Which of the following is NOT a sign of a vasovagal reaction during phlebotomy?

• A. Dizziness
• B. Pallor
• C. Skin warm and flushing
• D. Nausea

Answer: (C)

Vasovagal reactions during phlebotomy come from a sudden drop in heart rate and blood pressure that reduces blood flow to the brain. The body’s response typically shows dizziness or lightheadedness, pallor (pale skin), nausea, and often sweating as signs that circulation is being compromised. The skin is usually cool and pale, reflecting reduced perfusion.

Skin that feels warm and looks flushed does not fit the classic vasovagal pattern; it points to a different response or condition. Therefore, warmth and flushing are not considered signs of a vasovagal reaction, making that option the best choice for not fitting the pattern.