CUBINE Phlebotomy NHA Certification Practice Questions-Answered-Complete Solutions guide-A, Exams of Nursing

Download CUBINE Phlebotomy NHA Certification Practice Questions-Answered-Complete Solutions guide-A and more Exams Nursing in PDF only on Docsity! CUBINE Phlebotomy NHA Certification Practice Questions-Answered-Complete Solutions guide-A+ Rated-Updated 2023 heel sticks are performed on which patients? infants less than 1 year old Order of Draw for Capillary Specimens After blood gases 1.) Lavender tube 2.) Tubes with other additives 3.) Tubes WITHOUT additives Which are the preferred sites for dermal punctures the distal segment of the third or fourth finger of the non-dominant hand What are the common tests for lavender EDTA tube CBC, CBC with differential, ESR, sickle cell screening What are the additives in green top tube? heparin, sodium, lithium What actions should the phlebotomist take to verify the quality of venipuncture supplies before beginning a blood draw? inspect the integrity of the seal of the needle, ensure that there are no tears or opening of the packaged supplies A phlebotomist receives orders to draw an infant screening card, O2 levels, bilirubin and DNA, which one should be drawn first oxygen pneumatic tube system System in which air pressure transports tubes carrying supplies, requisitions, or some lab specimens from one hospital unit or department to another If a patient has an IV, where do you draw the blood from In the other arm, unless that is not an option, in that case you would draw it downstream from the IV What is the preferred site for veinpuncture? Median Antecubital What is the correct order of draw blood culture, light blue, red, green, lavender, gray yellow, dark blue What additive does the light blue tube contain? sodium citrate What additive does the gray tube contain? Sodium fluoride/potassium oxalate What is the maximum depth a lancet should be for an infant? 2mm A patient suddenly becomes pale and short of breath, what are they experiencing and then lose consciousness? syncope What is the order of draw for the tubes for these tests: WBC, PTT and blood glucose? light blue, lavender and gray What is the first step a medical assistant should take before performing a capillary puncture? Identify the patient What special handling must be applied to a bilirubin specimen The specimen must be chilled Which non-blood specimen is light sensitive? Sputum specimen What method of collection for a urine culture and sensitivity test? A phlebotomist is caring for a 3 year old patient who weights 15.9 kg (35 lbs) . The technician should identify that which volume is appropriate for a 1 month period for the patient? 79.5 mL. only draw 10% of total blood volume over 8 week period, which means 5% at 4 weeks. Patients total volume is 15.9 x 100 = 1590; 5% of 1590= 79.5 A phlebotomy technician is performing two sets of blood cultures for a patient. Which action should the technician take? Collect one set from the patient's left arm and the other from the same arm in a different region. A phlebotomy technician is accessing the laboratory information system prior to collecting a specimen. What action should the technician take? print the specimen label A phlebotomy technician working in a lab has received 6 filled, evacuated tubes, one of which has no label on it. Which action should the technician take? Recollect the unlabeled specimen A phlebotomy technician is performing a blood glucose test, reading it as 46 mg/dL. What finding should the technician expect in regards to the patient's condition? Rapid heart rate What is sodium citrate's function? used for coagulation studies What is SPS function? used for blood culture because it inhibits certain immune system components that could destroy blood-borne bacteria What do you check for an inpatient when identifying the patient First and last name, date of birth and id band on patient A phlebotomy technician is performing a blood glucose test, readint it as a 46 mg/dL. What finding should the technician expect in regards to the patient's condition Rapid heart beat Chemical reagent strip testing A method of urinalysis involving the use of plastic strips to which chemically specific reagent pads are affixed Incorrect handling of a specimen can result in quality of the specimen A urine specimen should be refrigerated if not tested within one hour Prior to placing specimen in biohazard bags, make sure the specimen label has patients full name, date and time of specimen collection, source and type of specimen Place labeled specimen into a biohazard bag and then into primary container with absorbent material surrounding it, usually above any necessary coolants. 2 hour postprandial Collection of this specimen occurs 2 hours after the ingestion of the patients last meal Peak draw should be taken 30-60 min after drug administration trough level the point when a drug is at its lowest concentration Iatrogenic anemia anemia caused by excessive blood draws Label blood draw when? Immediately after draw while patient is still there Preservatives in tubes prevent bacterial overgrowth and prevent changes in the urine that can affect test results culture and sensitivity (C&S) laboratory test that grows a colony of bacteria removed from infected area in order to identify the specific type of bacteria and then determine its sensitivity to a variety of antibiotics chain of custody a written record of all people who have had possession of an item of evidence Sealed or locked specimen transfer bags are uses as part of which process chain of custody Forensic specimens specimens that are involved in civil or criminal legal cases, including specimens for analysis of drugs of abuse, rape kits, autopsies, crime scenes Urine drug tests detect use of marijuana in what time frame 1 week Urine drug test detects use of cocaine, heroin and other illegal drugs within what time frame 2 days Urine drug test do not measure the degree of impairment Neonatal drug testing, if newborn urine is positive, indicates use by mother in past 24-72 hours Neonatal drug testing detects the use of cocaine, opiates, amphetamines, methamphetamines and phencyclidine neonatal withdrawal syndrome You released a specimen to a courier who is transporting it to a laboratory. What does the courier use to instruct the medical specimen accessioner on how to complete the chain of custody form? The medical specimen accessioner need to write their name on the form when receiving the specimen How many minutes does the serum sample sit before loading them into the centrifuge? 30 minutes When obtaining a urine specimen for drug testing, what should you do? Seal the specimen in a tamper-evident container You are preparing to load two tubes into a centrifuge. What action should you take? Place tubes of equal volume across from each other You performed a point-of-care hemoglobin test for a patient. The result is 9.2 g/dL. Is this within normal range? n You are preparing to obtain a forensic specimen to determine a patient's blood alcohol level. What do you need to ensure is included on the chain of custody form? date and time the specimen was collected You receive a urine drug test specimen with a thermometer reading of 29.4 degrees C (85 Degrees F). What is your next action Have the patient provide another urine specimen under observation You are accessing the lab information system. The technician should be able to see what information in the system? previous lab results What information should you use to access a patient's medical record in the lab information system? patient identification number You are accessing the laboratory information system prior to collecting a specimen. What should you do next? Print the label for the specimen You performed a point-of-care glucose test and the results were 46 mg/dL. What symptom might the patient be having? Rapid heartbeat Which of the following results would you provide to the physician first, cardiac enzymes ordered ASAP in ER; Stat CBC drawn in surgery, 2-hr GTT glucose drawn in ICU Stat CBC drawn in surgery A female patient is being referred to a reproductive specialist. Which of the following blood tests would a technician release to the referring personnel? LDL/HDL or FSH/LH or PSA/CBC or CRP/BNP FSH/LH What point of care total cholesterol test results for a patient would you report to the provider? 250 mg/dL; 200 mg/dL; 175mg/dL or 140mg/dL 250 mg/dL You are preparing to process a WBC differential test, testosterone test and a glucose test. What action should you take to process these tests? Prepare a slide from a lavender-topped tube and centrifuge a red-topped tube and a gray-topped tube. What additive should you use when performing a peripheral blood smear for a WBC count? EDTA You receive a forensic specimen. You should verify that the specimen information matches what on the requisition form? case number Type O blood is compatible with which type of blood? Type O You are instructing a patient how to collect a sputum specimen. What should you make sure to tell the patient? Tell the patient that morning specimens are best for analysis because it is concentrated Should be obtain before eating or drinking. You are collecting 2 sets of blood cultures on the same patient. Where should you draw them from? Collect one set from the patient's left arm and one set from a different site on the same arm. You are instructing a patient on how to collect a fecal specimen at home. What should you tell them? Avoid allowing urine into the container when collecting the fecal sample. The urine affects the micro-organisms in the feces and can alter the results. You have collected a neonatal screening card. What do you do with the card to allow it to properly dry? Place card on a flat, dry surface You have an order to draw blood cultures, PTT and testosterone levels. What order should you collect these in? yellow topped tube, blue topped tube and red topped tube You are collecting a blood culture from an infant who weighs 3 kg (6.6 lb). You should identify that the total blood volume for this infant would be 300 (multiply kg x 100 and change units to mL. Which blood type is the universal donor? at least 45 ml (30 ml for one specimen bottle and 15 ml to put into another bottle) You are collecting blood from a patient for a donation. The collection bag only fills halfway, and then the vein collapses. What action should you take? Use a new collection bag to draw a new unit of blood. You are educating a patient about the at-home collection of semen specimen. What should you tell him about collecting, storing and bringing the specimen in to the clinic? An at-hom semen specimen should be collected in a sterile container, kept warm and delivered to the laboratory within 1 hour. PKU phenylketonuria - newborn screening What are the appropriate order of steps in performing a venipuncture identify the patient, cleanse the site, assess the site, then proceed with drawing Prior to transport the technician should place what type of specimen in an ice back within 30 minutes of collection? arterial blood gas Your patient is allergic to alcohol what might you use instead to prepare the injection site? Chlorhexidine HIPAA protects privacy of individually identifiable health information You should invert anticoagulant tubes to prevent which of the following complications hemolysis Your patient has pneumonia, besides gloves what PPE would you wear? mask Troponin Lab Values Troponin T: <0.10 ng/mL What is troponin T lab check for? checks a type of protein the in blood that is released when the heart muscle has been damaged. The higher the Troponin T, the greater the damage You should transport a semen sample at what temperature? 37 degrees C (98.6 degrees F) What vaccine must employers offer to their phlebotomists at no cost? Hepatitis B What agency ensures that a phlebotomy technician is proficient to perform job duties and responsibilities CLIA You are collecting a venipuncture blood specimen from a patient for a blood assay. Which tube do you fill first? Yellow-topped tube SD standard deviation You are collecting a blood specimen from an adolescent patient who weights 42.6kg (94 lbs). If maximum allowable volume of blood is 1%, how much can your draw? maximum of 42.6 mL You are collecting blood cultures. What additive do blood collection tubes require? Sodium Polyanethol sulfonate A patient you are going to draw has cutaneous diphtheria, besides gloves what PPE should you wear? gown (cutaneous diptheria is spread through contact) What is the normal range of WBC 4.4-11/mm3 What position and angle of the needle should a phlebotomist use when performing a venipuncture using an evacuated tube system? 15-30 degree angle in the same direction as the vein with the bevel up How far away from the venipuncture site do you anchor the vein? 2 inches below How far above the venipuncture site do you apply the tourniquet 3-4 inches When collecting a urine specimen from a patient for a pre-employment drug test, how much urine do you need for the patient to provide. 45 ml When collecting a trough lab specimen, at what time should you collect lab? 15 minutes prior to the administration of the next dose of medication You are educating your patient about the at-home collection of a semen specimen. What should you tell him? Collect the specimen in a sterile cup, keep it warm and deliver it to the laboratory within 1 hour. A phlebotomy technician is collecting blood from a patient for donation. The collection bag only fills halfway and the vein collapses. What should you do? Use a new collection bag to draw a new unit of blood. You should replace a sharps container when it is how full? 2/3's A phlebotomy technician should identify that what is an identifier for the specimen as long as it remains in the laboratory? Accession number- this number is assigned to the specimen while in the laboratory Applying a tourniquet too close to the draw site might result in hemoconcentration Failing to invert the tube would most likely affect You are preparing to collect a vancomycin peak level for a patient in an inpatient setting. What should you ask before taking the blood specimen? Ask the attending nurse if the patient's vancomycin dose schedule is accurate A phlebotomy technician has a mild sensitivity to latex. According to the National Institute for Occupational Safety and Health (NIOSH), what should the technician do? Wear nitrile gloves instead of latex. One of the Joint Commission's 2016 National Patient Safety Goals is Identify patients correctly What is one way in which a phlebotomy technician can locate a vein using a warming technique? Encase a warm towel in a plastic bag to maintain the towel's temperature and to keep the patient's skin dry. How often should you run a quality control test on point-of-care testing instruments daily To prevent hospital-acquired infections, a phlebotomy technician should clean items that have been contaminated by blood with a 1:10 dilution of water and what? sodium hypochlorite (chlorine bleach) A phlebotomist is performing a heelstick to obtain capillary blood for testing a newborn's bilirubin level. What type of container should you collect the blood in? amber-colored microcontainer A phlebotomy technician is leaving a patient's isolation room. What piece of PPE should the technician remove first? gloves A phlebotomy technician is assembling the equipment he will need for collecting donor units of blood. What size needle should the technician select? 18-guage A phlebotomy technician is collecting a unit of blood from a donor. What instructions should the technician give the donor? Instruct the donor to open and close his hand gently throughout the collection What piece of PPE provides the phlebotomist with the best protection when drawing blood from a patient who has active TB? N-95 respirator For an older adult patient who has difficult-to-access veins, a phlebotomy technician should select which vein ? dorsal veins A phlebotomy technician is required to obtain what kind of information from a potential blood donor? Complete medical history When should the phlebotomist label the laboratory specimens ? At the time of collection and in the presence of the patient. A phlebotomy technician is collecting blood specimens from a patient for multiple blood assays. The first tube he collects should have what additive? sodium citrate A phlebotomy technician is preparing to perform a venipuncture for a 2-year old child. The child asks if the blood draw will hurt. What would your response be? You will feel a small prick