An inpatient with a left-sided mastectomy has a hematoma in the left arm and
an active IV in the right arm. Which of the following is an appropriate site for
venipuncture?
A. Distal to the IV
B. Proximal to the IV
C. Distal to the hematoma
D. Proximal to the hematoma - ✔ ✔ Distal to the IV
The phlebotomist applies pressure to the venipuncture site using gauze. After
two minutes he observes that bleeding has not stopped. The NEXT appropriate
action would be to
A. elevate the arm while applying pressure.
B. wrap the arm with a pressure dressing.
C. continue to apply pressure while bending the arm at the elbow.
,D. notify the physician immediately. - ✔ ✔ elevate the arm while applying
pressure
Elevating the arm reduces the pressure from the flow of blood, i.e., the blood is
flowing down the arm. The venipuncture wound will heal more easily without
the pressure from the blood flow.
While performing a venipuncture, immediately before removing the needle, the
phlebotomist should
A. activate the needle safety mechanism.
B. release the tourniquet.
C. gently invert the evacuated tubes.
D. apply a gauze pressure dressing. - ✔ ✔ release the tourniquet
How long should pressure be applied on the venipuncture site for a patient on
Coumadin therapy?
A. 1 min
B. 3 min
,C. 5 min
D. 10 min - ✔ ✔ 5 min
A phlebotomist receives an order to collect a cold agglutinin specimen. The
phlebotomist should
A. keep the specimen at room temperature.
B. maintain the specimen at 37 degrees Celsius.
C. transport the specimen on ice.
D. protect the specimen from light. - ✔ ✔ maintain the specimen at 37
degrees Celsius
Which of the following information is contraindicated for patient identification
at the time of draw?
A. Insurance number
B. Social security number
C. Date of birth
D. Full name - ✔ ✔ Insurance number
, An insurance number is not a common means of positive patient identification
A phlebotomist has received a requisition to draw a bilirubin on an infant with
jaundice. The phlebotomist should
A. protect the specimen from light.
B. invert the specimen immediately.
C. transport the specimen on ice.
D. draw a waste tube. - ✔ ✔ protect the specimen from light.
A physician has ordered STAT hematology, chemistry, and coagulation tests on a
patient. Which of the following tubes are needed for these procedures? (Select
the three (3) correct answers.)
A. Lavender
B. Gray
C. Light blue
D. Green