(100% verified) Phlebotomy NHA Exam 2023/2024 Questions and Answers

Which of the following blood specimen test are photosensitive and should be protected from the light? A. Gastrin B. Ammonia C. Pyruvate D. Bilirubin - ANSWER-D. Bilirubin A phlebotomist should identify that a blood spot collection for inborn errors of metabolism requires which of the following? A. The newborn must be at least 3 days old B. The circles on the filter paper must be at least half filled C. The first drop of blood of blood immediately following the puncture must be included D. The specimen must be completely dried before the test can be processed - ANSWER-A. The newborn must be at least 3 days old. Which of the following actions should a phlebotomist take to comply with guidelines for a CLIA-waived procedure? A. Document quality control results B. Report results immediately to CLA C. Transport specimens within 24 hr. D. Process a specimen within 1 hour of collection - ANSWER-A. Document quality control results A phlebotomist should administer CPR to which of the following patients? A. A patient who has chest pain B. A patient who is pulseless C. A patient who is lethargic D. A patient who is short of breath - ANSWER-B. A patient who is pulsless Which of the following color top tubes will the phlebotomist need to preform A1C, CBC, Hepatic panel, and a comprehensive metabolic panel? A. Yellow and Blue B. Gold and lavender C. Green and gray D. Red and Black - ANSWER-B. Gold and Lavender Which of the following methods provides for the most secure and reliable delivery of laboratory results? A. Electronic reports B. Courier Delivery C. Verbal reports D. Fax - ANSWER-D. Fax A phlebotomist should instruct a patient to take which of the following actions when providing a sputum specimen? A. Collect the stool directly into a sterile container B. Discard the first urine of the day and collect for 24 hr. C. Aggressively swab the inside of the check D. Take a deep breath and then expectorate - ANSWER-D. Take a deep breath and then expectorate Which of the following blood test is appropriate for a fasting specimen? A. Glucose and triglycerides B. BUN and alkaline C. Creatinine and total protein D. Lactate dehydrogenase and albumin - ANSWER-A. Glucose and triglycerides A phlebotomist has just confirmed critical values on a laboratory test. Which of the following actions should the phlebotomist take when the physician's office is already closed? A. Contact the physician by paging or calling right away B. Leave a message at the physicians office number C. Call the physicians office on the next business day D. Fax the results to the physicians office with a stat fax cover - ANSWER-A. Contact the physician by paging or calling right away Which of the following is the appropriate procedure for handling an ammonia specimen A. Protect from light B. Transport on ice C. Transport with warm water D. Protect from diurnal variation - ANSWER-B. Transport on ice A phlebotomist is preparing to collect a capillary blood specimen from a patient using the aseptic technique. Which of the following cleansing agents should the phlebotomist use? A. Povidone-iodine B. Hand Sanitizer C. 70% isopropyl alcohol D. 10% chlorine bleach solution - ANSWER-C. 70% isopropyl alcohol A phlebotomist is called to the emergency department to draw blood from a patient who is in critical condition. Which of the following is the applicable consent for this procedure A. Informed B. Implied C. Expressed D. Written - ANSWER-B. Implied A phlebotomist should identify which of the following as the best site for phenylketonuria collection on an infant A. The medial or lateral areas of the heel B. The central area of the heel C. The medial or lateral area of the fingertip D. The central area of the fingertip - ANSWER-A. The medial or lateral areas of the heel Which of the following criteria is acceptable in determining the quality of a peripheral blood smear A. Covers a quarter of the slide B. A well-defined edge C. Covers the entire slide D. A feathered edge - ANSWER-D. a feathered edge There has been a chemical spill in the laboratory. To which of the following should a phlebotomist refer to for directions to clean up the spill? A. CLIA B. OSHA C. SDS D. CDC - ANSWER-C. SDS When preparing for a blood smear, which of the following should a phlebotomist use to ensure the best test result A. venous blood from an EDTA tube B. Venous blood from a sodium citrate tube C. Venous blood from a fluoride tube D. Venous blood from a heparin tube - ANSWER-A. Venous blood from an EDTA tube Which of the following refers to the process of cleaning up a blood specimen spill on a counter? A. Neutralization B. Disinfection C. Contamination D. Sterilization - ANSWER-B. Disinfection Which of the is a phlebotomist required to document on a CBC specimen label? A. Patients insurance provider name B. phlebotomist full name C. Phlebotomist cert number D. Patients identification number - ANSWER-D. Patients identification number A phlebotomist is required to use the sharps container to dispose of which of the following items after performing a capillary collection? A. Lancet B. Used gauze C. Microtainer tube D. Alcohol wipe - ANSWER-A. Lancet Failure to demonstrate proper care that results in an injury tp another person is an example of A. Assault B. Battery C. Negligence D. Fraud - ANSWER-C. Negligence A phlebotomist should use a blood transfer device with which of the following methods of blood collection? A. Winged infusion B. Syringe C. Evacuated tube system D. Capillary puncture - ANSWER-B. Syringe How can a phlebotomist distinguish whether a collection tube contains serum or plasma A. SST in the collection tube indicated plasma B. Sodium fluoride in the collection tube indicated serum C. Sodium citrate in the collection tube indicates serum D. EDTA in the collection tube indicates plasma - ANSWER-D. EDTA in the collection tube indicates plasma Which of the following is used to stabilize a patients arm during a venipuncture A. Arm restraints B. A blood pressure cuff C. A phlebotomy wedge D. A phlebotomy cart - ANSWER-C. A phlebotomy wedge A report of laboratory results is required to have which of the following information A. Date of specimen collection B. Phlebotomist initials C. Patient Diagnosis D. Values of previous test - ANSWER-A. Date of specimen collection A large spill has occurred in a laboratory involving venous blood. Which of the following actions should the phlebotomist take? A. cover the spill until maintenance arrives B. pour bleach on the spill and let it soak for 60 seconds C. Evacuate laboratory D. Apply a liquid thickening agent on top of the spill - ANSWER-D. Apply a liquid thickening agent on top of the spill Which of the following actions should a phlebotomist take after collecting blood into a serum separation tube? A. Shake the tube vigorously five to eight times B. Invert the tube 3 to 4 times C. Roll the tube 5 to 10 times D. Invert the tube 5 to 8 times - ANSWER-D. Invert the tube 5 to 8 times Which of the following blood components is needed for homeostasis to take place. A. Erythrocytes B. Leukocytes C. Neutrophils D. Thrombocytes - ANSWER-A. Erythrocytes Which of the following tube additives promotes clot formation A. Heparin B. Oxalate C. Citrate D. Silica - ANSWER-D. Silica Which of the following governing bodies mandates the use of safety features on needles and the immediate disposal as one unit in a biohazard container after use. A. CDC B. OSHA C. HIPPA D. CLIA - ANSWER-B. OSHA According to the CLSI order of draw guidelines which of the following samples should the phlebotomist collect first? A. Coagulation B. Cultures C. Electrolytes D. Glucose - ANSWER-B. Cultures A phlebotomist has duplicate orders for a patient. How should their order be verified? A. Confirm with the patient what laboratory work the provider prescribed B. determine which requisition matches with the patients previous test requisitions C. Draw both orders and discard the incorrect specimen after the order has been clarified D. Call the provider to confirm the test requisition for the patient - ANSWER-D. Call the provider to confirm the test requisition for the patient Which of the following processes occurs after a venipuncture to control the bleeding? A. Homeostasis B. Hemostasis C. Hematopoiesis D. Hemoconcentration - ANSWER-B. Hemostasis A phlebotomist should recognize that proper hand hygiene can result in which of the following. A. A decrease in the incidence of health care associated infections B. An increase in the accuracy of laboratory results C. A decrease in the rejection of laboratory specimens D. An increase in the potential sources of pathogens - ANSWER-A. An decrease in the incidence of health care associated infections A phlebotomist allows another administrative employee to use their login password to enter a patients laboratory results. Which of the following regulates the confidentiality that has been breached in this situation? A. OSHA B. HIPPA C. FDA D. CLIA - ANSWER-B. HIPPA A phlebotomist inserts a needle into a patients vein and observes no blood flow into the tube. Which of the following actions should the phlebotomist take first? A. Remove the needle B. Pull back the needle slightly C. Laterally redirect the needle D. Reposition the needle 90 degrees - ANSWER-B. Slightly pull the needle back A phlebotomist enters a patients room and observes the patient to be motionless and cyanotic. Which of the following actions should the phlebotomist take first? A. Ask the patient in a loud voice if they are okay B. Perform the head-tilt/chin-lift maneuver C. Administer two rescue breaths D. Look, listen, and feel for breathing movements - ANSWER-A. Ask the patient in a loud voice if they are okay Which of the following is the general concept behind standard precautions? A. Ensure that employees receive training regarding workplace hazards B. Provide information about hazardous chemicals to the environment within C. Assume that all bodily fluids are infected with bloodborne pathogens D. Maintain a workplace that is free of environmental hazards - ANSWER-C. Assume that all bodily fluids are infected with bloodborne pathogens Which of the following information should the physicians office provide to a phlebotomist for a laboratory specimen collection? A. Laboratory accession number B. Physicians NPI number C. Laboratory requisition form D. Physicians encounter form - ANSWER-C. Laboratory requisition form Which of the following methods of reporting results by a clinical laboratory abides by the recommended standards set by the joint commission? A. an in person report from the clinical laboratory tech to the nurse B. An Emailed report from the clinical lab tech to the nurse C. A called in report from the clinical lab tech to the nurse D. A faxed report from the clinical lab tech to the nurse - ANSWER-D. a faxed report from the clinical lab tech to the nurse a phlebotomist informs a patient who is anxious that restraints will have to be used if the patient continues to move. When using this language the phlebotomist is liable for which of the following A. Battery B. Assault C. Invasion of privacy D. False imprisonment - ANSWER-A. Battery A phlebotomist is obtaining a venipuncture specimen and has decided to use a vein which lies on the outer edge of the arm which of the following veins has the phlebotomist selected? A. Cephalic B. Median cubital C. Basilic D. Dorsal - ANSWER-A. Cephalic How should a phlebotomist instruct a female patient to collect a urine specimen for culture testing? A. Do not touch the inside of the container, clean the urinary meatus from back to front, begin voiding in toilet and then collect the specimen B. Do not touch the inside of the container, Clean the urinary meatus from back to front, and then collect the specimen C. Do not touch the inside of the container, clean the urinary meatus from front to back, begin voiding in toilet, then collect the specimen D. Do not touch the inside of the container, clean the urinary meatus from front to back, then collect the specimen - ANSWER-C. Do not touch the inside of the container, clean the urinary meatus from front to back, begin voiding in the toilet, then collect specimen Which of the following information must a phlebotomist include on the label of a venipuncture specimen A. Phlebotomist credentials B. Ordering provider's NPI number C. Time of the venipuncture D. Location of the venipuncture - ANSWER-C. Time of the venipuncture The results from which of the following tests are an example of point of care testing A. an elevated sweat chloride test B. a positive HIV test C. An elevated blood glucose test D. A positive Hepatitis test - ANSWER-C. An elevated blood glucose test Which of the following orders of draw should a phlebotomist use for venipuncture collection? A. Sodium citrate, sodium heparin, SST, EDTA B. Sodium citrate, SST, Sodium heparin, EDTA C. SST, EDTA, Sodium heparin, sodium citrate D. EDTA, SST, sodium heparin, sodium citrate - ANSWER-B. Sodium citrate, SST, Sodium heparin, EDTA A phlebotomist is preparing a blood smear slide. Which of the following actions should the phlebotomist take before transporting the specimen A. Allow the smear to air dry B. Blow air on the smear to dry it C. Place the smear in the freezer to dry D. Use a sterile gauze to gently dry the smear - ANSWER-A. Allow the smear to air dry Which of the following actions should a phlebotomist take next for an adult capillary puncture after sanitizing and puncturing the site? A. Wipe away the first drop of blood B. Collect the specimen with the capillary tube inverted at a 30 degree angle C. Firmly squeeze the site until the desired tube is filled D. Wait for 30 seconds until the site has produced enough blood to collect - ANSWER-A. Wipe away the first drop of blood A patient is on contact isolation precautions. What PPE, other than standard gloves, would be required? A. Surgical mask B. N95 Mask C. Face shield D. Gown - ANSWER-D. Gown Which of the following test is performed to identify bacteremia A. Glucose tolerance test B. Peripheral blood smear C. Blood culture D. Lactic Acid - ANSWER-C. Blood culture Which of the following is the vein of choice for a venipuncture procedure? A. Median cubital B. Radial C. Median basilic D. Cephalic - ANSWER-A. Median Cubital