NHA Phlebotomy Review 2025 With Correct Answers

NHA Phlebotomy Review 2025 With
Correct Answers




Which of the following POC laboratory tests is within the CLIA defined scope of practice for a phlebotomist?
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a. cell differential and urine sediment
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b. strep test and urine sediment
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c. urine dip and cell differential
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d. strep test and urine dip - correct answer strep test and urine dip
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The phlebotomist is performing a venipuncture on an apprehensive school age child. Which of the following
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approaches should the phlebotomist use to calm the child? k k k k k k k k




a. Direct the child's questions to the parent and have the parent explain
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b. tell the child she has to do this, but it won't hur
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c. explain the procedure and reassure the child that the parent can stay with her
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d. allow child to clean the puncture sit and give her a sticker - correct answer C. explain the procedure and
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reassure the child that the parent can stay with her
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Which task should a phlebotomist complete prior to daily use of a POC instrument?
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a. run the test patient sample
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,b. perform QC on the instrument
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c. ensure that QC was performed within the last month
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d. Calibrate the instrument - correct answer perform QC on the instrument
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A patient brings in written lab test results, including a mix of POC and higher complexity tests, and asks the
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phlebotomist help with interpretation. Which of the following should the phlebotomist do? k k k k k k k k k k k




a. explain the interpretation behind the POC tests, but let the patient read the direction s with the higher level
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tests

b. explain the interpretation behind the poc care tests, but refer the patient to the physician for the higher
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complexity tests k




c. refer the patient to the physician for interpretation of all results
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d. hand the patient pre printed test explanations downloaded from the CDC web site - correct answer c. refer
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the patient to the physician for interpretation of all results
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Which of the following is outside the scope of practice for a phlebotomist?
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a. verifying equipment function on point of care testing using a control
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b. prioritizing collections based on order requests
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c. recording quality control results on a log sheet
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d. performing CLIA moderate complexity tests - correct answer performing CLIA moderate complexity tests
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Which of the following specimens require the phlebotomist to follow chain-of custody documentation
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procedures? Select 2 correct answers k k k k




a. neonatal screening
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b. blood alcohol
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c. theraputic drug monitoring
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d. drug testing
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e. maternal screening - correct answer blood alcohol
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drug testing k




Which of the following QC measures are within the phlebotomists' scope of practice? Select 3 correct
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,a. checking expiration date of venipuncture supplies
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b. performing calibration on the chemistry analyzer
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c. monitoring temperatures of specimen refrigerators
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d. daily maintenance on the laboratory hematology instruments
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e. routine cleaning of surfaces where specimens are processed - correct answer Checking expiration date of
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venipuncture supplies k




monitoring temperatures of specimen refrigerators k k k k




routine cleaning of surfaces where specimens are processed
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At which of the following times should a test tube be labeled with the patient's identification?
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a. before entering patients room
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b. after leaving the patients room
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c. while in patients room, before drawing blood
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d. while in patients room, after drawing blood - correct answer while in patients room, after drawing blood
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Instead of obtaining consent from a patient who is mentally competent, the phlebotomist obtains consent
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from a family member. This is a violation of
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a. HIPAA
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b. the patients bill of rights
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c. CLIA Waived Testing
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D. the Stark Law - correct answer the patient's Bill of Rights
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The phlebotomist is asked to draw blood on a non responsive patient in an emergency department. This draw
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would be conducted under k k k k




a. expressed consent
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b. implied consent
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c. informed consent
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d. refusal of consent - correct answer implied consent
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, A patient presents to have a diagnostic HIV test drawn. Which of the following forms of consent must the
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phlebotomist obtain prior to venipuncture? k k k k




a. expressed k




b. implied k




c. informed
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d. verbal - correct answer informed consent
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A 19 year old patient offers her arm to the phlebotomist when she comes in with a venipuncture tray. This is an
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example of k k




a. parental consent
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b. implied consent
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c. informed consent
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d. verbal consent - correct answer implied consent
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Which of the following is a CLIA waived test that can be performed by the phlebotomist?
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a. differential
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b. chemical urinalysis
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c. gram stain analysis
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d. crossmatch - correct answer chemical urinalysis
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Commitment to privacy, continuity of care, advance directives, and the authority to refuse treatment are
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granted according to which of the following?
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a. Americans with Disabilities Act
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b. The patients bill of rights
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c. informed consent
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d. good samaritan law - correct answer the patient's bill of rights
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While giving a patient an injection, the patient jumped, causing the phlebotomist to get stuck on the hand with
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a contaminated needle. After performing thorough hand washing, which of the following should the
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phlebotomist do first? k k