Nursing Venipucture Test

1. Select the most appropriate methods to find a vein.*

Hydration, gravity, a cold soak to the site, and tapping the veinApply a tourniquet, a warm compress, and have the patient open and close the handHave the patient relax the hand and apply a warm compress to the site

2. When should you wash your hands when performing a venipuncture?*

Before you apply gloves to perform the venipunctureBefore you apply gloves to perform the venipuncture and after you have completed the procedure and removed your gloves

3. When are gloves required for venipuncture?*

When the blood test is for HIV confirmationIf the patient is suspected of having HIV or hepatitisFor every venipuncture, no matter the test or patient

4. What gauge needle is used on the typical medical patient for a chemistry profile?*

14-1620-22Always 18

5. How full are you supposed to fill the tube with blood?*

To 1/4" below the stopperTo the colored line on the side of the tubeAllow the vaccum tube to take in the amount of blood required on its's own

6. You have an order to perform a digoxin level on Mrs. Smith tomorrow. What should you tell her about the visit?*

Call Mrs. Smith to ask the time she usually takes her digoxin and then schedule the visit before that doseTell her to hold the dose until you arriveLet her know it is OK to eat breakfastNone

7. When you draw blood for a digoxin level, which tube do you use?*

Lavender topRed tube with gel at the bottomBlue topRed top without the gel

8. When you take an order for lab it should include the patient's name, lab test requested, and date the test is due. What else should you check before making the visit?*

The location of the lab if you are delivering the specimen, any special requisition to be used, and the color of tube needed for the testIf insurance is paying, are the tests covered on the insurance planAn adequate supply of vacutainer needles, vacutainer holders, tourniquets, gloves, and extra tubes of the color(s) neededBoth a. and c.All of the above

9. What tube top color is used for a pro (prothrombin) time test?*

LavenderBlueRedGray

10. What tube top color is used for a CBC test?*

LavendarBlueRedGray

11. What is the best thing to say to a patient who is scheduled to have a fasting blood sugar tomorrow morning?*

"I will be drawing your blood at 7:00 am.""I will be drawing your blood at 7:00 am, remain fasting until I arrive.""I would like to draw your blood before breakfast, what time do you eat?" Schedule the visit 30 minutes prior to that time. Inform the patient not to eat or drink anything before your arrival.

12. The doctor orders a two-hour postprandial blood sugar. What does that mean?*

Check the blood sugar two hours after a mealCheck the blood sugar two hours before lunchCheck the blood sugar two hours after exerciseCheck the blood sugar two hours before bedtime

13. You have an order for a chemistry profile on Mr. Jones tomorrow. What is required?*

FastingNon-fasting

14. You should always get your patient schedule the day before the visit. Why?*

It helps you to organize the coming dayYou may have fasting labs dueYou have time to read the 485's and prepare yourself for your patient careYou may have insulin due on a patient at 7:30 amAll of the above

15. You have performed a wound culture. How is it transported to the lab?*

In a leak-proof container with ice to keep the culture refridgeratedIn a leak-proof container at room temperature, so as not to stop the growth of bacteria

16. When performing a venipuncture how do you insert the needle into the vein?*

Bevel UpBevel Down

17. Where are venipuncture needles placed after the venipuncture?*

In a biohazard container which you brought in with you, then store the container in your trunkIn any can in the patient's kitchen trashCarry needles to your car and place them in a biohazard container in your trunk

18. For Medicare home health, a venipuncture is not a qualifying service. Which of the following is true?*

A visit for a venipuncture for lab testing is not a billable visitHome health staff should not perform venipunctures for lab testsA visit for a venipuncture for lab testing is billable if there is other skilled care ordered and provided in the episodeBoth a. and b.

19. What documentation is required in your note on the day of a venipuncture?*

Name of the testHow many of sticks required to obtain the specimenThe site of the venipuncture and how the patient tolerated the procedureThe gauge of the needle usedAll of the above

20. You just drew blood on a patient who is taking Coumadin. How long should you hold pressure to the site to minimize bleeding?*

1-2 minutes3-4 minutes5-10 minutes

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Nursing Venipuncture Competency Test