NHA phlebotomy technician exam-Answered-Graded A, Exams of Nursing

Download NHA phlebotomy technician exam-Answered-Graded A and more Exams Nursing in PDF only on Docsity! NHA phlebotomy technician exam-Answered- Graded A 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 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 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 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?" phlebotomy Technician is preparing to complete the glucose monitor quality control record. Which information should the technician record in the quality control record? 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? Too much blood was used What solution should a technician used to clean a cerebral spinal specimen spill? Chlorine bleach A technician experiences a needlestick injury while performing a venipuncture. What should the technician include in the online sharps injury log? The department where the injury happened When testing a p.t for streptococcal pharyngitis, a phlebotomist should implement what type of transmission-based precaution? Droplet what actions should a phlebotomist take when performing a blood culture collection? 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? 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? 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? class C A technician finishes performing a blood draw in an isolation room. What PPE should be removed FIRST? Gloves A technician is preparing to aliquot a blood specimen. What PPE are the minimum requirments for the technician to wear? A tech is preparing to collect blood from a pt who has experienced syncope during previous draws. Which action should the tech take? Place the pt in a supine position A pts asks a tech why his blood is being drawn. What response should the tech make? "You should ask your provider about the test" A tech is informing a pt about the procedure for collecting a blood culture. What should the tech include? "I will swab the area twice to make sure it is sterile" A tech is preparing to collect a blood sample from a patient for a cholesterol test. What statement should the tech make? "Please sit for at least 5 mins before the test" A tech is positioning a pt for a veni. To prevent reflux or backflow, the tech should instruct the pt to love arm into what position? Fully extended in a downward position. A tech is preparing to collect a specimen from a 3-year old pt to perform a coagulation test. What collection method should the tech use? Winged safety butterfly A tech is performing a veni. On a pt. Who currently has an IV in both arms. What action should the tech take? Ask the nurse to turn off the IV for 2 mins A tech is educating a pt ab a 24-hr urine collection. What instructions should the tech give the pt? "Start collecting at the second void of the day" A tech is instructing a pt on how to collect a urine specimen for a culture and sensitivity test. What statement should the tech include? "You will need to collect a midstream clean-catch specimen" A tech is performing a veni. For bilirubin test, a cold agglutinin tiger, a CBC, and a PTT test. Which tubes should the tech use? One light blue, two serum tops, and one lavender tube A pt sits down for a veni. In an outpatient setting, rolls up her sleeve, and extends 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" A tech is preforming a veni. On a deep median cubical vein. What methods of withdrawal should the tech use? 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? 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? Sodium citrate, SST and EDTA A tech is performing a dermal puncture for an adult pt. What location should the tech use for the procedure? 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? 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? 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? 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? Left side dorsal hand A tech is using providone-iodine during a capillary specimen collection. What outcome should the tech expect? Increased potassium level 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 A tech is drawing blood through a hematoma. What errors should the tech expect to see in the specimen? Hemolysis A tech is preforming a capillary collection for CBC, FSH, and electrolyte tests. What is the proper collection order? 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 Tech initials, date, and time of collection 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 A tech is instructing a pt ab how to perform a pregnancy test. What statement should the tech include? "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? "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? EDTA A tech is preparing to perform blood collection for blood cultures, PTT and testosterone levels. What order should the tech collect these samples? 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? Type O 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" A tech is performing a brief psychical examination of a prospective blood donor. What measurements would indicate the donors eligibility to donate blood? 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? Place card on a flat, dry surface 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 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 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? 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? Recollect the unlabeled specimen What action should a tech take when collecting urine specimen for drug testing? 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? 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? 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? "Write your name on the form" A female pt is being referred to a reproductive specialist. What blood test last would the tech release to the referring personnel? FSH and LH A tech calls a medical assistant to inquire about a lab requisition. What info is required on a lab requisition? Pt ID number A tech is accessing the lab info system prior to collecting a specimen. What actions should the tech take? Print the specimen labels A tech is accessing the lab info system. The tech should identify what info can be found in the system? Previous lab results What info should the tech use to access a pts medical record in the lab info system? Pt ID number A tech is performing a point of care glucose test for a pt and receives a glucometer reading of 46 mg/dL. What findings should the tech expect the pt to exhibit? Rapid heartbeat A tech is performing a point of care hemoglobin test for a pt. What values should the tech report to the provider? 9.2 g/dL A tech is performing a point of care total cholesterol test for a pt. What values should the tech report to the provider? 250 mg/dL A tech notices that the volume of blood required to fill the tests ordered by a pts endocrinologist exceeds the recommended draw amount for the day. What action should the tech take? Contact the pts endocrinologist A tech has just received several blood test results from different pts. What results should the tech distribute first?