NHA Phlebotomy Practice Exam with Complete Solutions 2023, Exams of Nursing

Download NHA Phlebotomy Practice Exam with Complete Solutions 2023 and more Exams Nursing in PDF only on Docsity! A phlebotomy technician should identify that which of the following additives is used to prevent the breakdown of glucose? - ANSWER-Sodium fluoride A Phlebotomy technician in an outpatient setting is identifying a patient before performing a venipuncture procedure. To confirm the patient's identity, which of the following questions should the technician ask? - ANSWER-"Would you please state and spell your full name and provide your date of birth" Which of the following is a potential consequence of a phlebotomy technician mislabeling a blood bank specimen? - ANSWER-A transfusion reaction A phlebotomy technician should invert anticoagulant tubes to prevent which of the following complications? - ANSWER-Hemolysis According to OSHA standards, which of the following vaccines must employers offer to their phlebotomist at no cost? - ANSWER-Hepatitis B During a routine venipuncture, a phlebotomy technician notices that a patient is becoming pale and diaphoretic. The technician should identify that the patient is at risk for which of the following conditions? - ANSWER-Syncope A phlebotomy technician should identify that which of the following tube selections indicates the correct order of draw for venipuncture? - ANSWER-Green, lavender, grey Phlebotomy technician is preparing to collect a blood specimen from the hand of a patient whose veins are difficult to access. Which of the following devices should the technician use? - ANSWER-Hand immobilizer A phlebotomy technician is preparing to use an evacuated tube system to obtain a venous blood specimen from a patient. The tourniquet is in place and the technician has cleansed the puncture site. Which of the following procedural steps should the technician perform next? - ANSWER-Ask the patient to make a fist Which of the following actions by a phlebotomy technician can result in a grossly hemolyzed specimen? - ANSWER-Using an incorrect needle gauge A phlebotomy technician should identify that which of the following series of venipuncture steps is in the appropriate order? - ANSWER-assess the site, cleanse the site, insert the needle NHA Phlebotomy Practice Exam with Complete Solutions 2023 A phlebotomy technician should comply with HIPAA to protect which of the following? - ANSWER-Patients information A phlebotomy technician is performing a capillary blood collection for an older adult patient. Which of the following sites should the technician select? - ANSWER-The distal phalanx of either middle finger A phlebotomy technician is preparing to collect a blood specimen from a patient who signed a general informed consent form upon admission to the facility. Which of the following actions by the patient indicates implied consent for the venipuncture? - ANSWER-Rolling up his shirtsleeve A phlebotomy technician is using an evacuated needle holder and blood collection tubes to collect blood from a patient. Which of the following actions should the technician take? - ANSWER-Push the first collection tube gently into the holder For an older adult patient who has difficult-to-access veins, a phlebotomy technician should select which of the following beans to perform a venipuncture? - ANSWER- Dorsal veins How often should a phlebotomy technician run quality control test on point-of-care testing instruments? - ANSWER-Daily A phlebotomy technician must comply with which of the following OSHA requirements when performing a venipuncture? - ANSWER-Wear gloves when contact with blood is anticipated Which of the following actions should the phlebotomy technician take when performing a venipuncture using an evacuated tube system? - ANSWER-Position the needle at a 30° angle in the same direction as the vein and with the bevel up A phlebotomy technician is collecting a blood specimen from a patient to measure the trough level of a medication. The technician should collect the specimen at which of the following times? - ANSWER-Within 15 mins before the patient receives the next dose of medication. For which of the following test should a phlebotomy technician follow chain of custody guidelines? - ANSWER-Blood alcohol During a venipuncture, a patient reports a sharp pain radiating down his arm. Which of the following actions should the phlebotomy technician take? - ANSWER-Release the tourniquet and remove the needle A phlebotomy technician is teaching a patient about collecting a sputum specimen at home. Which of the following instruction should the technician include? - ANSWER-Spit thick secretions into the container after coughing deeply A phlebotomy technician is using a point-of-care test system to determine a patient's WBC count. For which of the following results should the technician immediately notify the provider? - ANSWER-1.8/mm^3 A phlebotomy technician is instructing a patient how to collect a clean-catch urine specimen. Which of the following cleansers should the technician instruct the patient to use when cleansing around her urinary meatus? - ANSWER-Mild antiseptic soap A phlebotomy technician is collecting a blood specimen from a patient who has cutaneous diphtheria. Besides gloves which of the following pieces of personal protective equipment should be technician where? - ANSWER-Gown A phlebotomy technician is collecting blood from a patient for donation. The collection bag only fills halfway, and the vein collapses. Which of the following actions should the technician take? - ANSWER-use a new collection bag to draw a new unit of blood A phlebotomy technician should identify that which of the following is an identifier for a specimen as long as it remains in the laboratory? - ANSWER-Accession number Which of the following actions should a phlebotomy technician take to locate a vein using the warming technique? - ANSWER-Encase the warm towel in a plastic bag A phlebotomy technician is collecting a venipuncture blood specimen from a patient for a blood assay. The technician should fill which of the following tubes first? - ANSWER- Yellow-topped tube A phlebotomy technician is collecting a urine specimen from a patient for a pre- employment drug test which of the following action should the technician take? - ANSWER-Verify that the specimen contains at least 45 mL of urine Phlebotomy technician is preparing to collect a blood specimen from a small vein of an older adult patient. Which of the following actions should the technician take to keep the vein from collapsing? - ANSWER-Use a small meal for the draw Which of the following action should I phlebotomy technician take after collecting an ammonia specimen? - ANSWER-Place the specimen tube in an ice-water slurry A phlebotomy technician is explaining the venipuncture process to an adult patient. The patient nods frequently but appears confused. Which of the following actions should the technician take? - ANSWER-Rephrase the information for the patient A phlebotomy technician sees a coworker receive a major electrical shock from an instrument. Which of the following actions should the technician take first? - ANSWER- shut off power to the instrument A phlebotomy technician should transport a semen sample at which of the following temperatures? - ANSWER-36° to 38°C A phlebotomy technician receives a chemical splash to his forearm. After removing his contaminated clothing, which of the following is the minimum amount of time the technician should rinse the affected area? - ANSWER-15 min A phlebotomy technician is performing a heel stick to obtain capillary blood for testing a newborns bilirubin level. Which of the following actions should the technician take? - ANSWER-Use an amber-colored microcontainer A phlebotomy technician is assembling the equipment he will need for collecting donor units of blood. Which of the following needle sizes should the technician select? - ANSWER-18-gauge A phlebotomy technician is collecting a blood specimen from a patient. Which of the following techniques should the technician use to anchor the vein just before inserting the needle? - ANSWER-Use thumb to anchor the vein 5 cm (2in) below the puncture site Within which of the following time periods to the phlebotomy technician collect a newborn blood-spot test screening card? - ANSWER-Within 72 hours A phlebotomy technician is washing her hands at the beginning of her shift. Which of the following action should the technician take? - ANSWER-Use enough soap to form a lather To prevent hospital-acquired infections, a phlebotomy technician should clean items that have been contaminated by blood with a 1:10 dilution of which of the following substances and water? - ANSWER-sodium hypochlorite A phlebotomy technician is obtaining a blood specimen from a patient. The technician notices swelling and a large hematoma forming at the puncture site. Which of the following actions should the technician take? - ANSWER-Remove the tourniquet and needle A phlebotomy technician has a mild sensitivity to latex. According to the national Institute for occupational safety and health (NIOSH), which of the following actions should the technician take? - ANSWER-Wear nitrile gloves instead of latex gloves According to standard precautions, a phlebotomy technician should take which of the following actions when shipping specimens to a reference laboratory in hot weather? - ANSWER-Place the specimens in a box with cold packs and a biohazard label For which of the following reason should a phlebotomy technician document the total volume of blood drawn from a patient? - ANSWER-To determine if the patient is at risk for developing iatrogenic anemia A phlebotomy technician should identify that which of the following is the total blood volume of an infant who weighs 3.3 kg (7.3lb)? - ANSWER-240 to 330 mL An unconscious patient is brought to the emergency department, and several blood tests are ordered. A phlebotomy technician should collect the patient's blood because he has received which of the following types of consent? - ANSWER-Implied consent A phlebotomy technician is performing a venipuncture on a patient who recently had a mastectomy on her right side. The technician should draw blood from which of the following locations? - ANSWER-Left arm Phlebotomy technician should identify that which of the following color signifies a health hazard in the national fire protection Association (NFPA) 704 marking system? - ANSWER-Blue A phlebotomy technician is preparing to dispose of contaminated sharps. According to OSHA standards, which of the following actions should the technician take? - ANSWER- replace the sharps container when it is two-thirds full A phlebotomy technician is collecting a blood specimen from an adolescent patient who weighs 42.6 kg (94lb). Which of the following amounts is appropriate to collect if the maximum allowable volume of blood is 1%? - ANSWER-40 mL A phlebotomy technician is collecting blood specimens from a patient for multiple blood assays. The technician should fill the tube that has which of the following additives first? - ANSWER-Sodium citrate A phlebotomy technician is collecting a blood specimen from a patient who has pneumonia. Besides gloves which of the following pieces of personal protective equipment should the technician wear? - ANSWER-Mask A phlebotomy technician is applying a tourniquet prior to collecting a blood specimen from a patient. Which of the following actions should the technician take? - ANSWER- tuck a partial loop of tourniquet underneath the tourniquet For which of the following reasons should I phlebotomy technician avoid drawing blood from the leg or foot of a patient with diabetes? - ANSWER-These areas are more susceptible to infection A phlebotomy technician enters a patient's room or form is been a puncture and notices that the patient is sleeping. Which of the following actions should the technician take? - ANSWER-Wake the patient before collection How frequently should a phlebotomy technician perform a quality control test on a glucometer in the laboratory? - ANSWER-Every day the meter is used A phlebotomy technician is preparing to draw blood from a patient who has scabies. Which of the following pieces of personal protection equipment should the technician use? - ANSWER-Gown A phlebotomy technician is preparing to collect a patient's troponin T level. Which of the following troponin T Levels should the technician immediately report to the provider? - ANSWER-0.3ng/mL After placing a tourniquet on a patient's arm, a phlebotomy technician notices small red spots below the tourniquet. Which of the following terms describes the spots? - ANSWER-Petechiae A phlebotomy technician is preparing to perform a lactic acid test. Which of the following actions should the technician take? - ANSWER-Collect a specimen in a gray-topped tube After verifying a patient's identity, a phlebotomy technician sees that the patient's laboratory results are ready. Which of the following actions should the technician take? - ANSWER-Inform the patient to contact the ordering provider to obtain the results Before collecting blood from a patient in an inpatient setting, a phlebotomy technician notices that the patient does not have a wristband on his wrist, but there is one attached to the patient's IV stand. Which of the following actions should the technician take? - ANSWER-Hold the draw until the nurse has attached a wristband to the patient The joint commission recommends using the patients full name and which of the following pieces of information to ensure accurate and patient identification? - ANSWER-Medical record number Blood cultures have been ordered on an adult patient in an intensive care unit. A nurse calls a phlebotomy technician to bring the appropriate materials. Which of the following materials should the phlebotomy technician bring? - ANSWER-And aerobic bottle and an anaerobic bottle Lobotomy technician should identify that HIPAA protects which of the following rights as a part of the patient care partnership? - ANSWER-Privacy Phlebotomy technician is preparing to obtain a blood specimen from a patient for an erythrocyte sedimentation rate test. The technician should select a collection tube that has a tub with which of the following colors? - ANSWER-Lavender Lobotomy technician is selecting a site for a blood draw from a patient. From which of the following beans should the technician attempt to draw first? - ANSWER-Median cubital Which of the following action should a phlebotomy technician take when recording laboratory results? - ANSWER-Send the results to the patient's ordering provider Which of the following information should the phlebotomy technician document when adhering to chain of custody guidelines? - ANSWER-Identity of everyone who had possession of the specimen Phlebotomy technician is preparing to perform a venipuncture on a patient. Which of the following types of consent is the patient providing when she extends her arm to begin the procedure? - ANSWER-Implied consent A phlebotomy technician is working with a patient who has Mycobacterium tuberculosis infection. Which of the following transmission for caution should the technician use for this patient? - ANSWER-Airborne precaution When performing a hand draw, which of the following steps should phlebotomy technician take before moving the needle? - ANSWER-Disengage the tube from the adapter A phlebotomy technician is instructing a patient how to collect a 24 hour urine specimen. Which of the following instruction should the technician include? - ANSWER-Discard the first void of the morning A phlebotomy technician is preparing to perform a hand draw. Which of the following equipment should the technician assemble? - ANSWER-Winged infusion set and adapter A phlebotomy technician is removing a bag of contaminated items from a collection area. Which of the following action should the technician take to properly dispose of them? - ANSWER-Placed the bag inside a second hazardous-waste bag outside of the room A phlebotomy technician is preparing to perform a blood draw when the patient states that he is severely allergic to latex. Which of the following actions should the technician take? - ANSWER-Use a blood pressure cuff inflate it to 40 mm Hg A phlebotomy technician is preparing to performAveda puncture of a patient who has small, rolling veins. Which of the following equipment should the technician use? - ANSWER-Winged infusion set Phlebotomy technician should identify that the order of draw for capillary collection is different from Benefield shirt for which of the following reasons? - ANSWER-An increased rate of coagulation Which of the following actions should the phlebotomist technician take to prevent needlestick injuries? - ANSWER-Replace a sharps container that has reached its fill line A phlebotomy technician is reviewing a laboratory test requisition form before obatining blood specimens from a patient. Which of the following actions should the technician take prior to performing venipuncture? - ANSWER-Check the requisition form for duplicate test orders Phlebotomy technician performs a point-of-care glucose test for a patient in an outpatient setting. The result is in the critical value range. Which of the following actions should the technician take? - ANSWER-Report the results to the patient's provider A phlebotomy technician has a requisition form for a series of test on a patient serum. The technician should select a collection tube that contains which of the following additives? - ANSWER-Thrombin Which of the following tubes should a phlebotomy technician collect first when obtaining dermal samples? - ANSWER-Lavender top Which of the following blood test should a phlebotomy technician place in ice immediately following collection? - ANSWER-Ammonia A phlebotomy technician should use a capillary collection instead of venipuncture in which of the following situations? - ANSWER-A patient's veins are in accessible A phlebotomy technician is instructing a patient about how to collect a fecal occult specimen. Which of the following instructions should the technician incline? - ANSWER- Avoid taking Ibuprofen A phlebotomy technician is performing a blood glucose test. Which of the following glucose levels should the technician identify as being outside the expected reference range? - ANSWER-200 mg/dL A phlebotomy technician is preparing to perform a blood draw on a patient who had a left-sided mastectomy and has an IV on her right side. In which of the following location should the technician perform the draw - ANSWER-Below the IV A phlebotomy technician is preparing to draw blood from a patient who states that she has fainted during her last blood draw. Which of the following actions should the technician take? - ANSWER-Ask the patient to lie down for the procedure Which of the following collection tubes should be phlebotomy technician use and collecting for a routine chemistry test that requires serum? - ANSWER-SST A phlebotomy technician is preparing to store a blood specimen. At which of the following temperature should the technician store the specimen? - ANSWER-2° to 8°C A phlebotomy technician is processing a semen specimen. Which of the following actions should the technician take? - ANSWER-Deliver the specimen to the laboratory within two hours Which of the following test results are affected when I phlebotomy technician uses povidone-iodine to cleanse a site for a dermal puncture? - ANSWER-Potassium Which of the following action should a phlebotomy technician take to maintain compliance with HIPPA? - ANSWER-Clear phone numbers from the fax machine A patient who has diabetes states that he prefers to be drawn on the inside of his wrist. Which of the following action should the phlebotomy technician take? - ANSWER- Attempt to draw from the antecubital region Phlebotomy technician is obtaining a blood culture specimen from an adult patient. Which of the following action should the technician take? - ANSWER-Withdraw the blood into a sterile syringe A Phlebotomy technician should identify that which of the following actions can cause a hemolyzed specimen? - ANSWER-Shaking a collection to vigorously A phlebotomy technician should identify that which of the following is the first step in the blood collection procedure? - ANSWER-Test requisition For which of the following reason should a phlebotomy technician exam the antecubital areas in both of the patients arms? - ANSWER-The median cubital vein could be more accessible on one side than the other For which of the following reason should a phlebotomy technician centrifuge A serum specimen before transport to an outside reference laboratory? - ANSWER-Cells must be separated from the serum A phlebotomy technician is preparing to collect a timed medication draw ordered for 1400. The technician should verify when the patient received his previous dose of medication with which of the following members of the interprofessional team? - ANSWER-Nurse A phlebotomy technician is preparing to perform a venipuncture for a patient who is on droplet precautions. In addition to following standard precautions, which of the following pieces of personal protective equipment should the technician applied before entering the patient's room? - ANSWER-Mask Which of the following is the best method for phlebotomy technician to collect a blood specimen from an older adult patient who has fragile, easy-to-collapse veins? - ANSWER-choose a syringe and butterfly assembly and transfer to an ETS tube A phlebotomy technician should select a tube that has which of the following additives when collecting a blood specimen for a CBC? - ANSWER-EDTA A phlebotomy technician should select a tube that has which of the following anticoagulants to collect a sample for a PT/PTT test? - ANSWER-sodium citrate A phlebotomy technician is preparing to collect a blood specimen from a patient who is allergic to alcohol. Which of the following antiseptic solutions should the technician used to prepare of the insertion site? - ANSWER-Chlorhexidine