True or false: A tube’s closure color alone guarantees which additive it contains.
4 Order of Draw and Tube Selection Online Quiz Questions
Use this free practice quiz with 20 questions to review 4 Order of Draw and Tube Selection, test your knowledge, and prepare for your next test or exam.
What is the typical additive in a light-blue tube?
To avoid damaging blood cells, do not additive tubes.
A test requires serum from a tube with a clot activator. Which processing sequence is appropriate?
- A
Centrifuge the specimen before allowing it to clot.
- B
Allow the specimen to clot, then centrifuge it as instructed.
- C
Add an anticoagulant after collection, then leave the specimen unprocessed.
- D
Shake the tube vigorously before centrifugation.
A test request specifies a specimen type and tube requirement, but the tube colors in stock vary by manufacturer. What is the best approach?
- A
Choose the tube with the most familiar color.
- B
Use the same tube type for every test from the patient.
- C
Match the tube to the test’s stated specimen requirements and verify the laboratory instructions.
- D
Choose whichever tube is available, then adjust the specimen after collection.
What specimen type is commonly required for a CBC when the sample is not centrifuged?
With a winged collection set, air in the tubing can underfill the first light-blue tube. Follow laboratory procedure for a when needed.
True or false: The position of a specialized tube, such as a yellow ACD tube, should be determined by its additive and test requirements using laboratory instructions.
- A
True
- B
False
A single draw includes blood cultures, a coagulation test, a chemistry test, and a CBC. Which sequence is the usual order of draw?
- A
Blood culture bottles, light blue, serum, then lavender
- B
Lavender, serum, light blue, then blood culture bottles
- C
Serum, blood culture bottles, lavender, then light blue
- D
Light blue, lavender, blood culture bottles, then serum
Select all actions that help prevent identification or collection errors.
- A
Identify the patient using at least two approved identifiers and compare them with the order.
- B
Prelabel the tubes before approaching the patient to save time.
- C
Let the prepared collection site dry completely after applying antiseptic.
- D
Label each tube at the patient’s side immediately after collection.
- E
Leave unlabeled tubes together and identify them later from memory.
Select all safe collection practices supported by the guidance.
- A
Use an approved safety transfer device for syringe collections.
- B
Keep the tourniquet on only as long as needed and follow facility limits.
- C
Push the syringe plunger into the tube to transfer blood quickly.
- D
Mix additive tubes gently and promptly as directed.
- E
Avoid shaking tubes vigorously.
A light-blue tube is underfilled despite being intended for coagulation testing. What is the main concern?
- A
The blood-to-citrate ratio may be incorrect and distort results.
- B
The tube’s closure color may change during processing.
- C
The specimen will automatically become serum.
- D
The tube will contain too much blood relative to citrate.
Explain the general order of draw for multiple venous specimens and describe when a collector should check laboratory-specific instructions rather than rely on that sequence alone.
Before collecting a blood specimen, what is the minimum number of approved patient identifiers you must compare with the order?
A test requires glycolysis inhibition, and the laboratory specifies a gray tube. What is the commonly used glycolysis-inhibiting additive in this tube?
A test requires serum. Which processing sequence is appropriate?
- A
Centrifuge it immediately, then allow it to clot.
- B
Allow it to clot, then centrifuge it as directed.
- C
Add an anticoagulant after collection, then centrifuge it.
- D
Leave it uncentrifuged because serum is separated from cells without processing.
During one venous draw, you need specimens for blood cultures, coagulation testing, serum chemistry, and a CBC. Which sequence follows the usual order of draw?
- A
Light blue, culture bottles, lavender, then serum
- B
Culture bottles, light blue, serum, then lavender
- C
Culture bottles, lavender, light blue, then serum
- D
Serum, culture bottles, light blue, then lavender
A light-blue tube for coagulation testing is underfilled. Why can this make the test results unreliable?
- A
A full tube prevents the blood from clotting during transport.
- B
The tube must contain extra citrate so the specimen remains stable.
- C
The required blood-to-citrate ratio depends on filling to the marked volume.
- D
The fill volume determines whether the serum separates from the cells.
You collect blood with a syringe and need to transfer it into collection tubes. Which action best reduces hemolysis and needlestick risk?
- A
Use an approved safety transfer device rather than forcing blood from the syringe.
- B
Push the syringe plunger into the tube to transfer the full sample quickly.
- C
Remove the tube stopper and pour the blood in without a transfer device.
- D
Shake the syringe before transferring blood to reduce the risk of clotting.
A test requires a whole-blood specimen. The specimen should remain uncentrifuged rather than being spun to separate serum or plasma. Is this statement true or false?
- A
True
- B
False