which of the following actions is appropriate when labeling specimens?

labeling specimens at the time of collection in front of the patient

which of the following is the proper cleaning procedure for routine venipuncture?

cleanse the site in an outward spiral

When performing and evacuate it tube (ETS) system venipuncture a PBT should?

At 30° angle with bevel up in the same direction as the vein

which of the following is the next step after removing the needle from the patient's arm?

engage the needle safety device

A PBT is collecting a blood sample when the patient begins to have a seizure after removing the needle. What’s correct?

Clear the area surrounding the patient

To venipuncture on a patient of average weight which of the following is a correct technique for needle insertion

Insert until they change in resistance

A patient asks the PBT to please use her finger for blood work. The PBT can do this if…

The ordered test can be performed on a capillary specimen

Which of the following actions should a PBT take for a patient who has had a recent double mastectomy?

Contact the ordering provider and obtain permission to draw from either arm

during venipunctures, the PBT is struck with a used needle. What is the first action the PBT should take?

flush the injured area with running water

Why should a PBT avoid drawing blood from the leg or foot of a diabetic patient?

These areas are more susceptible to infection

PBT must comply with which of the following OSHA requirements specific to the venipuncture procedure?

wear gloves when contact with blood is anticpiated

a PBT must centrifuge a serum specimen before shipment to an outside reference lab because....

cells must be seperated from the serum

According to standard precautions, what is the procedure for shipping specimens to a lab in hot weather?

Place in a box with cold packs and biohazard label

A new office and old office are emerging which blood glucose monitor will need to have a QC measurement daily?

All blood glucose monitors in use

Which of the following questions is most important to ask the patient prior to collecting a metabolic panel?

When was the last time you ate?

A patient states she is a difficult draw and request a skin puncture. The test ordered is a PTT. What should the PBT do

A syringe draw transferred into a light blue vacutainer

A PBT is providing info to a patient about the collection of a stool sample which instructions should the PBT include?

Urinate prior to the collection

the phlebotomist should examine the antecubital veins of both arms for which of the following reasons?

the median cubital vein could be more accessible on one side than other

while drawing blood, first tube fills, but the second tube slows and does not fill, which steps should the PBT?

insert a new tube and see if it will fill, submit the existing tubes for all the ordered tests

Which of the following potential outcomes is the most damaging if data is entered incorrectly in the lab info system?

The incorrect data may be reported to the healthcare provider

when alcohol is used to cleanse the venipuncture site, it must be allowed to air dry prior to the stick because it...

requires time for antiseptic serum

Which of the following is the correct order of draw by tube?

Yellow, light, blue, red, green, lavender, gray

Which of the following is the proper procedure after collection in ammonia specimen?

Place the specimen tube in an ice water slurry

Which of the following statements is an appropriate intro for a student PBT?

Hi, I am a student PBT and I am here to collect a blood specimen

A PBT notices that the patient does not have a wristband but there is one to the IV stand. What is proper action to take

Don’t draw the blood until the nurse has attached a wristband to patient

A provider has ordered a 24 hour urine specimen with preservatives which instructions should a PBT include?

Gently invert the container after each urine sample is added

A PBT is doing a brief exam to determine whether a potential blood donor is in good condition what will exclude them?

Body temp more than 37.5°C (99.5°F)

What is the volume of blood that can be safely drawn at one time for patient faces the risk of iatrogenic anemia?

5% of the patient’s body weight

Why should the PBT document the total volume of blood drawn from the patient?

To determine if the patient is at risk for developing iatrogenic anemia

A PBT should take which of the following actions with a patient who has a contact precaution sign on her door?

Use gown prior to entering patient’s room and remove it before leaving

which of the following statements by a PBT regarding skin preparation for blood specimens for blood cultures is correct?

I will cleanse the area with povidone iodine

a specimen is ordered STAT, the PBT forgets to fill out the patients ID. The procedure for an improper labeled specimen

labe rejects the mislabeled specimen

Which of the following actions is appropriate for preparing a peripheral blood sugar?

Place a 1 mm drop of blood on the center of the slide

Which of the following specimens has a PBT appropriately prepared for transport?

A green top tube for ammonia shipped in an icy water mixture

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Phlebotomy review #3 PART 1

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Answers

1
which of the following actions is appropriate when labeling specimens?
writing the PBT's initials and the time on the label prior to collection
keeping the specimen in the tray and labeling them in the lab
specifying the patients room number, last name, and DOB on label
labeling specimens at the time of collection in front of the patient
2
which of the following is the proper cleaning procedure for routine venipuncture?
cleanse the site in an inward spiral
cleanse the site in an outward spiral
cleanse the site with a scrubbing motion
cleanse the site in overlapping circles
3
Which of the following is a total blood volumes of a 3.3 KG infant?
350 to 390 mL
405 to 450 mL
125 to 230 mL
240 to 330 mL
4
When performing and evacuate it tube (ETS) system venipuncture a PBT should?
15° angle with bevel down and needle near the vein
15° angle with bevel up and needle near the vein
30° angle with bevel down needle in the same direction as vein
At 30° angle with bevel up in the same direction as the vein
5
which of the following is the next step after removing the needle from the patient's arm?
invert all tubes
engage the needle safety device
remove the tourniquet
ask the patient to open his fist
6
A PBT is collecting a blood sample when the patient begins to have a seizure after removing the needle. What’s correct?
Clear the area surrounding the patient
Measure the patient’s vital signs
Insert a tongue blade into the patient’s mouth
Restrain the patient
7
During a routine venipuncture the patient becomes pale and diaphoretic what condition is likely to occur to patient?
Shock
Seizure
Nausea
Syncope
8
a PBT collects mutiple specimens on a premature infant. which of the following is a possible result of the procedure?
aplastic anemia
microcytic anemia
pernicious anemia
Iatrogenic anemia
9
Which of the following tubes should be collected first for dermal samples?
Red top
Lavender top
Green top
Light blue top
10
To venipuncture on a patient of average weight which of the following is a correct technique for needle insertion
Insert half an inch
Insert needle until it meets resistance
Insert until they change in resistance
Insert an inch and a half
11
A patient asks the PBT to please use her finger for blood work. The PBT can do this if…
The ordered test can be performed on a capillary specimen
The patient indicates she’s taking warfarin
The ordered test is a PTT
The physician has preapproved the finger stick
12
Which of the following actions should a PBT take for a patient who has had a recent double mastectomy?
Contact the ordering provider and obtain permission to draw from either arm
Evaluate each arm and draw from the most acceptable distal vein
Proceed without modification since it’s bilateral
Evaluate each arm and draw only from the arm with minimal inflammation
13
which of the following identifies a specimen as long as it remains in the lab?
CPT code
ICD-10 code
accession number
medical record number
14
Which of the following is the easiest site for the PBT to palpate when performing a venipuncture on someone obese?
Median antebrachial
Basilic
Median cubital
Cephalic
15
A physician ordered a tobramycin level to be drawn, one hour after dose. It was ordered at 1100. What should PBT do?
Check with the nurse
Ask the patient
Contact the lab
Draw the blood at 1100
16
during venipunctures, the PBT is struck with a used needle. What is the first action the PBT should take?
flush the injured area with running water
report for medical evaluation by a physician
report for HIV evaluation
contact the supervisor about the incident
17
The PBT needs to draw but patient has an IV on the right side and had a mastectomy on the left where can blood be drawn?
Left dorsal vein
Above the IV
Below the IV
Left median cubital vein
18
Why should a PBT avoid drawing blood from the leg or foot of a diabetic patient?
These areas are more susceptible to infection
The volume from the draw in this area is too low for testing
Veins in this area are smaller
Blood draws from the area are more likely to cause petechaie
19
PBT must comply with which of the following OSHA requirements specific to the venipuncture procedure?
Recap contaminated devices puncture devices to reduce exposure incidents
wear gloves when contact with blood is anticpiated
Report a blood exposure incident to the supervisor within 48 to 72 hours
Where safety gloves, if splashes or droplets of blood, maybe generated
20
a PBT must centrifuge a serum specimen before shipment to an outside reference lab because....
platelets must be seperated from the serum
cells must be seperated from the serum
WBC will be elevated
cells will hemolyze
21
during a draw, the patient becomes unresponsive. what is the next action the PBT should take?
check for breathing
alert medical personnel
elevate the patients feet
start chest compressions
22
According to standard precautions, what is the procedure for shipping specimens to a lab in hot weather?
Place in a padded envelope with cold packs and a biohazard label
Place in a padded envelope with bubble wrap, and a biohazard label
Place in a box with bubble wrap, and biohazard label
Place in a box with cold packs and biohazard label
23
A new office and old office are emerging which blood glucose monitor will need to have a QC measurement daily?
Blood glucose monitors in use from old medical office only
None of the blood glucose monitors
All blood glucose monitors in use
Blood glucose monitors and use from the new office only
24
a phlebotomist must invert anticoagulant tubes to prevent the following:
hemoconcentration
reflux
hemolysis
clotting
25
Which of the following questions is most important to ask the patient prior to collecting a metabolic panel?
What time did you go to bed?
Do you take any medication?
When was the last time you ate?
What is your weight?
26
A patient states she is a difficult draw and request a skin puncture. The test ordered is a PTT. What should the PBT do
A capillary draw into a light blue Microtainer
A syringe draw transferred into a lavender vacutainer
A capillary draw into a lavender Microtainer
A syringe draw transferred into a light blue vacutainer
27
A PBT is providing info to a patient about the collection of a stool sample which instructions should the PBT include?
Take a stool softener prior to the collection
Retrieve the sample from the water following defecation
Fast for 12 hours prior to collection
Urinate prior to the collection
28
the phlebotomist should examine the antecubital veins of both arms for which of the following reasons?
the median cubital vein could bruise more easily on one side than the other
the median cubital vein on the dominant arm tends to be anchored better
the median cubital vein in the nondominant arm tends to be inaccessible
the median cubital vein could be more accessible on one side than other
29
while drawing blood, first tube fills, but the second tube slows and does not fill, which steps should the PBT?
tell the patient that she will need to perfome another venipuncture
insert a new tube and see if it will fill
submit the existing tubes for all the ordered tests
write QNS on the requisition for the other tests
30
Which of the following potential outcomes is the most damaging if data is entered incorrectly in the lab info system?
The incorrect data may remain in the patient file indefinitely
The incorrect data may cause a system error
The incorrect data may lead to a quality assurance issue
The incorrect data may be reported to the healthcare provider
31
When doing a 3 hour glucose tolerance test, a PBT should verify the patient has fasted. What length of time is required?
14 to 16 hour
1 to 3 hour
8 to 12 hour
4 to 6 hour
32
For which of the following must the PBT follow chain of custody guidelines?
Lead levels
Blood cultures
Paternity testing
Digoxin levels
33
Patient has his hand in a tight fist during a puncture using the syringe method. When should PBT tell patient to relax?
Once the needle has penetrate the skin
Once the syringe is filled with blood
After the tourniquet is released
Once blood flow is established
34
when alcohol is used to cleanse the venipuncture site, it must be allowed to air dry prior to the stick because it...
requires time for antiseptic serum
destroys white blood cells
dilutes the blood specimen
compromises the additives in the tubes
35
Which of the following is the correct order of draw by tube?
Light blue, lavender, red, gray, green, yellow
Yellow, light, blue, red, green, lavender, gray
Yellow, light, blue, green, red, lavender, gray
Light blue, yellow, gray, red, green, lavender
36
Which of the following is the proper procedure after collection in ammonia specimen?
Place the specimen tube in an ice water slurry
Protect the specimen tube from light
Keep the specimen tube warm
Keep the specimen at body temperature
37
which of the following is a potential consequence for mislabeling a blood bank specimen?
a pharmaceutical reaction
a HIPAA violation
a medical transcription error
a transfusion reaction
38
Which of the following statements is an appropriate intro for a student PBT?
Hi, I am your PBT and I am here to collect a blood specimen
Hi, I am a student PBT and I am here to collect a blood specimen
I am a student PBT and I’m here to collect a blood specimen
Hi my name Sally Smith, I am your PBT and I will collect a blood specimen
39
A PBT notices that the patient does not have a wristband but there is one to the IV stand. What is proper action to take
Ask the patient to confirm his identity
Write, unable to draw on the requisition form
Don’t draw the blood until the nurse has attached a wristband to patient
Verify the patients identity with the wristband on the IV stand
40
A provider has ordered a 24 hour urine specimen with preservatives which instructions should a PBT include?
Gently invert the container after each urine sample is added
Begin urine collection immediately, starting with your next urination
Store the urine specimen at room temp away from excessive light
Disinfect the collection container prior to the first use
41
A PBT is doing a brief exam to determine whether a potential blood donor is in good condition what will exclude them?
Body temp more than 37.5°C (99.5°F)
Respiratory rate 14/min
Systolic blood pressure more than 150 mm HG
Pulse between 105/min and 125/min
42
What is the volume of blood that can be safely drawn at one time for patient faces the risk of iatrogenic anemia?
15% of the patient’s body weight
5% of the patient’s body weight
10% of the patient’s body weight
20% of the patient’s bodyweight
43
Why should the PBT document the total volume of blood drawn from the patient?
To provide documentation for the patient’s personal records
To obtain a reference for future blood draws
To assure a sufficient amount is drawn for lab tests
To determine if the patient is at risk for developing iatrogenic anemia
44
A PBT should take which of the following actions with a patient who has a contact precaution sign on her door?
Use face shield before entering patients room and remove it after leaving
Use gown prior to entering patient’s room and remove it before leaving
Use a mask prior to entering patient’s room and remove it before leaving
Use gloves after the patients venipuncture Is checked and cleaned
45
which of the following statements by a PBT regarding skin preparation for blood specimens for blood cultures is correct?
I will cleanse the area with povidone iodine
I will cleanse the area with 90% Isopropyl alcohol
I will cleanse the area with 70% Ethyl alcohol
I will cleanse the area with sodium hypochlorite
46
a specimen is ordered STAT, the PBT forgets to fill out the patients ID. The procedure for an improper labeled specimen
specimen is processed as labeled
labe rejects the mislabeled specimen
label is corrected by lab personnel
specimen is transferred to a properly labeled tube
47
a 69 yr old male is brought into the emergency dept, several blood tests are ordered. The blood collection is under:
explicit consent
implied consent
informed consent
active consent
48
Which of the following actions is appropriate for preparing a peripheral blood sugar?
Place a 1 mm drop of blood on the center of the slide
Place a drop of blood, a dime size, a half inch from the edge of the slide
Place a drop of blood, the size of a dime on the center of the slide
Place a 1 mm drop of blood a half inch from the edge of the slide
49
Which of the following specimens has a PBT appropriately prepared for transport?
A tiger top tube for bilirubin shipped in a clear biohazard bag
A tube with serum that is shipped after separation from lavender tube
A red top shipped after clotting for 15 mins and being centrifuged
A green top tube for ammonia shipped in an icy water mixture
50
Which of the following provides the phlebotomist the best protection when drawing blood from a patient w/ active TB?
double gloves
N-95 respirator
shoe covers
surgical mask
51
some older adults or obese patients may not have accessible antecubital veins, in this situation, the PBT may use?
foot veins
dorsal veins
wrist veins
superficial veins
52
WBC RBC glucose and electrolyte tests are ordered but PBT doesn’t find accessible veins. For Skin puncture, color tube?
Lavender and red
Red and green
Green and gray
Lavender and light blue
53
which of the following actions would result in a grossly hemolyzed specimen?
an incorrect order of draw
an incorrect needle gauge
applying the tourniquet too close to the draw site
failure to invert the tube
54
A PBT should comply with HIPAA to protect which of the following?
Patients information
Patient standards
Patient’s compliance
Patients consent
55
while a PBT is performing a venipuncture, the patient begins to seize, what is the next appropriate action to take?
place the patient in a prone position
discontinue the draw
insert a tongue depressor into the patient's mouth
restrain the patient
56
a phlebotomist is drawing 5 blood collection tubes, when should the tourniquet be released?
after the last tube
3-4 mins
1-2 mins
after the draw is complete
57
PBT inform patient about the proper at home collection for a semen specimen. Which statement indicates understanding?
"I will collect the specimen in a sterile container and return in 1 hour"
"I will abstain from ejaculation for 3 days prior to the test"
"I will collect the specimen in a sterile container and refrigerate"
"I will collect the specimen in a clean condom and return in 2 hours"
58
A PBT observes a hematoma developing at the site of a Venous blood draw, the PBT should…
Observe the site to see if the hematoma worsens
Call for a nurse and assess the patient’s condition
Ask the patient to apply pressure to the area
Release the tourniquet and stop the draw
59
A PBT is required to obtain which of the following from a potential blood donor?
Complete medical medical history
ECG
Drug screen
GTT
60
capillary specimen collection is preferred over venipuncture when....
the patients prefers capillary collection
collecting blood cultures
conducting coagulation tests
veins are inaccessible
61
a patient states that this is his first blood draw. which of the following actions is appropriate?
explain the reason the test was ordered
inform the patient of all possible complications
describe the procedure
show the patient the gauge of the needle
62
A PBT should identify that a blood spot collection for inborn errors of metabolism, requires which of the following?
The circles on the filter, paper, or at least half filled
The 1st drop of blood immediately following the puncture should be included
The newborn must be at least three days old
The specimen must be completely dried before the test is processed
63
A PBT is preparing a collection for transport. What should be placed into an ice bath within 30 min of collection?
Blood cultures
Cryoglobulins
Lactic acid
Cold agglutinins
64
which of the following is the term for a donation of a patients own blood for an upcoming surgery?
autologous donation
presurgical donation
homologous donation
autonomic donation
65
the PBT draws a CBC at 1800. The lab closed at 1730 and will not process specimens until 0500. What is the temp needed?
15 to 30 C
37 to 39 C
2 to 10 C
-20 to -10 C
66
After placing tourniquet on patient’s arm, the PBT notices, small, red spots below. What is the correct term for spots?
Urticaria
Edema
Hemoconcentration
Petechiae
67
A PBT working finds unconscious patient in waiting room, bleeding profusely from leg. What actions should be taken?
Take the patient’s pulse
Raise the injured extremity
Apply direct pressure to the wound
Seek support from other staff
68
when entering a patient's room for a routine blood draw, you notice a clergy member is with the patient, you should....
proceed with the draw
mark requisition "unable to draw at this time"
wait in the patient's room until the clergy member leaves
return after drawing other patients
69
why is it important to place a specimen in a biohazard specimen bag when transporting to an outside lab?
prevent possible exposure incident
ensures prompt transportation of the specimen
maintains the proper in vitro characteristics of the specimens
allows the whole blood specimen to be placed in the freezer
70
the PBT needs to draw a GTT on a patient and notices ans empty breakfast plate on the bedside table, the actions needed?
refuse to collect the specimen
delay performing the draw for 4 hrs
call the dietary dpt. to see if the patient ate her breakfast
ask the patient when she last ate or drank
71
Which of the following are appropriate forms of Identification in the inpatient setting?
Verbal, wristband
Clergy person, physician
Medical chart, nurse
Family member, drivers license
72
when should a PBT perform external liquid controls for quality control on a CLIA-waived Point of care test
every week the test is performed
when a different tech performs the test
when a new lot number or kit is opened
with every patient
73
how does venipuncture for blood cultures differ from other venipuncture procedures?
special patient permission must be obtained
a larger gauge needle is used
more blood is drawing
the site is cleaned more stringently
74
A PBT is using a butterfly needle to perform on a dorsal hand vein which actions demonstrate proper technique?
Insert the needle at 30° angle to the skin
Apply the tourniquet at least two min prior to insertion
Direct the needle almost parallel to the vein
Instructed the patient to pump her fist before needle insertion
75
Which of the following is the first step in the blood collection procedure?
patient ID
test requisition
vein location
test accession
76
how long a tourniquet should be left on a patient's arm?
NO longer than 90 secs
NO longer than 60 secs
NO longer than 30 secs
NO longer than 120 secs
77
when preparing to draw blood, the patient extends arm, turns head away. what form of consent is this?
expressed consent
implied consent
refusal of consent
informed consent
78
Which of the following methods should a PBT used to cleanse the selected site for venipuncture?
Cleanse the site with an alcohol pad in an outward circular motion
Cleanse the site with isopropyl alcohol Vertical motion
Cleanse the site with a isopropyl alcohol in horizontal motion
Cleanse site with an alcohol pad in an inward circular motion
79
A PBT performs a point of care glucose test. The result is in the critical range what actions is appropriate?
Report the results to the patient physician
Report the results to the patients can
Report the results to the PBT supervisor
Report the results to the nursing supervisor
80
Which of the following venipuncture steps are in the appropriate order?
Identify the patient cleanse the site assess the site
Insert the needle cleanse the site insert the needle
Assess the site cleanse the site insert the needle
Draw the specimen, remove the needle remove the tourniquet
81
a PBT sees a coworker receive a major electrical shock from an instrument. what is the first thing the PBT should do?
remove the coworkers from contact with the instrument
shut off the power to the instrument
call 911
call the shift supervisor
82
After identifying the patient which actions should a PBT take next to collect a specimen?
Label the tubes
Verify the orders
Clean the site for puncture
Don gloves
83
Tubes, with which of the following additives should be used when collecting a sample for a CBC?
EDTA
SST
Sodium citrate
Lithium heparin
84
When preparing for transport, which of the specimens must be placed into an ice bath within 30 mins after collection?
Cold agglutinin
Cryoglobulins
Blood cultures
Arterial blood gases
85
PBT doing multi specimen collection using the syringe transfer method. What errors could result tubes in wrong order?
Additive reflux
Hemoconcentration
Carryover
Hemolysis
86
Which blood collection systems uses interchanging multiple sample tubes, allowing PBT to draw several blood specimens
Hypodermic and syringe system
Lancet micro collection system
Winged infusion, and syringe system
Evacuation system
87
at what temp should a semen sample be transported by the PBT?
36 to 38 C
25 to 30 C
-20 to -10 C
21 to 23 C
88
Which of the following actions should a PBT take when collecting a specimen for a newborn screening?
Smear the blood on the spot collection card
Allow the card to dry and vertical position
Wipe away the first drop of blood
Use a capillary tube for collection
89
A PBT has a requisition form, requesting a PT and a PTT be collected, which tube additive is correct for the draw?
EDTA
Thrombin
Lithium heparin
Sodium citrate
90
The PBT has a request to collect a routine CBC for a healthy 10 month old infant what is the correct collection site?
Third finger of either hand
Either heel
Cephalic vein
Median antecubital vein
91
Industry standard states that needle insertion in the antecubital area should be at…
15 to 30 angle
50 to 60 angle
40 to 50 angle
5 to 10 angle
92
which is the best method collecting a blood specimen from an older adult patient who has fragile veins?
choose a butterfly with a pediatric tube
lab rejects the mislabeled specimen
choose a butterfly with regular ETS tubes
choose a syringe and butterfly assembly and transfer to ETS tube
93
emergency first-aid treatments include maintaining an open airway, controlling bleeding, and keeping the victim warm?
syncope
diaphoresis
convulsions
shock
94
according to CLSI order of draw guidelines, which of the following samples should the phlebotomist collect first?
blood culture
glucose level
electrolytes
coagulation
95
Which of the following actions should a PBT take to comply with guidelines for a CLIA waived procedure?
Document quality control results
Report results immediately to CLIA
Transport specimens within 24 hrs
Process a specimen within one hour of collection
96
A PBT should instruct a patient that which is the preferred time to collect a sputum sample?
Before bed
After medications are taken
Upon waking
After eating
97
Before leaving the patient’s room, which of the following is required for the PBT to take?
Think the patient by name
Alert the nurse that she is leaving
Initial and date/time the requisition form
Initial and date/time mark each tube drawn
98
a phlebotomist must choose the correct tube color and additive for the corresponding....
lab test
order of draw
special handling
priority status
99
Which of the following tubes should the PBT draw first for a capillary collection?
EDTA
Lithium heparin
Sodium fluoride
Non-additive
100
What action should the PBT take to verify the quality of venipuncture supplies before starting a blood draw on an adult?
Verify that the adapter is the correct color
Check the vacuum of the tube
Determine if the tourniquet is the proper size
Inspect the integrity of the needles seal

Phlebotomy review #3 PART 1 Flashcards | StudBud