NHA Phlebotomy Certification Exam: Questions and Answers, Exams of Nursing

Download NHA Phlebotomy Certification Exam: Questions and Answers and more Exams Nursing in PDF only on Docsity! lOMoAR cPSD|29752889 lOMoAR cPSD|29752889 NHA Phlebotomy certification Exam | Questions and Answers | Latest Edition | Verified Answers 1. 1. What temperature should a semen sample be transported?: 36-38 de- grees C 2. 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: b. Incorrect needle gauge 3. 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): d. Place specimen in icewater slurry (or a cup of ice) 4. 4. The phlebotomist has a request to collect a CBC from a healthy 10 month old. Which is appropriate?: a. Either heel 5. 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?: a. Implied consent 6. 6. Why should phlebotomist document volume of blood drawn from a patient?: a. Iatrogenic anemia could be a result fo too much taken 7. 7. A phlebotomist has a requisition to draw blood on a patient with severe Down's syndrome. What steps would you take?: a. Speak with the patient guardian before performing venipuncture to enmsure the patient understands 8. 8. A 69 year old unconscious patient is brought ot the ER. Several blood tests are ordered. The phlebotomist collects blood under: a. Implied consent 9. 9. Which of the following actions is appropriate when labeling specimens?- : a. Label specimens at the time of collection in front of the patient 10. 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?: a. lOMoAR cPSD|29752889 Don't draw until nurse puts an armband on patient 11. 11. Which is appropriate form of identification in inpatient setting?: a. Verbal and wrist band 12. 12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capil- lary?: a. Lavender and red NHA Phlebotomy certification EXAM 13. 13. A blood specimen is rejected by lab with QNS as the reason? Why?: a. The specimen was insufficient-not enough blood 14. 14. Which of the following is best method to prevent internal or external bleeding from venipuncture site after needle is removed?: a. Apply pressure to prevent leakage of blood into the tissues 15. 15. A physician orders a STAT but phlebotomist forgets to fill out patient ID number. What is appropriate procedure for an improperly labeled speci- men when received in lab?: a. Lab rejects the mislabeled specimen 16. 16. Phlebotomist is performing venipuncture and patient begins to seize. What is correct action?: a. Discontinue the draw 17. 17. Phlebotomist receives orders to draw an infant screening card, O2 levels, bilirubin, and DNA. Which is to be drawn first?: a. O2 levels 18. 18. When performing a venipuncture on a patient of average weight, which is the correct technique for needle insertion?: a. Insert until a change in resistance 19. 19. Which is the best method to collect a blood specimen from an older adult patient who has fragile, easy to collapse veins?: a. Choose a syringe and butterfly assembly 20. 20. Which of the following is the term for donation of a patient's own blood for an upcoming surgery?: a. Autologous donation 21. 21. The order of draw for capillary collections is different than venipunc- ture because: a. Increased risk of coagulation (remember platelets start to form) 22. 22. Upon entering a patient's room for routine blood draw, phlebotomist notices clergy member is with the patient. What should you do?: a. Return later after drawing other patients 23. 23. A phlebotomist notices a hematoma developing at the site of venipuncture. The phlebotomist should: a. Release the tourniquet and stop the draw 24. 24. Know ORDER of DRAW!!: 25. 25. A phlebotomist working in an infertility clinic and the patient is to lOMoAR cPSD|29752889 Check with the nurse to make sure meds were given (or not given) 58. 57. phlebotomist notices red spots. What is appropriate action?: a. Apply pressure after collecting During the draw, the the sample 59. 58. What is a potential consequence of mislabeling a blood bank speci- men?: a. A Transfusion reaction 60. 59. When should a phlebotomist perform external liquid controls for quality control on CLIA waived point of care test?: a. When a new lot number or kit is opened 61. 60. A 3.3 kg infant has a total blood volume of 240-330ml: 62. 61. Cleanse in an outward spiral: 63. 62. What would you use for a hand draw?: a. Butterfly or winged infusion set 64. 63. Invert anticoagulant tubes to :prevent coagulation: 65. Name the 3 types of blood samples: whole blood/ plasma/ serum 66. What two States require licensure: Louisiana & California 67. When the Phlebotomist collects blood, in which of the patient's zones of interpersonal space is he/she operating?: The patient's Intimate Zone or Space 68. Define Phlebotomy: An incision into the vein 69. What is the meaning of these acronyms: ASPT, ASCP, and NHA?: ASPT = American Society of Phlebotomy Technicians ASCP = American Society for Clinical Pathology NHA = National Healthcareer Association 70. Define Reference Laboratory:: A reference laboratory is one that specializes in one test or one group of tests, or where more unusual or obscure tests are performed. 71. . 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): 72. To whom does the phlebotomist report?: A technical phlebotomy supervisor lOMoAR cPSD|29752889 73. What two government agencies administer CLIA?: Center for Medicare/Medicaid Services (CMS) FDA 74. . Is the Joint Commission a non-profit organization?: No, it's a not for profit organization 75. In what year and by what organization was The Patient's Bill of Rights initiated?: 1973 by the American Hospital Association. 76. . What is Informed Consent?: When you explain the procedure to the patient and they give you verbal or written permission to proceed. 77. What is Implied Consent?: 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. 78. What is required to obtain Informed Consent for a child?: You explain the procedure to the parent or legal guardian and obtain their informed consent for the child. 79. What is the difference between a Criminal Lawsuit and a Civil Lawsuit?: A criminal lawsuit is initiated by the government, a civil lawsuit is between private parties. 80. What is Assault?: The threat of touching another person without his or her consent and with the intention of causing fear of harm 81. What is Battery?: Actual harmful touching of another person without his or her consent. 82. What is Libel?: False defamatory writing that is published. 83. What is a Sentinel Event?: An unanticipated death or permanent loss of function not related to a patient's illness or underlying condition. 84. . What does PPE stand for?: Personal Protective Equipment 85. . How full should you fill the Sharps Container before using a new con- tainer?: ¾ full 86. . What is the name of the multi-purpose fire extinguisher?: ABC 87. To what does the term "aseptic techniques" refer?: Techniques that provide a degree of cleanliness that prevents infection and keeps the phlebotomy environ- ment free of contamination by microorganisms. 88. . A nosocomial infection is: a. Something acquired by healthcare workers. lOMoAR cPSD|29752889 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.: f. Both c and d. c. Something acquired by patients. d. A Hospital Acquired Infection 89. 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: d. All of the above a. When gloves are visibly soiled. b. Before putting on gloves c. After removing gloves 90. 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: c. Read the posted instructions 91. What does the acronym PASS describe and stand for?: It describes the use of a fire extinguisher and stands for: Pull pin, Aim nozzle, Squeeze handle, Sweep from side to side. 92. What does the acronym RACE stand for?: It stands for what a healthcare worker should do if a fire or explosion occurs in the workplace: Rescue, Alarm, Contain, Exit 93. . 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.: b. check to see if it is an emergency. 94. A competent professional demeanor is shown by: a. neatness and cleanliness. b. courtesy and cheerfulness. lOMoAR cPSD|29752889 108. . 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.: a. it is no longer sterile. 109. 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: a. a short draw. 110. 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.: a. a private room. 111. 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.: b. contaminated surface. 112. An infection contracted by a patient while in the hospital is termed: a. antibiotic-resistant. b. staphylococcal. c. nosocomial. d. unfortunate: c. nosocomial. 113. The recommended disinfectant for blood and body fluid contamination is: a. sodium hydroxide. b. antimicrobial soap. c. hydrogen peroxide. d. sodium hypochlorite.: d. sodium hypochlorite. 114. . The term universal precautions refers to: a. universal blood donors. b. mixing organic chemicals under a hood. NHA Phlebotomy certification EXAM Graded A+ lOMoAR cPSD|29752889 c. wellness clinics available to everyone. d. treating all specimens as infectious.: d. treating all specimens as infectious. 115. 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.: d. wash their hands. 116. To comply with the current Bloodborne Pathogens Standard, phle- botomists 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.: d. activate the needle protective device and discard the needle and the adapter. 117. 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: b. operation of a fire extinguisher. 118. Alcohol-based hand sanitizers may be used as a substitute for hand- washing: 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.: d. when the hands are not visibly contaminated with blood or other body fluid 119. The prefix that means decreased is: a. hypo- b. hyper- c. hetero- d. haplo-: a. hypo- NHA Phlebotomy certification EXAM Graded A+ lOMoAR cPSD|29752889 120. Which of the following abbreviations on a patient's chart, test req- uisition, 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: d. NPO 121. The ability to keep body systems functioning in a steady state is called: a. coagulation. b. articulation. c. metabolism. d. homeostasis.: d. homeostasis. 122. The layer of skin that contains the blood vessels is the: a. epidermis. b. dermis. c. keratinized epithelium. d. root shaft.: b. dermis. 123. The artery of choice for measuring the pulse rate in an adult is the: a. carotid. b. radial. c. brachial. d. temporal.: b. radial. 124. The blood vessels that carry deoxygenated blood to the heart are: a. arteries. b. alveoli. c. capillaries. d. veins.: d. veins. 125. All of the following are formed elements found in the blood except: a. erythrocytes. b. platelets. c. macrophages. d. leukocytes.: c. macrophages 126. . The primary role of the thrombocyte is to: a. transport nutrients. b. promote blood clotting. c. phagocytize bacteria. d. produce antibodies.: b. promote blood clotting. NHA Phlebotomy certification EXAM Graded A+ lOMoAR cPSD|29752889 141. 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.: c. disposed of as a unit with the collection needle into a sharps container. 142. All of the following are used to identify a patient except the: a. bed sign. b. requisition form. c. identification band. d. bar codes.: a. bed sign. 143. 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.: a. authorization to perform the pro- cedure.a. authorization to perform the procedure. 144. Blood should not be drawn from a patient who is: a. standing. b. nervous. c. unable to make a fist. d. not fasting.: a. standing. 145. 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.: a. 1 minute. 146. The vein of choice for routine venipuncture is the: a. median cubital. b. radial. c. cephalic. d. baslic: a. median cubital. 147. The vein located on the thumb side of the arm is the: a. brachial. NHA Phlebotomy certification EXAM Graded A+ lOMoAR cPSD|29752889 b. median cubital. c. basilic. d. cephalic.: c. basilic. 148. Palpate means to: a. perform a venipuncture. b. examine by touch. c. examine by sound. d. obtain a specimen from an intravenous line.: b. examine by touch. 149. Prolonged application of a tourniquet will cause: a. excessive bleeding. b. difficulty locating a vein. c. hemolysis. d. both A and C: d. both A and C a. excessive bleeding c. hemolysis. 150. Failure to allow the alcohol to dry on the patient's arm after site cleans- ing 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.: a. increased bacteriostatic action. 151. 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.: b. detecting a pulse using the thumb. 152. Hemoconcentration can be caused by: a. prolonged tourniquet application. b. intravenous therapy. c. excessive probing. d. failure to clench the fist.: a. prolonged tourniquet application. 153. . 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.: d. the vein from rolling. NHA Phlebotomy certification EXAM Graded A+ lOMoAR cPSD|29752889 154. . During the venipuncture, the phlebotomist should do all of the follow- ing 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.: a. anchor the vein above and below the puncture site. 155. 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.: a. patient location. 156. 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 identifi- cation 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 iden- tification band with the information on the test requisition.: d. comparing information obtained verbally and from the patient's identification band with the information on the test requisition 157. 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: d. awaken the patient before collecting the specimen 158. 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.: b. have the patient lie down during the phlebotomy 159. Patients are most likely to be in a basal state at: a. 6:00 a.m. NHA Phlebotomy certification EXAM Graded A+ lOMoAR cPSD|29752889 171. . Which of the following tests is not part of the CBC: a. Red blood cell count b. Platelet count c. Sedimentation rate d. Differential: c. Sedimentation rate 172. . Testing of a fecal stool for parasites is performed in: a. Hematology b. Microbiology c. Immunology d. Urinalysis: b. Microbiology 173. A prothrombin test is performed in: a. Coagulation b. Immunology c. Microbiology d. Chemistry: a. Coagulation 174. True/False Indicate whether the following statements are true or false. The liquid portion of a specimen collected in a tube containing ethylenedi- aminetetraacetic acid (EDTA) is serum.: False 175. True/False Indicate whether the following statements are true or false. If a needle has not been used it can be recapped?: False 176. True/False Indicate whether the following statements are true or false. When using a butterfly, a light blue stopper tube should be collected first.: - /False 177. . 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: A. Intimate zone 18-24 inches 178. . In what department of the lab is a complete blood count performed? A. Hematology B. Microbiology C. Chemistry D. Blood bank: A. Hematology NHA Phlebotomy certification EXAM Graded A+ lOMoAR cPSD|29752889 179. 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: b. Blood agar culture plate 180. 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: C. Lavender with EDTA 181. . What chemical or additive is needed for performing an activated partial thromboplastin time? A. EDTA B. SPS C. Clot activator D. Sodium citrate: D. Sodium citrate 182. What color of tube is used for activated partial thromboplastin time? A. Light blue B. Light green C. Purple D. Yellow: B. Light green 183. What is the abbreviation for activated partial thromboplastin time? A. PT B. CBC C. PTT D. CHEM-7: C. PTT 184. Which of the following is not one of the three types of blood samples? A. Whole blood B. Plasma C. Serum D. Iron: D. Iron 185. In which part of the lab is a CMP performed? A. Microbiology B. Chemistry C. Hematology D. Blood bank: B. Chemistry NHA Phlebotomy certification EXAM Graded A+ lOMoAR cPSD|29752889 186. What does CMP stand for? A. Comprehensive Metabolic Panel B. Choke Mary Partially C. Chemistry Metabolic Panel D. Chloride Metabolic Panel: A. Comprehensive Metabolic Panel 187. . What color of tube does the phlebotomist use for blood bank testing? A. Red plastic B. Red glass C. Yellow D. Pink: D. Pink 188. 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 punc- ture: C. Perform test on patient samples in the lab 189. . 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: D. Both a and b A. Collected in a tube containing an anticoagulant B. Inverted right after collection 190. The primary antiseptic for venipuncture is: A. 70% isopropyl alcohol B. 80% isopropyl alcohol C. 90% isopropyl alcohol: A. 70% isopropyl alcohol 191. . Most anticoagulants in blood collection tubes prevent clotting by: A. Binding calcium B. Acting as an antithrombin agent C. Binding fibrinogen D. Releasing heparin: A. Binding calcium 192. . List five (5) physical and/or emotional changes associated with the ag- ing process that could impact phlebotomy procedures: Any 5 of the following: - Hearing loss leading to embarrassment and frustration - Impaired verbal communication - Failing eyesight NHA Phlebotomy certification EXAM Graded A+ lOMoAR cPSD|29752889 204. Which of the following pairings is wrong? a. icteric and yellow. b. lipemic and cloudy. c. hemolyzed and red. d. fasting and cloudy.: d. fasting and cloudy. 205. 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.: a. current proce- dural technology (CPT) code. 206. The sweat electrolyte test is used in the diagnosis of; a. multiple sclerosis. b. cystic fibrosis. c. muscular dystrophy. d. electrolyte imbalance.: b. cystic fibrosis. 207. 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: d. both B and C b. is taking anticoagulants. c. frequently takes aspirin 208. . 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: c. Third finger and increased possi- bility of bone puncture 209. . Lavender stopper tubes can be used for all of the following except: a. coagulation tests. b. platelet counts. c. differential counts. d. hematocrits.: a. coagulation tests. 210. The most economical and safest method for performing routine venipuncture is the use of: NHA Phlebotomy certification EXAM Graded A+ lOMoAR cPSD|29752889 a. butterflies. b. plastic syringes. c. glass syringes. d. evacuated tubes: d. evacuated tubes. 211. . An elevated bilirubin might indicate a disorder of the: a. heart. b. kidney. c. brain. d. liver.: d. liver. 212. Areas that should be avoided for venipuncture include all of the follow- ing except: a. hematomas. b. deep cephalic veins. c. sclerosed veins. d. tattoos.: b. deep cephalic veins. 213. . 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.: d. across the fingerprint. 214. Using a small-gauge needle with a large evacuated tube can cause: a. a hematoma. b. petechiae. c. hemolysis. d. patient discomfort.: c. hemolysis 215. 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.: c. sentinel event. 216. 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.: b. 2.0 mm. NHA Phlebotomy certification EXAM Graded A+ lOMoAR cPSD|29752889 217. The main organ(s) of the integumentary system is (are) the: a. nails. b. hair. c. skin. d. sweat glands.: c. skin. 218. . 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.: b. report the situation to the nursing station. NHA Phlebotomy certification EXAM Graded A+