NHA Phlebotomy certification EXAM Questions and Answers

NHA Phlebotomy certification EXAM Questions and Answers 1. What temperature should a semen sample be transported? 36-38 degrees C 2. Which of the following would result in a grossly hemolyzed specimen? a. Incorrect order of draw b. Incorrect needle gauge c. Applying tourniquet too close to the draw site d. Failure to invert tube b. Incorrect needle gauge 3. Which of the following is proper procedure after collecting ammonia specimen? a. Protect from light b. Keep specimen warm c. Keep specimen at body temp d. Place specimen in icewater slurry (or a cup of ice) d. Place specimen in icewater slurry (or a cup of ice) 4. The phlebotomist has a request to collect a CBC from a healthy 10 month old. Which is appropriate? a. Either heel 5. A phlebotomist is preparing to draw blood from a patient in hospital/ The patient extends his arm and turns head away. Which consent does this indicate? a. Implied consent 6. Why should phlebotomist document volume of blood drawn from a patient? a. Iatrogenic anemia could be a result fo too much taken 7. A phlebotomist has a requisition to draw blood on a patient with severe Down's syndrome. What steps would you take? a. Speak with the patient guardian before performing venipuncture to enmsure the patient understands 8. A 69 year old unconscious patient is brought ot the ER. Several blood tests are ordered. The phlebotomist collects blood under a. Implied consent 9. Which of the following actions is appropriate when labeling specimens? a. Label specimens at the time of collection in front of the patient 10. Before collecting blood on an inpatient, the phlebotomist notices there's no wristband on wrist. There is one on the IV pole. What do you do? a. Don't draw until nurse puts an armband on patient 11. Which is appropriate form of identification in inpatient setting? a. Verbal and wrist band 12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary? a. Lavender and red 13. A blood specimen is rejected by lab with QNS as the reason? Why? a. The specimen was insufficient-not enough blood 14. Which of the following is best method to prevent internal or external bleeding from venipuncture site after needle is removed? a. Apply pressure to prevent leakage of blood into the tissues 15. A physician orders a STAT but phlebotomist forgets to fill out patient ID number. What is appropriate procedure for an improperly labeled specimen when received in lab? a. Lab rejects the mislabeled specimen 16. Phlebotomist is performing venipuncture and patient begins to seize. What is correct action? a. Discontinue the draw 17. Phlebotomist receives orders to draw an infant screening card, O2 levels, bilirubin, and DNA. Which is to be drawn first? a. O2 levels 18. When performing a venipuncture on a patient of average weight, which is the correct technique for needle insertion? a. Insert until a change in resistance 19. Which is the best method to collect a blood specimen from an older adult patient who has fragile, easy to collapse veins? a. Choose a syringe and butterfly assembly 20. Which of the following is the term for donation of a patient's own blood for an upcoming surgery? a. Autologous donation 21. The order of draw for capillary collections is different than venipuncture because a. Increased risk of coagulation (remember platelets start to form) 22. Upon entering a patient's room for routine blood draw, phlebotomist notices clergy member is with the patient. What should you do? a. Return later after drawing other patients 23. A phlebotomist notices a hematoma developing at the site of venipuncture. The phlebotomist should a. Release the tourniquet and stop the draw 24. Know ORDER of DRAW!! 25. A phlebotomist working in an infertility clinic and the patient is to submit a semen specimen. The phlebotomist would tell the patient: a. As soon as you collect the specimen, keep it next to your body and bring it in right away. (the reason is it needs to stay at body temp and delivered in lab within 2 hours) 26. After placing tourniquet on a patients arm, the phlebotomist notices small red spots below the tourniquet. a. Petechiae 27. The phlebotomist should examine the antecubital veins of both arms because: a. The median cubital might be more accessible on one side than the other 28. What is the appropriate cleanser to clean the meatus for a clean catch urine specimen? a. Benzalkonium chloride 29. When should the code on glucose cuvettes or strips be compared to the code on the glucose meter? a. When the patient is tested 30. Which of the following is appropriate to use when collecting for a chemistry test that requires serum? a. SST (this is the red gel tube) 31. A patient state she is a difficult draw and requests a skin puncture. The test is a PTT. Which should you do? a. Use a syringe and transfer to a light blue tube 32. Industry standard states needle insertion in the antecubital area should be: a. 15-30 degree angle 33. Tubes with which additive should be used for CBC? a. EDTA (purple tube) 34. When preparing for transport, which specimen must be placed on ice within 30 minutes after collection? a. Arterial Blood Gases 35. Which provides the phlebotomist the best protection when drawing blood from a patient with active TB? a. N-95 respirator mask 36. During a draw, the patient becomes unresponsive. What should you do? a. Check for breathing 37. Why should a phlebotomist avoid drawing blood from a leg or foot of a diabetic patient? a. These areas are more susceptible to infection 38. Why is it important to place a specimen in a biohazard specimen bag outside the laboratory? a. The biohazard bag prevents a possible exposure incident 39. As a student. Proper introduction a. Hi, my name is Sally Smith. I am a student phlebotomist and I'm here to collect blood specimen 40. When using evacuated tube system (EVS). a. Position the needle in the same direction as the vein at 30 degree angle 41. What is additive for a PT/PTT? a. Sodium Citrate (Blue top) 42. Blood cultures have been ordered on ICU patient. You would use: a. Aerobic and anaerobic bottles 43. A phlebotomist is required to obtain what from a potential donor? a. Complete medical history 44. Phlebotomist needs to draw a glucose tolerance test on a patient and notices an empty breakfast plate at bedside. What should you do? a. Ask the patient when he or she ate last 45. Which vein should you attempt first? a. Median cubital 46. If a phlebotomist is stuck with a used needle, first action is: a. Flush the area with running water 47. correct specimen handling, what should you put on collection tubes? Before leaving a patient room, make sure the date, time and initials are on the tubes. 48. When removing the needle from the arm, engage the safety device immediately 49. What can cause hemolysis? a. Vigorously shaking the tube 50. A phlebotomist must centrifuge a serum separator tube before shipment: a. Cells must be separated from the serum 51. The phlebotomist draws a CBC at 1800. Lab closed at 1730 and will not process until 500. What temp should the CBC be stored a. 2-10 degrees C (EDTA tubes may be processed at 12 hours if refrigerated) 52. What test results can be affected if iodine is used to clean the site? a. Potassium 53. According to CLSI, what is collected first? a. Blood cultures 54. KNOW ORDER OF DRAW 1. KNOW ADDITIVES 55. KNOW ORDER OF VENIPUNTURE PROCEDURE 56. A physician ordered a Tobramycin level to be drawn one hour after dose. The Tobramycin has been ordered for 11am. What should you do a. Check with the nurse to make sure meds were given (or not given) 57. phlebotomist notices red spots. What is appropriate action? a. Apply pressure after collecting During the draw, the the sample 58. What is a potential consequence of mislabeling a blood bank specimen? a. A Transfusion reaction 59. When should a phlebotomist perform external liquid controls for quality control on CLIA waived point of care test? a. When a new lot number or kit is opened 60. A 3.3 kg infant has a total blood volume of 240-330ml 61. Cleanse in an outward spiral 62. What would you use for a hand draw? a. Butterfly or winged infusion set 63. Invert anticoagulant tubes to :prevent coagulation Name the 3 types of blood samples whole blood/ plasma/ serum What two States require licensure Louisiana & California When the Phlebotomist collects blood, in which of the patient's zones of interpersonal space is he/she operating? The patient's Intimate Zone or Space Define Phlebotomy An incision into the vein What is the meaning of these acronyms: ASPT, ASCP, and NHA? ASPT = American Society of Phlebotomy Technicians ASCP = American Society for Clinical Pathology NHA = National Healthcareer Association Define Reference Laboratory: A reference laboratory is one that specializes in one test or one group of tests, or where more unusual or obscure tests are performed. . Number the following items to reflect the correct blood flow through the heart and lungs: _1__ Vena Cave (superior/inferior) _7__ Lungs _5__ Pulmonary Valve _6__ Pulmonary Artery _13__ Aorta _9__ Left Atrium _2__ Right Atrium _8__ Pulmonary Veins _4__ Right Ventricle _11__ Left Ventricle _3__ Tricuspid Valve _12__ Aortic Valve _10__ Mitral Valve (aka, Bi-Cuspid) To whom does the phlebotomist report? A technical phlebotomy supervisor