NHA Phlebotomy Certification Exam 2 Versions 2023/2024, Exams of Nursing

Download NHA Phlebotomy Certification Exam 2 Versions 2023/2024 and more Exams Nursing in PDF only on Docsity! NHA PHLEBOTOMY CERTIFICATION EXAM 2 VERSIONS 2023/2024 1. What temperature should a semen sample be transported? - ANSWER-36-38 degrees C 2. Which of the following would result in a grossly hemolyzed specimen? a. Incorrect order of draw b. Incorrect needle gauge c. Applying tourniquet too close to the draw site d. Failure to invert tube - ANSWER-b. Incorrect needle gauge 3. Which of the following is proper procedure after collecting ammonia specimen? a. Protect from light b. Keep specimen warm c. Keep specimen at body temp d. Place specimen in icewater slurry (or a cup of ice) - ANSWER-d. Place specimen in icewater slurry (or a cup of ice) 4. The phlebotomist has a request to collect a CBC from a healthy 10 month old. Which is appropriate? - ANSWER-a. Either heel 5. A phlebotomist is preparing to draw blood from a patient in hospital/ The patient extends his arm and turns head away. Which consent does this indicate? - ANSWER-a. Implied consent 6. Why should phlebotomist document volume of blood drawn from a patient? - ANSWER-a. Iatrogenic anemia could be a result fo too much taken 7. A phlebotomist has a requisition to draw blood on a patient with severe Down's syndrome. What steps would you take? - ANSWER-a. Speak with the patient guardian before performing venipuncture to enmsure the patient understands 8. A 69 year old unconscious patient is brought ot the ER. Several blood tests are ordered. The phlebotomist collects blood under - ANSWER-a. Implied consent 9. Which of the following actions is appropriate when labeling specimens? - ANSWER- a. Label specimens at the time of collection in front of the patient 10. Before collecting blood on an inpatient, the phlebotomist notices there's no wristband on wrist. There is one on the IV pole. What do you do? - ANSWER-a. Don't draw until nurse puts an armband on patient 40. When using evacuated tube system (EVS). - ANSWER-a. Position the needle in the same direction as the vein at 30 degree angle 41. What is additive for a PT/PTT? - ANSWER-a. Sodium Citrate (Blue top) 42. Blood cultures have been ordered on ICU patient. You would use: - ANSWER-a. Aerobic and anaerobic bottles 43. A phlebotomist is required to obtain what from a potential donor? - ANSWER-a. Complete medical history 44. Phlebotomist needs to draw a glucose tolerance test on a patient and notices an empty breakfast plate at bedside. What should you do? - ANSWER-a. Ask the patient when he or she ate last 45. Which vein should you attempt first? - ANSWER-a. Median cubital 46. If a phlebotomist is stuck with a used needle, first action is: - ANSWER-a. Flush the area with running water 47. correct specimen handling, what should you put on collection tubes? - ANSWER- Before leaving a patient room, make sure the date, time and initials are on the tubes. 48. When removing the needle from the arm, engage the safety device immediately - ANSWER- 49. What can cause hemolysis? - ANSWER-a. Vigorously shaking the tube 50. A phlebotomist must centrifuge a serum separator tube before shipment: - ANSWER-a. Cells must be separated from the serum 51. The phlebotomist draws a CBC at 1800. Lab closed at 1730 and will not process until 500. What temp should the CBC be stored - ANSWER-a. 2-10 degrees C (EDTA tubes may be processed at 12 hours if refrigerated) 52. What test results can be affected if iodine is used to clean the site? - ANSWER-a. Potassium 53. According to CLSI, what is collected first? - ANSWER-a. Blood cultures 54. KNOW ORDER OF DRAW - ANSWER- 1. KNOW ADDITIVES - ANSWER- 55. KNOW ORDER OF VENIPUNTURE PROCEDURE - ANSWER- 56. A physician ordered a Tobramycin level to be drawn one hour after dose. The Tobramycin has been ordered for 11am. What should you do - ANSWER-a. Check with the nurse to make sure meds were given (or not given) 57. phlebotomist notices red spots. What is appropriate action? - ANSWER-a. Apply pressure after collecting During the draw, the the sample 58. What is a potential consequence of mislabeling a blood bank specimen? - ANSWER-a. A Transfusion reaction 59. When should a phlebotomist perform external liquid controls for quality control on CLIA waived point of care test? - ANSWER-a. When a new lot number or kit is opened 60. A 3.3 kg infant has a total blood volume of 240-330ml - ANSWER- 61. Cleanse in an outward spiral - ANSWER- 62. What would you use for a hand draw? - ANSWER-a. Butterfly or winged infusion set 63. Invert anticoagulant tubes to :prevent coagulation - ANSWER- Name the 3 types of blood samples - ANSWER-whole blood/ plasma/ serum What two States require licensure - ANSWER-Louisiana & California When the Phlebotomist collects blood, in which of the patient's zones of interpersonal space is he/she operating? - ANSWER-The patient's Intimate Zone or Space Define Phlebotomy - ANSWER-An incision into the vein What is the meaning of these acronyms: ASPT, ASCP, and NHA? - ANSWER-ASPT = American Society of Phlebotomy Technicians ASCP = American Society for Clinical Pathology NHA = National Healthcareer Association Define Reference Laboratory: - ANSWER-A reference laboratory is one that specializes in one test or one group of tests, or where more unusual or obscure tests are performed. . Number the following items to reflect the correct blood flow through the heart and lungs: _1 Vena Cave (superior/inferior) _7 Lungs _5 Pulmonary Valve _6 Pulmonary Artery _13 Aorta _9 Left Atrium _2 Right Atrium _8 Pulmonary Veins _4 Right Ventricle _11 Left Ventricle _3 Tricuspid Valve _12 Aortic Valve _10 Mitral Valve (aka, Bi-Cuspid) - ANSWER- To whom does the phlebotomist report? - ANSWER-A technical phlebotomy supervisor What two government agencies administer CLIA? - ANSWER-Center for Medicare/Medicaid Services (CMS) FDA . Is the Joint Commission a non-profit organization? - ANSWER-No, it's a not for profit organization In what year and by what organization was The Patient's Bill of Rights initiated? - ANSWER-1973 by the American Hospital Association. . What is Informed Consent? - ANSWER-When you explain the procedure to the patient and they give you verbal or written permission to proceed. What is Implied Consent? - ANSWER-When you explain the procedure to the patient and they make a gesture that implies their permission to proceed, such as extending their arm, rolling up their sleeve or nodding their head. What is required to obtain Informed Consent for a child? - ANSWER-You explain the procedure to the parent or legal guardian and obtain their informed consent for the child. What is the difference between a Criminal Lawsuit and a Civil Lawsuit? - ANSWER-A criminal lawsuit is initiated by the government, a civil lawsuit is between private parties. What is Assault? - ANSWER-The threat of touching another person without his or her consent and with the intention of causing fear of harm What is Battery? - ANSWER-Actual harmful touching of another person without his or her consent. What is Libel? - ANSWER-False defamatory writing that is published. What is a Sentinel Event? - ANSWER-An unanticipated death or permanent loss of function not related to a patient's illness or underlying condition. . What does PPE stand for? - ANSWER-Personal Protective Equipment . How full should you fill the Sharps Container before using a new container? - ANSWER-¾ full a. ethylenediaminetetraacetic acid (EDTA). b. sodium citrate. c. heparin. d. oxalate. - ANSWER-b. sodium citrate. . ABO and Rh typing are performed in which laboratory section? a. Hematology b. Blood bank c. Chemistry d. Cytology - ANSWER-b. Blood bank The activated partial thromboplastin time (APTT) or partial thromboplastin time (PTT) test is performed in: a. coagulation. b. chemistry. c. urinalysis. d. histology. - ANSWER-a. coagulation. . Which test would a physician order on a patient with a suspected infection? a. Glucose b. Complete blood count (CBC) c. Cholesterol d. Antinuclear antibody (ANA) - ANSWER-b. Complete blood count (CBC) An anemia would be detected by a: a. glucose test. b. blood culture. c. urinalysis. d. complete blood count. - ANSWER-d. complete blood count. . An agency that assures quality care by hospitals is the: a. Joint Commission. b. Centers for Disease Control and Prevention. c. Occupational Safety and Health Administration. d. College of American Pathologists. - ANSWER-a. Joint Commission. . The most serious error a phlebotomist can make is: a. causing a hematoma. b. failure to correctly identify a patient. c. drawing a specimen in the wrong tube. d. collecting a hemolyzed dermal puncture specimen. - ANSWER-b. failure to correctly identify a patient. . A puncture device with a broken seal should not be used because: a. it is no longer sterile. b. the needle may contain a barb. c. there may be a manufacturing defect. d. the color coding will not match the size. - ANSWER-a. it is no longer sterile. Using an evacuated tube after its expiration date can result in all of the following except: a. a short draw. b. a clotted specimen. c. a lipemic specimen. d. a contaminated specimen - ANSWER-a. a short draw. The Patient's Bill of Rights guarantees the patient all of the following except: a. a private room. b. informed consent. c. confidentiality. d. treatment refusal. - ANSWER-a. a private room. To complete the chain of infection, all of the following are required except a: a. source. b. contaminated surface. c. mode of transmission. d. host. - ANSWER-b. contaminated surface. An infection contracted by a patient while in the hospital is termed: a. antibiotic-resistant. b. staphylococcal. c. nosocomial. d. unfortunate - ANSWER-c. nosocomial. The recommended disinfectant for blood and body fluid contamination is: a. sodium hydroxide. b. antimicrobial soap. c. hydrogen peroxide. d. sodium hypochlorite. - ANSWER-d. sodium hypochlorite. . The term universal precautions refers to: a. universal blood donors. b. mixing organic chemicals under a hood. c. wellness clinics available to everyone. d. treating all specimens as infectious. - ANSWER-d. treating all specimens as infectious. In addition to changing gloves between every patient, phlebotomists should also: a. change their lab coats. b. disinfect the phlebotomy tray. c. double-bag the specimens. d. wash their hands. - ANSWER-d. wash their hands. To comply with the current Bloodborne Pathogens Standard, phlebotomists must: a. discard sharps only into containers attached to the wall. b. activate the needle protection device before removing the needle from the adapter. c. decontaminate needle adapters between each patient. d. activate the needle protective device and discard the needle and the adapter. - ANSWER-d. activate the needle protective device and discard the needle and the adapter. The code word PASS refers to: a. storage of volatile chemicals. b. operation of a fire extinguisher. c. labeling of hazardous material. d. the presence of radioactive material - ANSWER-b. operation of a fire extinguisher. Alcohol-based hand sanitizers may be used as a substitute for handwashing: a. only in a blood donation center. b. only in certain patient care areas such as oncology or obstetrics and gynecology. c. at any time. d. when the hands are not visibly contaminated with blood or other body fluid. - ANSWER-d. when the hands are not visibly contaminated with blood or other body fluid The prefix that means decreased is: a. hypo- b. hyper- c. hetero- d. haplo- - ANSWER-a. hypo- Which of the following abbreviations on a patient's chart, test requisition, or bedside notice would be most important if a patient asked a phlebotomist for a drink of water? a. TPR b. PRN c. OP d. NPO - ANSWER-d. NPO The ability to keep body systems functioning in a steady state is called: a. coagulation. b. articulation. c. metabolism. d. homeostasis. - ANSWER-d. homeostasis. The layer of skin that contains the blood vessels is the: a. epidermis. b. dermis. c. keratinized epithelium. d. root shaft. - ANSWER-b. dermis. . Which of the following needles has the largest diameter? a. 16 gauge b. 18 gauge c. 20 gauge d. 22 gauge - ANSWER-a. 16 gauge Collecting a large evacuated tube using a 23-gauge needle: a. is recommended for geriatric patients. b. is required for certain automated tests. c. may cause a hemolyzed sample. d. may cause a loss of vacuum in the tube. - ANSWER-c. may cause a hemolyzed sample. Forcing blood from a syringe into an evacuated tube: a. prevents the blood from clotting. b. can only be done when using a small syringe. c. may hemolyze the specimen. d. is required when using a transfer device. - ANSWER-c. may hemolyze the specimen The needle holder that is part of the evacuated tube collection system is: a. disposed of in the general trash after removing the collection needle. b. disposed of as a unit with the collection needle into a red bag. c. disposed of as a unit with the collection needle into a sharps container. d. made of a grade of plastic that does not require disposal in a sharps container. - ANSWER-c. disposed of as a unit with the collection needle into a sharps container. All of the following are used to identify a patient except the: a. bed sign. b. requisition form. c. identification band. d. bar codes. - ANSWER-a. bed sign. The most important purpose of a requisition form is: a. authorization to perform the procedure.a. authorization to perform the procedure. b. providing a system to report results. c. location of the patient. d. monitoring test result turnaround time. - ANSWER-a. authorization to perform the procedure.a. authorization to perform the procedure. Blood should not be drawn from a patient who is: a. standing. b. nervous. c. unable to make a fist. d. not fasting. - ANSWER-a. standing. The maximum time a tourniquet should remain on the patient's arm is: a. 1 minute. b. 2 minutes. c. 3 minutes. d. 5 minutes. - ANSWER-a. 1 minute. The vein of choice for routine venipuncture is the: a. median cubital. b. radial. c. cephalic. d. baslic - ANSWER-a. median cubital. The vein located on the thumb side of the arm is the: a. brachial. b. median cubital. c. basilic. d. cephalic. - ANSWER-c. basilic. Palpate means to: a. perform a venipuncture. b. examine by touch. c. examine by sound. d. obtain a specimen from an intravenous line. - ANSWER-b. examine by touch. Prolonged application of a tourniquet will cause: a. excessive bleeding. b. difficulty locating a vein. c. hemolysis. d. both A and C - ANSWER-d. both A and C a. excessive bleeding c. hemolysis. Failure to allow the alcohol to dry on the patient's arm after site cleansing can cause all of the following except: a. increased bacteriostatic action. b. a stinging sensation for the patient. c. a possible unsterile site. d. specimen hemolysis. - ANSWER-a. increased bacteriostatic action. Correct palpation of a vein includes all of the following except: a. determining the depth of the vein. b. detecting a pulse using the thumb. c. determining the direction of the vein. d. probing with the index finger. - ANSWER-b. detecting a pulse using the thumb. Hemoconcentration can be caused by: a. prolonged tourniquet application. b. intravenous therapy. c. excessive probing. d. failure to clench the fist. - ANSWER-a. prolonged tourniquet application. . Firmly anchoring the vein prior to needle insertion is necessary to prevent: a. specimen hemolysis. b. incompletely filled tubes. c. an accidental needlestick. d. the vein from rolling. - ANSWER-d. the vein from rolling. . During the venipuncture, the phlebotomist should do all of the following except: a. anchor the vein above and below the puncture site. b. insert the needle with the bevel up. c. insert the needle at a 15- to 30-degree angle. d. brace the hand holding the adapter on the patient's arm. - ANSWER-a. anchor the vein above and below the puncture site. A properly labeled tube must have all of the following information except the: a. patient location. b. patient identification number. c. date of collection. d. phlebotomist's initials. - ANSWER-a. patient location. Two identifiers for patient identification before specimen collection are routinely secured by all the following means except: a. verifying the patient's identification number on the wrist or ankle identification band. b. asking the patient to state his or her first name and last name. c. asking the patient "Are you John Doe?" or "Are you Mary Doe?". d. comparing information obtained verbally and from the patient's identification band with the information on the test requisition. - ANSWER-d. comparing information obtained verbally and from the patient's identification band with the information on the test requisition When encountering a patient who is sleeping, the phlebotornist should: a. return at another time. b. try to collect the specimen without waking the patient. c. notify the nursing station. d. awaken the patient before collecting the specimen - ANSWER-d. awaken the patient before collecting the specimen The best way to prevent fainting in a patient during blood collection is to: a. have the patient stand during the phlebotomy. b. have the patient lie down during the phlebotomy. c. have the patient pump the fist three times. d. place a pillow under the patient's head. - ANSWER-b. have the patient lie down during the phlebotomy . Testing of a fecal stool for parasites is performed in: a. Hematology b. Microbiology c. Immunology d. Urinalysis - ANSWER-b. Microbiology A prothrombin test is performed in: a. Coagulation b. Immunology c. Microbiology d. Chemistry - ANSWER-a. Coagulation True/False Indicate whether the following statements are true or false. The liquid portion of a specimen collected in a tube containing ethylenediaminetetraacetic acid (EDTA) is serum. - ANSWER-False True/False Indicate whether the following statements are true or false. If a needle has not been used it can be recapped? - ANSWER-False True/False Indicate whether the following statements are true or false. When using a butterfly, a light blue stopper tube should be collected first. - ANSWER-/False . What zone does a phlebotomist work in, according to the American zone of comfort guide lines? A. Intimate zone 18-24 inches B. Intimate zone 24-36 inches C. Personal zone 18-24 inches D. None of the above - ANSWER-A. Intimate zone 18-24 inches . In what department of the lab is a complete blood count performed? A. Hematology B. Microbiology C. Chemistry D. Blood bank - ANSWER-A. Hematology Which of the following would not be needed when collecting a throat culture? a. Flashlight b. Blood agar culture plate c. Tongue depressor d. Sterile swab - ANSWER-b. Blood agar culture plate What type of tube is used for a complete blood count? A. Purple with clot activator B. Lavender with EDTA C. Lavender with EDTA D. Lavender with NaK - ANSWER-C. Lavender with EDTA . What chemical or additive is needed for performing an activated partial thromboplastin time? A. EDTA B. SPS C. Clot activator D. Sodium citrate - ANSWER-D. Sodium citrate What color of tube is used for activated partial thromboplastin time? A. Light blue B. Light green C. Purple D. Yellow - ANSWER-B. Light green What is the abbreviation for activated partial thromboplastin time? A. PT B. CBC C. PTT D. CHEM-7 - ANSWER-C. PTT Which of the following is not one of the three types of blood samples? A. Whole blood B. Plasma C. Serum D. Iron - ANSWER-D. Iron In which part of the lab is a CMP performed? A. Microbiology B. Chemistry C. Hematology D. Blood bank - ANSWER-B. Chemistry What does CMP stand for? A. Comprehensive Metabolic Panel B. Choke Mary Partially C. Chemistry Metabolic Panel D. Chloride Metabolic Panel - ANSWER-A. Comprehensive Metabolic Panel . What color of tube does the phlebotomist use for blood bank testing? A. Red plastic B. Red glass C. Yellow D. Pink - ANSWER-D. Pink Traditional duties of the phlebotomist include all of the following except: A. Correctly label all specimens with required information B. Select the appropriate specimen containers for the specified test C. Perform test on patient samples in the lab D. Collect the appropriate amount of blood by venipuncture or dermal puncture - ANSWER-C. Perform test on patient samples in the lab . To prevent blood from clotting, the specimen must be: A. Collected in a tube containing an anticoagulant B. Inverted right after collection C. Centrifuged right after collection D. Both a and b - ANSWER-D. Both a and b A. Collected in a tube containing an anticoagulant B. Inverted right after collection The primary antiseptic for venipuncture is: A. 70% isopropyl alcohol B. 80% isopropyl alcohol C. 90% isopropyl alcohol - ANSWER-A. 70% isopropyl alcohol . Most anticoagulants in blood collection tubes prevent clotting by: A. Binding calcium B. Acting as an antithrombin agent C. Binding fibrinogen D. Releasing heparin - ANSWER-A. Binding calcium . List five (5) physical and/or emotional changes associated with the aging process that could impact phlebotomy procedures - ANSWER-Any 5 of the following: - Hearing loss leading to embarrassment and frustration - Impaired verbal communication - Failing eyesight - Loss of taste, smell and/or feeling - Memory loss - Thinner skin tissue - Smaller muscles - Increased susceptibility to accidental hypothermia - Increased sensitivities and allergies - Anxiety related to becoming older and less capable List two other terms used to refer to point-of-care testing: Any two of the following: - ANSWER-- Decentralized laboratory testing - On-site testing - Bedside testing - Near-patient testing d. both B and C - ANSWER-d. both B and C b. is taking anticoagulants. c. frequently takes aspirin . Which of the following pairings is incorrect? a. Thumb and calluses b. Index finger and increased nerve endings c. Third finger and increased possibility of bone puncture d. Fifth finger and decreased tissue mass - ANSWER-c. Third finger and increased possibility of bone puncture . Lavender stopper tubes can be used for all of the following except: a. coagulation tests. b. platelet counts. c. differential counts. d. hematocrits. - ANSWER-a. coagulation tests. The most economical and safest method for performing routine venipuncture is the use of: a. butterflies. b. plastic syringes. c. glass syringes. d. evacuated tubes - ANSWER-d. evacuated tubes. . An elevated bilirubin might indicate a disorder of the: a. heart. b. kidney. c. brain. d. liver. - ANSWER-d. liver. Areas that should be avoided for venipuncture include all of the following except: a. hematomas. b. deep cephalic veins. c. sclerosed veins. d. tattoos. - ANSWER-b. deep cephalic veins. . To produce a rounded drop of blood, finger punctures should be made: a. on the index finger. b. on the fingerprint. c. before the alcohol is dry. d. across the fingerprint. - ANSWER-d. across the fingerprint. Using a small-gauge needle with a large evacuated tube can cause: a. a hematoma. b. petechiae. c. hemolysis. d. patient discomfort. - ANSWER-c. hemolysis An unexpected patient death that is not related to the patient's illness is termed a: a. root cause. b. human error. c. sentinel event. d. professional liability. - ANSWER-c. sentinel event. The maximum safe length of lancets used for heel puncture is: a. 1.5 mm. b. 2.0 mm. c. 2.75 mm. d. 3.4 mm. - ANSWER-b. 2.0 mm. The main organ(s) of the integumentary system is (are) the: a. nails. b. hair. c. skin. d. sweat glands. - ANSWER-c. skin. . If a patient refuses to have blood drawn, the phlebotomist should: a. send another phlebotomist to collect the specimen. b. report the situation to the nursing station. c. return the requisition form to the laboratory. d. ask someone to hold the patient and collect the specimen. - ANSWER-b. report the situation to the nursing station. A phlebotomy technician should identify that which of the following additives is used to prevent the breakdown of glucose? - ANSWER-Sodium fluoride A Phlebotomy technician in an outpatient setting is identifying a patient before performing a venipuncture procedure. To confirm the patient's identity, which of the following questions should the technician ask? - ANSWER-"Would you please state and spell your full name and provide your date of birth" Which of the following is a potential consequence of a phlebotomy technician mislabeling a blood bank specimen? - ANSWER-A transfusion reaction A phlebotomy technician should invert anticoagulant tubes to prevent which of the following complications? - ANSWER-Hemolysis According to OSHA standards, which of the following vaccines must employers offer to their phlebotomist at no cost? - ANSWER-Hepatitis B During a routine venipuncture, a phlebotomy technician notices that a patient is becoming pale and diaphoretic. The technician should identify that the patient is at risk for which of the following conditions? - ANSWER-Syncope A phlebotomy technician should identify that which of the following tube selections indicates the correct order of draw for venipuncture? - ANSWER-Green, lavender, grey Phlebotomy technician is preparing to collect a blood specimen from the hand of a patient whose veins are difficult to access. Which of the following devices should the technician use? - ANSWER-Hand immobilizer A phlebotomy technician is preparing to use an evacuated tube system to obtain a venous blood specimen from a patient. The tourniquet is in place and the technician has cleansed the puncture site. Which of the following procedural steps should the technician perform next? - ANSWER-Ask the patient to make a fist Which of the following actions by a phlebotomy technician can result in a grossly hemolyzed specimen? - ANSWER-Using an incorrect needle gauge A phlebotomy technician should identify that which of the following series of venipuncture steps is in the appropriate order? - ANSWER-assess the site, cleanse the site, insert the needle NHA Phlebotomy practice exam 2022/2023 with complete solutions A phlebotomy technician is preparing to perform a venipuncture for a twoyear old child. The child ask if the blood draw will hurt. Which of the following statements should the technician make? - ANSWER-"You will feel a small prick" A technician should identify that which of the following is one of the joint commission 2016 national patient safety goals? - ANSWER-Identify patients correctly A phlebotomy technician is following the clinical and laboratory standards institutes (CLSI) clinical laboratory workflow pathway. As part of the postexamination phase of this process, which of the following actions should the technician take? - ANSWER-Enter critical laboratory data I phlebotomy technician is collecting a urine specimen from a patient for a pre- employment drug screening. Which of the following findings should indicate to the technician that tampering has possibly occurred? - ANSWER-The temperature of the specimen is 30°C (80°F) A phlebotomy technician is preparing to obtain a blood specimen for a patient in an outpatient setting. Using standard precautions, which of the following pieces of personal protective equipment should the technician wear? - ANSWER-Gloves A phlebotomy technician enters a patient's room to obtain a stat specimen. The patient's provider and the nurse are speaking with the patient. Which of the following actions should the technician take first? - ANSWER-Introduce himself to the patient and the healthcare team members Which of the following actions should a phlebotomy technician take when labeling specimens? - ANSWER-Labeling specimens at the time of collection and in the presence of the patient A provider orders a stat specimen, but the phlebotomy technician forgets to fill out the patient ID number on the collection tube. The technician should expect the laboratory that received the specimen to take which of the following actions? - ANSWER-Reject the specimen Which of the following personal protective equipment provides a phlebotomy technician with the best protection when drawing blood from a patient who has active tuberculosis? - ANSWER-N95 respirator A phlebotomy technician is collecting a unit of blood from a donor. Which of the following actions should the technician take? - ANSWER-Instruct the donor to open and close his hand gently throughout the collection A phlebotomy technician should identify that which of the following phrases is represented by the abbreviation "SD"? - ANSWER-Standard deviation A phlebotomy technician is using a point-of-care test system to determine a patient's WBC count. For which of the following results should the technician immediately notify the provider? - ANSWER-1.8/mm^3 A phlebotomy technician is instructing a patient how to collect a clean-catch urine specimen. Which of the following cleansers should the technician instruct the patient to use when cleansing around her urinary meatus? - ANSWER-Mild antiseptic soap A phlebotomy technician is collecting a blood specimen from a patient who has cutaneous diphtheria. Besides gloves which of the following pieces of personal protective equipment should be technician where? - ANSWER-Gown A phlebotomy technician is collecting blood from a patient for donation. The collection bag only fills halfway, and the vein collapses. Which of the following actions should the technician take? - ANSWER-use a new collection bag to draw a new unit of blood A phlebotomy technician should identify that which of the following is an identifier for a specimen as long as it remains in the laboratory? - ANSWER-Accession number Which of the following actions should a phlebotomy technician take to locate a vein using the warming technique? - ANSWER-Encase the warm towel in a plastic bag A phlebotomy technician is collecting a venipuncture blood specimen from a patient for a blood assay. The technician should fill which of the following tubes first? - ANSWER- Yellow-topped tube A phlebotomy technician is collecting a urine specimen from a patient for a pre- employment drug test which of the following action should the technician take? - ANSWER-Verify that the specimen contains at least 45 mL of urine Phlebotomy technician is preparing to collect a blood specimen from a small vein of an older adult patient. Which of the following actions should the technician take to keep the vein from collapsing? - ANSWER-Use a small meal for the draw Which of the following action should I phlebotomy technician take after collecting an ammonia specimen? - ANSWER-Place the specimen tube in an ice-water slurry A phlebotomy technician is explaining the venipuncture process to an adult patient. The patient nods frequently but appears confused. Which of the following actions should the technician take? - ANSWER-Rephrase the information for the patient A phlebotomy technician sees a coworker receive a major electrical shock from an instrument. Which of the following actions should the technician take first? - ANSWER- shut off power to the instrument A phlebotomy technician should transport a semen sample at which of the following temperatures? - ANSWER-36° to 38°C A phlebotomy technician receives a chemical splash to his forearm. After removing his contaminated clothing, which of the following is the minimum amount of time the technician should rinse the affected area? - ANSWER-15 min A phlebotomy technician is performing a heel stick to obtain capillary blood for testing a newborns bilirubin level. Which of the following actions should the technician take? - ANSWER-Use an amber-colored microcontainer A phlebotomy technician is assembling the equipment he will need for collecting donor units of blood. Which of the following needle sizes should the technician select? - ANSWER-18-gauge A phlebotomy technician is collecting a blood specimen from a patient. Which of the following techniques should the technician use to anchor the vein just before inserting the needle? - ANSWER-Use thumb to anchor the vein 5 cm (2in) below the puncture site Within which of the following time periods to the phlebotomy technician collect a newborn blood-spot test screening card? - ANSWER-Within 72 hours A phlebotomy technician is washing her hands at the beginning of her shift. Which of the following action should the technician take? - ANSWER-Use enough soap to form a lather To prevent hospital-acquired infections, a phlebotomy technician should clean items that have been contaminated by blood with a 1:10 dilution of which of the following substances and water? - ANSWER-sodium hypochlorite A phlebotomy technician is obtaining a blood specimen from a patient. The technician notices swelling and a large hematoma forming at the puncture site. Which of the following actions should the technician take? - ANSWER-Remove the tourniquet and needle A phlebotomy technician has a mild sensitivity to latex. According to the national Institute for occupational safety and health (NIOSH), which of the following actions should the technician take? - ANSWER-Wear nitrile gloves instead of latex gloves According to standard precautions, a phlebotomy technician should take which of the following actions when shipping specimens to a reference laboratory in hot weather? - ANSWER-Place the specimens in a box with cold packs and a biohazard label When performing a venipuncture, a phlebotomy technician is stuck with a used needle. Which of the following actions should the technician take first? - ANSWER-Flush the injury with running water A phlebotomy technician is required to obtain which of the following from a potential blood donor? - ANSWER-Complete medical history According to the clinical and laboratory standards institutes order of draw guidelines, which of the following samples should a phlebotomy technician collect first? - ANSWER- Blood cultures A phlebotomy technician is transporting blood specimens to a laboratory. Which of the following actions should the technician take? - ANSWER-Placed the specimens in a lockable container A tourniquet should be left on a patient's arm for which of the following amounts of time? - ANSWER-No longer than 60 seconds A phlebotomy technician is preparing a patient's arm for venipuncture. Which of the following techniques should be technician use when applying an antiseptic solution? - ANSWER-Back and forth strokes A patient arrives at a clinic with a requisition for a chemistry panel. A technician notices that the patient's last name on the requisition differs from the patient's provided identification. Which of the following action should the technician take? - ANSWER- Contact the ordering provider to correct the requisition form A phlebotomy technician is collecting a patient's blood specimen in a lavender-topped tube. How many time should the technician gently invert the two before setting it in the specimen collection tray? - ANSWER-8 to 10 times Phlebotomy technician is performing a total cholesterol point-of-care test for a patient. Which of the following findings should the technician immediately report to the provider? - ANSWER-300 mg/dL For which of the following reasons for a phlebotomy technician place a specimen in a biohazard bag for transport to an outside laboratory? - ANSWER-The biohazard bag prevents a possible exposure incident Phlebotomy technician should ensure that which of the following specimens is protected from light? - ANSWER-Bilirubin A phlebotomy technician is preparing to draw blood sample from a patient for a glucose tolerance test (GTT) and notices an empty breakfast plate on a bedside table. Which of the following actions should the technician take? - ANSWER-Ask the patient when he last ate or drank How frequently should a phlebotomy technician perform a quality control test on a glucometer in the laboratory? - ANSWER-Every day the meter is used A phlebotomy technician is preparing to draw blood from a patient who has scabies. Which of the following pieces of personal protection equipment should the technician use? - ANSWER-Gown A phlebotomy technician is preparing to collect a patient's troponin T level. Which of the following troponin T Levels should the technician immediately report to the provider? - ANSWER-0.3ng/mL After placing a tourniquet on a patient's arm, a phlebotomy technician notices small red spots below the tourniquet. Which of the following terms describes the spots? - ANSWER-Petechiae A phlebotomy technician is preparing to perform a lactic acid test. Which of the following actions should the technician take? - ANSWER-Collect a specimen in a gray-topped tube After verifying a patient's identity, a phlebotomy technician sees that the patient's laboratory results are ready. Which of the following actions should the technician take? - ANSWER-Inform the patient to contact the ordering provider to obtain the results Before collecting blood from a patient in an inpatient setting, a phlebotomy technician notices that the patient does not have a wristband on his wrist, but there is one attached to the patient's IV stand. Which of the following actions should the technician take? - ANSWER-Hold the draw until the nurse has attached a wristband to the patient The joint commission recommends using the patients full name and which of the following pieces of information to ensure accurate and patient identification? - ANSWER-Medical record number Blood cultures have been ordered on an adult patient in an intensive care unit. A nurse calls a phlebotomy technician to bring the appropriate materials. Which of the following materials should the phlebotomy technician bring? - ANSWER-And aerobic bottle and an anaerobic bottle Lobotomy technician should identify that HIPAA protects which of the following rights as a part of the patient care partnership? - ANSWER-Privacy Phlebotomy technician is preparing to obtain a blood specimen from a patient for an erythrocyte sedimentation rate test. The technician should select a collection tube that has a tub with which of the following colors? - ANSWER-Lavender Lobotomy technician is selecting a site for a blood draw from a patient. From which of the following beans should the technician attempt to draw first? - ANSWER-Median cubital Which of the following action should a phlebotomy technician take when recording laboratory results? - ANSWER-Send the results to the patient's ordering provider Which of the following information should the phlebotomy technician document when adhering to chain of custody guidelines? - ANSWER-Identity of everyone who had possession of the specimen Phlebotomy technician is preparing to perform a venipuncture on a patient. Which of the following types of consent is the patient providing when she extends her arm to begin the procedure? - ANSWER-Implied consent A phlebotomy technician is working with a patient who has Mycobacterium tuberculosis infection. Which of the following transmission for caution should the technician use for this patient? - ANSWER-Airborne precaution When performing a hand draw, which of the following steps should phlebotomy technician take before moving the needle? - ANSWER-Disengage the tube from the adapter A phlebotomy technician is instructing a patient how to collect a 24 hour urine specimen. Which of the following instruction should the technician include? - ANSWER-Discard the first void of the morning A phlebotomy technician is preparing to perform a hand draw. Which of the following equipment should the technician assemble? - ANSWER-Winged infusion set and adapter A phlebotomy technician is removing a bag of contaminated items from a collection area. Which of the following action should the technician take to properly dispose of them? - ANSWER-Placed the bag inside a second hazardous-waste bag outside of the room A phlebotomy technician is preparing to perform a blood draw when the patient states that he is severely allergic to latex. Which of the following actions should the technician take? - ANSWER-Use a blood pressure cuff inflate it to 40 mm Hg A phlebotomy technician is preparing to performAveda puncture of a patient who has small, rolling veins. Which of the following equipment should the technician use? - ANSWER-Winged infusion set Well a phlebotomy technician is performing a blood collection, several drops of blood land on the drawing chair. Which of the following solution should the technician use to remove the blood? - ANSWER-1:10 bleach A phlebotomy technician obtains two readings of 17 mg/dL When performing a glucometer test for a patient which of the following actions should the technician take? - ANSWER-Perform a set of liquid controls A phlebotomy technician is preparing to draw A blood specimen from a patient who has a Clostridium difficile infection. Which of the following precautions should the technician follow? - ANSWER-Contact precautions A phlebotomy technician is drawing the patient's blood when the patient states that she is becoming dizzy and lightheaded. Which of the following actions should the technician take first? - ANSWER-Remove the tourniquet and needle A phlebotomy technician is preparing to draw blood specimen from a patient who is alone and unresponsive the technician should collect the specimen using which of the following forms of consent? - ANSWER-Implied consent Phlebotomy technician is preparing to obtain a blood specimen from a patient for thyroid studies. The technician should select a collection tube that has a top with which of the following colors? - ANSWER-speckled A phlebotomy technician observes a hematoma developing at the site of a venous blood draw. Which of the following actions should the technician take? - ANSWER-Release the tourniquet and stop the draw A phlebotomy technician is preparing to perform a fingerstick for patient. Which of the following action should the technician take first? - ANSWER-Confirm the identity of the patient A phlebotomy technician is preparing to draw blood from a patient who states that this is his first blood draw. Which of the following actions should the technician take? - ANSWER-Describe the procedure to the patient Which of the following task is within a phlebotomy technician scope of practice? - ANSWER-Providing instructions to patients for specimen collection A phlebotomy technician is preparing to draw a peak level for a medication that was administered orally to a patient. After verifying when the patient received the medication, how long should the technician wait prior to attempt to draw? - ANSWER-Two hours after administration Which of the following collection tubes should be phlebotomy technician use and collecting for a routine chemistry test that requires serum? - ANSWER-SST A phlebotomy technician is preparing to store a blood specimen. At which of the following temperature should the technician store the specimen? - ANSWER-2° to 8°C A phlebotomy technician is processing a semen specimen. Which of the following actions should the technician take? - ANSWER-Deliver the specimen to the laboratory within two hours Which of the following test results are affected when I phlebotomy technician uses povidone-iodine to cleanse a site for a dermal puncture? - ANSWER-Potassium Which of the following action should a phlebotomy technician take to maintain compliance with HIPPA? - ANSWER-Clear phone numbers from the fax machine A patient who has diabetes states that he prefers to be drawn on the inside of his wrist. Which of the following action should the phlebotomy technician take? - ANSWER- Attempt to draw from the antecubital region Phlebotomy technician is obtaining a blood culture specimen from an adult patient. Which of the following action should the technician take? - ANSWER-Withdraw the blood into a sterile syringe A Phlebotomy technician should identify that which of the following actions can cause a hemolyzed specimen? - ANSWER-Shaking a collection to vigorously A phlebotomy technician should identify that which of the following is the first step in the blood collection procedure? - ANSWER-Test requisition For which of the following reason should a phlebotomy technician exam the antecubital areas in both of the patients arms? - ANSWER-The median cubital vein could be more accessible on one side than the other For which of the following reason should a phlebotomy technician centrifuge A serum specimen before transport to an outside reference laboratory? - ANSWER-Cells must be separated from the serum A phlebotomy technician is preparing to collect a timed medication draw ordered for 1400. The technician should verify when the patient received his previous dose of medication with which of the following members of the interprofessional team? - ANSWER-Nurse A phlebotomy technician is preparing to perform a venipuncture for a patient who is on droplet precautions. In addition to following standard precautions, which of the following pieces of personal protective equipment should the technician applied before entering the patient's room? - ANSWER-Mask Which of the following is the best method for phlebotomy technician to collect a blood specimen from an older adult patient who has fragile, easy-to-collapse veins? - ANSWER-choose a syringe and butterfly assembly and transfer to an ETS tube A phlebotomy technician should select a tube that has which of the following additives when collecting a blood specimen for a CBC? - ANSWER-EDTA A phlebotomy technician should select a tube that has which of the following anticoagulants to collect a sample for a PT/PTT test? - ANSWER-sodium citrate A phlebotomy technician is preparing to collect a blood specimen from a patient who is allergic to alcohol. Which of the following antiseptic solutions should the technician used to prepare of the insertion site? - ANSWER-Chlorhexidine