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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
Which of the following procedural steps for a finger stick should the phlebotomist do first? - Answer--
Confirm the correct identity of the patient
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? - Answer--Apply pressure after collecting the specimen.
The development of petechiae is a sign of reduced platelet function and carries an increased risk of
bleeding.
Which of the following is appropriate to use when collecting for a chemistry test that requires serum? -
Answer--SST
A phlebotomist working in a fertility clinic draws blood from a patient who also must submit a semen
sample for analysis. Which of the following should the phlebotomist tell the patient? - Answer--"As soon
as you collect the specimen, keep it next to your body. We will need to submit it right away for testing."
Semen samples for fertility must be delivered to the laboratory within 2 hr of collection and kept at
body temperature.
, Which of the following test results are affected when povidone iodine is used to cleanse the site for a
dermal puncture? - Answer--Potassium
Blood cultures have been ordered on a patient in the intensive care unit. The nurse calls the
phlebotomist to bring the appropriate materials. Which of the following should the phlebotomist bring?
- Answer--An aerobic and an anaerobic bottle
When a phlebotomist is distributing laboratory results to ordering physicians, which results have
priority? - Answer--Pre-surgical test results are a priority to report, because the results may alter how or
if a surgery is performed.
A phlebotomist is preparing to perform a hand draw. Which of the following should the phlebotomist
assemble? - Answer--Winged infusion set and adapter
Which of the following can cause a hemolyzed specimen? - Answer--Shaking the collection tube
vigorously. This will cause the red blood cells to rupture, causing hemolysis.
Which of the following is an example of the acceptable reporting of routine lab results? - Answer--Send
the results to the physician in a marked envelope.
Before the phlebotomist performs a venipuncture, the patient warns the he is HIV positive. According to
OSHA regulations, after donning gloves, the phlebotomist should... - Answer--perform the venipuncture
as normal per OSHA regulations.
Which of the following is an appropriate cleanser for cleansing around the urinary meatus in a clean-
catch urine collection - Answer--Benzalkonium chloride
The phlebotomist should use a tube with which of the following anticoagulants to collect a PT/PTT test?
- Answer--Sodium citrate