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NHA practice test -2 Questions and Answers

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NHA practice test -2 Questions and Answers A phlebotomy technician is instructing a patient how to collect a clean catch urine specimen. Which of the following cleansers should the technician instruct the patient to use when cleansing around her urinary meatus Mild antiseptic soap For which of the following reasons should a phlebotomy technician avoid drawing blood from the leg or foot of a patient who has diabetes These areas are more susceptible to infection To prevent hospital acquired infections, phlebotomy technician should clean items that have been contaminated by blood with a 1 to 10 dilution of which of the following substances and water sodium hypochlorite A phlebotomy technician is preparing a patient's arm for venipuncture. Which of the following techniques should the technician use when applying an anti-septic solution Back and forth strokes Which of the following actions should a phlebotomy technician take when performing a venipuncture using an evacuated tube system Position the needle at a 30 degree angle in the same direction as the vein and with the bevel up. A Phlebotomy technician should identify that which of the following series of venipuncture steps is in the appropriate order Assess the site, cleanse the site, and insert the needle A Phlebotomy technician is collecting A patient's blood specimen in a lavender topped tube. How many times should the technician gently invert the tube before setting it in the specimen collection tray 4-6 times A phlebotomy technician is collecting a venipuncture blood specimen from a patient for a blood assay. The technician should fill which of the following tubes first Yellow-topped tube Which of the following actions should a phlebotomy technician take when labeling specimens Labeling specimens at the time of collection and in the presence of the patient A phlebotomy technician is performing a total cholesterol point of care test for a patient. Which of the following findings should the technician immediately report to the provider 300 mg/dL A Phlebotomy technician is collecting a urine specimen from a patient for a pre-employment drug screening. Which of the following findings should indicate to the technician that tampering has possibly occurred the temperature of the specimen is 30 celsius, 86 farenheight A phlebotomy technician must comply with which of the following OSHA requirements when performing a venipuncture? Wear gloves when contact with blood is anticipated A phlebotomy technician should identify that which of the following is the next step after removing a needle from a patient's arm Engage the needle safety device A phlebotomy technician is collecting a blood specimen from a patient who has pneumonia. Besides gloves, which of the following pieces of personal protective equipment should the technician wear mask Phlebotomy technician should identify that which of the following additives is used to prevent the breakdown of glucose sodium fluoride Which of the following actions by a phlebotomy technician can result in a grossly hemolyzed specimen Using an incorrect needle gauge How often should a phlebotomy technician run quality control tests on point of care testing instruments daily A phlebotomy technician receives a chemical splash to his forearm. After removing his contaminated clothing, which of the following is the minimum amount of time the technician should rinse the affected area 15 min Phlebotomy technician is performing a venipuncture for a patient. The patient suddenly reports feeling faint. After removing the tourniquet and the needle, which of the following actions should the technician take next? Have the patient put her head between her legs. This position helps prevent syncope A phlebotomy technician is performing a capillary blood collection for an older adult patient. Which of the following sites should the technician select? The distal phalanx of either middle finger Which of the following regulations ensures that a phlebotomy technician is proficient to perform job duties and responsibilities Clinical Laboratory Improvement Act (CLIA) A phlebotomy technician is collecting a blood specimen from a patient who has cutaneous diphtheria. Besides gloves, which of the following pieces of personal protective equipment should the technician wear? gown A Phlebotomy technician should identify that which of the following is the total blood volume of an infant who weighs 3.3 kg (7.3lb) ? 240 to 330 mL A Phlebotomy technician is required To obtain which of the following from a potential blood donor? Complete medical history A technician should identify that which of the following is one of the joint commission 2016 national patient safety goals Identify patients correctly Phlebotomy technician is collecting a blood specimen from a patient for blood cultures. Which of the following additives do the blood collection tubes require? sodium polyanethol sulfonate A phlebotomy technician is applying a tourniquet prior to collecting a blood specimen from a patient. Which of the following actions should the technician take Tuck a partial loop of tourniquet underneath the tourniquet For which of the following reasons should a phlebotomy technician document the total volume of blood drawn from a patient To determine if the patient is at risk for developing iatrogenic anemia For which of the following tests should a phlebotomy technician follow the chain of custody guidelines blood alcohol A phlebotomy technician is reviewing a laboratory requisition before obtaining blood specimens from a patient. The technician should verify that the requisition includes which of the following information A specimen identification code A phlebotomy technician is teaching a patient about collecting a sputum Specimen at home. Which of the following instructions should the technician include Spit thick secretions into the container after coughing deeply A Phlebotomy technician is collecting blood specimens from a patient for multiple blood assays. The technician should fill the tube that has which of the following additives first sodium citrate Phlebotomy technician should identify that which of the following phrases is represented by the abbreviation SD standard deviation Which of the following is a potential consequence of a phlebotomy technician mislabeling a blood bank specimen transfusion reaction A patient arrives at a clinic with a requisition for a chemistry panel. A technician notices that the patient's last name on the requisition differs from the patients provided identification. Which of the following actions should the technician take Contact the ordering provider to correct the requisition form 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 Which of the following actions should a phlebotomy technician take after collecting an ammonia specimen Place the specimen tube in an ice water slurry Phlebotomy technician is collecting a unit of blood from a donor. Which of the following actions should the technician take Instruct the donor to open and close his hand gently throughout the collection A phlebotomy technician is preparing to use an evacuated tube system to obtain a venous blood specimen from a patient. The tourniquet is in place and the technician has cleansed The puncture site. Which of the following procedural steps should the technician perform next? Uncap the needle and inspect it 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 Reject the specimen Which of the following actions should a phlebotomy technician take to prevent bleeding from a venipuncture site after the needle is removed Apply pressure to prevent leakage of blood into the tissues Phlebotomy technician is performing a heel stick to obtain capillary blood for testing a newborns bilirubin Level. Which of the following actions should the technician take use an amber-colored microcontainer Within which of the following time periods should a phlebotomy technician collect a newborn blood-spot test screening card? Within 72 hr A phlebotomy technician is collecting a blood specimen from an adolescent patient who weighs 42.6 KG (94lbs) Which of the following amounts is appropriate to collect if the maximum allowable volume of blood is 1% 40 ml A Phlebotomy technician is using a point of care test system to determine a patient's WBC count for which of the following results should the technician immediately notify the provider 1.8/mm^3 During a routine venipuncture, a phlebotomy technician notices That a patient is becoming pale and diaphoretic. The technician should identify that the patient is at risk for which of the following conditions syncope. This identifies that the patient might faint. The technician should immediately take precautions to prevent this A Phlebotomy technician has a requisition Form to perform at chromosome analysis for a patient. The technician should select a collection tube that contains which of the following additives Heparin A patient who has diabetes states that he prefers to be drawn on the Inside of his wrist. Which of the following actions should a Phlebotomy technician take Attempt to draw from the antecubital region Phlebotomy technician should identify that which of the following actions can cause a hemolyzed specimen shaking the collection tube vigorously A phlebotomy technician is preparing to perform a venipuncture on a patient who has small, rolling veins. Which of the following equipment should the technician use Winged infusion set A Phlebotomy technician is preparing to draw a peek level for a medication that was administered orally to a patient. After verifying when the patient received the medication, how long should the technician week prior to attempting the draw 2 hrs A phlebotomy technician is updating a quality control record while performing daily point of care test. Which of the following information should the technician include expiration date Phlebotomy technician should select a tube that has which of the following additives when collecting a blood specimen for a CBC EDTA A Phlebotomy technician is preparing to perform a hand draw. Which of the following equipment should the technician assemble? Winged infusion set and adapter A phlebotomy technician is obtaining a blood culture specimen from an adult patient. Which of the following actions should the technician take? withdraw the blood into a sterile safety syringe Which of the following test results are affected when A phlebotomy technician uses povidone iodine to cleanse a site for a dermal puncture Potassium Which of the following test is the most common point of care test performed at home and in medical facilities glucose Phlebotomy technician is performing a blood glucose test. Which of the following glucose levels should the technician identify as being outside the expected reference range 200 mg/dL Phlebotomy technician is preparing to store a blood specimen. At which of the following temperatures should the technician store the specimen 2 to 8 C (35.6 to 46.4 F) For which of the following reasons should a phlebotomy technician place a specimen in a biohazard bag for transport to an outside laboratory The biohazard bag prevents a possible exposure incident A phlebotomy technician is preparing to collect a patient troponin T level. Which of the following troponin T levels should the technician immediately report to the provider 0.3 ng/ml After a phlebotomy technician performed a heel puncture for neonatal screening. Which of the following is the correct procedure for collecting the blood Saturate each circle with one drop of blood A Phlebotomy technician is instructing a patient about proper semen specimen collection for determination of fertility potential. Which of the following instructions should the technician include Protect the specimen from exposure to bright light When performing a hand draw, which of the following steps should a phlebotomy technician take before removing the needle Disengage the tube from the adapter Which of the following actions should a phlebotomy technician take when preparing a peripheral blood smear Place a 1 mm drop of blood one-half inch from the edge of the slide A Phlebotomy technician is preparing to collect a timed medication draw ordered for 1400. The technician should verify when the patient received his previous dose of medication with which of the following members of the interprofessional team nurse Blood cultures have been ordered on an adult patient in an intensive care unit. A nurse calls a phlebotomy technician to bring the appropriate materials. Which of the following materials should the phlebotomy technician bring? An aerobic bottle and an anaerobic bottle Phlebotomy technician is preparing to perform a lactic acid test. Which of the following actions should the technician take Collect the specimen in a gray-topped tube While a phlebotomy technician is performing a blood collection, several drops of blood land on the drawing chair. Which of the following solutions should the technician used to remove the blood? 1:10 bleach Which of the following actions should a phlebotomy technician take to prevent needlestick injuries Replace a sharps container that has reached its fill line A phlebotomy technician is instructing a patient about how to collect a 24 hour urine specimen. Which of the following instructions should the technician include Discard the first void of the morning The patient states that he is a difficult draw and requests a skin puncture. The test ordered is a PTT. Which of the following should a phlebotomy technician perform A syringe draw transferred into a light blue vacuum tube The joint commission recommends using the patients full name and which of the following pieces of information to ensure accurate impatient identification Medical record number A phlebotomy technician is preparing to obtain a blood specimen from a patient for an erythrocyte sedimentation rate test. The technician should select a collection tube that has a top with which of the following colors lavender Mask Phlebotomy technician is working with a patient who has Mycobacterium Tuberculosis infection. Which of the following transmission precautions should the technician use for this patient airborne precautions

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NHA practice test #2 Questions and
Answers
For an older adult patient who has difficult to access veins, I phlebotomy technician
should select which of the following veins to perform a venipuncture – answer Dorsal
veins

A Phlebotomy technician should transfer a semen sample at which of the following
temperatures - answer36 to 38 c

A phlebotomy technician should invert anticoagulant tubes to prevent which of the
following complications – answer hemolysis

A phlebotomy technician is instructing a patient how to collect a clean catch urine
specimen. Which of the following cleansers should the technician instruct the patient to
use when cleansing around her urinary meatus – answer Mild antiseptic soap

For which of the following reasons should a phlebotomy technician avoid drawing blood
from the leg or foot of a patient who has diabetes – answer These areas are more
susceptible to infection

To prevent hospital acquired infections, phlebotomy technician should clean items that
have been contaminated by blood with a 1 to 10 dilution of which of the following
substances and water – answer sodium hypochlorite

A phlebotomy technician is preparing a patient's arm for venipuncture. Which of the
following techniques should the technician use when applying an anti-septic solution –
answer Back and forth strokes

Which of the following actions should a phlebotomy technician take when performing a
venipuncture using an evacuated tube system – answer Position the needle at a 30
degree angle in the same direction as the vein and with the bevel up.

A Phlebotomy technician should identify that which of the following series of
venipuncture steps is in the appropriate order - answerAssess the site, cleanse the site,
and insert the needle

A Phlebotomy technician is collecting A patient's blood specimen in a lavender topped
tube. How many times should the technician gently invert the tube before setting it in the
specimen collection tray - answer4-6 times

, A phlebotomy technician is collecting a venipuncture blood specimen from a patient for
a blood assay. The technician should fill which of the following tubes first -
answerYellow-topped tube

Which of the following actions should a phlebotomy technician take when labeling
specimens - answerLabeling specimens at the time of collection and in the presence of
the patient

A phlebotomy technician is performing a total cholesterol point of care test for a patient.
Which of the following findings should the technician immediately report to the provider -
answer300 mg/dL

A Phlebotomy technician is collecting a urine specimen from a patient for a pre-
employment drug screening. Which of the following findings should indicate to the
technician that tampering has possibly occurred - answerthe temperature of the
specimen is 30 celsius, 86 farenheight

A phlebotomy technician must comply with which of the following OSHA requirements
when performing a venipuncture? - answerWear gloves when contact with blood is
anticipated

A phlebotomy technician should identify that which of the following is the next step after
removing a needle from a patient's arm - answerEngage the needle safety device

A phlebotomy technician is collecting a blood specimen from a patient who has
pneumonia. Besides gloves, which of the following pieces of personal protective
equipment should the technician wear - answermask

Phlebotomy technician should identify that which of the following additives is used to
prevent the breakdown of glucose - answersodium fluoride

Which of the following actions by a phlebotomy technician can result in a grossly
hemolyzed specimen - answerUsing an incorrect needle gauge

How often should a phlebotomy technician run quality control tests on point of care
testing instruments - answerdaily

A phlebotomy technician receives a chemical splash to his forearm. After removing his
contaminated clothing, which of the following is the minimum amount of time the
technician should rinse the affected area - answer15 min

Phlebotomy technician is performing a venipuncture for a patient. The patient suddenly
reports feeling faint. After removing the tourniquet and the needle, which of the following
actions should the technician take next? - answerHave the patient put her head
between her legs. This position helps prevent syncope

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