For the following questions, select the one best answer: 1. What is the most common agent used to decontaminate a skin puncture site? a. diluted chlorine b. isopropanol c. alcohol-based hand rubs d. chlorhexidine 2. What is another term for the fluid found in the tissues? a. hemostatic b. hemoglobin c. interstitial d. synovial 3. A phlebotomist walks into a patient’s room to collect a blood specimen for hemoglobinand hematocrit. The patient has a full cast on both arms extending to the wrist. Whatshould the phlebotomist do? a. come back later b. collect the blood from the ankle c. perform a fingerstick and document the collection site d. page the doctor to double check the order 4. A phlebotomist was assigned to collect blood from a 5-year-old patient in a pediatricambulatory treatment center. The mother of the patient was the only person who couldverify the identity of the child. What could the phlebotomist do? a. come back later when more identification information is available b. collect the blood and document the form of identification c. ask the patient to confirm her identity d. call the supervisor 5. How many times can the puncture apparatus (lancet or sharp) be used for fingerstickson the same patient? a. once b. twice c. three times d. four times 6. How should a phlebotomist choose the correct finger for skin puncture? a. feel a pulse in the fingertip b. feel a vein in the fingers c. observe and feel the fingertips d. check the fingernails Copyright © 2013 by Pearson Education, Inc. Test Bank
7. When learning how to cleanse a skin puncture site, it is most important to wipethe area: a. then allow it to dry. b. while visualizing a vein. c. from top to bottom three times. d. by rubbing for a minute in concentric circles. 8. When selecting a site for a fingerstick, why is it important to ask the patients whattheir “dominant” hand is? a. to promote needle safety b. to promote patient comfort after the procedure c. to reduce the transmission of pathogens d. to allow the patient freedom of choice 9. What position is the patient usually in during a routine fingerstick procedure? a. supine b. seated c. lateral recumbent d. standing at a counter 10. Compared to the patient identification procedures during venipuncture, what shouldthe phlebotomist do for a fingerstick procedure? a. use three forms of paper identification b. confirm the stated name with the requisition c. match stated name with the requisition and another form of identification d. match stated name with the requisition and the bed label 11. A patient who is a farmer came in for several routine laboratory tests. He was right handed and had calloused hands and fingers. Where would the preferred blood collection site be? a. back side of the left hand b. back side of the right wrist c. antecubital area of either arm d. the middle finger of the left hand 12. Sometimes a patient’s veins are “saved for therapy.” In such cases, what type ofspecimen collection is preferred? a. butterfly technique b. syringe technique c. venipuncture using evacuated tubes d. fingerstick technique 13. A phlebotomist was supposed to perform a skin puncture on a patient but the patienthad very cold, pale hands. What step should the phlebotomist consider next? a. warming the hand b. applying a tourniquet c. asking the patient to clench/unclench his/her fist d. extra steps are not needed and the skin puncture should proceed Test Bank Copyright © 2013 by Pearson Education, Inc.
14. A phlebotomist was assigned to perform a glucose screening test on a pregnantwoman in a doctor’s office. The phlebotomist noticed that the patient had just finishedeating her sack lunch. What extra step should a phlebotomist take? a. document the nonfasting condition b. warm the site prior to the fingerstick c. discard the sack lunch before beginning the procedure d. no extra steps are required 15. Which of the following patients are good candidates for skin puncture procedures? a. patients who are severely dehydrated b. obese patients c. emergency room patients d. cardiac patients 16. If a patient is known to have poor peripheral circulation, what type of specimencollection will NOT work well for her? a. butterfly technique b. syringe technique c. normal venipuncture using evacuated tubes d. fingerstick technique 17. Fingerstick procedures are NOT recommended for which of the following laboratory test requests? a. diabetes screening b. blood alcohol levels c. coagulation testing d. hemoglobin and hematocrit 18. Skin puncture procedures are not recommended for which of the following laboratory test requests? a. blood cultures b. routine hematology tests c. tests requiring anticoagulated blood d. prenatal testing 19. Why are bandages after a skin puncture not recommended for babies? a. they hurt too much when removed b. they do not prevent infections c. there is a risk of swallowing the bandage d. it might make the puncture site unusable 20. One reason that skin punctures are more beneficial to children than venipuncturesis that they: a. retain blood volume. b. assure that the patient will not faint. c. can be performed while the patient is asleep. d. do not worry the parents as much.
Match each lettered word or phrase to the most appropriate numbered word or phrase. The letters may be used more than once. a. differential ________ 1. the method of filling microcollection tubes b. hemolysis ________ 2. WBC microscopic analysis c. overfilling d. feathered edge ________ 3. caused by excessive “milking” of the finger e. capillary action ________ 4. needed on a microscopic slide for blood analysis f. interstitial ________ 5. causes clot formation g. nonfasting ________ 6. condition in which skin appears bluish due to O2 depletion h. cyanotic ________ 7. condition whereby patient ingests a meal i. distal phalanx ________ 8. fingertip j. POC ________ 9. fluid that forms within tissue layers ________ 10. rapid screening methods for laboratory tests
Fill in the Blanks The is the site most often preferred for skin puncture. The hand should be used for skin puncture. A skin puncture on the finger should be made to the fingerprint. Alcohol may cause if it does not dry completely prior to a fingerstick. 5. The drop of blood should be removed during most skin puncture procedures. 6. Blood culture specimens should not be drawn by using the _____ puncture method. Capillary tubes made of are NOT recommended due to safety concerns. Inflammation of the bone caused by repeated punctures is called _______________. Another complication involving inflammation of the bone and cartilage due toinfection is called _______________.
10. For adults, the average depth of skin puncture should