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NHA Phlebotomy final
Order of Draw - CORRECT ANSWER-1. Yellow (SPS)
2. Light Blue (sodium citrate)
3. Red, Red/Grey, Gold (none and SST)
4. Green (heparin)
5. Lavender (EDTA)
6. Grey (sodium fluoride, potassium oxalate, lithium iodoacetate)
Tube color departments & inversions - CORRECT ANSWER-1. yellow- microbiology
(8-10x)
2. light blue- coagulation (3-4x)
3. red, red/grey, gold- chemistry (none, 5x)
4. green- chemistry (8-10x)
5. lavender- hematology (8-10x)
6. grey-chemistry (8-10x)
A phlebotomy tech is working with a pt who has TB. Which of the following transmission
precautions should the tech use? - CORRECT ANSWER-airborne precautions
For which of the following conditions does emergency first aid treatment include
maintaining an open airway, controlling bleeding, and keeping the pt warm until help
arrives? - CORRECT ANSWER-shock
A phlebotomy tech should identify that HIPAA protects which of the following rights as
part of the Patient Care Partnership? - CORRECT ANSWER-patient information
A phlebotomy tech is collecting capillary blood drops on a filter paper card to screen a
newborn for PKU. Which of the following actions should the tech take? - CORRECT
ANSWER-apply blood to the printed side of the filter paper
pediatric needle gauge - CORRECT ANSWER-23g (over 1 year)
lancet (under 12 months)
Which tube is needed for a sickle cell screening? - CORRECT ANSWER-lavender
A phlebotomy tech is required to obtain which of the following from a potential blood
donor? - CORRECT ANSWER-complete medical history
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A phlebotomy tech has a requisition for collecting a fasting blood glucose and albumin
specimens from a patient. Which of the following actions should the tech take before
collecting blood? - CORRECT ANSWER-make sure the patient has fasted for the past
8-12 hours
A phlebotomy tech is performing a heel stick to obtain capillary blood for testing a
newborn's bilirubin. Which of the following should actions should the tech take? -
CORRECT ANSWER-use an amber colored microcontainer
pediatric heel puncture area - CORRECT ANSWER-medial and lateral portions of the
plantar surface
Which of the following is a potential consequence of mislabeling a blood bank
specimen? - CORRECT ANSWER-a transfusion reaction
A phlebotomy tech is preparing to use an ETS to obtain a venous blood specimen from
a patient. The tourniquet is in place and the site has been cleansed. Which of the
following procedural steps should the tech perform next? - CORRECT ANSWER-uncap
and inspect the needle
A phlebotomy tech is performing a brief physical examination on prospective blood
donor. Which of the following measurements would indicate the donor's eligibility to
donate blood? - CORRECT ANSWER-hematocrit level 42%
Which of the following actions by a phlebotomy tech can result in a grossly hemolyzed
specimen? - CORRECT ANSWER-using an incorrect needle gauge
A tech should identify that which of the following is one of the Joint Commission's
National Patient Safety Goals? - CORRECT ANSWER-identify patients correctly
A provider orders a stat specimen, but a phlebotomy tech forgets to fill out the patient ID
number on the collection tube. Which of the following should the tech expect from the
lab? - CORRECT ANSWER-reject the specimen
For which of the following reasons should a phlebotomy tech avoid drawing blood from
the leg or foot of a patient who has diabetes? - CORRECT ANSWER-these are more
susceptible to infection
Which of the following regulations ensures that phlebotomy tech is proficient to perform
job duties and responsibilities? - CORRECT ANSWER-CLIA
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Which of the following actions should a phlebotomy tech take when performing a
venipuncture using an ETS? - CORRECT ANSWER-position the needle at a 30 degree
angle in the same direction as the vein and with the bevel up
A phlebotomy tech is instructing a patent to collect a clean-catch urine specimen. Which
of the following cleansers should the tech instruct the patient to use when cleansing her
urinary meatus? - CORRECT ANSWER-mild antiseptic soap
A phlebotomy tech should identify which of the following phrases is represented by the
abbreviation "SD"? - CORRECT ANSWER-standard deviation
For which of the following reasons should a phlebotomy tech document the total volume
of blood drawn from a patient? - CORRECT ANSWER-to determine if the patient is at
risk for developing iatrogenic anemia
A phlebotomy tech should invert anticoagulant tubes to prevent which of the following
complications? - CORRECT ANSWER-hemolysis
A phlebotomy tech is collecting a unit of blood from a donor. Which of the following
actions should the tech take? - CORRECT ANSWER-have the donor open and close
her fist throughout the collection
Within which of the following time periods should a phlebotomy tech collect a newborn
blood-spot test screening card? - CORRECT ANSWER-within 72 hours
A phlebotomy tech is collecting a blood specimen from an adolescent patient who
weighs 42.6kg (94lb). Which of the following amounts is appropriate to collect if the
maximum allowable volume of blood is 1%? - CORRECT ANSWER-40 mL
A phlebotomy tech is performing venipuncture for a patient who suddenly reports feeling
faint. After removing the tourniquet and needle, which of the following actions should the
tech take? - CORRECT ANSWER-have the patient put her head between her legs
A phlebotomy tech should identify which of the following additives is used to break down
glucose? - CORRECT ANSWER-sodium fluoride
For an older adult patient who has difficult to access veins, a tech should select which of
the following veins for venipuncture? - CORRECT ANSWER-dorsal veins
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A phlebotomy tech is collecting a urine specimen from a patient for a pre-employment
drug screen. Which of the following findings should indicate to the tech that tampering
possibly occurred? - CORRECT ANSWER-the temperature of the specimen is 30
degrees celsius (86 degrees F)
A phlebotomy tech is explaining the venipuncture procedure to an adult patient. The
patient nods frequently but appears confused. Which of the following actions should the
tech take? - CORRECT ANSWER-rephrase the information for the patient
A patient asks the phlebotomist to use her finger for the blood work. The phlebotomist
can do this if - CORRECT ANSWER-the ordered tests can be performed on a capillary
specimen
Which of the following venipuncture steps is in the correct order? - CORRECT
ANSWER-assess the site, cleanse the site, insert the needle
According to the CLSI order of draw guidelines, which of the following sample should be
drawn first? - CORRECT ANSWER-blood cultures
A phlebotomy tech is preparing to draw a blood specimen from a patient who has a C
Diff infection. Which of the following precautions should the tech take? - CORRECT
ANSWER-contact precautions
Industry standards states that needle insertion in the antecubital area should be at a? -
CORRECT ANSWER-15 to 30 degree angle
If a phlebotomist notices a hematoma forming during blood draw, what should they do?
- CORRECT ANSWER-release the tourniquet and stop the draw
A phlebotomy tech should ensure that which of the following specimens is protected
from light? - CORRECT ANSWER-bilirubin
A phlebotomy tech is performing a heel stick to obtain capillary blood from a newborn
for bilirubin testing. Which of the following actions should the tech take? - CORRECT
ANSWER-use an amber-colored micro-container
A blood specimen was rejected by the lab with the abbreviations QNS. Why was the
specimen rejected? - CORRECT ANSWER-the specimen was insufficient
Routine phlebotomy collection needle gauge - CORRECT ANSWER-20g, 21g, 22g
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