Phlebotomy Technician Guidelines: Preparing and Collecting Blood Specimens, Exams of Medicine

Download Phlebotomy Technician Guidelines: Preparing and Collecting Blood Specimens and more Exams Medicine in PDF only on Docsity! TEST FOR NHA CPT QUESTIONS AND ANSWERS 2024 D Correct Answer is A PHLEBOTOMY TECHNICIAN IN AN OUTPATIENT FACILITY FINDS A PATIENT WHO IS IN SHOCK AND BLEEDING PROFUSELY WHICH OF THE FOLLOWING ACTIONS SHOULD THE PHLEBOTOMIST TAKE FIRST A) KEEP THE PATIENT WARM B) SEEK SUPPORT FROM OTHER STAFF C) RAISE THE PATIENTS LEGS D) APPLY DIRECT PRESSURE TO THE WOUND A Correct Answer is A PHLEBOTOMY TECHINICIAN IS SELECTING A SITE FOR A BLOOD DRAW FROM A PATIENT. FOR WHICH OF THE FOLLOWING VEINS SHOULD THE TECHNICIAN ATTEMPT TO DRAW FIRST? A) MEDIAN CUBITAL B) BASILIC C) DORSAL METACARPAL D)CEPHALIC D Correct Answer is A PHLEBOTOMY TECHNICIAN OBTAINS TWO READINGS OF 17 MG/dL WHEN PERFORMING A GLUCOMETER TEST FOR A PATIENT WHICH OF THE FOLLOWINGACTIONS SHOULD THE TECHNICIAN TAKE? A) REPEATING THE GLUCOSE TEST AGAIN UNTIL READING APPEAR IN RANGE B) PERFROMA VENIPUNCTURE DRAW TO VERIFY TEST RESULTS C) REPEAT THE TEST WITH THE PATIENTS GLUCOMETER D) PERFOM A SET OF LIQUID CONTROLS A Correct Answer is BEFORE COLLECTING BLOOD FROMA PATIENTS FROM AN IMPATIENT SETTING A PHLEBOTOMY TECHNICIAN NOTICES THAT THE PATIENT DOES NOT HAVE A WRISTBAND ON HIS WRIST BUT THERE IS ONE ATTACHED TO THE PATIENTS IV STAND. WHICH OF THE FOLLOWING ACTIONS SHOULD THE TECHNICIAN TAKE? A)HOLD DRAW UNTIL NURSE ATTACHED WRISTBAND TO PATIENT B) WRITE UNABLE TO DRAW ON REQ FORM C)VERIFY THE PATIENTS IDENTITY WITH WRISTBAND ON IV STAND D)ASK THE PATIENT TO CONFIRM IDENTITY D Correct Answer is A PHLEBOTOMY TECHNICIAN IS PREPARING TO PERFOMR A BLOOD DRAW ON A PATIENT WO HAD A LEFT SIDED MASECTOMY AND HAS AN IV ON HER RIGHT SIDE. IN WHICH OF THE FOLLOWING LOCATIONS SHOULD THE TECHNICIAN PERFORM THE DRAW A)LEFT MEDIAN CUBITAL VEIN B) ABOVE THE IV C) LEFT DORSAL VEIN D) BELOW THE IV C Correct Answer is A PHLEBOTOMY TECHNICIAN IS PREPARING TO OBTAIN A BLOOD SPECIMEN FROM A PATIENT FOR AN ERYTHROCYTE SEDIMENTATION RATE TEST. THE TECHNICIAN SHOULD SELECT A COLLECTION TUBE THAT HAS A TOP WITH WHICH OF THE FOLLOWING COLORS? A) RED B) LIGHT GREEN C) LAVENDER D) ROYAL BLUE B Correct Answer is which of the following tests is the most common point of care test performed at home and in medical facilities? a) PT/NR b) Glucose c) cbc d) BMP A Correct Answer is A PHLEBOTOMY TECHNICIAN IS INTRUCTING A PATIENT ABOUT HOW TO COLLECT A FWVAL OCCULT SPECIMEN. WHICH OF THE FOLLOWING INSTRUCTIONS SHOULD THE TECHNICIAN TAKE? A) AVOID TAKING IBUPROFEN B) COLLECT FECAL SPECIMAN FOR 2 DAYS C) DECREASE FIBER INTAKE D) REFRIGERATE EACH CARD UNTIL TRANSPORTING THEM TO THE LABORATORY C Correct Answer is WHICH OF THE FOLLOWING ACTIONS SHOULD A PHLEBOTOMY TECHNICIAN TAKE TO VERIFY THE QUAITY OF VENIPUNCTURE SUPPLIES BEFORE BEGINNING A BLOOD DRAW ON AN ADULT PATIENT? A) DETERMINE THAT THE TOURNIQUET IS THE PROPER SIZE B) CHECK THE VACCUM OF THE TUBE. C) INSPECT TH INTEGRITY OF THE NEEDLES SEAL D) VERIFY THE ADAPTER IS THE CORRECT COLOR A C Correct Answer is a phlebotomy technician is preparing to collect a timed medication draw ordered 1400 the technician should verify when the patient received the previous does of medication with which of the following members of the inter professional team? A) pharmacist B)laboratory technologist C) nurse D) medical assistant C Correct Answer is which of the following actions should a phlebotomy technician take to maintain compliance with HIPPA? a) discard test result into the office trash can b) leave patient information next to the printer c) clear phone numbers from the fax machine d) share passwords with other facility staff B Correct Answer is a phlebotomy technician is prepping to draw a peak level for a medication that was administered orally to patient. after verifying when the patient received the medication. how long should the technician wait prior to attempting the draw? a) 30 min after administration b) 2 hr after administration c) 15 min after administration d) 4 hr after administration C Correct Answer is which of the following test results are affected when a phlebotomy technician uses povidone-iodine to cleanse a site for a dermal puncture? a) glucose b) blood urea nitrogen c) potassium d) coagulation studies B Correct Answer is after a phlebotomy technician performs a heel puncture for neonatal screening which of the following is the correct procedure for collecting the blood? a) smear the blood on the circle b) saturate each circle with one drop of blood c) touch the heel to the center of the circle d) apply multiple drops of blood on each circle D Correct Answer is a phlebotomy technician is removing a bag of contaminated items from a collection area. which of the following actions should the technician take to properly dispose of the items? a) transfer the different contents of the bag into a different hazardous waste bag b) transfer the contents into a large trash bin c) take the items directly to the dirty utilities room d) place the bag inside a second hazardous waste bag outside the room D Correct Answer is a phlebotomy technician is preparing to draw blood from a patient who states that she fainted during her last blood draw. which of the following actions should the technician take a) ask the patient to stand up during the procedure b) have the patient rest 30 minuets prior to the procedure c)have the patient raise her head up during the draw d) ask the patient to lie down for the procedure C Correct Answer is what following actions should a plebotomy technician take when reporting laboratory results? a) send the results to the patients partner b) send the results to the patients personal email c) send the results to patients ordering provider d) send the results to patients insurance office D Correct Answer is A PHLEBOTOMY TECHNICIAN IS PREPERAING TO DRAW BLOOD FROM A PATIENT WHO STATES THAT THIS IS HIS FIRST BLOOD DRAW WHICH OF THE FOLLOWING ACTIONS SHOULD THE TECHNICIAN TAKE? A) EXPLAIN THE REASON THE TEST WAS ORDERED B)INFROM THE PATIENT OF POSSIBLE COMPLICATIONS OF THE PROCEDURE C)SHOW THE PATIENT THE GAUGE OF THE NEEDLE D) DESCRIBE THE PROCEDURE TO THE PATIENT C Correct Answer is COMMISION RECOMMENDS USING THE PATIENTS FULL NAME AND WHICH OF THE FOLLOWING PIECES OF INFORMATION IS ACCURATE INPATIENT INFORMATION? A) INSUURANCE CARRIER B) MEDICAL RECORD NUMBER C) LABRATORY REQUISITION NUMBER D) PROVIDERS NAME D Correct Answer is A PHLBOTOMY TECHNICIAN IS PERFOMING A VENIPUNCTURE USING A WING INFUSIONSET. THE RED TOPPED TUBE FILLS BUT THE BLUE TOPPED TUBE SLOWS AND DOES NOT FILL COMPLETELY WHICH OF THE FOLLOWING ACTIONS SHOULD THE TECHNICIAN TAKE? A) TELL THEPATIENT ANOTHER VENIPUNCTURE WILL NEED TO BE PERFORMED B) WRITE INSUFFICIENT QUANTITY ON THE REQUISITION FORM C) SUBMIT THE PARTIALLY FILLED LIGHT BLUE TOPPED TUBE TO THE LABORATORY D) INSERT A NEW LIGHT BLUE TOPPED TO SEE IF IT WILL FILL B Correct Answer is A PHLEBOTOMIST IS DRAWING A PATIENTS BLOOD WHENTHE PATIENT STATES THAT SHE IS BECOMING DISSY AND LIH=GHY-HEADED. WHAT FOLLOWING ACTIONS SHOULD THE TECHNICIAN TAKE FIRST? A)PLACE THE PATIENTS HEAD BETWEEN HER LEGS B) REMOVE THE TOURNIQUET AND NEEDLE C) CALL OTHER MEDICAL PERSONELL FOR HELP D) INSTRUCT THE PATIENT TO BREATHE DEEPLY C Correct Answer is A PHLEBOTOMY TECHNICIAN OBSERVES A HEMATOMA DEVELOPING AT THE SITE OF VENOUS BLOOD DRAW WHICH OF THE FOLLOWING ACTIONS SHOULD THE TECHNICIAN TAKE? A) OBSERVE THE SITE TO SEE IF THE HEMATOMA WORSENS B) ASK THE PATIENT TO APPLY PRESSURE TO THE AREA C)RELEASE THE TOURNIQUET AND STOP THE DRAW D) CALL FOR A NURSE TO ASSES FOR THE PATIENTS CONDITION D Correct Answer is A PHLEBOTOMY TECHNICIAN IS PLANNING TO COLLECT A SPUTUM SPECIMEN FROM A PATIENT WHICH OF THE FOLLOWING INSTRUCTIONS SHOULD THE TECHNICIAN GIVE THE PATIENT? A) RINSE YOUR MOUTH WITH MOUTHWASH BEFORE WE COLLECT THE SPECIMEN B) GARGLE SOME WATER BEFORE WE COLLECT THE SPECIMEN C)LEAVE DENTURES IN DURING COLLECTION OF SPECIMEN D) BREATH DEEPLY AND THEN COUGH UP A SPECIMEN INTO THE CONTAINER A Correct Answer is 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 HRS PRIOR TO BLOOD COLLECTION? A) 12 B) 6 HR C) 24 HR D) 15 Correct Answer is a phlebotomy technician should select a tube that has which of the following anticougulants to collect a sample for a PT/PTT test? a) EDTA b) sodium citrate c) potassium oxalate d) heparin d Correct Answer is a phlebotomy technician is using an evacuated needle holder and blood collection tube to collect tube from a patient. which of the following actions should the technician take? a) position the needle at 45 degree angle to the skin b) insert the needle with he bevel facing downward c) palpate below the puncture site if blood is not established d) push the fist collection tube gently into the holder b Correct Answer is a phlebotomy technician is preparing to draw blood from a patient in an impatient setting. The patient extends his arm turns his head away. the action by the patient is an example of which of the following type of consent? a) informed consent b) implied consent c) refusal on consent d) expressed consent a Correct Answer is which of the following tubes should a phlebotomy technician collect first when obtaining dermal supplies? a) lavender top b) green top c) red top d) light blue top a Correct Answer is prior to transport which of the following specimens should a phlebotomy technician place an ice batch within 30 min after collection? a) arterial blood gas b) cold angulation c) cryoglobulin d) blood culture b Correct Answer is a phlebotomy technician is preparing several specimens for transport to the facility's laboratory. which of the following specimens should the technician protect from bright light by placing it in an amber brown/biohazard bagful transport? a) lactic acid b) vitamin b6 c) blood gas d) ammonia b Correct Answer is a plebotomy technician is preparing a peripheral blood smear from a patients capillary blood. which of the following actions should the technician take? a) select the patients index finger for the capillary blood b) use the second drop of blood that emerges from the puncture c) position the puncture device so it cuts along the lines of the fingerprint d) touch the needle slide to the blood at least 3.8 cm (1.5in) from the end of the slide B Correct Answer is a plebechnician is obtaining a blood culture specimen from an adult patient which of the following actions should the technician take? a) scrub the insert site with isopropyl alcohol for 30 seconds b) withdraw the blood into a sterile safety syringe c) collect a total of 10 mL of blood from the patient d) transfer to the aerobic culture bottle first b Correct Answer is a phlebotomy technician is collecting blood from a patient for donation. the collection bag only fills halfway and the vein collapses which of the following actions should the technician take? a) mark the collection bag half full b) use a new collection bag to draw a new unit of blood C) continue filling the collection bag from an alternate site d) combine two separate e collction bags to make a whole a Correct Answer is which of the following collection tubes should a phlebotomy technician use when collecting for a routine chemistry test that requires serum ? a) sst b) edta c) pst d) sis C Correct Answer is a phlebotomy technician is preparing to obtain blood specimen to determine a patients sodium level. the technician should select a collection tube that has a tube with which of the following colors? a) lavender b) gray c) green d) yellow d Correct Answer is a phlebotomy technician has a requisition form to perform a chromosome analysis for a patient the technician should select a collection tube that contains which of the following? a) sodium polyanethol sulfate b) thrombin c) sodium citrate d) heparin c Correct Answer is 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? a) supply clamp b) phlebotomy wedge c) hand immobilizer d) hand brace C Correct Answer is to prevent hospital acquired infections a phlebotomy technician should clean items that have been contaminated by blood with a 1:10 of which of the following substances and water? a) hydrogen peroxide b) isopropyl alcohol c) sodium hypochlorite d) benzalkonium chloride a Correct Answer is a phlebotomy technician is collecting a blood specimen from a patient t measure the trough level of a medication. the technician should collect the specimen at which of the following times? a) within 15 min before th patient receives the next does of medication b) less then 15 min after the patient receives a dose of medication c) at least 2 hrs after the patient receives a does of medication d) approximately halfway between two doses of medication D Correct Answer is a phlebotomy technician is following the clinical and laboratory standard institute (CLSI) clinical laboratory workflow pathway. As part of th post examination phase of this process,which of the following actions should the technician take? a) process the specimen b) review and verify the results c) provide post puncture care d) enter critical laboratory data d) the technician is conducting erythrocyte sedimentation rate (ESR) tests D Correct Answer is a phlebotomy technician is reviewing a laboratory requisitoio before obtaining blood specimen from a patient. the technician should verify that the requisition includes includes which of the following information? a) the patients next of kin b) emergency contact information c) the patients previous medication d) a specimens identification code C Correct Answer is which of the following actions should phlebotomy technician take to maintain compliave with HIPPAA? a)discard the test results into the office trash can b) lave patients information next to the printer c) clear phone numbers from the fax machine d) share password with other facility staff C Correct Answer is a phlebotomy technician is preparing to obtain a blood specimen from a patient for an erythrocyte sedimentation rate test.the technician should select a collection tube that has a top with which of the following colors? a)red b) light green c) lavender d) royal blue c Correct Answer is 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? a) choose a butterfly assembly using a regular ETS tube b) choose a butterfly assembly and use a pediatric tube c) choose a syringe and butterfly assembly and transfer to an ETS tube d) choose a pediatric tube assembly and a regular ETS tube B Correct Answer is a phlebotomy tecnical should invert anticoagulant tubes to prevent which of the following complication? a) Ph imbalance b) hemolysis c) hemoncentration d) specific gravity imbalance B Correct Answer is a phlebotomy technician should invert anticoagulant tube to prevent which of th following complications? a) Ph imbalance b) hemolysis c) hemoconsentration d) specific gravity imbalance D Correct Answer is for which of the following tests should phlebotomy technician follow chainnof custody guidelines? a) lithium b) prothrombin time c) troponin d) blood alcohol B Correct Answer is which of the following regulations ensures that a phlebotomy technician is proficient to perform duties and responsibilities? a) HIPAA b) CLIA c) Anti- kickback statue d) civil monetary penalties law D Correct Answer is a phlebotomy technician is using a glucosemoniter for point of care testing of a patient who has been fasting for 12 hr. for which of the following should the technician immediately notify the provider? a)70 mg/dL b) 90 mg/dL c) 110 mg/dL d) 130 md/dL D Correct Answer is a phlebotomy technician is collecting a venipuncture from a patient for a blood assay. the technician should fill which of the following tubes first? a) light-blue topped tube b) lavender topped tube c) green topped tube d) yellow topped tube C Correct Answer is a phlebotomy technician should identify that which of the following phrases is represented by the abbreviation of "SD"? a) standard decision b) standard determination c) standard deviation d) standard development D Correct Answer is a phlebotomy is collecting a blood specimen from an adolescent patient who weights 42,6 kg (95 lb) which of off the following amounts is the maximum volume of blood the technician should draw from this patient at any one time to avoiding causing anemia? a)10 mL b) 20 mL c) 25 mL d) 30mL B Correct Answer is a phlebotomy technician is collecting a blood specimen from a patient for blood culture which of the following additives do the blood collection tubes require? a) EDTA b) sodium polynetheal sulfonate c) gel serum separator d) sodium heparin a Correct Answer is during a routine venipuncture a phlebotomy technician notices that a patient is becoming pale and diopheric. The technician should identify that the patient is at risk for which of the following conditions? a) syncope b) seizure c) nausea d) petachiae a Correct Answer is a phlebotomy technician is collecting a blood specimen from a patient to measure the trough level medication the technician should collect the specimen at which of the following times? a) within 15 min before the patient receives a dose of medication b) less than 15 after the patient receives a dose medication c) at least 2 hrs after the patient receives a dose of medication d) approximately halfway between two does of the medication B Correct Answer is a phlebotomy technician is intersecting a patient to collect a clean catch urine specimen . which of the following cleansers should the technician instruct the patient to use when cleansing around her urinary meatus? a) hydrogen peroxide b) mild antiseptic soap c) povidone-iodine