NHA Phlebotomy certification EXAM Questions and answers| 100% Correct Rated A+, Exams of Nursing

Download NHA Phlebotomy certification EXAM Questions and answers| 100% Correct Rated A+ and more Exams Nursing in PDF only on Docsity! 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 NHA Phlebotomy certification Exam Questions and Answers 11. Which is appropriate form of identification in inpatient setting? - ANSWER-a. Verbal and wrist band 12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary? - ANSWER-a. Lavender and red 13. A blood specimen is rejected by lab with QNS as the reason? Why? - ANSWER-a. The specimen was insufficient-not enough blood 14. Which of the following is best method to prevent internal or external bleeding from venipuncture site after needle is removed? - ANSWER-a. Apply pressure to prevent leakage of blood into the tissues 15. A physician orders a STAT but phlebotomist forgets to fill out patient ID number. What is appropriate procedure for an improperly labeled specimen when received in lab? - ANSWER-a. Lab rejects the mislabeled specimen 16. Phlebotomist is performing venipuncture and patient begins to seize. What is correct action? - ANSWER-a. Discontinue the draw 17. Phlebotomist receives orders to draw an infant screening card, O2 levels, bilirubin, and DNA. Which is to be drawn first? - ANSWER-a. O2 levels 18. When performing a venipuncture on a patient of average weight, which is the correct technique for needle insertion? - ANSWER-a. Insert until a change in resistance 19. Which is the best method to collect a blood specimen from an older adult patient who has fragile, easy to collapse veins? - ANSWER-a. Choose a syringe and butterfly assembly 20. Which of the following is the term for donation of a patient's own blood for an upcoming surgery? - ANSWER-a. Autologous donation 21. The order of draw for capillary collections is different than venipuncture because - ANSWER-a. Increased risk of coagulation (remember platelets start to form) 22. Upon entering a patient's room for routine blood draw, phlebotomist notices clergy member is with the patient. What should you do? - ANSWER-a. Return later after drawing other patients 23. A phlebotomist notices a hematoma developing at the site of venipuncture. The phlebotomist should - ANSWER-a. Release the tourniquet and stop the draw 24. Know ORDER of DRAW!! - 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 . What is the name of the multi-purpose fire extinguisher? - ANSWER-ABC To what does the term "aseptic techniques" refer? - ANSWER-Techniques that provide a degree of cleanliness that prevents infection and keeps the phlebotomy environment free of contamination by microorganisms. . A nosocomial infection is: a. Something acquired by healthcare workers. b. Something acquired by visitors to a hospital. c. Something acquired by patients. d. A Hospital Acquired Infection. e. Caused by antibiotic resistant bacteria. f. Both c and d. g. Both a and c. - ANSWER-f. Both c and d. c. Something acquired by patients. d. A Hospital Acquired Infection When is hand hygiene performed? a. When gloves are visibly soiled. b. Before putting on gloves c. After removing gloves d. All of the above e. Both a and b - ANSWER-d. All of the above a. When gloves are visibly soiled. b. Before putting on gloves c. After removing gloves Before entering an isolation room, what is the first thing the phlebotomist should do? a. Wash hands b. Put on a gown, mask and gloves c. Read the posted instructions d. Obtain permission - ANSWER-c. Read the posted instructions What does the acronym PASS describe and stand for? - ANSWER-It describes the use of a fire extinguisher and stands for: Pull pin, Aim nozzle, Squeeze handle, Sweep from side to side. What does the acronym RACE stand for? - ANSWER-It stands for what a healthcare worker should do if a fire or explosion occurs in the workplace: Rescue, Alarm, Contain, Exit . Before placing a call on hold, a phlebotomist should: a. record the caller's name. b. check to see if it is an emergency. c. transfer the call to the phlebotomy supervisor. d. tell the caller his or her name. - ANSWER-b. check to see if it is an emergency. 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. The artery of choice for measuring the pulse rate in an adult is the: a. carotid. b. radial. c. brachial. d. temporal. - ANSWER-b. radial. The blood vessels that carry deoxygenated blood to the heart are: a. arteries. b. alveoli. c. capillaries. d. veins. - ANSWER-d. veins. All of the following are formed elements found in the blood except: a. erythrocytes. b. platelets. c. macrophages. d. leukocytes. - ANSWER-c. macrophages . The primary role of the thrombocyte is to: a. transport nutrients. b. promote blood clotting. c. phagocytize bacteria. d. produce antibodies. - ANSWER-b. promote blood clotting. . Functions of the blood include all of the following except: a. transport oxygen. b. regulate pulse rate. c. deliver nutrients. d. transport waste products. - ANSWER-b. regulate pulse rate. The fluid that comprises approximately 55% of the total blood volume is made up of: a. hematocrit. b. plasma. c. tissue fluid. d. serum. - ANSWER-b. plasma. The primary antiseptic for routine venipuncture is: a. iodine. b. chlorhexidine. c. isopropyl alcohol. d. Betadine. - ANSWER-c. isopropyl alcohol. A properly tied tourniquet: a. permits arterial flow and blocks venous flow. b. blocks arterial and venous flow. c. prevents backflow. 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 Patients are most likely to be in a basal state at: a. 6:00 a.m. b. 10:00 a.m. c. 2:00 p.m. d. 6:00 p.m. - ANSWER-a. 6:00 a.m . A patient who appears pale and has cold, damp skin may develop: a. coagulation problems. b. septicemia. c. sclerosis. d. syncope. - ANSWER-d. syncope. When encountering a patient with a fistula, the phlebotornist should: a. apply the tourniquet below the fistula. b. use the other arm. c. collect the blood from the fistula. d. attach a syringe to the T-tube connector. - ANSWER-b. use the other arm. When collecting blood from a patient with a very edematous right arm and a large hematoma in the antecubital area of the left arm, the phlebotornist should collect the specimen from: a. below the hematoma. b. above the hematoma. c. the antecubital area of the right arm. d. the antecubital area of the left arm. - ANSWER-a. below the hematoma The maximum number of attempts that a phlebotomist should make to collect a specimen is: a. one. b. two. c. three. d. four. - ANSWER-b. two. . Prolonged tourniquet application will cause: a. edema. b. hemolysis. c. hemoconcentration. d. both B and C - ANSWER-d. both B and C b. hemolysis. c. hemoconcentration. . Specimens are rejected by the laboratory for all of the following reasons except: a. clots in a lavender stopper tube. b. collection in the wrong tube. c. incompletely filled light-blue stopper tubes. 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 - Patient-focused testing The nervous system that is made up of the brain and spinal cord is the: a. central nervous system. b. peripheral nervous system. c. autonomic nervous system. d. voluntary nervous system - ANSWER-a. central nervous system Application of the tourniquet on the patient's arm for longer than one minute may cause: a. an increase in contaminated blood cultures. b. a clotted sample in the red top tubes collected. c. an increase in concentration of large molecules. d. decreased pain and discomfort in the arm. - ANSWER-c. an increase in concentration of large molecules The anterior portion of the body is the: a. right side. b. front side. c. back side. d. left side. - ANSWER-b. front side. When a central venous access device (CVAD) is present: a. blood is drawn from the line using a 30-mL syringe. b. laboratory specimens should not be collected from the catheter. c. blood is drawn and discarded before the specimen is collected. d. an evacuated tube is attached to the line for specimen collection. - ANSWER-c. blood is drawn and discarded before the specimen is collected. A phlebotomist may be requested not to transport a specimen through the pneumatic tube system if it is to be tested for: a. glucose. b. cholesterol. c. creatinine. d. potassium. - ANSWER-d. potassium. Inflammation of the meninges caused by a bacterial or viral infection is called: a. poliomyelitis. b. chondrosarcoma. c. meningitis. d. cerebral palsy - ANSWER-c. meningitis. Accessioning refers to: a. a test performed in the chemistry section. b. organization of requisition slips for morning sweeps. c. assigning of identification numbers and distribution of specimens.