NHA Phlebotomy Technician Exam, Exams of Nursing

Download NHA Phlebotomy Technician Exam and more Exams Nursing in PDF only on Docsity! pg. 1 1 NHA PHLEBOTOMY TECHNICIAN EXAM 1. A phlebotomy technician is preparing to perform a venipuncture for a patient who has pneumonia. Besides gloves, which of the following pieces of personal protective equipment should the technician wear?: Face mask 2. while collecting a blood specimen, a phlebotomy technician notices the glass collection tube is cracked. Which of the following actions should the technician use?: Dispose of the tube in a sharps container 3. A phlebotomy technician is performing a glucometer reading for a young adult patient. The patients parent id in the room and asks about the patients glucose level. Which of the following actions should the technician take?: - Ask the patient for permission to disclose the results with the parent present 4. A phlebotomy technician is preparing to perform the third set of blood draws for a glucose tolerance test, The patient starts to cry and refuses to extend her arm for the draw. Which of the following statements should the technician make?: "May I please perform the draw?" 5. CPT is preparing to complete the glucose monitor quality control (QC) log. Which information should the technician record in the quality control record?: Date of battery change 6. A technician experiences a needlestick injury while performing a venipuncture. What should the technician include in the sharps injury log?- : The department where the injury happened 7. When testing a p.t for pneumonia, a phlebotomist should implement what type of transmission-based precaution?: Droplet 8. what actions should a phlebotomist take when performing a blood culture collection?: cleanse site with chlorhexidine gluconate using back & forth motions with friction 9. A technician experiences a needlestick injury while performing a draw. They are at greater risk of exposure to what bloodborne pathogens?: Hep. B (HBV) 10. A tech. receives a splash of blood to the eye while transferring serum into an isolator tube. What action should they take first?: Rinse eye with water 11. 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?: "Would you like me to repeat the directions?" pg. 2 2 12. A tech should identify which information is required for positive identifi- cation of a pt. In an outpatient facility?: Picture ID, full name, DOB pg. 5 5 NHA PHLEBOTOMY TECHNICIAN EXAM 25. A tech is performing venipuncture on a pt with small veins and a CBC and a PTT test are ordered. Which tubes should the tech use?: 1 serum (plain/waste) tube (butterflies have air in tubing) & 1 light-blue tube 26. A pt sits down for a blood draw in an outpatient setting, rolls up her sleeve, and extends her arm. The pt turns her head away from the tech and says "I don't want my blood drawn" which responses should the tech make to the pt?: "May I draw your blood" 27. A tech is performing venipuncture on a deep median cubital vein. What methods of withdrawal should the tech use?: insert needle bevel up at a 30 degree angle 28. A tech is performing venipuncture on the dorsal side of the hand at a 15-degree angle resulting in slow blood flow and the development of a hematoma. What should the tech identify as the cause of the hematoma?: - Needle went through the vein 29. 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?: get a new tube and verify the expiration date 30. A tech is preforming a veni. After removing the needle cap what steps should the tech take?: Anchor the vein 2.5-5 cm (1-2in) below the puncture site 31. A tech is drawing blood through a hematoma. What errors should the tech expect to see in the specimen?: Hemolysis 32. 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: Tech initials, date, and time of collection 33. A tech accidentally punctures a patients artery during a veni. Procedure. What actions should the tech take?: Apply pressure on the site for at least 5 mins, then reassess 34. A tech is preparing to perform a CBC for a 7-month-old infant.What equip- ment will the tech need?: Lancet with 2mm depth and a EDTA microcollection tube 35. A tech is performing venipuncture on a pt. when the needle is inserted the vein collapses. What is a possible cause?: Applying the tourniquet too tight 36. A tech is preparing a peripheral blood slide form a capillary puncture. pg. 6 6 What action should the tech take?: Touch the slide to the second drop of blood pg. 7 7 NHA PHLEBOTOMY TECHNICIAN EXAM 37. A tech is preforming two sets of blood cultures for a pt what action should the tech take?: Collect from 2 different sites 38. A tech is collecting capillary blood from a pt for neonatal screening. What actions should the tech take to complete the newborn screening card?: - Touch the paper to a drop of blood and saturate each circle of the card 39. A tech is preparing to perform a neonatal screening test. The tech should identify what is the optimal time to perform the test?: Between 24-72 hr after birth 40. A tech is screening potential blood donors. The tech should identify what pt is able to donate blood?: A pt who weighs 110lbs 41. A tech is instructing a pt about how to collect a sputum specimen. What statement should the tech make?: "You should provide the specimen in the morning before eating or drinking" 42. Which of the following additives should the tech use when performing a peripheral blood smear for a WBC count?: EDTA 43. A tech is instructing a pt about how to collect a fecal specimen at home. What instructions should be included?: "Do not mix urine with the fecal sample" 44. A tech has collected a neonatal screening card. What actions should the tech take to properly dry the blood spot collection card?: Place card on a flat, dry surface 45. A tech is preparing to load two tubes into a centrifuge. What actions should the tech take?: Place tubes of equal volume across from each other 46. 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?: 30-60 mins 47. A tech is preparing to draw a blood specimen that must be protected from light. what lab tests will be performed on this specimen?: Bilirubin 48. 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?: Recollect the unlabeled specimen 49. 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?: Date and time of specimen collection pg. 10 10 pg. 11 11 NHA PHLEBOTOMY TECHNICIAN EXAM 64. A phlebotomy technician is preparing to collect a blood specimen from a patient who is HIV positive. Which of the following actions should the technician take?: Perform the venipuncture 65. 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?: Explain that we don't draw from the inside of the wrist 66. 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?: Place the bag in a second hazardous waste bag outside of the room 67. A patient states that he is a "difficult draw" and requests a skin puncture. The test ordered is a PTT. Which of the following should a phlebotomy technician perform?: A syringe draw transferred into a light-blue tube using a transfer device 68. A phlebotomy technician is planning to collect a sputum specimen from a patient. Which of the following instructions should the technician give the patient?: "Breath deeply and then cough (expectorate) up a specimen into the container" 69. Which of the following information should a phlebotomy technician docu- ment when adhering to the chain of custody guidelines?: Identity of everyone who had possession of the specimen 70. Which of the following is the best method for a phlebotomy technician to collect a blood specimen from an older adult patient who has fragile, easy-to-collapse veins?: Choose a syringe and butterfly assembly and transfer to an ETS tube 71. A phlebotomy technician is preparing to perform a lactic acid test. Which of the following actions should the technician take?: Collect the specimen in a gray-topped tube 72. After a phlebotomy technician performs a heel puncture for neonatal screening, which of the following is the correct procedure for collecting the blood?: Saturate each circle with one drop of blood 73. Which of the following actions should a phlebotomy technician take when preparing a peripheral blood smear?: Place a 1mm drop of blood one-half inch from the edge of the slide pg. 12 12 74. A phlebotomy tech is preparing to perform venipuncture for a patient who is on droplet precautions. In addition to following standard precautions,