Phlebotomy Drills

1. 1Sodium citrate tubes are used for what purpose?

   1. AHematology tests
   2. BBlood Banking
   3. Cantibody
   4. DCoagulation
   5. ESerology
2. 2Which of the following is true for laboratory testing with serum tubes?

   1. AUsed for over half of all blood tests since it is for chemistry tests
   2. BOnly one test can be performed (ESR)
   3. CRestricted for virology use only
   4. DUsed for many coagulation tests
   5. ENone of the answers are correct
3. 3What is the main reason for using a BLUE tube?

   1. ADoctor wants to know if pt's blood clotting ability is functioning properly
   2. BPt is taking medication that affects red blood cells
   3. CPt has a hematocrit test ordered
   4. DPt is being tested for antibody levels
   5. EDoctor wants to know the pt's percentage of red blood cells
4. 4Which of the following tubes would most typically be used for a stat chemistry test such as a potassium test (K) or a basic metabolic panel (BMP)?

   1. ALavendar
   2. BMint Green
   3. CPlain Red
   4. DGold
   5. EBlue
5. 5Which tube is a plasma tube and allows the lab to perform a test on plasma?

   1. APlain Red Plastic
   2. BPlain Red Glass
   3. CGold
   4. DBlue
   5. ETiger
6. 6Which tube is typically used for testing for antibodies?

   1. AGold
   2. BBlue
   3. CPurple
   4. DGreen
7. 7 Which tube is used for counting the red blood cells and determining the count and differential of EACH TYPE of white blood cells?

   1. ALavender
   2. BBlue
   3. CLt Blue
   4. DGreen
   5. EGold
8. 8Which tube is used to draw a little blood into it so as to clear the line of a butterfly from the air inside it?

   1. ARed
   2. BGold
   3. CTiger
   4. Ddiscard
9. 9 Which tube is mixed (inverted) more times than the other tubes after the tube has been filled with blood?

   1. ALavender
   2. Bblue
   3. Cgold
   4. Ddiscard
   5. Egreen
10. 10 The Becton-Dickinson company manufactures a "pink" tube. What is the purpose of this tube?

    1. Afor blood count tests
    2. Bfor virology tests
    3. Cfor blood typing tests
    4. Dfor antibody tests

11. 11 Serum tubes are… (only ONE answer is correct)

    1. ATiger Red
    2. BGreen
    3. CGold, Red, Tiger Red
    4. DGold or Red
    5. EBlue, Green or Purple
    6. FPurple
12. 12Which of the following is the additive in lavender (purple) topped tubes?

    1. AEDTA
    2. BHeparin
    3. CClot activator
    4. DSodium chloride
    5. ESodium citrate
13. 13Which of the following is an inert, synthetic substance that is put into some tubes to help form a barrier?

    1. AEDTA
    2. BSodium citrate
    3. CClot activator
    4. DGel
    5. EHeparin
14. 14Which of the following additives is an anticoagulant? (only ONE answer is correct)
    

    1. AAll but gel and clot activator
    2. BGel
    3. CHeparin
    4. DSodium citrate
    5. EClot activator
    6. FAll but gel
    7. GAll but gel and sodium citrate
    8. HEDTA
15. 15 What do the gold and tiger red tubes have in common?

    1. AGel and extra clot activator
    2. BIdentical stoppers
    3. CGel
    4. DAnticoagulant
    5. EClot activator
16. 16Which additive preserves the shape of blood cells and stops platelets from clumping?

    1. AEDTA
    2. Bgel
    3. CHistamine
    4. DClot activator
17. 17 There is more than one type of heparin additive.

    1. ATRUE: there are 3 types - sodium, lithium, or ammonium.
    2. BFALSE: there are only 2 types - sodium & lithium.
    3. CFALSE: there is only 1 type - sodium.
    4. DTRUE: there are 3 types - sodium, lithium, or plasma.
18. 18 If a tube has an additive within it, what must be remembered?

    1. Ait must be inverted after the draw
    2. Bit must be refrigerated within 24 hours
    3. Cit must be filled to the minimal fill level at all times
    4. Dit must be carefully shook for a specified amount of time
19. 19Which of the following tubes is a plasma separator tube?

    1. Alavender
    2. Bgold or tiger red
    3. Cblue
    4. Dlight green (mint)
20. 20What is the additive in the white topped tube ("pearl top")?

    1. Asodium citrate
    2. Bclot activator
    3. Cheparin
    4. DEDTA
21. 21Another term for sodium is...

    1. AEDTA
    2. BNa
    3. CK2
    4. DK
    5. ENi
    6. Fsalt
22. 22 The walls of veins are thinner than the walls of arteries.

    1. AVerdadero
    2. BFalso
23. 23The narrow white band that lies above the RBCs in a tube that has been spun down is called the ______ coat. Type in only ONE word!

    1. Abuffy
    2. BSlimy
    3. CClear
    4. DPlasma
24. 24 Hemoconcentration of the blood specimen is what?

    1. Atoo much serum
    2. Btoo much plasma
    3. Ctoo many RBCs
    4. Dtoo many clots
25. 25If a blood tube is left standing, the red cells, white cells, platelets, and liquid (plasma or serum) will separate because of what reason?

    1. AThey separate because of color.
    2. BThey separate because plasma is heavier than the red or white cells.
    3. CThey separate because of their different densities.
    4. DThey don't actually separate.
26. 26Plasma is

    1. A90% water
    2. B100% water
    3. C10% water
    4. D50% water
    5. E20% water
27. 27Most laboratory tests are performed on what portion of the blood?

    1. Asolutes of formed elements
    2. Bsolutes of clotting factors
    3. Csolutes of plasma (or serum)
    4. Dsolutes of water
28. 28Serum test = fluid after clotting that must be spun down used by several labs but mostly for chemistry

    1. AVerdadero
    2. BFalso
29. 29whole blood= mixed with anticoagulant and often used for hematology test like CBC

    1. AVerdadero
    2. BFalso
30. 30Plasma=Mixed with anticoagulant and can be spun down a liquid used for STAT chemistry panels

    1. AVerdadero
    2. BFalso
31. 31Which of the following is NOT a term used for hematocrit?

    1. AHGB
    2. Bcrit
    3. CHct
    4. DHCT
    5. Ehct
32. 32Valves use force to push blood in towards the heart.

    1. AVerdadero
    2. BFalso
33. 33If a tube of unclotted blood is left standing for some time, you will find the buffy coat in beween the serum and the RBCs.

    1. AVerdadero
    2. BFalso
34. 34Serum can be centrifuged immediately.

    1. AVerdadero
    2. BFalso
35. 35What molecule exists in high numbers inside a red blood cell that helps with the transporting of oxygen?

    1. Ahemoglobin
    2. Bhematoma
    3. Chemocyte
    4. Dhemolysis
    5. Ehematocrit
36. 36What does serum lack? (think of what happens during clotting process)

    1. Afibrinogen
    2. Bhormones
    3. Calbumin
    4. Dpotassium
37. 37Arteries carry blood to the heart.

    1. AVerdadero
    2. BFalso
38. 38Most of the venous system flows with the pull of gravity.

    1. AVerdadero
    2. BFalso
39. 39What does an anticoagulant do?

    1. Aspeed up clotting
    2. Bprevent clotting
    3. Cslow down clotting
40. 40What is the approximate percent of total blood volume that is plasma?

    1. A40 %
    2. B55 %
    3. C45 %
    4. D50 %
    5. E60 %
41. 41 Thrombocyte is the scientific term for which of the following?

    1. Aprotein in plasma
    2. Bplatelet
    3. Cbuffy coat
    4. Dmegakaryocyte
42. 42 Which of the following are not a fully functional cell?

    1. Alymphocyte
    2. Bred blood cell
    3. Cneutrophil
    4. Dmonocyte
43. 43What is hemoglobin?

    1. Aa particle
    2. Ba solute
    3. Ca red blood cell
    4. Da protein
    5. Ea cell
44. 44 Serum is the remaining fluid portion of

    1. Aplatelets
    2. Bunclotted blood.
    3. Cplasma
    4. Dclotted blood
45. 45 A WBC 'differential' test determines what?

    1. AThe percentage of each type of WBC.
    2. BThe percentage of monocytes.
    3. CThe numbers of WBCs and platelets.
    4. DThe number of monocytes.
46. 46Platelets help with what bodily process?

    1. Aimmune response
    2. Bclotting process
    3. Chormonal response
    4. Dfighting infection
    5. Emanufacture of antibodies
47. 47 Most laboratory tests are performed on what portion of the blood?

    1. Asolutes of formed elements
    2. Bsolutes of clotting factors
    3. Csolutes of water
    4. Dsolutes of plasma (or serum)
48. 48What color is plasma?

    1. Awhite
    2. Bclear
    3. Cstraw colored
    4. Dpale pink
    5. Ered
49. 49Why is venous blood darker than arterial blood?

    1. AIt depends on whose blood it is.
    2. BVenous blood is oxygen poor
    3. CVenous blood is oxygen rich
50. 50What is the percent of normal total blood volume that are red blood cells (RBCs)?

    1. A45%
    2. B55%
    3. C35%
    4. D65%
51. 51Who has the higher percentage of RBCs?

    1. AMen in general
    2. BWomen in general
    3. CMen under 50 years of age.
    4. DWomen under 50 years of age.
52. 52Platelets are fully functional cells.

    1. AVerdadero
    2. BFalso
53. 53Cells without nuclei are not considered to be "fully functional" cells. Are erythrocytes fully functional cells?

    1. AVerdadero
    2. BFalso
54. 54Arteries carry carbon dioxide and wastes.

    1. AVerdadero
    2. BFalso
55. 55Arteries carry blood to the heart.

    1. AVerdadero
    2. BFalso
56. 56Palpation of a pulse indicates what structure?

    1. ACapillary
    2. BArtery
    3. CTendon
    4. DVein
57. 57What is the term used for describing the shape of a red blood cell?

    1. Atriconcave
    2. Bbyconcave
    3. Cbiconcave
    4. Dbicavecon
58. 58 In human biology, structure always helps determine function. The bi-concave shape of erythrocytes determines their functions by

    1. Aall of the above
    2. Ballowing passageway through narrow capillaries
    3. Cnone of the above
    4. Dallowing extra surface area to carry O2
59. 59Capillary blood is what component?

    1. AArterial and venous blood
    2. BVenous blood
    3. CArterial blood
60. 60Fibrinogen is found in serum.

    1. AVerdadero
    2. BFalso
61. 61What are the two major blood antigen types?

    1. ARBCs group and WBCs group
    2. Bantigen and antibody groups
    3. CABO group and Rh group
    4. DABC group and Rh group
62. 62Blood vessels are always the same dimension.

    1. AVerdadero
    2. BFalso
63. 63 Valves use force to push blood in towards the heart.

    1. AVerdadero
    2. BFalso
64. 64 What is the percent of normal total blood volume that are red blood cells (RBCs)?

    1. A35%
    2. B45%
    3. C55%
    4. D65%
65. 65Approximately what percent of total blood volume makes up the layer of separated blood referred to as the buffy coat?

    1. A1
    2. B10
    3. C100
    4. D.001 %
    5. E.01 %
66. 66 Which of the following are not a fully functional cell?

    1. Alymphocyte
    2. Bred blood cell
    3. Cmonocyte
    4. Dneutrophil
67. 67Which tube is used for a protime test?

    1. Apurple
    2. Bgray
    3. Cgreen
    4. Dblue
    5. Emint green
68. 68 Which test below needs to be put immediately on ice after the draw?

    1. APro
    2. BHGB
    3. Cammonia
    4. DHFPA
    5. ECPAING
69. 69 Which of the following tests cannot be run on any of the tubes for the other tests listed? (ie, one of these is not like the other...)

    1. ACMP
    2. BHCT
    3. CCBC
    4. DRBC
    5. EWBC
70. 70 You need to explain tube inversions to a newly hired phlebotomist. Which of the following would be correct?

    1. Ablue inverted 1-2 times, red & gold inverted 5 times, all others 8 times
    2. Bblue inverted 5 times, red & gold inverted 8 times, all others 5 times
    3. Cblue inverted 3-4 times, red & gold inverted 5 times, all others 8 times
    4. Dblue inverted 3-4 times, red & gold inverted 5 times, all others 6 times
71. 71The most rejected tube in the laboratory is the…

    1. ARed
    2. BGold
    3. CBlue
    4. DGreen
72. 72You need to draw an inpatient in the hand for a stat potassium, a protime, and a CBC. What are your tubes and what is the order of draw?

    1. Adiscard, blue, mint green, purple
    2. Bdiscard, blue, plain red, purple
    3. Cgold, blue, purple
    4. Ddiscard, blue, gold, pearl
73. 73 Which tube is typically used for testing for antibodies?

    1. ADark green
    2. BGold
    3. CPurple
    4. DBlue
74. 74The difference between a plastic red tube and a plastic gold tube?

    1. Ared is for serum tests, gold is for coagulation tests
    2. Bred tube has gel, gold has more gel
    3. Cred has more clot activator than gold
    4. Dred tube is glass, gold is plastic
    5. Ered clots in 45-60 minutes, gold in about 20-30 minutes
75. 75Lime green tubes are often used for what kind of common lab tests?

    1. APT, PTT
    2. Btimed tests
    3. CSTAT chemistry
    4. Dhormone tests
    5. ECBCs
76. 76Which of the following BEST simplifies what a reflexive test is?

    1. AA test that requires special consent to perform.
    2. BA test that requires additional testing if reactive and almost always at an additional cost.
    3. CA unique test performed at specialty laboratories at an additional cost.
    4. DA test that requires additional test or tests all at the same cost for the patient.
77. 77Which tube is used for a hemoglobin test?

    1. Apurple
    2. Bblue
    3. Cgray
    4. Dred
    5. Emint green
78. 78You are about the draw blood from a patient. You touch the needle to the skin but change your mind and pull the needle away. What do you do next?

    1. ATry it again immediately with the same needle.
    2. BStop and obtain a new needle before trying again.
    3. CWipe the needle across an alcohol pad and try again.
    4. DClean the site and try again with the same needle.
79. 79Your patient is not wearing an ID band. You find the ID band taped to the bed rails. The information matches your requisition/labels. What do you do?

    1. AGo to the nurses' station, get an ID band, attach it, and proceed.
    2. BAsk the patient's nurse to attach an ID band. Once it is attached, collect the sample.
    3. CTell the nurse you will not collect the specimen.
    4. DAsk the patient to state her name; if it matches the requisition, continue with collecting the specimen.
80. 80Which liquid is acceptable to drink when one is fasting?

    1. Adiet soda
    2. Bwater
    3. Cblack coffee
    4. Dsugarless tea
81. 81If the patient asks whether the procedure will hurt, you should say it

    1. Ais painless and will be over before you know it.
    2. Bhurts only if the phlebotomist is inexperienced.
    3. Cmight hurt just a little, but only for a short time.
    4. Dcould hurt if you watch, so look the other way.
82. 82Prior to a draw, never leave a tourniquet on for more than

    1. A3 minutes
    2. B1 minute
    3. C2 minutes
    4. D30 seconds
83. 83An inpatient refuses to allow you perform a blood draw. What do you do?

    1. AAsk the patient if he/she is sure, and notify the patient's nurse. Document the refusal
    2. BReturn to the lab, cancel the test request, and inform the physician.
    3. CConvince the patient to cooperate and collect the sample anyway.
    4. DHave the nurse physically restrain the patient and draw the specimen.
84. 84When performing a VP, hand decontamination is required

    1. Aonly after drawing the patient.
    2. Bonly before putting on gloves.
    3. Cbefore and after each patient.
    4. Dafter drawing your last patient.
85. 85Labeling of routine inpatient blood specimens should take place

    1. Ain the lab after collection.
    2. Bbefore the blood specimens are collected.
    3. Cat the bedside immediately after collection
    4. Doutside the patient's room after collection.
86. 86When properly anchoring a vein, the

    1. Aindex finger is pulling the skin above the site, and the thumb is pulling the skin below the site.
    2. Bindex and middle fingers are pulling the skin parallel to the arm just below the site
    3. Cthumb is one to two inches below the intended site, and is pulling the skin in accordance with the direction of the vein
    4. Dthumb is next to the intended vein and pressing heavily downward into the tissue
87. 87 If a patient is known to be combative and you are asked to collect a blood sample from him, what should you do?

    1. AEnlist another person's assistance if necessary.
    2. BAll of the above.
    3. CMake sure you have an unobstructed exit route.
    4. DPlace all of your equipment out of the patient's reach.
88. 88 You arrive to draw a specimen on an inpatient, and see a sign above the bed that reads, "No BP or venipuncture on right arm." The patient has an IV line in the left forearm. You have orders to collect a CBC on the patient. How should you proceed?

    1. AAsk the patient's nurse to collect the specimen from the IV.
    2. BCollect the specimen from the left hand using a butterfly.
    3. CCollect a CBC from the right arm without using a tourniquet.
    4. DAsk the patient's nurse what to do for the draw.
89. 89What does a sclerosed vein feel like?

    1. Apulsating and firm
    2. Bbouncy and resilient
    3. Chard and cord-like
    4. Dsoft and pliable
90. 90What vein is the preferred choice for venipuncture?

    1. AMedian Cubital
    2. BBasilic
    3. CBrachial
    4. DCephalic
91. 91What vein lies superficial to a nerve?

    1. ABasilic
    2. BBrachial
    3. CCephalic
    4. DMedian Cubital
92. 92Which AC vein is not very well anchored?

    1. ABasilic
    2. BMedian Cubital
    3. CCephalic
    4. DBrachial
93. 93You arrive to draw a specimen on an inpatient. The patient's door is closed. What should you do?

    1. AKnock lightly, open the door slowly, announce your name and purpose, and ask if it is alright to enter.
    2. BLeave to draw another patient in the same area and come back later.
    3. CKnock softly and wait for someone in the room to come to the door.
    4. DOpen the door, announce yourself, and proceed into the room.
94. 94 If you assemble equipment after selecting and cleaning the blood collection site, you will

    1. Awaste less equipment by knowing exactly what is needed.
    2. Bhave a better idea of what equipment to use.
    3. Cbe more likely to allow sufficient time for the alcohol to dry.
    4. Dall of the above.
95. 95What is the best thing to do if family or visitors are with a patient?

    1. AContinue the draw like normal. You may politely as the visitor to move if you need to access that side of the room.
    2. BCome back later to collect the specimen when they have left.
    3. CTell them to quietly watch from the opposite side of the bed.
    4. DAsk them to wait outside of the room until you are finished.
96. 96To examine by touch or feel is to

    1. Apalpate.
    2. Bpronate.
    3. Cambulate.
    4. Danchor.
97. 97Proper use of a hand sanitizer includes

    1. Ausing a generous amount of sanitizer.
    2. Ball of the above.
    3. Callowing the alcohol to evaporate completely.
    4. Drubbing it in between and around the fingers.
98. 98It is acceptable to use a vein on a foot if

    1. Athe nurse has authorized you to.
    2. Bthe physician has provided written permission.
    3. Cthe patient is partially paralyzed.
    4. Dthe patient requests it.
    5. Ethere are no other suitable sites.
99. 99 Veins on the underside of the wrist are often plenty and a good place to look for a hard poke.

    1. AVerdadero
    2. BFalso
100. 100 A test is ordered "fasting" to

     1. Aeliminate the effect of diet on test results.
     2. Bassess a patient after surgery.
     3. Cassess a patient before surgery.
     4. Dstandardize test results on critical patients.
101. 101In most cases, needle insertion should be preformed

     1. Ausing a smooth, steady forward motion.
     2. Bat a 45 degree angle to the surface of the arm.
     3. Cwith a deliberate and rapid forward jab.
     4. Dwith the bevel of the needle face down.
102. 102A butterfly is another name for a

     1. Aneedle safety device
     2. Bmultisample needle
     3. Chypodermic needle
     4. Dwinged infusion set
103. 103In selecting a venipuncture site, how can you tell a vein from an artery?

     1. Aa vein has a lot less resilience
     2. Ba vein pulses and feels larger
     3. Can artery has a distinct pulse
     4. Dan artery is more superficial
104. 104Outpatients who have previously fainted during a blood draw should be

     1. Apermitted to sit in a chair if accompanied by a family member.
     2. Basked to lie down, or sit in a reclining draw chair.
     3. Callowed to sit up in order to watch the draw.
     4. Ddrawn in a separate room that has first-aid equipment.
105. 105The reason a test is ordered "timed" is to

     1. Aestablish a clinical diagnosis or prognosis.
     2. Bassess a patient's condition for surgery.
     3. Cdraw blood at the best time for accurate results.
     4. Ddetermine a patient's suitability for surgery.
106. 106You arrive to draw an inpatient, and check the ID band against your requisition/labels. You see that the DOB matches, but the patient's name is misspelled by one letter on your labels. What should you do?

     1. ACollect the specimen and report the inconsistency to the nurse.
     2. BDo not collect the specimen until the difference is resolved.
     3. CDraw the specimen because the name is close and the DOB matches.
     4. DAsk the patient how his name is spelled, and make the correction on the labels yourself (and draw the specimen).
107. 107When collecting a blood sample from an unconscious patient, it is necessary to

     1. ATalk to the patient as you would to someone who is alert.
     2. BAsk a family member in the room for picture identification of the patient.
     3. Cconfirm with the nurse that he/she knows the patient is unconscious.
     4. DPerform the draw silently so as to not startle the patient conscious.
108. 108What is the best thing to do if the vein can be felt but not seen, even with the tourniquet on?

     1. AMark the vein.
     2. BGuess.
     3. Cinsert the needle where you think it is, and realign until you find it.
     4. DLook for visual landmarks on the skin to remind you where the vein is.
109. 109Use several layers of gauze after venipuncture so that

     1. Athe patient does not see you pull out the needle.
     2. Bit will not hurt when you pull out the needle.
     3. Cblood will not contaminate your gloved hand.
     4. Dpressure is adequate and bruising is prevented.
110. 110DNR means

     1. Ado not resuscitate.
     2. Bdo not call 911.
     3. Cdo not alert the nurse.
     4. Ddo not call relatives.
111. 111Punctures to this vein tend to be more painful than any of the other AC veins.

     1. AMedian cubital
     2. BBasilic
     3. CCephalic
112. 112 Symptoms of needle phobia can include
     

     1. Aanxiety about admission to the hospital
     2. Binabilty to watch while others are drawn.
     3. Cintense fear of needles and of being 'poked.'
     4. Dpersonal preference for smaller needles.
113. 113 Your patient is not wearing an ID band. You find the ID band taped to the bed rails. The information matches your requisition/labels. What do you do?

     1. ATell the nurse you will not collect the specimen.
     2. BGo to the nurses' station, get an ID band, attach it, and proceed.
     3. CAsk the patient's nurse to attach an ID band. Once it is attached, collect the sample.
     4. DAsk the patient to state her name; if it matches the requisition, continue with collecting the specimen.
114. 114 According to lecture, the venipuncture of which vein is most commonly associated with phlebotomy-injury lawsuits?

     1. ABrachial
     2. BMedian cubital
     3. CCephalic
     4. DBasilic
115. 115 Which of the following is an inert, synthetic substance that is put into some tubes to help form a barrier?

     1. AHeparin
     2. BGel
     3. CEDTA
     4. DSodium citrate
     5. EClot activator
116. 116What is the additive in the white topped tube ("pearl top")?

     1. AEDTA
     2. Bheparin
     3. Cclot activator
     4. Dsodium citrate
117. 117What is the additive in gray topped tubes?

     1. ASodium fluoride and potassium oxalate
     2. BPotassium oxalate
     3. CSodium citrate
     4. DThixotropic gel
     5. ESodium fluoride
118. 118 Which tube needs to sit for at least 50 to 60 minutes before processing?

     1. AGold
     2. BPlain red (plastic or glass)
     3. CGreen
     4. DBlue
119. 119 Which of the following tubes is a plasma separator tube?

     1. Alavender
     2. Bblue
     3. Cgold or tiger red
     4. Dlight green (mint)
120. 120 Which tube is a plasma tube?

     1. APlain red (plastic)
     2. BPlain red (glass)
     3. CTiger red
     4. DBlue
     5. EGold
121. 121Which additive preserves the shape of blood cells and stops platelets from clumping?

     1. Agel
     2. BClot activator
     3. CHistamine
     4. DEDTA
122. 122Serum tubes are…

     1. APurple
     2. BGreen
     3. CGold or Red
     4. DBlue, Green or Purple
     5. ETiger Red
     6. FGold, Red, Tiger Red
123. 123 Which is the correct order of draw for a butterfly draw?

     1. ADiscard tube, Blue, Red, Gold, Green, Lavender
     2. BBlue, Red, Gold, Green, Lavender
     3. CGray discard, Blue, Gold, Red, Green, Lavender
     4. DDiscard tube, Blue, Gold, Red, Gray, Green, Lavender
124. 124Which tube must have a 9 to 1 ratio of blood to additive?

     1. AGray
     2. BSerum
     3. CPurple
     4. DBlue
     5. EGreen
125. 125 Which of the following does not affect (cause reaction) the blood?

     1. AHeparin
     2. BEDTA
     3. CThixotropic gel (or polymer barrier)
     4. DNa Citrate
126. 126The difference between a SST tube and a PST tube is that...

     1. AThey both have gel and are basically the same.
     2. BThe SST tube is small and the PST tube is very large.
     3. CThe SST tube is a lavender and the PST tube is often mint green.
     4. DThe SST tube can be a gold or red tiger and the PST is often mint green.
     5. EThe SST tube can be a gold or red tiger and the PST is lavender.
127. 12716 gauge butterfly = Antecube for blood donating

     1. AVerdadero
     2. BFalso
128. 128
     21 gauge butterfly = Antecube draw normal size veins

     1. AVerdadero
     2. BFalso
129. 129
     23 gauge butterfly = Hand draw average size veins

     1. AVerdadero
     2. BFalso
130. 130
     25 gauge butterfly= Hand draw small size veins

     1. AVerdadero
     2. BFalso
131. 131What can happen when the gauze is not properly applied?

     1. ABlood can leak out and drip down arm.
     2. BAll answers are correct.
     3. CThe platelet plug might loosen, causing leakage later.
     4. DEnvironmental contaminates like dirt and debris can get to the insertion site.
132. 132You are getting ready to insert the needle into a patient's arm and then the patient wants to pump their fist. Since they want to be helpful, how would you tell them what to do?

     1. A'Just pump your fist once and hold it until I get the needle inside. Then you can relax your fist.'
     2. B'Please pump your fist just three times and no more than that.'
     3. C'Please don't pump your fist. It can make the test inaccurate.'
     4. D'Just pump two times and then relax your hand.'
133. 133What are some things that can interfere with the flow of blood into the needle causing the flow to slow down or stop?
     SELECT THREE ANSWERS.

     1. AThe bevel is lying against the upper wall of the vein.
     2. BPatients on blood thinner like Coumadin.
     3. CThe bevel too close to a valve in the vein.
     4. DPatients with thick skin.
     5. EDrawing near a hematoma.
     6. FPatients with thick vascular veins.
134. 134 What can happen if the tourniquet is left on too long during the draw?

     1. ABlood specimen can have too much fluid in it.
     2. BBlood specimen can have too low of a red blood cell count.
     3. CBlood specimen can have too much plasma.
     4. DBlood specimen can have too high of a red blood cell count.:
135. 135Veins that 'roll' mean what?

     1. AVeins that are less well anchored with connective tissue.
     2. BVeins that flop around because they are too narrow.
     3. CVeins that are not healthy.
     4. DVeins that twist and turn.
     5. EVeins that are flat and slip sideways easily.
136. 136
     
     Why should threading of the needle up into the lumen of the vein be avoided in most blood draw situations?
     
     (Threading is when the needle enters the vein and the drawer lowers the angle of the needle and moves the needle up the vein about an additional inch, or so.)
     

     1. AThere is a greater chance the bevel could go through the back wall of the vein.
     2. BThe bevel could slice the vein.
     3. CThe needle shaft at point of entry could create too much pressure on the vein causing a pulling effect and even allow blood to leak from top side of vein.
     4. DAll answers are correct.
     5. EIt can often be uncomfortable for the patient due to the extra tension.
137. 137 Which hand and part of hand is used by the phlebotomist for selecting the vein and for anchoring the vein before the draw?

     1. ADominate hand index finger - finding vein. Non-dominate hand index finger - anchoring vein.
     2. BNon-dominate hand index finger - finding vein. Dominate hand middle finger - anchoring vein.
     3. CNon-dominate hand index finger - finding vein. Non-dominate hand index finger - anchoring vein.
     4. DNon-dominate hand index finger - finding vein. Non-dominate hand thumb - anchoring vein.
138. 138What type of alcohol wipe and gauze is used for routine blood draws?

     1. AAlcohol wipe - 70% alcohol solution Gauze - sterile gauze
     2. BAlcohol wipe - 10% alcohol solution Gauze - sterile gauze
     3. CAlcohol wipe - 70% alcohol solution Gauze - non-sterile gauze
     4. DAlcohol wipe - 30% alcohol solution Gauze - non-sterile gauze
139. 139 How would you know if you punctured an artery with your needle?

     1. AThe blood entering your tube would be pinkish.
     2. BThe artery would collapse and blood flow would stop.
     3. CBlood would be a brighter red and enter into the tube rapidly, maybe even in pulses.
     4. DThe blood entering your tube would be a darker red and squirt in pulses.
140. 140 Why is the non-dominate fingertip used for palpating (feeling) veins? Select the BEST answer.

     1. AIt has more nerves in it than the dominate finger.
     2. BIt has both the advantage of having thinner skin as well as availability of use, since the dominate hand holds needle.
     3. CIt is the finger that is available while the dominate hand holds the needle for insertion.
     4. DIt has thinner skin (less callous) than dominate finger so it can detect sensations more easily.
141. 141Which is best in describing correct procedures for drawing blood?

     1. AGreet patient, identify yourself, draw blood appropriately, label blood.
     2. BGreet patient, identify patient and then yourself, draw blood appropriately, label tubes.
     3. CGreet patient, identify yourself and then patient, draw blood appropriately, label blood tubes.
     4. DGreet patient, label tubes to save time, confirm patient identity, draw blood appropriately.
142. 142 When is the tourniquet typically released on a one-tube draw?

     1. AAs soon as the needle enters the vein.
     2. BWhen the tube is about half-way full. Most phlebotomist will delay even longer if the tube is a blue tube
     3. CWhen the tube gets all the way full.
     4. DWhen the tube appears full, plus about 5 more seconds.
143. 143
     Plain red tube draw for CA125 = invert 5x let sit for 45 minutes

     1. AVerdadero
     2. BFalso
144. 144
     Mint-green tube draw for STAT BMP = invert 8x give immediately for testing

     1. AVerdadero
     2. BFalso
145. 145
     Gold tube draw for FSH = invert 5x let sit for 15

     1. AVerdadero
     2. BFalso
146. 146
     Blue tube draw for Protime (PT) = invert 3-4x and gauze patient with 2 pieces of gauze

     1. AVerdadero
     2. BFalso
147. 147Which of the following work environments might you use butterflies more often?

     1. AResearch center drawing 100 mls of blood from each study participant.
     2. BOncology out-patient centers.
     3. CAll answers correct but adult family medicine clinic.
     4. DAdult family medicine clinic.
     5. EBlood bank donation centers.
     6. FHospital CCU units.
148. 148 What is the single most important aspect of any phlebotomy procedure?

     1. ADrawing the proper blood tubes, mixing the tubes properly, and bandaging the patient so that they do not bleed out later.
     2. BPerforming positive patient identification along with labeling the blood tubes.
     3. CEntering the patient data into the computer system properly.
     4. DInverting the blood tubes the proper amount of times.
149. 149Misidentification of a specimen for this test is MOST likely to have fatal consequences.

     1. Acold agglutinin
     2. Bplatelet count
     3. Cblood culture
     4. Dtype and screen
150. 150What is the advantage to using a butterfly?

     1. AButterflies are less expensive than other needles.
     2. Bblood flows faster in butterflies than it does in straight (Eclipse) needles
     3. CIt is easy to get a low angle with butterflies, therefore making hard veins easier.
     4. DThere is a greater choice in butterfly needle size.
151. 151You arrive to draw an inpatient, and check the ID band against your requisition/labels. You see that the DOB matches, but the patient's name is misspelled by one letter on your labels. What should you do?

     1. AAsk the patient how his name is spelled, and make the correction on the labels yourself (and draw the specimen).
     2. BCollect the specimen and report the inconsistency to the nurse.
     3. CDo not collect the specimen until the difference is resolved.
     4. DDraw the specimen because the name is close and the DOB matches.
152. 152You arrive to collect a specimen on a patient named John Doe in 320. How do you verify his identity?

     1. AAsk him to read the requisition/labels and confirm or deny if that is him
     2. BHave the nurse verify the patient's name after you check his ID band.
     3. CAsk him for his name and date of birth and match it the requisition/labels.
     4. DCheck his ID band. If it matches the requisition/labels, draw the specimen.
153. 153You have just made two unsuccessful attempts to collect a fasting blood specimen from an outpatient. The patient rotates his arm, and you note a large vein that you had not seen before. How do you proceed?

     1. AAsk the patient to come back later so you can try again.
     2. BAsk another phlebotomist to collect the specimen.
     3. CMake a third attempt on the newly discovered large vein, because you are certain you will succeed.
     4. DCall the supervisor for permission to make a third attempt.
154. 154 Blood flow during a draw can be affected by several things. How does needle gauge affect the flow of blood?

     1. AIt affects the flow of blood by the numbering system for needles. The longer the needle, the faster the flow. The shorter the needle, the slower the flow.
     2. BIt affects the flow of blood because of the lumen space within the needle that blood travels through.
     3. CIf affects the flow of blood by the size of the lumen space within the needle. The smaller the space, the faster the flow of blood. The larger the space, the slower the flow.
     4. DIf affects the flow of blood by the size of the lumen space within the needle. The larger the space, the faster the flow of blood. The smaller the space, the slower the flow.
155. 155If a test is ordered STAT, it may mean that the patient is in

     1. Acritical condition.
     2. Bfragile condition.
     3. Ctransition status.
     4. Drehabilitation.
156. 156All of the following are acceptable actions during the vein selection process except

     1. Alowering the arm alongside the chair.
     2. Bhaving a patient pump his or her fist repeatedly.
     3. Cpalpating the antecubital area firmly.
     4. Dusing warmth to increase blood flow.
157. 157Which way does a student label blood when performing a skills test?

     1. AHold tube with stopper on the left, write name from left to right.
     2. BHold tube with stopper on the right, write name from left to right.
     3. CHold tube with stopper on the right, write name from right to left.
     4. DHold tube with stopper on the left, write name from right to left.
158. 158Mark is going to perform his first skills test on his classmate Rob. His tests are lithium and a CBD. What does he use for his tubes and in what order?

     1. Agold or tiger red, and then lavender
     2. Bgold/tiger red (or mint green) and then lavender
     3. Cgold and then lavender
     4. Dplain green and then lavender
     5. Eblue and then lavender
159. 159Kelly is preparing to perform her second attempt at her "Lab Skills Test: Eclipse." She failed part of her first attempt because she drew the wrong tube for SYPHS (she drew a mint green). Her other test was a HGB and she drew that test correctly in a lavender tube.
     
     Now, with her second and final attempt, she has decided to take a deep breath in order to succeed. As she was so unsure about which tube to draw the RPR in, she realized she lost a good 30-45 seconds just trying to make up her mind what tube to use.
     
     She also had a little trouble getting the vein and lost some time there. She was shaking when writing the patient's name on the tube, which caused her to lose some time as well.

     1. AShe should draw two tubes for precaution: Plain red and lime green.
     2. BShe should draw two tubes for precaution: Gold and pearl.
     3. CShe should draw one tube: Plain red and hope it it correct.
160. 160How much time is given for an antecube draw during a skills test?

     1. A4 minutes
     2. B3 minutes
     3. C60 seconds
     4. D2 and 1/2 minutes
161. 161
     
     Virginia is going to draw Jill for a skills test. Virginia has randomly picked K and PLNH3.
     
     What tubes does she draw, and what order does she draw them in?
     

     1. A1) gold, 2) lime
     2. B1) gold, 2) lavender
     3. C1) lime, 2) gold
     4. D1) lime, 2) lavender
162. 162 How do you confirm an out-patient's identity?

     1. AYou have the patient spell their first and last name and state their date-of-birth.
     2. BYou have the patient spell their first and last name.
     3. CYou have them write out their first and last name. Then you ask them their date-of-birth.
     4. DYou carefully match their ID band to the information on the requisition or the pre-printed labels and then you have the patient confirm the information verbally.
163. 163When an in-patient (patient in the hospital) refuses to have their blood drawn, the phlebotomist should persuade the patient to allow at least one attempt at drawing before contacting the doctor or nurse.

     1. AVerdadero
     2. BFalso
164. 164 You are working in a hospital during an early morning shift. After you have drawn all of the patients on one floor, you sit down at the nurses' station to do some paperwork. A doctor is chatting with the nurse about a patient's lab work and notices your rack of blood tubes. As a curiosity, the doctor asks you 'What is the purpose of that substance in the bottom of those tubes?', while pointing to the gold tubes. Under these circumstances, which of the following is the BEST answer?

     1. ATo help prevent the tube from breaking in the centrifuge.
     2. BI really don't have time to talk about it.
     3. CTo make it easier for the lab to work with.
     4. DTo form a barrier between the red blood cells and the serum after it is centrifuged. It makes it easier for the lab to handle.:
     5. ESince you are a doctor, it is best that I have you talk with our laboratory director.
165. 165
     
     REAL WORLD PHLEBOTOMY: Bruising as a result of the use of blood thinner medications.
     
     You are a nursing home phlebotomist and you are preparing to draw two tubes on an elderly man who has just returned from a stay in the hospital. He has had many pokes on his arms from the hospital and you notice that he is bruised all over his arms and hands, but that he still has a good vein in his antecube. How would you approach this draw?
     

     1. AUse a 25 gauge needle with no tourniquet. Be patient as the blood fills the tube. Wrap his arm all the way around to prevent bleed out.
     2. BDraw with a 23 gauge butterfly, tourniquet not too tight, and released on first tube (not last), double-gauze him and paper tape tightly.
     3. CDraw with a 21 gauge Eclipse and bandage him tightly.
     4. DAsk the patient what he would like you to do. Use a blood pressure cuff if needed. Triple-gauze him and have him hold his arm over his head.
166. 166REAL WORLD PHLEBOTOMY: Unpredictable situations while drawing on mental health floors.
     
     SITUATION: You work in a large hospital that includes a comprehensive mental health ward. Sometimes when you go to draw patients in the morning you have to find a way to do the draw efficiently so that you can exit quickly if the nurse requests. Which of the following has the best tips to accomplish this goal? Assume that the vein is of normal, healthy size in the antecube and your employer does not restrict which needle system you use (butterfly or regular needles like Eclipse needles are allowed to be used as needed).
     

     1. AUse a 16 gauge Eclipse needle and fill the tubes only half full each, as that will save considerable time. Invert tubes one time each so that you can get out of the room quickly. Mix the tubes the remaining required times after you get back to the lab.
     2. BUse a 21 gauge butterfly needle system; fill tubes unless something eventful happens. Mix each tube as another tube is being filled. Mix the last tube as you gather up your things.
     3. CUse a 21 gauge butterfly needle and fill the tubes only half full. That will be enough and will help the draw be completed more quickly.
     4. DUse a 21 gauge Eclipse needle and a tight tourniquet so that both contribute to blood flowing fast and filling tubes quickly. Don't be concerned about mixing tubes until you are back at the nurse's station.
167. 167 You just finished drawing a patient in the hand. You got enough blood in the blue tube and a nurse walks in and asks you to add on a comprehensive metabolic panel. You explain that you will have draw the patient again and asks if that will be OK with her. She looks at your tubes and sees a "clear top" discard tube that you used to pull the air off from a butterfly needle. It has about 2 mLs of blood in it. She says, "You have enough blood in that tube. Just take it to the lab." What is the BEST response under these circumstances?

     1. AI'm sorry. I can't do that. It's pretty complicated to explain. I'll just have to draw the patient again.
     2. BThe lab will call you and chew you out real good.
     3. CThat tube you are referring to is only used for discards now. It's not like glass so the lab can't use it for any tests. They will reject it because the blood in "clear tops" is rendered unusable.
     4. DYou have no idea the uproar it will cause if I bring that tube to the lab for a blood test!
     5. EActually, if you insist, I could take the tube to the lab and have the lab supervisor pour the contents of the tube into a gold tube and then they could mix it and then get it to clot and then we could use it.
168. 168 You are studying for your national certification exam with ASCP. Your study partner asks you what is the dilution ratio of blood to additive for the blue tube. What is the correct answer?

     1. A9 parts blood to 1 part sodium citrate
     2. B99 parts blood to 1 part sodium citrate
     3. C1 part blood to 9.9 parts sodium heparin
     4. D9:1:1 9 parts blood to 1 part sodium to 1 part citrate
169. 169When a hospital patient refuses, what do you do first?

     1. AImmediately track down the patient's physician to inform them
     2. BImmediately track down your lab supervisor and let them know.
     3. CImmediately track down the patient's spouse or relative to let them know of the refusal
     4. DImmediately track down the patient's nurse to let them know.
     5. EAsk a second time and then track down the patient's nurse to let them know.
170. 170Which phlebotomy complication could result in a lawsuit?

     1. ACompartment syndrome
     2. BDrawing one tube more than you actually needed
     3. CHematoma
     4. DNot finding a vein on a hard patient and therefore not getting blood when is was needed
     5. EScraping the skin when pulling the needle out
     6. FHemolyzed specimen
171. 171
     
     REAL WORLD PHLEBOTOMY: Responding to nurse requests.
     
     You are beginning your morning hospital rounds. You are doing a one tube draw (gold) on a patient from their hand. You are using a butterfly and have just put the gold tube on and blood is filling the tube when the nurse pops her head in the room and says to you, "Can you make that BMP a stat?"
     
     Since you have extra colors of tubes in your lab coat pocket, what would you say and do in this situation? SELECT BEST ANSWER
     

     1. A'No problem - I can do that. I do have to perform draws on several other patients, how do you want to get the stat draw to the lab?' You reach over and take out a mint-green tube and fill it as she explains her arrangement for a nurses' assistant to take it to the lab immediately.
     2. B'I'm sorry but I have already drawn a different tube. I would have to poke the patient a second time.'
     3. C'No problem - I can do that.' You reach over and take out a mint-green tube and fill it and then note 'stat' on the patient's paperwork. You then finish your remaining patients for the morning and take it to the lab.
     4. D'No problem - I can do that.' You reach over and take out a purple tube and fill it and then note 'stat' on the patient's paperwork.
172. 172You work at an out-patient lab. A nurse calls you on the phone after you have drawn a purple tube on a patient and the patient has already left the lab. The nurse tells you that she needs to add a white blood cell differential ("diff") to the order. What is the BEST response to the nurse?

     1. AI'm sorry. We don't do "add-on's" to patient draws.
     2. BOK. That will be fine. I will add the test to the patient's order in the computer. The lab will run it when they run the other tests.
     3. CI'm sorry but we will need to reach the patient and have her come back as we need to get another tube from her. The "diff" is only done in a gold tube and I drew only a purple tube from her.
     4. DActually, that won't be a problem. I'll let the lab know that you are adding a "diff" and they will pour off a small amount of the blood from the tube I drew and will transfer it to a coagulation tube.
     5. EI'm sorry but the patient has already left. I can try to reach the patient but I don't know if I will in time. Do you want to call the patient and have her come in tomorrow?
173. 173 You work for a lab that occasionally takes phlebotomy students. The student you are training asks you what is the difference between a plastic red tube and a plastic gold tube. What would be the BEST answer to give the student?

     1. AThe red tube clots in 45-60 minutes; the gold tube contains gel and clots in about 15 minutes.
     2. BThe red tube is for special serum tests and the gold is only used for stat serum tests.
     3. CBoth tubes have gel to help separate the blood but the gold tube has more gel.
     4. DThe red tube has more clot activator so it can be spun in 15 minutes.
174. 174Which of the following is acceptable conversation before, during, or after the draw?

     1. ADistract the patient with small talk.
     2. BALL answers are appropriate for conversation with the patient.
     3. CThank the patient and mention that you are all done after you label the blood tubes.
     4. DMention, 'You are going to feel a small poke,' just before you insert the needle.
     5. EBriefly explain what you are going to do.
175. 175 You draw blood in a large hospital and deliver the specimens to the lab throughout the day. You are told to go to hematology section of the lab that performs blood counts. As you enter, you notice blood tubes horizontally in a row on a "rocking" machine. This device slowly and gently rocks the tubes back and forth like a baby in a cradle. What color are the tubes in the rocking device?

     1. APurple
     2. BBlue
     3. CRed
     4. DPink
     5. EGold
176. 176REAL WORLD PHLEBOTOMY: What would you do if you had a patient that had an IV running in their left hand and another IV running in their right forearm? What would you do if you had to look for a vein to draw from blood from?IV

     1. AJust draw from the patient's right hand, but tie tourniquet below the IV site.
     2. BJust draw patient is their left hand.
     3. CJust draw from patient's right hand, but tie the tourniquet loosely above the IV so it won't interfere.
     4. DReport to the patient's nurse that you can't draw them because there is no accessible area to draw from.
177. 177 You are preparing to draw a patient and planning to use a gold tube and a blue tube. How many times do you invert the tubes?

     1. AInvert the blue tube 3-4 times and the gold 5 times.
     2. BInvert the gold 3 times and the blue tube 5 times.
     3. CInvert both tubes 5 to 8 times.
     4. DShake the gold tube 5 times and the blue tube 3-4 times.
178. 178
     
     CAREER TIP: MOST NURSING HOME BLOOD DRAWS ARE PERFORMED BETWEEN 5-8AM. You will need to be a 'morning person' to be comfortable with this type of work
     
     REAL WORLD PHLEBOTOMY: You enter the room of a patient at a nursing home and observe a patient in a deep state of sleep. You gently say "Good morning' and tap them on the arm. No response. You speak a little louder and gently tap them again. No response. You must get two tubes of blood and yet the patient did not wake up. What is your best approach to the patient in identifying them and proceeding with the draw?
     
     TIP: You have been trained and are following your facility's protocol (imagine the most reasonable protocol rules as discussed in class).
     

     1. ACheck the patient's name band with your paperwork. If correct, go and mention to the nurse that this patient appears to be in deep sleep and ask if you can proceed with the draw. Also ask the nurse if you can proceed to draw other patients who are in a similar state, or if you are to ask permission for each one. If she says go ahead and proceed with the draws, draw the patient cautiously while observing if the patient starts to awaken.
     2. BDon't bother with the draw. Just notify the nurse and she can get the blood later herself when the patient is awake.
     3. CCleverly make loud sounds in the patient's room, like turning on the TV and rattling dishes and such on the bedside table.
     4. DYou do one more final greeting by yelling very loudly (in case the patient may be hard-of-hearing), 'GOOD MORNING - I'M HERE TO GET YOUR BLOOD!' Followed by, 'WHAT IS YOUR NAME AND DATE-OF-BIRTH?' If no response, grip without hurting their arm and rock the patient back and forth just enough to waken them. Match information from the patient name band to the patient name on your paperwork and proceed with draw.
179. 179What can happen if the phlebotomist does not allow the alcohol to dry completely before puncturing the skin?

     1. AIn some cases it could alter the test result.
     2. BIt could 'water down' the specimen (dilution).
     3. CIt may create a stinging sensation for the patient when the puncture occurs.
     4. DIt could concentrate the specimen resulting in higher values.
     5. EALL are correct but concentration of the specimen.
        Correct.
180. 180
     Glucose
     
     Bleeding time
     
     PKU
     
     Scars
     
     Calcaneus

     1. ABedside
     2. BCoagulation
     3. CNewborn Screen
     4. DAvoid
     5. EHeel
181. 181What are the properties of blood when it is collected by dermal puncture? There may be more than one answer...

     1. AIt is a mixture of venous and arterial blood.
     2. BIt has a higher concentration of RBCs than blood from a vein.
     3. CIt is capillary blood.
182. 182Which of the following patients is NOT a good candidate for dermal puncture?

     1. ABurn patient (but not burned in area of puncture)
     2. BGeriatric patient
     3. CPatient with arms with edema (mastectomy patient for example)
183. 183 What is the maximum depth that a lancet can penetrate for an ADULT finger stick?
     

     1. A3.5 mm
     2. B2.85 mm
     3. C2.0 mm
     4. D1.5 mm
184. 184What is the maximum depth that a lancet can penetrate for the average newborn HEEL stick? (not premature infants)

     1. A1.0 mm
     2. B2.25 mm
     3. C2.0 mm
     4. D.5 mm
185. 185 Which fingers is best for the average skin puncture on an adult? SELECT 2 THAT APPLY

     1. AMiddle finger
     2. BIndex
     3. CThumb
     4. DPinky (little finger)
     5. EFourth finger (ring finger)
186. 186
     
     The answer may not have been provided for you - use your critical thinking skills to consider WHAT occurs when an incision is made in the skin.
     
     Which of the two tests below would be FIRST to collect if a skin puncture was performed?
     

     1. AHematocrit
     2. BPlatelet count
187. 187 Where are infants' heel sticks performed on the heel?

     1. AOn the big toe or at the very back of the heel.
     2. BOn the big toe and the arch of the foot.
     3. COn the inside and outside borders of the heel.
     4. DOn the bottom of the heel - part that would touch the ground.
188. 188How should a PKU card be dried?

     1. AIt should not be dried; put it inside a specimen bag with a requisition and send it out.
     2. BIt should air dry away from heat or sunlight
     3. CIt should be stacked together with other PKU cards
     4. DIt should be hung to dry
189. 189What is the maximum depth that a lancet can penetrate for the premature newborn?

     1. A2.0 mm
     2. B.85 mm
     3. C2.5 mm
190. 190 You are collecting a PKU on an infant's heel. Right before you finish, You notice that on the back side of the PKU card, one of the circles is incompletely filled. Does this matter?

     1. AVerdadero
     2. BFalso
191. 191 It is acceptable to collect a PKU by filling the circles with blood using both sides of the paper.

     1. AVerdadero
     2. BFalso
192. 192What is an analyte?

     1. Ait is a substance undergoing analysis or being measured
     2. Bglucose
     3. Cpotassium
     4. Dsodium
193. 193Which of the following patients is NOT a good candidate for dermal puncture?

     1. AGeriatric patient
     2. BPatient with arms with edema (mastectomy patient for example)
     3. CBurn patient (but not burned in area of puncture)
194. 194 When performing a finger stick, the puncture site should be located

     1. Ain the center of the finger
     2. Bslightly to the side of the center of the finger
     3. Con the side of the finger
195. 195When collecting a PKU, how many circles must a phlebotomist collect?

     1. Aat least 1
     2. B5
     3. C4
     4. D3
     5. E2
196. 196When performing a finger stick, it is important for the phlebotomist to determine the direction of the fingerprint in the desired puncture site.

     1. AVerdadero
     2. BFalso
197. 197
     
     You are watching a new phlebotomist perform their first fingerstick and they become real excited when seeing the blood rise further and further up into the capillary tube. Suddenly, they say, "What do I do? What do I do? I can't stop it! It's going to go out the other end!" What do you tell them to do?
     
     
     
     (Have you ever tried to shoot soda/water out of a straw? Think about how you collect fluid in the straw. How do you prevent the fluid from coming back out of the straw when you move the straw?)
     

     1. APull the capillary tube away from the finger to stop flow.
     2. BTurn the capillary tube upside down for just a moment.
     3. CPlace their index finger on the opposite end (top) of the capillary tube than the finger end.
     4. DTap the capillary tube gently on the top with their index finger.
198. 198
     
     You are a new phlebotomist at a large urban hospital. It is your turn to go to the mother/baby unit for morning draw. As you look over the paperwork for the unit, you notice that you have five mothers to draw and two infants. The
     
     One infant is 2 days old; requisition is ordering a HCT
     The other infant 8 days old; requisition is ordering a WBC with (PLTCNT) platelet count and a potassium level.
     
     What equipment would you use, and what type of collection would you perform for each infant?
     

     1. A2 day old infant - use a microtainer tube from their 4th finger
        8 day old infant - use an amber microtainer from their heel
     2. B2 day old infant - use a capillary tube from their 4th finger.
        8 day old infant - use a lavender microtainer from their heel
     3. C2 day old infant - use a capillary tube from their 4th finger
        8 day old infant - use a gold microtainer (with gel) from their heel and then use the lavender microtainer.
     4. D2 day old infant - use a lavender pediatric tube from the heel
        8 day old infant - use a lavender microtainer first and then a gold microtainer from the heel
199. 199 When performing a finger stick, you will be most successful if you pick

     1. Athe non-dominant hand
     2. Bthe dominant hand
200. 200
     
     What are the properties of blood when it is collected by dermal puncture?
     
     There may be more than one answer...
     

     1. AIt is capillary blood.
     2. BIt is a mixture of venous and arterial blood
     3. CIt is an equal mixture of arterial blood and venous blood.
     4. DThere is a higher concentration of arterial blood and a lower concentration of venous blood
     5. EThere is a higher concentration of venous blood and a lower concentration of arterial blood
     6. FIt contains more RBCs than venous blood.

Descripción

Drills

Autor

Rebecca Kaspers

Idioma

English

Visitas

6

Historial

Creado el 7 ago 2018 · actualizado el 9 ago 2018

Etiquetas

phlebotomy110

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