Phlebotomy Final
A 6-week old baby is brought in for lab work. The order is for a bilirubin, BMP and
CBC.
What site should be used for the draw ? - ANS Heel (use microtainer to collect
sample)
A child with a known history of fainting during blood draw comes into the clinic. The
patient's parents express that the labs must be collected even if the patient passes
out.
What should the phleb tech ? - ANS Tell the parents that the blood draw must
stop if the child passes out.
A doctor orders blood cultures, CBC, CMP, and PT.
In what order should each sterile bottle be drawn? - ANS Blood culture, BLUE,
SST/Gold, Lav
A geriatric patient has large bruises on their arms due to several blood draws over a
period of 3 days in the hospital. A new phleb tech enters the room to perform a
venipuncture and has a difficult time finding a suitable vein. The tech identifies a vein
above the IV in the hand.
What is the appropriate action for the phleb tech to take ? - ANS Ask a nurse
to pause the IV and draw the blood after 15 mins
A lab manager is trying to reduce costs and has instructed all phleb techs to start
disinfecting the adapters and tourniquets so they can be reused. A phleb tech states
to their supervisor several times that they are uncomfortable with this practice. The
tech calls to have the facility inspected.
What agency did the phleb tech call ? - ANS OSHA
A lab requisition slip indicates the need to draw an ESR, Electrolytes panel, type and
screen, and HCG.
What is the correct order of the draw for these tests ? - ANS SST/Gold, Green
(Lithium Heparin), Lavender, Pink
A laboratory clerk receives a call requesting labs to be faxed from wellness center.
The wellness center has yet to obtain patient record consent. The clerk sends the
fax.
What protocol has been violated ? - ANS HIPAA
, A law enforcement officer comes to the lab to collect blood on a patient that had
been seen in the ER a few days before. The officer asks the phleb tech to release all
related specimens on the patient.
What should the phleb tech do? - ANS DO NOT give the officer the specimens
samples without a warrant to protect the patient's information under HIPAA
A neonate needs to have a bilirubin and a BMP drawn. The heels have been stuck
multiple times to prevent injury to the calcaneus bone. The parents are irate with the
multiple heel sticks.
Where should the phleb tech obtain the specimen ? - ANS Perform a
fingerstick
A newborn baby comes into an outpatient clinic and needs a blood draw. The
physician has ordered NO heel pokes due to the birth defects on the baby"s feet.
Which location and equipment is appropriate for this blood draw ? - ANS
Finger dermal puncture with lancet
A patient comes in for an H. pylori test and is provided instructions on how to take
the test. The patient blows into the blue breath bag and drinks the H.pylori test drink.
After consuming the drink, the patient washes the taste out of their mouth with a
Gatorade. After waiting for 15 mins, the patient returns to the lab to blow into the pink
bag. The test results come back inconclusive.
What is a reason for the inconclusive test results ? - ANS The patient
consumed the Gatorade
A patient comes in for labs and states they are a very hard stick. The phleb tech
takes the patient back and is unsuccessful after two sticks. The patient insists on
another attempt.
What should the phleb tech do ? - ANS Stop after the second attempt and find
a more experienced phleb
A patient comes in for routine blood work and is drawn by the same phlebotomy tech
as their last visit. Two other people in the lab are having their blood drawn at the
same time. The patient asks the phleb tech to give them results of their blood test
from 2 weeks ago.
What response should the phlebotomy technician give the patient? - ANS Tell
the patient you CANNOT give the results and refer them to the physician
A patient comes to the lab to get supplies needed to collect stool for testing after
seeing their physician for chronic diarrhea and possible infection.
What supplies should the phleb tech give to the patient ? - ANS Sterile urine
cup
A 6-week old baby is brought in for lab work. The order is for a bilirubin, BMP and
CBC.
What site should be used for the draw ? - ANS Heel (use microtainer to collect
sample)
A child with a known history of fainting during blood draw comes into the clinic. The
patient's parents express that the labs must be collected even if the patient passes
out.
What should the phleb tech ? - ANS Tell the parents that the blood draw must
stop if the child passes out.
A doctor orders blood cultures, CBC, CMP, and PT.
In what order should each sterile bottle be drawn? - ANS Blood culture, BLUE,
SST/Gold, Lav
A geriatric patient has large bruises on their arms due to several blood draws over a
period of 3 days in the hospital. A new phleb tech enters the room to perform a
venipuncture and has a difficult time finding a suitable vein. The tech identifies a vein
above the IV in the hand.
What is the appropriate action for the phleb tech to take ? - ANS Ask a nurse
to pause the IV and draw the blood after 15 mins
A lab manager is trying to reduce costs and has instructed all phleb techs to start
disinfecting the adapters and tourniquets so they can be reused. A phleb tech states
to their supervisor several times that they are uncomfortable with this practice. The
tech calls to have the facility inspected.
What agency did the phleb tech call ? - ANS OSHA
A lab requisition slip indicates the need to draw an ESR, Electrolytes panel, type and
screen, and HCG.
What is the correct order of the draw for these tests ? - ANS SST/Gold, Green
(Lithium Heparin), Lavender, Pink
A laboratory clerk receives a call requesting labs to be faxed from wellness center.
The wellness center has yet to obtain patient record consent. The clerk sends the
fax.
What protocol has been violated ? - ANS HIPAA
, A law enforcement officer comes to the lab to collect blood on a patient that had
been seen in the ER a few days before. The officer asks the phleb tech to release all
related specimens on the patient.
What should the phleb tech do? - ANS DO NOT give the officer the specimens
samples without a warrant to protect the patient's information under HIPAA
A neonate needs to have a bilirubin and a BMP drawn. The heels have been stuck
multiple times to prevent injury to the calcaneus bone. The parents are irate with the
multiple heel sticks.
Where should the phleb tech obtain the specimen ? - ANS Perform a
fingerstick
A newborn baby comes into an outpatient clinic and needs a blood draw. The
physician has ordered NO heel pokes due to the birth defects on the baby"s feet.
Which location and equipment is appropriate for this blood draw ? - ANS
Finger dermal puncture with lancet
A patient comes in for an H. pylori test and is provided instructions on how to take
the test. The patient blows into the blue breath bag and drinks the H.pylori test drink.
After consuming the drink, the patient washes the taste out of their mouth with a
Gatorade. After waiting for 15 mins, the patient returns to the lab to blow into the pink
bag. The test results come back inconclusive.
What is a reason for the inconclusive test results ? - ANS The patient
consumed the Gatorade
A patient comes in for labs and states they are a very hard stick. The phleb tech
takes the patient back and is unsuccessful after two sticks. The patient insists on
another attempt.
What should the phleb tech do ? - ANS Stop after the second attempt and find
a more experienced phleb
A patient comes in for routine blood work and is drawn by the same phlebotomy tech
as their last visit. Two other people in the lab are having their blood drawn at the
same time. The patient asks the phleb tech to give them results of their blood test
from 2 weeks ago.
What response should the phlebotomy technician give the patient? - ANS Tell
the patient you CANNOT give the results and refer them to the physician
A patient comes to the lab to get supplies needed to collect stool for testing after
seeing their physician for chronic diarrhea and possible infection.
What supplies should the phleb tech give to the patient ? - ANS Sterile urine
cup
