Which of the following test results are affected when a phlebotomy technician uses povidone iodine to cleanse the capillary site for a dermal puncture?

When performing an ETS venipuncture, a phlebotomist should

Position the needle in the same direction as the vein and at a 30 degree angle with the bevel up

A phlebotomist observes a hematoma developing at the site of a venous blood draw. The phlebotomist should

Release the tourniquet and stop the draw

A patient states that this is his first blood draw. Which of the following actions is appropriate?

A phlebotomist is preparing to perform a hand draw. Which of the following should the phlebotomist assemble?

Winged infusion set and adapter

At what temperature should a semen sample be transported by the phlebotomist?

Some older-adult or obese patients may not have accessible antecubital veins. In this situation, the phlebotomist may use which of the following?

Which of the following is a consequence of mislabeling a blood bank specimen?

A phlebotomist collects multiple specimens on a premature infant. Which of the following is a possible result of the procedure?

What action should the phlebotomist take to verify the quality of venipuncture supplies before beginning a blood draw?

Inspect the integrity of the needles seal

A phlebotomist sees a coworker receive a major electrical shock from an instrument. Which of the following is the first thing the phlebotomist must do?

Shut off power to the instrument

Which of the following is the total blood volume of 3.3 kg infant?

A phlebotomist is educating a patient about the proper at-home collection procedure for a semen specimen. Which of the following statements indicates the patient understands the teaching?

I will collect the specimen in a sterile container and return within one hour

A phlebotomist is ordered to collect for potassium, ammonia, and electrolyte tests on a patient. Which of the following should the phlebotomist do?

Collect into 2 green tubes

Capillary specimen collection is preferred over venipuncture when

The phlebotomist draws a CBC at the physicians office at 1800. The laboratory closed at 1730 and will not process specimen again until 0500. Which of the following is the proper temperature for preserving the specimen?

The choice to perform a capillary puncture is best determined by which of the following factors?

A 69 yr old unconscious patient is brought to the emergency department. Several blood tests are ordered. The phlebotomist collects blood under

While a phlebotomist is performing a venipuncture, the patient begins to seize. Which of the following is an appropriate action for a phlebotomist to take?

A phlebotomist should comply with HIPPA to protect which of the following?

A phlebotomist walks into a patients room and finds the patient bleeding profusely from the leg. Which of the following actions should the phlebotomist take first?

Apply direct pressure to the wound

A phlebotomist must invert anticoagulant tubes to prevent which of the following?

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

Wear gloves when contact with blood is reasonably anticipated

Why is it important to place a specimen in a biohazard specimen bag when transporting to an outside laboratory?

The biohazard bag prevents a possible exposure incident

During a draw, the patient becomes unresponsive. What's the next step of action the phlebotomist should take?

Which of the following is the next step after removing the needle from the patients arm?

Engage the needle safety device

A phlebotomist is required to obtain which of the following from a potential blood donor?

A complete medical history

Which of the following anticoagulants should the phlebotomist use to collect a PT/PTT test?

Which of the following is an appropriate cleanser for cleaning around the urinary meatus is clean-clutch urine collection?

A blood specimen was rejected by the laboratory with the abbreviation QNS. Why was the specimen rejected?

The specimen was insufficient

Which of the following statements by a phlebotomist regarding skin preparation for blood cultures is appropriate?

I will cleanse the area with povidone iodine

The order of draw for capillary collections is different than venipuncture because of

An increased rate of coagulation

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

Requires time for antiseptic action

A phlebotomy technician is reviewing instructions with a patient for a test that will be performed in the basal state. Which of the following statements made by the patient is correct?

I will fast prior to the test

A patient comes in to find out his tests results. The phlebotomist notices the results are ready and verifies the patients identity. Which of the following actions is most appropriate?

Inform the patient to contact the ordering physician to get the results

Which of the following is appropriate to use when collecting for a serum chemistry?

When should a phlebotomist perform external liquid controls for quality controls for quality control on a CLIA-waived point of care test?

When a new lot number or kit is opened

During a GTT, the phlebotomist should instruct the patient to collect a urine specimen

Every time a blood glucose test is collected

Which of the following is the first step in the blood collection procedure?

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

Place a 1 mm drop of blood a half-inch from the edge of the slide

A patient states she is a difficult draw and requests a skin puncture. The test ordered is a PTT. Which of the following should the phlebotomist perform?

A syringe draw transferred into a light blue vacutainer

Industry standard states that needle insertion in the antecubital area should be at a

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

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

For which of the following does emergency first aid treatment include maintaining an open airway, controlling bleeding, and keeping the victim warm until help arrives?

Which of the following potential outcomes is the most damaging of data is entered incorrectly into the automated laboratory information system?

The incorrect data may be reported to the health care provider

A phlebotomist collects a blood alcohol level for forensic testing and hands the specimen off to a laboratory technologist. Which of the following represents the proper procedure?

The technologist writes both the time received and his initials on the chain of custody form

Upon entering a patients room for a routine blood draw, a phlebotomist notices a clergy member is with the patient. The phlebotomist should

Return after drawing other patients

Which of the following actions is appropriate when labeling specimens?

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

Before collecting blood on an inpatient, the phlebotomist notices that the patient does not have a wristband on his wrist, but there is one attached to the patients IV stand. Which of the following is the proper action?

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

A phlebotomist is preparing to draw blood from a patient in a hospital. The patient extends his arm and turns his head away. Which of the following forms of consent does this indicate?

The phlebotomist needs to draw a GTT on a patient and notices an empty breakfast plate on the bedside table. Which of the following actions should the phlebotomist take?

Ask the patient is he has had anything to eat or drink

A diabetic patient states she prefers to be drawn on the inside of her wrists. Which of the following actions should the phlebotomist take?

Attempt to draw from the antecubital region

Which of the following actions would result in a grossly hemolyzed specimen?

An incorrect needle gauge

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 the other

When a phlebotomist is disturbing laboratory results to ordering physicians, which results have priority?

During venipuncture, the phlebotomist is stuck with a used needle. Which of the following is the priority action?

Flush the injured area with running water

A phlebotomist must choose the correct tube color and additive for the corresponding

Which of the following actions is required first when collecting a blood culture using a winged infusion set and evacuated tube system?

A phlebotomist must centrifuge a serum specimen before shipment to an outside reference laboratory because

Cells continue to metabolize

Which of the following test results are affected when povidone iodine is used to cleanse the site for dermal puncture?

Which of the following provides the phlebotomist the best protection when drawing blood from a patient with active tuberculosis?

Which of the following statements is an appropriate introduction for a student phlebotomist?

Hi, my name is dally smith. I am a student phlebotomist and I'm here to collect a blood specimen

Which of the following venipuncture steps are in the appropriate order?

Assess site, cleanse site, insert needle

WBC, RBC, glucose and electrolyte tests are ordered for a patient. The phlebotomist is unable to find accessible veins and has determined that is it acceptable to perform a skin puncture. What color tube should be drawn?

For which of the following must the phlebotomist follow chain of custody guidelines?

Which of the following is the proper procedure after collecting an ammonia specimen?

Place the specimen tube in an ice water slurry

Which of the following procedural steps for a finger stick should the phlebotomist do first?

Confirm the correct identity of the patient

The phlebotomist has a request to collect a routine CBC from a healthy 10 month old infant. Which of the following is the most appropriate collection site?

Which of the following is the term for a donation of a patients own blood for an upcoming surgery?

After performing a heel puncture for neonatal screening, which of the following is the correct procedure for collecting the blood?

Which of the following is the best method to collect a blood specimen from an older adult patient who is fragile, easy to collapse veins?

Choose a syringe and butterfly assembly and transfer to an ETS tube

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

These areas are more susceptible to infection

Which of the following is an example of the acceptable reporting of routine lab results?

Send the results to the physician in a marked envelope

When performing a venipuncture on a patient of average weight, which of the following is a correct technique for needle insertion?

Insert until a change in resistance

A physician ordered a tobramycin level to be drawn one hour after does. The tobramycin has ordered for 1100. Which of the following actions should the phlebotomist take?

Which of the following can cause a hemolyzed specimen?

Shaking the collection tube vigorously

Which of the following indicated the correct order of draw?

A phlebotomist received orders to draw infant screening card oxygen levels, bilirubin, and DNA. Which of the following should be drawn first?

Which of the following is the proper cleansing procedure for routine venipuncture?

Cleanse the site in an outward spiral

After placing a tourniquet on a patients arm, the phlebotomist notices small red spots below the tourniquet. Which of the following is the correct term for these spots?

When preparing for transportation, which of the following specimens must be placed into an ice bath within 30 minutes after collection?

A phlebotomist performs a urine dipstick test on a pediatric inpatient and the value for blood is 4+. Which of the following is the best action for the phlebotomist to take when reporting this value?

Report the results to the patients physician

Blood cultures have been ordered on a patient in the intensive care unit. The nurse calls the phlebotomist to bring the appropriate materials. Which of the following should the phlebotomist bring?

An aerobic bottle and an anaerobic bottle

According to the CLDl order of draw guidelines, which of the following samples should the phlebotomist collect first?

During a venipuncture, the patient reports a sharp pain radiating down the arm. Which of the following actions should the phlebotomist take?

Release the tourniquet and remove the needle

A physician orders a specimen STAT, but the phlebotomist forgets to fill out the patient ID #. What happens to the improperly labeled specimen once the outside lab receives it?

The lab rejects the mislabeled specimen

Which of the following include all the appropriate forms of ID in the inpatient setting?

Verbal, ID band, tube label

A phlebotomist is drawing 5 blood collection tubes. When should the tourniquet be released?

Which of the following is the best method to prevent internal or external bleeding from the venipuncture site after the needle is removed?

Apply pressure to prevent leakage of blood into the tissues

Which of the following additives should be used when performing a CBC?

Before the phlebotomist performs a venipuncture, the patient warns that he is HIV positive. According to OSHA regulations, after donning gloves, the phlebotomist should

When collecting a sample for a CBC, which of the following vessels should the phlebotomist attempt to draw from first?

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

Place in a box with cold packs and a biohazard label

The phlebotomist must perform a blood draw on a patient with an IV on right side, and there has been mastectomy on the left side. Where should the phlebotomist perform the venipuncture?

The phlebotomist is about to perform a venous blood draw on a 91 yr old patient. The phlebotomist should evaluate first using which of the following methods?

A phlebotomist is drawing blood from a patient and observers red spots. Which of the following is an appropriate action for the phlebotomist to take?

Apply more pressure to the site

During a routine venipuncture, the patient becomes pale and diaphoretic. What condition is most likely to occur in this patient?

Which of the following tubes should be collected first for dermal samples?

Which of the following identifies a specimen as long as it remains in the laboratory?

When should the code on glucose curvettes be compared to the code on the glucometer?

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?

Which of the following should the phlebotomist use to clean up a blood or cerebrospinal fluid spill?

Which of the following tubes should a phlebotomy tech collect first when obtaining dermal samples?

Which of the following actions should the phlebotomist take to decrease the potential for hemolysis of a blood specimen in an EDTA tube?

Which of the following actions should a phlebotomist technician take after collecting an ammonia specimen?