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Routine Blood Collection CTC

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

A phlebotomist is performing a hand venipuncture on 25 year old patient who has small veins that are difficult to access. what gauge should the phlebotomist used to perform procedure?

a)

23 gauge winged collection set.

b)

21 gauge ETS eclipse needle

c)

25 gauge ETS eclipse needle

d)

23 gauge syringe collection set

2.

A phlebotomist technician is preparing equipment for blood draw. The tech notices that one of the tubes on the tray is expired. What should the tech do?

a)

Use a new tube from the front of the shelf.

b)

use a tube from the back of the shelf

c)

use the tube within 5 days of expiration

d)

use the expired tube regardless of the date

3.

A phlebotomist is performing a venipuncture for potassium test, CBC and glucose test. The tech left the tourniquet tied on the patient for 3 minutes. what outcome should the tech expect ?

a)

low iron level

b)

High potassium level which causes hemolysis if left longer than 1 minute.

c)

low potassium level

d)

high CBC level

4.

A phlebotomist is performing a blood collection for a person who has edema ( fluid) in her right arm. Which location should the tech identify as the best vein for venipuncture?

a)

left side basilic

b)

Left side dorsal hand

c)

right side median cubital

d)

right side median cephalic

5.

A phlebotomist is using povidone-iodine during a capillary specimen collection . What outcome should the tech expect?

a)

increased glucose level

b)

decreased glucose level

c)


Increased potassium level

d)


decreased potassium level

6.

A phlebotomist tech is performing a venipuncture . After removing the needle cap , what step should the tech take

a)

Anchor the vein 2.5 to 5cm (1 to 2 inches) below the puncture site

b)

position the needle at 40 degree angle above the puncture site

c)

insert the needle quickly at the puncture site

d)

perform a "C" hold over the intended puncture site

7.

A phlebotomist is drawing blood through a hematoma. What error should the tech expect to see in the specimen?

a)

Hemolysis

b)

increased potassium

c)

increased epithelial tissue

d)

decreased electrolytes

8.

A phlebotomist is performing a venipuncture for bilirubin test, cold agglutinin titer, CBC, PTT test, what tubes should the tech use?

a)

two gray, one light yellow SPS, and one dark blue tube

b)

one light blue, two serum tops, and one lavender tube

c)

One gray, two light yellow SPS, and one dark blue tube

d)

one serum top, two purple, and one light blue tube

9.

A patient sits down for a venipuncture in an outpatient setting, rolls up her sleeve, and extends her arm. The patient turns her head away from the phlebotomy technician and says, "I don't want my blood drawn." Which of the following responses should the technician make to the patient. 

a)

"I will get another phlebotomist."

b)

"Do you want me to get the nurse? "

c)

"may I draw your blood?"

d)

"I am going to start the draw now."

10.

A phlebotomy technician is performing a venipuncture on a deep median cubital vein. Which of the following methods of withdrawal should the technician use? 

a)

Withdraw with the bevel down at a 10-14 degree angle

b)

Withdraw with the bevel down at a 25-30 degree angle

c)

Withdraw with the bevel up at 25 to 30 degree angle

d)

Withdraw with the bevel up at 10-15 degree angle

11.

A phlebotomy technician is performing a dorsal venipuncture with the needle at a 15 degree angle, resulting in slow blood flow and the development of a hematoma. Which of the following should the technician identify as the cause of the hematoma? 

a)

Needle completely through the vein

b)

Needle at too shallow of an angle

c)


Needle beside the vein

d)

Needle bevel opening in the vein

12.

A phlebotomy technician is preparing to perform a venipuncture test for coagulation, WBC, pregnancy, and random glucose. Which of the following tubes should the technician choose? 

a)

Sodium heparin, EDTA, SST

b)

SPS, ACD, and sodium heparin

c)

SPS, ACD, and sodium citrate

d)

Sodium citrate, SST, and EDTA

13.

A phlebotomy technician has three bar-coded labels but has filled four tubes. The technician needs to create one more label for evacuated tubes. Which of the following information should the technician include on the label?  

a)

Patient's name, room number, and date of collection

b)

Patient's date of birth, accession number, and time of collection

c)

Technician's initials, provider's name, and patient's date of birth

d)

Technician's initials, date, and time of collection

14.

A phlebotomy technician accidentally punctures the patient's artery during a venipuncture procedure. Which of the following actions should the technician take? 

a)

instruct the patient to bend the arm at the elbow

b)

instruct the patient to hold the arm below the heart

c)

Apply pressure on the site for at least 5 min.

d)

apply self-adherent tape with a cotton ball

15.

A CPT is performing a venipuncture for a lipid profile, WBC, and a clotting time test. Which of the following is the correct draw order? 

a)

green, light yellow, ACD, serum

b)

serum, green, light yellow, ACD

c)

Light blue, SST, lavender

d)

purple, grey, and light blue

16.

A phlebotomy technician is performing venipuncture on a patient. When the technician inserts the needle, the vein collapses. Which of the following is a possible cause? 

a)

inserting a smaller evacuated tube

b)

applying the blood pressure cuff to 30mmHg

c)

Applying the tourniquet too tightly

d)

using a 25 gauge needle and syringe

17.

A phlebotomy technician is preparing to collect a variety of blood specimens. Which of the following specimens should the technician collect first? 

a)

cholesterol

b)

blood cultures

c)

Basic metabolic panel (BMP)

d)

Complete Blood Count (CBC)

18.

Prior to performing a phlebotomy procedure, a CPT should ask the patient to verify which of the following information? 

a)

Patient's power of attorney

b)

Patient's account number

c)

Patient's date of birth

d)

Patient's phone number

19.

A medical assistant is performing phlebotomy on an 80 year old patient who has small veins. Which of the following venipuncture methods should the CPT use for this patient? 

a)

heel stick

b)

evacuated tube

c)

butterfly needle

d)

finger puncture

20.

A CPT is obtaining a sample for a erythrocyte sedimentation rate (ESR) test. Which of the following tubes should the certified phlebotomy technician use for blood collection? 

a)

green

b)

lavender

c)

light blue

d)

serum separator tube