NHA Phlebotomy Practice Test 2023, Exams of Nursing

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First piece of PPE that should be removed - ANSWER-GLOVES Which of the following should be collected first when taking a dermal sample? - ANSWER-Lavender Top How long after a patient has taken an oral medication should blood be drawn for peak level of the medication? - ANSWER-2 hours What should be done if vein collapsed half way through collecting blood from a patient for donation? - ANSWER-use a new collection bag to draw a new unit of blood If a patient has a right side mastectomy ..... - ANSWER-use median cubital in the left arm If the site is sore where the tourniquet will placed - ANSWER-place it over the patients sleeve If veins are not apparent after placing tourniquet - ANSWER-have the patient dangle their arms for 1-2 min Red spots after placing a tourniquet is - ANSWER-Petechiae anticoagulant tube used to collect sample for a PT/PTT test. - ANSWER-sodium citrate to collect a sample for a PT/PTT test. (light blue) Identifier for specimen used while in a lab - ANSWER-The accession number identifies a specimen as long as it remains in the laboratory. when collecting for an erythrocyte sedimentation rate test. - ANSWER-use lavender- colored top Who should be asked to check if patient's vancomycin dose schedule is accurate for an accurate peak level collection - ANSWER-ask the attending nurse if the patient's vancomycin dose schedule is accurate prior to collection Instructions that should be given to collect sputum - ANSWER-instruct the patient to breathe deeply and then cough up a specimen into the container. First step that should be done when collecting blood - ANSWER-check tests requisition NHA Phlebotomy Practice Test 2023 form The first action the technician should take when the patient reports feeling dizzy and lightheaded is to - ANSWER-remove the tourniquet and needle Veins have a tendency to roll away from the needle - ANSWER-hold the vein in place to help anchor it and prepare it for the puncture 2.5 to 5 cm with thumb protect the skin from infections that can be transmitted by contact (cutaneous diphtheria) - ANSWER-wear a gown post-examination phase of the CLSI clinical laboratory workflow pathway - ANSWER- Entering critical laboratory data pre-examination phase of the CLSI clinical laboratory workflow pathway - ANSWER- post-puncture care examination phase of the CLSI clinical laboratory workflow pathway - ANSWER- Reviewing and verifying results pre-examination phase of the CLSI clinical laboratory workflow pathway - ANSWER- Processing the specimen collection for trough level of medication in the patient's blood - ANSWER-collect the specimen no more than 15 min prior to administration of the next dose of medication to collect a blood specimen from the small vein of an older adult - ANSWER-use a small needle to collect specimens from infants who are under 1 year of age - ANSWER-use a heelstick OSHA requires employers to offer the - ANSWER-hepatitis B vaccine to at risk employees within 10 days of hire at no cost to the employee When washing hands be sure to - ANSWER-form a lather by rubbing her hands together for at least 15 seconds, covering all surfaces of her hands and fingers with soap Standard precautions require the technician to transport specimens in hot weather - ANSWER-an enclosed container with ice packs and a biohazard label The technician should immediately notify the patient's provider that the patient has a fasting blood glucose of - ANSWER-130 mg/dL, which is above the expected reference range of 70 to 110 mg/dL. to disinfect items that are contaminated by blood - ANSWER-use a 1:10 dilution of sodium hypochlorite, or chlorine bleach with water to collect specimen from older adults with easy to collapse vein use a - ANSWER- syringe and butterfly assembly and transfer to an ets tube when obtaining a blood culture specimen - ANSWER-- withdraw the blood into a sterile safety syringe after obtaining it - collect 20 mL total (put 10 mL anaerobic bottle first then put 10 mL in aerobic bottle) a patient has a right side mastectomy and an IV on the left arm, where should blood be drawn? - ANSWER-draw blood from a site below the IV an alternative antiseptic solution for patients who have allergies to alcohol or latex - ANSWER-chlorhexidine When removing gloves, the technician should - ANSWER-turn the first glove inside out during removal to decrease chances of contact with blood to eliminate the source of the electrical shock from a coworker getting shocked - ANSWER-immediately shut off the instrument a patient who has just engaged in strenuous physical activity prior to blood collection - ANSWER-the patient rest for 15 to 30 min before performing the venipuncture which specimen should be placed in an ice bath within 30 minutes of collection - ANSWER-ABG specimen draw a maximum volume of ---- mL at one time from a newborn who weighs 3 kg - ANSWER-3 mL kg x 100= ??? ???/100 = volume in mL The technician should identify that semen samples should be stored and transported at - ANSWER-36 to 37° C (98.6° F) Order of Draw for Capillary Specimens and venipuncture is different because - ANSWER-an increased rate of coagulation during capillary collections to avoid hemolysis - ANSWER-allow alcohol to dry completely before venipuncture to access difficult veins in the patient's hand - ANSWER-use a hand immobilizer The technician should immediately report troponin levels finding to the provider - ANSWER-of 0.3 ng/mL (expected reference range of 0 to 0.2 ng/mL) technician should collect a capillary specimen if - ANSWER-veins are inaccessible due to IVs, scarring, or burns Tube that should be used for routine chemistry test that requires serum - ANSWER-SST tube The technician should wear a when collecting a blood specimen from a patient who has pneumonia, - ANSWER-mask By extending his arm to the technician - ANSWER-the patient is giving implied consent A health hazard is signified by the color in the NFPA 704 Marking System - ANSWER-blue A fire hazard is signified by the color in the NFPA 704 Marking System - ANSWER-red What should be done to specimens before leaving a patients room - ANSWER-Mark each specimen with date time and initials How often should quality test on glucometer be performed in the laboratory - ANSWER- everyday that it is used venipuncture collection site in order - ANSWER-- Median Cubital - Distal Cephalic When collecting blood - ANSWER-gloves should be worn What should be verified for premployment drug test - ANSWER-45 mL of urine ( 30 mL in one bottle and 15 mL in another) When reviewing requisition form verify that - ANSWER-it contains specimen ID code and patients ID When collection capillary blood drops on filter paper - ANSWER-apply blood to printed side of filter How should the warming technique be use of a patients arm - ANSWER-place warm towel in a plastic bag which indicates implied consent - ANSWER-rolling of the sleeve sharp painful and tangling sensation down arm and into hand - ANSWER-nerve injury WBC ranges between - ANSWER-4.4 to 11/mm3