NHA CPT 2027 PAPER SET ANSWERS AND
QUESTIONS SET A+
✔✔Fact: Gauge is designated by a numeric value
* The higher the number, the smaller the lumen
** 16, 19, 20, 21, 22 and 23
MOST COMMON USED GAUGE: 21
BLOOD BANKING GAUGE: 16 - ✔✔...
✔✔What is another name for butterfly needle? - ✔✔Winged infusion set
Needle size is 23 gauge
✔✔Tue or false, needles should always be recapped ... - ✔✔FALSE! needles should
never be recapped
THE SAFETY NEEDLE DEVICE SHOULD BE ACTIVATED
✔✔NHA steps for venipuncture:
1. Greet and ID the patient/verbal and/or wrist band
2. Obtain consent from a patient
3. Ask if the patient has had any problems with venipuncture (syncope)
4. Ask if the patient is on blood thinner/aspirin, Coumadin,plavix
5. Check for the order form and the patients chart
6. Have the patient sit down or lie down; do not perform venipuncture if the patient is
standing
7. Assemble the equipment, wash your hands and put on non sterile gloves
8. Locate the suitable vein
9. Clean the venipuncture site
10. Apply the tourniquet 3-4 inches above the site
continued ... - ✔✔11. Stabilize the vein
12. Swiftly insert the needle, 15-30 degree BEVEL UP
13. Once the needle has entered and you have attached first tube, release the
tourniquet
14. When last tube fills quickly remove needle
, 15. Apply direct pressure to site with gauze, do not bend arm
16. Label the tube at time in front of the patient, date time and your initials
17. Gently invert the tube several times
✔✔How many times should the light blue tube be inverted? - ✔✔3-4 times
✔✔How many times does the red tube have to be inverted? - ✔✔5 times
(every other tube 8-10 times except light blue: 3-4)
✔✔What is the average number of how many times a tube has to be inverted? - ✔✔4-
10 times
✔✔True or false: a patient who is fasting can smoke as much as they please -
✔✔FALSE! SMOKING INCREASES GLUCOSE AND CORTISOL LEVELS!
✔✔What must you have in order to be able to take blood from a patient? - ✔✔Patients
name
Date of birth
ID number
Name of physician making the request
Type of test requested
Test status
✔✔What are some complication of venipuncture? - ✔✔syncope - fainting
Hematoma - resolves over time
Pain
Infection
Tissue trauma
✔✔What should be placed in the label of a tube if the patient does not let you finish the
draw, and you don't have enough blood - ✔✔QNS which means quantity not sufficient
✔✔In what cases is capillary puncture necessary? - ✔✔Older patients
Pediatric patients (especially under the age of 2 years old)
ALSO WHEN VERY LITTLE BLOOD IS NEEDED
✔✔Name the different kinds of punctures used from infant 0 months old to 3 years old -
✔✔0-6 months old - use heels
6-3 years old - capillary
3 years old - median cubital vein
✔✔What does PKU stand for? - ✔✔Phenylketonuria
✔✔What is PKU? - ✔✔Represent metabolic disorder of the proteins in an infant
QUESTIONS SET A+
✔✔Fact: Gauge is designated by a numeric value
* The higher the number, the smaller the lumen
** 16, 19, 20, 21, 22 and 23
MOST COMMON USED GAUGE: 21
BLOOD BANKING GAUGE: 16 - ✔✔...
✔✔What is another name for butterfly needle? - ✔✔Winged infusion set
Needle size is 23 gauge
✔✔Tue or false, needles should always be recapped ... - ✔✔FALSE! needles should
never be recapped
THE SAFETY NEEDLE DEVICE SHOULD BE ACTIVATED
✔✔NHA steps for venipuncture:
1. Greet and ID the patient/verbal and/or wrist band
2. Obtain consent from a patient
3. Ask if the patient has had any problems with venipuncture (syncope)
4. Ask if the patient is on blood thinner/aspirin, Coumadin,plavix
5. Check for the order form and the patients chart
6. Have the patient sit down or lie down; do not perform venipuncture if the patient is
standing
7. Assemble the equipment, wash your hands and put on non sterile gloves
8. Locate the suitable vein
9. Clean the venipuncture site
10. Apply the tourniquet 3-4 inches above the site
continued ... - ✔✔11. Stabilize the vein
12. Swiftly insert the needle, 15-30 degree BEVEL UP
13. Once the needle has entered and you have attached first tube, release the
tourniquet
14. When last tube fills quickly remove needle
, 15. Apply direct pressure to site with gauze, do not bend arm
16. Label the tube at time in front of the patient, date time and your initials
17. Gently invert the tube several times
✔✔How many times should the light blue tube be inverted? - ✔✔3-4 times
✔✔How many times does the red tube have to be inverted? - ✔✔5 times
(every other tube 8-10 times except light blue: 3-4)
✔✔What is the average number of how many times a tube has to be inverted? - ✔✔4-
10 times
✔✔True or false: a patient who is fasting can smoke as much as they please -
✔✔FALSE! SMOKING INCREASES GLUCOSE AND CORTISOL LEVELS!
✔✔What must you have in order to be able to take blood from a patient? - ✔✔Patients
name
Date of birth
ID number
Name of physician making the request
Type of test requested
Test status
✔✔What are some complication of venipuncture? - ✔✔syncope - fainting
Hematoma - resolves over time
Pain
Infection
Tissue trauma
✔✔What should be placed in the label of a tube if the patient does not let you finish the
draw, and you don't have enough blood - ✔✔QNS which means quantity not sufficient
✔✔In what cases is capillary puncture necessary? - ✔✔Older patients
Pediatric patients (especially under the age of 2 years old)
ALSO WHEN VERY LITTLE BLOOD IS NEEDED
✔✔Name the different kinds of punctures used from infant 0 months old to 3 years old -
✔✔0-6 months old - use heels
6-3 years old - capillary
3 years old - median cubital vein
✔✔What does PKU stand for? - ✔✔Phenylketonuria
✔✔What is PKU? - ✔✔Represent metabolic disorder of the proteins in an infant
