California Phlebotomy Certification Practice Exam

After removing the needle cap, what is the next step a phlebotomy technician should take during venipuncture?

1. Insert the needle immediately

2. Anchor the vein 2.5 to 5 cm below the puncture site

3. Put on gloves again

4. Prepare the collection tube

The correct answer is: Anchor the vein 2.5 to 5 cm below the puncture site

The appropriate next step after removing the needle cap during venipuncture is to anchor the vein 2.5 to 5 cm below the puncture site. This maneuver is crucial for stabilizing the vein and preventing it from rolling, which can make the venipuncture more difficult and increase the risk of complications. Anchoring also provides better access to the vein, ensuring that the needle can be inserted at the correct angle and depth for successful blood collection. By anchoring the vein properly, the phlebotomy technician is able to create a more controlled environment for the procedure. This technique not only enhances the likelihood of a successful draw but also increases patient comfort and safety by reducing the potential for unnecessary punctures or injuries. Other choices, while relevant in the context of venipuncture, do not represent the immediate next step after removing the needle cap. For example, inserting the needle immediately without anchoring could lead to difficulties if the vein rolls or moves. Reapplying gloves would not be necessary if the technician is already wearing gloves that are appropriate for the procedure, and preparing the collection tube is typically done after the needle placement is confirmed.