Phlebotomy Technician Study Guide, Exams of Nursing

Download Phlebotomy Technician Study Guide and more Exams Nursing in PDF only on Docsity! NHA Certification Exam Study Guide Updated 2023-2024 with Questions and 100% Correct Answers from Actual Exam (Best Study Guide Rated 5 Stars) What collection tubes should the Phlebotomy Technician use when collecting for a routine chemistry test that requires serum? -------- Correct Answer -------- SST, The thixotropic gel changes viscosity and moves between the serum and the cells A phlebotomy technician should comply with HIPPA to protect what? -------- Correct Answer -------- Patients information A Phlebotomy Technician is using an evacuated needle holder and blood collection tubes to collect blood from a patient. What actions should the Technician take? -------- Correct Answer -------- use the collection tube gently into the holder A Phlebotomy technician is using a syringe method to obtain a blood culture specimen from a adult patient. What actions should the Technician take? -------- Correct Answer -- ------ 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? -------- Correct Answer -------- 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? -------- Correct Answer -------- 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? -------- Correct Answer -------- 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? -------- Correct Answer - ------- 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? -------- Correct Answer -------- 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? -------- Correct Answer -------- Phagocytosis A phlebotomist splashes blood into their eye while aliquoting. What actions should they perform first? -------- Correct Answer -------- Flush the eye with water What situations describe when a hand sanitizer is the most effective? -------- Correct Answer -------- After rubbing hands with the sanitizer until dry What is the first step a phlebotomist take when washing their hands -------- Correct Answer -------- 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? ---- ---- Correct Answer -------- Lock arm of the phlebotomist chair What is the term for a vein that is tender and warm, with red area around it? -------- Correct Answer -------- Phlebitic What is the term for a vein that is hard, inflexible and narrow? -------- Correct Answer ---- ---- 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? -------- Correct Answer -------- Clean catch (midstream) What time of the day should a patient collect a sputum test? -------- Correct Answer ------ -- First thing in the morning Color of anticoagulant tubes -------- Correct Answer -------- blood cultures, Light yellow, light blue, green, purple, royal blue and gray tubes Blood culture tubes contain -------- Correct Answer -------- sodium polyanethole sulfonate (SPS) and are used for bacterial studies Light Blue Tubes contain -------- Correct Answer -------- Sodium citrate and are used for coagulation blood test Green tubes contain -------- Correct Answer -------- sodium, lithium, or ammonia heparin and are used to test chemical levels in the blood. Purple or lavendar top tubes contain -------- Correct Answer -------- ethylenediaminetetraacetic acid (EDTA) and are used for whole blood hematology determinations Gray tubes contain -------- Correct Answer -------- potassium oxalate/ sodium fluoride and are used for glucose determinations. the dermal sample using a lavender topped tube first because this tube minimizes platelet clumping and micro clot formation) What is the best method for a Phlebotomy Technician to collect blood specimen from an older adult patient who has fragile, easy to collapse veins? -------- Correct Answer -------- Choose a syringe and butterfly assembly and transfer to an ETS tube (The Technician should identify that the syringe minimizes pressure on fragile veins and helps prevent collapsing 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? -------- Correct Answer -------- 2 hr after administering (The Technician should collect a peak level 1-2 hrs following Ann oral administration to ensure that the medication is not at a toxic level A phlebotomy technician has a requisition form to perform a chromosome analysis for a patient. The Technician should select a collection tube that contains what following additive? -------- Correct Answer -------- Heparin (It is an anticoagulant that produces a plasma specimen for chromosome analysis) A provider has ordered a urine culture and sensitivity test. What type of urine collection should a phlebotomy Technician obtain? -------- Correct Answer -------- Clean catch midstream (This type of collection is preferred because it reduces bacteria for testing) A phlebotomy technician is preparing to obtain a blood specimen to determine a patient's sodium level. The Technician should select a collection tube that has a top with what colors? -------- Correct Answer -------- Green (This tube has heparin as an additive, which aids in determining sodium levels.) A phlebotomy technician is collecting capillary blood drops on a filter paper card to screen a newborn for phenylketonuria. What actions should the Technician take? -------- Correct Answer -------- Apply blood to the printed side of the filter paper. A phlebotomy technician is interviewing a patient before performing a venipuncture. During the interview, the patient states that he lives nearby and ran to the facility to "get in some running time". What precautions should the Technician take? -------- Correct Answer -------- Have the patient rest comfortably for at least 15 min before the venipuncture. A Phlebotomy technician is preparing several specimens for transport to the facilities laboratory. What specimens should the Technician protect from bright light by placing it in Ann amber/brown biohazard bag for transport? -------- Correct Answer -------- Vitamine B6 A Phlebotomy technician is collecting blood from a patient for donation. The collection bag only fills halfway, and the veins collapses. What actions should the Technician take? -------- Correct Answer -------- Use a new collection bag to draw a new unit of blood (The bag has a specific amount of the additive citrate phosphate dextrose to prevent coagulation) A phlebotomy technician is washing her hands at the beginning of her shift. What should the Technician take? -------- Correct Answer -------- Use enough soap to form a lather Inversion of light yellow SPS tubes -------- Correct Answer -------- 8-10 times Inversion: Light Blue Tubes -------- Correct Answer -------- 3-4 times Inversion of serum separator tubes (SST, red tubes) Serum tubes (Red tops without the separating gel) -------- Correct Answer -------- 5 times Inversion: Green Tubes -------- Correct Answer -------- 8-10 times Inversion: Lavender Tubes -------- Correct Answer -------- 8-10 times inversion of gray tube -------- Correct Answer -------- 8-10 times When performing a bilirubin blood collection on an 8 month old infant, what equipment should you gather? -------- Correct Answer -------- Alcohol pas and 2 mm lancet For patients who are hospitalized, blood can be drawn every day or every few hours. What types of anemia often results? -------- Correct Answer -------- Latrogenic glucose tolerance test -------- Correct Answer -------- 12 hours. Blood and urine tests should be performed at the same time in order recommended by the facility. The collections must occur together, usually every 1 to 2 hrs. Handling thermolabile specimens -------- Correct Answer -------- Use a heat sourse or heat blocks to regulate tempuratre Ue ice slurries, refrigerators, or freezers for chilling purposes. Do not use cold or ice packs. Avoid fluctuating temperatures Handling Photosensitive Specimens -------- Correct Answer -------- Protect them from light A phlebotomist is working with the clinical team to incorporate an automated carrier system into the facility's newly renovated laboratory. What actions must be taken to avoid hemolysis of blood sample? -------- Correct Answer -------- Protect from vibrations and shock chain of custody form -------- Correct Answer -------- ensures accurate collection, transportation, and processing of a specimen Point-of-care-testing (POCT) -------- Correct Answer -------- Defined as diagnostic testing near the dite of patient care. The driving notion behind POCT is to bring the test conveniently and immediately to the patient. This increased the likelihood that the patient will receive the results in a timely manner. A phlebotomist is performing point of care testing to monitor blood coagulation values. This testing is likely to involve what test? -------- Correct Answer -------- A Phlebotomy technician is using an evacuated needle holder and blood collection tubes to collect blood from a patient. What actions should the Technician take? -------- Correct Answer -------- 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? -------- Correct Answer -------- 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? -------- Correct Answer -------- 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? -------- Correct Answer -------- 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? -------- Correct Answer -------- 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? -------- Correct Answer -------- 300 mg/dL. It is about the 140 to 200 mg/dL for total cholesterol 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? -------- Correct Answer -------- 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? -------- Correct Answer -------- Check the requisition form for duplicate test orders