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Clinical Chemistry: Blood Collection and Specimen Considerations

Total questions: 41

Worksheet time: 38mins

Name
Class
Date
1.

Tourniquet application: how many minutes is recommended?

a)

< 1 minute

b)

> 1 minute

2.

If BP cuff is used, inflate to:

a)

40-60 mmHg

b)

120 mmHg

c)

90-180 mmHg

d)

20-40 mmHg

3.

What is the routine antiseptics?

a)

70% isopropyl alcohol

b)

Ethanol assay

c)

Iodophor chlorohexidine

d)

70% alcohol

4.

This may lead to falsely elevated values further enclosure.

a)

70% isopropyl alcohol

b)

Ethanol assay

c)

Iodophor chlorohexidine

d)

70% alcohol

5.

This antiseptic is used for culture?

a)

70% isopropyl alcohol

b)

Ethanol assay

c)

Iodophor chlorohexidine

d)

70% alcohol

6.

This is not recommended by CLSI due to safety and specimen quality issues.

a)

Needle and Syringe

b)

Butterfly/Winged Infusion Set

c)

Evacuated Tube System

7.

This is used for infants and children, hand veins, and difficult-draw situations.

a)

Needle and Syringe

b)

Butterfly/Winged Infusion Set

c)

Evacuated Tube System

8.

This consists of double-headed needle, adapter, color-coded evacuated tube.

a)

Needle and Syringe

b)

Butterfly/Winged Infusion Set

c)

Evacuated Tube System

9.

Standard needle size:

a)

21

b)

20

c)

22

d)

23

10.

Length of standard needle:

a)

+ 15

b)

+ 16

c)

+ 17

d)

+ 18

11.

Recommended angle between needle and vein

a)

15-30 °

b)

45-60 °

c)

90 °

d)

45 °

12.

ALL BUT ONE: removes calcium or calcium chelator

a)

EDTA

b)

Citrate

c)

Oxalate

d)

Heparin

13.

Color code: Lavender, Pink

a)

EDTA

b)

Citrate

c)

Oxalate

d)

Heparin

14.

Color code: Light blue, Black

a)

EDTA

b)

Citrate

c)

Oxalate

d)

Heparin

15.

Color code: Gray

a)

EDTA

b)

Citrate

c)

Oxalate

d)

Heparin

16.

Color code: Green

a)

EDTA

b)

Citrate

c)

Oxalate

d)

Heparin

17.

Inhibits thrombin

a)

EDTA

b)

Citrate

c)

Oxalate

d)

Heparin

18.

ALL but ONE: Color Code RED (Plastic Tube)

a)

Silica

b)

Celite

c)

Diatomite

d)

Thrombin

19.

Color Code: Orange

a)

Silica

b)

Celite

c)

Diatomite

d)

Thrombin

20.

This clot activator additive are recommended for STAT Serum Tests

a)

Silica

b)

Celite

c)

Diatomite

d)

Thrombin

21.

Color code: Silica red / Black, gold

a)

Gel + clot activator

b)

Gel + anticoagulant

22.

This separator tube is not recommended for those with THERAPEUTIC DRUG MONITORING

a)

Gel + clot activator

b)

Gel + anticoagulant

23.

This separator tube's color code is light green/gray

a)

Gel + clot activator

b)

Gel + anticoagulant

24.

It is an antiglycolytic agent which prevents glycolysis and for glucose testing as well as lactate and ethanol assays.

a)

Sodium Fluoride

b)

Thrombin

c)

Sodium Citrate

d)

EDTA

25.

Indications: Newborn screening (blood spots), daily monitoring of DM Patients, POCT

a)

Capillary Puncture

b)

Arterial Puncture

c)

IV Puncture

26.

Indications: arterial blood gas analysis, absence of palpable veins

a)

Capillary Puncture

b)

Arterial Puncture

c)

IV Puncture

27.

Sites of puncture: heel, 3rd or 4th finger, big toe, earlobe

a)

Capillary Puncture

b)

Arterial Puncture

c)

IV Puncture

28.

Sites of puncture: radial, brachial, and femoral

a)

Capillary Puncture

b)

Arterial Puncture

c)

IV Puncture

29.

Capillary Order of Draw:

a)

1. Blood Gases 2. Preparation of Slides 3. EDTA 4. Additive Tubes

b)

1. Preparation of Slides 2. EDTA 3. Blood Gases 4. Additive Tubes

c)

1. Blood Gases 2. Additive Tubes 3. EDTA 4. Preparation of Slides

d)

1. Additive Tubes 2. Preparation of Slides 3. EDTA 4. Blood Gases

30.

Recommended length of lancet blade for heel sticks:

a)

1.75 mm

b)

1.75 cm

c)

17.5 cm

d)

1.75 um

31.

What should be done before using the radial artery? ⭐

(a)  

32.

Capillary Order of Draw: To avoid exposure of air

a)

Blood Gases

b)

Preparation of Slides

c)

EDTA

d)

Other Additive Tubes/Serum Tubes

33.

Capillary Order of Draw: To avoid platelet clumping

a)

Blood Gases

b)

Preparation of Slides

c)

EDTA

d)

Other Additive Tubes/Serum Tubes

34.

Amount of Anticoagulant for Arterial Puncture

a)

0.05 mL

b)

1 mL

c)

1.75 mL

d)

2 mL

35.

Phlebotomy Complication: bleeding from venipuncture site and hematoma formation

a)

Vascular

b)

Infections

c)

Anemia (iatrogenic)

d)

Neurologic

36.

Phlebotomy Complication: Second Most Common Complication

a)

Vascular

b)

Infections

c)

Anemia (iatrogenic)

d)

Neurologic

37.

Phlebotomy Complication: Result from blood loss for testing

a)

Vascular

b)

Infections

c)

Anemia (iatrogenic)

d)

Neurologic

38.

Phlebotomy Complication: Particular problem with pediatric patients

a)

Cardiovascular

b)

Dermatologic

c)

Anemia (iatrogenic)

d)

Neurologic

39.

Phlebotomy Complication: Post-phlebotomy seizure or pain

a)

Cardiovascular

b)

Dermatologic

c)

Anemia (iatrogenic)

d)

Neurologic

40.

Phlebotomy Complication: Orthostatic hypotension, syncope, shock, etc.

a)

Cardiovascular

b)

Dermatologic

c)

Anemia (iatrogenic)

d)

Neurologic

41.

Phlebotomy Complication: Allergic reaction to iodine, adhesives, or latex

a)

Cardiovascular

b)

Dermatologic

c)

Anemia (iatrogenic)

d)

Neurologic

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