Which of the following tubes should a ma select first when adhering to the proper order of draw?

Using the guidelines for any methods of venipuncture, which of the following actions should the medical assistant perform directly after confirming patient identity?

review the requirements for collecting and handling the blood specimen as ordered by the physician 

Using the guidelines for any method of venipuncture, which of the following actions should the medical assistant perform directly after confirming patient identity?

review the requirements for collecting and handling the blood specimen as ordered by the physician

The appropriate needle gauge to use for most venipuncture collection is 

The phlebotomist is drawing blood from a patient that is taking blood thinners. Which of the following is a necessary piece of additional equipment to have at the drawing station?

Which of the following is the additive in the light blue tube top

which of the listed tubes contain ethylenediamineteracetic acid?

A test tube with which of the following colored stoppers has a glycolytic inhibitor?

A physician asked you to draw a INR on Mr. Jones which tube and additive would you choose?

Light Blue, Sodium Citrate

When collecting specimens for alanine aminotransferase (ALT) or aspartate aminotransferase (AST), avoid gray-topped sodium fluoride tubes because the anticoagulant

A phlebotomist is staffing the outpatient clinic at a remote site. There is a centrifuge at the site, but it is not functional. The courier will be arriving to pick up all samples collected at 1300, and will deliver to the testing laboratory at 1500. A patient arrives at 1200 with orders for Complete Blood Count, Prothrombin Time, and Basic Metabolic Panel. Which tubes should the phlebotomist use for blood collection?

Lavendar, Blue, Green, Gray

Which of the following is an appropriate alternative to using a rubber tourniquet when attempting a venipuncture on a known patient who is difficult to obtain a sample room?

Which of the following additives protects serum from interacting with red blood cells after a specimen has been centrifuged? 

The medical assistant needs to draw a bilirubin on a jaundiced infant. The MA should..

collect the specimen in an amber tube to protect from light

Which of the following evacuated tubes should the medical assistant select for collection of electrolytes?

After several minutes of searching the medical assistant can only palpate a small vein. The patient is prepared and the venipuncture is performed. The blood is filling the tube but slows and then stops even though the patient and medical assistant remained still. Which of the following actions should the medical assistant take?

use a smaller tube because the vein has collapsed

For which of the following patients is the use of an adhesive bandage contraindictated?

newborn with hyperbilirubinemia

The medical assistant is collecting a sample on a 2 year old outpatient by fingerstick. Following the collection, the medical assistant holds firm pressure on the site until bleeding has stopped. How should the medical assistant proceed?

Which of the following evacuated tubes should the medical assistant draw first?

Identify the CLSI recommended micro collection order of draw for a BMP, CBC & Bilirubin.

EDTA, Heparin, Serum Seperator

The patient was sent to the lab to have CBC (lavendar), PT/PTT (light blue), CMP (green). and glucose (grey). Place the evacuated tubes in the correct order of draw.

Light blue, green, lavendar, gray

A phlebotomist is asked to collect a CBC, PT, Chem7 on a patient that requires a hand stick with a butterfly needle into evacuated tubes. The correct order of draw for this collection would be

two light blue top tubes, green top tube, lavendar top tube

Which patient description is correctly matched with the appropriate site selection?

A 53 year old male with a central line has a specimen collected from the dorsal side of the hand

Which of the following statements best describes the reason antecubital veins are most desirable to use when performing venipuncture?

The tissue surrounding these veins is less sensitive making the procedure less painful

Which of the following actions should the medical assistant take to make a vein more prominent when attempting to select a venipuncture site?

Apply a warm compress to the area for 5 minutes

The medical assistant is asked to drawn blood from a patient with an IV whose opposite, left arm is inaccessible. Drawing blood from which of the following sites would be appropriate without physicians approval?

draw from the right distal to the IV site

When performing a CBC on a six year old. the parent insists upon using an anesthetic at the venipuncture site. Which would be correct?

A phlebotomist has received a requisition for a PT/aPTT to evaluate the patient for Von Willebrands disease. Because of the patient's potential diagnosis, the phlebotomist should be sure to

hold pressure on the draw site until bleeding has stopped

When performing a venipuncture on an infant, the amount of blood taken from the infant should be monitored to avoid

Capillary blood specimen collections are contraindicated in patients with 

When performing a fingerstick on a patient, the phlebotomist must pay close attention to the extremity that has been compromised by

circulation, swelling and infection

After a patient's skin is punctured to obtain a blood glucose level, what should be the phlebotomist's next step?

use a sterile gauze pad to remove the first drop

A patient with an order for a blood draw presents with burns covering both arms. Which of the following is the medical assistants best option for collecting the largest amount of blood for this patient?

To help prevent a hematoma at the site after drawing blood, which of the following actions does the medical assistant take?

apply direct pressure with cotton gauze

After a phlebotomy draw, the phlebotomist realizes the tourniquet was on the patient's arm for an extensive length of time. Which of these is the most common complication

After a phlebotomist has successfully followed all the steps for blood collection, the patient informs the phlebotomist that he tends to bleed longer than the average person. What would be the next course of action for the phlebotomist?

confirm hemostasis and apply gauze and paper tape

Which of the following is a likely complication from repeated phlebotomy procedures in the same area

While performing a venipuncture, the medical assistant removes the filled tubes, but forgets to remove the tourniquet prior to needle withdrawal. Which of the following is the most likely result?

During a venipuncture the patient has excessive bleeding and then states she forgot to mention her anticoagulant (coumadin) therapy. Which of the following should the medical assistant do?

hold pressure on the site for a minimum of five full minutes

The medical assistant is responsible for performing which of the following QC measures?

1. checking the expiration dates of venipuncture supplies 2. monitoring temperatures of specimen refrigerators 3. routine cleaning of surfaces where specimens are processed

After centrifuging a blood specimen, the medical assistant notes the serum has a reddish appearance. Which of the following has occurred?

The specimen is hemolyzed

Which of the following tubes should a medical assistant select first when adhering to the proper order of draw?

The order of draw is based on CLSI Procedures and Devices for the Collection of Capillary Blood Specimens; Approved Standard - Sixth Edition, September 2008. This standard recommends that EDTA tubes be drawn first to ensure good quality specimen, followed by other additive tubes and finally, serum specimen tubes.

Which of the following tubes should be drawn first?

The correct order of draw follows: Blood culture tube or bottle. Sodium citrate tube (eg, blue closure) Serum tubes, including those with clot activator and gels (eg, red, red-speckled, gold closures)

Which of the following tubes should be drawn first quizlet?

Which of the following tubes should be drawn first? Tubes for coagulation tests (light blue) are drawn first (unless blood cultures [yellow] have been ordered, which would then be first). This is followed by plain tubes (red) and then by other anticoagulant tubes.

When following the order of draw which of these tubes should always come first quizlet?

CLSI recommends the following order of draw for skin puncture: Blood gases, EDTA tubes, Other additive tubes, then Serum tubes. The correct order of draw would be: two light blue top tubes (one waste and one for PT which is a coagulation test), green top tube (for the Chem 7), and the lavender top tube (for the CBC).