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Phlebotomy Certification Questions 6

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  • When arming an infant’s heel for a dermal puncture, the heel should be warmed for
    6 to 8 minutes
    3 to 5 minutes
    30 seconds
    1 to 2 minutes
  • Which is not a type of CVC?
    Fistula
    Groshong
    Broviac
    Triple lumen
  • Which of the following ours as we grow older?
    Blood vessels widen because of atherosclerosis
    Hematomas are more likely
    The layers of the skin become more elastic
    Arteries move farther from the surface of the skin
  • An arm containing ________ is never used for phlebotomy procedures.
    An implanted port
    A fistula
    An arterial line
    A heparin lock
  • Which laboratory department may require special patient ID?
    Blood bank
    Hematology
    Chemistry
    Microbiology
  • Hemolysis is
    The flow of blood from collection tube back into needle/vein
    Lack of lymph fluid movement
    Destruction of blood cells
    Alteration in the ratio of elements in the blood
  • Jaundice means
    Swelling of the skin
    Bruising of the skin
    None of the above
    Yellowing of the skin
  • Which test result is not affected by patient position?
    Cholesterol
    Albumin
    Blood alcohol
    Enzymes
  • If a stat test is ordered and the patient is not in his or her room, you should
    Locate the patient
    Leave request at nurse’s station for nurse to perform draw
    Wait in the patient’s room until he or she returns
    Postpone the collection
  • Which gauge needle is best to use for a draw on a child younger than 2 years?
    21
    18
    23
    28
  • Which laboratory test assays jaundice?
    Glucose
    Bilirubin
    Electrolytes
    Complete blood count
  • Povidone-iodine is not recommended for
    Dermal punctures
    Blood gas draws
    Blood alcohol draws
    Blood cultures
  • Only specially trained personnel acting on a physician’s order are alowed to collect specimens from
    Mentally impaired patients
    Newborns
    VADs
    Geriatric patients
  • To enhance vein prominence, you can
    Apply a moist warm cloth to the area
    Elevate the arm in an upward position
    Tap the antecubital area with your index and middle finger
    Squeeze the patient’s wrist
  • Dermal punctures in pediatric patients are preferred for ____________ testing
    PKU
    Serum
    Cross-match
    Blood culture
  • Lymphostasis is
    Alteration in the ratio of elements in the blood
    Lack of lymph fluid movement
    The flow of blood from collection tube back into the vein
    Destruction of blood cells
  • Which of the following is not a VAD?
    CVC
    IV
    EMLA
    PICC
  • Which of the following is incorrect?
    Newborns have a higher proportion of RBCs than adults
    More blood may be needed from newborns to provide enough
    Newborns have a higher proportion of plasma than adults
    Newborns and infants are more susceptible to infection than
  • Hemoconcentration is
    Destruction of blood cells
    The flow of blood from collection tube back into needle/vein
    Lack of lymph fluid movement
    Alteration in the ratio of elements in the blood
  • Neonatal screening tests for which disorders are mandated by the United States?
    PKU and hypothyroidism
    PKU and sickle cell anemia
    PKU and hyperthyroidism
    PKU and vitamin D deficiency
  • To avoid reflux of an anticoagulant, you should do all of the following EXCEPT:
    Remove last tube from needle before removing the tourniquet
    Allow the tube to fill from the bottom up
    Remove last tube from the needle before removing the needle
    Keep the patient’s arm elevated above the heart
  • When an artery is inadvertently stuck during collection, which of the following statemtns is not true?
    The blood may be bright red
    The sample should be labeled as usual
    The blood may spurt or pulse into the tube
    Pressure should be applied for 10 minutes
  • Reasons for a specimen recollection include all of the following EXCEPT:
    Contamination by powder from gloves
    Prolonged bleeding after needle withdrawal
    Incomplete drying of the antiseptic
    Using the wrong antiseptic
  • Samples for PKU testing are typically collected
    In a microcollection container
    On special filter paper
    In a micropipette
    In a collection tube
  • Blood should never be collected from the arm of a patient containing
    An AV shunt
    An arterial line
    A CVC
    An IV
  • Which of the following could be a cause of hemolysis?
    Drawing blood too slowly with a syringe
    Using a needle larger than 23 gauge
    Vigorously mixing the tubes
    Allowing the blood to run down the side of a tube
  • Crying causes an increase in
    Bilirubin
    Platelet count
    Creatinine
    WBC count
  • Conditions that may alter the quality of a specimen or cause harm to the patient during a blood draw include the following
    Hematomas
    Mastectomies
    Edematous tissue
    All of the above
  • Collapsed veins can be caused by
    Too large a needle for the vein
    Too much vacuum asserted on the vessel
    All of the above
    The plunger being pulled too quickly
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