QUESTIONS AND ANSWERS (GRADED
A)
If you are using alcohol to cleanse the venipuncture site, it must be allowed to air dry
prior to the venipuncture because alcohol - ANSWER-Requires time for antiseptic
action.
If you are drawing a metabolic panel what is the most important question to ask the
patient prior to collection? - ANSWER-When was the last time you ate?
What is the most common cause for blood culture contamination? - ANSWER-Improper
preparation of the venipuncture site.
Before the phlebotomist performs a venipuncture, the patient warns that she is HIV
positive. According to OSHA regulations, after donning gloves, the phlebotomist should
- ANSWER-Perform the venipuncture.
The phlebotomist has an order to draw a routine CBC from a 9-month-old infant. Which
of the following is the most appropriate collection site? - ANSWER-Either heel
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? - ANSWER-
Speak with the patient's guardian before performing the venipuncture to ensure the
explanation is understood
What actions should a phlebotomist take if the patient reports a sharp pain radiating
down the arm during a venipuncture procedure? - ANSWER-Release the tourniquet and
remove the needle
When someone is in shock you should keep them cool? - ANSWER-False
When should the tourniquet be released during a 5-tube collection draw? - ANSWER-
Soon as blood flow is established
What condition is therapeutic phlebotomy commonly used? - ANSWER-Polycythemia
Vera
A patient can donate blood if he or she _______ - ANSWER-Donated blood 9 weeks
ago
, Which term is used to describe a blood donation from a patient for later use in his or her
own surgical procedure? - ANSWER-Autologous
An inpatient who will need to be drawn every day or every few hours, what type of
anemia is commonly seen? - ANSWER-Iatrogenic
Which of the following types of urine collection is required for culture and sensitivity
testing? - ANSWER-Clean-catch, midstream specimen collected in a sterile cup.
For which of the following tests would a first-voided morning urine specimen be
collected? - ANSWER-Pregnancy
Some older adult or obese patients may not have accessible antecubital veins. In this
situation the phlebotomist may use which of the following? - ANSWER-Dorsal vein
(hand)
At what temperature should a semen sample be transported by the patient to the
laboratory? - ANSWER-36 to 38 degrees C
Which of the following is the proper procedure after collecting an ammonia specimen? -
ANSWER-Place the specimen tube in an ice water slurry
Why should the phlebotomist document the total volume of blood drawn from a patient?
- ANSWER-To determine if the patient is at risk for developing Iatrogenic anemia.
Which of the following is the name or abbreviation of the federal law that established
standards for the electronic exchange of patient information? - ANSWER-HIPAA
You accidentally splash a bleach solution into your eyes while preparing it for cleaning
purposes. What is the first thing to do? - ANSWER-Flush your eyes with water for a
minimum of 15 minutes
Under which of the following circumstances should you place a patient into the recovery
position? - ANSWER-If the patient is breathing and you do not suspect a spinal injury
Which of the OSHA requirements specific to the venipuncture procedure must a
phlebotomist comply with? - ANSWER-Wear gloves when contact with blood is
anticipated.
Which of the following equipment should a phlebotomist assemble in preparing to
perform a hand draw? - ANSWER-Winged infusion set and adapter
What should be collected first in dermal punctures? - ANSWER-ABG