NHA Certification Test PCT Exam Study Guide and Verified Solutions 2024

What identifies a specimen as long as it remains in the laboratory? - accession number What tube should be collected first for dermal samples? - lavender When should the code on glucose cuvettes or strips be compared to the code on the glucose meter? - when patient is tested During a routine venipuncture, the patient becomes pale and diaphoretic. What condition is most likely to occur in this patient? - syncope A phlebotomist is drawing blood from a patient and observes red spots. What is an appropriate action for the phlebotomist to take? - apply pressure after collecting the specimen The phlebotomist must perform a blood draw on a patient with an IV on the right side and there has been a mastectomy on the left side. Where should the phlebotomist perform the venipuncture? - below the IV a phlebotomist has a requisition to draw blood on a patient who has severe Downs' syndrome. What steps should the phlebotomist take? - speak with the patients guardian before performing the venipuncture to ensure the explanation is understood According to standard precautions what is the procedure for shipping specimens to a reference laboratory in hot weather? - place in a box with cold packs and biohazard label When collecting a routine blood sample, which vessels should the phlebotomist attempt to draw from first? - medica cubital Before the phlebotomist performs a venipuncture, the patient warns that he is HIV positive. According to OSHA regulations, after donning gloves, the phlebotomist should - perform the venipuncture tubes with what additives should be used when collecting a sample for a CBC? - EDTA What is the best method to prevent internal or external bleeding from the venipuncture site after the needle is removed? - apply pressure to prevent leakage of blood into the tissue A phlebotomist is drawing five blood collection tubes. When should the tourniquet be released? - 1 to 2 minutes What is an appropriate form of identification in the inpatient setting? - verbal, wrist band A physician orders a specimen STAT, but the phlebotomist forgets to fill out the patient ID number. What is the appropriate procedure for an improperly labeled specimen once the outside laboratory receives it? - laboratory rejects the mislabeled specimen During a venipuncture, the patient reports a sharp pain radiating down the are. What actions should the phlebotomist take? - release tourniquet and remove needle According to the CLSI order of draw guidelines, what tube should the phlebotomist collect first? - blood culture Blood cultures have been ordered on a patient in the intensive care unit. The nurse calls the phlebotomist to bring the appropriate materials. What should the phlebotomist bring? - an aerobic bottle and anaerobic bottle A phlebotomist performs a point-of-care glucose test on an outpatient. The result is in the critical value range. What would be the appropriate action to do? - report results to patients physician When preparing for transport, what specimen much be placed into an ice bath within 30 minutes after collection? - arterial blood gas After placing the tourniquet on a patient's arm, the phlebotomist notices small red spots below the tourniquet. What is the correct term for these spots? - petechiae What is the proper cleansing procedure for routine venipuncture? - cleanse spot in outward spiral A phlebotomist receives orders to draw and infant screening card, O2 levels, bilirubin, and DNA. What should be drawn first? - O2 levels What is the correct order of draw? - green, lavender, gray What can cause a hemolyzed specimen - shaking collection tube vigorously A physician ordered a Tobramycin level to be drawn one hour after dose. The Tobramycin has been ordered for 1100. What actions should the phlebotomist take? - check with the nurse When performing a venipuncture on a patient of average weight, what is a correct technique for needle insertion? - insert until a change in resistance