Phlebotomy Technician 1 NHA Practice Test-Answered-2023, Exams of Nursing

Download Phlebotomy Technician 1 NHA Practice Test-Answered-2023 and more Exams Nursing in PDF only on Docsity! Phlebotomy Technician 1 NHA Practice Test- Answered-2023 The single most important way to prevent the spread of infection while performing phlebotomy is by? Washing Hands After drawing blood from a patient, the phlebotomist should dispose of the needle by? Deposit it in an approved "Sharps Container" Negligence by a professional person is called? Malpractice Which of the following is the single most common source of HIV and HBV in the workplace? Blood The heart, lymphatic organs, and blood vessels are in the? Cardiovascular System The venipuncture site should be cleansed in a circular motion from the center to the? Periphery: the outer limits or edge of an area or object Red and white blood cell counts are examples of ________ tests? Hematology Treating all specimens as if they are hazardous and infectious is the basis for? Universal Precautions Drugs used to destroy or kill bacteria that cause disease are called? Antibiotics When the heart is contracting, the pressure is highest. This pressure is called? Systolic Pressure The process by which an object or area becomes unclean is known as? Contamination The health worker is protected by law if it can be determined that he or she acted as expected when compared with fellow workers. This is called? Reasonable Care Characteristics of capillaries include? Being thin walled in structure Forming microscopic pathways Connecting arterioles with venules ALL OF THE ABOVE The branch of study of moral issues, questions and problems arising in the practice of medicine and in biomedical research is called? Bioethics If a test requires serum rather than plasma, a tube with what color top should be drawn? Red When using evacuated tubes for blood collection, it is crucial to remember to? Never under fill tubes that contain anticoagulant Never use tubes past their stated expiration dates Immediately invert any tubes that contain additives ALL OF THE ABOVE The rubber sleeve (at the end opposite the needle tip) on an evacuated tube needle makes it possible for use with? Multiple Tubes Capillary blood sampling may be used if the laboratory tests require? Very little blood Accession Number: identifies a specimen as long as it remains in the laboratory A phlebotomy technician is reviewing a laboratory test requisition form before obtaining blood specimens for a patient. Which of the following actions should the technician take prior to performing the venipuncture? Check the requisition form for the duplicate test orders: discrepancies and missing information prior to performing the venipuncture A phlebotomy technician should identify that which of the following is the first step in the blood collection procedure? Test Requisition: ensure you have the provider's order for a test before preforming a blood collection An unconscious patient is brought to the emergency department, and several blood tests are ordered. A phlebotomy technician should collect the patients blood because he has received which of the following types of consent? IMPLIED Consent: implied consent can be obtained when a patient is unconscious and in an emergency situation A phlebotomy technician is collecting capillary blood drops on a filter paper card to screen a newborn for phenylketonuria. Which of the following actions should the technician take? Apply blood to the printed side of the filter paper: only apply blood to the printed side of the paper Which of the following actions should a phlebotomy technician take to locate a vein using the warming technique? Encase the warm towel in a plastic bag: maintain the towels temperature and to keep the patients skin dry A phlebotomy technician should transport a semen sample at which of the following temperatures? 36º - 38º C: semen samples should be stored and transported at 37º C (98.6º F) A phlebotomy technician is educating a patient about the at-home collection of a semen specimen. Which of the following statements by the patient indicates an understanding of the procedure? "I will collect the specimen in a sterile container and return it to the lab within 1 hour.": specimen should be collected in a sterile container, kept warm, and delivered to the laboratory within 1 hour A phlebotomy technician is assembling the equipment he will need for collecting donor units of blood. Which of the following needle sizes should the technician select? 18-guage After placing the tourniquet on a patients arm, the phlebotomist notices small red spots below the tourniquet. Which of the following terms describes these spots? Petechiae: small micro capillary bleeds that are associated with coagulation abnormalities A phlebotomy technician is transporting blood specimens to a laboratory. Which of the following actions should the technician take? Place the specimens in a lockable container: to avoid spills during transportation A phlebotomy technician is obtaining a blood specimen from a patient. The patient reports experiencing a sharp, painful, and tingling sensation going down her arm and into her hand. The technician should recognize that which of the following complications of venipuncture is occurring? Nerve injury: the patient is experiencing nerve injury, which causes a sharp, painful, and tingling sensation that radiates down the patients arm A phlebotomy technician has a requisition form for a series of tests on a patients serum. The technician should select a collection tube that contains which of the following additives? Thrombin: GREEN Tube which helps accelerate clotting for serum specimens A phlebotomy technician is preparing to collect a vancomycin peak level for a patient in an inpatient setting. Which of the following actions should the technician take prior to collecting the blood specimen? Ask the attending nurse in the patients vancomycin dose schedule accurate: the technician should ask this prior to collection. The action ensures an accurate peak level for therapeutic medication monitoring (TMM) Mixing of tubes containing anticoagulant should occur? As soon as possible Blood pressure and venipuncture should NOT be performed using the right arm if the patient? If the patient had a right mastectomy Has an IV infusing the right hand Has a full arm cast on the right arm ALL OF THE ABOVE The most important step in the performance of a venipuncture is? Identifying the patient Each sample on a filter paper collection card should consist of __________ drop (s) of blood? One The fluid / liquid portion of unclotted blood The best sample for the determination of blood pH and blood gases is? Arterial blood (ABG's) Hard cord like veins are referred to as? Thrombotic The term "Negligence" means? Failure to exercise standard of care A patient explains that due to religious beliefs she cannot allow a male technician to touch her; your response should be? Reschedule the patient for a time when a female technician is available The vacuum draw of an evacuated tube decreases with? Age: expired tubes COMPILANCE is defined as? The formalized monitoring of an organization's adherence to laws and regulations Which procedure is usually performed by a nurse or respiratory? Arterial blood gases: (ABG's) INFORMED Consent is? Patient consent to allow him/her to be touched, examined, and treated BBP stands for? Blood-Borne Pathogen CLIA stands for? Clinical Laboratory Improvement Act If tourniquet is left on too long which of the following may occur? Hemoconcentration Multiple test requested as one unit is referred to as? Profile The proper way to dispose of a used needle is to? Put into Sharps container immediately after withdrawing it from the patient: click and discard A specimen for blood lead level is drawn in a? Royal Blue top tube If a patient has an intravenous line in the arm, the phlebotomist should? Draw blood from the opposite limb Patient confidentiality is defined as? A patients right to authorize the use of their information What is the purpose of warming the site prior to a dermal puncture? Increase the blood flow If a patient is dehydrated due to severe vomiting and the physician orders a test for STAT electrolytes, which of the following tubes would be used? Green top tube Which of the following tests is not part of a complete blood count (CBC)? Activated partial thromboplastin time (APPT) What specimens are kept warm/room temperature? Cold agglutinins When the tourniquet is tied too tight, the capillaries in the area may rupture causing? Petechiae: a small red or purple spot caused by bleeding into the skin A 13-yr old girl came into your clinic for a pregnancy test. The same day she returned without her parents and wants the results of her test. The phlebotomist should? Tell her she should contact her physician The life span of an erythrocyte is? 120 days All the employees at risk for blood borne pathogen (BBP) exposure are required by OSHA to? Vaccinate for HBV or sign a waiver Identify the term BATTERY? Touching someone without their consent To draw for coagulation studies the phlebotomist should? Fill the tube to the top: Lt Blue tube FORMITE is defined as? Inanimate things transmitting disease EDEAMA is? Fluid in the tissue Define CYANOSIS: Blue coloring of the skin due to lack of oxygen According to STANDARD Precautions, blood and body fluids from which group are considered biohazards? ALL blood and body fluids The additive in a Pink/Lavender tube is? EDTA Hematuria is defined as? Blood in the urine: Hema-blood/turia-urine Red top tubes clot for? 30-60 minutes Which test is used to determine drug abuse? Performing venipuncture on an infant can lead to? Anemia Cardiac Arrest Infection ALL OF THE ABOVE When using two glass slides to make a blood smear the recommended angle between the two slides is? 30 degrees Before performing venipuncture the vein will become more prominent if the patient? Makes a fist HIPAA Title II The Administrative Simplification provisions, requires the establishment of national standards for electronic health care transactions and national identifiers for providers, health insurance plans, and employers. What does the acronym HIPAA stand for? Health Insurance Portability and Accountability Act What does the acronym JCAHO stand for? The Joint Commission on Accreditation of Healthcare Organizations Specimen collection areas should be decontaminated regularly with fresh bleach solutions that have been diluted by? 1 part bleach to 10 parts water Which safety device best protects a healthcare worker from contamination when in contact with body fluids? Gloves As a member of quality control a phlebotomist should always check collection tubes for the? Expiration Dates The process by which an object or area becomes unclean in medical terms is called? Contaminated The abbreviation AIDS stands for? Acquired Immune Deficiency Syndrome Lancets are used to collect blood samples by? Capillary or skin puncture Use a ______ topped evacuated tube for electrolyte testing? Red What is the patients initial preparation requirement prior to having a glucose tolerance test (GTT) drawn? Fast for 10 - 12 hours What specimens should be protected from light? Biliruben Which of the following will insure balanced operation of a centrifuge? Positioning tubes of equal weight across from one another OSHA requires training and educational information be given to phlebotomists on each subject EXCEPT? Laboratory A vein may be prone to collapse if the? 1. Vacuum tube is too large for the vein 2. Syringe plunger was pulled back too quickly A nosocomial infection is one that a patient acquires? In the hospital A possible cause of blood not entering a tube when the phlebotomist is certain they are in the vein include all of the following EXCEPT? Venipuncture area is full of edema These types of Hepatitis are all blood borne pathogens EXCEPT? Hepatitis A: HAV contagious liver infection caused by the hepatitis A virus While collecting blood from a combative patient you receive a splash of small blood drops to your face. What should you do? Wash your face thoroughly and report the incident following your facilities protocol What is the phrase used to describe the sequential tracking of a criminal blood sample that is to be used in evidence? Chain of Custody A routine venipuncture draw site is commonly cleaned with a __________ % solution of isopropyl alcohol? 70 % The National Fire Protection Association label uses a color and number to indicate a deadly health hazard? Blue, #4 The most prevalent type of nosocomial infection are ____________ in origin? Urinary Tract Infection (UTI) When a glucose meter is cleaned or its battery changed it is crucial to _____________ ? Monitor values with Quality Control material A phlebotomy technician is preparing to use an evacuated tube system to obtain a venous blood specimen from a patient. The tourniquet is in place and the technician has cleansed the puncture site. Which of the following procedural steps should the technician perform next? A phlebotomy technician is collecting a blood specimen from an adolescent patient who weighs 42.6 kg (94 lb). Which of the following amounts is the minimum volume of blood the technician should draw from this patient at any one time avoiding causing anemia? 30 ml: a maximum of 30 ml at one time for a patient weighing 45.5 kg (66 to 100 lb) A phlebotomy technician is performing a heel stick to obtain capillary blood for testing a newborn's bilirubin level. Which of the following actions should the technician take? Use an amber-colored microcontainer: bilirubin is photosensitive, and this tube protects the specimen from exposure to light A phlebotomy technician is using a point-of-care test system to determine a patient's WBC count. For which of the following results should the technician immediately notify the provider? 1.8/mm this finding is outside the expected reference range of 4.4 to 11/mm A phlebotomy technician is collecting a urine specimen from a patient for pre- employment drug screening. Which of the following findings should indicate to the technician that tampering has possibly occurred? The temperature of the specimen is 30º C (86º F): is below the expected range of 32º to 36º C (90º - 100º F) and indicates possible tampering A phlebotomy technician enters a patient's room to obtain a STAT specimen. The patient's provider and a nurse are speaking with the patient. Which of the following actions should the technician take first? Introduce himself to the patient and the health care team members: before requesting permission to obtain the STAT specimen A phlebotomy technician is collecting a blood specimen from a patient to measure the trough level of a medication. The technician should collect the specimen at which of the following times? Within 15 min before the patient receives the next dose of medication: the trough level is the lowest concentration of medication in the patient's blood A phlebotomy technician should identify that which of the following series of venipuncture steps is in the appropriate order? Assess the site, cleanse the site, and insert the needle A phlebotomy technician is performing a total cholesterol point-of-care test for patient. Which of the following findings should the technician immediately report to the provider? 300 mg/dl: this finding is above the reference range of 140 to 200 mg/dl for total cholesterol. The technician should immediately report this finding to the provider Which of the following is a potential consequence of a phlebotomy technician mislabeling a blood bank specimen? A transfusion reaction: mislabeling can result in a fatal transfusion reaction A phlebotomy technician has a mild sensitivity to latex. According to the National Institute for Occupational Safety and Health (NOISH), which of the following actions should the technician take? Wear nitrate gloves instead of latex gloves: NIOSH recommends using non-latex gloves, bandages, and tourniquets A phlebotomy technician should identify that which of the following phrases is represented by the abbreviation "SD"? Standard Deviation: a number used to measure the variance of a set of findings from the average. If the standard deviation is greater than 2, or less than -2, then the technician should take corrective action A phlebotomy technician is washing her hands at the beginning of her shift. Which of the following actions should the technician take? Use enough soap to form lather: to form a lather by rubbing her hands together for at least 15 seconds, covering all surfaces of her hands and fingers with soap While a phlebotomy technician is using a centrifuge, the device catches on fire. The technician should identify a centrifuge fire as which of the following classes of fire? Class C: involves electrical equipment, such as appliances, wiring, and electronics A phlebotomy technician collects a specimen in a micocollection container after two failed venipuncture attempts. For which of the following reasons should the technician write on the medical requisition form that the blood was collected in this manner? To alert the laboratory of the presence of capillary blood A phlebotomy technician is collecting a sample for cholesterol, troponin, and HDL blood results. Which of the following departments is responsible for processing these tests? Chemistry: this department processes tests related to body chemistry While collecting a blood specimen, a phlebotomy technician notices the glass collection tube is cracked. Which of the following actions should the technician take? Place the patient in a supine position: supine (face up) position to reduce the risk of her falling if she experiences syncope A phlebotomy technician should identify that which of the following information is required for positive identification of a patient in an outpatient facility? Picture ID, full name, date of birth: must have one piece of visual identification and two instances of verbal confirmation of identification. Verbal identification- patient must state and spell their full name 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? "Please sit for at least 5 minutes before the test": sitting or lying down before a cholesterol test will help to lower test results A phlebotomy technician is preparing a venipuncture on a patient who currently has a IV in both arms. Which of the following actions should the technician take? Ask the nurse to turn off the IV's for 2 minutes A phlebotomy technician is preparing to collect a specimen from a 3-year old patient to perform a coagulation test. Which of the following collection methods should the technician use? Winged safety butterfly: the best method for patient's with small veins, such as children A phlebotomy technician is informing a patient about the procedure for collecting a blood culture. Which of the following information should the technician include? "I will swab the area twice to make sure it is sterile": first with isopropyl alcohol and then with a chlorhexidine glucose swab A phlebotomy technician is seeking consent to perform venipuncture on an older adult patient who has been accompanied to the facility by a younger adult. Which of the following actions should the technician take? Speak to the patient in a normal tone: treat the patient with respect, asses the patient and alter the communication method A phlebotomy technician is preparing to draw a patient's blood when the patient informs him that she is taking warfarin (blood thinner Rx). The technician should identify that the results of which of the following tests is affected by this medication? PT/INR: taking an anticoagulant medication can affect PT/INR levels- checking whether the Rx is preventing blood clots A phlebotomy technician should identify that the order of draw for capillary collections is different from venipuncture for which of the following reasons? An increased rate of coagulation: thromboplastin is released when the skin is punctured, causing blood to clot more increasing the rate of coagulation A phlebotomy technician is preparing to store a blood specimen. At which of the following temperatures should the technician store the specimen? 2º - 8º C (35.6º - 46.4º F) A phlebotomy technician is preparing to enter a patient's room to collect a blood specimen. which of the following actions should the technician plan to take? Communicate name and department affiliation to the patient A phlebotomy technician is preparing to perform a venipuncture for a patient who is on droplet precautions. In addition to following a standard precautions, which of the following pieces of personal protective equipment should the technician apply before entering the patient's room? Mask A phlebotomy technician collects multiple specimens from a premature infant. Which of the following is a possible result of the procedure? Latrogenic anemia: too much blood loss in a short amount of time A phlebotomy technician is preparing to draw a blood specimen from a patient who has a clostridium difficile infection (Colitis). Which of the following precautions should the technician follow? CONTACT Precautions: Colitis- diarrhea, scabies A phlebotomy technician uses alcohol to cleanse a venipuncture site. Before preforming 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: allow to air dry so antiseptic will take effect A patient asks a phlebotomy technician to use his finger for blood work. In which of the following situations can the technician collect blood from the patient's finger? The ordered test can be performed on a capillary specimen: draw a capillary specimen if the ordered tests do not require a large amount of venous blood A phlebotomy technician performs a point-of-care glucose test for a patient in an outpatient setting. The result is in the critical value range. Which of the following actions should the technician take? Report the result to the patient's provider A patient states that he is a "difficult draw" and requests a skin puncture. The test ordered is PTT. Which of the following should a phlebotomy technician perform? A phlebotomy technician is obtaining a blood culture specimen from an adult patient. Which of the following actions should the technician take? Withdraw the blood into a sterile safety syringe Which of the following actions should a phlebotomy technician take when preparing a peripheral blood smear? Place a 1 mm drop of blood one-half inch from the edge of the slide Which of the following tubes should a phlebotomy technician collect first when obtaining dermal samples? Lavender-EDTA: using this tube first will minimize platelet clumping and microdot formation A phlebotomy technician is selecting a site to collect a blood specimen from a patient. After applying a tourniquet the technician sees no apparent vein to use for the venipuncture. Which of the following actions should the technician take? Have the patient dangle her arm 1 to 2 minutes For which of the following reasons should a phlebotomy technician centrifuge a serum specimen before transport to an outside reference laboratory? Cells must be separated from the serum: if the specimen is not centrifuged, the cells continue to metabolize into the serum 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: a syringe minimizes pressure on fragile veins and helps prevent collapsing Blood cultures have been ordered on an adult patient in an intensive care unit. A nurse calls a phlebotomy technician to bring the appropriate materials. Which of the following materials should the phlebotomy technician bring? An aerobic bottle and a anaerobic bottle A phlebotomy technician is exposed to blood via a needle stick injury. Within how many hours should the technician initiate post exposure prophylaxis (PEP)? 24 hours A phlebotomy technician is informing a patient about how to enter a basal state for a blood collection. The technician should inform the patient not to consume food for how many hours prior to blood collection? 12 hours When performing a hand draw, which of the following steps should a phlebotomy technician take before removing the needle? Disengage the tube from the adapter: this prevents contamination and the dripping of blood A phlebotomy technician is preparing to obtain a blood specimen from a patient for an ESR (erythrocyte sedimentation rate) test. The technician should select a collection tube that has a top with which of the following colors? Lavender A phlebotomy technician is collecting a blood sample from a newborn who weighs 3.2 kg (7 lb). Which of the following amounts is the maximum volume of blood the technician can draw from this newborn at one time? 2.5 mL maximum for newborn weighing 2.7 kg to 3.6 kg (6 to 8 lb) A phlebotomy technician is preparing to collect a patient's troponin T level. Which of the following troponin T levels should the technician immediately report to the provider? 0.3 ng/mL this is above the expected range of 0 to 0,2 ng/mL, a critical value 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 which of the following additives? Thrombin helps accelerate clotting for serum specimens GREEN Tube A phlebotomy technician is collecting a blood specimen from a patient to measure the trough level a medication. the technician should collect the specimen at which of the following times? Within 15 min before the patient receives the next dose of medication To prevent hospital-aquired infections, a phlebotomy technician should clean items that have been contaminated by blood with 1:10 dilution of which of the following substances and water? Sodium hypochlorite or chlorine bleach A phlebotomy technician is preparing to collect a blood specimen from the hand of a patient whose veins are difficult to access. Which of the following devices should the technician use? Hand immobilizer uses straps to keep the patient's hand still during the collection procedure A phlebotomy technician has collected a blood specimen from a patient who is in an isolation room. Which of the following pieces of (PPE) should the technician remove first? Gloves: to prevent cross-contamination A phlebotomy technician is collecting a urine specimen from a patient for pre- employment drug test. Which of the following actions should the technician take? Implied Consent: by extending his arm, the patient is giving implied consent After exiting a patient's room, which of the following is the last piece of PPE a phlebotomy technician should remove? Mask: first remove gloves, gown, protective eyewear-the mask should be removed last A phlebotomy technician is collecting a sample for cholesterol, troponin, and HDL, blood results. Which of the following departments is responsible for processing these tests? Chemistry: processes tests related to body chemistry A phlebotomy technician finishes performing a blood draw in an isolation room. Which of the following pieces of PPE should the technician remove first? Gloves: remove the most contaminated piece of PPE first. A phlebotomy technician is preparing to collect a specimen from a 3-year-old patient to perform a coagulation test. Which of the following methods should the technician use? Winged safety butterfly: best for patients who have small veins, such as young children A phlebotomy technician is performing a venipuncture for a potassium test, CBC, and glucose test. The technician has left the tourniquet on the patient for 3 min. Which of the following outcomes should the technician except? High potassium level: leaving a tourniquet on longer than 1 min can cause hemolysis, which creates a falsely elevated potassium level A phlebotomy technician is performing a venipuncture for a lipid profile, WBC, and a clotting time test. Which of the following is the correct order of draw? Lt Blue, SST, Lavender: Lt blue, SST, then Lavender to prevent cross-contamination A phlebotomy technician is performing a venipuncture for a bilirubin test, a cold agglutinin titer, a CBC, and a PTT test. Which of the following tubes should the technician use? One Lt Blue, two Serum (Red), and one Lavender tube Which of the following anticoagulants does NOT bind calcium in the blood? Heparin Hypoglycemia symptoms are similar to Syncope: Hypoglycemia: hunger, fatigue, weakness, sweating, headache, dizziness, low bp, cold or clammy skin Syncope: pale in skin color, diaphoresis (sweating), glazed eyes the brief loss of consciousness caused by the decreased flow of blood to the brain A phlebotomy technician is performing a capillary collection for CBC, FSH, and electrolyte tests. Which of the following is the proper collection order? Lavender, Green, and Red microcollection container: collect Lavender first, Green, then Red to prevent cross-contamination A phlebotomy technician is performing a venipuncture test for coagulation, WBC, pregnancy, and random glucose. Which of the following tubes should the technician choose? Sodium Citrate, SST, and EDTA: Lt Blue, Red, and Lavender tubes A phlebotomy technician is transporting a cryoglobulin specimen to the laboratory. The technician should keep the specimen at which of the following temperatures? 37º C (98.6º F): to prevent precipitation or agglutination- extreme temperatures can damage the specimen A female patient is being referred to a reproductive specialist. Which of the following blood tests would a phlebotomy technician release to the referring personnel> FSH and LH: are hormone related tests that are required for reproductive testing on a female patient A phlebotomy technician is performing a point-of-care hemoglobin test for a patient. Which of the following values should the technician report to the provider? 9.2 g/dL: the level is outside the expected reference of range, therefore it should be reported to the provider A phlebotomy technician is collecting a peripheral blood smear from a patient. The technician should identify that this collection technique is used for which of the following tests? WBC differential test: this is the preferred collection method because it provides a one-cell layer, which allows for the visual differentiation of WBC's A phlebotomy technician is caring for a 3-yr-old child in an inpatient setting who weighs 15.9 kg (35 lb). The technician should identify that which of the following blood collection amounts is within total volume guidelines for a 1-month period for this patient? 95 mL: the maximum amount of blood that can be collected in a 1-month period from a child who weighs 15.9 kg (35 lb) is 100 mL or less 240 to 330 mL: the total blood volume can be calculated by multiplying the infant's weight in kg by 100 and changing the units to mL Amber Bag-Biohazard UV Protected Folate, Bilirubin, Vitamin A Ice Slurry Ammonia, Lactic Acid A phlebotomist is working with the critical team to incorporate an automated carrier system into the facility's newly renovated laboratory. which of the following actions must be taken to avoid hemolysis of blood samples? Protect specimens from vibration or shock A phlebotomist is preparing to mail laboratory specimens to a reference laboratory. Which of the following information must be listed on the labels of the individual specimens? Type of specimen and its source A phlebotomy technician calls a medical assistant to inquire about a laboratory requisition. Which of the following information is required on a laboratory requisition? Patient Identification Number A phlebotomy technician is accessing the laboratory information system prior to collecting a specimen. Which of the following actions should the technician take? Print the specimen label A phlebotomy technician has received a urine drug test specimen with a thermometer reading of 29.4º C (85º F). Which of the following actions should the technician take? Have the patient provide another urine specimen under observation: if the technician suspects tampering a new sample should be collected-the temperature should be in a range of 32.2º to 37.8º C (90º to 100º F) Which of the following actions should a phlebotomy technician take when collecting a urine specimen for drug testing? Seal the specimen in a tamer-evident container A phlebotomy technician has released a specimen to a courier who is transporting it to a laboratory. Which of the following statements should the courier use to instruct the medical specimen accessioned on how to complete the chain of custody form? Write your name on the form A phlebotomy technician is performing a brief physical examination on a prospective blood donor. Which of the following measurements would indicate the donor's eligibility to donate blood? Hematocrit level 42%: the level must be 38% or higher for the patient to be eligible to donate blood A phlebotomy technician is instructing a patient about how to collect a fecal specimen at home. Which of the following instructions should the technician include? "Do not mix urine with the fecal sample." NO COMBO! urine affects the micro-organisms in the feces, which can alter test results A phlebotomy technician should recognize that which of the following blood types is COMPATIBLE with type O blood? Type O: a type O patient should only RECEIVE type O blood because of the interaction between the antigens and antibodies A phlebotomy technician is performing a venipuncture using a winged infusion set. The Red-topped tube fills, but the Lt Blue-topped tube slows and does not fill completely. Which of the following actions should the technician take? Insert a new Lt Blue-topped tube to see if it will fill: the tube might have low vacuum so try a new Lt Blue tube to try and fill completly before performing a new venipuncture The Joint Commission recommends using the patient's full name and which of the following pieces of information to ensure accurate inpatient identification? Medical Record Number: a number assigned to the patient by a facility, is an acceptable form of patient identification. The patient's birthdate and home address are also acceptable patient identifiers Which of the following test results are affected when a phlebotomy technician uses povidone-iodine to cleanse a site for a dermal puncture? Potassium: proidone-iodine is contraindicated for potassium tests because it can cause a false elevation of potassium a specimen A phlebotomy technician is preparing to draw a peak level for a medication that was administered orally to a patient. After verifying when the patient received the medication, how long should the technician wait prior to attempting the draw? 2 hr after administration: collect a peak level 1 to 2 hr following an oral administration to ensure that the medication is not at a toxic level A phlebotomy technician is preparing to perform a venipuncture on a patient. which of the following types of consent is the patient providing when she extends her arm to begin the procedure? A phlebotomy technician is preparing to collect a blood specimen from the hand of a patient whose veins are difficult, to access. Which of the following devices should the technician use? Hand immobilizer: it uses straps to keep the patient's hand still during the collection procedure A phlebotomy technician is collecting blood specimens from a patient for multiple blood assays. The technician should fill the tube that has which of the following additives first? Sodium Citrate: Lt Blue tube containing sodium citrate During a routine venipuncture , a phlebotomy technician notices that a patient is becoming pale and diaphoretic. The technician should identify that the patient that the patient is at risk for which of the following conditions? Syncope: diaphoretic- sweating heavily A phlebotomy technician is preparing a patient's arm for venipuncture, Which of the following techniques should the technician use who applying an antiseptic solution? Back and forth strokes: this motion is effective in decontaminating the site A phlebotomy technician is preparing to use an evacuated tube system to obtain a venous blood specimen from patient. The tourniquet is in place and the technician has cleansed the puncture site. Which of the following procedural steps should the technician perform next? Ask the patient to make a fist: this action allows for the patients veins to become more prominent for the puncture site selection For which of the following reasons should a phlebotomy technician document the total volume of blood drawn from a patient? To determine if the patient is at risk for developing iatrogenic anemia:if it exceeds the recommended allowance of 1% to 5% of total blood volume within a 24 hr period and 10% of total blood volume over an 8 week period for pediatric or critically ill patients A phlebotomy technician is collecting a venipuncture blood specimen from a patient for a blood assay. The technician should fill which of the following tubes first? Yellow-topped tube: first to decrease the probability of bacterial contamination A phlebotomy technician is performing a capillary blood collection for an older adult patient. Which of the following sites should the technician select? The distal phalanx (bones at the tips of the fingers and toes) of either middle finger: this site is preferred over others due to the reduced risk of penetrating bone To prevent hospital acquired infections, a phlebotomy technician should clean items that have been contaminated by blood with a 1:10 dilution of which of he following substances and water? Sodium Hypochlorite: or Chlorine Bleach A phlebotomy technician is collecting a blood specimen from an adolescent patient who weighs 42.6 kg (94 lb). Which of the following amounts is the maximum volume of blood the technician should draw from this patient at any one time to avoid causing anemia? 30 mL: is the maximum volume that can be drawn one time from a patient who weighs 30to 45.5 kg (66 to 100 lb) A phlebotomy technician is performing a heel stick to obtain capillary blood for testing a newborns's bilirubin level. Which of the following actions should the technician take? Use an amber-colored microtainer Which of the following actions should a phlebotomy technician take when performing a venipuncture using an evacuated tube system? Position the needle at a 30º angle in the SAME direction as the VEIN and with the bevel up A phlebotomy technician is preparing a patient's arm for venipuncture. Which of the following techniques should the technician use who applying an antiseptic solution? Back and forth strokes: this motion is effective in decontaminating the site During a routine venipuncture, a phlebotomy technician notices that a patient is becoming pale and diaphoretic. The technician should identify that the patient is at risk for which of the following conditions? Syncope: diaphoretic(sweating heavily)- use precautions to prevent the patient from fainting You have an order to draw an infant screening card, 02 levels, Bilirubin, and DNA. Which should you draw first? 02 levels After performing a heel puncture for neonatal screening, which of the following is the correct procedure for collecting the blood? Saturate each circle