NHA phlebotomy certification exam question and answers, Exams of Nursing

Download NHA phlebotomy certification exam question and answers and more Exams Nursing in PDF only on Docsity! A+ TEST BANK GUIDE Exam NHA Phlebotomy certification Exam Questions and Answers 2023-2024 HAS BEEN TESTED AND EDITED 25. A phlebotomist working in an infertility clinic and the patient is to submit a semen specimen. The phlebotomist would tell the patient: - ANSWER-a. As soon as you collect the specimen, keep it next to your body and bring it in right away. (the reason is it needs to stay at body temp and delivered in lab within 2 hours) 26. After placing tourniquet on a patients arm, the phlebotomist notices small red spots below the tourniquet. - ANSWER-a. Petechiae 27. The phlebotomist should examine the antecubital veins of both arms because: - ANSWER-a. The median cubital might be more accessible on one side than the other 28. What is the appropriate cleanser to clean the meatus for a clean catch urine specimen? - ANSWER-a. Benzalkonium chloride 29. When should the code on glucose cuvettes or strips be compared to the code on the glucose meter? - ANSWER-a. When the patient is tested 30. Which of the following is appropriate to use when collecting for a chemistry test that requires serum? - ANSWER-a. SST (this is the red gel tube) 31. A patient state she is a difficult draw and requests a skin puncture. The test is a PTT. Which should you do? - ANSWER-a. Use a syringe and transfer to a light blue tube 32. Industry standard states needle insertion in the antecubital area should be: - ANSWER-a. 15-30 degree angle 33. Tubes with which additive should be used for CBC? - ANSWER-a. EDTA (purple tube) 34. When preparing for transport, which specimen must be placed on ice within 30 minutes after collection? - ANSWER-a. Arterial Blood Gases 35. Which provides the phlebotomist the best protection when drawing blood from a patient with active TB? - ANSWER-a. N-95 respirator mask 36. During a draw, the patient becomes unresponsive. What should you do? - ANSWER-a. Check for breathing 37. Why should a phlebotomist avoid drawing blood from a leg or foot of a diabetic patient? - ANSWER-a. These areas are more susceptible to infection 38. Why is it important to place a specimen in a biohazard specimen bag outside the laboratory? - ANSWER-a. The biohazard bag prevents a possible exposure incident 39. As a student. Proper introduction - ANSWER-a. Hi, my name is Sally Smith. I am a student phlebotomist and I'm here to collect blood specimen 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 If you need a professional to complete your college homework at a small fee, then reach out to Homeworkanalyzers.com 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 A competent professional demeanor is shown by: a. neatness and cleanliness. b. courtesy and cheerfulness. c. pleasantness. d. all of the above. - ANSWER-d. all of the above. Traditional duties of the phlebotomist include all of the following except: a. correct labeling of all specimens with the required information. b. selection of the appropriate specimen containers for the specified tests. c. performance of tests on patient samples in the laboratory. d. collection of the appropriate amount of blood by venipuncture or dermal puncture. - ANSWER-c. performance of tests on patient samples in the laboratory . The two major areas of the clinical laboratory are: a. chemistry and hematology. b. cytology and histology. c. anatomical and clinical. d. urinalysis and microbiology. - ANSWER-c. anatomical and clinical. The difference between plasma and serum is that: a. serum contains fibrinogen. b. serum is obtained from a non-clotted specimen. c. plasma is obtained from a clotted specimen. d. plasma contains fibrinogen. - ANSWER-d. plasma contains fibrinogen. Specimens collected in serum separator tubes are most frequently delivered to: a. blood bank. b. serology. c. hematology. d. chemistry - ANSWER-d. chemistry. To prevent blood from clotting the specimen must be: d. both A and B c. centrifuged right after collection. d. both A and B - ANSWER-d. both A and B d. both A and B Which of the following pairings is wrong? a. icteric and yellow. b. lipemic and cloudy. c. hemolyzed and red. - ANSWER-d. fasting and cloudy. The main anticoagulant for coagulation studies is: 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. d. permits venous flow and blocks arterial flow. - ANSWER-a. permits arterial flow and blocks venous flow. The color coding of evacuated tubes provides information about all of the following except the: a. volume of specimen collected. b. type of specimen collected. c. need to invert the tube. d. presence of an anticoagulant. - ANSWER-c. need to invert the tube. . Which of the following tubes must always be completely filled? a. Gray b. Light blue c. Red d. Pink - ANSWER-b. Light blue The ratio of blood to anticoagulant in a light blue stopper tube is: a. 2:l b. 5:l c. 9:l d. 10:1 - ANSWER-c. 9:l 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. Which of the following is the most acceptable order of tube draw? a. Yellow, red glass, and light blue b. Lavender, red plastic, and yellow c. Red plastic, light blue, and lavender d. Yellow, green, and light blue - ANSWER-a. Yellow, red glass, and light blue Failing to adequately invert a lavender stopper tube after collection will: a. cause hemolysis. b. falsely elevate calcium results. c. destroy coagulation factors. d. produce a clotted specimen. - ANSWER-d. produce a clotted specimen . The presence of a clot is acceptable in: a. red stopper tubes. b. lavender stopper tubes. c. green stopper tubes. d. light blue stopper tubes. - ANSWER-a. red stopper tubes. . 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 If you need a professional to complete your college homework at a small fee, then reach out to Homeworks4u.org 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. d. clots in a red stopper tube. - ANSWER-d. clots in a red stopper tube. . Allowing blood to leak from a vein into the surrounding tissue will cause: a. hematoma. b. hemolysis. c. nerve damage. d. syncope. - ANSWER-a. hematoma. Hematomas can be caused by all of the following except: a. having the patient bend the elbow. b. inserting the needle partially into the vein. c. drawing below an intravenous line. d. removing the tourniquet after removing the needle. - ANSWER-c. drawing below an intravenous line. The best reason why the majority of patient samples are drawn in the early moming hours is because: a. the patient will not be in the basal state early in the rnorning because this requires several hours of normal physical activity by the patient. b. patients should have consumed a meal no less than three hours prior to the time of collection. c. the patient will be in the basal state, having restrained from strenuous exercise and having fasted for approximately 12 hours. d. patients are generally more agreeable with collection times scheduled early in the morning. - ANSWER-c. the patient will be in the basal state, having restrained from strenuous exercise and having fasted for approximately 12 hours. . Plasma differs from Serum in that: a. Serum contains fibrinogen b. Serum is obtained by centrifugation c. Plasma contains fibrinogen d. Plasma is obtained by centrifugation - ANSWER-c. Plasma contains fibrinogen A sentinel event would be most likely caused by delivery of a mislabeled tube to which lab department: a. Coagulation b. Hematology c. Immunology d. Blood bank - ANSWER-d. Blood bank . Which of the following tests is not part of the CBC: a. Red blood cell count b. Platelet count c. Sedimentation rate d. Differential - ANSWER-c. Sedimentation rate . 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. processing of specimens requiring special handling. - ANSWER-c. assigning of identification numbers and distribution of specimens. Errors in prioritizing specimens appropriately (routine versus stat) for processing are classified as: a. post-examination variables. b. different types of variables depending on the type of laboratory. c. pre-examination variables. d. examination variables. - ANSWER-c. pre-examination variables. 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 physical examination of urine includes reports on: a. odor and turbidity. b. color and appearance. c. clarity and foam color. d. color and blood. - ANSWER-b. color and appearance. Which of the following pairings is wrong? a. icteric and yellow. b. lipemic and cloudy. c. hemolyzed and red. d. fasting and cloudy. - ANSWER-d. fasting and cloudy. Phlebotomists may be required to classify tests using a: a. current procedural technology (CPT) code. b. bar code. c. International Classification of Diseases, 9th Revision (ICD-9) code. d. Centers for Disease Control and Prevention (CDC) code. - ANSWER-a. current procedural technology (CPT) code. The sweat electrolyte test is used in the diagnosis of; a. multiple sclerosis. b. cystic fibrosis. c. muscular dystrophy. d. electrolyte imbalance. - ANSWER-b. cystic fibrosis. The puncture site may require additional pressure to stop bleeding when the patient: a. has low blood pressure. b. is taking anticoagulants. c. frequently takes aspirin. 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. If you need a professional to complete your college homework at a small fee, then reach out to Datedhomeworks.com