NHA Phlebotomy Certification Practice Exam

What condition might result from improper needle insertion?

1. Hemolysis

2. Vasovagal syncope

3. Phlebitis

4. All of the above

The correct answer is: All of the above

Improper needle insertion during phlebotomy procedures can lead to several complications, including hemolysis, vasovagal syncope, and phlebitis. Each of these conditions arises from different aspects of incorrectly performed venipuncture. Hemolysis occurs when red blood cells break down prematurely, which can be caused by multiple factors including excessive force when inserting the needle, using a needle that's too small or fragile, or damaging the red blood cells during the collection process. This can lead to inaccurate lab results and potential complications in patient care. Vasovagal syncope is a reaction that can occur due to a patient's response to the stress or pain of the needle insertion, particularly if the needle is inserted improperly and the patient experiences anxiety or discomfort. This can result in a sudden drop in heart rate and blood pressure, leading to fainting. Phlebitis is the inflammation of the veins that can result from repeated or improper needle insertions, leading to irritation and damage to the vessel walls. This can happen when a needle is placed in a vein at an incorrect angle or when the procedure is prolonged without proper technique. Therefore, the condition resulting from improper needle insertion is comprehensive, and all of the aforementioned conditions can potentially arise, making