Phlebotomy Competency
- 1.
A disgruntled elderly patient tells you that you can only draw his blood in one specific location and that you have to use a butterfly.
- A.
Tell the patient okay and proceed to do as instructed.
- B.
Ask the patient if he would mind if you looked at some other areas as well to be sure you are selecting the best possible vein.
- C.
Tell the patient that you are a trained professional and know what you are doing and you will decide where to draw him.
Correct Answer
B. Ask the patient if he would mind if you looked at some other areas as well to be sure you are selecting the best possible vein. -
- 2.
A patient needs to be drawn in room 302. When you walk in the room and introduce yourself, you notice they have an IV running in thier left AC. The first thing you would do is:
- A.
Look in their right AC
- B.
Look in their lower arm or wrist
- C.
Look in their foot
- D.
Ask the nurse to shut the IV off
Correct Answer
A. Look in their right AC -
- 3.
A patient walks into the outreach draw station and demands you use a butterfly. The patient seems reasonably healthy and you can see the veins in their AC. What would you do?
- A.
Respond, "go somewhere else!"
- B.
Would you mind if I look at your veins first?
- C.
Okay, if you say so
- D.
Go get another phlebotomist
Correct Answer
B. Would you mind if I look at your veins first? -
- 4.
The patient is being drawn for blood cultures. You must use a butterfly.
- A.
True
- B.
False
Correct Answer
A. True -
- 5.
The patient has had a mastectomy on her left breast. It is ok to draw that patient in her left AC?
- A.
True
- B.
False
Correct Answer
B. False -
- 6.
A 16year old boy has to have his blood drawn and is visually very anxious. While you are drawing his blood he faints. After he has recuperated you have to draw him again.
- A.
Lay him down and draw him with a butterfly in hopes this will calm his fears and he won’t faint again.
- B.
Lay him down and draw him with a straight needle all the while talking to him to keep his attention off the blood draw.
- C.
Send him away and tell him to come back another day when he feels better.
Correct Answer
B. Lay him down and draw him with a straight needle all the while talking to him to keep his attention off the blood draw. -
- 7.
A 96 year old man has to have his blood drawn. He has thin arms and fragile skin with many bruises on it but you can feel a good A C
- A.
Draw the patient with a butterfly because his vein is most likely as fragile as his skin.
- B.
Draw the patient as you would anyone with a good feeling ac.
- C.
Ask the patient what the phlebotomist has done in the past and take the same course of action.
Correct Answer
B. Draw the patient as you would anyone with a good feeling ac. -
- 8.
A patient requests that you use the “baby” needle on her
- A.
Tell her that the butterfly is actually the same size as the black needle and you are very confident that you will have success with a black needle. Would she mind giving it a try.
- B.
Tell her we only use “baby” needles on babies and that she will have to have a straight needle.
- C.
Use a butterfly
Correct Answer
A. Tell her that the butterfly is actually the same size as the black needle and you are very confident that you will have success with a black needle. Would she mind giving it a try. -
- 9.
A belligerent patient presents for blood draw; insisting on a butterfly needle. Phlebotomist nicely asks to look at her arm to determine if a butterfly is necessary. Patient begins to cause a scene in a very crowded drawing area, stating if she can’t have a butterfly she will leave.
- A.
Give in to the patient and draw her with a butterfly.
- B.
Tell the patient to leave and go elsewhere.
- C.
Insist that you can draw her with a straight needle and proceed.
Correct Answer
A. Give in to the patient and draw her with a butterfly. -
- 10.
You walk into a patient’s room and notice there are two IV’s running what do you do?
- A.
Draw the patient’s foot
- B.
Ask a nurse to shut off one of the IV’s so that you can draw above it
- C.
Ask a nurse to shut off one of the IV’s so you can draw below it
- D.
Shut the IV off yourself and proceed to draw the patient
Correct Answer
C. Ask a nurse to shut off one of the IV’s so you can draw below it -
- 11.
A patient indicates that they need to use the restroom as you enter the room you
- A.
Tell the patient that you are here to draw their blood and will be quick
- B.
Call for an LNA and ask if you may draw their blood while they wait for assistance
- C.
Leave the room, get a nurse and ask the floor to call when the patient is all finished
- D.
None of the above
Correct Answer
B. Call for an LNA and ask if you may draw their blood while they wait for assistance -
- 12.
A patient has an IV in both hands you
- A.
Look for veins below the IV
- B.
Ask the Nurse if there is, or can obtain, a doctors order to draw above the IV
- C.
Assess the patient’s feet and see if they are a viable option then ask the nurse if a foot order can be obtained
- D.
All of the above
- E.
None of the above
Correct Answer
D. All of the above -
- 13.
Above a patient’s bed says no blood draws on the left arm, which means it is ok to draw the left hand
- A.
True
- B.
False
Correct Answer
B. False -
- 14.
When drawing blood cultures it is ok to use a straight needle if the patient has a good AC
- A.
True
- B.
False
Correct Answer
B. False -
- 15.
When aliquotting a specimen you must label it with your initials and what the specimen type is (ie plasma or serum).
- A.
True
- B.
False
Correct Answer
A. True -
- 16.
Specimens that are on the floors (urines, stools and sputum) should only be brought to the lab by transport
- A.
True
- B.
False
Correct Answer
B. False -
- 17.
A case of lab tubes says they expire 10/2012
- A.
It is ok to use them until 10/30/2012
- B.
They should be discarded on 9/30/2012
- C.
They shouldn’t be used past the 15th of the month
- D.
None of the above
Correct Answer
B. They should be discarded on 9/30/2012 -
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Feb 20, 2013Quiz Edited by
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Jul 25, 2012Quiz Created by
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