Test Bank for Phlebotomy: A Competency Based Approach, 5th Edition,
Kathryn Booth, Lillian Mundt
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Phlebotomy, 5e (Booth) Chapter 8 Blood Collection Equipment
1) Which of the following statements is TRUE?
A) Double-ended needles are used with syringes.
B) Higher needle gauges correspond to larger needle bore size.
C) Needles should be recapped prior to disposal.
D) Safety devices are part of the venipuncture needle or holder.
Answer: D
Explanation: Equipment for venipuncture includes safety devices on either the needle or holder.
Difficulty: 1 Easy
Topic: Equipment Unique to Venipuncture
Learning Objective: 08.02 Identify equipment specific for venipuncture procedures.
Bloom's: Remember
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
2) When describing a needle, the gauge refers to
A) length.
B) outside diameter.
C) bore size.
D) none of these.
Answer: C
Explanation: A needle gauge is the size of its internal diameter or bore.
Difficulty: 1 Easy
Topic: Equipment Unique to Venipuncture
Learning Objective: 08.02 Identify equipment specific for venipuncture procedures.
Bloom's: Remember
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
3) What is the anticoagulant additive in a lavender-stoppered evacuated blood collection tube?
A) Ethylenediaminetetraacetic acid
B) Sodium, lithium, or ammonium heparin
C) Sodium fluoride and potassium oxalate
D) There are no additives.
Answer: A
Explanation: Lavender-stoppered evacuated tubes contain EDTA.
Difficulty: 1 Easy
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Remember
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
4) A patient comes into the lab to have a platelet function test done. What evacuated blood collection tube would you use for this test?
A) Sodium citrate
B) Sodium fluoride
C) Sodium heparin
D) No additives
Answer: A
Explanation: Light-blue-stoppered tubes contain sodium citrate, the additive required for specimens for platelet function tests.
Difficulty: 2 Medium
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
5) Royal-blue-stoppered evacuated blood collection tubes may contain: (Choose all that apply)
A) sodium heparin.
B) gel separator.
C) clot activator.
D) EDTA.
Answer: A, C, D
Royal-blue-stoppered evacuated blood collection tubes may contain anticoagulants, clot activator, or EDTA.
Difficulty: 2 Medium
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
6) Evacuated blood collection tubes that may contain a clot activator include: (Choose all that apply)
A) gold.
B) light green.
C) royal blue.
D) orange.
Answer: A, C, D
Clot activators are included in gold-stoppered and royal-blue-stoppered evacuated blood collection tubes; orange-stoppered tubes contain thrombin, which also promotes clotting.
Difficulty: 1 Easy
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Remember
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
7) If a discard tube is required by your facility, what is an appropriate discard tube to collect prior to filling tubes for coagulation testing?
A) Red/black
B) Green/black
C) Red/gray
D) Red non-additive
Answer: D
Explanation: A light-blue-stoppered tube for coagulation testing should never be collected after a tube with a clot activator or another anticoagulant.
Difficulty: 1 Easy
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Remember
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
8) A gray-stoppered evacuated tube prevents glycolysis and coagulation. What additives does this tube contain? (Choose all that apply)
A) Sodium citrate
B) Sodium fluoride
C) Sodium heparin
D) Potassium oxalate
Answer: B, D
Gray-stoppered blood collection tubes contain sodium fluoride and potassium oxalate.
Difficulty: 1 Easy
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Remember
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
9) The anticoagulant in a gray-stoppered blood collection tube is:
A) sodium fluoride.
B) lithium heparin.
C) potassium heparin.
D) potassium oxalate.
Answer: D
Explanation: The anticoagulant in a gray-stoppered blood collection tube is potassium oxalate.
Difficulty: 1 Easy
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Remember
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
10) The antiglycolytic agent in a gray-stoppered blood collection tube is:
A) EDTA.
B) sodium fluoride.
C) heparin.
D) potassium oxalate.
Answer: B
Explanation: The antiglycolytic agent in a gray-stoppered blood collection tube is sodium fluoride.
Difficulty: 1 Easy
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Remember
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
11) Which tubes are specially designed to have very low levels of lead?
A) Gold/pink
B) Orange/yellow
C) Tan/royal blue
D) Green/light green
Answer: C
Explanation: The royal-blue-stoppered evacuated blood collection tubes are certified to have very low levels of several trace elements, including lead, aluminum, mercury, zinc, and other metals. Tan-stoppered evacuated blood collection tubes are certified to have very low levels of lead.
Difficulty: 1 Easy
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Remember
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
12) Which tube is specially designed to have very low levels of several trace elements?
A) Red
B) Green
C) Royal blue
D) Tan
Answer: C
Explanation: The royal-blue-stoppered evacuated blood collection tube is the only tube designed to have very low levels of trace elements, including aluminum, lead, mercury, zinc, and other metals.
Difficulty: 1 Easy
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Remember
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
13) What depth would be best when using a lancet to produce high blood flow on a healthy adult patient?
A) 1.0 mm
B) 2.0 mm
C) 1.5 mm
D) 1.75 mm
Answer: B
Explanation: The maximum depth a lancet should go to have a high blood flow is 2.0 mm.
Difficulty: 2 Medium
Topic: Equipment Unique to Microcollection
Learning Objective: 08.03 Identify equipment specific for dermal (capillary) puncture procedures.
Bloom's: Understand
ABHES: 9.d.2 Perform capillary puncture
CAAHEP: I.P.2.c Perform: capillary puncture
14) A light-green-stoppered evacuated blood collection tube contains:
A) ethylenediaminetetraacetic acid.
B) lithium heparin and a thixotropic gel
C) sodium fluoride and potassium oxalate.
D) no additives.
Answer: B
Explanation: Light-green-stoppered evacuated tubes contain lithium heparin and a thixotropic gel.
Difficulty: 2 Medium
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
15) Capillary tubes are also referred to as:
A) fingerstick tubes.
B) microcapillary tubes.
C) microhematocrit tubes.
D) small evacuated tubes
Answer: C
Explanation: A capillary tube used to collect blood from a dermal puncture is also referred to as a microhematocrit tube.
Difficulty: 2 Medium
Topic: Equipment Unique to Microcollection
Learning Objective: 08.03 Identify equipment specific for dermal (capillary) puncture procedures.
Bloom's: Understand
ABHES: 9.d.2 Perform capillary puncture; 3.c Apply medical terminology for each specialty
CAAHEP: I.P.2.c Perform: capillary puncture; V.C.10 define medical terms and abbreviations related to all body systems
16) Some evacuated tube stoppers are translucent rather than solid colored. This means that the tube:
A) contains no additive.
B) has a stopper that is free from lead.
C) has less vacuum and draws less volume.
D) must have a discard tube precede it.
Answer: C
Explanation: Some brands of evacuated blood collection tubes use a translucent stopper color to indicate that it has a lower vacuum and draws less volume. These tubes are used for pediatric and other difficult blood draws.
Difficulty: 2 Medium
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
17) A white-stoppered evacuated blood collection tube contains:
A) ethylenediaminetetraacetic acid and gel.
B) sodium, lithium, or ammonium heparin.
C) sodium fluoride and potassium oxalate.
D) no additives.
Answer: A
Explanation: White-stoppered evacuated tubes contain EDTA and a gel separator.
Difficulty: 2 Medium
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
18) You are assisting another phlebotomist, who asks that you hand her a plasma separator tube (PST). Which tube will you hand her?
A) Gold
B) Green
C) Light green
D) Royal blue
Answer: C
Explanation: Light-green-stoppered evacuated tubes contain heparin and a gel separator.
Difficulty: 2 Medium
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
19) Alcohol pads contain what percent isopropyl alcohol?
A) 50% B) 60%
C) 70%
D) 65%
Answer: C
Explanation: Alcohol pads are saturated with 70% isopropyl alcohol.
Difficulty: 2 Medium
Topic: Common Blood Collection Equipment
Learning Objective: 08.01 Identify equipment used for both venipuncture and dermal (capillary) puncture.
Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
20) Isopropyl alcohol is a bacteriostatic antiseptic. What does bacteriostatic antiseptic mean?
A) Inhibits the growth of bacteria
B) Sterilizes bacteria on the skin
C) Kills any pathogen living on the skin
D) Inhibits the growth of viruses
Answer: A
Explanation: Bacteriostatic antiseptic means it will inhibit the growth of bacteria.
Difficulty: 2 Medium
Topic: Common Blood Collection Equipment
Learning Objective: 08.01 Identify equipment used for both venipuncture and dermal (capillary) puncture.
Bloom's: Understand
ABHES: 8.a Practice standard precautions and perform disinfection/sterilization techniques
CAAHEP: III.C.4 Identify methods of controlling the growth of microorganisms
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
21) Why do many facilities require drawing a discard tube before collecting a sodium citrate tube?
A) To have extra blood
B) To remove any blood contaminated with thromboplastin
C) To add to the platelet function test
D) To remove the layers of skin before entering into the sodium citrate tube
Answer: B
Explanation: Drawing a discard tube will eliminate any thromboplastin from contaminating the sodium citrate tube.
Difficulty: 2 Medium
Topic: Order of Draw
Learning Objective: 08.05 Implement the correct order of draw for venipuncture and dermal (capillary) puncture procedures.
Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
22) A STAT prothrombin time has been ordered for your next patient. What color tube will you collect?
A) Lavender
B) Light blue
C) Gray
D) Green
Answer: B
Explanation: Light-blue-stoppered evacuated tubes contain sodium citrate and are used for prothrombin-time testing.
Difficulty: 2 Medium
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
23) What would be the 5th tube collected in the order of draw for a routine venipuncture if all types of tubes are needed?
A) Lavender
B) Red
C) PST
D) SST
Answer: C
Explanation: The 5th tube in the order of draw would be the PST, plasma separator tube. Remember the order is 1) sterile, 2) light blue, 3) red clot activator, 4) SST, 5) PST, 6) green, 7) lavender, 8) pink, 9) gray.
Difficulty: 2 Medium
Topic: Order of Draw
Learning Objective: 08.05 Implement the correct order of draw for venipuncture and dermal (capillary) puncture procedures.
Bloom's: Understand
24) Which of the following is a major manufacturer of equipment for blood and urine collection?
A) Apple
B) McKesson
C) Abbott Supplies
D) Becton-Dickinson
Answer: D
Explanation: Becton-Dickinson (B-D) is a major manufacturer of blood and urine collection equipment.
Difficulty: 1 Easy
Topic: Blood Collection Equipment Manufacturers
Learning Objective: 08.06 Compare blood collection equipment from various manufacturers. Bloom's: Remember
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
25) If all types of evacuated tubes are needed for a particular blood collection, the potassium oxalate tube would be which number in the order of draw?
A) 2nd
B) 6th
C) 7th
D) 9th
Answer: D
Explanation: Evacuated tubes containing potassium oxalate (gray stoppered) are last, or 9th in the order of draw, if all types of tubes are needed. Remember the order is 1) sterile, 2) light blue, 3) red clot activator, 4) SST, 5) PST, 6) green, 7) lavender, 8) pink, 9) gray.
Difficulty: 1 Easy
Topic: Order of Draw
Learning Objective: 08.05 Implement the correct order of draw for venipuncture and dermal (capillary) puncture procedures.
Bloom's: Remember
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
26) You are employed at a physician's office that serves a large number of patients with diabetes. You are asked to order a supply of evacuated tubes that will be used for monitoring these patients' glucose levels. The evacuated tubes you should order have which color stopper?
A) Lavender
B) Gold
C) Gray
D) Light green
Answer: C
Explanation: Gray-stoppered evacuated tubes are best for preserving blood used for glucose determination.
Difficulty: 3 Hard
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Apply
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
27) The laboratory at which you are employed is providing an outreach to the local schools to test children for blood lead levels. The evacuated tubes you should use have which color stopper and which additive?
A) Gold, silica and gel
B) Light green, sodium heparin
C) Pink, EDTA
D) Tan, EDTA
Answer: D
Explanation: Tan-stoppered evacuated tubes are lead-free and are best for measuring lead levels in blood. These tubes contain EDTA.
Difficulty: 2 Medium
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
28)
What is the purpose of the part of this needle assembly marked "E"?
A) It holds the needle assembly together.
B) It covers the needle after the blood draw.
C) It keeps the needle sharp before the blood draw.
D) It keeps the needle sterile before the blood draw.
Answer: B
Explanation: Part "E" is a safety device that should be engaged to prevent needlestick injuries after a blood draw.
Difficulty: 2 Medium
Topic: Equipment Unique to Venipuncture
Learning Objective: 08.02 Identify equipment specific for venipuncture procedures.
Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
Which part of the needle in the image is used to puncture the cap on evacuated tubes?
A) Part A
B) Part B
C) Part C
D) Part D
Answer: D
Explanation: The shorter, blunter end of the double needle assembly is used to puncture the cap on evacuated tubes.
Difficulty: 2 Medium
Topic: Equipment Unique to Venipuncture
Learning Objective: 08.02 Identify equipment specific for venipuncture procedures.
Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
In the image above, the letter "B" indicates where the ________ screws onto the needle.
A) tube
B) hub
C) butterfly
D) lancet
Answer: B
Explanation: The threaded hub is used to connect the needle to the tube holder.
Difficulty: 2 Medium
Topic: Equipment Unique to Venipuncture
Learning Objective: 08.02 Identify equipment specific for venipuncture procedures.
Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
31) The barrel of a syringe measures blood in:
A) microliters.
B) centimeters.
C) milliliters.
D) decimeters.
Answer: C
Explanation: The barrel of the syringe measures blood in milliliters (mL).
Difficulty: 2 Medium
Topic: Equipment Unique to Venipuncture
Learning Objective: 08.02 Identify equipment specific for venipuncture procedures.
Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
32) When applying a tourniquet on a patient's arm, it is best to apply it how high above the puncture site?
A) 2 inches
B) 4-5 inches
C) 2-3 inches
D) 3-4 inches
Answer: D
Explanation: The tourniquet is applied 3-4 inches above the intended puncture site.
Difficulty: 1 Easy
Topic: Equipment Unique to Venipuncture
Learning Objective: 08.02 Identify equipment specific for venipuncture procedures.
Bloom's: Remember
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
33)
Select the evacuated tube(s), represented by the stoppers in this image, that contain heparin.
(Choose all that apply)
A) Image A
B) Image B
C) Image C
D) Image D
Answer: A, B, C, D
The presence of heparin in an evacuated blood collection tube is color-coded with shades of green.
Difficulty: 2 Medium
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
Select the evacuated tube(s), represented by the stoppers in this image, that contain a gel separator. (Choose all that apply)
A) Image A
B) Image B
C) Image C
D) Image D
Answer: A, D
The light-green- and gray-green-stoppered evacuated blood collection tubes contain a gel separator.
Difficulty: 2 Medium
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
Select the evacuated tube, represented by the stoppers in this image, that should be used to collect blood for a complete blood count (CBC).
A) Image A
B) Image B
C) Image C
D) Image D
Answer: D
Explanation: The lavender-stoppered evacuated blood collection tube is used for CBCs.
Difficulty: 2 Medium
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
You are required to draw blood for plasma chemistry tests. Which tube would you select for this blood draw?
A) Image A
B) Image B
C) Image C
D) Image D
Answer: A
Explanation: The light-green-stoppered PST evacuated blood collection tube is typically used for plasma chemistry tests.
Difficulty: 2 Medium
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
37) You have a lab order to collect the following: CBC, complete metabolic panel, PT, and CKtotal. Into which color tube would you collect the CMP?
A) Light blue
B) Gold
C) Yellow
D) Lavender
Answer: B
Explanation: The gold-topped tube is an SST. It is used to collect chemistry and other various tests.
Difficulty: 3 Hard
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Apply
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
38) Which agency wrote the standard stating that a new tourniquet must be used for every patient?
A) CLIA
B) HIPAA
C) CLSI
D) CDC
Answer: C
Explanation: The CLSI indicates that a phlebotomist must use a new tourniquet on each patient.
Difficulty: 2 Medium
Topic: Equipment Unique to Venipuncture
Learning Objective: 08.02 Identify equipment specific for venipuncture procedures. Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture; 4.f Comply with federal, state, and local health laws and regulations as they relate to healthcare settings
CAAHEP: I.P.2.b Perform: venipuncture; III.C.4 Identify methods of controlling the growth of microorganisms
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
39) You are performing a venipuncture on a patient in the ER. After you uncap the needle, what should you always check for?
A) Contamination
B) Blood
C) Burrs
D) Rust
Answer: C
Explanation: The tip of the needle should always be checked for burrs. These may harm the patient.
Difficulty: 2 Medium
Topic: Equipment Unique to Venipuncture
Learning Objective: 08.02 Identify equipment specific for venipuncture procedures.
Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture; 4.f Comply with federal, state, and local health laws and regulations as they relate to healthcare settings
CAAHEP: I.P.2.b Perform: venipuncture; I.P.10 Perform a quality control measure
40) What type of blood collection container and additive are appropriate for collecting blood from an infant's heel for a bilirubin test?
A) Capillary collection container, EDTA
B) Microcollection container, SST
C) Microhematocrit container, EDTA
D) Microcollection container, Amber SST
Answer: D
Explanation: The heelstick requires the use of a microcollection container. The proper tube is an amber-colored SST.
Difficulty: 3 Hard
Topic: Equipment Unique to Microcollection
Learning Objective: 08.03 Identify equipment specific for dermal (capillary) puncture procedures.
Bloom's: Apply
ABHES: 9.d.2 Perform capillary puncture
CAAHEP: I.P.2.c Perform: capillary puncture
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
41) When performing a venipuncture on a child, what tube would be best to use?
A) Large tube for maximum suction
B) Small tube with minimal but adequate suction
C) Small tube with powerful suction
D) Large tube with light suction
Answer: B
Explanation: Blood collection on small children can be performed by venipuncture using pediatric-sized evacuated tubes. These tubes provide light suction to prevent any venous damage.
Difficulty: 2 Medium
Topic: Equipment Unique to Venipuncture
Learning Objective: 08.02 Identify equipment specific for venipuncture procedures. Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
42) One type of needle used by a phlebotomist is a butterfly. What is another name for a butterfly needle?
A) Winged infusion set
B) Tube needle
C) Winged tube needle
D) Tube attachment device
Answer: A
Explanation: Butterflies are called winged infusion sets due to the wings that resemble a butterfly.
Difficulty: 2 Medium
Topic: Equipment Unique to Venipuncture
Learning Objective: 08.02 Identify equipment specific for venipuncture procedures. Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
Place the blood collection containers shown in this image in their proper order of draw.
A) 1, 2, 3
B) 2, 3, 1
C) 3, 1, 2
D) 3, 2, 1
Answer: D
Explanation: The order of filling microcollection containers is EDTA (lavender), heparin (green), and SST (gold).
Difficulty: 1 Easy
Topic: Order of Draw
Learning Objective: 08.05 Implement the correct order of draw for venipuncture and dermal (capillary) puncture procedures.
Bloom's: Remember
ABHES: 9.d.2 Perform capillary puncture
CAAHEP: I.P.2.c Perform: capillary puncture
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
Place
A) 1, 2, 3, 4
B) 2, 4, 1, 3
C) 3, 2, 1, 4
D) 4, 3, 2, 1
Answer: C
Explanation: The order of filling evacuated blood collection tubes is citrate (blue), SST (gold), heparin (green), and EDTA (lavender).
Difficulty: 1 Easy
Topic: Order of Draw
Learning Objective: 08.05 Implement the correct order of draw for venipuncture and dermal (capillary) puncture procedures.
Bloom's: Remember
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
45) Collecting blood into an evacuated SST tube before collecting the sodium citrate tube may cause:
A) serum samples to remain unclotted.
B) cells to clump in the EDTA tube.
C) contamination of coagulation specimens.
D) no adverse effects; the order is correct.
Answer: C
Explanation: Citrate (blue-stoppered) specimens used for coagulation studies should be collected first. Collecting other tubes before blue-stoppered tubes may contaminate the coagulation specimen.
Difficulty: 2 Medium
Topic: Order of Draw
Learning Objective: 08.05 Implement the correct order of draw for venipuncture and dermal (capillary) puncture procedures.
Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
46)
The object in this image is used to:
A) hold the needle and evacuated tubes during venipuncture.
B) perform a capillary puncture.
C) attach a butterfly needle to a syringe.
D) transfer blood from a syringe to an evacuated tube.
Answer: D
Explanation: The object shown is a syringe transfer device.
Difficulty: 2 Medium
Topic: Equipment Unique to Venipuncture
Learning Objective: 08.02 Identify equipment specific for venipuncture procedures.
Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
You are new to the job and are given a quiz on your first day. Your supervisor shows you a picture of this object. What is it used for?
A) Holding the needle and evacuated tubes during venipuncture
B) Performing a capillary puncture
C) Attaching a butterfly needle to a syringe
D) Dermal puncture blood collection
Answer: A
Explanation: The object shown is an evacuated tube holder to which a needle is attached during venipuncture.
Difficulty: 2 Medium
Topic: Equipment Unique to Venipuncture
Learning Objective: 08.02 Identify equipment specific for venipuncture procedures.
Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
The object in this image is used to:
A) hold the needle and evacuated tubes during venipuncture.
B) puncture the skin for a dermal collection.
C) collect blood for a CBC test.
D) puncture a patient's vein.
Answer: B
Explanation: The object shown is one type of lancet used to perform capillary punctures.
Difficulty: 2 Medium
Topic: Equipment Unique to Microcollection
Learning Objective: 08.03 Identify equipment specific for dermal (capillary) puncture procedures.
Bloom's: Understand
ABHES: 9.d.2 Perform capillary puncture
CAAHEP: I.P.2.c Perform: capillary puncture
49) A requisition indicates that you must collect blood for ammonia, complete blood count, liver enzymes, and coagulation tests. Select the order in which you will collect tubes for these tests.
A) Ammonia, complete blood count, liver enzymes, coagulation tests
B) Complete blood count, liver enzymes, coagulation tests, ammonia
C) Coagulation tests, ammonia, complete blood count, liver enzymes
D) Coagulation tests, liver enzymes, ammonia, complete blood count
Answer: D
Explanation: The order of collection for these tests is coagulation tests, liver enzymes, ammonia, and complete blood count.
Difficulty: 3 Hard
Topic: Order of Draw
Learning Objective: 08.05 Implement the correct order of draw for venipuncture and dermal (capillary) puncture procedures.
Bloom's: Evaluate
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
50) A requisition indicates that you must collect blood for blood type and screen, electrolytes, and coagulation tests. Select the order in which you will collect tubes for these tests.
A) Blood type and screen, coagulation tests, electrolytes
B) Coagulation tests, blood type and screen, electrolytes
C) Coagulation tests, electrolytes, blood type and screen
D) Electrolytes, blood type and screen, coagulation tests
Answer: C
Explanation: The order of collection for these tests is coagulation tests, electrolytes, blood type and screen.
Difficulty: 3 Hard
Topic: Order of Draw
Learning Objective: 08.05 Implement the correct order of draw for venipuncture and dermal (capillary) puncture procedures.
Bloom's: Evaluate
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
51) There are many types and brands of blood collection equipment. Who makes VACUETTE® and MiniCollect® tubes?
A) B-D Vacutainer
B) Sarstedt
C) Greiner Bio-One
D) Multivette
Answer: C
Explanation: The company that manufactures the VACUETTE® and MiniCollect® tubes is Greiner Bio-One.
Difficulty: 1 Easy
Topic: Blood Collection Equipment Manufacturers
Learning Objective: 08.06 Compare blood collection equipment from various manufacturers.
Bloom's: Remember
ABHES: 9.d.1 Perform venipuncture; 9.d.2 Perform capillary puncture
CAAHEP: I.P.2.b Perform: venipuncture; I.P.2.c Perform: capillary puncture
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
52) Greiner Bio-One has specific indicators on its evacuated collection tubes. What does the white ring around the cap represent?
A) Pediatric or difficult draws
B) Adult blood draws
C) Tube contains a clot activator
D) Used for drug screening
Answer: A
Explanation: A white ring around the cap represents a tube used for pediatric or difficult blood draws.
Difficulty: 2 Medium
Topic: Blood Collection Equipment Manufacturers
Learning Objective: 08.06 Compare blood collection equipment from various manufacturers.
Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
53) What color Becton-Dickinson cap was designed for difficult blood draws?
A) Solid color
B) Speckled
C) Multicolor
D) Translucent cap
Answer: D
Explanation: Translucent caps are used on tubes that have lower vacuum and are used for pediatric and difficult blood draws.
Difficulty: 2 Medium
Topic: Blood Collection Equipment Manufacturers
Learning Objective: 08.06 Compare blood collection equipment from various manufacturers.
Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
54) OSHA requires that gloves be worn during phlebotomy procedures. What type of gloves are appropriate for phlebotomy?
A) sterile surgical gloves
B) nonsterile gloves
C) gloves with glove liners
D) utility gloves
Answer: B
Explanation: Nonsterile gloves are acceptable for blood collection because, unlike surgery, blood collection is not a sterile procedure. Glove liners are only for long-term glove use, and utility gloves are too thick and do not allow the dexterity needed to perform phlebotomy procedures.
Difficulty: 2 Medium
Topic: Common Blood Collection Equipment
Learning Objective: 08.01 Identify equipment used for both venipuncture and dermal (capillary) puncture.
Bloom's: Understand
ABHES: 8.a Practice standard precautions and perform disinfection/sterilization techniques
CAAHEP: III.C.6.a-d Define personal protective equipment (PPE) for: all body fluids, secretions, and excretions; blood; non-intact skin; mucous membranes
55) Parts of a syringe include
A) barrel and plunger.
B) butterfly and tubing.
C) cylinder and handle.
D) needle and sheath.
Answer: A
Explanation: A syringe has two parts: the barrel into which blood is collected, and the plunger, which is used to pull the blood into the barrel.
Difficulty: 1 Easy
Topic: Equipment Unique to Venipuncture
Learning Objective: 08.02 Identify equipment specific for venipuncture procedures.
Bloom's: Remember
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
56) When a tube containing a thixotropic separator gel and blood is centrifuged, the gel moves to the
A) top.
B) middle.
C) bottom.
D) top and middle.
Answer: B
Explanation: A thixotropic separator gel is heavier than serum or plasma and lighter than cells, so it creates a barrier between the blood cells and the liquid components of blood when the specimen is centrifuged.
Difficulty: 1 Easy
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Understand
ABHES: 9.d Collect, label, and process specimens
57) Discard tubes contain
A) a clot activator.
B) a separation barrier.
C) an anticoagulant.
D) nothing.
Answer: D
Explanation: A discard tube must not contain any additives such as anticoagulants or clot activators. This includes tubes that contain a separation barrier because those tubes contain additives.
Difficulty: 1 Easy
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Remember
ABHES: 9.d Collect, label, and process specimens
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
58) Which of the following is the least likely use of a discard tube?
A) Collection of extra blood just in case another test is ordered.
B) Meeting specific collection procedures in some facilities.
C) Preventing tissue fluid entering tubes for coagulation tests.
D) Removing air from winged infusion lines.
Answer: A
Explanation: A discard tube may be used to meet special collection requirements, such as collecting a discard before a tube used for coagulation tests or to flush air out of the line of a winged infusion set.
Difficulty: 2 Medium
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Understand
ABHES: 9.d Collect, label, and process specimens
59) Ethylenediaminetetraacetic acid (EDTA)
A) prevents coagulation by binding calcium.
B) maintains red blood cell shape and size.
C) does not interfere with staining of blood cells.
D) does all of these.
Answer: D
Explanation: EDTA acts as anticoagulant by binding calcium and is good for laboratory tests used to examine blood cell shape, size, and staining characteristics.
Difficulty: 2 Medium
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Understand
ABHES: 9.d Collect, label, and process specimens
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
60) Ethylenediaminetetraacetic acid (EDTA) is commonly used for tests performed in
A) chemistry.
B) hematology.
C) immunology.
D) microbiology.
Answer: B
Explanation: ETDA is used for most tests performed in the hematology section of the laboratory.
Difficulty: 2 Medium
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Understand
ABHES: 9.d Collect, label, and process specimens
61) Which tube is acceptable for a blood test that requires heparin and must be free of trace elements?
A) Green
B) Light green
C) Light blue
D) Royal blue
Answer: D
Explanation: Royal blue-topped tubes are free of trace elements. The heparin-containing royal blue-topped tube has a green bar on the label.
Difficulty: 2 Medium
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
62) Where in the order of draw is a sterile draw tube, such as for blood culture, placed?
A) First
B) After anticoagulant tubes
C) After serum separator tubes
D) Last
Answer: A
Explanation: Tubes used to collect specimens for which sterility must be maintained are always collected first in the order of draw.
Difficulty: 2 Medium
Topic: Additives and Color Coding
Learning Objective: 08.05 Implement the correct order of draw for venipuncture and dermal (capillary) puncture procedures.
Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
63) A Luer lock system is designed to: (Choose all that apply.)
A) make attaching needle to syringe easy by slipping them together.
B) lock the safety device over the needle to prevent injury.
C) prevent the needle from slipping off the syringe.
D) twist a needle and syringe tightly together.
Answer: C, D
Luer locks are used to connect needles securely to syringes to prevent them from slipping off the syringe.
Difficulty: 1 Easy
Topic: Equipment Unique to Venipuncture
Learning Objective: 08.02 Identify equipment specific for venipuncture procedures.
Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
64) A thixotropic separator gel creates a barrier between: (Choose all that apply.)
A) air and blood.
B) cells and plasma.
C) cells and serum.
D) plasma and serum.
Answer: B, C
A thixotropic separator gel is heavier than serum or plasma and lighter than cells allowing for a barrier between blood cells and the liquid components of blood.
Difficulty: 2 Medium
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Remember
ABHES: 9.d Collect, label, and process specimens
65) A thixotropic separator gel is heavier than: (Choose all that apply)
A) an aerosol.
B) plasma.
C) serum.
D) cells.
Answer: B, C
A thixotropic separator gel is heavier than serum or plasma and lighter than cells, creating a barrier between blood cells and the liquid components of blood when the specimen is centrifuged.
Difficulty: 2 Medium
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Understand
ABHES: 9.d Collect, label, and process specimens
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
66) Which tubes are acceptable for a blood test that requires EDTA and be free of lead? (Choose all that apply.)
A) Lavender
B) Light green
C) Royal blue
D) Tan
Answer: C, D
Royal blue-topped tubes are free of trace elements, including lead. The EDTA-containing royal blue-topped tube has a lavender bar on the label. In addition, the tan-topped tube is lead-free and contains EDTA.
Difficulty: 2 Medium
Topic: Additives and Color Coding
Learning Objective: 08.04 Identify the various types of additives and color-coding used in blood collection and explain the reasons for their use.
Bloom's: Understand
ABHES: 9.d.1 Perform venipuncture
CAAHEP: I.P.2.b Perform: venipuncture
Copyright 2019 © McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.