PHLEBOTOMY CERTIFICATION EXAM
QUESTIONS AND ANSWERS LATEST TOP
1. Capillary Puncture ANS >>> 3rd or 4th finger for adults, heel stick for infants;
Lancet cut across ridges; hold the tube horizontal when filling. Don't sqeeze finger
too tightly or milk the finger. Wipe off 1st drop.
2. The vein can collapse ANS >>> If you pull on the plunger of the syringe too
hard or too quickly during a draw or you use too strong of a vaccum for the vein,
this can happen...
3. Anticoagulant ANS >>> An agent used to preven blood clotting and to keep the
specimen whole blood
4. Red top ANS >>> NO ADDITIVE --- Clot Forms ----Serum used for
Chemistries, Elec- trolytes, Thyroids (TSH, T4), Hormone, Liver, Kidney, Lipid
stuidies, CMP, BMP.
5. Tiger top ANS >>> Aka Red/Gray top ANS >>> Clot activator additive - Clot
Forms - SERUM STUDIES
6. Lavender top ANS >>> EDTA additive - No Clot - WHOLE BLOOD for ANS >>>
Complete blood count (CBC), Blood smear, Blood banking (ABO/Rh), ESR,
HCT, Hmg,Glyco Alc
****Must be filled sufficiently and inverted (gentle rocked) several times****
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, 7. Gold Top ANS >>> Clot activator additive - Clot Forms - SERUM Studies
8. Grey top ANS >>> Sodium Fluoride/Potassium oxalate - Glucose, Alcohol, FBS
9. Light blue top ANS >>> Sodium citrate additive - No Clot - Used for coagulation
studies (PT, PTT) ****Tube must be filled to the proper level and inverted (gentle
rocked) several times****
10. Wipe away the first drop ANS >>> We do this to remove tissue juices, skin cells,
alcohol, contaminates, avoid activating clotting process, avoid producing incorrect
results, avoid diluting specimen.
11. The basilic, cephilic, and the median ANS >>> What veins are in the antecubica
area?
12. Hemoconcentration ANS >>> This is the increase of the cellular/solid elements
in direct ratio to plasma This can be caused by "pumping of the fist" and begins
after the tourniquet is left on longer than 1 minute.
13. Provodine/iodine ANS >>> Agent used on the skin to sterilize the area.
14. Tourniquet ANS >>> Elastic device used ti restrict blood flow to distend veins
for phel- botomy.
15. Wing infusion set ANS >>> Aka butterfly - for small or fragile veins or difficult
veins
16. Erythrocytes, leukocytes, and Thrombocytes (Platelets) ANS >>> The solid
portion of blood contains ANS >>>
17. Plasma ANS >>> The liquid portion of whole blood; contains all clotting factor
18. Serum ANS >>> The liquid portion of clotted blood; contains NO clotting factors.
19. 3-4 inches abouve the puncture site. 1 minute. ANS >>> Where should the
tourniquet be placed in regards to the draw site and how long should it be left on?
20. Immediately remove the tourniquet and needle and stop the patient from
falling. Lower the patients head and arms. Put something cold on the back of
https://www.stuvia.com/user/CULTIVATED 2/5
QUESTIONS AND ANSWERS LATEST TOP
1. Capillary Puncture ANS >>> 3rd or 4th finger for adults, heel stick for infants;
Lancet cut across ridges; hold the tube horizontal when filling. Don't sqeeze finger
too tightly or milk the finger. Wipe off 1st drop.
2. The vein can collapse ANS >>> If you pull on the plunger of the syringe too
hard or too quickly during a draw or you use too strong of a vaccum for the vein,
this can happen...
3. Anticoagulant ANS >>> An agent used to preven blood clotting and to keep the
specimen whole blood
4. Red top ANS >>> NO ADDITIVE --- Clot Forms ----Serum used for
Chemistries, Elec- trolytes, Thyroids (TSH, T4), Hormone, Liver, Kidney, Lipid
stuidies, CMP, BMP.
5. Tiger top ANS >>> Aka Red/Gray top ANS >>> Clot activator additive - Clot
Forms - SERUM STUDIES
6. Lavender top ANS >>> EDTA additive - No Clot - WHOLE BLOOD for ANS >>>
Complete blood count (CBC), Blood smear, Blood banking (ABO/Rh), ESR,
HCT, Hmg,Glyco Alc
****Must be filled sufficiently and inverted (gentle rocked) several times****
https://www.stuvia.com/user/CULTIVATED 1/5
, 7. Gold Top ANS >>> Clot activator additive - Clot Forms - SERUM Studies
8. Grey top ANS >>> Sodium Fluoride/Potassium oxalate - Glucose, Alcohol, FBS
9. Light blue top ANS >>> Sodium citrate additive - No Clot - Used for coagulation
studies (PT, PTT) ****Tube must be filled to the proper level and inverted (gentle
rocked) several times****
10. Wipe away the first drop ANS >>> We do this to remove tissue juices, skin cells,
alcohol, contaminates, avoid activating clotting process, avoid producing incorrect
results, avoid diluting specimen.
11. The basilic, cephilic, and the median ANS >>> What veins are in the antecubica
area?
12. Hemoconcentration ANS >>> This is the increase of the cellular/solid elements
in direct ratio to plasma This can be caused by "pumping of the fist" and begins
after the tourniquet is left on longer than 1 minute.
13. Provodine/iodine ANS >>> Agent used on the skin to sterilize the area.
14. Tourniquet ANS >>> Elastic device used ti restrict blood flow to distend veins
for phel- botomy.
15. Wing infusion set ANS >>> Aka butterfly - for small or fragile veins or difficult
veins
16. Erythrocytes, leukocytes, and Thrombocytes (Platelets) ANS >>> The solid
portion of blood contains ANS >>>
17. Plasma ANS >>> The liquid portion of whole blood; contains all clotting factor
18. Serum ANS >>> The liquid portion of clotted blood; contains NO clotting factors.
19. 3-4 inches abouve the puncture site. 1 minute. ANS >>> Where should the
tourniquet be placed in regards to the draw site and how long should it be left on?
20. Immediately remove the tourniquet and needle and stop the patient from
falling. Lower the patients head and arms. Put something cold on the back of
https://www.stuvia.com/user/CULTIVATED 2/5
