Phlebotomy NHA Exam 2022/2023 Questions and Answers, Exams of Nursing

Download Phlebotomy NHA Exam 2022/2023 Questions and Answers and more Exams Nursing in PDF only on Docsity! Phlebotomy NHA Exam 2022/2023 Questions and Answers Which of the following blood specimen test are photosensitive and should be protected from the light? A. Gastrin B. Ammonia C. Pyruvate D. Bilirubin - ANSWER-D. Bilirubin A phlebotomist should identify that a blood spot collection for inborn errors of metabolism requires which of the following? A. The newborn must be at least 3 days old B. The circles on the filter paper must be at least half filled C. The first drop of blood of blood immediately following the puncture must be included D. The specimen must be completely dried before the test can be processed - ANSWER-A. The newborn must be at least 3 days old. Which of the following actions should a phlebotomist take to comply with guidelines for a CLIA-waived procedure? A. Document quality control results B. Report results immediately to CLA C. Transport specimens within 24 hr. D. Process a specimen within 1 hour of collection - ANSWER-A. Document quality control results A phlebotomist should administer CPR to which of the following patients? A. A patient who has chest pain B. A patient who is pulseless C. A patient who is lethargic D. A patient who is short of breath - ANSWER-B. A patient who is pulsless Which of the following color top tubes will the phlebotomist need to preform A1C, CBC, Hepatic panel, and a comprehensive metabolic panel? A. Yellow and Blue B. Gold and lavender C. Green and gray D. Red and Black - ANSWER-B. Gold and Lavender Which of the following methods provides for the most secure and reliable delivery of laboratory results? A. Electronic reports B. Courier Delivery C. Verbal reports D. Fax - ANSWER-D. Fax A phlebotomist should instruct a patient to take which of the following actions when providing a sputum specimen? A. Collect the stool directly into a sterile container B. Discard the first urine of the day and collect for 24 hr. C. Aggressively swab the inside of the check D. Take a deep breath and then expectorate - ANSWER-D. Take a deep breath and then expectorate Which of the following blood test is appropriate for a fasting specimen? A. Glucose and triglycerides B. BUN and alkaline C. Creatinine and total protein D. Lactate dehydrogenase and albumin - ANSWER-A. Glucose and triglycerides A phlebotomist has just confirmed critical values on a laboratory test. Which of the following actions should the phlebotomist take when the physician's office is already closed? A. Contact the physician by paging or calling right away B. Leave a message at the physicians office number C. Call the physicians office on the next business day D. Fax the results to the physicians office with a stat fax cover - ANSWER-A. Contact the physician by paging or calling right away Which of the following is the appropriate procedure for handling an ammonia specimen A. Protect from light B. Transport on ice C. Transport with warm water D. Protect from diurnal variation - ANSWER-B. Transport on ice A phlebotomist is preparing to collect a capillary blood specimen from a patient using the aseptic technique. Which of the following cleansing agents should the phlebotomist use? Which of the following is used to stabilize a patients arm during a venipuncture A. Arm restraints B. A blood pressure cuff C. A phlebotomy wedge D. A phlebotomy cart - ANSWER-C. A phlebotomy wedge A report of laboratory results is required to have which of the following information A. Date of specimen collection B. Phlebotomist initials C. Patient Diagnosis D. Values of previous test - ANSWER-A. Date of specimen collection A large spill has occurred in a laboratory involving venous blood. Which of the following actions should the phlebotomist take? A. cover the spill until maintenance arrives B. pour bleach on the spill and let it soak for 60 seconds C. Evacuate laboratory D. Apply a liquid thickening agent on top of the spill - ANSWER-D. Apply a liquid thickening agent on top of the spill Which of the following actions should a phlebotomist take after collecting blood into a serum separation tube? A. Shake the tube vigorously five to eight times B. Invert the tube 3 to 4 times C. Roll the tube 5 to 10 times D. Invert the tube 5 to 8 times - ANSWER-D. Invert the tube 5 to 8 times Which of the following blood components is needed for homeostasis to take place. A. Erythrocytes B. Leukocytes C. Neutrophils D. Thrombocytes - ANSWER-A. Erythrocytes Which of the following tube additives promotes clot formation A. Heparin B. Oxalate C. Citrate D. Silica - ANSWER-D. Silica Which of the following governing bodies mandates the use of safety features on needles and the immediate disposal as one unit in a biohazard container after use. A. CDC B. OSHA C. HIPPA D. CLIA - ANSWER-B. OSHA According to the CLSI order of draw guidelines which of the following samples should the phlebotomist collect first? A. Coagulation B. Cultures C. Electrolytes D. Glucose - ANSWER-B. Cultures A phlebotomist has duplicate orders for a patient. How should their order be verified? A. Confirm with the patient what laboratory work the provider prescribed B. determine which requisition matches with the patients previous test requisitions C. Draw both orders and discard the incorrect specimen after the order has been clarified D. Call the provider to confirm the test requisition for the patient - ANSWER-D. Call the provider to confirm the test requisition for the patient Which of the following processes occurs after a venipuncture to control the bleeding? A. Homeostasis B. Hemostasis C. Hematopoiesis D. Hemoconcentration - ANSWER-B. Hemostasis A phlebotomist should recognize that proper hand hygiene can result in which of the following. A. A decrease in the incidence of health care associated infections B. An increase in the accuracy of laboratory results C. A decrease in the rejection of laboratory specimens D. An increase in the potential sources of pathogens - ANSWER-A. An decrease in the incidence of health care associated infections A phlebotomist allows another administrative employee to use their login password to enter a patients laboratory results. Which of the following regulates the confidentiality that has been breached in this situation? A. OSHA B. HIPPA C. FDA D. CLIA - ANSWER-B. HIPPA A phlebotomist inserts a needle into a patients vein and observes no blood flow into the tube. Which of the following actions should the phlebotomist take first? A. Remove the needle B. Pull back the needle slightly C. Laterally redirect the needle D. Reposition the needle 90 degrees - ANSWER-B. Slightly pull the needle back A phlebotomist enters a patients room and observes the patient to be motionless and cyanotic. Which of the following actions should the phlebotomist take first? A. Ask the patient in a loud voice if they are okay B. Perform the head-tilt/chin-lift maneuver C. Administer two rescue breaths D. Look, listen, and feel for breathing movements - ANSWER-A. Ask the patient in a loud voice if they are okay Which of the following is the general concept behind standard precautions? A. Ensure that employees receive training regarding workplace hazards B. Provide information about hazardous chemicals to the environment within C. Assume that all bodily fluids are infected with bloodborne pathogens D. Maintain a workplace that is free of environmental hazards - ANSWER-C. Assume that all bodily fluids are infected with bloodborne pathogens Which of the following information should the physicians office provide to a phlebotomist for a laboratory specimen collection? A. Laboratory accession number B. Physicians NPI number C. Laboratory requisition form D. Physicians encounter form - ANSWER-C. Laboratory requisition form Which of the following methods of reporting results by a clinical laboratory abides by the recommended standards set by the joint commission? A. an in person report from the clinical laboratory tech to the nurse B. An Emailed report from the clinical lab tech to the nurse C. A called in report from the clinical lab tech to the nurse D. A faxed report from the clinical lab tech to the nurse - ANSWER-D. a faxed report from the clinical lab tech to the nurse D. Cephalic - ANSWER-A. Median Cubital An 8 Year old patient arrives to the lab for blood work. Which of the following information is required on the venipuncture requisition? A. Lab accreditation status B. Guardians name and date of birth C. Requesting providers name D. Phlebotomy technicians name - ANSWER-B. Guardians name and date of birth Which of the following best exemplifies diversity awareness in the work place? A. acknowledging patients hobbies and interests B. acknowledging presence of patients family and friends C. Acknowledging patients questions and complaints D. Acknowledging patients beliefs and customs - ANSWER-D. Acknowledging patients beliefs and customs A phlebotomist is performing a venipuncture on a patient who is alergic to alcohol. Which of the following is an appropriate antiseptic to use in place of alcohol A. Sterile water B. Antiseptic foam C. Chlorhexidine D. Saline - ANSWER-C. Chlorhexidine Aseptic techniques are followed by phlebotomist during phlebotomy procedures for which of the following reasons? A. To maintain the stability of patient specimens B. To increase the likelihood of successful collection C. To minimize the volume of blood sample required D. To decrease the risk of infection to patients and phlebotomist - ANSWER-D. To decrease the risk of infection to patients and phlebotomist When performing a test for PKU, the specimen should be processed using which of the following? A. Filter paper B. Microtainer C. capillary tube D. Transfer device - ANSWER-A. Filter Paper A blood glucose meter was checked during the previous morning for errors. at which of the following times should the quality control of the meter be checked? A. The end of the business day B. Before use C. Seven days after the last check D. After the first use - ANSWER-B. Before use A phlebotomist is scheduled to perform a venipuncture on a child who is unable to provide identification. Which of the following information should the phlebotomist use to identify the child? A. Identification by another phlebotomist B. Identification by the patients nurse C. Patients room number D. Patients door card - ANSWER-B. Identification by the patients nurse According to the CLSI, the standard depth of a dermal puncture for an infant is? A. 3mm B. 2mm C. 0.30mm D. 0.20mm - ANSWER-B. 2mm An adult patient gives implied consent to a phlebotomist when which of the following occurs? A. When the patient signs a release for their lab results B. When the patient signs a document of agreement for a research study C. When the patient offers their arm out to the phlebotomist D. When the patients family member nods for the phlebotomist to proceed - ANSWER- C. When the patient offers their arm out to the phlebotomist A phlebotomist is processing a urine specimen in the lab. which of the following PPE is required to maintain safety regulations in the lab A. Face shield B. Hairnet C. Shoe covers D. Surgical gloves - ANSWER-A. Face shield Which of the following practices should a phlebotomist follow to help monitor the volumes of blood collected in pediatric patients A. Limit the collection of blood from a patient to three times per day B. Maintain an updated log of blood collection from patients C. Use patients armbands to identify restrictions on blood draw volume D. Obtain a stat prescription before drawing blood - ANSWER-B. Maintain an updated log of blood collection from patients Which of the following actions should a phlebotomist take when using a tourniquet A. Tie a knot with the tourniquet B. Release the tourniquet with one hand C. Position the tourniquet 3-4 inches below the site D. wash the tourniquet with soap and water after use - ANSWER-B. Release the tourniquet with one hand Which of the following actions is required immediately after a phlebotomist experiences an accidental needle stick injury when drawing blood from a patient who has HIV? A. report the exposure to the supervisor B. Report the exposure to the CDC C. Send the patient for further STI testing D. Save the collection device for future evaluation - ANSWER-A. Report the exposure to the supervisor A phlebotomist should collect which of the following equipment for an ordered comprehensive metabolic panel (CMP) A. Tourniquet, multi-sample needle, collection tube B. Sterile cup, reagent strip, Disinfectant towelette C. Aerobic culture bottle, anaerobic culture bottle, chlorhexidine swabs D. Lancets, microhematocrit tubes, clay sealant - ANSWER-A. Tourniquet, multi-sample needle, collection tube Which of the following actions should a phlebotomy tech take when a patient has a seizure during blood collection? A. Complete the blood collection B. Restrain the patient C. Use a tongue depressor to hold the patients tongue down D. Move the patient to the floor - ANSWER-D. Move the patient to the floor Which of the following actions should a phlebotomist take for a patient who has had a recent double mastectomy? A. Proceed without modification since the mastectomy was bilateral B. Evaluate each arm and draw only from the arm with minimal inflation C. Evaluate each arm and draw from the most acceptable distal vein in either arm D. Contact the ordering provider and obtain permission to draw from either of the arms - ANSWER-D. Contact the ordering provider and obtain permission to draw from either of the arms If a phlebotomist hands are visibly soiled with blood of body fluids, which of the following decontamination agents should a phlebotomist use to clean them? A. Alcohol-based hand rub B. Sterile water rinse C. Soap and water D. Alcohol rinse - ANSWER-C. Soap and water Following collection of the last specimen collection tube, which of the following actions should the phlebotomist take next? A. Disengage the tube from the collection set B. Hold gauze firmly over insertion site C. Place used needle in biohazardous receptacle D. Withdraw the collection needle from the vein - ANSWER-B. Hold gauze firmly over the insertion site Which of the following is caused by excessive shaking of a tube? A. Hemophilia B. Hemoconcentration C. Hemolysis D. Hemostasis - ANSWER-C. Hemolysis A phlebotomist is preparing to perform venipuncture on a patient who had a right sided mastectomy which of the following is the correct site to perform the collection? A. Left antecubital B. Right cephalic C. Left femoral artery D. Right basilic - ANSWER-A. Left antecubital A phlebotomist finds a patient who is unresponsive and not breathing. In which of the following positions should the phlebotomist place the patient before initiating CPR A. Supine B. Semi-fowler's C. Prone D. Side-lying - ANSWER-A. Supine If a patient is on droplet precautions the phlebotomist should recognize that which of the following is a means of transmission A. The patient sneezes B. The patient provides a urine specimen C. The patient has a bloody nose D. The patient reports an itchy rash - ANSWER-A. The patient sneezes Which of the following techniques of needle insertion into the antecubital space is in accordance with suggested venipuncture guidelines A. Perpendicular to the vein at an angle of 30 degrees to 45 degrees B. With the bevel facing up at an angle of 15 to 30 degrees C. Parallel to the vein at an angle of 35 degrees D. With the bevel facing down at an angle of 25 degrees - ANSWER-B. With the bevel facing up at an angle of 15 to 30 degrees The lab is scheduled for a routine annual inspection with the primary focus on equipment maintenance log. Which of the following areas will be the focus of the inspection? A. Mechanical safety B. Chemical Safety C. Radiation safety D. Electrical Safety - ANSWER-A. Mechanical safety Which of the following anticoagulants is found in a lavender top blood collection vacuum tube? A. Sodium citrate B. Sodium Heparin C. EDTA D. Lithium Heparin - ANSWER-C. EDTA By wearing a face shield when coming into contact with body fluids, a phlebotomist is preventing exposure by which of the following modes of transmission? A. Permucisal B. Vector C. Fomite D. Percutaneous - ANSWER-A. Permucisal After collecting a bilirubin test which of the following steps must be taken postvenipuncture to ensue an accurate test result? A. Specimen should be chilled B. Specimen should be spun down and frozen C. Specimen should be kept away from direct light D. Specimen should be transferred in a light blue tube - ANSWER-C. Specimen should be kept away from direct light When preparing to explain a phleb procedure to a patient which of the following actions should the phlebotomist take? A. Plan to use empathy towards the patient during the discussion B. Ensure technical medical terminology is used in the explanation C. Plan to communicate while in the patients intimate personal space D. Remain in a standing position while the patient sits in a chair - ANSWER-A. Plan to use empathy towards the patient during the discussion If a tube is not inverted correctly after collection, it may cause A. Hemoconcentration B. False test results C. A failure in the centrifugation process D. cell dilution - ANSWER-B. False test results The CLSI recommends a heel lancet's penetration to be less than 2 mm (0.03 in) To prevent which of the following conditions A. Excessive bleeding B. Pain C. Tissue fluid contamination D. Bone penetration - ANSWER-D. Bone penetration While performing donor phleb for a blood bank, the phleb should use a A. 12-14 gauge needle B. 16-18 gauge needle C. 21-22 gauge needle D. 23-25 gauge needle - ANSWER-B. 16-18 gauge needle Drawing a patients blood without consent can result in a charge of A. Negligence B. Malpractice C. Breach of contract D. Battery - ANSWER-D. Battery If no vein is apparent on first inspection, which of the following actions should a phleb tech take before reapplying the tourniquet? A. Tell the patient to pump their first rapidly B. Apply an ice pack to the patients arm C. Have the patient rest their arm in a downward position D. Tap repeatedly on the patients arm - ANSWER-C. Have the patient rest their arm in a downward position A. On top of the patients burn wound B. Over the patients gown sleeve C. Above the patients IV site D. Over the patients weeping rash - ANSWER-B. Over the patients gown sleeve The duties of a phleb include? A. Evaluating stained blood smears B. Calibrating instruments within the lab C. Establishing test protocols for specimen analysis D. Greeting and instructing patients - ANSWER-D. Greeting and instructing patients Every state in the U.S. requires that newborns be tested for which of the following disorders? A. Septicemia B. Bacteremia C. Phenylketonuria D. Proteinuria - ANSWER-C. Phenylketonuria Utilizing tubes that have expired may result in which of the following? A. Loss of vacuum B. Hemoconcentration C. Hemolysis D. Elevation of the red blood cell count - ANSWER-A. Loss of vacuum A phleb is explaining the venipuncture procedure to a patient who is seated. In which of the following positions should the phleb instruct the patient to place their arm? A. Distal portion of the arm in a downward position B. Wrist positioned with dorsal side up C. Next to the patient while in the prone position D. Fingers oriented laterally - ANSWER-B. Wrist positioned with dorsal side up A phleb washed their hands in prep for a routine venipuncture. Which of the following actions should the phleb take to dry their hands? A. Dry hands with a sterile towel B. Dry hands with a clean disposable towel C. Dry hands with sanitizing gel D. Dry hands with a disposable sanitizing cloth - ANSWER-B. Dry hands with a clean disposable towel A phleb is obtaining a blood specimen from a patient who is suspected of having a macrobacterium tuberculosis infection. which of the following pieces of equipment is required? A. Nonlatex tourniquet B. Sterile gloves C. Face shield D. N95 respirator - ANSWER-D. N95 respirator Which of the following lancet positions should a phleb use for a capillary blood collection on a healthy adult patient? A. Perpendicular to the finger print grooves B. Parallel to the nail bed C. Along the lateral portion of the first digit D. Along the medial portion of the fifth digit - ANSWER-A. Perpendicular to the finger print grooves Which of the following information is required for proper patient outpatient identification? A. Patients age and gender B. Physicians name and tests ordered C. Patients social security number and date of order D. Patient name and date of birth - ANSWER-D. Patients name and date of birth Which of the following is the correct location to anchor a vein before performing venipuncture? A. 3 to 4 inches above puncture site B. 1 to 2 inches below puncture site C. 1 to 2 inches medial to puncture site D. 3 to 4 inches lateral to the puncture site - ANSWER-B. 1 to 2 inches below puncture site A phleb tech is concerned that the office's current butterfly needles are not up to the safety standards. Which of the following agencies can confirm safety compliance of the equipment for the tech? A. OSHA B. National institute of health C. CDC D. American society for clinical lab sciences - ANSWER-A. OSHA Which of the following actions should a phleb take first after removing the needle from a patients arm? A. Label the collection tube B. Activate the needle safety device C. Invert collection tubes gently D. Dispose of the tube holder and needle - ANSWER-B. Activate the needle safety device When drawing blood on a preschooler the phleb should A. Explain the procedure to the patient and child B. Not tell the child when the needle insertion is coming C. obtain a heel stick D. Obtain a thumb stick - ANSWER-A. Explain the procedure to the patient and the child When performing a dermal puncture on patients 1 year of age and older the phleb should place the lancet in which of the following locations A. Middle (3rd) finger B. The thumb C. Index (2nd) finger D. Pinky (5th) finger - ANSWER-A. Middle (3rd) finger Which of the following parameters should a phleb consider when selecting a collection method? A. Patient condition, patient age, blood volume required B. Patient height, patient gender. patient medications C. Ordering physician, number of test ordered, diagnosis D. Time of day, timing of specimen, test status - ANSWER-A. Patient condition, patient age, blood volume required