NHA PHLEBOTOMY TECHNICIAN CERTIFICATION EXAM ACTUAL EXAM 2024 | 2 DIFFERENT VERSIONS, Exams of Nursing

Download NHA PHLEBOTOMY TECHNICIAN CERTIFICATION EXAM ACTUAL EXAM 2024 | 2 DIFFERENT VERSIONS and more Exams Nursing in PDF only on Docsity! NHA PHLEBOTOMY TECHNICIAN CERTIFICATION EXAM ACTUAL EXAM 2024 | 2 DIFFERENT VERSIONS | 200 QUESTIONS AND CORRECT ANSWERS | ALREADY GRADED A+ | LATEST VERSIONS A tech is performing a dermal puncture for an adult pt. What location should the tech use for the procedure? -------CORRECT ANSWER---------------The side of the central of the ring finger A tech is performing a hand veni. On a 25 year old pt who has small veins that are difficult to access. What equipment should the tech use to perform the procedure? ------- CORRECT ANSWER---------------23 gauge winged collection set A tech is preparing equipment for a blood draw. The tech notices that one tube on the tray is expired. What action should the tech take to ensure accurate test results? ------- CORRECT ANSWER---------------Use a new tube from the front of the shelf A tech is preforming a veni. For a potassium test, CBC, and glucose test. The tech has left the tourniquet tied on the pt for 3 Mins. What outcome should the tech expect? ------- CORRECT ANSWER---------------High potassium level A tech is preforming a blood collection for a pt who has edema in her right arm. What location should the tech identify as the best vein choice for veni? -------CORRECT ANSWER---------------Left side dorsal hand A tech is using providone-iodine during a capillary specimen collection. What outcome should the tech expect? -------CORRECT ANSWER---------------Increased potassium level A tech is preforming a veni. After removing the needle cap what steps should the tech take? -------CORRECT ANSWER---------------Anchor the vein 2.5-5 cm (1-2in) below the puncture site A tech is drawing blood through a hematoma. What errors should the tech expect to see in the specimen? -------CORRECT ANSWER---------------Hemolysis A tech is preforming a capillary collection for CBC, FSH, and electrolyte tests. What is the proper collection order? -------CORRECT ANSWER---------------Lavender microcollection container Green microcollection container, the red microcollection container A tech has three bar-coded labels but has to fill four tubes. The tech needs to create one more label for evacuated tubes. What info should the tech include on the label ------ -CORRECT ANSWER---------------Tech initials, date, and time of collection A tech accidentally punctures a patients artery during a veni. Procedure. What actions should the tech take? -------CORRECT ANSWER---------------Apply pressure on the site for at least 5 mins A tech is preparing to preform a CBC for a 7 month old infant. What equipment will the tech need? -------CORRECT ANSWER---------------Lancet with 2mm depth and a EDTA microcollection tube A tech is preforming a veni. For a lipid profile, WBC, and a clotting time test. What is the correct order of draw? -------CORRECT ANSWER---------------Light blue, SST, lavender phlebotomy Technician is preparing to complete the glucose monitor quality control record. Which information should the technician record in the quality control record? ----- --CORRECT ANSWER---------------Date of battery change A technician observes a glucometer reading of 250 mg/dL. A second test is performed and returns a reading within the expected reference range. What could have been the cause of the first test to be inaccurate? -------CORRECT ANSWER---------------Too much blood was used What solution should a technician used to clean a cerebral spinal specimen spill? ------- CORRECT ANSWER---------------Chlorine bleach A technician experiences a needlestick injury while performing a venipuncture. What should the technician include in the online sharps injury log? -------CORRECT ANSWER---------------The department where the injury happened When testing a p.t for streptococcal pharyngitis, a phlebotomist should implement what type of transmission-based precaution? -------CORRECT ANSWER---------------Droplet what actions should a phlebotomist take when performing a blood culture collection? ---- ---CORRECT ANSWER---------------scrub the site with isopropyl alcohol for 1 minute in outward, concentric circles. Which of the following what is the current procedure for medical professionals performing CPR on an infant? -------CORRECT ANSWER---------------30 compressions, 3.8 cm (1.5in) deep A technician collects a specimen in a microcollection container after two failed veni. attempts. What reason should the technician write on the requisition form why the blood was collected in this manner? -------CORRECT ANSWER---------------To alert the Lab of the presence of capillary blood while a technician is using a centrifuge,the device catches on fire. The technician should identify a centrifuge fire as what class of fire? -------CORRECT ANSWER--------------- class C A technician finishes performing a blood draw in an isolation room. What PPE should be removed FIRST? -------CORRECT ANSWER---------------Gloves A technician is preparing to aliquot a blood specimen. What PPE are the minimum requirments for the technician to wear? -------CORRECT ANSWER---------------face shield and gloves A technician experiences a needlestick injury while performing a draw. They are at greater risk of exposure to what bloodborne pathogens? -------CORRECT ANSWER----- ----------Hep. B (HBV) A tech. receives a splash of blood to the eye while transferring serum into an isolator tube. What action should they take first? -------CORRECT ANSWER---------------Rinse eye with water A tech. is collecting a sample for cholesterol, troporin, and HDL blood results. Which department is responsible for processing these tests? -------CORRECT ANSWER--------- ------chemistry A tech. is performing a blood alcohol test which antiseptic should the tech use? ------- CORRECT ANSWER---------------ethanol a tech. is performing a venipuncture on a pt. who has a wound infected with methicillin- resistant staphylococcus aureus (MRSA) and has been placed in isolation. what action should a tech. take after the procedure? -------CORRECT ANSWER---------------dispose of the gown before leaving the room Which type of urine specimen should a tech. Instruct a pt. To collect for a pregnancy test? -------CORRECT ANSWER---------------First-morning A tech. Is explaining a phlebotomy procedure to a pt. Who wears hearing aids. The pt. Seems distracted. Which way should the tech. Ask to ensure the pt. Understands the procedure? -------CORRECT ANSWER---------------"Would you like me to repeat the directions?" A tech should identify which information is required for positive identification of a pt. In an outpatient facility? -------CORRECT ANSWER---------------Picture ID, full name, DOB A tech enters a pts. Room to perform a blood draw and notices that the patient's ID band is sitting on the bedside table. The pt states "I hate wearing it, so I took it off" what response should the tech make? -------CORRECT ANSWER---------------"I will ask the nurse to replace the ID band" A tech is seeking consent to perform veni. On an older adult pt who has been accompanied to the facility by a younger adult. Which action should the tech take? ------- CORRECT ANSWER---------------Speak to the pt in a normal tone. A tech is preparing to draw blood from a pt who had been admitted for life threatening cardiac symptoms. Which action should the tech take? -------CORRECT ANSWER------- --------Proceed with collecting the patients blood A tech is collecting a specimen to test a patients lithium level following a recent dose of medication. Which levels should the tech collect? -------CORRECT ANSWER--------------- Peak A tech is preforming a veni. On a deep median cubical vein. What methods of withdrawal should the tech use? -------CORRECT ANSWER---------------Withdraw the bevel up a 25 degree - 30 angle A tech is performing a dorsal veni. With the needle at 15 degrees resulting in slow blood flow and the development of a hematoma. What should the tech identify as the cause of the hematoma? -------CORRECT ANSWER---------------Needle went through the vein A tech is preparing to perform a veni. Test for coagulation, WBC, pregnancy, and random glucose. Which of the following tubes should the tech choose? -------CORRECT ANSWER---------------Sodium citrate, SST and EDTA A tech is screening potential blood donors. The tech should identify what pt is able to donate blood? -------CORRECT ANSWER---------------A 65 year old pt who weighs 120lbs A tech should identify that a pt who has what blood types is a universal recipient? ------- CORRECT ANSWER---------------AB A tech is caring for a 3 yr old child who weighs 35lbs during 1 month hospital stay, the tech should identify what blood collection amounts is within total volume guidelines for this pt? -------CORRECT ANSWER---------------95 mL A tech is collecting ab blood culture from an infant who weighs 6.6lbs. The tech should identify what the total blood volume is for this infant? -------CORRECT ANSWER---------- -----240-330 mL A tech is instructing a pt ab how to perform a pregnancy test. What statement should the tech include? -------CORRECT ANSWER---------------"Collect your first urine specimen of the morning" A tech is instructing a pt about how to collect a sputum specimen. What statement should the tech make? -------CORRECT ANSWER---------------"You should provide the specimen in the morning before eating or drinking" Which of the following additives should the tech use when performing a peripheral blood smear for a WBC. Count? -------CORRECT ANSWER---------------EDTA A tech is preparing to perform blood collection for blood cultures, PTT and testosterone levels. What order should the tech collect these samples? -------CORRECT ANSWER--- ------------Yellow top Blue top Red top A tech is performing a blood transfusion for a pt who has type O blood. The tech should identify that the pt should receive what types of blood? -------CORRECT ANSWER-------- -------Type O A tech is instructing a pt about how to collect a fecal specimen at home. What instructions should be included? -------CORRECT ANSWER---------------"Do not mix urine with the fecal sample" A tech is performing a brief psychical examination of a prospective blood donor. What measurements would indicate the donors eligibility to donate blood? -------CORRECT ANSWER---------------Hematocrit level 42% A tech has collected a neonatal screening card. What actions should the tech take to properly dry the blood spot collection card? -------CORRECT ANSWER---------------Place card on a flat, dry surface A tech is preparing to load two tubes into a centrifuge. What actions should the tech take? -------CORRECT ANSWER---------------Place tubes of equal volume across from each other A tech is preparing serum samples for the centrifugation. How many minutes should the tech allow the serum samples to stand before loading them into the centrifuge? ------- CORRECT ANSWER---------------30 mins A tech is preparing to draw a blood specimen that must be protected from light. what lab tests will be performed on this specimen? -------CORRECT ANSWER--------------- Bilirubin A tech working in a lab has received six filled evacuated tubes, one of whimsy is missing a label. What action should the tech take? -------CORRECT ANSWER------------- --Recollect the unlabeled specimen What action should a tech take when collecting urine specimen for drug testing? ------- CORRECT ANSWER---------------Seal the specimen in a tamper evident container A tech is preparing to obtain a forensic specimen to determine a pts blood alcohol level. What info should the tech include on the chain of custody form? -------CORRECT ANSWER---------------Date and time of specimen collection A tech has received a urine drug test specimen with a thermometer reading of 29.4 degrees Celsius. What action should the tech take? -------CORRECT ANSWER----------- ----Have the pt provide another urine specimen under observation. A tech has released a specimen to a courier who is transporting it to the lab. What statements should the courier use to instruct the medical specimen accessioner on how to complete the chain of custody form? -------CORRECT ANSWER---------------"Write your name on the form" technician take? ------CORRECT ANSWER----------------Apply blood to the printed side of the filter paper A phlebotomy technician is preparing to draw a blood specimen from a patient who has a Clostridium difficile infection. Which of the following precautions should the technician follow? ------CORRECT ANSWER----------------Contact precautions a phlebotomy technician should ensure that which of the following specimens is protected from light? ------CORRECT ANSWER----------------Bilirubin ( a bilirubin specimen is photosensitive. Therefore, the technician should protect the specimen from Light by wrapping the specimen in aluminum foil.) A phlebotomy technician is exposed to blood via a needle stick injury. Within how many hours should the technician initiate postexposure prophylaxis (PEP)? ------CORRECT ANSWER----------------24 hr A phlebotomy technician is preparing to collect a Time 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? ------ CORRECT ANSWER----------------Nurse A phlebotomy technician is preparing to collect a blood specimen from a patient who states he his HIV positive. which of the following actions should the technician take? ---- --CORRECT ANSWER----------------Perform the venipuncture A phlebotomy technician is selecting a site for a blood draw from a patient. From which of the following vein should the technician attempt to draw first? ------CORRECT ANSWER----------------Median cubital A phlebotomy technician uses a sterile technique and demonstrates proper hygiene. Which of the following professional characteristics is the technician displaying? ------ CORRECT ANSWER----------------Attention to cleanliness A patient who has diabetes states that he prefers to be drawn on the inside of his wrist. Which of the following actions should a phlebotomy technician take? ------CORRECT ANSWER----------------Attempt to draw from the antecubital region A phlebotomy technician is preparing to collect a specimen for a blood alcohol level test. Which of the following antiseptics should the technician use to clean the venipuncture site? ------CORRECT ANSWER----------------Soap and water 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? ------CORRECT ANSWER-------------- --An aerobic bottle and an anaerobic bottle a phlebotomy technician is preparing a patient for a routine venipuncture. Which of the following antiseptic Solutions should the technician use? ------CORRECT ANSWER------ ----------Isopropyl alcohol which of the following actions is a phlebotomy technician required to take before leaving a patient's room? ------CORRECT ANSWER----------------initial and mark the date and time on each tube drawn. A phlebotomy technician has collected a blood specimen from a patient who is in an isolation room. Which of the following pieces of personal protective equipment (PPE) should the technician remove first? ------CORRECT ANSWER----------------Gloves After exiting a patient's room, which of the following is the last piece of personal protective equipment (PPE) a phlebotomy technician should remove? ------CORRECT ANSWER----------------Mask A phlebotomy technician is removing a bag of contaminated items from a collection area. Which of the following actions should the technician take to properly dispose of the items? ------CORRECT ANSWER----------------Place the bag inside a second hazardous waste bag outside of the room A phlebotomy technician has a requisition form for a series of tests on a patient's serum. The technician should select a collection tube that contains which of the following additives? ------CORRECT ANSWER----------------Thrombin ( the technician should use a collection tube that has the additive thrombin, which helps accelerate clotting from serum specimens.) The phlebotomy technician is preparing to obtain a blood specimen from a patient for thyroid studies. The technician should select a collection tube that has a top with which of the following colors? ------CORRECT ANSWER----------------Speckled A phlebotomy technician is preparing to perform a venipuncture on a patient who has small, rolling veins. Which of the following equipment should the technician use ------ CORRECT ANSWER----------------Winged infusion set a phlebotomy technician is drawing a patient's blood when the patient states that she is becoming dizzy and light-headed. Which of the following actions should the technician take first? ------CORRECT ANSWER----------------remove the tourniquet and needle For which of the following reasons should a phlebotomy technician exam in the antecubital areas in both of a patient's? ------CORRECT ANSWER----------------The media cubital vein could be more accessible on one side than the other. A phlebotomy technician is planning to collect a spirit specimen from a patient. Which of the following instructions should the technician give the patient? ------CORRECT A phlebotomy technician observes a hematoma developing at the site of a venous blood draw. Which of the following actions should the technician take? ------CORRECT ANSWER----------------Release the tourniquet and stop the draw. which of the following blood tests should a phlebotomy technician place in ice immediately following collection? ------CORRECT ANSWER----------------Ammonia ( The technician should immediately chill ammonia specimens following collection to prevent chemical changes that alter test results.) A phlebotomy technician obtains two readings of 17 mg/dL when performing a glucometer test for a patient. Which of the following actions should the technician take? ------CORRECT ANSWER----------------Perform a set of liquid controls (The technician should perform quality control testing to verify that the glucometer is working correctly.) when performing a hand draw, which of the following steps should a phlebotomy technician take before removing the needle? ------CORRECT ANSWER---------------- disengage the tube from the adapter. a phlebotomy technician should select a tube that has which of the following additives when collecting a blood specimen for a CBC? ------CORRECT ANSWER---------------- EDTA which of the following tests is the most common point-of-care test performed at home and in medical facilities? ------CORRECT ANSWER----------------glucose ( blood glucose monitoring is the most widely used point-of-care test, evaluating blood glucose levels at any given time.) a phlebotomy technician is preparing to draw a peak level for a medication that was administered orally to a patient. After verifying when the patient received the medication, how long should a medication weight prior to attempting to draw? ------ CORRECT ANSWER----------------2 hr after Administration ( the technician should collect a peak level 1 to 2 hr following an oral Administration to ensure that the medication is not at a toxic level.) A phlebotomy technician is preparing to collect a blood specimen from a patient. Which of the following statements should the technician make prior to performing the venipuncture? ------CORRECT ANSWER----------------"Your provider has requested this test." Which of the following actions should a phlebotomy technician take to verify the quality of venipuncture supplies before beginning a blood draw on an adult patient? ------ CORRECT ANSWER----------------inspect the Integrity of the needle's seal The Joint Commission recommends using the patient's full name and which of the following pieces of information to ensure accurate and patient identification? ------ CORRECT ANSWER----------------medical record number how frequently should a phlebotomy technician perform a quality control test on a glucometer in the laboratory? ------CORRECT ANSWER----------------everyday the meter is used which of the following actions should a phlebotomy technician take to maintain compliance with HIPAA? ------CORRECT ANSWER----------------clear phone numbers from the fax machine a phlebotomy technician is instructing a patient about how to collect a 24-hour urine specimen. Which of the following instructions should the technician include? ------ CORRECT ANSWER----------------discard the first void of the morning ( the technician should instruct the patient to discard the first Floyd of the morning and collect all subsequent void until the next morning.) A phlebotomy technician is instructing a patient about how to collect a fecal occult specimen. Which of the following instructions should the technician include? ------ CORRECT ANSWER----------------Avoid taking ibuprofen ( the technician should instruct the patient to avoid taking ibuprofen, which can cause false-positive test 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? ------ CORRECT ANSWER----------------hold the draw until the nurse has attached a wristband to the patient a phlebotomy technician is preparing to enter a patient's room to collect a blood specimen. which of the following actions should the technician plan to take? ------ CORRECT ANSWER----------------communicate name and Department affiliation to the patient a phlebotomy technician is updating a quality control record while performing daily point-of-care test. Which of the following information should the technician include? ------ CORRECT ANSWER----------------expiration date ( the technician should know the expiration date of the device when updating a quality control record.) a phlebotomy technician uses alcohol to clean a venipuncture site. Before performing the venipuncture, the technician should allow the site to dry for which of the following reasons? ------CORRECT ANSWER----------------alcohol requires time for antiseptic action to take effect A phlebotomy technician is performing a venipuncture using a winged infusion set. The red-topped tube fills, but the light blue-topped tube slow and does not fill completely. Which of the following actions should the technician take? ------CORRECT ANSWER---- ------------insert a new light blue-topped tube to see if it will feel. ( the tube might have low vacuum. Instead of performing a new venipuncture, the technician should check to see if a new light blue-topped tube will fill completely.) a phlebotomy technician in an outpatient facility finds a patient who is in shock and bleeding profusely from his leg. Which of the following actions should the technician take first? ------CORRECT ANSWER----------------apply direct pressure to the wound ( the first step the technician should take is to control the Hemorrhage by applying direct pressure to the patient's wound.) 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? ----- -CORRECT ANSWER----------------0.3 ng/mL (The technitian should identify that a troponin T level of 0.3 ng/mL is above the expected refrence range of 0 to 0.2 ng/mL and is therefore a critical value. The technitian should immediately report this finding to the provider.) which of the following actions should a phlebotomy technician take when reporting laboratory results? ------CORRECT ANSWER----------------send the results to the patient's ordering provider A phlebotomy Texhnician is obtaining a blood specimen from a patient. The patient reports experiencing sharp, painful, and tingling sensation going down her arm and into her hand. The technician should recognize that which of the following complications of venipuncture is occuring? ------CORRECT ANSWER----------------nerve injury ------CORRECT ANSWER---------------- A patient asks a phlebotomy technician to use her finger for blood work. In which of the following situations can the technician collect blood from the patient's finger? ------ CORRECT ANSWER----------------The ordered test can be performed on a capillary specimen. A phlebotomy technician is preparing to draw blood specimens from a patient who is alone and unresponsive. The technician should collect the specimens using which of the following forms of consent? ------CORRECT ANSWER----------------Implied Consent (Emergency Situations use implied consent to provide immediate treatment to save a patient's life. The patient may be unresponsive but is still entitled to continued care.) A phlebotomy Technician is preparing to draw blood from a patient who states that this is his first blood draw. Which of the following actions should the technician take? ------ CORRECT ANSWER----------------Describe the procedure to the patient. After placing a tourniquet on a patient's arm, a phlebotomy technician notices small red spots below the tourniquet. Which of the following terms describe these spots? ------ CORRECT ANSWER----------------Petechiae After verifying a patient's identity, a phlebotomy sees that the patient's laboratory results are ready. Which of the following actions should the technician take? ------CORRECT ANSWER----------------Inform the patient to contact the ordering provider to obtain the results. ( Only the ordering provider can discuss laboratory results with the patient. The technician should instinct the patient to contact the provide to obtain the laboratory results. ) A phlebotomy Technician is preparing to draw blood from a patient who states that she fainted during her last blood draw. Which of the following actions should the technician take? ------CORRECT ANSWER----------------ask the patient to lie down for the procedure A phlebotomy Technician is processing a semen specimen. Which of the following actions should the technician take? ------CORRECT ANSWER----------------Deliver the specimen to the Laboratory within 2hr. A phlebotomy technician performs a point-of-care glucose test for a patient in an outpatient settings. The results is in the critical value range. Which of the following actions should the technician take? ------CORRECT ANSWER----------------Report the result to the patient's provider. A phlebotomy technician is introducing herself to a patient and explaining the venipuncture procedure. In which of the following comfort zones is the technician working? ------CORRECT ANSWER----------------Personal (The personality interpersonal space refers to interactions within 45.7 cm to 1.2 m (18 in to 4 feet) of patient, such as when the technician explains the venipuncture procedure.) A phlebotomy technician is informing a patient about how to enter a basal state for a blood collection. The technician should inform the patient not to consume food for how many hours prior to blood collection? ------CORRECT ANSWER----------------12 hr A phlebotomy technician is preparing to perform a hand draw. Which of the following equipment should the technician assemble? ------CORRECT ANSWER---------------- winged infusion set and adapter A phlebotomy technician collects multiple specimens from a premature infant. Which of the following is a possible result of procedure? ------CORRECT ANSWER---------------- latrogenic anemia (The technician should identify that latrogenic anemia is a possible result of the procedure and is caused by too much blood loss in a short amount of time.)