Phlebotomy Test Pediatric Blood Collection 2

Question 1

A toddler requires venipuncture but is extremely uncooperative. Which approach is BEST?

Accepted Answer

Involve the parent in positioning and comforting while a second person assists in immobilization as needed

Answer

Restrain the child completely without explanation to complete the draw quickly

Answer

Reschedule the collection for another day when the child may be calmer

Answer

Attempt the draw up to 5 times until successful

Question 2

Microtainer tubes are color-coded the same as adult venipuncture tubes. Which Microtainer tube would be used for a neonatal chemistry panel (BMP)?

Accepted Answer

Gold (serum separator with clot activator)

Answer

Lavender (EDTA)

Answer

Green (lithium heparin)

Answer

Gray (sodium fluoride)

Question 3

What does 'iatrogenic anemia' mean in the context of neonatal blood collection?

Accepted Answer

Anemia resulting from excessive blood removal by medical testing

Answer

Anemia caused by hemolytic disease of the newborn

Answer

Congenital anemia present at birth

Answer

Anemia secondary to inadequate iron supplementation

Question 4

When a pediatric patient has difficult veins, which site is acceptable for venipuncture in children under 12 months?

Accepted Answer

Scalp veins (superficial temporal or frontal veins)

Answer

Femoral vein (performed by phlebotomist if veins are difficult)

Answer

Antecubital fossa, which is always the first choice in infants

Answer

Fingertip veins using a butterfly needle

Question 5

A phlebotomist observes petechiae on a child's arm after applying a tourniquet. This finding suggests:

Accepted Answer

Possible thrombocytopenia (low platelet count) or capillary fragility

Answer

Normal tourniquet-related skin color change

Answer

The tourniquet was applied correctly and hemostasis is good

Answer

The child has an allergy to latex

Question 6

The saphenous vein is used as a venipuncture site primarily in which pediatric patient?

Accepted Answer

Infants when limb veins are inaccessible and scalp veins are not appropriate

Answer

Adolescents as an alternative to antecubital veins

Answer

School-age children as the first-choice site

Answer

Neonates when heelstick volume is insufficient

Question 7

A blood specimen is required from a 4-year-old child who has a port-a-cath (implanted venous access device). Who is authorized to access the port for blood collection?

Accepted Answer

Only nurses or other clinicians specifically trained and credentialed in central venous access device management

Answer

Any phlebotomist trained in standard venipuncture

Answer

The parent, who has been trained at home

Answer

The child's primary care physician only

Question 8

Which of the following practices helps to MINIMIZE hemolysis in pediatric capillary blood specimens?

Accepted Answer

Allowing the site to warm, avoiding excessive squeezing, and using the correct tube

Answer

Using a larger gauge lancet for better blood flow

Answer

Collecting the specimen quickly and capping tubes immediately

Answer

Mixing tubes by vigorous shaking after collection