A phlebotomist has a requisition to draw blood on a patient who has severe Downs'
Syndrome. Which of the following steps should the phlebotomist take? - ✔️✔️Speak
with the patient's guardian before performing the venipuncture to ensure the explanation
is understood
A blood specimen was rejected by the laboratory with the abbreviation QNS. Why was
the specimen rejected. - ✔️✔️The specimen was insufficient
A phlebotomist is preparing to draw blood from a patient in a hospital. The patient
extends his arm and turns his head away. Which of the following forms of consent does
this indicate? - ✔️✔️Implied consent
A patient asks the phlebotomist to please use her finger for the blood work. The
phlebotomist can do this if... - ✔️✔️the ordered tests can be performed on a capillary
specimen.
A patient comes in to find out his test results. The phlebotomist notices the results are
ready and verifies the patient's identity. Which of the following actions is most
appropriate? - ✔️✔️Inform the patient to contact the ordering physician to get the
results
A patient states she is a difficult draw and requests a skin puncture. The test ordered is
a PTT. Which of the following should the phlebotomist perform? - ✔️✔️A syringe draw
transferred into a light blue Vacutainer
A patient states that this is his first blood draw. Which of the following actions is
appropriate? - ✔️✔️Describe the procedure
A 69-year old unconscious patient is brought to the emergency department. Several
blood tests are ordered. The phlebotomist collects blood under... - ✔️✔️implied
consent
A phlebotomist collects multiple specimens on a premature infant. Which of the
following is a possible result of the procedure? - ✔️✔️Iatrogenic anemia. This disease
is caused by too much blood loss from testing, and clearing of lines.
, A diabetic patient states she prefers to be drawn on the inside of her wrist. Which of the
following actions should the phlebotomist take? - ✔️✔️Attempt to draw from the
antecubital region. With any patient the antecubital region is the first choice for a draw.
A phlebotomist is drawing blood from a patient and observes red spots. Which of the
following is an appropriate action for the phlebotomist to take? - ✔️✔️Apply pressure
after collecting the specimen. The development of petechiae is a sign of reduced
platelet function and carries an increased risk of bleeding.
A phlebotomist is drawing five blood collection tubes. When should the tourniquet be
released? - ✔️✔️1-2 minutes
A phlebotomist is educating a patient about the proper at-home collection procedure for
a semen specimen. Which of the following statements indicates the patient understands
the teaching? - ✔️✔️"I will collect the specimen in a sterile container and return with 1
hr."
A phlebotomist is preparing to perform a hand draw. Which of the following should the
phlebotomist assemble? - ✔️✔️Winged infusion set and adapter
A phlebotomist is required to obtain which of the following from a potential blood donor?
- ✔️✔️Complete medical history
A phlebotomist must centrifuge a serum specimen before shipment to an outside
reference laboratory because... - ✔️✔️cells must be separated from the serum. If not
the cells continue to metabolize into the serum.
A phlebotomist must choose the correct tube color and additive for the corresponding...
- ✔️✔️laboratory test
A phlebotomist must invert anticoagulant tubes to prevent which of the following? -
✔️✔️clotting
A phlebotomist observes a hematoma developing at the site of a venous blood draw.
The phlebotomist should... - ✔️✔️release the tourniquet and stop the draw.
A phlebotomist performs a point-of-care glucose test on an outpatient. The result is in
the critical value range. Which of the following actions is appropriate? - ✔️✔️Report the
result to the patient's physician.
A phlebotomist receives orders to draw an infant screening card, O2 levels, bilirubin,
and DNA. Which of the following should be drawn first? - ✔️✔️O2 levels. The infant
may cry due to the draw, so every attempt must be made to collect the O2 levels as
close to resting as possible.