Chapter 8: Venipuncture Procedures Test

1. 1When properly anchoring a vein, the:

   1. Aindex and middle fingers are pulling the skin parallel to the arm just below the site.
   2. Bindex finger is pulling the skin above the site and thumb is pulling toward the wrist.
   3. Cthumb is 1 to 2 in. below the intended site and is pulling the skin toward the wrist.
   4. Dthumb is next to the intended vein and pressing heavily downward into the tissue.
2. 2Which of the following actions is unlikely to help a phlebotomist gain a patient's trust?

   1. AActing confident and assured in bedside manner
   2. BBeing professional in dress and personal appearance
   3. CCollecting a specimen before the requested time
   4. DRemaining at ease while interacting with the patient
3. 3It is unlikely that misidentifying a patient specimen would result in:

   1. Aa civil action malpractice lawsuit.
   2. Bbeing dismissed from the facility.
   3. Cno reprimand if no one was hurt.
   4. Dtemporary suspension of duties.
4. 4Needle phobia is defined as a/an:

   1. Aanxiety about admission to the hospital.
   2. Binability to watch while others are drawn.
   3. Cintense fear of needles and being stuck.
   4. Dpersonal preference for smaller needles.
5. 5Symptoms of needle phobia can include:

   1. Aarrhythmia.
   2. Bfainting.
   3. Clight-headedness.
   4. Dall of the above.
6. 6A basic step that can be taken to minimize any trauma associated with a venipuncture is to:

   1. Aallow the patient to sit in the waiting room for half an hour before collection.
   2. Bchoose the most skilled phlebotomist available to perform the venipuncture.
   3. Chave the patient wear an eye mask or close his or her eyes during the procedure.
   4. Dthoroughly explain every detail of the draw before doing the venipuncture.
7. 7Proper use of a hand sanitizer includes:

   1. Aallowing the alcohol to evaporate completely.
   2. Brubbing it in between and around the fingers.
   3. Cusing a very generous amount of the sanitizer.
   4. Dall of the above.
8. 8To examine by touch or feel is to:

   1. Aambulate.
   2. Banchor.
   3. Cpalpate.
   4. Dpronate.
9. 9In most cases, needle insertion should be performed:

   1. Aat a 45-degree angle to the surface of the arm.
   2. Busing a smooth, steady motion forward.
   3. Cwith a deliberate and rapid forward jab.
   4. Dwith the bevel of the needle face down.
10. 10To "seat" the needle in the vein means to:

    1. Aanchor the vein while inserting the needle.
    2. Bincrease the angle needed to enter the vein.
    3. Credirect the needle to gain entry to the vein.
    4. Dthread part of the needle within the lumen.

11. 11Going without food or drink except water for 8 to 12 hours is defined as:

    1. Afasting.
    2. BNPO.
    3. Croutine.
    4. DTDM.
12. 12The reason a test is ordered "timed" is to:

    1. Aassess a patient's condition after surgery.
    2. Bdetermine patient suitability for surgery.
    3. Cdraw it at the best time for accurate results.
    4. Destablish a clinical diagnosis or prognosis.
13. 13Examples of timed tests include:

    1. Abasic metabolic panel, potassium, and glucose.
    2. Bblood cultures, cardiac enzymes, and cortisol.
    3. Ccalcium, ferritin, and complete blood count.
    4. Dcreatinine, lactic acid, and reticulocyte count.
14. 14A test is ordered "fasting" to:

    1. Aassess a patient after outpatient surgery.
    2. Beliminate the effects of diet on test results.
    3. Cdetermine patient eligibility for surgery.
    4. Dstandardize test results on critical patients.
15. 15Bending the arm up to apply pressure to the site after venipuncture has not been shown to:

    1. Adisrupt the platelet plug when the arm is eventually lowered.
    2. Benable the site to quickly stop bleeding after needle removal.
    3. Cincrease the possibility of bruising and hematoma formation.
    4. Dkeep the wound open, especially if it is at the side of the arm.
16. 16The unique number assigned to a specimen request is called the:

    1. Aaccession number.
    2. Bhealth facility number.
    3. Cpatient date of birth.
    4. Dpatient ID number.
17. 17Failure of the patient to follow required diet restrictions before specimen collection could lead to:

    1. Acompromised patient care and treatment.
    2. Berroneous and meaningless test results.
    3. Cmisinterpreted test results by the physician.
    4. Dall of the above.
18. 18Which of the following individuals has legal authority to authorize patient testing?

    1. ALaboratory director
    2. BPatient's nurse
    3. CPatient's physician
    4. DPhlebotomist
19. 19Test requisition information must include the:

    1. Aordering physician.
    2. Bpatient's diagnosis.
    3. Cpatient's location.
    4. Dprior draw times.
20. 20Which type of requisition often serves as a test request report, and billing form?

    1. ABar code
    2. BComputer
    3. CManual
    4. DVerbal
21. 21Using information from the computer requisition, identify the number that points to the type of tube to be drawn:

    

    1. A1
    2. B2
    3. C3
    4. D4
22. 22Using information from the computer requisition, identify the number that points to the patient's age:

    

    1. A1
    2. B6
    3. C7
    4. D9
23. 23Using information from the computer requisition, identify the number that points to the accession number:

    

    1. A1
    2. B3
    3. C6
    4. D7
24. 24Information represented by a patient ID bar code typically includes the patient's:

    1. Acredit information and employer.
    2. BDNA information and next of kin.
    3. Chealth status and lab test results.
    4. Dmedical record number and name.
25. 25Outpatient requisitions are typically of this type:

    1. AComputer
    2. BE-mail
    3. CManual
    4. DVerbal
26. 26When received by the laboratory, inpatient requisitions are typically sorted according to:

    1. Aalphabetical order by name and then by test requested.
    2. Bcollection priority, date and time, and patient location.
    3. Cdifficulty of draw and type of equipment needed.
    4. Dproximity of the patient's room to the laboratory.
27. 27Steps taken to unmistakably connect a specimen and the accompanying paperwork to a specific individual are called:

    1. Aaccessioning the specimen.
    2. Bbar-coding specimen labels.
    3. Ccollection verification.
    4. Dpatient identification.
28. 28Which priority does a timed test typically have?

    1. AFirst
    2. BSecond
    3. CThird
    4. DFourth
29. 29A test that is ordered stat should be collected:

    1. Aas soon as it is possible to do so.
    2. Bimmediately, without any hesitation.
    3. Con the next closest scheduled sweep.
    4. Dwithin 1 hour of the test request.
30. 30Which of the following tests is commonly ordered stat?

    1. Acreat
    2. Bdiff
    3. Clytes
    4. DRAST
31. 31If a test is ordered stat, it may mean that the patient is in:

    1. Acritical condition.
    2. Bfragile condition.
    3. Crehabilitation.
    4. Dtransition status.
32. 32When a test is ordered ASAP, it means that:

    1. Athe patient is in critical condition and needs immediate attention.
    2. Bthe patient requires a test in which timing of collection is critical.
    3. Cresults are needed soon for an appropriate response.
    4. Dresults from blood work are needed for medication.
33. 33A preop patient:

    1. Ahas been admitted to the hospital.
    2. Bis an ambulatory outpatient.
    3. Cis being assessed after surgery
    4. Dwill soon be going to surgery.
34. 34Tests are classified as routine if they are ordered:

    1. Afor collection at a specific time and place.
    2. Bin the course of establishing a diagnosis.
    3. Cto assess a patient's condition after surgery.
    4. Dto specifically eliminate the effects of diet.
35. 35This term means the same as stat:

    1. AFasting
    2. BMed emerg
    3. CPostop
    4. DTimed
36. 36A patient who is NPO:

    1. Acannot have any food or drink.
    2. Bcannot have anything but water.
    3. Cis in critical but stable condition.
    4. Dis recovering from minor surgery.
37. 37An example of a test that is commonly ordered fasting is:

    1. ABUN.
    2. Bcortisol.
    3. Cglucose.
    4. DPTT.
38. 38Which liquid is acceptable to drink when one is fasting?

    1. ABlack coffee
    2. BDiet soda
    3. CPlain water
    4. DSugarless tea
39. 39Which is a common postop test?

    1. ACBC
    2. BESR
    3. CH&H
    4. DPTT
40. 40You arrive to draw a specimen on an inpatient. The patient's door is closed. What do you do?

    1. AKnock lightly, open the door slowly, and ask whether it is all right to enter.
    2. BKnock softly and wait for someone in the room to come to the door.
    3. CLeave to draw another patient in the same area and come back later.
    4. DOpen the door, announce yourself, ad quickly proceed into the room.
41. 41There is a sign above the patient's bed that reads, "No blood pressures or venipuncture, right arm," as seen in Fig 8-2. The patient has an intravenous (IV) line in the left forearm. You have a request to collect a complete blood count (CBC) on the patient. How should you proceed?

    

    1. AAsk the patient's nurse to collect the specimen from the IV.
    2. BAsk the patient's nurse what to do when the sign is posted.
    3. CCollect a CBC from the right arm without using a tourniquet.
    4. DCollect the specimen from the left hand by finger puncture.

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CHG-1730 Principles of Phlebotomy Quiz on Chapter 8: Venipuncture Procedures Test, created by codydrake on 24/02/2016.

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