NHCO Phlebotomy Exam

Which of the following is the best indication that a patient might be at risk of syncope? a. Involuntary movement b. Lightheadedness and shallow breath c. Small red spots appearing on skin d. Paleness and sweating - Correct Ans-d. Paleness and sweating Why is it important for a phlebotomist to invert anticoagulant tubes? a. To prevent a pH imbalance b. To prevent hemolysis c. To ensure proper mixing of blood and additive d. To prevent hemoconcentration - Correct Ans-c. To ensure proper mixing of blood and additive Which of the following protects a patient's information? a. OSHA b. HIPPA c. The Joint Commission d. AAHSA - Correct Ans-b. HIPPA Which of the following needle sizes is NOT used for laboratory assays but for collection of donor units of blood? a. 18-gauge b. 23-gague c. 21-gague d. 22-gague - Correct Ans-a. 18-gauge How many minutes within collection of a urine sample should the phlebotomist take the temperature of the specimen? a. Within 10 minutes b. Within 45 minutes c. Within 30 seconds d. Within 4 minutes - Correct Ans-d. Within 4 minutes Quality control checklists ensure machines are inspected for compliance at time intervals specific to the equipment and ________. a. Clinical application b. Chemical measurement c. Expiration date d. Stock rotation - Correct Ans-a. Clinical application Which of the following actions will most likely prevent a needle stick injury? a. Having a nurse or other healthcare team member dispose of used needles for the phlebotomist b. Replacing sharps containers when they have reached their fill line c. Recapping every needle prior to discarding it in the sharps container d. Wearing rubber gloves during venipuncture - Correct Ans-b. Replacing sharps containers when they have reached their fill line Which of the following pieces of information need to be on a laboratory requisition form before a phlebotomist should proceed with obtaining a blood specimen? a. The patient's status as an organ donor b. A specimen identification code c. A laboratory's CLIA number d. The patient's emergency contact - Correct Ans-b. A specimen identification code A patient is listening to a phlebotomist explain the venipuncture process before initiating the blood draw. The patient communicates their understanding but seems hesitant and confused. How should the phlebotomist handle the situation? a. The phlebotomist should surmise that the patient has heard enough information and get ready to draw the patient's blood. b. The phlebotomist should leave the room and ask for another doctor or nurse to explain the procedure. c. The phlebotomist should repeat the same explanation in a slower voice. d. The phlebotomist should find another way to phrase the explanation and invite the patient to ask any clarifying questions. - Correct Ans-d. The phlebotomist should find another way to phrase the explanation and invite the patient to ask any clarifying questions. The additive in a Pink Top Tube used in blood banking is which of the following? a. Sodium polyanethole sulfonate (SPS) b. Sodium heparin c. Potassium ethylenediaminetetraacetic acid (EDTA) d. Acid citrate dextrose (ACD) - Correct Ans-c. Potassium ethylenediaminetetraacetic acid (EDTA) If a patient verbally or physically refuses a venipuncture procedure, the phlebotomist should do which of the following? a. The phlebotomist should inform the patient that they will still be reasonable to pay for the procedure. b. The phlebotomist should re-explain the procedure in case the patient did not understand. c. The phlebotomist should inform the patient that they will need to reschedule their appointment. d. The phlebotomist should immediately report the refusal and actions taken to their supervisor. - Correct Ans-d. The phlebotomist should immediately report the refusal and actions taken to their supervisor. What is the recommended allowance for a total volume of blood drawn from a patient within a 24-hr period? a. 0.05% - 1% b. 1% - 5% c. 5% - 7% d. 10% - Correct Ans-b. 1% - 5% Which of the following is the proper way a phlebotomist should dispose of a needle? a. The phlebotomist should recap it with the original white lid with the opposite hand and put it in a sharps container. b. The phlebotomist should throw it, recapped, into a biohazard bag. c. The phlebotomist should put it into a sharps container, SAFETY CAPPED, after withdrawing it from the patient's arm. d. The phlebotomist should collect them in a cup for disposal at the end of the day. - Correct Ans-c. The phlebotomist should put it into a sharps container, SAFETY CAPPED, after withdrawing it from the patient's arm. When drawing blood from a patient who has a contagious pathogen, like COVID-19, which PPE provides the best protection for a phlebotomist? a. Surgical mask b. Gown c. Double gloves d. Respirator - Correct Ans-a. Surgical mask How should vitamin B6 be transported in order to protect its photosensitive nature? a. It should be transported on ice b. It should be transported at room temperature, no additional precaution needed c. It should be transported in an air-tight container, no additional precaution needed d. It should be transported in an amber or brown-colored biohazard bag - Correct Ans-d. It should be transported in an amber or brown-colored biohazard bag Before asking permission to obtain a specimen from a patient, a phlebotomist should: a. The phlebotomist should introduce themselves to the patient and any healthcare team members in the room b. The phlebotomist should ask the patient to extend their arm c. The phlebotomist should locate the sharps container d. The phlebotomist should begin to explain the phlebotomy procedure - Correct Ans-a. The phlebotomist should introduce themselves to the patient and any healthcare team members in the room What is an ICD-10 Code? a. ICD-10 codes classify diagnoses and diseases b. ICD-10 codes identify specimens c. ICD-10 codes dictate patient care and privacy d. ICD-10 codes organize the medical record number - Correct Ans-a. ICD-10 codes classify diagnoses and diseases If a patient expresses that they often faint when getting their blood drawn, a phlebotomist should do which of the following? a. The phlebotomist should tell a nurse to supervise the patient while the phlebotomist proceeds with the blood draw b. The phlebotomist should ask the patient to keep them updated on how they are feeling, have smelling salts ready, then proceed with the blood draw c. The phlebotomist should perform the blood draw while the patient lies down d. The phlebotomist should reassure the patient that they are in a safe place and keep close watch while they perform the blood draw - Correct Ans-c. The phlebotomist should perform the blood draw while the patient lies down How many inversions of a Lavender Top Tube should be done before placing it in the specimen collection tray? a. 8 to 10 times b. 2 to 6 times c. 3 to 4 times d. 6 to 8 times - Correct Ans-a. 8 to 10 times Which step of the blood draw should be done right before removing the needle from a patient's arm? a. Inverting all the tubes used in the procedure b. Getting a bandage ready for the patient c. Re-anchoring of the skin below the draw site d. Asking the patient to open their fist - Correct Ans-b. Getting a bandage ready for the patient