NHA Phlebotomy Practice Test 4 Questions & Answers

NHA Phlebotomy Practice Test 4 Questions & Answers A phlebotomy technician is instructing a patient how 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? Hydrogen peroxide Mild antiseptic soap Povidone-iodine Isopropyl alcohol Mild antiseptic soap A phlebotomy technician should identify that which of the following is the total blood volume of an infant who weighs 3.3 kg (7.3 lb)? 350 to 390 mL 125 to 230 mL 240 to 330 mL 405 to 450 mL 240 to 330 mL A phlebotomy technician is collecting a blood specimen from a patient for blood cultures. Which of the following additives do the blood collection tubes require? EDTA Sodium polyanethol sulfonate Gel serum separator Sodium heparin Sodium polyanethol sulfonate When should a phlebotomy technician perform external liquid controls for quality control on a CLIA-waived glucose point-of-care test? With every patient Every week the test is performed When a new lot number or kit is opened When a different technician performs the test When a new lot number or kit is opened A phlebotomy technician is collecting a blood specimen from a patient who has cutaneous diphtheria. Besides gloves, which of the following pieces of personal protective equipment should the technician wear? Mask Gown Goggles N95 respirator Gown A phlebotomy technician should identify that which of the following tube selections indicates the correct order of draw for a venipuncture? Lavender, green, gray Gray, green, lavender Green, gray, lavender Green, lavender, gray Green, lavender, gray A phlebotomy technician is performing a total cholesterol point-of-care test for a patient. Which of the following findings should the technician immediately report to the provider? 300 mg/dL 200 mg/dL 180 mg/dL 140 mg/dL 300 mg/dL A phlebotomy technician is reviewing a laboratory requisition before obtaining blood specimens from a patient. The technician should verify that the requisition includes which of the following information? The patient's next of kin Emergency contact information The patient's previous medications A specimen identification code A specimen identification code Prior to transport, which of the following specimens should a phlebotomy technician place in an ice bath within 30 min after collection? Arterial blood gas Cold agglutinin Cryoglobulin Blood culture Arterial blood gas According to OSHA standards, which of the following vaccines must employers offer to their phlebotomists at no cost? Hepatitis B Hepatitis C Hepatitis D Hepatitis E Hepatitis B A phlebotomy technician is collecting a blood specimen from a patient who has pneumonia. Besides gloves, which of the following pieces of personal protective equipment should the technician wear? Goggles Gown Mask N95 respirator Mask 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/mm3 4.6/mm3 7.4/mm3 10.8/mm3 1.8/mm3 How often should a phlebotomy technician run quality control tests on point-of-care testing instruments? Every 2 years Every 6 months Bimonthly Daily Daily During a venipuncture, a patient reports a sharp pain radiating down his arm. Which of the following actions should a phlebotomy technician take? Release the tourniquet and remove the needle. Pull back on the needle and continue to draw. Reposition the patient and change the needle angle. Continue the draw and monitor the patient's pain. Release the tourniquet and remove the needle. A phlebotomy technician should identify that which of the following series of venipuncture steps is in the appropriate order? Insert the needle, place the tourniquet, and label the tube. Assess the site, cleanse the site, and insert the needle. Identify the patient, cleanse the site, and assess the site. Draw the specimen, remove the needle, and remove the tourniquet. Assess the site, cleanse the site, and insert the needle. A phlebotomy technician should identify that which of the following phrases is represented by the abbreviation "SD"? Standard decision Standard determination Standard deviation Standard development Standard deviation A phlebotomy technician is preparing to collect a blood specimen from a small vein of an older adult patient. Which of the following actions should the technician take to keep the vein from collapsing? Use a small needle for the draw. Use a large evacuated tube for the draw. Pull the syringe's plunger back quickly. Probe the vein with the needle. Use a small needle for the draw. 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 Seizure Nausea Petechiae Syncope For which of the following reasons should a phlebotomy technician document the total volume of blood drawn from a patient? To provide documentation for the patient's personal records To ensure a sufficient amount is drawn for laboratory tests To determine if the patient is at risk for developing iatrogenic anemia To obtain a reference for future blood draws To determine if the patient is at risk for developing iatrogenic anemia A phlebotomy technician is preparing to collect a blood specimen from a patient who is allergic to alcohol. Which of the following antiseptic solutions should the technician use to prepare the insertion site? Chlorhexidine Iodophor Tincture of iodine Hydrogen peroxide Chlorhexidine Which of the following actions should a phlebotomy technician take when labeling specimens? Labeling specimens at the time of collection and in the presence of the patient Specifying the patient's room number, last name, and date of birth on the label Keeping the specimens in the tray and labeling them in the laboratory Writing the technician's initials and the time on the label prior to collection Labeling specimens at the time of collection and in the presence of the patient A phlebotomy technician should invert anticoagulant tubes to prevent which of the following complications? Ph imbalance Hemolysis Hemoconcentration Specific gravity imbalance Hemolysis Which of the following actions should a phlebotomy technician take to prevent bleeding from a venipuncture site after the needle is removed? Apply pressure to prevent leakage of blood into the tissues. Have the patient bend the arm at the elbow to reduce bleeding. Apply a hot pack to the site if swelling or discoloration occurs. Apply a cotton ball to the site. Apply pressure to prevent leakage of blood into the tissues. A phlebotomy technician is preparing to collect a blood specimen from the antecubital site of a patient. Which of the following devices can be used to help stabilize the arm for the collection? Supply clamp Hand immobilizer Phlebotomy wedge Hand brace Phlebotomy wedge A phlebotomy technician is following the Clinical and Laboratory Standards Institute's (CLSI) clinical laboratory workflow pathway. As part of the postexamination phase of this process, which of the following actions should the technician take? Process the specimen. Review and verify results. Provide post-puncture care. Enter critical laboratory data. Enter critical laboratory data. When collecting a routine blood sample, which of the following veins should a phlebotomy technician attempt to draw from first? Radial Ulnar Distal cephalic Median cubital Median cubital A phlebotomy technician is obtaining a blood specimen from a patient. The technician notices swelling and a large hematoma forming at the puncture site. Which of the following actions should the technician take? Remove the tourniquet and needle. Ask the patient to bend his arm at the elbow. Apply a warm compress to the site. Apply pressure to the site for no longer than 1 min. Remove the tourniquet and needle. A phlebotomy technician is removing his gloves after a venipuncture procedure. Which of the following actions should the technician take? Grasp the tips of the fingers of one glove with the other gloved hand. Remove the first glove so that it turns inside out during removal. Discard the first glove before removing the second glove. Turn the gloves right side out before discarding them. Remove the first glove so that it turns inside out during removal. An unconscious patient is brought to the emergency department, and several blood tests are ordered. A phlebotomy technician should collect the patient's blood because he has received which of the following types of consent? Implied consent Informed consent Expressed consent Explicit consent Implied consent 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 today." Which of the following precautionary actions should the technician take? Offer the patient a high-carbohydrate snack before the venipuncture. Place the patient in a reclining position for the venipuncture. Have the patient rest comfortably for at least 15 min before the venipuncture. Reschedule the venipuncture for another day. Have the patient rest comfortably for at least 15 min before the venipuncture. A phlebotomy technician should identify that which of the following is an identifier for a specimen as long as it remains in the laboratory? ICD-10 codes Accession number CPT code Medical record number Accession number A phlebotomy technician in an outpatient setting is identifying a patient before performing a venipuncture procedure. To confirm the patient's identity, which of the following questions should the technician ask? "Are you Mr. Chapman?" "Is this your name on the requisition?" "Would you please state and spell your full name and provide your date of birth?" "Is your name John C. Chapman?" "Would you please state and spell your full name and provide your date of birth?" Which of the following actions should a phlebotomy technician take when performing a venipuncture using an evacuated tube system? Position the needle at a 30° angle in the same direction as the vein and with the bevel up. Position the needle at a 15° angle near the vein and with the bevel up. Position the needle at a 30° angle in the same direction as the vein and with the bevel down. Position the needle at a 15° angle near the vein and with the bevel down. Position the needle at a 30° angle in the same direction as the vein and with the bevel up. A phlebotomy technician should comply with HIPAA to protect which of the following? Patients' consent Patients' standards Patients' information Patients' compliance Patients' information A phlebotomy technician is collecting a unit of blood from a donor. Which of the following actions should the technician take? Place the donor in an upright position. Have the donor pump his fist prior to the venipuncture. Insert the needle while retracting the skin above the insertion site. Instruct the donor to open and close his hand gently throughout the collection. Instruct the donor to open and close his hand gently throughout the collection. Which of the following personal protective equipment provides a phlebotomy technician with the best protection when drawing blood from a patient who has active tuberculosis? Double gloves N95 respirator Surgical mask Shoe covers N95 respirator For which of the following procedures should a phlebotomy technician follow chain of custody guidelines? Digoxin level testing Blood culture testing Paternity testing Lead level testing Paternity testing A phlebotomy technician is collecting a blood specimen from a patient. Which of the following techniques should the technician use to anchor the vein just before inserting the needle? Use the thumb to anchor the vein 5 cm (2 in) below the puncture site. Attach a 5 cm (2 in) piece of hypoallergenic tape 7.5 cm (3 in) below the puncture site to anchor the vein. Anchor the vein 7.5 to 10 cm (3 to 4 in) above the puncture site. Apply a flat tourniquet snugly 2.5 cm (1 in) below the puncture site to anchor the vein. Use the thumb to anchor the vein 5 cm (2 in) below the puncture site. Within which of the following time periods should a phlebotomy technician collect a newborn blood-spot test screening card? Within 72 hr Within 96 hr Within 5 days Within 2 weeks Within 72 hr Which of the following regulations ensures that a phlebotomy technician is proficient to perform job duties and responsibilities? HIPAA CLIA Anti-Kickback Statute Civil Monetary Penalties laws CLIA 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 appropriate to collect if the maximum allowable volume of blood is 1%? 70 mL 60 mL 50 mL 40 mL 40 mL For which of the following tests should a phlebotomy technician follow chain of custody guidelines? Lithium Prothrombin time Troponin Blood alcohol Blood alcohol Which of the following actions should a phlebotomy technician take after collecting an ammonia specimen? Protect the specimen tube from light. Keep the specimen tube warm. Keep the specimen at body temperature. Place the specimen tube in an ice-water slurry. Place the specimen tube in an ice-water slurry. 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? Light blue-topped tube Lavender-topped tube Green-topped tube Yellow-topped tube Yellow-topped tube A phlebotomy technician must comply with which of the following OSHA requirements when performing a venipuncture? Recap contaminated venipuncture devices to reduce exposure incidents. Wear safety glasses if splashes, spray, splatter, or droplets of blood might be generated. Wear gloves when contact with blood is anticipated. Report a blood exposure incident to the supervisor within 48 to 72 hr. Wear gloves when contact with blood is anticipated. 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? Mark the collection bag as half full. Use a new collection bag to draw a new unit of blood. Continue filling the collection bag from an alternate site. Combine two separate collection bags to make a whole. Use a new collection bag to draw a new unit of blood. A phlebotomy technician is performing a venipuncture on a patient who recently had a mastectomy on her right side. The technician should draw blood from which of the following locations? Right arm Right index finger Left arm Left index finger Left arm A phlebotomy technician enters a patient's room to perform a venipuncture and notices that the patient is sleeping. Which of the following actions should the technician take? Perform the blood draw. Return later in the day. Wake the patient before collection. Write "unable to collect" on the requisition form. Wake the patient before collection. 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 Less than 15 min after the patient receives a dose of the medication At least 2 hr after the patient receives a dose of the medication Approximately halfway between two doses of the medication Within 15 min before the patient receives the next dose of medication A phlebotomy technician is performing a venipuncture for a patient. The patient suddenly reports "feeling faint." After removing the tourniquet and the needle, which of the following actions should the technician take next? Have the patient put her head between her legs. Place a wet towel on the patient's forehead. Offer the patient a cup of water or juice. Monitor the patient for at least 15 min. Have the patient put her head between her legs. 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 of either middle finger The plantar surface of either big toe Either pinky finger Either earlobe The distal phalanx of either middle finger A phlebotomy technician is using an evacuated needle holder and blood collection tubes to collect blood from a patient. Which of the following actions should the technician take? Position the needle at a 45° angle to the skin. Insert the needle with the bevel side facing downward. Palpate below the puncture site if blood flow is not established. Push the first collection tube gently into the holder. Push the first collection tube gently into the holder. A phlebotomy technician is preparing to obtain a blood specimen from a patient in an outpatient setting. Using standard precautions, which of the following pieces of personal protective equipment should the technician wear? Goggles Gloves Mask Gown Gloves For which of the following reasons should a phlebotomy technician avoid drawing blood from the leg or foot of a patient who has diabetes? Veins in these areas are smaller. These areas are more susceptible to infection. Blood draws from these areas are more likely to cause petechiae. The volume from the draw in this area is too low for testing. These areas are more susceptible to infection. A phlebotomy technician is preparing to dispose of contaminated sharps. According to OSHA standards, which of the following actions should the technician take? Replace the sharps container when it is two-thirds full. Discard covered lancets into a metal trash receptacle. Recap needles before placing them into the sharps container. Disassemble the evacuated tube system prior to dropping it into the sharps container. Replace the sharps container when it is two-thirds full. A phlebotomy technician should identify that which of the following additives is used to prevent the breakdown of glucose? Sodium citrate Sodium fluoride EDTA Heparin Sodium fluoride A phlebotomy technician is using a glucose monitor for point-of-care testing of a patient who has been fasting for 12 hr. For which of the following results should the technician immediately notify the provider? 70 mg/dL 90 mg/dL 110 mg/dL 130 mg/dL 130 mg/dL Which of the following actions should a phlebotomy technician take to locate a vein using the warming technique? Heat a clean towel to 45° C (113° F). Wrap the warm towel around the site for 1 to 2 min. Encase the warm towel in a plastic bag. Ask the patient to rinse her hands in warm water for 2 min. Encase the warm towel in a plastic bag. A phlebotomy technician is applying a tourniquet prior to collecting a blood specimen from a patient. Which of the following actions should the technician take? Place the tourniquet 5 cm (2 in) above the antecubital space. Tuck a partial loop of tourniquet underneath the tourniquet. Allow space for two fingers beneath the tourniquet. Release the tourniquet after the blood tube is full. Tuck a partial loop of tourniquet underneath the tourniquet. A phlebotomy technician has a request to collect a routine CBC from a healthy 10-month-old infant. Which of the following collection sites should the technician select? Third finger of either hand Median antecubital vein Cephalic vein Either heel Either heel A phlebotomy technician should identify that which of the following is the next step after removing a needle from a patient's arm? Ask the patient to open his fist. Remove the tourniquet. Engage the needle safety device. Invert all tubes. Engage the needle safety device. A phlebotomy technician is preparing to perform a venipuncture for a 2-year-old child. The child asks if the blood draw will hurt. Which of the following statements should the technician make? "This will not hurt at all." "This will go quickly." "You will feel a small prick." "You have no reason to worry." "You will feel a small prick." For an older adult patient who has difficult-to-access veins, a phlebotomy technician should select which of the following veins to perform a venipuncture? Dorsal veins Superficial veins Wrist veins Foot veins Dorsal veins A tourniquet should be left on a patient's arm for which of the following amounts of time? No longer than 150 seconds No longer than 60 seconds No longer than 90 seconds No longer than 120 seconds No longer than 60 seconds A phlebotomy technician is washing her hands at the beginning of her shift. Which of the following actions should the technician take? Turn the faucet off with her wet hand. Use enough soap to form a lather. Rub hands together for at least 5 seconds. Hold hands with palms facing upward while rinsing. Use enough soap to form a lather. 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? Explain the procedure to the patient while setting up the supplies. Introduce himself to the patient and the health care team members. Ask permission to proceed with obtaining the stat specimen. Ask the patient which arm she prefers the technician to use. Introduce himself to the patient and the health care team members. According to standard precautions, a phlebotomy technician should take which of the following actions when shipping specimens to a reference laboratory in hot weather? Place the specimens in a box with bubble wrap and a biohazard label. Place the specimens in a box with cold packs and a biohazard label. Place the specimens in a padded envelope with cold packs and a biohazard label. Place the specimens in a padded envelope with bubble wrap and a biohazard label. Place the specimens in a box with cold packs and a biohazard label. 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? EDTA Potassium oxalate Heparin Sodium citrate Sodium citrate A provider orders a stat specimen, but a phlebotomy technician forgets to fill out the patient ID number on the collection tube. The technician should expect the laboratory that received the specimen to take which of the following actions? Process the specimen. Correct the specimen's label. Transfer the specimen to a properly labeled tube. Reject the specimen. Reject the specimen. A phlebotomy technician should identify that which of the following colors signifies a health hazard in the National Fire Protection Association (NFPA) 704 Marking System? Red White Yellow Blue Blue A phlebotomy technician is collecting a urine specimen from a patient for a 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 30° C (86° F). The specimen is light yellow in appearance. The urine creatinine level of the specimen is 25 mg/dL. The specific gravity of the specimen is 1.005. The temperature of the specimen is 30° C (86° F). A phlebotomy technician is collecting a urine specimen from a patient for a pre-employment drug test. Which of the following actions should the technician take? Ensure the specimen is within a temperature range of 21.1° to 26.6° C (69.9° to 79.8° F). Take the temperature of the specimen within 8 min of collection. Instruct the patient to flush the toilet after filling the collection container. Verify that the specimen contains at least 45 mL of urine. Verify that the specimen contains at least 45 mL of urine. A technician should identify that which of the following is one of the Joint Commission's 2016 National Patient Safety Goals? Identify the appropriate venipuncture site. Identify patients correctly. Identify the correct collection tubes for ordered assays. Identify the appropriate needle gauges. Identify patients correctly.