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The following can help when a hand vein must be used for venipuncture: A) Hold the vein 1 to 2 inches below the insertion site. B) Use a large bore needle. C) Keep the patient’s hand in an upward position. D) Do not use pediatric collection tubes.  

   In the image above, the letter “B” indicates where the ________ screws onto the needle. A) tube B) hub C) butterfly D) lancet

Which of the following is NOT a step in the blood collection procedure? A) Greet the patient. B) Perform aseptic technique. C) Provide post-puncture care. D) Perform the blood test.

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

The best site for a dermal puncture on the fingers is the: A) distal area of the middle finger and ring finger. B) medial area of the middle finger and ring finger. C) lateral area of the plantar surface. D) medial area of the plantar surface.

When collecting a dermal puncture specimen, keep the site: A) above the patient’s heart. B) resting on the collection area. C) at your eye level. D) below the level of the patient’s heart.  

If the calcaneus is punctured on an infant, the action may be considered: A) negligence. B) an error. C) carelessness. D) malpractice.

All of the following are situations in which an arm vein should NOT be used EXCEPT: A) an IV is running in the patient’s only arm. B) both arms are edematous. C) both arms are badly burned. D) both arms are restrained.

A patient seated in a phlebotomy chair will have her/his arm: A) supported and slightly bent at the elbow. B) raised above her/his head. C) dangling toward the floor. D) supported and extended downward in a straight line.  

During a venipuncture, blood flows into the evacuated tube with a forceful pulsing motion. What may be causing this to happen? A) An artery may have been punctured. B) The needle may be too close to a valve. C) An incorrect tube may have been selected. D) The tube may be expired.