandage applied, the patient should be asked to

A) bend his/her elbow.
B) lift his/her arm up.
C) keep his/her arm straight.
D) not to apply pressure.

Question 14

During a venipuncture, some blood flows into the evacuated tube then stops. What may be causing this to happen?

A) Any of these
B) The needle is too close to a valve.
C) The needle might have slipped out of the vein.
D) The tube may be expired.

Question 15

During a venipuncture, blood flows into the evacuated tube with a forceful pulsing motion. What may be causing this to happen? (check all that apply)

A) An artery has been punctured.
B) The needle is too close to a valve.
C) An incorrect tube was selected.
D) The tube may be expired.

Question 16

Which image provided shows the proper application of a tourniquet?

A) Image A
B) Image B
C) All of the above

Question 17

The application of the tourniquet in this image will cause

A) awkward blood collection
B) hematoma formation
C) hemoconcentration
D) no problems during blood collection

Question 18

-Which of the images provided shows proper placement of the needle during venipuncture?

A) Image A
B) Image B
C) Image C
D) Image D

Question 19

-Which of the images provided shows the needle advanced too far during venipuncture?

A) Image A
B) Image B
C) Image C
D) Image D

Question 20

-Which of the images provided shows the needle advanced too shallow during venipuncture?

A) Image A
B) Image B
C) Image C
D) Image D

Question 21

-Which of the images provided shows the needle in the vein but lying against the wall of the vein?

A) Image A
B) Image B
C) Image C
D) Image D

Question 22

-For which of the needle placements shown would the venipuncture procedure need to be stopped?

A) Image A
B) Image B
C) Image C
D) Image D

Question 23

-For which of the needle placements shown would the needle need to be rotated within the vein?

A) Image A
B) Image B
C) Image C
D) Image D

Question 24

-For which of the needle placements shown would no corrective action need to be taken?

A) Image A
B) Image B
C) Image C
D) Image D

Question 25

-For which of the needle placements shown would the needle need to be pulled back into the vein?

A) Image A
B) Image B
C) Image C
D) Image D

Question 26

What venipuncture situation is represented by this image?

A) needle against vein wall
B) needle inserted too deep
C) needle inserted too shallow
D) proper needle insertion

Question 27

What action is needed to correct this venipuncture?

A) pull the needle backward
B) pull on the skin near the insertion site
C) push the needle forward
D) stop the procedure

Question 28

What venipuncture situation is represented by this image?

A) needle against vein wall
B) needle inserted too deep
C) needle inserted too shallow
D) proper needle insertion

Question 29

What action is needed to correct this venipuncture?

A) pull the needle backward
B) pull on the skin near the insertion site
C) push the needle forward
D) stop the procedure

Question 30

What venipuncture situation is represented by this image?

A) needle against vein wall
B) needle inserted too deep
C) needle inserted too shallow
D) proper needle insertion

Question 31

What action is needed to correct this venipuncture?

A) pull the needle backward
B) pull on the skin near the insertion site
C) rotate the needle in the vein
D) stop the procedure

Question 32

What action is needed to correct this venipuncture?

A) pull the needle backward
B) rotate the needle in the vein
C) stop the procedure
D) no corrective action needed

Question 33

What venipuncture situation is represented by this image?

A) needle against vein wall
B) needle inserted too deep
C) needle inserted too shallow
D) proper needle insertion

Question 34

What venipuncture situation is represented by this image?

A) needle inserted against the vein wall
B) needle inserted too close to a valve
C) needle inserted too shallow
D) proper needle insertion

Question 35

What is the action needed to correct this venipuncture?

A) pull the needle backward
B) pull on the skin near the insertion site
C) rotate the needle in the vein
D) stop the procedure

Question 36

-Which of the fingersticks, in this image, is performed correctly? (choose all that apply)

A) Image A
B) Image B
C) All of the above

Question 37

-While performing a dermal puncture on a finger the phlebotomist is having difficulty forming a good drop of blood and blood is running everywhere except into the collection tube. Which image represents the way in which the cut was made?

A) Image A
B) Image B
C) All of the above

Question 38

Which of the capillary punctures, in this image, is(are) performed correctly? (choose all that apply)

A) Images A, B
B) Images B, C
C) Images B, D
D) Images C, D

Question 39

If a heelstick is performed with the cut applied as pictured in this image, what may result?

A) Blood will clot before it is able to be collected.
B) Blood will not form drops, but rather run along the back of the heel.
C) The heel bone may become infected because there is less tissue in this area.
D) No adverse situations will occur because this is the appropriate area for heelstick.

Question 40

If a heelstick is performed with the cut applied as pictured in this image, what may result?

A) Blood will clot before it is able to be collected.
B) Blood will not form drops, but rather run along the back of the heel.
C) The heel bone may become infected because there is less tissue in this area.
D) No adverse situations will occur because this is the appropriate area for heelstick.

Question 41

Abnormal retraction of the vessel walls, which causes blood to stop flowing into the evacuated tube, is demonstrated in

A) formation of a hematoma.
B) hemoconcentration.
C) the collapse of a vein
D) the normal process of changing tubes.

Question 42

The formation of a mass under the skin is a result of

A) a hematoma.
B) ecchymosis
C) hemoconcentration.
D) the collapse of a vein

Question 43

An increase in ratio of blood components to plasma results from

A) a hematoma.
B) ecchymosis.
C) hemoconcentration.
D) petichiae.

Question 44

Large bruise is also known as

A) a hematoma.
B) ecchymosis.
C) hemoconcentration.
D) petichiae.

Question 45

Minor hemorrhaging in underlying tissue is also known as

A) a hematoma.
B) ecchymosis.
C) hemoconcentration.
D) petichiae.

Question 46

A hematoma may form if the tourniquet

A) is tied too tight.
B) is tied upside down.
C) is released before removing evacuated tubes from the holder.
D) is not released before the needle is removed from the vein.

Question 47

You are experiencing difficulty finding a vein in a patient's antecubital areas. Which of the following options is(are) appropriate? (choose all that apply)

A) Check the feet for a suitable ankle vein.
B) Examine the dorsal surface of the wrist for possible venipuncture site.
C) Determine whether a dermal puncture will yield an adequate specimen.
D) Ask another phlebotomist to assist in finding a vein.

Question 48

-You are about to perform a routine venipuncture on an adult with normal veins. Select the most appropriate assembly shown from the images provided.

A) Image A
B) Image B
C) Image C
D) Image D

Question 49

-You are about to perform a routine venipuncture on a small child. Select the most appropriate assembly shown from the images provided.

A) Image A
B) Image B
C) Image C
D) Image D

Question 50

-You are about to perform a routine venipuncture on an elderly patient whose veins are easy to access but tend to collapse easily. Select the most appropriate assembly shown from the images provided.

A) Image A
B) Image B
C) Image C
D) Image D

Question 51

-You are about to perform a routine venipuncture on an elderly patient whose veins are difficult to access and tend to collapse easily. Select the most appropriate assembly shown from the images provided.

A) Image A
B) Image B
C) Image C
D) Image D

Question 52

The object in this image is used to

A) locate a suitable vein
B) perform glucose testing
C) take the patient's temperature
D) verify patient identity