When collecting skin puncture tests which of the following should be collected first?

Which of the following test requires an arterialized vein?

A. Bilirubin
B. CBGs
C. Electrolytes
D. Glucose

Capillary puncture supplies include all of the following except?

A. Gauze pad
B. Lancet
C. Microcollection device
D. Povidone-iodine pad

Capillary puncture blood contains?

A. Arterial blood
B. Interstitial fluid
C. Venous blood
D. All of the above

The concentration of this substance is higher in capillary blood than in venous blood?

A. Blood urea nitrogen
B. Carotene
C. Glucose
D. Total protein

Capillary puncture is typically performed on adults when ?

A. No accessible veins can be located
B. Patients have thrombotic tendencies
C. Veins are saved for chemotherapy
D. All of the above

If collected during a single capillary puncture, which of the following test is collected first?

A. CBC
B. Electrolytes
C. Glucose
D. Phosphorus

Which of the following conditions disqualifies a site for capillary puncture?

A. Cyanoti
B. Edematous
C. Swollen
D. All of the above

Which of the following is the least hazardous area of an infant`s foot for capillary puncture?

A. Central area of the heel
B. Lateral plantar heel surface
C. Medial area of the arch
D. Posterior curvature of the heel

B. Lateral plantar heel surface

According to CLSI, a heel puncture lancet should puncture no deeper than?

A. 1.5mm
B. 2.0mm
C. 2.5mm
D. 3.0mm

Which of the following is a proper capillary puncture procedure?

A. Clean the site thoroughly with povoidone-iodone
B. Milk the site to keep blood flowing freely
C. Puncture parallel to fingerprint grooves
D. Wipe away the very first drop of blood

D. Wipe away the very first drop of blood

When making a routine blood smear, the"pusher slide" is normally used at an angle of how many degrees?

A. 15
B. 30
C. 45
D. 60

The blood specimen for this test is placed in circles on special filter out paper?

A. Bilirubin
B. CBGs
C. PKU
D. Malaria

An inherited metabolic disorder detected through newborn screening?

A. Diabetes
B. Glucose
C. Phenylketonuria
D. Potassium

Which of the following equipment is needed for a malaria test?

A. Capillary tube
B. Clay sealant
C. Glass slide
D. Microhematocrit tube

A plasma specimen for this type of test cannot be collected by this type of capillary puncture?

A. Chemistry
B. Coagulation
C. Hematology
D. All of the above

Capillary blood composition more closely resembles?

A. Arterial blood
B. Lymph fluid
C. Tissue fluid
D. Venous blood

The concentration of this analyte is normally lower in capillary specimen than?

A. Calcium
B. Glucose
C. Hemoglobin
D. All of the above

Capillary collection is the preferred method of blood collection in infants because?

A. An infant can be injured by restraining method used
B. Removing larger quantities of blood can lead to anemia
C. Venipuncture may damage veins and surrounding tissue
D. All of the above

**#7wb If using capillary puncture to collect the following microtubes from patient,what tube top color?

A. Gray top
B. Green top
C. Purple Top
D. Red Top

Which of the following is a recommend site for finger puncture in adults?

A. End segment of the middle finger
B. Distal segment of the middle finger
C. Plantar surface of the index finger
D. Proximal segment of the ring finger

B. Distal segment of the middle finger

The middle plantar surface of the heel is located?

A. At the very back portion of the heel
B. In the middle of the bottom of the heel
C. On the big toe side of the bottom of the heel
D. On the toe side of the bottom of the heel

B. In the middle of the bottom of the heel

The primary purpose of warming a capillary puncture site is to?

A. Delay clotting
B. Increase blood flow
C. Minimize contamination
D. Reduce hemoconcentration

Skin pain fibers increase in abundance?

A. In the upper epidermis
B. Below 2.4 mm in depth
C. Beyond 4.9 mm in depth
D. Within the vascular bed

Adult capillary puncture may be performed when?

A. There are no accessible veins
B. The patient has thrombotic tendencies
C. Veins must be saved for chemotherapy
D. All of the above

Wipe away the first drop of blood during capillary puncture to?

A. minimize tissue fluid contamination
B. Reduce the chance of hemolysis
C. Remove any alcohol residue
D. All of the above

Do not use povidone-iodine to clean skin puncture sites because it interferes with?

A. Potassium results
B. Phosphorus results
C. Uric acid results
D. All of the Above

Which of the following represents proper capillary specimen collection technique?

A. Clean the site with alcohol and wipe it dry so it will not sting
B. Puncture the skin parallel to the whorls of the fingerprint
C. Squeeze the finger hard to get the very best blood flow
D. Touch the scoop to the blood drop, not the skin surface

D. Touch the scoop to the blood drop, not the skin surface

An infant bilirubin specimen is collected in an amber microtube to?

A. Flag it as a capillary specimen
B. identity it as a bilirubin specimen
C. Protect it from light
D. reduce the chance of hemolysis

which of the following PKU collection technique is incorrect?

A. Air-dry the slips horizontally
B. Completely fill every circle
C. Do not touch the filter paper
D. Fill circles from both sides

D. Fill circles from both sides

Which of the following can result in a blood smear that is too long?

A. Angle of spreader slide is to steep
B. Blood drop is too large or too thin
C. Spreader slide is pushed too quickly
D. Patient has a high hemoglobin level

B. Blood drop is too large or too thin

What should be collected first in dermal punctures?

Order of draw. With skin punctures, the haematology specimen is collected first, followed by the chemistry and blood bank specimens. This order of drawing is essential to minimize the effects of platelet clumping. The order used for skin punctures is the reverse of that used for venepuncture collection.

What are the steps in skin puncture procedure?

Perform the skin puncture. Place the puncture device on the patient's skin and activate the release mechanism. Dispose of the puncture device in a Sharps container. For infants, the heel puncture should be no deeper than 2.0 mm. Wipe the first drop of blood away with dry gauze.

Which tube should be collected first for dermal samples?

This standard recommends that EDTA tubes be drawn first to ensure good quality specimen, followed by other additive tubes and finally, serum specimen tubes.

What is the first step in performing a capillary puncture?

Hold the finger in an upward position and lance the palm-side surface of the finger with proper-size lancet (adult/child). Press firmly on the finger when making the puncture. Doing so will help you to obtain the amount of blood you need. Cap the Microtainer® and gently invert it 10 times to prevent clots from forming.