NHA practice test 1 Questions and Answers

NHA practice test 1 Questions and Answers 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? A. mask B. gown C. goggles D. N95 respirator B. gown 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? A. 3 min B. 5 min C. 10 min D. 15 min D. 15 min 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 After exiting a patients room, which of the following is the last piece of personal protective equipment a phlebotomy technician should remove? A. gown B. gloves C. mask D. protective eyewear C. mask A phlebotomy technician is preparing to draw blood from a patient who states that this is his first blood draw. Which of the following actions should the technician take? A. explain the reason the test was ordered B. inform the patient of possible complications of the procedure C. show the patient the gauge go the needle D. describe the procedure to the patient D. describe the procedure to the patient A phlebotomy technician is preparing to collect a blood specimen from a patient who signed a general informed consent form upon admission to the facility. Which of the following actions by the patient indicates implied consent for the venipuncture? A. rolling up his shirtsleeve B. asking about the technicians experience C. expressing apprehension about the procedure D. saying he needs to make sure his provider wants these tests A. rolling up his shirtsleeve A phlebotomy technician is following the clinical and laboratory standards institutes (CLSI) clinical laboratory workflow pathway. As part of the post examination phase of this process, which of the following actions should the technician take? A. process the specimen B. review and verify results C. provide post-puncture care D. enter critical laboratory data D. enter critical laboratory data When should a phlebotomy technician perform external liquid controls for quality control on a CLIA-waived glucose point-of-care test? A. with every patient B. every week the test is performed C. when a new lot number or kit is opened D. when a different technician performs the test C. when a new lot number or kit is opened A phlebotomy technician is preparing to collect a blood specimen from a small vein of an older adult patient. Which of the following actions should the technician take to keep the vein from collapsing? A. use a small needle for the draw B. use a large evacuated tube for the draw C. pull the syringes plunger back quickly D. probe the vein with the needle A. use a small needle for the draw A phlebotomy technician is preparing to collect a blood specimen from a patient who is allergic to alcohol. Which of the following antiseptic solution should the technician use to prepare the insertion site? A. chlorhexidine B. iodophor C. tincture of iodine D. hydrogen peroxide A. chlorhexidine Which of the following actions should a phlebotomy technician take to maintain compliance with HIPAA? A. discard test results into the office trash can B. leave patient information next to the printer C. clear phone numbers from the fax machine D. share passwords with other facility staff C. clear phone numbers from the fax machine A phlebotomy technician is using a glucose monitor for point-of-care testing of a patient who has been fasting for 12hrs. For which of the following results should the technician immediately notify the provider? A. 70mg/dL B. 90mg/dL C. 110mg/dL D. 130mg/Dl D. 130mg/dL A phlebotomy technician is verifying a patient's identity before performing a venipuncture procedure. Which of the following information should the technician request from the patient? A. the patient's full name and date of birth B. the name of the patients provider C. the patient's room and bed number D. the patient's city and state of birth A. the patient's full name and date of birth After placing a tourniquet on a patient's arm, a phlebotomy technician notices small red spots below the tourniquet. Which of the following terms describes these spots? A. hemoconcentration B. edema C. urticaria D. petechiae D. petechiae 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? A. place the tourniquet 5cm (2in) above the antecubital space B. tuck a partial loop of tourniquet underneath the tourniquet C. allow space for two fingers beneath the tourniquet D. release the tourniquet after the blood tube is full B. tuck a partial loop of tourniquet underneath the tourniquet A phlebotomy technician has a requisition form for a series of tests on a patient's serum. The technician should select a collection tube that contains which of the following additives? A. sodium fluoride B. thrombin C. sodium citrate D. heparin B. thrombin Which of the following sources for patient identification should a phlebotomy technician use in an inpatient setting? A. verbal and wristband B. medical chart and nurse C. family member and driver's license D. spiritual advisor and provider A. verbal and wristband A phlebotomy technician is obtaining a blood culture specimen from an adult patient. Which of the following actions should the technician take? A. scrub the insertion site with isopropyl alcohol for 30 seconds B. withdraw the blood into a sterile safety syringe C. collect a total of 10mL of blood from the patient D. transfer blood to the aerobic culture bottle first B. withdraw the blood into a sterile safety syringe A phlebotomy technician is interviewing a patient before performing a venipuncture. During the interview, the patient states that he lives nearby and ran to the facility to "get in some running time today". Which of the following precautionary actions should the technician take? A. offer the patient a high-carbohydrate snack before the venipuncture B. place the patient in a reclining position for the venipuncture C. have the patient rest comfortably for at least 15 min before the venipuncture D. reschedule the venipuncture for another day C. have the patient rest comfortably for at least 15 min before the venipuncture A phlebotomy technician is performing a venipuncture using a winged infusion set. The red-topped tube fills, but the light blue-topped tube slows and does not fill completely. Which of the following actions should the technician take? A. tell the patient that another venipuncture will need to be performed B. write "insufficient quantity" on the requisition form C. submit the partially filled light blue-topped tube to the laboratory D. insert a new light blue-topped tube to see if it will fill D. insert a new light blue-topped tube to see if it will fill Which of the following is the best method for a phlebotomy technician to collect a blood specimen from an older adult patient who has fragile, easy-to-collapse veins? A. choose a butterfly assembly using a regular ETS tube B. choose a butterfly assembly and use a pediatric tube C. choose a syringe and butterfly assembly and transfer to an ETS tube D. choose a pediatric tube assembly and a regular ETS tube C. choose a syringe and butterfly assembly and transfer to an ETS tube 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 degree 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 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? A. 1.8/mm3 B. 4.6/mm3 C. 7.4/mm3 D. 10.8/mm3 A. 1.8/mm3 According to OSHA standards, which of the following vaccines must employers offer to their phlebotomists at no cost? A. hepatitis B B. hepatitis C C. hepatitis D D. hepatitis E A. hepatitis B A phlebotomy technician is washing her hands at the beginning of her shift. Which of the following actions should the technician take? A. turn the faucet off with her wet hand B. use enough soap to form a lather C. rub hands together for at least 5 seconds D. hold hands with palms facing upward while rinsing B. use enough soap to form a lather 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? A. 300mg/dL B. 200mg/dL C. 170mg/dL D. 140mg/dL 300mg/dL A phlebotomy technician is preparing to draw blood from a patient in an inpatient setting. The patient extends his arm and turns his head away. This action by the patient is an example of which of the following types of consent? A. informed consent B. implied consent C. refusal of consent D. expressed consent B. implied consent For which of the following reasons should a phlebotomy technician examine the antecubital areas in both of a patient's arms? A. the median cubital vein could be more accessible on one side than the other B. the median cubital vein on the dominant arm tends to be anchored better C. the median cubital vein in the non dominant arm tends to be inaccessible D. the median cubital vein could bruise more easily on one side than the other A. the median cubital vein could be more accessible on one side than the other According to standard precautions, a phlebotomy technician should take which of the following actions when shipping specimens to a reference laboratory in hot weather? A. place the specimens in a box with bubble wrap and a biohazard label B. place the specimens in a box with cold packs and a biohazard label C. place the specimens in a padded envelope with cold packs and a biohazard label D. place the specimens in a padded envelope with bubble wrap and a biohazard label B. place the specimens in a box with cold packs and a biohazard label A phlebotomy technician is collecting capillary blood drops on a filter paper card to screen a newborn for phenylketonuria. Which of the following actions should the technician take? A. apply blood to the printed side of the filter paper B. add a second drop of blood if a circle is not full C. touch the puncture site to the filter paper D. allow the blood spots to dry for a minimum of 2hrs A. apply blood to the printed side of filter paper A provider has ordered a urine culture and sensitivity test. Which of the following types of urine collection should a phlebotomy technician obtain? A. random B. timed urine collection C. first morning D. clean-catch midtsream D. clean-catch midstream 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? A. red B. light green C. lavender D. royal blue C. lavender Which of the following actions should a phlebotomy technician take after collecting an ammonia specimen? A. protect the specimen tube from light B. keep the specimen tube warm C. keep the specimen at body temperature D. place the specimen tube in an ice-water slurry D. place the specimen tube in an ice-water slurry A phlebotomy technician is preparing to obtain a blood specimen from a patient in an outpatient setting. Using standard precautions, which of the following pieces of personal protective equipment should the technician wear? A. goggles B. gloves C. mask D. gown B. gloves A phlebotomy technician is preparing to obtain a blood specimen from a patient for thyroid studies. The technician should select a collection tube that has a top with which of the following colors? A. speckled B. gray C. green D. light blue A. speckled A phlebotomy technician is planning to collect a sputum specimen from a patient. Which of the following instructions should the technician give the patient? A. "rinse your mouth with mouthwash before we collect the specimen" B. "gargle some water before we collect the specimen" C. "leave your dentures in during specimen collection" D. " breathe deeply and then cough up a specimen into the container" D. "breathe deeply and then cough up a specimen into the container" A phlebotomy technician is preparing a patient for a routine venipuncture. Which of the following antiseptic solutions should the technician use? A. povidone-iodine B. hypochlorite solution C. chloramine D. isopropyl alcohol D. isopropyl alcohol A phlebotomy technician should identify that which of the following is the first step in the blood collection procedure? A. test requisition B. preparing equipment C. test accession D. vein location A. test requisition A phlebotomy technician is disposing of used supplies when he accidentally receives a needlestick injury. According to OSHA guidelines, which of the following actions should the technician take first? A. seek out counseling about the incident B. go to a medical facility for evaluation C. wash the puncture site with soap and water D. report the incident to the supervisor C. was the puncture site with soap and water Prior to transport, which of the following specimens should a phlebotomy technician place in an ice bath within 30 min after collection? A. arterial blood gas B. cold agglutinin C. cryoglobulin D. blood culture A. arterial blood gas A phlebotomy technician is preparing several specimens for transport to the facility's laboratory. Which of the following specimens should the technician protect from bright light by placing it in an amber/brown biohazard bag for transport? A. lactic acid B. vitamin B6 C. blood gas D. ammonia B. vitamin B6 A phlebotomy technician is collecting a urine specimen from a patient for a pre-employment drug test. Which of the following actions should the technician take? A. Ensure the specimen is within a temperature range of 21.1 degrees to 26.6 degrees Celsius (69.9 to 79.8 degrees Fahrenheit) B. take the temperature of the specimen within 8 min of collection C. instruct the patient to flush the toilet after filling the collection container D. verify that the specimen contains at least 45mL of urine D. verify that the specimen contains at least 45mL A phlebotomy technician should transport a semen sample at which of the following temperatures? A. -20 to -10 degrees Celsius B. 21 to 23 degrees Celsius C. 25 to 30 degrees Celsius D. 36 to 38 degrees Celsius D. 36 to 38 degrees Celsius 1. how frequently should a phlebotomy technician perform a quality control test on a glucometer in the laboratory? A. Every month the meter is used B. every week the meter is used C. every day the meter is used D. every 6 months the meter is used C. every day the meter is used A phlebotomy technician uses alcohol to cleanse a venipuncture site. Before performing the venipuncture, the technician should allow the site to dry for which of the following reasons? A. Alcohol requires time for antiseptic action to take effect B. alcohol destroys white blood cells C. alcohol compromises the additives in the tubes D. alcohol dilutes the blood specimens A. alcohol requires time for antiseptic action to take effect A phlebotomy technician has collected a blood specimen from a patient who is in an isolation room. Which of the following pieces of personal protective equipment should the technician remove first? A. Gown B. gloves C. mask D. goggles B. gloves For which of the following procedures should a phlebotomy technician follow chain of custody guidelines? A. Digoxin level testing B. blood culture testing C. paternity testing D. lead level testing C. paternity testing A phlebotomy technician should select a tube that has which of the following anticoagulants to collect a sample for a PT/PTT test? A. EDTA B. Sodium citrate C. potassium oxalate D. heparin B. sodium citrate A phlebotomy technician is obtaining a blood specimen from a patient. The patient reports experiencing a sharp, painful, and tingling sensation going down her arm and into her hand. The technician should recognize that which of the following complications of venipuncture is occurring? A. Nerve injury B. petechiae C. hematoma D. hemoconcentration A. nerve injury A phlebotomy technician is preparing to perform a venipuncture on a patient who states, "I faint at the sight of blood." Which of the following positions is optimal for the patient's safety during the procedure? A. Lying in a reclined position B. standing against the wall C. sitting upright in a chair D. leaning on a stool A. lying in a reclined position 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 does 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 phlebotomy technician is preparing to collect a blood specimen from the hand of a patient whose veins are difficult to access. Which of the following devices should the technician use? A. supply clamp B. phlebotomy wedge C. hand immobilizer D. hand brace C. hand immobilizer A phlebotomy technician sees a coworker receive a major electrical shock from an instrument. Which of the following action should the technician take first? A. call 911 B. notify the shift supervisor C. remove the coworker from contact with the instrument D. shut off power to the instrument D. shut off power to the instrument A phlebotomy technician has a requisition form to perform a chromosome analysis for a patient. The technician should select a collection tube that contains which of the following additives? A. sodium polyanethol sulfonate B. thrombin C. sodium citrate D. heparin D. heparin A phlebotomy technician should select a tube that has which of the following additives when collecting a blood specimen for a CBC? A. SST B. EDTA C. Lithium heparin D. Sodium citrate B. EDTA A phlebotomy technician is preparing a peripheral blood smear from a patient's capillary blood. Which of the following actions should the technician take? A. select the patient's index finger for the capillary blood draw B. use the second drop of blood that emerges from the puncture C. position the puncture device so it cutes along the lines of the fingerprint D. touch the slide to the blood at least 3.8cm (1.5in) from the end of the slide B used the second drop of blood that emerges from the puncture A phlebotomy technician is collecting a blood sample from a newborn who weighs 3kg (6.6lb). Which of the following amounts is the maximum volume of blood the technician can draw from this newborn at one time if the maximum allowable volume is 1%? A. 1.5mL B. 3mL C. 4mL D. 6mL B. 3mL A phlebotomy technician is preparing to dispose of contaminated sharps. According to OSHA standards, which of the following actions should the technician take? A. replace the sharps container when it is two-thirds full B. discard covered lancets into a metal trash receptacle C. recap needles before placing them into the sharps container D. disassemble the evacuated tube system prior to dropping it into the sharps container A. replace the sharps container when it is two-thirds full A phlebotomy technician is preparing to enter a patient's room to collect a blood specimen. Which of the following actions should the technician plan to take? A. knock firmly on the patient's door B. speak in a loud tone when addressing the patient C. communicate name and department affiliation to the patient D. Place the specimen collection tray on the patient's bed C. communicate name and department affiliation to the patient A phlebotomy technician should identify that which of the following is an identifier for a specimen as long as it remains in the laboratory? A. ICD-10 codes B. accession number C. CPT code D. medical record number B. accession number Which of the following test results are affected when a phlebotomy technician uses povidone-iodine to cleanse a site for a dermal puncture? A. glucose B. blood urea nitrogen C. potassium D. coagulation studies C. potassium 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? A. goggles B. Gown C. Mask D. N95 respirator C. mask A phlebotomy technician should use a capillary collection instead of a venipuncture in which of the following situations? A. a patient's veins are in accessible B. a patient prefers capillary collection C. The technician is collecting blood cultures D. the technician is conducting erythrocyte sedimentation rate (ESR) test A. a patient's veins are inaccessible which of the following personal protective equipment provides a phlebotomy technician with the best protection when drawing blood from a patient who has active tuberculosis? A. double gloves B. N95 respirator C. Surgical mask D. shoe covers B. N95 respirator 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 A phlebotomy technician is drawing a patient's blood when the patient states that she is becoming dizzy and light-headed. Which of the following actions should the technician take first? A. place the patient's head between her legs B. remove the tourniquet and needle C. call other medical personnel for help D. instruct the patient to breathe deeply B. remove the tourniquet and needle A phlebotomy technician 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 technician wait prior to attempting the draw? A. 30min after administration B. 2hr after administration C. 15 min after administration D. 4hr after administration B. 2hr after administration Which of the following collection tubes should a phlebotomy technician use when collecting for a routine chemistry test that requires serum? A. SST B. EDTA C. PST D. SPS A. SST which of the following actions is a phlebotomy technician required to take before leaving a patient's room? A. ask the patient for feedback B. alert the nurse that she is leaving C. initial and mark the date and time on each tube drawn D. initial and mark the date and time on the requisition form C. initial and mark the date and time on each tube drawn A phlebotomy technician is preparing to obtain a blood specimen to determine a patient's sodium level. The technician should select a collection tube that has a top with which of the following colors? A. Lavender B. gray C. green D. yellow C. green A phlebotomy technician is reviewing a laboratory test requisition form before obtaining blood specimens from a patient. Which of the following actions should the technician take prior to performing the venipuncture? A. ensure the requisition form includes an accession number B. review the patient's medication record C. check the provider's availability D. check the requisition form for duplicate test orders D. check the requisition form for duplicate test orders 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. the patient's next of kin B. emergency contact information C. the patient's previous medications D. a specimen identification code D. a specimen identification code A phlebotomy technician should comply with HIPPAA to protect which of the following? A. patients' consent B. patients' standards C. patients' information D. patients' compliance C. patients' complicane