NHA Phlebotomy Chapters 1-3 Questions and Answers

NHA Phlebotomy Chapters 1-3 Questions and Answers A phlebotomy technician is preparing to perform a venipuncture for a patient who has pneumonia. Besides gloves, which of the following pieces of personal protective equipment should the technician wear? A. Gown B. N95 Respirator C. Face Mask D. Goggles C. Face mask When testing a patient for streptococcal pharyngitis, a phlebotomy technician should implement which of the following types of transmission-based precautions? A. Contact B. Standard C. Airborne D. Droplet D. Droplet Which of the following is the current procedure for medical professionals performing CPR on an infant? A. 30 compressions, 3.8 cm (1.5in) deep B. 30 compressions, 5.08 cm (2in) deep C. 100 compressions, 5.08 cm (2in) deep D. 100 compressions, 3.8 cm (1.5in) deep A. 30 compressions, 3.8 cm (1.5in) deep A phlebotomy technician finishes performing a blood draw in an isolation room. Which of the following pieces of personal protective equipment should the technician remove first? A. Mask B. Gown C. Goggles D. Gloves D. Gloves A phlebotomy technician receives a splash of blood to the eyes while transferring serum into an isolator tube. Which of the following actions should the technician take first? A. Notify his immediate supervisor. B. Rinse his eyes with water. C. Disinfect his contact lenses with saline. D. Report to a health care provider. B. Rinse his eyes with water. A phlebotomy technician is performing a blood alcohol test. Which of the following antiseptics should the technician use? A. Tincture of iodine B. Ethanol C. Chlorhexidine gluconate D. Isopropyl alcohol C. Chlorhexidine gluconate Which of the following types of urine specimen should a phlebotomy technician instruct a patient to collect for a pregnancy test? A. First-morning B. TImed C. Random D. Suprapubic A. First-morning A phlebotomy technician is explaining a phlebotomy procedure to a patient who wears hearing aids. The patient seems distracted. Which of the following questions should the technician ask to ensure the patient understands the procedure? A. "Did you hear what I said?" B. "Do you understand what you need to do?" C. "Would you like to me repeat the directions?" D. "Do you need me to talk slower?" C. "Would you like to me repeat the directions?" A phlebotomy technician should identify that which of the following information is required for positive identification of a patient in a outpatient facility? A. Attached ID band, full name, accession number B. Picture ID, full name, date of birth C. Accession number, full name, date of birth D. Medical requisition number, full name, date of draw B. Picture ID, full name, date of birth A phlebotomy technician enters a patient's room to perform a blood draw and notices that the patient's identification band is sitting on the bedside table. The patient states, "I hate wearing it, so I took it off." Which of the following responses should the technician make? A. "I will ask the nurse to replace the identification band." B. "Please show me your driver's license." C. "I will proceed with the blood draw." D. "I will ask your roommate to verify your identification." A. "I will ask the nurse to replace the identification band." A phlebotomy technicians is seeking consent to perform venipuncture on an older adult patient who has been accompanied to the facility by a younger adult. Which of the following actions should the technician take? A. Speak to the patient in a loud voice. B. give the consent form to the adult accompanying the patient. C. Speak to the patient in a normal tone. D. Stand close to the patient while speaking. C. Speak to the patient in a normal tone. 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? A. Patient medical record number and bed number B. Provider's name and provider's license number C. Patient's driver's license number and provider's DEA number D. Patient's billing information and test status D. Patient's billing information and test status A phlebotomy technician is preparing to collect blood from a patient who has experienced syncope during previous draws. Which of the following actions should the technician take? A. Draw from the patient's hand B. Place the patient in a supine position C. Place the patient in a prone position D. Perform capillary draws. B. Place the patient in a supine position A patient's ask a phlebotomy technician why his blood is being drawn. Which of the following response should the technician make? A. "The test is critical to determining your diagnosis." B. "You should ask your provider about the test." C. "Your provider has ordered cardiac enzyme and digoxin levels." D. "Your provider has ordered these tests in order to rule out cancer." B. "You should ask your provider about the test." A phlebotomy technician is informing a patient about the procedure for collecting a blood culture. Which of the following information should the technician include? A. "I will swab the area twice to make sure it is sterile." B. "I am going to use an evacuated tube system to perform the draw." C. "I am going to wait 15 seconds to let the antiseptic dry before I draw your blood." D. "I will leave the tourniquet on longer, so we can collect enough blood for testing." A. "I will swab the area twice to make sure it is sterile." A phlebotomy technician is positioning a patient for a venipuncture. To prevent reflux or backflow, the technician should instruct the patient to move her arm into which of the following positions? A. Fully extended in a downward position. B. Elbow bent at a 90 degree angle. C. Hyper-extended at the elbow. D. Slightly bent in an outward position A. Fully extended in a downward position. A phlebotomy technician is educating a patient about a 24-hr urine collection. Which of the following instructions should the technician give to the patient? A. "Avoid mixing or inverting the container after collecting the specimen." B. "Start collecting at the second void of the day." C. "Reduce fluid intake during the 24-hour time frame." D. "Store the specimen at room temperature." B. "Start collecting at the second void of the day." A phlebotomy technician is preparing equipment for a blood draw. The technician notices that one of the tubes on the tray is expired. Which of the following actions should the technician take to ensure accurate test results. A. Use a new tube from the front of the shelf. B. Use a tube from the back of the shelf C. Use the expired tube regardless of the date. D. Use the tube within 5 days of expiration. A. Use a new tube from the front of the shelf. A phlebotomy technician is performing a blood collection for a patient who has edema in her right arm. Which of the following locations should the technician identify as the best vein choice for venipuncture? A. Right side median cubital B. Right side median cephalic C. Left side basilic D. Left side dorsal hand D. Left side dorsal hand A phlebotomy technician is performing a venipuncture. After removing the needle cap, which of the following steps should the technician take? A. Position the needle at a 40 degree angle above the puncture site. B. Perform a "C" hold over the intended puncture site. C. Anchor the vein 2.5 to 5 cm (1-2 in) below the puncture site. D. Insert the needle quickly at the puncture site. C. Anchor the vein 2.5 to 5 cm (1-2 in) below the puncture site. A patient sits down for a venipuncture in an outpatient setting, rolls up her sleeve and extends her arm. The patient turns her head away from the phlebotomy technician and says," I don't want my blood drawn." Which of the following responses should the technician make to the patient?" A. "I am going to start the draw now." B. "May I draw your blood?" C. "Do you want me to get the nurse?" D. "I will get another phlebotomist." B. "May I draw your blood?" A phlebotomy technician is performing a venipuncture on a deep median cubital vein. Which of the following methods of withdrawal should the technician use? A. Withdraw with the bevel up at a 25 degree to 30 degree angle. B. Withdraw with the bevel down at a 10 degree to 15 degree angle. C. Withdraw with the bevel up at a 10 degree to 15 degree angle. D. Withdraw with the bevel down at a 25 degree to 30 degree angle. A. Withdraw with the bevel up at a 25 degree to 30 degree angle. A phlebotomy technician is performing a dermal puncture for an adult patient. Which of the following locations should the technician use for this procedure? A. The side of central of the index finger B. The side of central of the ring finger C. On the tip of the ring finger D. On the tip of the index finger B. The side of central of the ring finger A phlebotomy technician has three bar-coded labels but has filled four tubes. The technician needs to create one more label for evacuated tubes. Which of the following information should the technician include on the label? A. Patient's name, room number, and date of collection. B. Patient's date of birth, accession number, and time of collection. C. Technician's initials, date and time of collection D. Technician's initials, provider's name, and patient's date of birth C. Technician's initials, date and time of collection A phlebotomy technician's accidentally punctures a patient's artery during a venipuncture procedure. Which of the following actions should the technician take? A. Instruct the patient to bend the arm at the elbow. B. Apply pressure on the site of at least 5 min C. Apply self adherent tape with a cotton ball D. Instruct the patient to hold the arm below the heart. B. Apply pressure on the site of at least 5 min A phlebotomy technician is instructing a patient about how to collect a fecal specimen at home. WHich of the following instructions should the technician include? A. "refrigerate the fecal sample after collection." B. "do not mix urine with the fecal sample." C. "Avoid washing the outside of the container following collection." D. "Scoop the fecal sample from the toilet into the container." B. "do not mix urine with the fecal sample." A phlebotomy technician is preparing to load two tubes into a centrifuge. Which of the following actions should the technician take? A. Place tube of unequal volume adjacent to each other. B. Place tubes of equal volume adjacent to each other C. Place tubes of unequal volume across from each other. D. Place tubes of equal volume across from each other. D. Place tubes of equal volume across from each other. A phlebotomy technician working in a laboratory has received six filled evacuated tubes, one of which is missing a label. Which of the following actions should the technician take? A. Print a barcoded label for the unlabeled specimen B. Process the unlabeled specimen as it was received. C. Recollect the unlabeled specimen D. Hand-write a label for the unlabeled specimen. C. Recollect the unlabeled specimen A Phlebotomist has a requisition to draw blood on a patient who has severe Down syndrome. Which of the following steps should the Phlebotomist take? A) Explain the procedure to the patient in simple terms, then proceed with venipuncture. B) Speak with the patients guardian 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 B) Speak with the patients guardian before performing the venipuncture to ensure the explanation is understood Which of the following procedural steps for a finger stick should the phlebotomist do first? A) Cleanse the site 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 Identity of the patient D) Confirm Identity of the patient A Phlebotomist is drawing blood from a patient and observes 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 C) Apply pressure after collecting the specimen A Phlebotomist working in a fertility clinic draws blood form 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 to the lab for testing B) You'll have to talk to the lab techs about collecting the sample. They do all the testing C) Leave the semen sample in the front desk for delivery to the lab D) You should discuss that with your doctor, I only draw blood A) As soon as you collect the specimen, keep it next to your body. We will need to submit it right away to the lab for testing 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) Shaking the collection tube vigorously Before the phlebotomist performs a venipuncture, the patient warns that he is HIV positive. According to OSHA regulations, after wearing gloves, the phlebotomist should? A) Apply an extra set of gloves over the first set B) Have the supervisor observe the draw C) Wear a mask and eye protection D) Perform the venipuncture D) Perform the venipuncture Which of the following is appropriate cleanser for cleansing around the urinary meatus for a clean-catch urine specimen? A) Hydrogen Peroxide B) Benzalkonium Chloride or mild antiseptic soap C) Povidone Iodine D) 70% Alcohol pad B) Benzalkonium Chloride or mild antiseptic soap When should the code on glucose cuvettes 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 B) When a patient is tested A patient comes in to find out his test results. The phlebotomist notices the results are ready and verifies the patient's identity. Which of the following actions is most appropriate? A) Have the lab manager discuss the results with the patient B) Have the nurse interpret the result for the patient C) Obtain a signed authorization from the patient and explain the results in a private exam room D) Inform the patient to contact the ordering physician to get the results. D) Inform the patient to contact the ordering physician to get the results. During a venipuncture, the patient reports a sharp pain radiating down the arm. Which of the following actions should the phlebotomist take? A) Release the tourniquet and remove the needle B) Pull back on the needle and continue procedure C) Reposition the patient and change the needle gauge D) Continue to draw and monitor the patient's pain. A) Release the tourniquet and remove the needle A phlebotomy technician has a mild sensitivity to latex. According to the National Institute for Occupational Safety and Health (NIOSH), which of the following actions should the technician take? A. Scrub hands with detergent after wearing latex gloves. B. Use gloves with powder inside of them. C. Apply oil-based hand creams before putting on latex gloves. D. Wear nitrile gloves instead of latex gloves. D. Wear nitrile gloves instead of latex gloves. 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? A. Hydrogen peroxide B. Isopropyl alcohol C. Sodium hypochlorite D. Benzalkonium chloride C. Sodium hypochlorite A phlebotomy technician is educating a patient about the at-home collection of a semen specimen. Which of the following statements by the patient indicates an understanding of the procedure? A. "I will collect the specimen in a sterile container and refrigerate." B. "I will collect the specimen in a sterile container and return it to the lab within 1 hour." C. "I will collect the specimen in a clean condom and return in 3 hours." D. "I will abstain from ejaculation for 12 hours prior to the test." B. "I will collect the specimen in a sterile container and return it to the lab within 1 hour." Which of the following actions by a phlebotomy technician can result in a grossly hemolyzed specimen? A. Following an incorrect order of draw B. Using an incorrect needle gauge C. Applying the tourniquet too close to the draw site D. Failing to invert the tube B. Using an incorrect needle gauge A phlebotomy technician is preparing to collect a vancomycin peak level for a patient in an inpatient setting. Which of the following actions should the technician take prior to collecting the blood specimen? A. Ask the patient when he received his last dose of vancomycin. B. Ask the attending nurse if the patient's vancomycin dose schedule is accurate. C. Ask the pharmacist when the next dose of vancomycin is scheduled for the patient. D. Ask the provider if the patient has received his dose of vancomycin. B. Ask the attending nurse if the patient's vancomycin dose schedule is accurate. A technician should identify that which of the following is one of the Joint Commission's 2016 National Patient Safety Goals? A. Identify the appropriate venipuncture site. B. Identify patients correctly. C. Identify the correct collection tubes for ordered assays. D. Identify the appropriate needle gauges. B. Identify patients correctly. A provider orders a stat specimen, but a phlebotomy technician forgets to fill out the patient ID number on the collection tube. The technician should expect the laboratory that received the specimen to take which of the following actions? A. Process the specimen. B. Correct the specimen's label. C. Transfer the specimen to a properly labeled tube. D. Reject the specimen. D. Reject the specimen. A tourniquet should be left on a patient's arm for which of the following amounts of time? A. No longer than 150 seconds B. No longer than 60 seconds C. No longer than 90 seconds D. No longer than 120 seconds B. No longer than 60 seconds A phlebotomy technician should identify that which of the following is the next step after removing a needle from a patient's arm? A. Ask the patient to open his fist. B. Remove the tourniquet. C. Engage the needle safety device. D. Invert all tubes. C. Engage the needle safety device. For which of the following reasons should a phlebotomy technician avoid drawing blood from the leg or foot of a patient who has diabetes? A. Veins in these areas are smaller. B. These areas are more susceptible to infection. C. Blood draws from these areas are more likely to cause petechiae.D. The volume from the draw in this area is too low for testing. B. These areas are more susceptible to infection. A phlebotomy technician is using an evacuated needle holder and blood collection tubes to collect blood from a patient. Which of the following actions should the technician take? A. Position the needle at a 45° angle to the skin. B. Insert the needle with the bevel side facing downward. C. Palpate below the puncture site if blood flow is not established. D. Push the first collection tube gently into the holder. D. Push the first collection tube gently into the holder.