Question 1

Fainting may be caused by hypovolemia in which of these situations?

Accepted Answer

A)  Routine blood collection for laboratory testing 
B)  Blood donation collection 
C)  Both a and b 
D)  None of the above 
A)  Routine blood collection for laboratory testing 
B)  Blood donation collection 
C)  Both a and b 
D)  None of the above B

Question 2

Hemolysis can be defined as:

Accepted Answer

A)  destruction of white blood cells 
B)  discoloration of plasma 
C)  destruction of red blood cells 
D)  discoloration of serum 
A)  destruction of white blood cells 
B)  discoloration of plasma 
C)  destruction of red blood cells 
D)  discoloration of serum C

Question 3

Which of the following complications is caused by insufficient blood flow to the brain?

Accepted Answer

A)  Seizure 
B)  Hematoma 
C)  Syncope 
D)  Petechiae 
A)  Seizure 
B)  Hematoma 
C)  Syncope 
D)  Petechiae C

Question 4

This common complication occurs when the needle is improperly placed in a vein,and the blood is allowed to escape from the vein and collect under the skin.

Accepted Answer

A)  Seizure 
B)  Hematoma 
C)  Syncope 
D)  Petechiae 
A)  Seizure 
B)  Hematoma 
C)  Syncope 
D)  Petechiae

Question 5

The serum or plasma of a hemolyzed specimen would appear:

Accepted Answer

A)  clear yellow 
B)  cloudy 
C)  dark yellow 
D)  pink or reddish 
A)  clear yellow 
B)  cloudy 
C)  dark yellow 
D)  pink or reddish

Question 6

Which of the following is not a possible reason for short draw?

Accepted Answer

A)  Needle bevel against vein wall 
B)  Collapsed vessel 
C)  Syringe plunger withdrawn slowly 
D)  Needle not inserted far enough 
A)  Needle bevel against vein wall 
B)  Collapsed vessel 
C)  Syringe plunger withdrawn slowly 
D)  Needle not inserted far enough

Question 7

Which of the following will be true if an unintentional arterial puncture occurs during a routine phlebotomy procedure?

Accepted Answer

A)  The blood would be bright red and appear to "pulse" into the collection tube. 
B)  The procedure should be immediately stopped. 
C)  Extra pressure should be applied to the puncture site to prevent bleeding. 
D)  All of the above. 
A)  The blood would be bright red and appear to "pulse" into the collection tube. 
B)  The procedure should be immediately stopped. 
C)  Extra pressure should be applied to the puncture site to prevent bleeding. 
D)  All of the above.

Question 8

Which of the following should not be done when a patient is coherent but refuses to allow a blood specimen to be collected?

Accepted Answer

A)  Attempt to persuade the patient to cooperate with blood collection. 
B)  Explain to the patient that the physician has ordered the blood test and needs the results to provide proper medical care. 
C)  Enlist the assistance of other medical staff to restrain the patient until the specimen is collected. 
D)  Ask the patient's nurse to help convince the patient to cooperate. 
A)  Attempt to persuade the patient to cooperate with blood collection. 
B)  Explain to the patient that the physician has ordered the blood test and needs the results to provide proper medical care. 
C)  Enlist the assistance of other medical staff to restrain the patient until the specimen is collected. 
D)  Ask the patient's nurse to help convince the patient to cooperate.

Question 9

Which of the following is not correct in regards to drawing from a damaged or scarred vein?

Accepted Answer

A)  Blood may be difficult to obtain 
B)  Venipuncture in this area can be painful to the patient 
C)  A larger needle may be necessary to obtain an adequate specimen 
D)  An alternate collection site should be selected 
A)  Blood may be difficult to obtain 
B)  Venipuncture in this area can be painful to the patient 
C)  A larger needle may be necessary to obtain an adequate specimen 
D)  An alternate collection site should be selected

Question 10

The proper procedure to follow when a patient faints during the phlebotomy procedure includes all of the following,except:

Accepted Answer

A)  Immediately stopping the procedure 
B)  Finishing the procedure while holding the patient to keep him or her from falling 
C)  Calling for assistance 
D)  Provide immediate relief for the patient,including lowering his or her head and applying cold compresses 
A)  Immediately stopping the procedure 
B)  Finishing the procedure while holding the patient to keep him or her from falling 
C)  Calling for assistance 
D)  Provide immediate relief for the patient,including lowering his or her head and applying cold compresses

Question 11

The best way to avoid potential patient complications is to:

Accepted Answer

A)  lay every patient down 
B)  ask the patient's venipuncture history 
C)  have ammonia salts ready 
D)  draw the blood specimen while the patient is sleeping 
A)  lay every patient down 
B)  ask the patient's venipuncture history 
C)  have ammonia salts ready 
D)  draw the blood specimen while the patient is sleeping

Question 12

Edematous areas should be avoided for venipuncture because:

Accepted Answer

A)  It may be difficult to locate a vein because of the swelling of tissue surrounding the vein. 
B)  The specimen collected from the site may be contaminated with tissue fluid and therefore diluted. 
C)  Both a and b 
D)  None of the above 
A)  It may be difficult to locate a vein because of the swelling of tissue surrounding the vein. 
B)  The specimen collected from the site may be contaminated with tissue fluid and therefore diluted. 
C)  Both a and b 
D)  None of the above

Question 13

A short draw in a blue-top anticoagulated tube could lead to which of the following?

Accepted Answer

A)  Patient must be drawn 
B)  Inaccurate test results 
C)  Specimen rejected by laboratory 
D)  All of the above 
A)  Patient must be drawn 
B)  Inaccurate test results 
C)  Specimen rejected by laboratory 
D)  All of the above

Question 14

What does a sclerosed or scarred vein feel like?

Accepted Answer

A)  Hard and cordlike 
B)  Resilient 
C)  It pulsates 
D)  Soft and mushy 
A)  Hard and cordlike 
B)  Resilient 
C)  It pulsates 
D)  Soft and mushy

Question 15

The most common complication from a venipuncture is:

Accepted Answer

A)  hematoma 
B)  petechiae 
C)  seizures 
D)  syncope 
A)  hematoma 
B)  petechiae 
C)  seizures 
D)  syncope

Question 16

If the patient complains of shooting pain during phlebotomy,the phlebotomist should:

Accepted Answer

A)  discontinue venipuncture immediately 
B)  continue venipuncture if pain subsides in time 
C)  continue probing for a better location 
D)  redirect the needle to attempt to relieve the patient 
A)  discontinue venipuncture immediately 
B)  continue venipuncture if pain subsides in time 
C)  continue probing for a better location 
D)  redirect the needle to attempt to relieve the patient

Question 17

If during venipuncture the phlebotomist notices swelling around the venipuncture site while the needle is still inserted,the proper procedure is to:

Accepted Answer

A)  remove the needle and discontinue the venipuncture 
B)  continue venipuncture if collecting less than two additional tubes 
C)  contact the patient's nurse or physician immediately 
D)  call a code 
A)  remove the needle and discontinue the venipuncture 
B)  continue venipuncture if collecting less than two additional tubes 
C)  contact the patient's nurse or physician immediately 
D)  call a code

Question 18

Which of the following is least likely to cause hemolysis of a specimen?

Accepted Answer

A)  Collecting more than one tube of blood 
B)  Mixing tubes too vigorously 
C)  Pulling blood into a syringe too quickly 
D)  Using a needle with too small a bore 
A)  Collecting more than one tube of blood 
B)  Mixing tubes too vigorously 
C)  Pulling blood into a syringe too quickly 
D)  Using a needle with too small a bore

Question 19

The phlebotomist must never do which of the following when dealing with a convulsing patient?

Accepted Answer

A)  Protect the patient's head 
B)  Move anything that could be harmful to the patient 
C)  Leave the patient 
D)  Discontinue venipuncture 
A)  Protect the patient's head 
B)  Move anything that could be harmful to the patient 
C)  Leave the patient 
D)  Discontinue venipuncture

Question 20

Which of the following patient types could be uncooperative?

Accepted Answer

A)  Normal adult patients 
B)  Pediatric patients 
C)  Patients with mental dysfunction 
D)  All of the above 
A)  Normal adult patients 
B)  Pediatric patients 
C)  Patients with mental dysfunction 
D)  All of the above

Fainting may be caused by hypovolemia in which of these situations?

Hemolysis can be defined as:

Which of the following complications is caused by insufficient blood flow to the brain?

This common complication occurs when the needle is improperly placed in a vein,and the blood is allowed to escape from the vein and collect under the skin.

The serum or plasma of a hemolyzed specimen would appear:

Which of the following is not a possible reason for short draw?

Which of the following will be true if an unintentional arterial puncture occurs during a routine phlebotomy procedure?

Which of the following should not be done when a patient is coherent but refuses to allow a blood specimen to be collected?

Which of the following is not correct in regards to drawing from a damaged or scarred vein?

The proper procedure to follow when a patient faints during the phlebotomy procedure includes all of the following,except:

The best way to avoid potential patient complications is to:

Edematous areas should be avoided for venipuncture because:

A short draw in a blue-top anticoagulated tube could lead to which of the following?

What does a sclerosed or scarred vein feel like?

The most common complication from a venipuncture is:

If the patient complains of shooting pain during phlebotomy,the phlebotomist should:

If during venipuncture the phlebotomist notices swelling around the venipuncture site while the needle is still inserted,the proper procedure is to:

Which of the following is least likely to cause hemolysis of a specimen?

The phlebotomist must never do which of the following when dealing with a convulsing patient?

Which of the following patient types could be uncooperative?

Introduction to Phlebotomy

Anatomy and Physiology

Infectious Diseases and Their Prevention

Medical Terminology

Equipment

Proper Procedures for Venipuncture

Special Collection Procedures

Neonatal and Geriatric Procedures and Considerations

Multiskilling and Point-Of-Care for Phlebotomists

Interpersonal Communication and Professionalism

Phlebotomy Department Management

Total Quality in Phlebotomy Service

Medical-Legal Issues and Health Law Procedures

Filters

Exam 9: Considerations and Complications of Phlebotomy

Fainting may be caused by hypovolemia in which of these situations?

Hemolysis can be defined as:

Which of the following complications is caused by insufficient blood flow to the brain?

This common complication occurs when the needle is improperly placed in a vein,and the blood is allowed to escape from the vein and collect under the skin.

The serum or plasma of a hemolyzed specimen would appear:

Which of the following is not a possible reason for short draw?

Which of the following will be true if an unintentional arterial puncture occurs during a routine phlebotomy procedure?

Which of the following should not be done when a patient is coherent but refuses to allow a blood specimen to be collected?

Which of the following is not correct in regards to drawing from a damaged or scarred vein?

The proper procedure to follow when a patient faints during the phlebotomy procedure includes all of the following,except:

The best way to avoid potential patient complications is to:

Edematous areas should be avoided for venipuncture because:

A short draw in a blue-top anticoagulated tube could lead to which of the following?

What does a sclerosed or scarred vein feel like?

The most common complication from a venipuncture is:

If the patient complains of shooting pain during phlebotomy,the phlebotomist should:

If during venipuncture the phlebotomist notices swelling around the venipuncture site while the needle is still inserted,the proper procedure is to:

Which of the following is least likely to cause hemolysis of a specimen?

The phlebotomist must never do which of the following when dealing with a convulsing patient?

Which of the following patient types could be uncooperative?

Introduction to Phlebotomy

Anatomy and Physiology

Infectious Diseases and Their Prevention

Medical Terminology

Equipment

Proper Procedures for Venipuncture

Special Collection Procedures

Neonatal and Geriatric Procedures and Considerations

Multiskilling and Point-Of-Care for Phlebotomists

Interpersonal Communication and Professionalism

Phlebotomy Department Management

Total Quality in Phlebotomy Service

Medical-Legal Issues and Health Law Procedures

Filters