Phlebotomy final-NHA Questions and Answers

Phlebotomy final-NHA Questions and Answers communication barriers culture, gender, emotions, language, physical insults, and age effective communication empathy, control, trust, and respect & confirmation Regulatory Bodies OSHA, The Joint Commission, CLSI , CDC Order for putting on PPE Gown, Mask, face shield, Gloves Order for removing PPE Gloves, face shield, Gown, Mask, Wash hands Basal State specimens are collected first thing in the morning, after refraining from eating or exercising for 12 hours. Phlebitic a vein that is tender and warm, with a red area around it Sclerotic a vein that is hard, inflexible, and narrow Common urine test Requires midstream clean-catch collection in sterile container Range for fasting sample blood glucose 70-110 mg/dl Petechiae small red spots Prior to transport which of the following specimens should a phlebotomy tech in an ice bath with 30 min after collection arterial blood gas Semen collection temperature 36 to 38 C maximum from a newborn 3 ml wait how long after taking oral medication 2 hours what kind of test is for a SST tube chemistry tube what needle for collection of donor units of blood 18 gauge needle A phlebotomy technician is preparing to collect a blood specimen from a patient who is allergic to alcohol, what is the substitute? Chlorhexidine For which of the following tests should a phlebotomy technician follow chain of custody guidelines? Blood alcohol and paternity Which of the following regulations ensures that a phlebotomy technician is proficient to perform job duties and responsibilities? CLIA A Phlebotomy technician is collecting a venipuncture blood specimen from a patient for a blood assay? Which tube goes first? Yellow The technician can draw a maximum volume of _______ within 24 hr from a patient who weighs 94 lb 42.6 mL which tube contains the additive sodium polyanethol sulfonate yellow The technician should identify that the patient becoming pale and diaphoretic is an indication that the patient might faint, what actions do you take? technician should immediately take precautions to prevent the patient from falling. The technician should immediately report a finding of 1.8/mm3 to the provider, because this finding is outside the expected reference range of _______ for white blood cells 4.4 to 11/mm3 The technician should verify that the specimen contains at least _______ mL of urine. 45 The technician should collect ____________ first to prevent cross-contamination blood culture samples The technician should document the total blood volume drawn from a patient to help determine if it exceeds the recommended allowance of ___ % to ___% of total blood volume within a 24-hr period 1% to 5% According to OSHA standards, the technician should replace the sharps container when it is 2/3 full The __________ identifies a specimen as long as it remains in the laboratory. accession number The technician should select the distal phalanx of either of the patient's ____________ when performing a capillary blood collection for an older adult patient. middle fingers Because strenuous exercise affects coagulation, the technician should have the patient rest for ____________ before performing the venipuncture. 15 to 30 min Which of the following actions should a phlebotomy technician take after collecting an ammonia specimen? The technician should place the specimen tube in an ice-water slurry. After removing the tourniquet and the needle, the technician should next have the ___________ to prevent syncope head between legs The technician should use a ____ dilution of sodium hypochlorite, or chlorine bleach, with water to disinfect items that are contaminated by blood. 1:10 The technician should select the veins on ___________ because they might be the only accessible site if the patient is an older adult who has difficult-to-access veins back of patient's hand The technician should label specimens at the time of collection and in the presence of the patient. 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? push the first collection tube gently into the holder A phlebotomy technician should identify which of the following is the total blood volume of an infant who weighs 3.3 kg ( 7.3 lb) ? has a total blood volume of approximately 240 to 330 mL. The technician should rinse the affected area for a minimum of ___ after the contaminated clothing has been removed. 15 minutes which additive is used to prevent the breakdown of glucose sodium fluoride The technician should protect a ___________ which is photosensitive, from bright light by placing it in an amber/brown biohazard bag for transport. vitamin B6 specimen he technician should identify that a finding of 300 mg/dL is above the reference range of ________ for total cholesterol. 140 to 200 mg/dL A phlebotomy technician is teaching a patient about collecting a sputum specimen at home. Which of the following instructions should the technician include? Sputum is a thick secretion that is obtained from the lungs and is used for testing. what specimen indicates that the patient has eaten fatty foods lipemic , it will appear cloudy What test results are affected when Povidone iodine is used to cleanse the site for a dermal puncture? potassium