Nursing Venipuncture Competency Test
Be careful when filling out the form
1. Select the most appropriate methods to find a vein.
*
Hydration, gravity, a cold soak to the site, and tapping the vein
Apply a tourniquet, a warm compress, and have the patient open and close the hand
Have 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 venipuncture
Before 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 confirmation
If the patient is suspected of having HIV or hepatitis
For every venipuncture, no matter the test or patient
4. What gauge needle is used on the typical medical patient for a chemistry profile?
*
14-16
20-22
Always 18
5. How full are you supposed to fill the tube with blood?
*
To 1/4" below the stopper
To the colored line on the side of the tube
Allow 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 dose
Tell her to hold the dose until you arrive
Let her know it is OK to eat breakfast
None
7. When you draw blood for a digoxin level, which tube do you use?
*
Lavender top
Red tube with gel at the bottom
Blue top
Red 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 test
If insurance is paying, are the tests covered on the insurance plan
An adequate supply of vacutainer needles, vacutainer holders, tourniquets, gloves, and extra tubes of the color(s) needed
Both a. and c.
All of the above
9. What tube top color is used for a pro (prothrombin) time test?
*
Lavender
Blue
Red
Gray
10. What tube top color is used for a CBC test?
*
Lavendar
Blue
Red
Gray
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 meal
Check the blood sugar two hours before lunch
Check the blood sugar two hours after exercise
Check the blood sugar two hours before bedtime
13. You have an order for a chemistry profile on Mr. Jones tomorrow. What is required?
*
Fasting
Non-fasting
14. You should always get your patient schedule the day before the visit. Why?
*
It helps you to organize the coming day
You may have fasting labs due
You have time to read the 485's and prepare yourself for your patient care
You may have insulin due on a patient at 7:30 am
All 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 refridgerated
In 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 Up
Bevel 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 trunk
In any can in the patient's kitchen trash
Carry 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 visit
Home health staff should not perform venipunctures for lab tests
A visit for a venipuncture for lab testing is billable if there is other skilled care ordered and provided in the episode
Both a. and b.
19. What documentation is required in your note on the day of a venipuncture?
*
Name of the test
How many of sticks required to obtain the specimen
The site of the venipuncture and how the patient tolerated the procedure
The gauge of the needle used
All 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 minutes
3-4 minutes
5-10 minutes
Score
Name
First Name
Last Name
Signature
Date
-
Month
-
Day
Year
Date
Continue
Continue
Should be Empty: