NHA Study guide 2023-A+ Rated, Exams of Nursing

Download NHA Study guide 2023-A+ Rated and more Exams Nursing in PDF only on Docsity! NHA Study guide 2023-A+ Rated What test results are affected when Povidone iodine is used to cleanse the site for a dermal puncture? Potassium (Povidone-iodine is contraindicated for potassium tests because it can cause a false elevation of potassium in a specimen What actions should a phlebotomy Technician take to locate a vein using the warming technique? Encase the warm towel in a plastic bag A Phlebotomy technician is applying a tourniquet prior to collecting a blood specimen from a patient. What actions should the Technician take? Tuck a partial loop of the tourniquet under the tourniquet A Phlebotomy technician has collected a blood specimen from a patient who is in Ann isolation room. What pieces of PPE should the Technician remove first? Gloves ( To prevent cross-contamination) A Phlebotomy technician should transport a semen sample at what temperature? 36 to 38 C (98.6 F) For what reason should a Phlebotomy Technician examine the anticubital areas in both of a patient's arm? The medial cubital vein could be more accessible one one side then the other A Phlebotomy technician is preparing to dispose of contaminated sharps. According to OSHA what actions should the Technician take? Replace the sharps container when it is two-thirds full A Phlebotomy technician is educating a patient about the at home collection of a semen specimen. What statement by the patient indicates Ann understanding of the procedure? "I will collect the specimen in a sterile container and return it to the lab within 1 hour A Phlebotomy technician is using a point of care test system to determine a patient's WBC. For what result should the Technician immediately notify the provider? 1.8/mm3 (because the finding is outside the expected reference of 4.4 to 11/mm3 for white blood cells A Phlebotomy technician is selecting a site to collect a blood specimen from a patient. After applying a tourniquet, seen no apparent veins to use for the venipuncture. What actions should the Technician take? Have the patient dangle her arm for 1 to 2 mins What actions should a phlebotomy Technician take to maintain compliance with HIPA? Clear number from fax machine. A phlebotomy Technician ic collecting a blood specimen from a patient to measure the trough level of a medication. The Technician should collect the specimen at what time? Within 15 min before the patient receives the next dose of medication. (The Technician should collect no more than 15 min prior to administration of the next dose of medication. The trough level is the lowest conncentration innn the patient's blood What tubes should a phlebotomy Technician collect first when obtaining dermal samples? Lavender tube (The Technician should collect the dermal sample using a lavender topped tube first because this tube minimizes platelet clumping and micro clot formation) Petechiae (Microcapillary bleeds that are associated with coagulation abnormalities 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 what additive? Thrombin (Helps to accelerate clotting for serum specimens A Phlebotomy technician observes a hematoma developing at the site of a venous blood draw. What actions should the Technician take? Release the tourniquet and stop the draw A Phlebotomy technician is performing a total cholesterol point of care test for a patient. What should the Technician immediately report to the provider? 300 mg/dL (300mg/dL is above the reference range of 140 to 200 mg/dL for a total cholesterol. The Technician should immediately report this finding to the provider. What collection tube should a Phlebotomy Technician use when collecting for a routine chemistry test that requires serum? SST (When an SST tube is centrifuged, the thixotropic gel changes viscosity and moves between the serum and the cells. What stage of the body's inflammatory response involves destroying pathogens that have invaded the body after an injury? Phagocytosis A phlebotomist splashes blood into their eye while aliquoting. What actions should they perform first? Flush the eye with water What situations describe when a hand sanitizer is the most effective? After rubbing hands with the sanitizer until dry What is the first step a phlebotomist take when washing their hands Wet hands A phlebotomist is interviewing a patient prior to a vein puncture. The patient states that they have previously passed out during a blood collection. What actions should the phlebotomist's priority when preparing for the possibility of another fainting episode? Lock arm of the phlebotomist chair What is the term for a vein that is tender and warm, with red area around it? Phlebitic What is the term for a vein that is hard, inflexible and narrow? Sclerotic, Sclerotic veins are common in older adult patients. They can be difficult to puncture and painful for the patient. What type of urine specimen collection requires the patient to first urinate into the toilet and then into the collection cup? Clean catch (midstream) What time of the day should a patient collect a sputum test? First thing in the morning Color of anticoagulant tubes blood cultures, Light yellow, light blue, green, purple, royal blue and gray tubes Blood culture tubes contain sodium polyanethole sulfonate (SPS) and are used for bacterial studies Light Blue Tubes contain Sodium citrate and are used for coagulation blood test Green tubes contain sodium, lithium, or ammonia heparin and are used to test chemical levels in the blood. Purple or lavendar top tubes contain ethylenediaminetetraacetic acid (EDTA) and are used for whole blood hematology determinations Gray tubes contain potassium oxalate/ sodium fluoride and are used for glucose determinations. Royal blue tubes contain Either a clot activator or EDTA and are used for trace element testing Light yellow tubes contain Acid citrate dextrose (ACD) and are used for blood bank studies and DNA testing Serum tubes are used for blood tests that require the blood to clot Red, gold, orange tubes are Serum tubes, which can have no additives if they are glass. Plastic red and hola tubes contain a clot activator and are used for chemistry determinations of the blood. Orange tubes contra thrombin based clot activator and are used when chemistry determination is for a stat blood collection When performing a vein puncture, which scenario demonstrates the best vein to choose? Right arm, dorsal hand vein above the IV Light Blue Tubes Must be filled 100% Sodium Citrate Found in light blue tubes and used for clotting tests, because it performs the best at preserving the coagulation factors EDTA found in the lavender or pink tubes and used for most hematology tests, because it helps preserve the shape of cells and reduces platelet clumping Heparin Found in green tubes and used for most chemistry tests, because it prevents blood clots from causing falsely elevated results, especially In potassium and electrolyte tests Potassium oxalate and sodium fluoride Push the first collection tube gently into the holder A Phlebotomy technician is using a syringe method to obtain a blood culture specimen from an adult. What actions should the Technician take? Withdraw the blood into a sterile safety syringe After placing a tourniquet on a patient's arm, a phlebotomy technician notices small red spots below the tourniquet. Which of the following terms describes these spots? Petechiae 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 what additive? Thrombin, it helps accelerate clotting for serum specimens A Phlebotomy Technician observes a hematoma developing at the site of a venous blood draw. What actions should the Technician take? Release the tourniquet and stop the draw A phlebotomy technician is performing a total cholesterol point of car test on a patient. What findings should the Technician immediately report to the provider? 300 mg/dL. It is about the 140 to 200 mg/dL for total cholesterol What collection tubes should the Phlebotomy Technician use when collecting for a routine chemistry test that requires serum? SST, The thixotropic gel changes viscosity and moves between the serum and the cells A phlebotomy technician should comply with HIPPA to protect what? Patients information an unconscious patient is brought to the emergency room, and several blood tests are ordered. A phlebotomy technician should collect the patient's blood because he has received what kind of consent? Implied consent A phlebotomy technician is reviewing a laboratory test requisition form before obtaining blood specimens from a patient. what actions should the Technician take prior to performing the venipuncture? Check the requisition form for duplicate test orders A phlebotomy technician should identify that which of the following is an identifier doe a specimen as long as it remains in the laboratory? Accession number. It identifies the specimen as long as it remains inn the lab A phlebotomy technician should select a tube that has what additives when collecting a blood specimen for a CBC? EDTA A phlebotomy technician is preparing to obtain a blood specimen from a patient for Ann electrolyte sedimentation rate test. The technician should select a collection tube that has a top with what colors? Lavender What following PPE Equipment provides a Phlebotomy technician with the best precaution when drawing blood from a patient who has active tuberculosis? N95 mask A phlebotomy technician is assembling the Equipment he will need for collecting donor units of blood. What needle side should the technician select? 18 gauge When should a phlebotomy technician perform external liquid controls for quality control on a CLIA-waived glucose point-of-care test? When a new lot number or kit is opened A 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 what color? Speckled To prevent hospital acquired infections, a Phlebotomy Technician should clean items that have been contaminated by blood with a 1:10 dilution of what substance and what? Sodium Hypochlorite After exiting a patient's room, which of the following is the last piece of personal protective equipment (PPE) a phlebotomy technician should remove? Mask ( When removing PPE, the technician should first remove gloves, then goggles, and then gown. The mask is the last piece of PPE the technician should remove before or after exiting the patient's room, depending on the isolation reason) For which of the following reasons should a Phlebotomy Technician centrifuge a serum specimen before transport to an outside reference laboratory Cells must separate from the serum Prior to transport, which of the following specimens should a phlebotomy technician place in an ice bath within 30 min after collection? Artieral blood gas A phlebotomy technician uses alcohol to cleanse a venipuncture site. Before performing the venipuncture, the technician should allow the site to dry for which of the following reasons? Alcohol requires time for antiseptic action to take effect A phlebotomy technician is collecting a blood specimen for a patient who has cutaneous diphtheria. Besides gloves, which of the following pieces of PPE Equipment should the Technician wear? Gown because it is spread through contact A phlebotomy technician is preparing to enter a patient's room to collect a blood specimen. What actions should the Technician plan to take? Communicate name and Department affiliation to the patient