ASPT qustions 1,7.8

Which one of the following is NOT an anticoagulant added to evacuated tubes?

a. ACD

b. K2EDTA

c. Lithium heparin

d. Thrombin

d. Thrombin

Which one of the following evacuated tube types does not require mixing at the time of collection?

a. Light blue stopper

b. Green stopper

c. Gold stopper

d. Red stopper

d. Red stopper

Which organization is responsible for recommending an order of draw?

a. CAP

b. CLSI

c. The Joint Commission

d. Mayo Clinic

b. CLSI

In this hypothetical situation, a tube manufacturer has made a tube with a purple shield over a yellow stopper. All you know about the tube is that it contains EDTA. Where do you put this tube in the recommended order of draw?

a. After a yellow stopper tube

b. First before any other tubes

c. Between a green stopper tube and a gray stopper tube

d. Between a light blue stopper tube and a gold shield tube

c. Between a green stopper tube and a gray stopper tube

Which of the following determines the order of draw?

a. The color of the tube closure

b. The type of specimen (plasma)

c. The quantity of blood required

d. The type of additive(s)

d. The type of additive(s)

If you have an order to draw blood cultures and a trace metal analysis at the same time, which one of the following is most appropriate?

a. Perform the venipuncture and draw the royal blue tube followed by the blood cultures

b. Perform the venipuncture and draw the blood cultures followed by the royal blue tube

c. Perform two venipunctures, one for the trace metal analysis and one for the blood cultures

d. Perform a venipuncture using a syringe and transfer blood into the trace mineral tube and then into the blood culture bottles

b. Perform the venipuncture and draw the blood cultures followed by the royal blue tube

Where does the coagulation tube fall in the order of draw if no blood cultures are needed?

a. First

b. Between the serum tube and the plasma tube

c. Last

d. Between the heparin tube and the EDTA tube

a. First

Blood cultures are collected before which one of the following tube types?

a. Lavender

b. Light blue

c. Gray

d. None of the above

b. Light blue

In which of the following situations would you collect a discard tube before collecting a light blue tube for a Protime (PT)?

a. Blood collected using a syringe

b. Blood collected using a winged infusion set (Butterfly)

c. Blood collected using a tube holder

d. A discard tube is always collected before a light blue tube

b. Blood collected using a winged infusion set (Butterfly)

Which one of the following tube types is acceptable for a tobramycin level (Drug)?

a. Red shield

b. Gold shield

c. Light green shield

d. Green and gray stopper

a. Red shield

A tube containing heparin is collected between ________.

a blood culture and before a serum tube

b. a citrate additive tube and a serum tube \

c. an EDTA tube and a glycolytic inhibitor tube

d. a serum tube and an EDTA tube

d. a serum tube and an EDTA tube

A tube containing EDTA is collected between ________.

a. a blood culture and a coagulation tube

b. a coagulation tube and a serum tube

c. a heparin tube and a glycolytic inhibitor tube

d. a serum tube and a heparin tube

c. a heparin tube and a glycolytic inhibitor tube

The liquid portion of the blood that contains coagulation factors is: a. Serum

b. Hemoglobin

c. The Sediment

d. Plasma

d. Plasma

The vein most subject to venipuncture is:

a. The basilica

b. The antecubital

c. The median cubital

d. All of the above

c. The median cubital

Which of the following is the smallest needle?

a. 23 gauge

b. 22 gauge

c. 21 gauge

a. 23 gauge

Factors to consider in site selection prior to a venipuncture are:

a. Scars or burns

b. Edema

c. Mastectomy

d. All of the above are correct

d. All of the above are correct

Which of the following is true about when using a tourniquet during a phlebotomy procedure?

a. Never tie a tourniquet on open sores

b. Never tie a tourniquet too tightly

c. Leaving a tourniquet on too long can cause hemoconcentration

d. All of the above are correct

d. All of the above are correct

Which of the following are correct for ending the phlebotomy procedure?

a. Remove the needle, remove the tube, and remove the tourniquet

b. Remove the tourniquet, apply pressure, remove the needle, and discard the needle in a sharps container

c. Remove tourniquet, remove the tube, place gauze, remove needle, apply pressure, discard the needle in sharps container

d. Remove needle, apply pressure, discard needle in biohazards bag

c. Remove tourniquet, remove the tube, place gauze, remove needle, apply pressure, discard the needle in sharps container

Which of the following is not needed for a routine phlebotomy procedure?

a. Gloves

b. Tourniquet

c. Alcohol

d. Iodine

d. Iodine

When labeling tubes, the following information must be placed on them, except:

a. Patient's name

b. Time of draw

c. Patient's diagnosis

d. Time of draw

e. Phlebotomist's initials

c. Patient's diagnosis

Tubes containing Sodium Citrate additives should be inverted:

a. 3-4 times

b. 4-5 times

c. 5-10 times

d. Not be inverted

a. 3-4 times

When an admitted patient is not wearing an ID band, the phlebotomist must:

a. Ask the patient for a picture ID

b. Not draw blood from this patient

c. Simply question the patient and confirm the date of birth

d. Contact the nursing station and request an ID band be placed on the patient

d. Contact the nursing station and request an ID band be placed on the patient

What is the single most important step in phlebotomy?

a. Patient identification

b. Collecting the correct sample

c. Maintaining patient confidentiality

d. Getting enough blood for testing

a. Patient identification

The tourniquet is placed ________ above the site of draw.

a. 5-7 inches

b. 3-4 inches

c. 1-2 inches

d. 4-6 inches

b. 3-4 inches

What is an evacuated system?

a. One that consists of vacuum tubes

b. One that consists of a needle and tube

c. One that uses luer adapters

d. One that uses only multi-sample needles

a. One that consists of vacuum tubes

Where is it helpful to use a non-evacuated system?

a. For the general public

b. For tiny veins

c. For drawing coagulation studies

d. For all hematology specimens

b. For tiny veins

Which statement is false when trying to locate difficult veins?

a. Have the patient make a fist

b. Feel the vein with your fingertip

c. Anchor vein firmly before inserting the needle

c. Anchor vein firmly before inserting the needle

Which of the following tube color is especially for glucose collection?

a. Blue

b. Green

c. Gray

c. Gray

What does a vein feel like?

a. Cord-like

b. Bumpy

c. Elastic and spongy

d. Hard and pulsating

c. Elastic and spongy

Acceptable patient identifiers would be:

a. First name

b. First and last name

c. Date of birth

d. Phone number

e. Both b and c

e. Both b and c

Leeches are useful for:

a. Their enzyme in its saliva which promotes healing of the tissue

b. Nothing but was used for old medicines

c. Their anticoagulant which reduces the blood flow from a wound

d. None of the above

a. Their enzyme in its saliva which promotes healing of the tissue

During 1000 BC in Egypt, veins were cut to allow blood to flow from the wound. This blood flow would:

a. Cleanse the body of impurities

b. Improve health c. Carry evil spirits from the body

d. All of the above

d. All of the above

The penetration of the vein for any reason, including the administration of IV and other medication:

a. Venipuncture

b. Phlebotomy

c. Insertion

d. Evacuation

a. Venipuncture

Modern phlebotomy is practiced MAINLY for the purpose of:

a. Diagnosing and testing for diseases

b. Treatment

c. For blood transfusion

d. All of the above

d. All of the above

To cut into a vein for the process of obtaining a blood sample is:

a. Venipuncture

b. Phlebotomy

c. Insertion

d. Evacuation

b. Phlebotomy

What is the proper response to the patient asking, "What are you drawing?"

a. Test your doctor has ordered

b. I don't know

c. State test you are drawing

c. State test you are drawing