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THE COMPLETE TEXTBOOK OF PHLEBOTOMY, 3RD EDITION
STUDY GUIDE CHAPTER 5
STUDENT NAME: _______________________
1. Complete: 1 cm3 = 1 cc = _________mL
2. Complete: 1 cubic centimeter = _________ milliliter
3. Normal body temp = _______  C
Phlebotomy Equipment: Syringes
4. Recommended needle length for a syringe blood draw: Why would this length be the
preferred length?
5. What is the most common needle gauge for venipuncture with a syringe? Why would
you pick this gauge of needle?
6. What is the best needle gauge to use on children when drawing with a syringe? What
is the advantage of using this gauge needle?
Vacutainer or Evacuated System
7. When drawing blood, the bevel of the needle faces __________.
9. When drawing blood, the angle formed between the skin surface and the needle is
about ____________ degrees.
10. The maximum number of times an individual phlebotomist can attempt a
venipuncture on a patient for a sample is _______________.
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11. ________________ is the material that coats tubes and needles to improve specimen
quality or ease in drawing blood.
12. When using a butterfly collection system, the angle between the skin and the needle
is _____ degrees.
13. What gauge needle is the next biggest needle gauge to a 21 size?
14. What gauge is the next smallest needle gauge to a 21 size?
15. What is the purpose of a Hemogard stopper on a vacutainer or evacuated tube?
16. What are the advantages of a butterfly system?
17. What are the disadvantages of a butterfly system?
18. A tourniquet should be applied how many inches above the venipuncture site? How
long can the tourniquet be left on?
Coagulation
19. Define hemostasis.
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20. What are the steps in the formation of a blood clot?
a.
b.
c.
d.
e.
f. Clot forms.
21. Name the anticoagulants, if any, in the following tubes:
Cap Color
Anticoagulant or Additive / Common Lab Tests
Light blue
Lavender
Green
Royal blue with additive
Royal blue without
additive
Red
Gray
Red/black or gold
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22. Place the following tubes in the correct order of draw. (Chap. 6, p 191)
Green
Gray
Red (plastic)
Red/black
Light blue
Blood culture tube or bottle
Lavender
23. What is the correct tube or answer for the following statements?
Statement
If serum is desired
Correct Tube or Answer
Best for hematology tests
Contains heparin
Contains no additive
Requires a 1:9 ratio of anticoagulant to blood
Anticoagulant that preserves the cell morphology
for a differential
Fluid portion of anticoagulated whole blood
Anticoagulant with glycolytic inhibitor
Contains EDTA
Requires a full tube of blood
Used for coagulation tests
Contains oxalate
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The first specimen drawn in the order of draw
Tube commonly used for glucose testing
Prevents the conversion of prothrombin
to thrombin
Microcollection Equipment
24. The device used to puncture the finger or heel is called a ___________________.
25. A name given to the type of small tube that the blood is collected in after a
fingerstick or a heelstick is a ________________________________________.
STUDY GUIDE CHAPTER 6
1. What are the three skills used in approaching a patient?
a.
b.
c.
2. List the information that is required on a test request form (requisition).
a.
b.
c.
d.
e.
f.
g.
h.
i.
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3. List the five minimum identification requirements for a tube of blood.
a.
b.
c.
d.
e.
4. The most commonly used vein in the antecubital area of a patient’s arm is the
_________________________ vein.
5. List the sites to check on a patient for an acceptable vein (in order of preference).
a.
b.
c.
d.
6. What is the protocol for a patient who has had a mastectomy?
7. Describe the appearance of a patient about to syncope during venipuncture.
8. List at least four causes of hemolysis of blood collected by venipuncture.
a.
c.
b.
d.
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9. ASAP specimens must be collected within ___________hours of an order being
issued.
10. STAT specimens must be collected within __________hours of an order being
issued.
11. Which orders are drawn first, ASAP or STAT?
12. What are two methods for transferring blood from a syringe into a tube?
a.
b.
13. The recommended order of draw for blood is:
a.
b.
c.
d.
e.
f.
14. Before drawing blood from an arm with an IV, it should be turned off for
_____________ minutes.
15. A tourniquet is applied to an arm with an IV __________ (above/below) the
indwelling IV.
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