Deck 7: Phlebotomy

Question 1

If the patient is taking blood thinning medication,what should the phlebotomist do?

A) Hold pressure on the blood draw site longer
B) Inform the patient the stick may hurt worse than normal
C) Notify the supervisor for special vacuum collection tubes
D) Contact the physician for special instructions

Answer 1

Hold pressure on the blood draw site longer

Question 2

How should contaminated materials that are generated by cleaning up a blood spill be disposed of?

A) Disposed of in a sharps container
B) Disposed of using a red biohazard bag
C) Disposed of in the trash
D) Sterilized with ethylene oxide and then disposed of using a red biohazard bag

Answer 2

Disposed of using a red biohazard bag

Question 3

Which of the following would NOT make the patient's veins distend and make blood drawing easier?

A) Apply a tourniquet
B) Use the proper vacuum collection container
C) Place the patient's extremity in a dependent position
D) Have the patient clench his/her fist

Answer 3

Use the proper vacuum collection container

Question 4

Which of the following is NOT a therapist's obligation to themselves related to the performance of phlebotomy?

A) Knowing what is to be done for their own protection
B) Preparing for the phlebotomy procedure by assembling the correct materials
C) Performing the phlebotomy procedure step-by-step
D) Using proper aseptic technique when preparing the skin for venipuncture.

Question 5

There is an obligation for the respiratory therapist to protect himself from inadvertent exposure to blood specimens.How is this accomplished?

A) Knowledge
B) Preparation
C) Procedure
D) All of these

Question 6

When will the therapist's blood test be repeated following the initial testing after an accidental needle stick?

A) Blood will be tested again at 1, 3, 6, and 12 months after the accidental needle stick.
B) Blood will be tested again at 6 and 12 years after the accidental needle stick.
C) Blood will be drawn after antibiotics are started.
D) There will be no need to draw any more blood.

Question 7

If the vacuum tube is pushed in too soon or attached to the needle too soon,what would happen?

A) Unnecessary contamination will occur at the draw site.
B) The angle of the needle stick should be increased.
C) A larger needle needs to be used.
D) The negative pressure stored in the tube will be lost.

Question 8

Place the following steps of the venipuncture procedure in the correct order.
I.Identify yourself to the patient and explain the procedure
II.Check the blood drawing order and patient identification
III.Dress the site
IV.Prepare the skin for venipuncture

A) II, I, IV, III
B) I, II, III, IV
C) II, IV, I, III
D) I, II, IV, III

Question 9

How long should the area be scrubbed with antimicrobial soap after an accidental needle stick?

A) 30 seconds
B) 2 minutes
C) 30 minutes
D) The area should not be scrubbed

Question 10

Following the post needle stick scrub,what should be done to the wound?

A) Apply an ointment such as polymixin-bacitracin to the area
B) It should be lanced by a physician
C) The area should be squeezed to increase perfusion to the area
D) Nothing

Question 11

If the patient refuses a blood draw after a needle stick what is the procedure?

A) The patient is informed the blood will be drawn anyway
B) The patient's previous blood sample is tested
C) Due to patient confidentiality, nothing can be done
D) The therapist's blood will be drawn and tested immediately

Question 12

What is the key to maintaining a safe work environment?

A) Patient
B) Supervisor
C) Exposure control policy
D) Physician

Question 13

What is defined as the invasive puncturing of a vein for the purpose of collecting blood?

A) Venous blood gas sampling
B) Phlebotomy
C) Arterial blood gas sampling
D) Transcutaneous blood sampling

Question 14

If a needle stick occurs,what is the first step the needle stick victim should take?

A) Test the patient for communicable disease
B) Press hard enough on the stick site to increase perfusion
C) Notify the supervisor
D) Read the exposure control policy

Question 15

Which of following is the best way to confirm the patient's identity?

A) Checking the order in the chart
B) Asking the nurse or other health care worker
C) Ask the patient
D) Check the patient's name band

Question 16

What is the first obligation of the therapist related to the performance of phlebotomy?

A) To the lab
B) To themselves
C) To the patient
D) To the hospital

Question 17

Which of the following needle sizes is the smallest size?

A) 25 gauge
B) 23 gauge
C) 21 gauge
D) 19 gauge

Question 18

An exposure control policy is meant to protect ________________.

A) health care providers.
B) patients.
C) support staff.
D) health care providers, patients, and support staff.

Question 19

If a blood spill occurs,what is the first thing you should do?

A) Notify environmental service to clean up the spill
B) Clean it up thoroughly with proper materials
C) Contain the spill by blocking off the area
D) Notify the supervisor to find the location of the environmental control procedure

Question 20

What is the therapist's obligation to the lab related to the performance of phlebotomy?

A) Use of aseptic techniques to prevent contamination of the specimen.
B) Labeling each blood sample correctly with the patient's identification.
C) Properly dress the blood draw site after the sample is drawn
D) a and b

Question 21

Which of the following techniques will reduce the probability of infection with a blood draw?

A) Proper cover over the site
B) Good aseptic technique before venipuncture
C) Reviewing the chart for infections
D) Both a and b

Question 22

A tourniquet can be used to enhance vein distension to ease the location of a good vein for a venous draw.What would happen if the tourniquet were left on too long?

Question 23

How does the phlebotomist gain the confidence of the patient for a blood draw?

Question 24

What has most likely happened if the phlebotomist notices a quick flash of blood into the tube; then the blood flow stops?

A) The vacuum collection container is unusable.
B) The patient is on blood thinning medication.
C) The needle has gone completely through the vein.
D) Contamination of the blood draw site has occurred.

Question 25

Which of the following transporting methods is LEAST reliable?

A) The drawing therapist carrying the blood to the lab him- or herself
B) The lab picks up the blood samples at some collection point
C) Sending the blood specimen through the pneumatic tube system
D) Having another therapist carry the blood sample to the lab

Question 26

When drawing blood with a butterfly needle,how is the blood collected from the patient's vein?

A) Creating negative pressure with an attached syringe
B) By keeping the patient's extremity in the dependent position
C) "Milking' the site to start and allow the blood flow to continue
D) Adapting the vacuum collection container to fit the needle

Question 27

If the blood clots in the tube or needle,what should the phlebotomist do?

A) Replace the vacuum collection tube.
B) Remove the tube from the needle and releasing the tourniquet while leaving the needle in the vein.
C) Advance the needle.
D) Start over.

Question 28

How can the phlebotomist enhance sites to draw blood from a patient?