PHLEBOTOMY NATIONAL UPDATED FINAL EXAMS
QUESTIONS AND ANSWERS SURE A+
✔✔Stage 2 of Hemostasis - ✔✔platelet phase
✔✔Platelet phase - ✔✔platelets adhere to inner lining of vessel to form a platelet plug
✔✔Stage 3 of Hemostasis - ✔✔Coagulation phase
✔✔Coagulation phase - ✔✔converts platelet plug to a stable fibrin clot
✔✔Stage 4 of Hemostasis - ✔✔Fibrinolysis
✔✔Fibrinolysis - ✔✔breakdown and removal of the clot
✔✔Preferred site for venipuncture - ✔✔antecubital fossa
✔✔Three major veins located in antecubital fossa - ✔✔Median cubital vein, cephalic
vein, basilic vein
✔✔The vein of choice because it is large and doesn't tend to move - ✔✔Median cubital
vein
, ✔✔What vein would you use in an obese patient when the median cubital vein cannot
be found? - ✔✔cephalic vein
✔✔What side of the arm is the cephalic vein located? - ✔✔thumb side
✔✔What side of the arm is the basilic vein located? - ✔✔inner side
✔✔unsuitable veins for venipuncture... - ✔✔sclerosed, thrombotic, and tortuous veins
✔✔sclerosed veins - ✔✔hard and cordlike
✔✔tortuous veins - ✔✔winding/crooked. susceptible to infection
✔✔Do you draw above or below an IV? - ✔✔below
✔✔How long should the IV be shut off before you can perform a venipuncture? - ✔✔2
minutes
✔✔Is a phlebotomist allowed to shut off/turn on and IV? - ✔✔NOOOO
✔✔Complications associated with phlebotomy - ✔✔Hematoma, hemoconcentration,
phlebitis, petechiae, thrombus, thrombophlebitis, septicemia, trauma
✔✔Most common complication of phlebotomy procedure - ✔✔hematoma
✔✔What is a hematoma? - ✔✔blood accumulated in the tissue surrounding a vein
✔✔two most common causes of a hematoma... - ✔✔1. needle going through the vein
2. failure to apply enough pressure on site after need removal
✔✔What is hemoconcentration? - ✔✔INCREASE in proportion of formed elements to
plasma
✔✔What is the cause of hemoconcentration? - ✔✔tourniquet being left on too long
✔✔What is petechiae? - ✔✔tine NON-RAISED red spots that appear on skin due to
ruptured capillaries
✔✔What is the cause of petechiae? - ✔✔prolonged use of tourniquet
✔✔What is a thrombus? - ✔✔blood clot
QUESTIONS AND ANSWERS SURE A+
✔✔Stage 2 of Hemostasis - ✔✔platelet phase
✔✔Platelet phase - ✔✔platelets adhere to inner lining of vessel to form a platelet plug
✔✔Stage 3 of Hemostasis - ✔✔Coagulation phase
✔✔Coagulation phase - ✔✔converts platelet plug to a stable fibrin clot
✔✔Stage 4 of Hemostasis - ✔✔Fibrinolysis
✔✔Fibrinolysis - ✔✔breakdown and removal of the clot
✔✔Preferred site for venipuncture - ✔✔antecubital fossa
✔✔Three major veins located in antecubital fossa - ✔✔Median cubital vein, cephalic
vein, basilic vein
✔✔The vein of choice because it is large and doesn't tend to move - ✔✔Median cubital
vein
, ✔✔What vein would you use in an obese patient when the median cubital vein cannot
be found? - ✔✔cephalic vein
✔✔What side of the arm is the cephalic vein located? - ✔✔thumb side
✔✔What side of the arm is the basilic vein located? - ✔✔inner side
✔✔unsuitable veins for venipuncture... - ✔✔sclerosed, thrombotic, and tortuous veins
✔✔sclerosed veins - ✔✔hard and cordlike
✔✔tortuous veins - ✔✔winding/crooked. susceptible to infection
✔✔Do you draw above or below an IV? - ✔✔below
✔✔How long should the IV be shut off before you can perform a venipuncture? - ✔✔2
minutes
✔✔Is a phlebotomist allowed to shut off/turn on and IV? - ✔✔NOOOO
✔✔Complications associated with phlebotomy - ✔✔Hematoma, hemoconcentration,
phlebitis, petechiae, thrombus, thrombophlebitis, septicemia, trauma
✔✔Most common complication of phlebotomy procedure - ✔✔hematoma
✔✔What is a hematoma? - ✔✔blood accumulated in the tissue surrounding a vein
✔✔two most common causes of a hematoma... - ✔✔1. needle going through the vein
2. failure to apply enough pressure on site after need removal
✔✔What is hemoconcentration? - ✔✔INCREASE in proportion of formed elements to
plasma
✔✔What is the cause of hemoconcentration? - ✔✔tourniquet being left on too long
✔✔What is petechiae? - ✔✔tine NON-RAISED red spots that appear on skin due to
ruptured capillaries
✔✔What is the cause of petechiae? - ✔✔prolonged use of tourniquet
✔✔What is a thrombus? - ✔✔blood clot
