2023 NHA PHLEBOTOMY REVIEW 2 Questions And Answers Latest Update

A phlebotomy technician is collecting a urine specimen from a patient for pre-employment drug test. Which of the following actions should the technician take? - ANSWER Verify that the specimen contains at least 45 mL of urine 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? - ANSWER implied consent How frequently should a phlebotomy technician perform a quality control test on a glucometer in the laboratory? - ANSWER every day the meter is used 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? - ANSWER wash the puncture site with soap and water 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? - ANSWER 15 min Which of the following test results are affected when a phlebotomy technician uses povidone-iodine to cleanse a site for a dermal puncture? - ANSWER potassium Which of the following actions should a phlebotomy technician take to locate a vein using the warming technique? - ANSWER encase the warm towel in a plastic bag 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? - ANSWER tuck a partial loop of tourniquet underneath the tourniquet 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 (PPE) should the technician remove first? - ANSWER gloves A phlebotomy technician is preparing to perform a blood draw on a patient who had a left-sided mastectomy and has an IV on her right side. In which of the following locations should the technician perform the draw? - ANSWER below the IV A phlebotomy technician should transport a semen sample at which of the following temperatures? - ANSWER 36 to 38 degrees celcius For which of the following reasons should a phlebotomy technician examine the antecubital areas in both of a patient's arms? - ANSWER median cubital vein could be more accessible on one side than the other A phlebotomy technician is preparing to dispose of contaminated sharps. According to OSHA standards, which of the following actions should the technician take? - ANSWER replace the sharps container when it is two-thirds full Which of the following actions is a phlebotomy technician required to take before leaving a patient's room? - ANSWER Initial and mark the date and time on each tube drawn A phlebotomy technician is removing his gloves after a venipuncture procedure. Which of the following actions should the technician take? - ANSWER remove the first glove so that it turns inside out during removal A phlebotomy technician is educating a patient about the at-home collection of a semen specimen. Which of the following statements by the patient indicates an understanding of the procedure? - ANSWER "I will collect the specimen in a sterile container and return within 2 hours." A phlebotomy technician is collecting a blood specimen from a patient. Which of the following techniques should the technician use to anchor the vein before inserting the needle? - ANSWER use thumb and forefinger to hold the vein in place A phlebotomy technician should identify that which of the following colors signifies a health hazard in the National Fire Protection (NFPA) 04 Marking System? - ANSWER blue A phlebotomy technician is preparing a peripheral blood smear from a patient's capillary blood. Which of the following actions should the technician take? - ANSWER use the second drop of blood that emerges from the puncture A phlebotomy technician has a request to collect a routine CBC from a healthy 10-month-old infant. Which of the following collection sites should the technician select? - ANSWER either heel A phlebotomy technician is using a point-of-care system to determine a patient's WBC count. For which of the following results should the technician immediately notify the provider? - ANSWER 1.8/mm3 A phlebotomy 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? - ANSWER Have the patient dangle her arm for 1 to 2 min Which of the following actions should a phlebotomy technician take to maintain compliance with HIPAA? - ANSWER Clear phone numbers from the fax machine A phlebotomy technician is collecting a blood specimen from a patient to measure the trough level of a medication. The technician should collect the specimen at which of the following times? - ANSWER within 15 min before the patient receives the next dose of medication 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? - ANSWER insert a new light blue-topped tube to see if it will fill 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? - ANSWER Describe the procedure to the patient A phlebotomy technician is performing a venipuncture for a patient who begins to seize. Which of the following actions should the technician take? - ANSWER discontinue the draw 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? - ANSWER lying in a reclined position A phlebotomy technician is transporting blood specimens to a laboratory. Which of the following actions should the technician take? - ANSWER place the specimens in a lockable container A phlebotomy technician is preparing to collect a blood specimen from a small vein of an older patient. Which of the following actions should the technician take to keep the vein from collapsing? - ANSWER use a small needle for the draw After verifying a patient's identity, a phlebotomy technician sees that the patient's laboratory results are ready. Which of the following actions should the technician take? - ANSWER inform the patient to contact the ordering provider to obtain the results Which of the following tubes should a phlebotomy technician collect first when obtaining dermal samples? - ANSWER lavender top 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? - ANSWER choose a syringe and butterfly assembly and transfer to an ETS tube 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? - ANSWER 2 hr after administration A phlebotomy technician has a requisition to perform a chromosome analysis for a patient. The technician should select a collection tube that contains which of the following additives? - ANSWER heparin A phlebotomy technician is preparing to draw blood from a patient who has scabies. Which of the following pieces of personal protection equipment should the technician use? - ANSWER gown A provider has ordered a urine culture and sensitivity test. Which of the following types of urine collection should a phlebotomy technician obtain? - ANSWER clean-catch midstream 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? - ANSWER green A phlebotomy technician is preparing a patient for a routine venipuncture. Which of the following antiseptic solutions should the technician use? - ANSWER Isopropyl alcohol 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? - ANSWER apply blood to the printed side of the paper 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? - ANSWER have the patient rest comfortably for at least 15 min 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? - ANSWER vitamin b6 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? - ANSWER use a new collection bag to draw a new unit of blood A phlebotomy technician sees a coworker receive a major electrical shock from an instrument. Which of the following actions should the technician take first? - ANSWER shut off power to the instrument A phlebotomy technician is washing her hands at the beginning of her shift. Which of the following actions should the technician take? - ANSWER use enough soap to form a lather A phlebotomy technician is preparing to perform a venipuncture for a 2-year-old child. The child asks if the blood draw will hurt. Which of the following statements should the technician make? - ANSWER this will go quickly 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? - ANSWER push the first collection tube gently into the holder A phlebotomy technician is obtaining a blood culture specimen from an adult patient. Which of the following actions should the technician take? - ANSWER withdraw the blood into a sterile safety syringe 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? - ANSWER Petechiae 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? - ANSWER thrombin According to standard precautions, a phlebotomy technician should take which of the following actions when shipping specimens to a reference laboratory in hot weather? - ANSWER place in a box with cold packs and a biohazard label A phlebotomy technician observes a hematoma developing at the site of a venous blood draw. Which of the following actions should the technician take? - ANSWER release the tourniquet and stop the draw 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? - ANSWER 300 mg/dl Which of the following collection tubes should a phlebotomy technician use when collecting for a routine chemistry test that requires serum? - ANSWER SST A phlebotomy technician should comply with HIPAA to protect which of the following? - ANSWER patients' information An unconscious patient is brought to the emergency department, and several blood tests are ordered. A phlebotomy technician should collect the patient's blood because he has received which of the following types of consent? - ANSWER implied consent 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? - ANSWER review the patient's medication record A phlebotomy technician should identify that which of the following is an identifier for a specimen as long as it remains in the laboratory? - ANSWER accession number A phlebotomy technician should select a tube that has which of the following additives when collecting a blood specimen for a CBC? - ANSWER EDTA 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? - ANSWER lavender A phlebotomy technician is verifying a patient's identity before performing a venipuncture. Which of the following information should the technician request from the patient? - ANSWER the patient's full name and date of birth 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? - ANSWER N95 respirator A phlebotomy technician is assembling the equipment he will need for collecting donor units of blood. Which of the following needle sizes should the technician select? - ANSWER 18 gauge 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? - ANSWER rolling up his shirtsleeve A phlebotomy technician should select a tube that has which of the following anticoagulants to collect a sample for a PT/PTT test? - ANSWER sodium citrate When should a phlebotomy technician perform external liquid controls for a quality control on a CLIA-waived glucose point-of-care test? - ANSWER when a new lot number or kit is opened A phlebotomy technician is planning to collect a sputum specimen from a patient. Which of the following instructions should the technician give the patient? - ANSWER "breathe deeply and then cough up a specimen into the container" A phlebotomy technician is preparing to perform a fingerstick for a patient. Which of the following actions should the technician take first? - ANSWER confirm the identity of the patient 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? - ANSWER speckled 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? - ANSWER sodium hypochlorite After exiting a patient's room, which of the following is the last piece of personal protective equipment (PPE) a phlebotomy technician should remove? - ANSWER gown A phlebotomy technician is preparing to collect a blood specimen from a patient who had a right-sided mastectomy. Which of the following sites should the technician select? - ANSWER medial cubital vein in the left arm A phlebotomy technician should identify that which of the following is the first step in the blood collection procedure? - ANSWER test requisition For which of the following reasons should a phlebotomy technician centrifuge a serum specimen before transport to an outside reference laboratory? - ANSWER cells must be separated from the serum Prior to transport, which of the following specimens should a phlebotomy technician place in an ice bath within 30 min after collection? - ANSWER arterial blood gas 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? - ANSWER alcohol requires time for antiseptic action to take effect