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Phlebotomy and Blood Collection Flashcards

7 cards from real AMCA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. A patient becomes pale, diaphoretic, and lightheaded during venipuncture. This is MOST likely caused by:

    Answer: Vasovagal syncope

    Vasovagal syncope is a common autonomic response to the stress or pain of venipuncture, causing a sudden drop in heart rate and blood pressure.

  2. If a vein is difficult to locate for venipuncture, which technique can help dilate superficial veins?

    Answer: Applying a warm compress to the site

    A warm compress promotes vasodilation, increasing blood flow to superficial veins and making them easier to visualize and access.

  3. Which of the following is the CORRECT way to mix blood in a collection tube after filling?

    Answer: Gently invert the tube 8–10 times

    Gentle inversion 8–10 times ensures thorough mixing with tube additives while preventing hemolysis from rough handling.

  4. Which organization publishes the H3-A6 guideline that establishes standards for venipuncture procedures?

    Answer: Clinical and Laboratory Standards Institute (CLSI)

    The CLSI publishes the H3-A6 document, which is the industry-recognized standard for venipuncture technique and procedure.

  5. Which of the following is NOT an acceptable patient identification step before blood collection?

    Answer: Checking the patient's insurance card for identity

    Insurance card verification is an administrative billing step and is not used as a patient safety identifier for specimen collection.

  6. A phlebotomist sustains an accidental needlestick with a used needle. What is the FIRST immediate action?

    Answer: Wash the wound thoroughly with soap and water

    The immediate first step after a needlestick injury is washing the wound thoroughly with soap and water to reduce contamination before reporting.

  7. What is the PRIMARY purpose of an anticoagulant additive in a blood collection tube?

    Answer: To prevent the blood from clotting so plasma can be tested

    Anticoagulants prevent the coagulation cascade from activating, maintaining blood in a liquid state so plasma (not serum) can be obtained for testing.