NHA practice exam Questions and Answers

NHA practice exam Questions and Answers which of the following tubes should a phlebotomy technician collect first when obtaining dermal samples Lavender tube why collect lavender tubes first when obtaining dermal samples This tube minimizes platelet clumping and microclot formation Why not collect green tubes first when obtaining dermal samples Hematology tests are most affected by clotting, so lavender is first Why not collect red tubes first when obtaining dermal samples Collected last because these tubes contain serum and they are supposed to clot; hematology tests are most affected by clotting. Why not collect light blue tubes first when obtaining dermal samples hematology tests are most affected by clotting so lavender is first 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 2 hours after administration Why wait 2 hours after administration to do a blood draw for a peak level for a medication Wait 1-2 hours for peak level following an oral administration to ensure that the medication is not at a toxic level waiting less than that 15-30 min or more than that (4 hours) is not sufficient enough to collect a peak level Which of the following actions is a phlebotomy technician required to take before leaving the patient's room Initial and mark the date and time of each tube drawn- the technician should mark each specimen with the date, time, and her intitials before leaving the patient room What is not required to take before leaving the patient room a. ask the patient for feedback b. alert the nurse that she is leaving c. initial and mark the date and time on the requisiton d. all of the above d. all of the above How frequently should a phlebotomy technician perform a quality control test on a glucometer in the laboratory Every day the meter is used Why perform a quality control test every day the glucometer is used It is to guarantee that the readings are accurate and consistent; longer than daily can lead to inaccurate readings( week- 6 months) A phlebotomy technician is assembling the equipment he will need for collecting donor units of blood. Which of the following needle should the technician select? 18 gauge A phlebotomy technician is preparing a patient for a routine venipuncture. Which of the following antiseptic should the technician use? Isopropyl alcohol What should the technician use to disinfect a patient's wounds? Chloramine What should the technician use to disinfect surfaces and instruments Hypochlorite solution What should the technician use to decontaminate the puncture site during ABG and blood culture collections Povidone-iodine A phlebotomy technician is preparing to dispose of contaminated sharps. According to OSHA standards, which of the following actions should the technician take? Replace the sharps when it is 2/3 full-according to OSHA standards What should the technician do with covered lancets after a capillary puncture? Technician should discard the covered lancets in a rigid leak-proof plastic containers Why should the technician never recap needles before placing them in the sharps container? It could create needlestick injuries True or False: the technician should disassemble the evacuated tube system prior to dropping it in the sharps container False; the technician should discard the entire evacuated tube system intact and should not dissassemble prior to disposal A phlebotomy technician is reviewing a laboratory requistion before obtaining blood specimens from a patient. The technician should verify that the requisiton contains which of the following Specimen Idenfication code, as well as patient identification information such as 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? Petichiae-microcapillary bleeds that are associated with coagulation abnormalities Uticaria raised welts, hives Edema accumulation of fluid in one area of the body Hemoconcentration elevated blood levels A phlebotomy technician is collect urine specimen from a patient for a pre-employment drug test. Which of the following actions should the technician take? Verify that the specimen contains at least 45 ml of urine- The amount allows for 30 ml to be put in one specimen bottle and 15 ml in another bottle What temperature should the technician ensure the specimen is in for a pre-employment drug test 32 to 38 degrees celsius or 90 to 100 degrees fahrenheit How many minutes should the technician take the temperature of the urine specimen for drug testing? 4 minutes to prevent tampering True or false: for drug employment test, the technician should not flush the toilet after filling the collection container to prevent tampering True A phlebotomy technician has collected a blood specimen from a patient who is an isolation room Which of the following PPE should the technician remove first? Gloves-to prevent cross contamination Removal of PPE Gloves, goggles, gown, and mask 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? Gloves, When to wear goggles When there is a risk of spray, splatter or aerosol formation of bodily fluids Droplet precautions what type of equipment(specifiC) mask Contact precautions what type of equipment(specific) gown/ gloves A phlebotomy techniican is preparing to draw from a patient's arm and observes a sore at the site where the tourniquet is to be places. Which of the following actions should the technician take? Tie the tourniquet over the patient's sleeve-to prevent any further damage to the skin; Should not use a slip tourniquet, should be removed 1 minute after placing on patient's arm and should place the tourniquet 3 to 4 in above the antecubital area A phlebtomy technician is selecting a site to collect a blood specimen from a patient. After applying a tourniquet, the technician sees no apparent vein to use for the venipuncture. Which of the following actions should the technician take? Have the patient dangle her arm for 1 to 2 min for the veins to be filled with capacity with blood How many mmhg should the technician pump the BP cuff around 40 mmHg Which actions should the technician avoid when finding no apparent vein? A. puncture the area where the patient's vein should be located B. Tap the area repeatedly where the vein occurs C. Both A and B C. should not puncture the patient's vein without palpation and tapping the area repeatedly where the vein occurs can alter test results A phlebotomy technician is collecting blood from a patient for donation. The collection bag only fills halfway and the vein collapses. Which of the following actions should the technician take? Use a new collection bag to draw new unit of blood- because collection bags have a specific amount of additive phosphate dextrose to prevent coagulation. True or false: the technician should continue filling the collection bag from an alternate site False, should only fill a blood collection bag from a single site and discard a collection bag that is not properly filled True or false :the techniican should combine two separate collection bags to make a whole False, because that would result in a collection bag that contains an incorrect amount of the anticoagulant, should discard the bag if its not properly filled True or false: the technician should mark the collection bag as half full False, should discard the bag A phlebotomy technician is preparing to collect a blood specimen from a patient who had a right sided mastectomy. Which of the following should the patient select Median cubital vein on the left arm- should select the opposite arm of mastectomy to reduce risk of lymphadema infection Why should the phlebotomy technician not use the undersides of the wrist for blood collection It is due to the close proximity of the tendons and nerves and can cause injury. A patient should comply with HIPAA to protect which of the following Patient's information A phlebotomy technician is educating a patient about the at home collection of the semen specimen. Which of the following statements by the patient indicates an understanding of the procedure "I will collect the specimen in a sterile container and return it to the lab within 1 hour." Should also be kept warm; Can be within 2 hours What does refrigeration due sperm Reduces the sperm count How many days should the patient abstain from ejaculation? 2 to 7 days depending on the laboratory protocol, prior to the test more than that can alter test results When collecting a routine blood sample, which of the following veins should a phlebotomy technician attempt to draw from first Median cubital- preferred vein due to it's location, distance from large nerves and large size Why not use ulnar or radial vein to draw blood Both have deep and small veins that runs deep to the nerve Which is the second best vin to draw from for a routine blood collection Cephalic vein A phlebotomy technician is collecting capillary blood drops on a filter paper to screen a newborn for phenylketonuria. Which of the following actions should the technician take? Apply blood to the printed side of the filter paper True or false: the technician should add a second drop of blood, if a circle is not full False; instead the techniican should expel a new and larger drop How many hours should the technician allow blood spots to dry Minimum of 4 hours Which of the following actions should a phlebotomy technician take to locate a vein using the warming technnique Encase the warm towel in a plastic bag- to maintain towel's temperature and keeps the patient's skin dry For warming technique what temperature should the technician heat the towel 42 degree celsius- 107.6 degree fahrenheit For warming technique how long should the technician wrap a warm towel around the pt's site about 3 to 5 minutes For warming technique how long should the patient rinse their hands on warm water?1 1 min, more than that can affect the temperature and quality of the blood being drawn A phlebotomy technician is preparing to collect a blood specimen from a patient who signed a general informed consent upon admission to the facility. Which of the following actions by the patients indicates implied consent? Rolling up his shirtsleeve- the technician should identify that the patient is giving implied consent to the procedure when the patient rolls up his shirtsleeve or holds out his arm. Which is not indication of consent? A. Asking about the technician's experience B. Expressing apprehension about the procedure C. Saying he needs to make sure his provider wants these test D. all of the above D. all of the above For which of the following conditions does emergency first aid treatment include maintaining an open airway, controlling bleeding, and keeping the patient warm until help arrives Shock First aid treatment for vomiting applying a cold compress to the patient's head, instructing the patient to breathe deeply, and offering a washcloth or tissues First aid treatment for convulsions call for help and assist the patient to lie down First aid treatment for syncope calling for help, lowering the patient's head between the legs, and if possible assisting the patient to lie down A phlebotomy technician is exposed to blood via a needlestick injury. Within how many hours should the technician initiate postexposure prophylaxis(PEP)? 24 hour(within 24 hours) 36-72 hours is too long after the injury A phlebotomy technician in an outpatient facility finds a patient who is in shock and bleeding profusely from his leg,. Which of the following actions should the technician take first? Apply direct pressure to the wound( take control of the hemorrhage Steps for shock and bleeding 1. take care of the wound 2. Raise the patient's leg 3. Keep the patient warm 4. Seek support from other staff A phlebotomy technician collects multiple specimens from a premature infant. Which of the following is a possible result of the procedure? Iatrogenic anemia- too much blood loss in a short amount of time What causes aplastic anemia? Bone marrow abnormalities What causes pernicious anemia? Vitamin B12 deficiency What causes microcytic anemia? Hemoglobin abnormalities A phlebotomy technician is preparing to collect a blood specimen from a patient. Which of the following statements should the technician make prior to performing the venipuncture "Your provider has requested this test" True or false: this is an appropriate statement from the techniican"I already have the supplies open to save time" False, the technician should open new supplies in front of the patient to reduce anxiety True or false: this is an appropriate statement from the technician, "We can leave all the lights off during the procedure" False, the technician should perform the venipuncture with adequate lighting A phlebotomy technician uses sterile technique and demonstrates proper hygiene. Which of the following professional characteristics is the technician displaying Attention to cleanliness- should have acute attention to cleanliness to protect herself and patients affects the safety and quality of healthcare A phlebtomy technician is prefparing to collect a blood specimen from a patient who states that he is HIV positive. Which of the following actions should the technician take? Perform the venpuncture- after donning gloves, perform the procedure and use standard precautions 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- should protect semen from excessive light How many hours of collection timeshould semen be transported within 2 hours of collection time True or false: the semen should be collected in a latex condom False, it should be free of spermicides and detergents which condoms have True or false: the semen should be chilled in a refrigerator False, semen specimens should not be placed in cold temperatures Which of the following actions should a phlebotomy technician take to verifty the quality of the venipuncture supplies before beginning a blood draw on the patient? Inspect the integrity of the needle's seal- to insure the sterility of the needle Which of the following does not affect the quality of the draw before initiating the blood draw A. Determine that the tourniquet is the proper size B.Check the vaccuum of the tube C. Verifty that the adapter is the correct color D.All of the above D. All of the above A phlebotomy technician is obtaining a blood specimen from a patient. The patient reports experirencing a sharp painful going down her arm and into her hand. The technician should recognize which of the following complications of venipuncture is occurring Nerve injury-causes a sharp, painful and tingling sensation that radiates down the patient's arm 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 mm3 Normal wbc count (expected reference range 4.4 to 11 mm3 When should a phlebtomy 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- external liquid controls should be performed as specified by the manufacturer's instructions such as upon receipt of a new lot number, when a lot number is stored incorrectly and when the results are questionable A phlebotomy technician should select a tube that has which of the following anticoagulants to collect a sample from a PT/PTT tests? Sodium citrate anticoagulant EDTA for what test hematology test anticaogulant potassium oxalate, heparin for what test chemistry testing a phlebotomy technician should identify that which of the following is an identifierfor a specimen as long as it remains in the laboratory Accession number ICD-10 coes classify diagnoses and diseases CPT code(Current Procedural Terminology) code identifies a service provided to the patient Medical record number a number assigned to every patient upon admission to a medical facility a phlebotomy technician is preparing to obtain a blood specimen from a patient for an erythroycte sedimentation rate test. The technician should select a collection tube that has a top with which of the following colors Lavender Royal blue what kind of test heavy metal test Light green what kind of test creatine kinase test Red what kind of test drug level test 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 Ask the attending nurse if the patient's vancomycin dose schedule is accurate- ensures accurate peak level for therapeutic medication monitoring A phlebotomy technician is planning to collect a sputum specimen from a patient. Which of the following instructions should the technician give to the patient? Breathe deeply and then cough up a specimen into the container- ensures obtaining quality sputum specimen rather than saliva