NHA Phlebotomy final Questions and Answers

NHA Phlebotomy final Questions and Answers Order of Draw 1. Yellow (SPS) 2. Light Blue (sodium citrate) 3. Red, Red/Grey, Gold (none and SST) 4. Green (heparin) 5. Lavender (EDTA) 6. Grey (sodium fluoride, potassium oxalate, lithium iodoasetate) Tube color departments & inversions 1. yellow- microbiology (8-10x) 2. light blue- coagulation (3-4x) 3. red, red/grey, gold- chemistry (none, 5x) 4. green- chemistry (8-10x) 5. lavender- hematology (8-10x) 6. grey-chemistry (8-10x) A phlebotomy tech is working with a pt who has TB. Which of the following transmission precautions should the tech use? airborne precautions For which of the following conditions does emergency first aid treatment include maintaining an open airway, controlling bleeding, and keeping the pt warm until help arrives? shock A phlebotomy tech should identify that HIPAA protects which of the following rights as part of the Patient Care Partnership? patient information A phlebotomy tech is collecting capillary blood drops on a filter paper card to screen a newborn for PKU. Which of the following actions should the tech take? apply blood to the printed side of the filter paper pediatric needle gauge 23g (over 1 year) lancet (under 12 months) Which tube is needed for a sickle cell screening? lavender A phlebotomy tech is required to obtain which of the following from a potential blood donor? complete medical history A phlebotomy tech has a requisition for collecting a fasting blood glucose and albumin specimens from a patient. Which of the following actions should the tech take before collecting blood? make sure the patient has fasted for the past 8-12 hours A phlebotomy tech is performing a heel stick to obtain capillary blood for testing a newborn's bilirubin. Which of the following should actions should the tech take? use an amber colored microcontainer pediatric heel puncture area medial and lateral portions of the plantar surface Which of the following is a potential consequence of mislabeling a blood bank specimen? a transfusion reaction A phlebotomy tech is preparing to use an ETS to obtain a venous blood specimen from a patient. The tourniquet is in place and the site has been cleansed. Which of the following procedural steps should the tech perform next? uncap and inspect the needle A phlebotomy tech is performing a brief physical examination on prospective blood donor. Which of the following measurements would indicate the donor's eligibility to donate blood? hematocrit level 42% Which of the following actions by a phlebotomy tech can result in a grossly hemolyzed specimen? using an incorrect needle gauge A tech should identify that which of the following is one of the Joint Commission's National Patient Safety Goals? identify patients correctly A provider orders a stat specimen, but a phlebotomy tech forgets to fill out the patient ID number on the collection tube. Which of the following should the tech expect from the lab? reject the specimen For which of the following reasons should a phlebotomy tech avoid drawing blood from the leg or foot of a patient who has diabetes? these are more susceptible to infection Which of the following regulations ensures that phlebotomy tech is proficient to perform job duties and responsibilities? CLIA Which of the following actions should a phlebotomy tech take when performing a venipuncture using an ETS? position the needle at a 30 degree angle in the same direction as the vein and with the bevel up A phlebotomy tech is instructing a patent to collect a clean-catch urine specimen. Which of the following cleansers should the tech instruct the patient to use when cleansing her urinary meatus? mild antiseptic soap A phlebotomy tech should identify which of the following phrases is represented by the abbreviation "SD"? standard deviation For which of the following reasons should a phlebotomy tech document the total volume of blood drawn from a patient? to determine if the patient is at risk for developing iatrogenic anemia A phlebotomy tech should invert anticoagulant tubes to prevent which of the following complications? hemolysis A phlebotomy tech is collecting a unit of blood from a donor. Which of the following actions should the tech take? have the donor open and close her fist throughout the collection Within which of the following time periods should a phlebotomy tech collect a newborn blood-spot test screening card? within 72 hours A phlebotomy tech is collecting a blood specimen from an adolescent patient who weighs 42.6kg (94lb). Which of the following amounts is appropriate to collect if the maximum allowable volume of blood is 1%? 40 mL A phlebotomy tech is performing venipuncture for a patient who suddenly reports feeling faint. After removing the tourniquet and needle, which of the following actions should the tech take? have the patient put her head between her legs A phlebotomy tech should identify which of the following additives is used to break down glucose? sodium fluoride For an older adult patient who has difficult to access veins, a tech should select which of the following veins for venipuncture? dorsal veins A phlebotomy tech is collecting a urine specimen from a patient for a pre-employment drug screen. Which of the following findings should indicate to the tech that tampering possibly occurred? the temperature of the specimen is 30 degrees celsius (86 degrees F) A phlebotomy tech is explaining the venipuncture procedure to an adult patient. The patient nods frequently but appears confused. Which of the following actions should the tech take? rephrase the information for the patient A patient asks the phlebotomist to use her finger for the blood work. The phlebotomist can do this if the ordered tests can be performed on a capillary specimen Which of the following venipuncture steps is in the correct order? assess the site, cleanse the site, insert the needle According to the CLSI order of draw guidelines, which of the following sample should be drawn first? blood cultures A phlebotomy tech is preparing to draw a blood specimen from a patient who has a C Diff infection. Which of the following precautions should the tech take? contact precautions Industry standards states that needle insertion in the antecubital area should be at a? 15 to 30 degree angle If a phlebotomist notices a hematoma forming during blood draw, what should they do? release the tourniquet and stop the draw A phlebotomy tech should ensure that which of the following specimens is protected from light? bilirubin A phlebotomy tech is performing a heel stick to obtain capillary blood from a newborn for bilirubin testing. Which of the following actions should the tech take? use an amber-colored micro-container A blood specimen was rejected by the lab with the abbreviations QNS. Why was the specimen rejected? the specimen was insufficient Routine phlebotomy collection needle gauge 20g, 21g, 22g *21g most common Blood donor collection needle gauge 16g, 18g A phlebotomy tech is collecting a venipuncture blood specimen from a patient for a blood assay. The tech should fill which of the following tubes first? yellow top (to decrease the probability of bacterial contamination) What is the term for a patient donating their own blood for an upcoming surgery? autologous donation After performing a heel puncture for a newborn screening, what is the correct procedure for collecting the blood? saturate each circle During venipuncture, the patient becomes pale and diaphoretic. What condition is most likely occurring? syncope Which tube must be prepped with chlorhexidine? yellow tube w/ SPS Maximum depth for infant heel puncture? 2.0 mm Which of the following is true about microcapillary collection the first drop of blood must be wiped away Which of the following precautions should be used for a patient with pulmonary TB? airborne and standard The physician orders the following blood work to evaluate a patient for sepsis: CBC, Blood culture, and BMP. When using the evacuated tube method for venipuncture, in which of the following orders should the tubes be drawn? blood culture, red top, lavender top Which of the following is a CLIA waived test that can be performed by the phlebotomist chemical urinalysis A phlebotomist must invert anticoagulant tubes to prevent which of the following? clotting A phlebotomy tech is exposed to blood via a needle stick injury. Within how many hours should the tech initiate post exposure prophylaxis (PEP)? 24 hours All blood specimens transported by a courier must be protected from direct sun exposure Which of the following is used by the lab to identify a specimen throughout the testing process? accession number When performing a OGTT, the timing should begin as soon as the patient finishes the drink Which of the following tubes should a phlebotomy tech collect first when obtaining a dermal (capillary) sample? lavender A phlebotomy tech 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 tech wait prior to attempting the draw? 2 hours after administration Which of the following is the phlebotomy tech required to do before leaving the patients room? initial and mark the date and time on each tube drawn How frequently should the phlebotomy tech perform a quality control test on a glucometer in the lab? every day the meter is used A phlebotomy tech is preparing to dispose of contaminated sharps. According to OSHA, which of the following actions should the tech take? Empty the sharps container when it is two-thirds full When reviewing a requisition before obtaining a blood specimen, the tech should verify that the requisition includes which of the following? a specimen identification code A phlebotomy tech is selecting a site to collect a blood specimen from a patient. After applying the tourniquet, the tech sees no apparent vein to use. Which of the following actions should the tech take? Have the patient dangle their arm for 1-2 minutes A phlebotomy tech is collecting a urine specimen for a routine pre-employment drug test. Which of the following actions should the tech take? verify the specimen contains at least 45 mL of urine Which of the following pieces of PPE should the tech remove first after being in an isolation room? gloves A phlebotomy tech notices a sore at the site where the tourniquet is to be be placed. Which of the following actions should the tech take? tie the tourniquet over the patient's sleeve A phlebotomy tech is collecting blood from a patient for donation. The collection bag only fills halfway and the vein collapses. What should the tech do? use a new collection bag to draw a new unit of blood A phlebotomy tech is preparing to collect a blood specimen from a patient who signed a general informed consent form upon admission. Which of the following actions by the patient indicates implied consent? rolling up her shirt sleeve A phlebotomy tech is using a POCT system to determine a patient's WBC count. Which of the following results should the tech immediately notify the provider? 1.8/mm (range is 4.4 to 11/mm) A phlebotomy tech is preparing to store a blood specimen. At which of the following temperatures should the tech store the specimen? 2 to 8 degrees C (35.6-46.4 degrees F) When should a phlebotomy technician perform external liquid controls for quality control on a CLIA-waived glucose point-of-care test? when a new lot number or kit is opened A phlebotomy tech should identify which of the following is an identifier to a specimen as long as it remains in the lab? accession number A phlebotomy tech is preparing to collect a vancomycin peak level for a patient in an inpatient setting. Which of the following actions should the tech take? Ask the attending nurse if the patient's vancomycin dose schedule is accurate Last piece of PPE to remove after leaving a patient's room mask Why should a phlebotomy tech centrifuge a serum specimen before transport to an outside lab? cells must be separated from the serum A phlebotomy tech has a requisition for a series of tests on a patent's serum. The tech should select a collection tube that has which of the following additives? thrombin A phlebotomy tech is preparing to perform a lactic acid test. Which of the following actions should the tech take? collect the specimen in a grey top tube Which tube do you use to draw for a thyroid studies test? speckled (red/grey) (thyroid stimulating hormone:chemistry dept) Which color tube for a collection of sodium? green (heparin aids in determining sodium levels) A phlebotomy tech is reviewing a lab test requisition form before obtaining a blood specimen. Which of the following actions should the tech take prior to drawing blood? check the requisition form for duplicate test orders A provider has an order for a urine culture and sensitivity test. Which of the following types of urine collection should the tech take? clean-catch midstream Which of the following specimens should be protected from bright light by placing it in an amber/brown biohazard bag for transport? vitamin B6 Which of the following test results is affected when a tech uses povidone-iodine to cleanse the site? potassium A phlebotomy tech receives a chemical splash to his forearm. Which is the minimum amount of time the tech should rinse the affected area? 15 min Chromosome analysis needs a collection tube with which additive? heparin (green) Cholesterol POCT test result that requires immediate notification of the provider? 300 mg/dL When transporting blood specimens to a lab, which action should the tech take? place the specimens in a lockable container When collecting blood from a patient with cutaneous diphtheria, which PPE do you need aside from gloves? gown- cutaneous diphtheria is spread through contact A phlebotomy tech is following the CLSI's clinical lab workflow pathway. As part of the post-examination phase, the tech should? enter critical laboratory data A phlebotomy tech is collecting a specimen to measure the trough level of a medication. The tech should collect at which of the following times? Within 15 minutes before the pt receives the next dose of medication According to OSHA, which of the following vaccines should a company offer to its phlebotomist at no cost? Hep B Why does alcohol need time to dry before a venipuncture is performed? it needs time to dry for antiseptic action to take effect According to standard precautions, what actions should be taken when shipping specimens to a lab in hot weather? place in a box with cold packs and biohazard label Which fasting blood glucose level should be reported immediately to the provider? 130 mg/dL (normal is 70-110) To prevent hospital-acquired infections, a phlebotomy technician should clean items that have been contaminated by blood with a 1:10 dilution of which of the following substances and water? sodium hypochlorite aka chlorine bleach