phlebotomy scenarios
Which of the following tubes should be collected first for a dermal sample? - answer
lavender top
During a routine venipuncture, a patient becomes pale and diaphoretic. What condition
is most likely to occur with this patient? - answer shock
You are drawing blood from a patient and notice red spots. Which of the following action
is appropriate for you to take? - answer apply pressure after collecting the specimen
The phlebotomist must perform a blood draw on a patient with an IV on the right side,
and there has been a mastectomy on the left side. Where should the phlebotomist
perform the blood draw? - answer below the IV
Which of the following is the best method to prevent internal or external bleeding from
the venipuncture site once the needle is removed? - answer apply pressure to prevent
leakage of blood into the tissues
According to CLSI guidelines, which of the following samples should the phlebotomist
draw first? - answerblood cultures
Blood cultures have been ordered on a patient in the intensive care. Which materials
should the phlebotomist bring? - answertwo aeorbic bottles
After placing the tourniquet on a patient's arm, the phlebotomist notices small red spots
below the tourniquet. Which of the following is the correct term for these spots? -
answerpetechiae
A phlebotomist receives orders to draw an infant screening card, O2 levels, bilirubin and
DNA. Which of these should be drawn first? - answerO2 level
A physician ordered a tobramycin level to be drawn one hour after dose. The
tobramycin has been ordered for 1100. Which of the following actions should the
phlebotomist take? - answercheck with the nurse
Which of the following is an example of the acceptable reporting of routine lab results? -
answersend the results to the physician in marked envelope
Why should a phlebotomist avoid drawing blood from the leg or foot of a diabetic? -
answerthese areas are more susceptible to infection
, Which of the following is the best method to collect a blood specimen from an older
adult patient who has fragile, easy to collapse veins? - answerchoose a syringe and
butterfly assembly and use a pediatric tube
After performing a heel puncture for neonatal screening, which of the following is the
correct procedure for collecting blood? - answersaturate each circle
Which of the following is the proper procedure after collecting an ammonia sample? -
answerplace the specimen tube in an ice water slurry
For which of the following must a phlebotomist follow the chain of custody guidelines? -
answerpaternity testing
WBC, RBC, glucose and electrolyte tests are ordered for a patient. The phlebotomist is
unable to find accessible veins and has determined that it is acceptable to perform a
skin puncture. What color tube should be drawn? - answerlavender and red
Which of the following provides you the best protection when drawing blood on a patient
with active TB? - answerN-95 respirator
Which of the following test results are affected when povidone iodine is used to cleanse
the site for a dermal puncture? - answerpotassium, phosphorus or uric acids
A phlebotomist must centrifuge a serum specimen before shipment to an outside
reference laboratory because - answercells must be separated from the serum
Performing a venipuncture for blood cultures differs from other venipuncture procedures
in that - answerthe site is cleaned more stringently
Which of the following could result in a grossly hemolyzed specimen? - answeran
incorrect needle gauge
Before collecting blood on an inpatient, the phlebotomist notices that the patient does
not have a wristband on his wrist, but there is one attached to the patient's IV stand.
Which of the following is the proper action? - answerask the patient to confirm his
identity
Upon entering a patient's room for a routine blood draw, a phlebotomist notices a clergy
member is with the patient. The phlebotomist should - answerreturn after drawing other
patients
Which of the following potential outcomes is the most dangerous if data is entered
incorrectly into the automated Laboratory Information System? - answerthe incorrect
data may be reported to a health care provider
Which of the following tubes should be collected first for a dermal sample? - answer
lavender top
During a routine venipuncture, a patient becomes pale and diaphoretic. What condition
is most likely to occur with this patient? - answer shock
You are drawing blood from a patient and notice red spots. Which of the following action
is appropriate for you to take? - answer apply pressure after collecting the specimen
The phlebotomist must perform a blood draw on a patient with an IV on the right side,
and there has been a mastectomy on the left side. Where should the phlebotomist
perform the blood draw? - answer below the IV
Which of the following is the best method to prevent internal or external bleeding from
the venipuncture site once the needle is removed? - answer apply pressure to prevent
leakage of blood into the tissues
According to CLSI guidelines, which of the following samples should the phlebotomist
draw first? - answerblood cultures
Blood cultures have been ordered on a patient in the intensive care. Which materials
should the phlebotomist bring? - answertwo aeorbic bottles
After placing the tourniquet on a patient's arm, the phlebotomist notices small red spots
below the tourniquet. Which of the following is the correct term for these spots? -
answerpetechiae
A phlebotomist receives orders to draw an infant screening card, O2 levels, bilirubin and
DNA. Which of these should be drawn first? - answerO2 level
A physician ordered a tobramycin level to be drawn one hour after dose. The
tobramycin has been ordered for 1100. Which of the following actions should the
phlebotomist take? - answercheck with the nurse
Which of the following is an example of the acceptable reporting of routine lab results? -
answersend the results to the physician in marked envelope
Why should a phlebotomist avoid drawing blood from the leg or foot of a diabetic? -
answerthese areas are more susceptible to infection
, Which of the following is the best method to collect a blood specimen from an older
adult patient who has fragile, easy to collapse veins? - answerchoose a syringe and
butterfly assembly and use a pediatric tube
After performing a heel puncture for neonatal screening, which of the following is the
correct procedure for collecting blood? - answersaturate each circle
Which of the following is the proper procedure after collecting an ammonia sample? -
answerplace the specimen tube in an ice water slurry
For which of the following must a phlebotomist follow the chain of custody guidelines? -
answerpaternity testing
WBC, RBC, glucose and electrolyte tests are ordered for a patient. The phlebotomist is
unable to find accessible veins and has determined that it is acceptable to perform a
skin puncture. What color tube should be drawn? - answerlavender and red
Which of the following provides you the best protection when drawing blood on a patient
with active TB? - answerN-95 respirator
Which of the following test results are affected when povidone iodine is used to cleanse
the site for a dermal puncture? - answerpotassium, phosphorus or uric acids
A phlebotomist must centrifuge a serum specimen before shipment to an outside
reference laboratory because - answercells must be separated from the serum
Performing a venipuncture for blood cultures differs from other venipuncture procedures
in that - answerthe site is cleaned more stringently
Which of the following could result in a grossly hemolyzed specimen? - answeran
incorrect needle gauge
Before collecting blood on an inpatient, the phlebotomist notices that the patient does
not have a wristband on his wrist, but there is one attached to the patient's IV stand.
Which of the following is the proper action? - answerask the patient to confirm his
identity
Upon entering a patient's room for a routine blood draw, a phlebotomist notices a clergy
member is with the patient. The phlebotomist should - answerreturn after drawing other
patients
Which of the following potential outcomes is the most dangerous if data is entered
incorrectly into the automated Laboratory Information System? - answerthe incorrect
data may be reported to a health care provider
