NHA Phlebotomy Study Guide.docx

B - correct answer A PHLEBOTOMIST HAS A REQUISITION TO DRAW BLOOD ON A PATIENT WHO HAS SERVERE DOWN'S SYNDROME. WHICH OF THE FOLLOWING STEPS SHOULD THE PHEBOTOMIST TAKE? A) EXPLAIN THE PROCEDURE TO THE PATIENT IN SIMPLE TERMS, THEN PROCEED WITH VENIPUNCTURE B) SPEAK WITH THE PATIENT'S GAURDIAN BEFORE PERFORMING THE VENIPUNCTURE TO ENSURE THE EXPLANATION IS UNDERSTOOD C) DRAW THE PATIENT'S BLOOD WITHOUT TRYING TO EXPLAIN THE PROCEDURE D) ASK THE PATIENT'S GUARDIAN TO ASSIST IN HOLDING THE PATIENT'S ARM STILL FOR THE PROCEDURE D - correct answer WHICH OF THE FOLLOWING PROCEDURAL STEPS FOR A FINGER STICK SHOULD THE PHLEBOTOMIST DO FIRST? A) CLENSE THE SITE WITH AN ANTISEPTIC WIPE. B) SELECT THE APPROPRIATE PART OF THE 3RD OR 4TH FINGER. C) POSITION THE BLADE OF THE LANCET ACROSS THE LINES OF THE FINGERTIP. D)CONFIRM THE CORRECT IDENTITY OF THE PATIENT. C - correct answer A PHLEBOTOMIST IS DRAWING BLOOD FROM A PATIENT AND OBSERVCES RED SPOTS. WHICH OF THE FOLLOWING IS AN APPROPRIATE ACTION FOR THE PHLEBOTOMIST TO TAKE? A) STOP THE DRAW IMMEDIATELY B) APPLY ICE TO THE SITE C) APPLY PRESSURE AFTER COLLECTING THE SPECIMEN D) RELEASE THE TOURNIQUET IMMEDIATELY A - correct answer WHICH OF THE FOLLOWING IS APPROPRIATE TO USE WHEN COLLECTING FOR A CHEMISTRY TEST THAT REQUIRES SERUM? A) SST B) EDTA C) PST D) SPS A - correct answer A PHLEBOTOMIST WORKING IN A FERTILITY CLINIC DRAWS BLOOD FROM A PATIENT WHO ALSO MUST SUBMIT A SEMEN SAMPLE FOR ANALYSIS. WHICH OF THE FOLLOWING SHOULD THE PHLEBOTOMIST TELL THE PATIENT? A) AS SOON AS YOU COLLECT THE SPECIMEN, KEEP IT NEXT TO YOUR BODY. WE WILL NEED TO SUBMIT IT RIGHT AWAY B) YOU'LL HAVE TO TALK TO THE LAB TECHS ABOUT COLLECTING THE SAMPLE C) LEAVE THE SEMEN SAMPLE AT THE FRONT DESK FOR DELIVERY TO THE LAB AT THE END OF THE DAY D) YOU SHOULD DISCUSS THAT WITH YOUR DOCTOR, I ONLY DRAW BLOOD C - correct answer WHICH OF THE FOLLOWING TEST RESULTS ARE AFFECTED WHEN POVIDONE IODINE IS USED TO CLENSE THE SITE FOR A DERMAL PUNCTURE? A) GLUCOSE B) BLOOD UREA NITROGEN C) POTASSIUM D) COAGULATION STUDIES D - correct answer BLOOD CULTURES HAVE BEEN ORDERED ON A PATIENT IN THE INTENSIVE CARE UNIT. THE NURSE CALLS THE PHLEBOTOMIST TO BRING THE APPROPRIATE MATERIALS. WHICH OF THE FOLLOWING SHOULD THE PHLEBOTOMIST BRING? A) TWO AEROBIC BOTTLES B) TWO ANAEROBIC BOTTLES C) AN AEROBIC BOTTLE AND AN SPS TUBE D) AN AEROBIC BOTTLE AND AN ANAEROBIC BOTTLE C - correct answer WHEN A PHLEBOTOMIST IS DISTRIBUTING LABORATORY RESULTS TO ORDERING PHYSICIANS, WHICH RESULTS HAVE PRIORITY? A) LEAD B) BMP C) PRESURGICAL D) FERRITIN C - correct answer WHICH OF THE FOLLOWING CAN CAUSE A HEMOLYZED SPECIMEN? A) INVERTING THE SPECIMEN 4 TIMES B) PARTIALLY FILLING THE COLLECTION TUBE C) SHAKING THE COLLECTION TUBE VIGOROUSLY D) ALLOWING THE SPECIMEN TO CLOT C - correct answer WHICH OF THE FOLLOWING IS AN EXAMPLE OF THE ACCEPTABLE REPORTING OF ROUTINE LAB RESULTS? A) CALL THE FAMILY PHYSICIAN WITH THE RESULTS B) SEND THE RESULTS TO THE PATIENTS PERSONAL EMAIL C) SEND THE RESULTS TO THE PHYSICIAN IN A MARKED ENVELOPE D) FAX THE RESULTS TO THE INSURANCE COMPANY D - correct answer A PATIENT WARNS THAT HE IS HIV POSITIVE. ACCORDING TO OSHA REGULATIONS, AFTER DONNING GLOVES, THE PHLEBOTOMIST SHOULD A) APPLY AN EXTRA SET OF GLOVES OVER THE FIRST SET B) HAVE THE SUPERVISOR OBSERVE THE DRAW C) DON A MASK AND EYE PROTECTION D) PERFORM THE VENIPUNCTURE B - correct answer WHICH OF THE FOLLOWING IS APPROPRIATE FOR CLEANSING AROUND THE URINARY MEATUS FOR A CLEAN-CATCH URINE SPECIMEN? A) HYDROGEN PEROXIDE B) BENZALKONIUM CHLORIDE C) POVIDONE IODINE D) 70% ALCOHOL PAD B - correct answer THE PHLEBOTOMIST SHOULD USE A TUBE WITH WHICH OF THE FOLLOWING ANTICOAGULANTS TO COLLECT A PT/PTT TEST? A) EDTA B) SODIUM CITRATE C) POTASSIUM OXALATE D) HEPARIN B - correct answer WHEN SHOULD THE CODE ON GLUCOSE CUVETTE OR STRIPS BE COMPARED TO THE CODE ON THE GLUCOSE METER? A) AFTER A NEW PACKAGE IS OPENED B) WHEN A PATIENT IS TESTED C) AT THE BEGINNING OF THE SHIFT D) FOLLOWING AN ERROR CODE A - correct answer YOU HAVE AN ORDER TO DRAW AN INFANT SCREENING CARD, O2 LEVELS, BILIRUBIN, AND DNA. WHICH SHOULD YOU DRAW FIRST? A) O2 LEVELS B) BILIRUBIN C) DNA D) SCREENING CARD B - correct answer AFTER PERFORMING A HEEL PUNCTURE FOR NEONATAL SCREENING, WHICH OF THE FOLLOWING IS THE CORRECT PROCEDURE FOR COLLECTING THE BLOOD? A) SMEAR THE BLOOD ON THE CIRCLE B) SATURATE EACH CIRCLE C) TOUCH THE HEEL TO THE CENTER OF THE CIRCLE D) DROP THE BLOOD ON THE CIRCLE D - correct answer WHICH INDICATES THE PROPER ORDER OF DRAW? A) LAVENDER, GREEN, GRAY B) GRAY, GREEN, LAVENDER C) GREEN, GRAY, LAVENDER D) GREEN, LAVENDER, GRAY B - correct answer THE ORDER OF DRAW FOR CAPILLARY COLLECTIONS IS DIFFERENT THAN VENIPUNCTURE BECAUSE OF? A) THE RISK OF HEMOCONCENTRATION B) AN INCREASED RATE OF COAGULATION C) THE SMALLER SIZE OF SAMPLES D) ADDITIVE CROSS CONTAMINATION B - correct answer A PHLEBOTOMIST IS PREPARING TO PERFORM A HAND DRAW. WHICH OF THE FOLLOWING SHOULD THE PHLEBOTOMIST ASSEMBLE? A) ETS NEEDLE AND TRANSFER B) WINGED INFUSION SET AND ADAPTER C) SYRINGE AND CACUTAINER D) LANCET AND MICROTAINER