01
True or false
1 point
True or false: Heel-stick capillary blood can be used for any test because it is equivalent to venous blood.
Free Practice Quiz Question List
4 Neonatal Specimen Collection Online Quiz Questions
Use this free practice quiz with 20 questions to review 4 Neonatal Specimen Collection, test your knowledge, and prepare for your next test or exam.
20 questions
02
Choose one
1 point
A term neonate needs enough blood for several tests, and an experienced collector is available. Which collection method is often preferred?
- A
Use a heel stick because it is preferred whenever several tests are ordered.
- B
Use venipuncture if an experienced collector is available.
- C
Use a heel stick even if the required volume exceeds what can be collected appropriately.
- D
Choose a method without considering the required tests or volume.
03
Choose one
1 point
When selecting a heel-stick site, which location is appropriate if it is free of bruising, swelling, infection, and recent punctures?
- A
The center of the heel
- B
The posterior curvature of the heel
- C
The medial or lateral plantar surface within a designated safe area
- D
Any area with a recent puncture
04
Choose one
1 point
A microcollection additive tube is being prepared for a neonatal specimen. Which action helps protect the blood-to-additive ratio and test results?
- A
Fill the tube to any level because volume does not affect additive tubes.
- B
Fill the tube to the manufacturer's required volume.
- C
Overfill the tube to compensate for possible clotting.
- D
Underfill the tube whenever several tests are ordered.
05
Choose all
1 point
Select all correct practices for collecting and preparing a newborn-screening blood-spot card.
- A
Fill the card exactly as instructed.
- B
Layer drops on the paper to ensure it is fully saturated.
- C
Avoid touching the paper to the infant's skin.
- D
Let the card air-dry completely before packaging.
06
True or false
1 point
True or false: Squeezing a heel hard to increase blood flow is appropriate because it does not affect sample quality.
- A
True
- B
False
07
Written response
1 point
During heel-stick collection, what type of pressure should be used to help blood form without scraping, milking, or squeezing hard?
08
Written response
1 point
Immediately after a single controlled puncture, what type of container should receive the used safety lancet?
09
Fill in the blank
1 point
After cleaning the heel with the approved antiseptic, allow the site to before puncturing.
10
Fill in the blank
1 point
For a laboratory microcollection, unless the test instructions say otherwise, the first drop is .
11
Open ended
1 point
A heel-stick capillary collection is unsuccessful, or the requested volume is more than can be collected appropriately. What should the collector do next?
12
Choose one
1 point
A collector is preparing a heel-stick sample for point-of-care glucose testing. Which approach should determine whether to use or discard the first drop?
- A
Always discard the first drop, regardless of the meter's instructions.
- B
Follow the meter's instructions for sample collection and first-drop handling.
- C
Use the newborn-screening card procedure for every glucose meter.
- D
Use the laboratory microcollection procedure without checking the device instructions.
13
Written response
1 point
In the commonly recommended order for multiple capillary specimens, which category is collected first? Confirm the order required by the laboratory.
14
Choose one
1 point
During heel-stick laboratory microcollection, what should the collector generally do with the first drop of blood?
- A
Collect the first drop and discard all later drops.
- B
Scrape the first drop into the microcontainer.
- C
Wipe away the first drop unless the test or device instructions say otherwise, then let a fresh drop form.
15
Choose one
1 point
After collecting a neonatal blood specimen, which action best supports correct identification?
- A
Label the specimen at the bedside according to facility policy and verify the label against the infant.
- B
Wait until the specimen reaches the laboratory before labeling it.
- C
Label the specimen later using the requested tests as the only identifier.
16
Choose one
1 point
A point-of-care glucose test is ordered after a heel puncture. Which procedure should guide collection of the sample for the meter?
- A
Always follow the newborn-screening card procedure.
- B
Follow the meter’s instructions for sample collection and first-drop use or discard.
- C
Always discard the first drop, regardless of the meter instructions.
17
Choose one
1 point
Which approach best reduces pain and distress during a neonatal blood collection when feasible?
- A
Delay all comfort measures until after the procedure.
- B
Use oral sucrose for every infant, regardless of protocol or contraindications.
- C
Use feasible supportive measures such as breastfeeding, skin-to-skin care, or non-nutritive sucking; these may be combined with swaddling or facilitated tucking.
18
Written response
1 point
A collector is selecting a heel-stick site. Name either one of the approved heel regions using the anatomical surface term.
19
Choose all
1 point
A collector has finished a neonatal capillary collection that includes additive microcontainers. Which actions follow the specimen-handling guidance? Select all that apply.
- A
Cap each specimen promptly.
- B
Gently mix additive tubes as directed.
- C
Shake additive tubes vigorously to ensure thorough mixing.
- D
Hold the specimens until the end of the shift before sending them.
- E
Send the specimens promptly according to the test’s handling requirements.
20
True or false
1 point
A clinician preparing for a neonatal heel stick should warm the heel only as directed by local policy and the warmer’s instructions.
- A
True
- B
False