NHA PHLEBOTOMY EXAM Questions & Answers

NHA PHLEBOTOMY EXAM Questions & Answers The bloodborne pathogens standard is mandated by federal law and enforced by OSHA to reduce occupational exposure. The standard requires healthcare employees to: Implement medical surveillance for all at risk employees When using the needle and syringe technique to collect a blood sample, how should a phlebotomist hold the syringe ? With your doninant hand Which of the following devices can only be used for urine analysis ? Red-yellow (tiger) top urine collection tube What is the most common type of diurnal test ? Cortisol To prevent complications from excessive blood draws, the hospital policy limits the amount of blood that can be drawn at 5% of a patients total blood volume in a 30 day period . A 100 year old female patient in the intensive care unit recently suffered a stroke . The medical record indicates that this patient weighs 99.3 lbs Which if the following is true about the volume requirements for high risk patients ? The total volume of blood that is drawn over 30 days should not exceed 157 mL What is the definition of the term "circadian" Cyclical changed throughout the day An event in which death or serious physical or psychological injury occurs is called a/an : Sentinel event Phlebotomists must be vigilant in handwashing to prevent the transmission of microorganisms. Which of the following is true regarding medical aspects of handwashing ? The water temp should be lukewarm Which of the following tests does not exhibit a diurnal effect ? Serum alcohol At least how full must all anticoagulated blood tubes be filled ? 75% Which specimen is ideal for urinanalysis because it has a high specific gravity ? First-Voided Which of the following blood products does not increase after a patient has been exercising ? Oxygen (O2) Which are Clinical Laboratory Improvement Amendment (CLIA) waived tests ? Finger stick blood glucose with a Point of Care Machine Post vasectomy semen samples should be delivered to the laboratory within: Two hours What is the definition of thrombocytopenia ? Decrease in platelet count The speed and time of centrifugation are important specifications for each lab. Which setting woulf most likely result in the best seperation of serum from cells ? 1,200g for 10 minutes Pleural fluid is: Fluid from the lungs INR tests are used to monitor the levels of which medication ? Warfarin Which of the following is best practice regarding the labeling of a " discard " tube ? Mark any discard tube with an "x" or "discard" OSHA inspectors in the hospital setting: Will observe healthcare workers performing procedures . Which of the following is true regarding urinalysis reagent strips The procedure to collect urine specimens for raegent strip testing is the same as collection for a microscopic examination A phlebotomist should be aware of common problems associated with routine blood smear preparation . Streaks or tails on the feathered edge of a blood smear is most likely to result because: The blood drop started to dry out during preparation What is the correct way oto instruct the patient for a throat culture specimen collection ? "Please tilt your head back and open your mouth wide. " Blood donation centers follow guideline for donor collection and patient safety that are set by: AABB Phlebotomist documentation should: State facts, not feelings Advanced skilled phlebotomist's can perform advanced procedures such as injections, tuberculin skin tests and arterial punctures . What is required for these procedures ? Observed competency check off After performing a dermal puncture for the collection of capillary blood specimen, the phlebotomist knows that the correct order of draw is Slide, platelet count or hematology specimens, anticoagulant microtubes, serum tubes . The genetic disorder, phenylketonuria (PKU), is characterized by deficiency of an enzyme that breaks down the amino acid, phenylalanine. Treatment of PKU involves : A diet low in phenylalanine A 33.4 kg weighing pediatric patient to be 2,672 mL . The total amount drawn during hospitalization cannot exceed 5% of total blood volume . Hwat is the Max amount of blood that can be drawn ? 133.6 mL Total Blood Volume : 2,672 x 0.05 = 133.6 mL POC instruments such as the HemoCue Plasma or low hemoglobin analyzer can detect free hemoglobin levels prior to autologous donation . A high free hemoglobin level indicates that: There is a possibility of renal dysfunction if blood is reinfused According to the Clinical Laboratory Standards and Institue (CLSI), the blood volume for infants and children is : 75-100 mL/kg A phenylketonuria (PKU) test should be performed : To fulfill federal newborn screening requirements Cardiac POC testing analyzers are valuable tools for diagnosis . A critical troponin 1 (Tn1) results may indicate Myocardial damage from a heart attack Newborn/neonatal screening (NBS) tests are important because some health conditions present at birth may not show signs right away but can be life threatening All of the following may contaminate the NBS results, except: Oxygen What is a call for concern when receiving results for a STAT lactate level Results above the normal reference range for lactate level ; 0-1.0 mmol/L To prepare a blood smear how much of the slide should be covered ? Three-fourths What is an advantage of using the direct-draw collection bottle or the butterfly collection system for blood cultures They eliminate the hazard of inoculating bottles with a syringe What is a stool sample useful for ? To detect gastrointestinal disorder What is the most common type of diurnal test Cortisol What additives does the black tube top for blood collection contain Sodium Citrate Today the barcode label printer is broken and the lab cannot generate the barcoded labels for each tube, what should you do in an outpatient setting ? Write your name or initials on black labels for specimens he collected Which of the following types of urine specimen should a phlebotomy technician insteuct a patient to collect for a pregnancy test ? First-Morning bacteria, viruses, fungi, parasites belong to which type of hazard ? Biologic A phlebotomy technician is collecting a specimen test for a patient's lithium level following a recent dose of medication. Which of the following levels should have the technician collect ? Peak A phlebotomy technician is preparing to perform a blood collection in an outpatient setting. Which of the following information is required on the requisition form ? Patients billing information and test status A phlebotomy technician is processing the blood sample of a patient who ate a meal of meat an dcheese prior to the draw . Following centrifugation of the sample, what should the technician expect ? The specimen is lipemic A phlebotomy technician is preparing to collect a patients blood when the patient informs the phlebotomist that she is taking warfarin. The technician should find the results of which of the following tests is affected by this medication ? PT/INR