NHA PRACTICE EXAM 3 Questions and Answers

NHA PRACTICE EXAM 3 Questions and Answers A phlebotomy technician is preparing to perform a lactic acid test . Which of the following actions should the technician take ? Collect the specimen in a gray-topped tube Which of the following actions should a phlebotomy technician take to prevent needlestick injuries ? Replace a sharps container that has reached its fill line A phlebotomy technician has collected a blood specimen from a patient who is in an isolation room . Which of the following pieces of personal pieces of personal protective equipment (PPE) should the technician remove first ? Gown A phlebotomy technician is preparing to obtain a blood specimen from a patient for an erythrocyte sedimentation ate test . The technician should select a collection tube that has a top with which of the following colors? Lavender Which of the following information should a phlebotomy technician document when adhering to chain of custody guidelines ? Identify of everyone who had possession of the specimen A phlebotomy technician is drawing blood a patient's blood when the patient states that she is becoming dizzy and light-headed .Which of the following actions should the technician take first ? Remove the tourniquet and needle A phlebotomy technician is an outpatient facility finds a patient who is in shock and bleeding profusely from his leg.Which of the following actions should the technician take first ? Apply direct pressure to the wound A phlebotomy technician is obtaining a blood culture specimen from an adult patient .Which of the following actions should the technician take ? Withdraw the blood into a sterile safety syringe A phlebotomy technician should identify that HIPPA protects which of the following rights as part of the patient care partnership? Privacy A phlebotomy technician enters a patient's room to perform a venipuncture and finds the patient sleeping.Which of the following actions should the technician take? Gently wake the patient Which of the following actions should a phlebotomy technician take when reporting laboratory results ? Send the results to the patient's ordering provider A phlebotomy technician is preparing to draw blood specimen from a patient who is alone unresponsive.The technician should collect the specimen using which of the following forms of consent ? Implied consent Which of the following actions should a phlebotomy technician take to maintain compliance with HIPPA? Clear phone number from the fax machine Blood cultures have been ordered on an adult patient in an intensive care unit.A nurse calls a phlebotomy technician to bring the appropriate materials .Which of the following materials should the phlebotomy technician bring ? An aerobic bottle and an anaerobic bottle After placing a tourniquet on a patient's arm , phlebotomy technician notices small red spots below the tourniquet.Which of the following terms describes these spots ? Petechiae A patient who has diabetes states that he prefers to be drawn on the inside of his wrist. Which of the following actions should a phlebotomy technician take ? Attempt to draw from the antecubital region 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? Ask the patient to lie down for the procedure A phlebotomy technician is instructing a patient about to collect a 24-hr urine specimen. Which of the following instructions should the technician include ? Discard the first void of the morning Which of the following test results are affected when a phlebotomy technician uses povidone-iodine to cleanse a site for a derma puncture ? Potassium A phlebotomy technician is preparing to collect a blood specimen from a patient .Which of the following statements should the technician make prior to performing the venipuncture ? "Your provider has requested this test" Which of the following blood tests should a phlebotomy technician place in an immediately following collection? Ammonia A phlebotomy technician observe a hematoma developing at the site of a venous blood draw .Which of the following actions should the technician take ? Release the tourniquet and stop the draw After verifying a patient's identity, a phlebotomy technician sees that the patient's laboratory results are ready.Which of the following actions should the technician take? Inform the patient to contact the ordering provider to obtain the results A phlebotomy technician should identify that the oder of draw for capillary collections is different from venipuncture for which of the following reasons? An increased rate of coagulation A phlebotomy technician should use a capillary collections instead of a venipuncture in which of the following situation ? A patient's veins are inaccessible A phlebotomy technician isn preparing to collect a patient's troponin T level . Which of the following troponin T levels should the technician immediately report to the provider ? 0.3ng/mL A phlebotomy technician is preparing to obtain a blood specimen from a patient for thyroid studies . The technician should select a collection tube that has a top with which of the following colors ? Speckled A phlebotomy technician obtains two reading of 17 mg/dL when performing a glucometer test for a patient . Which of the following actions should the technician take ? Perform a set of liquid controls A phlebotomy technician is introducing herself to a patient and explaining the venipuncture procedure. In which of the following comfort zones is the technician working ? Personal Which of the following actions is a phlebotomy technician required to take before leaving a patient's room ? Initial mark the date and time on each tube drawn A phlebotomy technician is disposing of used supplies when he accidentally receives a needlestick injury . According to OSHA guidelines, which of the following actions should the technician take first ? Wash the puncture site with soap and water A phlebotomy technician is instructing a patient about proper semen specimen collection for determination of fertility potential .Which of the following instructions should the technician include ? Protect the specimen from expose to bright light A phlebotomy technician should select a tube that has which of the following anticoagulants to collect a sample for a PT/PTT test ? Sodium Citrate Which of the following tubes should a phlebotomy technician collect first when obtaining dermal samples ? Lavender Top A phlebotomy technician is preparing to enter a patient's room to collect a blood specimen .Which of the following actions should the technician plan to take ? Communicate name and department affiliation to the patient A phlebotomy technician should select a tube that has which of the following additives when collecting a blood specimen for a CBC? EDTA When performing a hand draw , which of the following steps should a phlebotomy technician take before removing the needle ? Disengage the tube from the adapter A phlebotomy technician is processing a semen specimen . Which of the following actions should the technician take ? Deliver the specimen to the laboratory within 2 hr A phlebotomy technician is selecting a site for a blood draw from a patient . From which of the following veins should the technician attempt to draw first ? Median cubital 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 which of the following colors? Green A phlebotomy technician uses sterile technique and demonstrates proper hygiene.Which of the following professional characteristics is the technician displaying ? Attention to cleanliness A phlebotomy technician is selecting a site to collect a blood specimen from a patient . After applying a tourniquet, the technician sees no apparent vein to use for the venipuncture .Which of the following actions should the technician take ? Have the patient dangle her arm for 1 to 2 mins Which of the following actions should a phlebotomy technician take to verify the quality of venipuncture supplies before beginning a blood draw on an adult patient ? Inspect the integrity of the needle's seal A phlebotomy technician is performing a blood glucose test . Which of the following glucose levels should the technician identify as being outside the expected reference range ? 70mg/dL A phlebotomy technician is preparing to perform a venipuncture for a patient who is on droplet precautions.In addition to following standard precautions, which of the following pieces of personal protective equipment should the technician apply before entering the patient's room ? Mask How frequently should a phlebotomy technician perform a quality control test on a glucometer in the laboratory? Every day the metro is used A phlebotomy technician is preparing to collect a blood specimen from a patient who states that he is HIV positive .Which of the following actions should the technician take ? Perform the venipuncture A phlebotomy technician is preparing to draw a blood sample from a patient for a glucose tolerance test (GTT) and notice an empty breakfast plate on a bedside table . Which of the following actions should the technician take ? Ask the patient when he last ate to drank Which of the following actions should a phlebotomy technician take when preparing a peripheral blood smear ? Place a 1 mm drop of blood one-half inch from the edge of the slide A phlebotomy technician is preparing a patient for a routine venipuncture . Which of the following antiseptic solution should the technician use ? Isopropyl alcohol After exiting a patient's room , which of the following is the last piece of personal protective equipment (PPE) a Phlebotomy technician should remove ? Mask A phlebotomy technician should ensure that which of the following specimens is protected from light ? Amylase A phlebotomy technician has a requisition form for a series of tests on a patient's serum . The technician should select a collections tube that contains which of the following additives ? Thrombin 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 ? Choose a syringe and butterfly assembly and transfer to an ETS tube A phlebotomy technician is preparing to collect a specimen for a blood alcohol level test .Which of the following antiseptic should the technician use to clean the venipuncture ? Soap and water Which of the following is the proper cleaning technique when a phlebotomy technician is performing a routine venipuncture ? Cleanse the site using back and fourth friction For which of the following reasons should a phlebotomy technician place a specimen in a biohazard bag for transport to an outside laboratory? The biohazard bag prevents a possible exposure incident A phlebotomy technician is preparing to draw blood from a patient who states that this is his first blood draw . Which of the following actions should the technician take ? Describe the procedure to the patient A phlebotomy technician performs a point-of-care glucose test for a patient in an outpatient setting . The results is in the critical value range . Which of the following actions should the technician take ? Report the results to the patient's provider A phlebotomy technician is updating a quality control record while performing daily point-of-care tests.Which of the following information should the technician include? Expirations date For which of the following conditions does emergency first aid treatment include maintaining an open airway , controlling bleeding , and keeping the patient warm until help arrives ? Shock A phlebotomy technician is informing a patient about how to enter a basal state fr a blood collection . The technician should inform the patient not to consume food for how many hours prior blood collection ? 12hr A phlebotomy technician collects multiple specimens from a premature infant. Which of the following is a possible result of the procedure ? Latrogenic anemia 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 ? 2 hr after administration A phlebotomy technician is collecting capillary blood drops on a filer paper card to screen a newborn for phenylketonuria . Which of the following actions should the technician take ? Apply blood to the printed side of the filter paper A phlebotomy technician is performing a venipuncture for a patient who begins to seize .Which of the following actions should the technician take ? Discontinue the draw A phlebotomy technician should identify that which of the following actions can cause a hemolyzed specimen ? Shaking a collection tube vigorously A phlebotomy technician is preparing to draw a blood specimen from a patient who has a clostridium difficile infection . Which of the following precautions should the technician follow ? contact precautions For which of the following reasons should a phlebotomy technician centrifuged a serum specimen before a transport to an outside reference laboratory ? Cells must be separated from the serum A patient asks a phlebotomy technician to use her finger for blood work . In which of the following situation can the technician collect blood from the patient's finger ? The ordered test can be performed on a capillary specimen A phlebotomy technician uses alcohol to cleanse a venipuncture site . Before performing the venipuncture , the technician should allow the site to dry for which of the following reasons ? Alcohol requires time for antiseptic action to take effect After a phlebotomy technician performs a heel puncture for neonatal screening , which of the following is the correct procedure for collecting the blood ? Saturate each circle with one drop of blood Which of the following reasons should a phlebotomy technician examine the antecubital areas in both of a patient's arms ? The median cubital vein could be more accessible on one side than the other A phlebotomy technician is obtaining a blood specimen from a patient . The patient reports experiencing a sharp , painful , and tingling sensation going down her arm and into her hand . The technician should recognize that which of the following complications of venipuncture is occurring ? Nerve injury A phlebotomy technician is preparing to perform a venipuncture on a patient who has small , rolling veins . Which of the following equipment should the technician use ? Winged infusion set A phlebotomy technician is performing a venipuncture a winged infusion set . The red-topped tube fills , but the light blue-topped tube slows and does not fill completely.Which of the following actions should the technician take ? Insert a new light blue-topped tube to see if it will fill A phlebotomy technician is preparing to perform a blood draw on a patient who had a left-sided mastectomy and has an IV on her right side . In which of the following locations should the technician perform the draw ? Below the IV A phlebotomy technician is planning to collect a sputum specimen from a patient . Which of the following instructions should the technician give the patient ? "Breathe deeply and then cough up a specimen into the container " A phlebotomy technician is working with a patient who has a Mycobacterium tuberculosis infection .Which of the following transmission precautions should the technician use for this patient ? Airborne Precautions