NHA Phlebotomy Review.docx

Which of the following POC laboratory tests is within the CLIA defined scope of practice for a phlebotomist? a. cell differential and urine sediment b. strep test and urine sediment c. urine dip and cell differential d. strep test and urine dip - correct answer strep test and urine dip The phlebotomist is performing a venipuncture on an apprehensive school age child. Which of the following approaches should the phlebotomist use to calm the child? a. Direct the child's questions to the parent and have the parent explain b. tell the child she has to do this, but it won't hur c. explain the procedure and reassure the child that the parent can stay with her d. allow child to clean the puncture sit and give her a sticker - correct answer C. explain the procedure and reassure the child that the parent can stay with her Which task should a phlebotomist complete prior to daily use of a POC instrument? a. run the test patient sample b. perform QC on the instrument c. ensure that QC was performed within the last month d. Calibrate the instrument - correct answer perform QC on the instrument A patient brings in written lab test results, including a mix of POC and higher complexity tests, and asks the phlebotomist help with interpretation. Which of the following should the phlebotomist do? a. explain the interpretation behind the POC tests, but let the patient read the direction s with the higher level tests b. explain the interpretation behind the poc care tests, but refer the patient to the physician for the higher complexity tests c. refer the patient to the physician for interpretation of all results d. hand the patient pre printed test explanations downloaded from the CDC web site - correct answer c. refer the patient to the physician for interpretation of all results Which of the following is outside the scope of practice for a phlebotomist? a. verifying equipment function on point of care testing using a control b. prioritizing collections based on order requests c. recording quality control results on a log sheet d. performing CLIA moderate complexity tests - correct answer performing CLIA moderate complexity tests Which of the following specimens require the phlebotomist to follow chain-of custody documentation procedures? Select 2 correct answers a. neonatal screening b. blood alcohol c. theraputic drug monitoring d. drug testing e. maternal screening - correct answer blood alcohol drug testing Which of the following QC measures are within the phlebotomists' scope of practice? Select 3 correct a. checking expiration date of venipuncture supplies b. performing calibration on the chemistry analyzer c. monitoring temperatures of specimen refrigerators d. daily maintenance on the laboratory hematology instruments e. routine cleaning of surfaces where specimens are processed - correct answer Checking expiration date of venipuncture supplies monitoring temperatures of specimen refrigerators routine cleaning of surfaces where specimens are processed At which of the following times should a test tube be labeled with the patient's identification? a. before entering patients room b. after leaving the patients room c. while in patients room, before drawing blood d. while in patients room, after drawing blood - correct answer while in patients room, after drawing blood Instead of obtaining consent from a patient who is mentally competent, the phlebotomist obtains consent from a family member. This is a violation of a. HIPAA b. the patients bill of rights c. CLIA Waived Testing D. the Stark Law - correct answer the patient's Bill of Rights The phlebotomist is asked to draw blood on a non responsive patient in an emergency department. This draw would be conducted under a. expressed consent b. implied consent c. informed consent d. refusal of consent - correct answer implied consent A patient presents to have a diagnostic HIV test drawn. Which of the following forms of consent must the phlebotomist obtain prior to venipuncture? a. expressed b. implied c. informed d. verbal - correct answer informed consent A 19 year old patient offers her arm to the phlebotomist when she comes in with a venipuncture tray. This is an example of a. parental consent b. implied consent c. informed consent d. verbal consent - correct answer implied consent Which of the following is a CLIA waived test that can be performed by the phlebotomist? a. differential b. chemical urinalysis c. gram stain analysis d. crossmatch - correct answer chemical urinalysis Commitment to privacy, continuity of care, advance directives, and the authority to refuse treatment are granted according to which of the following? a. Americans with Disabilities Act b. The patients bill of rights c. informed consent d. good samaritan law - correct answer the patient's bill of rights While giving a patient an injection, the patient jumped, causing the phlebotomist to get stuck on the hand with a contaminated needle. After performing thorough hand washing, which of the following should the phlebotomist do first? a. begin infectious disease prophylaxis b. complete an exposure incident report c. obtain patient consent for infectious disease testing d. report the incident to the supervisor - correct answer report the incident to supervisor A phlebotomist has active symptoms of the common cold. Under which of the following conditions may he perform venipuncture? a. they may not perform venipuncture with an active cold b. they may perform venipuncture, provided the patient is wearing a mask c. they may perform venipuncture, provided the phlebotomist is wearing a mask d. the phlebotomist may perform a routine venipuncture as usual - correct answer they may perform the venipuncture as long as the phlebotomist wears a mask Which of the following statements by a new phlebotomist indicates the need for further education on standard precautions? a. I will wear a gown, gloves, and mask for inpatient collections b. i will perform hand hygiene after removing gloves c. sharps containers should be replaced when 2/3 full d. antimicrobial wipes may be used for cleaning a collection area at the end of a shift - correct answer I will wear a gown, gloves, and mask for inpatient collections An immunization is currently available for prevention of which of the following bloodborne diseases? a. hep c b. hiv c. herpes simplex d. hep b - correct answer hep b