Quiz: Phlebotomy Exam 3 Part 2


Phlebotomy Exam 3 Part 2Online version Everything from Chapter 8 by Karly Shewell 1 Where is the best place to apply the tourniquet? a About 3-4 inches above the venipuncture site b Immediately above the venipuncture site c Distal to the wrist bone if drawing a hand vein d Distal to the venipuncture site on the forearm 2 When performing a venipuncture, hand decontamination is required: a Before and after each patient b After drawing your last patient c Only before putting on gloves d Only after drawing the patient 3 Your patient is cranky and rude to you. What do you do? a Be as professional as you can and collect the specimen in a normal way. b Ask the patient’s nurse to draw the specimen as you stand by to assist. c Refuse to draw blood from the patient and leave the request for another phlebotomist. d Do not speak to the patient; just get the necessary blood work and leave. 4 What may happen if you mix tubes too vigorously? a Hemolysis b Lipemia c No effect d Jaundice 5 Outpatients who have previously fainted during a blood draw should be: a asked to lie down, or sit in a reclining drawing chair. b permitted to sit in a chair if accompanied by an adult c allowed to sit up in order to carefully watch the draw. d drawn in a separate room that has first aid equipment. 6 Forcing blood into a test tube from a syringe can do all of the following except: a hemoconcentrate the blood. b hemolyze red blood cells. c cause the stopper to pop off. d lead to aerosol formation. 7 An inpatient vehemently refuses to allow you to collect a blood specimen. What should you do? a Notify the patient’s nurse and document the patient’s refusal. b Convince the patient to cooperate and collect the sample anyway. c Have the nurse physically restrain the patient and draw the specimen. d Return to the lab, cancel the test request, and inform the physician. 8 In performing venipuncture, the needle is inserted: a with the bevel facing up. b with the bevel sideways c with bevel side down. d as you prefer. 9 DNR means: a Do not resuscitate b Do not call 911 c Do not call relatives d Do not alert the nurse 10 What is the advantage of using a butterfly? a Butterflies make it easier to draw difficult veins. b Butterflies are less expensive than other needles c There is a greater choice in butterfly needle size. d Blood flows faster than with ETS needles. 11 Which liquid is acceptable to drink when one is fasting? a Plain water b Sugarless tea c Black coffee d Diet Soda 12 To examine by touch or feel is to: a Palpate b Pronate c Anchor d Ambulate 13 Applying pressure on the gauze as the needle is removed can cause the: a Skin to be slit b All choices are correct c Patient to faint d Needle to bend 14 Needle phobia is defined as a/an: a intense fear of needles and being stuck. b inability to watch while others are drawn c personal preference for smaller needles. d anxiety about admission to the hospital. 15 Which test is commonly ordered for a geriatric patient to test for inflammation? a ESR b ANA c CBC d SPEP 16 A butterfly and 23-gauge needle is the best choice to use for venipuncture on a young child because: a Flexible tubing allows for arm movement b Children's veins are often very sclerosed c Children like the idea of using a butterfly d It eliminates excessive bleeding 17 All the following tests have been ordered on a patient in ICU. The nurse agrees to assist the phlebotomist in collecting the specimens. The phlebotomist says that before beginning the collection, a cup of crushed ice and water must be available to cool the volatile specimen. Which specimen will be placed in the ice? a Ammonia b Glucose c Potassium d Bilirubin 18 Which priority does a timed test typically have? a Second b Fourth c Third d First 19 Bending the arm up to apply pressure to the site after venipuncture has not been shown to a Enable the site to quickly stop bleeding after needle removal b Disrupt the platelet plug when the arm is eventually lowered c Increase the possibility of bruising and hematoma formation d Keep the wound open, especially if it is at the side of the arm 20 What is the latest CLSI-recommended way to clean a venipuncture site? a Use friction to clean an area 2-3 inches in diameter in the selected area. b Wipe using a scrubbing motion from the outside area to the center. c Cleanse the area thoroughly with disinfectant using concentric circles. d Cleanse with a circular motion from the center to the periphery. 21 Examples of timed tests include: a blood cultures, cardiac enzymes, and cortisol. b calcium, ferritin, and complete blood count. c creatinine, lactic acid, and reticulocyte count. d basic metabolic panel, potassium, and glucose. 22 Which of the following steps are in the right order for the venipuncture procedure? a Sanitize hands, put on gloves, select the vein, release tourniquet. b Clean the site, prepare equipment, sanitize hands, apply tourniquet. c Select the vein, clean the site, position the patient, put on gloves. d Select the site, apply tourniquet, prepare equipment, clean the site 23 What appears as a large bulging vein in the forearm above the wrist? a AV fistula b IV fistula c Venous Fistula d Hematoma 24 Which of the following requirements do GTT and TDM tests have in common? a Timed specimens b Royal blue top tubes c Iced plasma specimens d Fasting specimens 25 In collecting a blood specimen from an unconscious patient, it is unnecessary to: a move the patient to a special phlebotomy collection area. b talk to the patient as you would to a patient who is alert c have someone assist you just in case the patient moves. d identify yourself and inform the patient of your intent. 26 What is the proper arm position for routine venipuncture? a Downward in a straight line from shoulder to wrist, palm up b Extended straight forward at about waist height and palm up c Straight down to the elbow, parallel elbow to wrist, palm up d Held out at an angle, bent at the elbow, and the palm up 27 A cheerful, pleasant bedside manner and exchange of small talk are unlikely to: a keep the patient from fainting during the venipuncture procedure. b redirect the patient’s thoughts away from what is going to happen. c divert attention from any discomfort associated with the draw. d increase the patient’s confidence in the phlebotomist’s abilities 28 When performing venipuncture, it is important to remove the last tube from the holder before removing the needle from the patient's arm in order to: a prevent blood from dripping out of the needle. b decrease pain associated with needle removal. c minimize tissue fluid contamination of the tube. d reduce the risk of infection at the collection site. 29 Which of the following acts can lead to liability issues? a Lowering a bed rail to make access to the patient’s arm easier. b Asking visitors to leave the room while you draw a specimen. c Drawing a patient who is lying in bed talking on a cell phone. d Pulling the curtain between the beds while drawing a specimen. 30 It is important to mix anticoagulant tubes immediately after filling them to: a Avoid microclot formation b Inhibit hemoconcrentration c Encourage coagulation d Minimize hemolysis

1

Where is the best place to apply the tourniquet?

a

About 3-4 inches above the venipuncture site

b

Immediately above the venipuncture site

c

Distal to the wrist bone if drawing a hand vein

d

Distal to the venipuncture site on the forearm

2

When performing a venipuncture, hand decontamination is required:

a

Before and after each patient

b

After drawing your last patient

c

Only before putting on gloves

d

Only after drawing the patient

3

Your patient is cranky and rude to you. What do you do?

a

Be as professional as you can and collect the specimen in a normal way.

b

Ask the patient’s nurse to draw the specimen as you stand by to assist.

c

Refuse to draw blood from the patient and leave the request for another phlebotomist.

d

Do not speak to the patient; just get the necessary blood work and leave.

4

What may happen if you mix tubes too vigorously?

a

Hemolysis

b

Lipemia

c

No effect

d

Jaundice

5

Outpatients who have previously fainted during a blood draw should be:

a

asked to lie down, or sit in a reclining drawing chair.

b

permitted to sit in a chair if accompanied by an adult

c

allowed to sit up in order to carefully watch the draw.

d

drawn in a separate room that has first aid equipment.

6

Forcing blood into a test tube from a syringe can do all of the following except:

a

hemoconcentrate the blood.

b

hemolyze red blood cells.

c

cause the stopper to pop off.

d

lead to aerosol formation.

7

An inpatient vehemently refuses to allow you to collect a blood specimen. What should you do?

a

Notify the patient’s nurse and document the patient’s refusal.

b

Convince the patient to cooperate and collect the sample anyway.

c

Have the nurse physically restrain the patient and draw the specimen.

d

Return to the lab, cancel the test request, and inform the physician.

8

In performing venipuncture, the needle is inserted:

a

with the bevel facing up.

b

with the bevel sideways

c

with bevel side down.

d

as you prefer.

9

DNR means:

a

Do not resuscitate

b

Do not call 911

c

Do not call relatives

d

Do not alert the nurse

10

What is the advantage of using a butterfly?

a

Butterflies make it easier to draw difficult veins.

b

Butterflies are less expensive than other needles

c

There is a greater choice in butterfly needle size.

d

Blood flows faster than with ETS needles.

11

Which liquid is acceptable to drink when one is fasting?

a

Plain water

b

Sugarless tea

c

Black coffee

d

Diet Soda

12

To examine by touch or feel is to:

a

Palpate

b

Pronate

c

Anchor

d

Ambulate

13

Applying pressure on the gauze as the needle is removed can cause the:

a

Skin to be slit

b

All choices are correct

c

Patient to faint

d

Needle to bend

14

Needle phobia is defined as a/an:

a

intense fear of needles and being stuck.

b

inability to watch while others are drawn

c

personal preference for smaller needles.

d

anxiety about admission to the hospital.

15

Which test is commonly ordered for a geriatric patient to test for inflammation?

a

ESR

b

ANA

c

CBC

d

SPEP

16

A butterfly and 23-gauge needle is the best choice to use for venipuncture on a young child because:

a

Flexible tubing allows for arm movement

b

Children's veins are often very sclerosed

c

Children like the idea of using a butterfly

d

It eliminates excessive bleeding

17

All the following tests have been ordered on a patient in ICU. The nurse agrees to assist the phlebotomist in collecting the specimens. The phlebotomist says that before beginning the collection, a cup of crushed ice and water must be available to cool the volatile specimen. Which specimen will be placed in the ice?

a

Ammonia

b

Glucose

c

Potassium

d

Bilirubin

18

Which priority does a timed test typically have?

a

Second

b

Fourth

c

Third

d

First

19

Bending the arm up to apply pressure to the site after venipuncture has not been shown to

a

Enable the site to quickly stop bleeding after needle removal

b

Disrupt the platelet plug when the arm is eventually lowered

c

Increase the possibility of bruising and hematoma formation

d

Keep the wound open, especially if it is at the side of the arm

20

What is the latest CLSI-recommended way to clean a venipuncture site?

a

Use friction to clean an area 2-3 inches in diameter in the selected area.

b

Wipe using a scrubbing motion from the outside area to the center.

c

Cleanse the area thoroughly with disinfectant using concentric circles.

d

Cleanse with a circular motion from the center to the periphery.

21

Examples of timed tests include:

a

blood cultures, cardiac enzymes, and cortisol.

b

calcium, ferritin, and complete blood count.

c

creatinine, lactic acid, and reticulocyte count.

d

basic metabolic panel, potassium, and glucose.

22

Which of the following steps are in the right order for the venipuncture procedure?

a

Sanitize hands, put on gloves, select the vein, release tourniquet.

b

Clean the site, prepare equipment, sanitize hands, apply tourniquet.

c

Select the vein, clean the site, position the patient, put on gloves.

d

Select the site, apply tourniquet, prepare equipment, clean the site

23

What appears as a large bulging vein in the forearm above the wrist?

a

AV fistula

b

IV fistula

c

Venous Fistula

d

Hematoma

24

Which of the following requirements do GTT and TDM tests have in common?

a

Timed specimens

b

Royal blue top tubes

c

Iced plasma specimens

d

Fasting specimens

25

In collecting a blood specimen from an unconscious patient, it is unnecessary to:

a

move the patient to a special phlebotomy collection area.

b

talk to the patient as you would to a patient who is alert

c

have someone assist you just in case the patient moves.

d

identify yourself and inform the patient of your intent.

26

What is the proper arm position for routine venipuncture?

a

Downward in a straight line from shoulder to wrist, palm up

b

Extended straight forward at about waist height and palm up

c

Straight down to the elbow, parallel elbow to wrist, palm up

d

Held out at an angle, bent at the elbow, and the palm up

27

A cheerful, pleasant bedside manner and exchange of small talk are unlikely to:

a

keep the patient from fainting during the venipuncture procedure.

b

redirect the patient’s thoughts away from what is going to happen.

c

divert attention from any discomfort associated with the draw.

d

increase the patient’s confidence in the phlebotomist’s abilities

28

When performing venipuncture, it is important to remove the last tube from the holder before removing the needle from the patient's arm in order to:

a

prevent blood from dripping out of the needle.

b

decrease pain associated with needle removal.

c

minimize tissue fluid contamination of the tube.

d

reduce the risk of infection at the collection site.

29

Which of the following acts can lead to liability issues?

a

Lowering a bed rail to make access to the patient’s arm easier.

b

Asking visitors to leave the room while you draw a specimen.

c

Drawing a patient who is lying in bed talking on a cell phone.

d

Pulling the curtain between the beds while drawing a specimen.

30

It is important to mix anticoagulant tubes immediately after filling them to:

a

Avoid microclot formation

b

Inhibit hemoconcrentration

c

Encourage coagulation

d

Minimize hemolysis

Phlebotomy Exam 3 Part 2

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