NHA PHLEBOTOMY TECHNICIAN CERTIFICATION EXAM ACTUAL EXAM 2024 | ALL 100 QUESTIONS AND ANS, Exams of Nursing

Download NHA PHLEBOTOMY TECHNICIAN CERTIFICATION EXAM ACTUAL EXAM 2024 | ALL 100 QUESTIONS AND ANS and more Exams Nursing in PDF only on Docsity! NHA PHLEBOTOMY TECHNICIAN CERTIFICATION EXAM ACTUAL EXAM 2024 | ALL 100 QUESTIONS AND CORRECT ANSWERS | AUMT MOCK NHA | ALREADY GRADED A+ | LATEST VERSION 1. Besides gloves which of the following PPE should a phlebotomist wear when drawing on a patient with pneumonia? A. Face mask B. Gown C. N95 Respirator D. Shoe covers ------CORRECT ANSWER---------------A. Face mask 2. A phlebotomists noticed that a blood collection tube is cracked what steps should the phlebotomists take? A. Send tube to the lab as is. B. Discard the tube in a glove. C. Discard tube in a sharp's container. D. Dispose of tube in the trash ------CORRECT ANSWER---------------C. Discard tube in a sharp's container. 3. A parent asks the phlebotomist for the results of their young adults point of care test (POCT) test, what steps should the phlebotomists take? A. Write down the results for the parent and the patient. B. Ask the patient to leave the room and tell the parent. C. Show the parent the results in the hallway. D. Ask the patient for the permission to disclose results with the parent present. ------CORRECT ANSWER---------------B. Ask the patient to leave the room and tell the parent. 4. A patient starts to cry and is unwilling to extend her arm for the third draw of a glucose tolerance test (GTT), what is the proper statement for the phlebotomist to make? A. "I will get a nurse to hold your hand." B. "May I perform the draw?" C. "You may come back tomorrow to get the draw done." D. "I will draw the blood anyway." ------CORRECT ANSWER---------------B. "May I perform the draw?" 5. While performing a glucose monitor quality control check the phlebotomist should record which of the following? A. Date of battery charge B. Water bath temperature C. Date of patient test results D. Time of lunch break ------CORRECT ANSWER---------------A. Date of battery charge 6. A phlebotomist gets a glucometer reading of 250 mg/dL on a patient, a second test reads in the normal range, which of the following could have happened? A. Too little blood was used. B. The first drop of blood was used. C. The finger was dirty. D. The test strips were left open. ------CORRECT ANSWER---------------C. The finger was dirty. 7. What should a phlebotomist use to clean up a large blood spill? A. Chlorine Bleach 16. Which of the following is the phlebotomist most likely to experience upon receiving an accidental needle stick? A. Hepatitis A Virus (HAV) B. Human Papilloma Virus (HPV) C. Human Immunodeficiency Virus (HIV) D. Hepatitis B Virus (HBV) ------CORRECT ANSWER---------------D. Hepatitis B Virus (HBV) 17. If a phlebotomist receives a splash of blood to the eyes while aliquoting a specimen, which of the following will be the phlebotomist's first course of action? A. Blink eyes repeatedly B. Notify supervisor C. Rinse eyes with water for a minimum of 15 min. D. Rinse eyes with saline for 2 min. ------CORRECT ANSWER--------------- C. Rinse eyes with water for a minimum of 15 min. 18. Which of the following departments is responsible for processing a Blood Culture, occult (stool) blood card and urine culture and sensitivity (C&S)? A. Chemistry B. Coagulation C. Hematology D. Microbiology ------CORRECT ANSWER---------------D. Microbiology 19. Which of the following would a phlebotomist use to clean a venipuncture site for a blood alcohol test? A. 70% Isopropyl Alcohol B. Benzalkonium Chloride C. Chlorhexidine Gluconate D. Iodine ------CORRECT ANSWER---------------D. Iodine 20. A phlebotomy technician is performing a venipuncture on a patient who has a wound infected with methicillin-resistant Staphylococcus aureus (MRSA) and has been placed in isolation. Which of the following actions should the technician take once the procedure is complete? A. Dispose of gown before leaving the room. B. Dispose of gloves after leaving the room. C. Remove show covers after leaving the room. D. Clean the gown before leaving the room. ------CORRECT ANSWER------ ---------A. Dispose of gown before leaving the room. 21. Which of the following is the best time to collect urine pregnancy test? A. First-morning B. Mid Afternoon C. Random D. Late in the evening ------CORRECT ANSWER---------------A. First- morning 22. Which of the following questions should the phlebotomist ask a patient with hearing aids in order to ensure the patient understands the procedure? A. "Did you hear what I said?" B. "Would you like me to repeat the directions?" C. "Can you read my lips?" D. "Do you understand the words that are coming out of my mouth?" ------ CORRECT ANSWER---------------B. "Would you like me to repeat the directions?" 23. Which of the following is an acceptable from of identification on an outpatient? A. Attached ID band, full name, accession number B. Picture ID, full name, date of birth C. Accession number, date of birth D. Date of draw, time to draw ------CORRECT ANSWER---------------B. Picture ID, full name, date of birth 24. Upon entering a patient's room, the phlebotomist notices that the patient's identification band is on the bed rail, the patient doesn't like to wear it, what should be the phlebotomists next course of action? A. Ask the nurse to replace the identification band on the patient. B. Ask the patients neighbor to replace the band. C. Proceed with the draw. D. Ask the patient for their driver's license. ------CORRECT ANSWER-------- -------A. Ask the nurse to replace the identification band on the patient. 25. An older adult patient comes into an outpatient facility to have blood drawn, accompanied by a younger adult, the phlebotomist should do which of the following? A. Obtain consent from the patient and proceed with the draw. B. Speak to the patient in a loud voice. C. Speak to the patient in a normal tone. D. Stand close to the patient while speaking. ------CORRECT ANSWER----- ----------A. Obtain consent from the patient and proceed with the draw. 26. A patient has been admitted for life threatening cardiac symptoms, which of the actions should the phlebotomist take? A. Proceed with collecting the patients' blood. B. Ask for the patient's phone number. C. Proceed with other duties. D. Ask for consent from a family member. ------CORRECT ANSWER--------- ------A. Proceed with collecting the patients' blood. 27. A phlebotomist has an order to draw a patient who recently had a dose of Antibiotic medication, which of the following levels would the phlebotomist be collecting? 35. A phlebotomy technician is preparing to collect a blood sample from a patient for a cholesterol test. Which of the following statements should the technician make? A. "Please sit for at least 5 minutes before the test." B. "Please take any prescribed medication after the test." C. "Avoid eating red meat the day before the test." D. "Avoid any caffeine on the day of the test." ------CORRECT ANSWER---- -----------C. "Avoid eating red meat the day before the test." 36. In order to prevent reflux or back flow of anticoagulants the phlebotomist should place patients arm in which position? A. A 30-degree angle. B. Elbow bent at a 90 degree angle. C. Fully extended from the shoulder to the wrist. D. Hanging down at the patient's side. ------CORRECT ANSWER-------------- -C. Fully extended from the shoulder to the wrist. 37. To collect a coagulation test on a 4-year old patient the phlebotomist should use which of the following methods? A. Winged infusion set. B. Finger stick. C. Heel stick D. ETS system ------CORRECT ANSWER---------------A. Winged infusion set. 38. Upon entering a patient room, the phlebotomist notices that the patient has an IV in both arms, which action should be phlebotomist take? A. Ask the nurse to turn the IVs off for 10 minutes. B. Apply the tourniquet above the IV site. C. Ask the nurse to turn the IV's off for 30 minutes. D. Ask the nurse to turn the IV's off for 2 minutes. ------CORRECT ANSWER---------------D. Ask the nurse to turn the IV's off for 2 minutes. 39. Which of the following instructions should the phlebotomist give to a patient who must collect a 24-hour urine? A. "Reduce the amount of liquid intake" B. "Start collecting at the first void of the day." C. "Start collecting at the second void of the day." D. "Store the specimen at room temperature." ------CORRECT ANSWER--- ------------C. "Start collecting at the second void of the day." 40. Which of the following is true for a Urine specimen culture and sensitivity collection? A. Midstream clean-catch specimen. B. Collect a first morning void. C. Collect the specimen after a 2 hour fast. D. You will need to collect the specimen 2 hours after eating. ------ CORRECT ANSWER---------------A. Midstream clean-catch specimen. 41. Which of the following equipment should the phlebotomist use on 30- year-old patient with small veins? A. 23-gauge winged infusion set B. 23-gauge ETS eclipse needle C. 21-gauge winged collection set D. 21-gauge syringe collection set ------CORRECT ANSWER---------------A. 23-gauge winged infusion set 42. While performing equipment inventory a phlebotomist notices that there are several expired tubes, which of the following is the best action for the phlebotomist to take? A. Dispose of the tubes in a trash can. B. Dispose of the tubes in a sharp's container and order new ones. C. Use the expired tube regardless of the tube. D. Use the tube within 30 days of expiration. ------CORRECT ANSWER----- ----------B. Dispose of the tubes in a sharp's container and order new ones. 43. While performing a routine venipuncture for a CBC, glucose and potassium test on a patient the phlebotomist leaves the tourniquet on for 3 minutes, which of the following outcomes could the phlebotomist expect? A. Low potassium level B. Low iron level C. High CBC level D. High potassium level ------CORRECT ANSWER---------------D. High potassium level 44. Which of the following locations would be the best choice for a phlebotomist draw if the patient has edema on the right arm? A. Right side median cubital B. Left side median cephalic (?) C. Left side hand D. Right side dorsal hand ------CORRECT ANSWER---------------C. Left side hand 45. If a phlebotomist used povidone iodine to clean a capillary puncture site, which of the following may occur? A. Decreased potassium level B. Increased potassium level C. Decreased glucose levels D. Increased glucose levels ------CORRECT ANSWER---------------B. Increased potassium level 46. Which of the following is the correct way to anchor a vein for a venipuncture? A. Position the needle at a 90 degree angle above the puncture site. B. Perform a "C" hold over the intended puncture site. C. Anchor the vein 2.5 to 5 cm (1 to 2 in) below the puncture site. D. Insert the needle slowly at the puncture site. ------CORRECT ANSWER-- -------------C. Anchor the vein 2.5 to 5 cm (1 to 2 in) below the puncture site. A. Green micro collection container, yellow micro collection container, then red micro collection container. B. Lavender micro collection container, red micro collection container, then green micro collection container. C. Lavender micro collection container, green micro collection container, then red micro collection container. D. Red micro collection container, green micro collection container, then lavender micro collection container. ------CORRECT ANSWER--------------- C. Lavender micro collection container, green micro collection container, then red micro collection container. 55. Upon completion of a venipuncture on a patient the phlebotomist must label tubes with preprinted labels, which of the following information should the phlebotomist include on the label? A. Phlebotomists initials, date and time of collection B. Patients social security number, accession number, and time of collection C. Physicians initials, date, and time of collection D. Phlebotomists initials, provider's name, and patient's date of birth ------ CORRECT ANSWER---------------A. Phlebotomists initials, date and time of collection 56. Which of the following actions should a phlebotomist take if they accidentally puncture an artery during a venipuncture? A. Instruct the patient to lay down. B. Apply pressure on the site for at least 30 minutes. C. Apply pressure for 2 minutes. D. Apply pressure on the site for at least 5 minutes. ------CORRECT ANSWER---------------D. Apply pressure on the site for at least 5 minutes. 57. Which of the following equipment is appropriate to use for a heel stick on a 10-month-old infant? A. Butterfly with a 21-gauge needle and a lavender evacuated tube B. Lancet with a 2 mm depth and a lavender micro collection container C. Lancet with a 1 mm depth and a green micro collection container D. Syringe with a 25-gauge needle and a grey evacuated tube ------ CORRECT ANSWER---------------B. Lancet with a 2 mm depth and a lavender micro collection container 58. Which of the following is the correct order of draw for a Clotting time test, WBC, and lipid profile test? A. Light blue, gold, lavender B. Purple, orange, light blue C. Serum, grey, light yellow SPS D. Green, light yellow ACD, serum ------CORRECT ANSWER---------------A. Light blue, gold, lavender 59. Upon performing a routine venipuncture, the vein of the patient collapses, which of the following could be the cause? A. Using a 25-gauge winged infusion set B. Inserting a micro evacuated tube C. Applying the blood pressure cuff to 40 mmHg D. Applying the tourniquet too tightly ------CORRECT ANSWER--------------- D. Applying the tourniquet too tightly 60. Which of the following test should be collected first? A. Blood Culture B. Cholesterol C. Complete Blood Count (CBC) D. Basic Metabolic Panel (BMP) ------CORRECT ANSWER---------------A. Blood Culture 61. Which of the following is the proper way to process a WBC differential test, testosterone test and a glucose test? A. Prepare a slide from an orange-topped tube and centrifuge a light blue- topped tube and a yellow-topped tube. B. Prepare a slide from a red-topped tube and centrifuge a light-blue topped tube and a lavender-topped tube. C. Prepare a slide from a lavender-topped tube and centrifuge a red-topped tube and a gray-topped tube. D. Prepare a slide from a light-blue topped tube and centrifuge a light blue- topped tube and a red-topped tube. ------CORRECT ANSWER--------------- C. Prepare a slide from a lavender-topped tube and centrifuge a red-topped tube and a gray-topped tube. 62. To properly prepare a peripheral blood smear from a capillary puncture, which of the following should be done first? A. Pipette the blood onto the center of the slide. B. Touch the slide to the second drop of blood. C. Touch the slide to the first drop of blood. D. Pipette the blood to the bottom of the slide. ------CORRECT ANSWER--- ------------B. Touch the slide to the second drop of blood. 63. Which of the following is the proper order of draw for a blood culture test, a PTT and a CBC test using the syringe method? A. SPS tube, anaerobic bottle, EDTA, light-blue-topped tube B. Aerobic bottle, anaerobic bottle, light blue topped tube, EDTA C. Lavender tube, light-blue-topped tube, aerobic bottle, anaerobic bottle D. Anaerobic bottle, aerobic bottle, light blue tube and lavender tube ------ CORRECT ANSWER---------------D. Anaerobic bottle, aerobic bottle, light blue tube and lavender tube 64. Which of the following is the correct way to collect two sets of blood cultures? A. Collect one set from the patient's right arm and one set from a different site on the same arm. B. Collect one set from the antecubital region and one set from the back of the patient's leg. C. Collect one set from the patient's left arm and one set from the same location 5 minutes later. C. 550 to 770mL D. 170 to 250mL ------CORRECT ANSWER---------------B. 240 to 330mL 73. A patient is going to collect a pregnancy test, which of the following statements should the phlebotomist make? A. "Collect your last urine specimen of the morning." B. "Collect your urine specimen after fasting for 24 hours." C. "Collect your first urine specimen of the morning." D. "Collect your urine specimen after a full meal." ------CORRECT ANSWER---------------C. "Collect your first urine specimen of the morning." 74. A patient is going to collect a sputum specimen, which of the following statements should the phlebotomist make? A. "You should provide the specimen in the evening after eating and drinking." B. "You should provide the specimen in the morning before eating and drinking." C. "You should provide the specimen in the morning after eating breakfast." D. "You should provide the specimen in the evening after eating dinner." --- ---CORRECT ANSWER---------------B. "You should provide the specimen in the morning before eating and drinking." 75. When performing a peripheral blood smear, the phlebotomist should know that which additive is correct for the test? A. EDTA B. Sodium Na C. K Oxalate D. Heparin ------CORRECT ANSWER---------------A. EDTA (lavender top) 76. Which of the following is the correct order of draw for a PTT, blood culture and testosterone levels? A. Orange-topped tube, Green-topped tube, grey-topped tube B. Yellow-topped tube, light blue-topped tube, red-topped tube C. Blue-topped tube, red-topped tube, yellow-topped tube D. Lavender-topped tube, yellow-topped tube, Tiger-Topped tube ------ CORRECT ANSWER---------------B. Yellow-topped tube, light blue-topped tube, red-topped tube 77. If a patient has type O blood which of the following types of blood can the patient receive? A. Type B B. Type AB C. Type A D. Type O ------CORRECT ANSWER---------------D. Type O 78. Which of the following statements should a phlebotomist make to a patient who will be collecting a fecal specimen at home? A. "Do not mix urine with the fecal specimen." B. "Do not mix water with the urine sample." C. "Do not mix soda with the fecal sample." D. "Scoop urine from the toilet into the container." ------CORRECT ANSWER---------------A. "Do not mix urine with the fecal specimen." 79. Which of the following would indicate a possible blood donors' eligibility to donate blood? A. Diastolic blood pressure 110 mmHg B. Temperature 37.7 degrees Celsius (99.8F) C. Hematocrit level 42% D. Pulse rate 40/min ------CORRECT ANSWER---------------C. Hematocrit level 42% 80. Which of the following is the correct action to take after collection of a neonatal screening card? A. Place the card incubator B. Place the card on a flat, dry surface for 3 hours. C. Place the card inside of a biohazard bag D. Stack cards on top of one another ------CORRECT ANSWER--------------- B. Place the card on a flat, dry surface for 3 hours. 81. Of the following options, which is the best action to take when loading a centrifuge? A. Place tubes of equal volume across from each other. B. Place tubes of equal volume adjacent to each other. C. Place tubes of unequal volume across from each other. D. Place tubes of unequal volume adjacent to each other. ------CORRECT ANSWER---------------A. Place tubes of equal volume across from each other 82. Before loading serum specimens into the centrifuge, how long should the phlebotomist allow the serum specimens to clot? A. 75 min B. 10 min C. 30 min D. 3 min ------CORRECT ANSWER---------------C. 30 min 83. Which of the following specimens needs to be protected from light? A. Coagulation B. BUN C. CMP D. Bilirubin ------CORRECT ANSWER---------------D. Bilirubin 84. A phlebotomist is processing six evacuated tubes on the same patient, one of the tubes is not labeled, what would be the phlebotomists nest course of action? A. Print a barcoded label for the unlabeled specimen. B. Recollect the unlabeled specimen. D. Current patients' whereabouts ------CORRECT ANSWER---------------B. Previous laboratory results 93. Of the following choices, which one would be the best in accessing a patient's medical records in the laboratory information system? A. Laboratory requisition number B. Medical laboratory number C. Provider name and phone number D. Patient identification number ------CORRECT ANSWER---------------D. Patient identification number 94. Which of the following would a phlebotomist expect a patient to have if their POCT glucometer reading is 46 mg/dL? A. Slow breathing B. Rapid heartbeat C. Rapid breathing D. Slow vision ------CORRECT ANSWER---------------B. Rapid heartbeat 95. Which of the following POCT values for a hemoglobin test should be reported to the provider? A. 9.2 g/dL B. 12.0 g/dL C. 16.0 g/dL D. 17.5 g/dL ------CORRECT ANSWER---------------A. 9.2 g/dL 96. A patient is having a POCT test for total cholesterol, which of the following results should be reported to the provider? A. 175 mg/dL B. 143 mg/dL C. 165 mg/dL D. 250 mg/dL ------CORRECT ANSWER---------------D. 250 mg/dL 97. The amount of blood volume the phlebotomist will need to collect for a patient's endocrinology tests will exceed the daily amount, which of the following actions should the phlebotomists take? A. Contact the patient. B. Contact the patient's parents. C. Contact the patient's endocrinologist. D. Contact the patient's primary care physician. ------CORRECT ANSWER- --------------C. Contact the patient's endocrinologist. 98. Which of the following test results would take precedence in distribution to physicians? A. STAT CBC drawn in surgery B. POCT glucose drawn C. ASAP Ammonia in ER D. Blood culture drawn in Urgent Care ------CORRECT ANSWER------------- --A. STAT CBC drawn in surgery 99. Which of the following should be refrigerated before transportation? A. Cold agglutinins B. Von Willebrand factor assay C. CMP D. Lactic Acid ------CORRECT ANSWER---------------D. Lactic Acid 100. While transporting a Cold agglutinin specimen to the laboratory the phlebotomist should make sure that the temperature of the specimen is kept at which of the following? A. 0 degree celsius (32 degree F) B. 37 degree celsius (98.6 degree F) C. 4 degree celsius (39.2 degree F) D. 21 degree celsius (69.8 degree F) ------CORRECT ANSWER--------------- B. 37 degree celsius (98.6 degree F)