NHA Phlebotomy certification EXAM 2023- Questions and Answers

1. What temperature should a semen sample be transported? correct answer36-38 degrees C 2. Which of the following would result in a grossly hemolyzed specimen? a. Incorrect order of draw b. Incorrect needle gauge c. Applying tourniquet too close to the draw site d. Failure to invert tube correct answerb. Incorrect needle gauge 3. Which of the following is proper procedure after collecting ammonia specimen? a. Protect from light b. Keep specimen warm c. Keep specimen at body temp d. Place specimen in icewater slurry (or a cup of ice) correct answerd. Place specimen in icewater slurry (or a cup of ice) 4. The phlebotomist has a request to collect a CBC from a healthy 10 month old. Which is appropriate? correct answera. Either heel 5. A phlebotomist is preparing to draw blood from a patient in hospital/ The patient extends his arm and turns head away. Which consent does this indicate? correct answera. Implied consent 6. Why should phlebotomist document volume of blood drawn from a patient? correct answera. Iatrogenic anemia could be a result fo too much taken 7. A phlebotomist has a requisition to draw blood on a patient with severe Down's syndrome. What steps would you take? correct answera. Speak with the patient guardian before performing venipuncture to enmsure the patient understands 8. A 69 year old unconscious patient is brought ot the ER. Several blood tests are ordered. The phlebotomist collects blood under correct answera. Implied consent 9. Which of the following actions is appropriate when labeling specimens? correct answera. Label specimens at the time of collection in front of the patient 10. Before collecting blood on an inpatient, the phlebotomist notices there's no wristband on wrist. There is one on the IV pole. What do you do? correct answera. Don't draw until nurse puts an armband on patient 11. Which is appropriate form of identification in inpatient setting? correct answera. Verbal and wrist band 12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary? correct answera. Lavender and red 13. A blood specimen is rejected by lab with QNS as the reason? Why? correct answera. The specimen was insufficient-not enough blood 14. Which of the following is best method to prevent internal or external bleeding from venipuncture site after needle is removed? correct answera. Apply pressure to prevent leakage of blood into the tissues 15. A physician orders a STAT but phlebotomist forgets to fill out patient ID number. What is appropriate procedure for an improperly labeled specimen when received in lab? correct answera. Lab rejects the mislabeled specimen 16. Phlebotomist is performing venipuncture and patient begins to seize. What is correct action? correct answera. Discontinue the draw 17. Phlebotomist receives orders to draw an infant screening card, O2 levels, bilirubin, and DNA. Which is to be drawn first? correct answera. O2 levels 18. When performing a venipuncture on a patient of average weight, which is the correct technique for needle insertion? correct answera. Insert until a change in resistance 19. Which is the best method to collect a blood specimen from an older adult patient who has fragile, easy to collapse veins? correct answera. Choose a syringe and butterfly assembly 20. Which of the following is the term for donation of a patient's own blood for an upcoming surgery? correct answera. Autologous donation 21. The order of draw for capillary collections is different than venipuncture because correct answera. Increased risk of coagulation (remember platelets start to form) 22. Upon entering a patient's room for routine blood draw, phlebotomist notices clergy member is with the patient. What should you do? correct answera. Return later after drawing other patients 23. A phlebotomist notices a hematoma developing at the site of venipuncture. The phlebotomist should correct answera. Release the tourniquet and stop the draw 24. Know ORDER of DRAW!! correct answer 25. A phlebotomist working in an infertility clinic and the patient is to submit a semen specimen. The phlebotomist would tell the patient: correct answera. As soon as you collect the specimen, keep it next to your body and bring it in right away. (the reason is it needs to stay at body temp and delivered in lab within 2 hours) 26. After placing tourniquet on a patients arm, the phlebotomist notices small red spots below the tourniquet. correct answera. Petechiae 27. The phlebotomist should examine the antecubital veins of both arms because: correct answera. The median cubital might be more accessible on one side than the other 28. What is the appropriate cleanser to clean the meatus for a clean catch urine specimen? correct answera. Benzalkonium chloride 29. When should the code on glucose cuvettes or strips be compared to the code on the glucose meter? correct answera. When the patient is tested 30. Which of the following is appropriate to use when collecting for a chemistry test that requires serum? correct answera. SST (this is the red gel tube) 31. A patient state she is a difficult draw and requests a skin puncture. The test is a PTT. Which should you do? correct answera. Use a syringe and transfer to a light blue tube 32. Industry standard states needle insertion in the antecubital area should be: correct answera. 15-30 degree angle 33. Tubes with which additive should be used for CBC? correct answera. EDTA (purple tube) 34. When preparing for transport, which specimen must be placed on ice within 30 minutes after collection? correct answera. Arterial Blood Gases 35. Which provides the phlebotomist the best protection when drawing blood from a patient with active TB? correct answera. N-95 respirator mask 36. During a draw, the patient becomes unresponsive. What should you do? correct answera. Check for breathing 37. Why should a phlebotomist avoid drawing blood from a leg or foot of a diabetic patient? correct answera. These areas are more susceptible to infection 38. Why is it important to place a specimen in a biohazard specimen bag outside the laboratory? correct answera. The biohazard bag prevents a possible exposure incident 39. As a student. Proper introduction correct answera. Hi, my name is Sally Smith. I am a student phlebotomist and I'm here to collect blood specimen 40. When using evacuated tube system (EVS). correct answera. Position the needle in the same direction as the vein at 30 degree angle 41. What is additive for a PT/PTT? correct answera. Sodium Citrate (Blue top) 42. Blood cultures have been ordered on ICU patient. You would use: correct answera. Aerobic and anaerobic bottles 43. A phlebotomist is required to obtain what from a potential donor? correct answera. Complete medical history 44. Phlebotomist needs to draw a glucose tolerance test on a patient and notices an empty breakfast plate at bedside. What should you do? correct answera. Ask the patient when he or she ate last 45. Which vein should you attempt first? correct answera. Median cubital 46. If a phlebotomist is stuck with a used needle, first action is: correct answera. Flush the area with running water 47. correct specimen handling, what should you put on collection tubes? correct answerBefore leaving a patient room, make sure the date, time and initials are on the tubes. 48. When removing the needle from the arm, engage the safety device immediately correct answer 49. What can cause hemolysis? correct answera. Vigorously shaking the tube 50. A phlebotomist must centrifuge a serum separator tube before shipment: correct answera. Cells must be separated from the serum 51. The phlebotomist draws a CBC at 1800. Lab closed at 1730 and will not process until 500. What temp should the CBC be stored correct answera. 2-10 degrees C (EDTA tubes may be processed at 12 hours if refrigerated) 52. What test results can be affected if iodine is used to clean the site? correct answera. Potassium 53. According to CLSI, what is collected first? correct answera. Blood cultures 54. KNOW ORDER OF DRAW correct answer 1. KNOW ADDITIVES correct answer 55. KNOW ORDER OF VENIPUNTURE PROCEDURE correct answer 56. A physician ordered a Tobramycin level to be drawn one hour after dose. The Tobramycin has been ordered for 11am. What should you do correct answera. Check with the nurse to make sure meds were given (or not given) 57. phlebotomist notices red spots. What is appropriate action? correct answera. Apply pressure after collecting During the draw, the the sample 58. What is a potential consequence of mislabeling a blood bank specimen? correct answera. A Transfusion reaction 59. When should a phlebotomist perform external liquid controls for quality control on CLIA waived point of care test? correct answera. When a new lot number or kit is opened 60. A 3.3 kg infant has a total blood volume of 240-330ml correct answer 61. Cleanse in an outward spiral correct answer 62. What would you use for a hand draw? correct answera. Butterfly or winged infusion set 63. Invert anticoagulant tubes to :prevent coagulation correct answer Name the 3 types of blood samples correct answerwhole blood/ plasma/ serum What two States require licensure correct answerLouisiana & California When the Phlebotomist collects blood, in which of the patient's zones of interpersonal space is he/she operating? correct answerThe patient's Intimate Zone or Space Define Phlebotomy correct answerAn incision into the vein What is the meaning of these acronyms: ASPT, ASCP, and NHA? correct answerASPT = American Society of Phlebotomy Technicians ASCP = American Society for Clinical Pathology NHA = National Healthcareer Association Define Reference Laboratory: correct answerA reference laboratory is one that specializes in one test or one group of tests, or where more unusual or obscure tests are performed. . Number the following items to reflect the correct blood flow through the heart and lungs: _1__ Vena Cave (superior/inferior) _7__ Lungs _5__ Pulmonary Valve _6__ Pulmonary Artery _13__ Aorta _9__ Left Atrium _2__ Right Atrium _8__ Pulmonary Veins _4__ Right Ventricle _11__ Left Ventricle _3__ Tricuspid Valve _12__ Aortic Valve _10__ Mitral Valve (aka, Bi-Cuspid) correct answer To whom does the phlebotomist report? correct answerA technical phlebotomy supervisor What two government agencies administer CLIA? correct answerCenter for Medicare/Medicaid Services (CMS)__ FDA . Is the Joint Commission a non-profit organization? correct answerNo, it's a not for profit organization In what year and by what organization was The Patient's Bill of Rights initiated? correct answer1973 by the American Hospital Association. . What is Informed Consent? correct answerWhen you explain the procedure to the patient and they give you verbal or written permission to proceed. What is Implied Consent? correct answerWhen you explain the procedure to the patient and they make a gesture that implies their permission to proceed, such as extending their arm, rolling up their sleeve or nodding their head. What is required to obtain Informed Consent for a child? correct answerYou explain the procedure to the parent or legal guardian and obtain their informed consent for the child. What is the difference between a Criminal Lawsuit and a Civil Lawsuit? correct answerA criminal lawsuit is initiated by the government, a civil lawsuit is between private parties. What is Assault? correct answerThe threat of touching another person without his or her consent and with the intention of causing fear of harm What is Battery? correct answerActual harmful touching of another person without his or her consent. What is Libel? correct answerFalse defamatory writing that is published. What is a Sentinel Event? correct answerAn unanticipated death or permanent loss of function not related to a patient's illness or underlying condition. . What does PPE stand for? correct answerPersonal Protective Equipment . How full should you fill the Sharps Container before using a new container? correct answer¾ full . What is the name of the multi-purpose fire extinguisher? correct answerABC To what does the term "aseptic techniques" refer? correct answerTechniques that provide a degree of cleanliness that prevents infection and keeps the phlebotomy environment free of contamination by microorganisms. . A nosocomial infection is: a. Something acquired by healthcare workers. b. Something acquired by visitors to a hospital. c. Something acquired by patients. d. A Hospital Acquired Infection. e. Caused by antibiotic resistant bacteria. f. Both c and d. g. Both a and c. correct answerf. Both c and d. c. Something acquired by patients. d. A Hospital Acquired Infection When is hand hygiene performed? a. When gloves are visibly soiled. b. Before putting on gloves c. After removing gloves d. All of the above e. Both a and b correct answerd. All of the above a. When gloves are visibly soiled. b. Before putting on gloves c. After removing gloves Before entering an isolation room, what is the first thing the phlebotomist should do? a. Wash hands b. Put on a gown, mask and gloves c. Read the posted instructions d. Obtain permission correct answerc. Read the posted instructions What does the acronym PASS describe and stand for? correct answerIt describes the use of a fire extinguisher and stands for: Pull pin, Aim nozzle, Squeeze handle, Sweep from side to side. What does the acronym RACE stand for? correct answerIt stands for what a healthcare worker should do if a fire or explosion occurs in the workplace: Rescue, Alarm, Contain, Exit . Before placing a call on hold, a phlebotomist should: a. record the caller's name. b. check to see if it is an emergency. c. transfer the call to the phlebotomy supervisor. d. tell the caller his or her name. correct answerb. check to see if it is an emergency. A competent professional demeanor is shown by: a. neatness and cleanliness. b. courtesy and cheerfulness. c. pleasantness. d. all of the above. correct answerd. all of the above.