NHA Phlebotomy practice exam.docx

A phlebotomy technician should identify that which of the following additives is used to prevent the breakdown of glucose? - correct answer Sodium fluoride A Phlebotomy technician in an outpatient setting is identifying a patient before performing a venipuncture procedure. To confirm the patient's identity, which of the following questions should the technician ask? - correct answer "Would you please state and spell your full name and provide your date of birth" Which of the following is a potential consequence of a phlebotomy technician mislabeling a blood bank specimen? - correct answer A transfusion reaction A phlebotomy technician should invert anticoagulant tubes to prevent which of the following complications? - correct answer Hemolysis According to OSHA standards, which of the following vaccines must employers offer to their phlebotomist at no cost? - correct answer Hepatitis B During a routine venipuncture, a phlebotomy technician notices that a patient is becoming pale and diaphoretic. The technician should identify that the patient is at risk for which of the following conditions? - correct answer Syncope A phlebotomy technician should identify that which of the following tube selections indicates the correct order of draw for venipuncture? - correct answer Green, lavender, grey Phlebotomy technician is preparing to collect a blood specimen from the hand of a patient whose veins are difficult to access. Which of the following devices should the technician use? - correct answer Hand immobilizer A phlebotomy technician is preparing to use an evacuated tube system to obtain a venous blood specimen from a patient. The tourniquet is in place and the technician has cleansed the puncture site. Which of the following procedural steps should the technician perform next? - correct answer Ask the patient to make a fist Which of the following actions by a phlebotomy technician can result in a grossly hemolyzed specimen? - correct answer Using an incorrect needle gauge A phlebotomy technician should identify that which of the following series of venipuncture steps is in the appropriate order? - correct answer assess the site, cleanse the site, insert the needle A phlebotomy technician should comply with HIPAA to protect which of the following? - correct answer Patients information A phlebotomy technician is performing a capillary blood collection for an older adult patient. Which of the following sites should the technician select? - correct answer The distal phalanx of either middle finger 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? - correct answer Rolling up his shirtsleeve 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? - correct answer Push the first collection tube gently into the holder For an older adult patient who has difficult-to-access veins, a phlebotomy technician should select which of the following beans to perform a venipuncture? - correct answer Dorsal veins How often should a phlebotomy technician run quality control test on point-of-care testing instruments? - correct answer Daily A phlebotomy technician must comply with which of the following OSHA requirements when performing a venipuncture? - correct answer Wear gloves when contact with blood is anticipated Which of the following actions should the phlebotomy technician take when performing a venipuncture using an evacuated tube system? - correct answer Position the needle at a 30° angle in the same direction as the vein and with the bevel up 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? - correct answer Within 15 mins before the patient receives the next dose of medication. For which of the following test should a phlebotomy technician follow chain of custody guidelines? - correct answer Blood alcohol During a venipuncture, a patient reports a sharp pain radiating down his arm. Which of the following actions should the phlebotomy technician take? - correct answer Release the tourniquet and remove the needle A phlebotomy technician is teaching a patient about collecting a sputum specimen at home. Which of the following instruction should the technician include? - correct answer Spit thick secretions into the container after coughing deeply For which of the following procedures should a phlebotomy technician follow chain of custody guidelines? - correct answer Paternity testing 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? - correct answer Either heel When collecting a routine blood sample, which of the following beins should a phlebotomy technician attempt to draw from first? - correct answer Median cubital A phlebotomy technician should identify that which of the following is the next step after removing a needle from a patient's arm? - correct answer Engage the needle safety device A phlebotomy technician is preparing to collect a blood specimen from a patient for a coagulation study. The patient states, "I faint every time I get my blood drawn." which of the following statements should the technician make? - correct answer "I will perform the draw while you are laying down." A phlebotomy technician is collecting a blood specimen from a patient for blood cultures. Which of the following additives do the blood collection tubes require? - correct answer Sodium polyanethol sulfonate A phlebotomy technician has a requisition for collecting fast blood glucose and albumin specimens from a patient. Which of the following actions should the technician take before collecting the patient's blood? - correct answer Make sure the patient has fasted for the past 8 to 12 hours A phlebotomy technician is preparing to remove personal protective equipment following a venipuncture for a patient in an isolation room. Which of the following pieces of equipment should the technician remove first? - correct answer Gloves Phlebotomy technician is reviewing a laboratory requisition before obtaining blood specimens from a patient. The technician should verify that the requisition includes which of the following information? - correct answer A specimen identification code 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? - correct answer "I will collect the specimen in a sterile container and return within 1 hour" A phlebotomy technician is preparing several specimens for transport to the facilities laboratory. Which of the following specimens should the technician protect from bright light by placing it in an amber/brown biohazard bag for transport? - correct answer Vitamin B6 A phlebotomy technician is preparing to perform a venipuncture for a twoyear old child. The child ask if the blood draw will hurt. Which of the following statements should the technician make? - correct answer "You will feel a small prick" A technician should identify that which of the following is one of the joint commission 2016 national patient safety goals? - correct answer Identify patients correctly A phlebotomy technician is following the clinical and laboratory standards institutes (CLSI) clinical laboratory workflow pathway. As part of the postexamination phase of this process, which of the following actions should the technician take? - correct answer Enter critical laboratory data I phlebotomy technician is collecting a urine specimen from a patient for a pre-employment drug screening. Which of the following findings should indicate to the technician that tampering has possibly occurred? - correct answer The temperature of the specimen is 30°C (80°F) A phlebotomy technician is preparing to obtain a blood specimen for a patient in an outpatient setting. Using standard precautions, which of the following pieces of personal protective equipment should the technician wear? - correct answer Gloves A phlebotomy technician enters a patient's room to obtain a stat specimen. The patient's provider and the nurse are speaking with the patient. Which of the following actions should the technician take first? - correct answer Introduce himself to the patient and the healthcare team members Which of the following actions should a phlebotomy technician take when labeling specimens? - correct answer Labeling specimens at the time of collection and in the presence of the patient A provider orders a stat specimen, but the phlebotomy technician forgets to fill out the patient ID number on the collection tube. The technician should expect the laboratory that received the specimen to take which of the following actions? - correct answer Reject the specimen