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WorksheetsBlood Collection in Pediatric and Geriatric Patients Quiz
Total questions: 100
Worksheet time: 50mins
Which of the following is an important first step when preparing a child and parent for blood collection?
A calm, confident approach
Rushing through the procedure
Ignoring the child's concerns
Not identifying the patient
What is a common way to identify a hospitalized infant who has not yet been named?
By their last names and identification number
By their first names only
By their parents' names
By their room number
Which of the following is a special consideration when collecting blood from pediatric or geriatric patients?
Both age groups require extra care in blood collection
Only pediatric patients require extra care
Only geriatric patients require extra care
No special care is needed for either group
Why is it important to place yourself at the child’s eye level during blood collection?
To explain and demonstrate the procedure effectively
To intimidate the child
To speed up the process
To avoid talking to the parent
Which of the following is NOT a recommended practice for calming children before a blood collection?
Ignoring their fears
Observing techniques performed by experienced health care workers
Practicing the techniques to develop skills
Learning how to talk with children of various ages
What should a health care worker do to ensure correct identification of a hospitalized infant?
Check the identification bracelet on the infant’s ankle
Ask the parent for the infant’s name only
Rely on memory
Use the room number as identification
Which of the following is a key step in developing a plan for a successful blood collection in children?
Consider the child’s past experience with blood collections
Ignore the child’s previous experiences
Focus only on the parent’s instructions
Skip the planning process
Which figure is referenced as showing "Our Younger Multicultural Generation"?
Figure 10-1
Figure 10-2
Figure 9-1
Figure 11-1
Which of the following is recommended when preparing a child and parent for a painful procedure?
Avoid discussing the procedure with the child
Be honest and tell the child that the procedure will be painful
Discourage parent involvement
Ignore the child's concerns
At what age do children most likely perceive pain as a punishment for bad behavior?
1 to 2 years
3 to 5 years
6 to 12 years
13 to 17 years
Which age group is most likely to relate pain to past experiences?
1 to 2 years
3 to 5 years
6 to 12 years
13 to 17 years
What is a recommended distraction technique for children over 3 years old during a medical procedure?
Ignoring the child
Blowing bubbles or pinwheels
Forcing the child to stay silent
Giving the child a toy to break
What is the best room location for a painful procedure for a child?
The child's bed
The child's playroom
A treatment room away from the child's bed or playroom
The hospital cafeteria
Which of the following is NOT recommended for preparing equipment for a friendlier environment?
Use shorter needles if possible
Keep threatening-looking supplies out of sight
Place goggles or face shields on after greeting the child
Show all medical supplies to the child before starting
What is an important aspect of restraining a child during blood collection?
Restraining should be forceful and intimidating
The parent should not be involved
Restraining should be compassionate, safe, and performed quickly
The child should be left alone
What is the supine position used for in pediatric blood collection?
To help the child sleep
To restrain the child safely during blood collection
To play with the child
To feed the child
What is the recommended method to control and comfort an upset newborn?
Giving medication
Swaddling
Feeding
Playing music
What should a health care worker do if a child becomes combative and there is a risk of injury during a blood collection attempt?
Continue the procedure quickly
Discontinue the attempt and notify the nurse or physician
Restrain the child more tightly
Ignore the behavior
Which of the following is a topical anesthetic used to decrease needlestick pain in children?
Lidocaine injection
EMLA
Oral sucrose
Ice pack
How long does optimal anesthesia from EMLA last after application?
10 to 20 minutes
30 minutes
2 to 3 hours
6 hours
What is the correct procedure for using EMLA before a needlestick?
Apply a thin layer and leave uncovered
Apply a thick layer and cover with transparent adhesive dressing for 60 to 120 minutes
Inject under the skin
Mix with water and drink
How is a 25% oral sucrose solution prepared for use before heelsticks?
Mix 2 teaspoons of water with 2 teaspoons of sugar
Mix 4 teaspoons of water with 1 teaspoon of sugar
Mix 1 teaspoon of water with 4 teaspoons of sugar
Mix 5 teaspoons of water with 5 teaspoons of sugar
What is the main reason for collecting only the smallest amounts of blood from infants during microcapillary skin puncture?
To avoid infection
To minimize reductions in blood volume
To save time
To reduce pain
What should be done with PPE (gowns, gloves, and masks) after leaving a patient’s room?
Reuse them for the next patient
Dispose of them in appropriately marked containers
Wash them with soap and water
Leave them in the room
Why is it important to record the amount of blood collected from an infant or small child?
To avoid overcollection
To check for infection
To monitor temperature
To ensure proper labeling
Which type of specimen should be collected first during a microcapillary skin puncture to minimize platelet clumping?
Chemistry specimens
Blood-bank specimens
Hematology specimens
Non-additive tubes
What is the most desirable site for skin puncture of an infant or neonate?
Palmar surface of the finger
Central area of the heel
Medial or lateral plantar surface of the heel
Dorsal surface of the hand
For children older than 1 year, which site is most frequently used for skin puncture?
Central area of the heel
Palmar surface of the tip of the third or fourth finger
Dorsal surface of the hand
Lateral side of the foot
Why is prewarming the heel important before collecting a capillary blood specimen?
It reduces pain for the infant
It increases blood flow and arterializes the specimen
It sterilizes the skin
It prevents infection
What is the maximum temperature recommended for a warm, wet towel used to prewarm an infant’s foot before a heel stick?
37°C
40°C
42°C
45°C
What is the correct order of collecting specimens during a microcapillary skin puncture?
Blood-bank specimens, chemistry specimens, hematology specimens, non-additive tubes
Hematology specimens, chemistry specimens, blood-bank specimens, non-additive tubes
Chemistry specimens, hematology specimens, blood-bank specimens, non-additive tubes
Non-additive tubes, hematology specimens, chemistry specimens, blood-bank specimens
Which of the following is NOT recommended when performing a heel stick on an infant?
Using the central area of the heel for blood collection
Prewarming the heel before collection
Using the medial or lateral plantar surface of the heel
Assembling supplies and explaining the procedure to parents
What should you do after removing the warm towel from the infant’s foot during a heel stick procedure?
Immediately puncture the skin
Wipe the heel dry
Apply a cold pack
Massage the heel
Which figure would you refer to for visual guidance on heel sites for capillary puncture?
Figure 10-7
Figure 10-8
Figure 10-9
Figure 11-1
Why is it important to introduce yourself to the parents and explain the procedure before performing a heel stick on an infant?
To ensure the parents leave the room
To use appropriate comfort techniques and gain cooperation
To speed up the procedure
To avoid wearing gloves
What is the purpose of encasing a towel in a plastic bag during heel warming for an infant?
To help retain heat and keep the patient’s bed dry.
To prevent infection.
To make the towel softer.
To cool the infant’s heel.
How long should the site be prewarmed before performing a heelstick procedure?
3 to 5 minutes
10 to 15 minutes
30 seconds
1 to 2 minutes
What is the recommended position for a baby during a heelstick procedure to improve blood flow?
Supine position with the knee at the open end of the bassinet
Prone position with the foot elevated
Sitting upright in a chair
Lying on their side with the foot under a blanket
What should be used to clean the incision site of the heel before a heelstick procedure?
An antiseptic swab
A dry towel
Soap and water
Alcohol gel
Why is it important not to touch the incision site or allow the heel to come into contact with any nonsterile item or surface during a heelstick procedure?
To prevent infection
To keep the baby comfortable
To speed up the procedure
To avoid bruising
What should you avoid when holding the infant’s foot during a heelstick procedure?
Excessive milking or squeezing
Holding the foot gently
Raising the foot above heart level
Selecting a safe incision site
During a heelstick procedure, how should the blade-slot surface of the device be positioned against the heel?
Flush against the heel with its center point vertically aligned with the desired incision site
At an angle to the heel
Only touching one side of the heel
Not touching the heel at all
What should be done immediately after triggering the device during a heelstick procedure?
Remove the device from the infant’s heel and dispose of it in a biohazard sharps container
Apply a bandage to the heel
Massage the heel
Leave the device in place for a few minutes
Why is it important to carefully select a safe incision site during a heelstick procedure?
To avoid causing hemolysis and dilution of blood with interstitial and intracellular fluid
To make the procedure faster
To reduce the need for antiseptics
To avoid using a plastic bag
What should you use to gently wipe away the first droplet of blood that appears at the incision site during a heelstick procedure?
Alcohol swab
Dry sterile gauze pad
Cotton ball
Wet tissue
During a heelstick procedure, what precaution should be taken when filling the collection container or capillary tube?
Make direct contact with the wound
Avoid direct wound contact with the container or tube
Use a cotton swab to collect blood
Squeeze the heel tightly
Why is it important to gently press a dry sterile gauze pad to the incision site after blood collection in a heelstick procedure?
To increase bleeding
To prevent a hematoma from forming
To clean the wound
To cool the area
Which of the following is NOT a step after labeling the specimen container in a heelstick procedure?
Record the time of collection
Elevate the heel slightly above the body
Check the infant’s heel puncture site for late bleeding
Immediately dispose of the specimen container
What should be done with used skin-puncture devices after a heelstick procedure?
Place them in regular trash
Place them in a sharps container with a biohazard label
Wash and reuse them
Leave them on the infant’s bed
Which of the following items should be discarded in biohazard waste containers after a heelstick procedure?
Clean gauze pads
Blood-soaked gauze sponges and contaminated gowns or gloves
Unused gloves
Paper towels
Why is it important to wash or sanitize your hands after removing gloves following a heelstick procedure?
To keep hands warm
To prevent contamination and infection
To dry your hands
To remove glove residue
Which specimen is the choice for blood gas testing?
Venous blood
Capillary blood
Arterial blood
Plasma
Why is it necessary to check the infant’s bed for any equipment or trash left behind after a heelstick procedure?
To ensure the bed is comfortable
To prevent injury or infection to the infant
To prepare for the next patient
To keep the room tidy
Explain the importance of timely transport of specimens after a heelstick procedure.
It prevents the specimen from being misplaced
It ensures accurate test results by minimizing changes in the specimen
It allows the nurse to finish work early
It reduces paperwork
Which type of blood is less desirable for collection due to the presence of blood from capillaries, venules, arterioles, and fluids from surrounding tissue?
Arterial blood
Venous blood
Skin puncture blood
Plasma
What is a characteristic of the skin puncture open collection system for capillary blood gases?
Specimen is never exposed to room air
Allows for a brief exchange of gases before sealing the specimen
Only collects venous blood
Requires immediate freezing
From which area is blood for capillary blood gas analysis typically collected in small children and babies?
The forearm
The lateral posterior area of the heel or the ball of the finger
The upper arm
The earlobe
What is the purpose of warming the site before collecting capillary blood gas samples?
To sterilize the area
To increase blood flow and make collection easier
To numb the area
To dry the skin
Why must the capillary tube be filled end-to-end with blood and contain no air bubbles during collection?
Air bubbles can cause inaccuracy in the values obtained from the specimen
Air bubbles help mix the blood
Air bubbles prevent clotting
Air bubbles are required for proper analysis
What is the function of the small metal filing (flea) in the capillary blood gas tube?
To seal the tube
To mix the specimen by moving back and forth across the tube
To measure the blood volume
To prevent contamination
What is the first step after preparing and assembling supplies for capillary blood gas testing in infants?
Insert the capillary tube
Introduce yourself to the parents and explain the procedure
Wipe away the first drop of blood
Cap the tube
This figure shows a:
glass arterial blood collection tube.
plastic capillary blood collection tube.
venous blood collection kit.
syringe for blood gas analysis.
This figure shows a:
urine collection kit.
capillary blood gas tube, metal filing (flea), and plastic caps.
blood pressure cuff.
thermometer and probe covers.
What should you do after removing gloves when collecting a capillary blood gas sample?
Immediately dispose of the gloves in the regular trash
Wash or sanitize your hands
Leave the gloves on until you leave the room
Place gloves in a biohazard bag and do not wash hands
Why is neonatal screening important?
To check the baby's weight
For early detection, diagnosis, and treatment of certain genetic, metabolic, and infectious diseases
To determine the baby's blood type only
To monitor the baby's sleep patterns
At what age should blood spot testing for neonatal screening be performed?
Before a newborn is 24 hours old
Before a newborn is 48 hours old
Before a newborn is 72 hours old
Before a newborn is 1 week old
Which of the following is NOT a reason to avoid performing a finger stick on a child?
The finger is swollen
The finger is edematous
The finger is clean and healthy
The finger is infected
What should be done with used skin-puncture devices after collecting a capillary blood gas sample?
Dispose of them in the regular trash
Reuse them for another patient
Dispose of them in a sharps container with a biohazard label
Leave them on the infant’s bed
What is the effect of delaying the delivery of a capillary blood gas sample for more than 15 minutes at room temperature?
It will have no effect on the results
It will improve the accuracy of the results
It will affect the results
It will make the sample easier to analyze
What is the first step in the collection of capillary blood for neonatal screening?
Fill out the information on the newborn screening card
Prepare and assemble supplies
Identify the infant properly
Introduce yourself to the parents
Which of the following is a correct procedure after collecting blood from an infant’s heel?
Leave the heel uncovered
Elevate the heel slightly above the level of the body
Apply ice to the heel
Ignore any bleeding
What is the first step before collecting capillary blood for neonatal screening according to institutional procedures?
Wash or sanitize your hands with an alcohol hand rinse and put on gloves.
Directly perform the capillary puncture.
Add a second drop of blood to the filter paper.
Dispose of the skin-puncture device.
Why should you avoid touching the filter paper circles with hands or gloves during neonatal screening?
To prevent contamination.
To speed up the process.
To make the circles dry faster.
To use less filter paper.
Which of the following substances should NOT come into contact with the filter paper during neonatal screening?
Alcohol, formula, water, powder, antiseptic solutions, or lotion.
Sterile gauze sponge.
Dry, flat, nonabsorbent surface.
Clean gloves.
What should you do if the first drop of blood does not fill the filter paper circle during neonatal screening?
Wipe the heel and express another larger drop onto a different circle.
Add a second drop to the same circle.
Stop the procedure immediately.
Use a cotton ball to absorb the blood.
How long should blood spots be dried on a nonabsorbent surface after collection?
A minimum of 4 hours.
30 minutes.
Overnight.
1 hour.
What is the recommended technique for applying blood to the card during neonatal screening?
Direct application of blood from the heel to the card.
Using a pipette to transfer blood.
Mixing blood with saline before application.
Applying blood with a cotton swab.
What should be done with the skin-puncture device after use?
Dispose of it in a sharps container with a biohazard label.
Place it in the infant’s bed.
Throw it in the regular trash.
Reuse it for another patient.
Why is it important to check the infant’s heel site after collecting capillary blood?
To check for late bleeding and inflammation.
To ensure the filter paper is dry.
To confirm the infant is asleep.
To see if the blood spot is large enough.
What should you do if blood continues to ooze from the puncture site after collection?
Press the site with a clean gauze sponge until bleeding stops.
Add more blood to the filter paper.
Ignore the bleeding.
Apply a bandage immediately.
After completing the neonatal screening procedure, what should you check the infant’s bed for?
Any equipment or trash left behind.
The presence of filter paper.
The temperature of the bed.
The color of the sheets.
What should you do with blood-soaked gauze sponges and contaminated items used in isolation rooms after collecting capillary blood for neonatal screening?
Throw them in the regular trash
Discard them in biohazard waste containers
Wash and reuse them
Leave them in the patient’s room
Why is it important to complete the information on the neonatal screening card?
To ensure the card looks neat
So follow-up can be done if results are abnormal
To avoid laboratory confusion
To make the card easier to file
Which of the following is a common interference in newborn screening collections?
Blood specimen properly dried before mailing
Filter paper circles not completely filled
Blood collected from the heel
Use of sterile gloves
What can result from squeezing or milking the heelstick site during newborn screening collection?
Increased blood flow
“Tissue diluted” specimens
Faster collection time
Cleaner samples
Which veins are most accessible for venipuncture in toddlers and children?
Jugular veins
Veins of the antecubital fossa or forearm
Veins in the foot
Scalp veins
Which figure would you refer to for the veins in the arm?
Figure 10-10
Figure 10-24
Figure 8-2
Figure 12-5
For which of the following is venipuncture on children indicated?
Routine laboratory tests and drug levels
Only for blood donation
Only for emergency situations
Only for adults
What is a special consideration when performing venipuncture on children?
Use of adult-size needles only
No need for parental assistance
Use of pediatric-size needles or safety winged infusion sets
Children should always be sedated
Which age group is referred to as the “baby boomer” generation in the United States?
Born between 1920 and 1930
Born between 1946 and 1964
Born between 1970 and 1980
Born between 2000 and 2010
Which of the following is a common chronic disease or disorder for which health care workers provide services to geriatric patients?
Diabetes
Chickenpox
Asthma (childhood onset)
Measles
Why is there an increasing need for point-of-care testing and other health care services in homes and long-term-care facilities for geriatric patients?
The patient population is increasingly aging and requires more accessible care
Hospitals are closing down
Younger populations are moving into nursing homes
There is a decrease in chronic diseases
What is a major reason for the rapidly increasing number of older citizens in the United States?
Advancing age of the baby boomer generation
Decrease in birth rates
Increase in childhood diseases
Immigration of young adults
Which of the following is NOT a physical problem commonly found in older individuals?
Hearing loss
Failing eyesight
Improved memory
Loss of taste, smell, and feeling
What physical change in older individuals can make venipuncture more difficult?
Thinner skin tissue
Increased muscle mass
Stronger bones
Thicker skin tissue
Which of the following is an emotional problem associated with aging?
Loss of career, spouse, close friends, or relatives
Increased physical strength
Improved eyesight
Enhanced memory
When collecting blood at home from geriatric patients, which of the following is an important consideration?
Use hand disinfectant before blood collection
Skip patient identification
Avoid using extra supplies
Ignore special positioning for venipuncture
Why is it important to positively identify the patient during home care blood collections?
To ensure the correct patient receives the correct care and results
To save time
To avoid using disinfectant
To reduce the need for equipment
What should you do after a blood collection to ensure safety and cleanliness?
Properly discard all trash and used supplies
Leave supplies for the next patient
Store used supplies in your bag
Ignore used supplies
When collecting blood specimens in home care for geriatric patients, what is an important step to ensure safe transport?
Check appropriate temperatures for transport
Transport at room temperature only
Leave specimens uncovered
Mix all specimens together
