phlebotomy pt2
A phlebotomy technician should identify that which of the following is the next step after removing a needle from a patient's arm?
Engage the needle safety device.
A phlebotomy technician is teaching a patient about collecting a sputum specimen at home. Which of the following instructions should the technician include?
Spit thick secretions into the container after coughing deeply.
A phlebotomy technician is performing a total cholesterol point-of-care test for a patient. Which of the following findings should the technician immediately report to the provider?
300 mg/dL
A phlebotomy technician is preparing several specimens for transport to the facility's laboratory. Which of the following specimens should the technician protect from bright light by placing it in an amber/brown biohazard bag for transport?
Vitamin B6
A phlebotomy technician should identify that which of the following additives is used to prevent the breakdown of glucose?
Sodium fluoride
A phlebotomy technician is preparing to collect a blood specimen from a patient for a coagulation study. The patient states, "I faint every time I get my blood drawn." Which of the following statements should the technician make?
"I will perform the draw while you are lying down."
A phlebotomy technician should identify that which of the following is the total blood volume of an infant who weighs 3.3 kg (7.3 lb)?
240 to 330 mL
When should a phlebotomy technician perform external liquid controls for quality control on a CLIA-waived glucose point-of-care test?
When a new lot number or kit is opened
A phlebotomy technician is using an evacuated needle holder and blood collection tubes to collect blood from a patient. Which of the following actions should the technician take?
Push the first collection tube gently into the holder.
A phlebotomy technician is collecting blood specimens from a patient for multiple blood assays. The technician should fill the tube that has which of the following additives first?
Sodium citrate
Which of the following actions should a phlebotomy technician take when labeling specimens?
Labeling specimens at the time of collection and in the presence of the patient
A phlebotomy technician is preparing a patient's arm for venipuncture. Which of the following techniques should the technician use when applying an antiseptic solution?
Back and forth strokes
A phlebotomy technician is required to obtain which of the following from a potential blood donor?
Complete medical history
For an older adult patient who has difficult-to-access veins, a phlebotomy technician should select which of the following veins to perform a venipuncture?
Dorsal veins
A phlebotomy technician is collecting a unit of blood from a donor. Which of the following actions should the technician take?
Instruct the donor to open and close his hand gently throughout the collection.
A phlebotomy technician is performing a heelstick to obtain capillary blood for testing a newborn's bilirubin level. Which of the following actions should the technician take?
Use an amber-colored microcontainer.
A phlebotomy technician must comply with which of the following OSHA requirements when performing a venipuncture?
Wear gloves when contact with blood is anticipated.
To prevent hospital-acquired infections, a phlebotomy technician should clean items that have been contaminated by blood with a 1:10 dilution of which of the following substances and water?
Sodium hypochlorite
A technician should identify that which of the following is one of the Joint Commission's 2016 National Patient Safety Goals?
Identify patients correctly.
A phlebotomy technician has a requisition for collecting fasting blood glucose and albumin specimens from a patient. Which of the following actions should the technician take before collecting the patient's blood?
Make sure the patient has fasted for the past 8 to 12 hr.
A phlebotomy technician is preparing to use an evacuated tube system to obtain a venous blood specimen from a patient. The tourniquet is in place and the technician has cleansed the puncture site. Which of the following procedural steps should the technician perform next?
Uncap the needle and inspect it.
A phlebotomy technician is explaining the venipuncture process to an adult patient. The patient nods frequently but appears confused. Which of the following actions should the technician take?
Rephrase the information for the patient.
Within which of the following time periods should a phlebotomy technician collect a newborn blood-spot test screening card?
Within 72 hr
A phlebotomy technician is performing a venipuncture for a patient. The patient suddenly reports "feeling faint." After removing the tourniquet and the needle, which of the following actions should the technician take next?
Have the patient put her head between her legs.
Which of the following is a potential consequence of a phlebotomy technician mislabeling a blood bank specimen?
A transfusion reaction
Which of the following actions should a phlebotomy technician take to prevent bleeding from a venipuncture site after the needle is removed?
Apply pressure to prevent leakage of blood into the tissues.
A phlebotomy technician enters a patient's room to obtain a stat specimen. The patient's provider and a nurse are speaking with the patient.
Which of the following actions should the technician take first?
Introduce himself to the patient and the health care team members.
A patient arrives at a clinic with a requisition for a chemistry panel. A technician notices that the patient's last name on the requisition differs from the patient's provided identification. Which of the following actions should the technician take?
Contact the ordering provider to correct the requisition form.
For which of the following reasons should a phlebotomy technician avoid drawing blood from the leg or foot of a patient who has diabetes?
These areas are more susceptible to infection.
Which of the following actions should a phlebotomy technician take after collecting an ammonia specimen?
Place the specimen tube in an ice-water slurry.
A phlebotomy technician should identify that which of the following colors signifies a health hazard in the National Fire Protection Association
(NFPA) 704 Marking System?
Blue
A phlebotomy technician is obtaining a blood specimen from a patient. The technician notices swelling and a large hematoma forming at the puncture site. Which of the following actions should the technician take?
Remove the tourniquet and needle.
A phlebotomy technician is instructing a patient how to collect a clean-catch urine specimen. Which of the following cleansers should the technician instruct the patient to use when cleansing around her urinary meatus?
Mild antiseptic soap
A phlebotomy technician is collecting a urine specimen from a patient for a pre-employment drug screening. Which of the following findings should indicate to the technician that tampering has possibly occurred?
The temperature of the specimen is 30° C (86° F).
Which of the following actions by a phlebotomy technician can result in a grossly hemolyzed specimen?
Using an incorrect needle gauge
A phlebotomy technician is performing a capillary blood collection for an older adult patient. Which of the following sites should the technician select?
The distal phalanx of either middle finger
For which of the following reasons should a phlebotomy technician document the total volume of blood drawn from a patient?
To determine if the patient is at risk for developing iatrogenic anemia
Which of the following sources for patient identification should a phlebotomy technician use in an inpatient setting?
Verbal and wristband
A phlebotomy technician is collecting a blood specimen from a patient to measure the trough level of a medication. The technician should collect the specimen at which of the following times?
Within 15 min before the patient receives the next dose of medication
A phlebotomy technician is collecting a patient's blood specimen in a lavender-topped tube. How many times should the technician gently invert the tube before setting it in the specimen collection tray?
Eight to ten times
According to the Clinical and Laboratory Standards Institute's order of draw guidelines, which of the following samples should a phlebotomy technician collect first?
Blood cultures
A provider orders a stat specimen, but a phlebotomy technician forgets to fill out the patient ID number on the collection tube. The technician should expect the laboratory that received the specimen to take which of the following actions?
Reject the specimen.
A phlebotomy technician is following the Clinical and Laboratory Standards Institute's (CLSI) clinical laboratory workflow pathway. As part of the postexamination phase of this process, which of the following actions should the technician take?
Enter critical laboratory data,
Which of the following actions should a phlebotomy technician take when performing a venipuncture using an evacuated tube system?
Position the needle at a 30° angle in the same direction as the vein and with the bevel up.
A phlebotomy technician is performing a venipuncture on a patient who recently had a mastectomy on her right side. The technician should draw blood from which of the following locations?
Left arm
A phlebotomy technician is using a point-of-care test system to determine a patient's WBC count. For which of the following results should the technician immediately notify the provider?
1.8/mm3
A phlebotomy technician is collecting a blood specimen from a patient who has cutaneous diphtheria. Besides gloves, which of the following pieces of personal protective equipment should the technician wear?
Gown
A phlebotomy technician has a request to collect a routine CBC from a healthy 10-month-old infant. Which of the following collection sites should the technician select?
Either heel
A phlebotomy technician enters a patient's room to perform a venipuncture and notices that the patient is sleeping. Which of the following actions should the technician take?
Wake the patient before collection.
During a routine venipuncture, a phlebotomy technician notices that a patient is becoming pale and diaphoretic. The technician should identify that the patient is at risk for which of the following conditions?
Syncope
A phlebotomy technician is collecting a blood specimen from a patient for blood cultures. Which of the following additives do the blood collection tubes require?
Sodium polyanethol sulfonate
A phlebotomy technician is collecting a blood specimen from an adolescent patient who weighs 42.6 kg (94 lb). Which of the following amounts is appropriate to collect if the maximum allowable volume of blood is 1%?
40 mL
A phlebotomy technician should identify that which of the following phrases is represented by the abbreviation "SD"?
Standard deviation
A phlebotomy technician is collecting a venipuncture blood specimen from a patient for a blood assay. The technician should fill which of the following tubes first?
Yellow-topped tube
Which of the following regulations ensures that a phlebotomy technician is proficient to perform job duties and responsibilities?
CLIA
A phlebotomy technician should transport a semen sample at which of the following temperatures?
36° to 38° C
A phlebotomy technician in an outpatient setting is identifying a patient before performing a venipuncture procedure. To confirm the patient's identity, which of the following questions should the technician ask?
"Would you please state and spell your full name and provide your date of birth?"
For which of the following tests should a phlebotomy technician follow chain of custody guidelines?
Blood alcohol
A phlebotomy technician should invert anticoagulant tubes to prevent which of the following complications?
Hemolysis
A phlebotomy technician is preparing to collect a blood specimen from a patient who is allergic to alcohol. Which of the following antiseptic solutions should the technician use to prepare the insertion site?
Chlorhexidine
Prior to transport, which of the following specimens should a phlebotomy technician place in an ice bath within 30 min after collection?
Arterial blood gas
A phlebotomy technician should identify that which of the following series of venipuncture steps is in the appropriate order?
Assess the site, cleanse the site, and insert the needle.