NHA Phlebotomy certification EXAM with correct aswers, Exams of Nursing

Download NHA Phlebotomy certification EXAM with correct aswers and more Exams Nursing in PDF only on Docsity! NHA Phlebotomy certification EXAM with correct aswers 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 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 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 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 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. 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. 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. . 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 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. 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. 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 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. 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.