CPT 4.1-4.2 Preparing and Procedures

The phlebotomist prepares to draw blood via venipuncture. She assembles her supplies within easy reach. She applies the tourniquet above the patient's elbow. How far above the intended puncture site should the tourniquet be applied?

• One half inch
• One inch
• Two inches
• Three to four inches

The most common venipuncture procedure utilizes a holder, a double sided needle, and vacutainers. This method is:

• ETS (evacuated tube system)
• Butterfly
• Syringe
• Dermal puncture

Cleansing of the intended site involves use of _____________ in a ________________pattern.

• Betadine pad, circular
• 70% Alcohol pad, circular
• Betadine pad, back and forth
• 70% Alcohol pad, back and forth

Choosing the puncture site is a major factor in obtaining a successful venipuncture. Which is the correct order of preference for veins in the antecubital area?

• Cephalic, Median Cubital, Basilic
• Basilic, Cephalic, Median Cubital
• Median Cubital, Cephalic, Basilic
• Median Cubital, Basilic, Cephalic

What is the most frequently used gauge size for performing phlebotomy procedures?

• 14-16G
• 18-20G
• 21-23G
• 25-27G

After removing the cap from the needle, what is the next step?

• Tie the tourniquet
• Postion the needle at a 45 degree angle
• Anchor the chosen vein 2 inches below the intended puncture site
• Cleanse the site with a circular motion

The needle for venipuncture in the antecubital area should be placed at what angle of insertion?

• 10-15 degrees
• 20-25 degrees
• 15-30 degrees
• 35-45 degrees

Palpating the vein prior to puncture allows for assessment of what 3 things?

• Spasticity, surface and stretch
• Dimension, direction and depth
• Color, clamminess and contraction
• Bounce, bifurcation and blanching

Utilizing a smooth and confident insertion, venous access is obtained. The following tubes need filled. In what order should they be drawn to prevent contamination by additives?

• Yellow, lavender, green, light blue
• Light blue, green, yellow, lavendar
• Yellow, light blue, green, lavender
• Lavender, yellow, green, light blue

Which of the following tubes contain the additive Sodium Citrate?

• Yellow
• Light blue
• Lavender
• Green