NHA Phlebotomy Questions and Answers

NHA Phlebotomy Questions and Answers Which of the following information should a phleb tech document when adhering to chain of custody guidelines. Identity of everyone who has possession of the specimen Identify of the officer in charge Identity of lawyers involved Identity of the judge involved. Identity of everyone who has possession of the specimen A phlebotomy technician should identify that which of the following additives is used to prevent the break down of glucose? Sodium citrate Sodium Fluoride EDTA Heparin Sodium Fluoride. The technician should identify that sodium fluoride is an additive used to prevent breakdown of glucose A phlebotomy technician is preforming a venipuncture for a patient. The patient suddenly reports "feeling faint". After removing the tourniquet and the needle, which of the following actions should the technician take next? Have the patient put her head between her legs Place a wet towel on the patient's forehead Offer the patient a cup of water or juice Monitor the patient for at least 15 mins Have the patient put her head between her legs. After removing the tourniquet and the needle, the technician should next have the patients put her head between her legs. This position helps prevent syncope (temporary loss of consciousness caused by a fall in blood pressure.) A phlebotomy technician must comply with which of the following OSHA requirements when preforming a venipuncture? Recap contaminated venipuncture devices to reduce exposure incidents Wear safety glasses is splashes, spray, splatter, or droplets of blood might be generates Wear gloves when contact with blood is anticipated Report a blood exposure incident to the supervisory within 48-74 hr. Wear gloves when contract with blood in anticipated. The technician should always wear gloves if contact with blood is likely to occur. A phlebotomy tech is collecting a venipuncture blood specimen from a patient for a blood essay. The tech should fill which of the following tubes first. Light blue Lavender Green Yellow Yellow. The tech should fill the tube with the yellow top first to decrease the probability of bacterial contamination. For which of the following tests should a phlebotomy tech follow chain of custody guidelines. Lithium Prothrombin time Troponin Blood Alcohol Blood alcohol. For a blood alcohol level test to be admissible in court, the tech must follow the chain of custody guidelines during collection A Phleb tech is collecting a unit of blood from a donor. Which of the following actions should the tech take? Place the donor in an upright position Have the donor pump his fish prior to the venipuncture Insert the needle while retracting the skin above the insertion site Instruct the donor to open and close his hand gently throughout the collection. Instruct the donor to open and close his hand gently throughout the collection. To ensure a quality collection the tech should instruct the donor to open and close his hand gently throughout the collection A phleb tech is following the clinical and laboratory standards institute (CLSI) clinical laboratory workflow pathway. As a part of the post-examination phase of this process, which of the following actions should the tech take. Process the specimen Review and verify the result Provide post-puncture care Enter critical laboratory data Enter critical laboratory data. Entering critical laboratory data is part of the post-examination phase of the CLSI clinical laboratory workflow pathway A phleb tech 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 a tech use. Supply clamp Phlebotomy wedge Hand immobilizer Hand brace Hand immobilizer. The tech should use a Hand immobilizer to access difficult veins in the patient's hand. A Hand immobilizer uses straps to keep the patients hand still during the collection procedure. A phleb tech should invert anticoagulant tubes to prevent which of the following complications. Ph imbalance Hemolysis Hemoconcentration Specific gravity imbalance Hemolysis. The tech should invert anticoagulant tubes to prevent hemolysis, which is the destruction of RBC A phleb tech is preparing to collect a blood specimen from a patient who is allergic to alcohol. Which of the following antiseptic solutions should the tech use to prepare the insertion site. Chlorhexidine Iodophor Tincture of iodine Hydrogen Peroxide. Chlorhexidine During a routine venipuncture, a phleb tech notices that a patient is becoming pale and diaphoretic. The tech should identify that the patients is at risk for which on the following conditions. Syncope Seizure Nausea Petechiae Syncope. The tech should identify that they patient becoming pale and diaphoretic is an indication that the patient might paint. A phleb tech should identify that which of the following phrases is represented by the abbv "SD" Standard decision Standard determination Standard deviation Standard development Standard deviation A phleb tech is reviewing a lab requisition before obtaining blood specimens from a patient. The tech should verify that the requisition includes which of the following information The patients next of kin Emergency contact information The patients previous medications A specimen identification code A specimen identification code. Requisitions should include a unique specimen identification code, as well as the patients identification number, such as the patients full name and date of birth. A phleb tech is working with a patient who has a Mycobacterium tuberculosis infection. Which of the following transmission precautions should the tech use for this patient Droplet precautions Airborne precautions Radiation precautions Contact precautions Airborne precautions A phleb tech is processing a semen specimen. Which of the following actions should the tech take Refrigerate the specimen Transport the specimen at room temp Pour the specimen into a clean condom for transport Deliver the specimen to the lab within 2 hours Deliver the specimen to the lab within 2 hours A phleb tech is an outpatient facility finds a patient who is in shock and bleeding profusely from his leg, which of the following actions should the tech take first. Keep the patient warm Seek support from other staff Raise the patients leg Apply direct pressure to the wound Apply direct pressure to the wound A phleb tech is selecting a sire for a blood draw from a patient. From which of the following veins should the tech attempt to draw first Median cubital Basilic Dorsal metacarpal Cephalic Median cubital A phleb tech obtains two readings of 17 mg/dl when preforming a glucometer test for a patient. Which of the following actions should the tech take. Repeat the glucose test again until readings appear in range Preform a venipuncture draw to verify rest results Repeat the test with the patients glucometer Preform a set of liquid controls Preform a set of liquid controls Before collecting blood from a patient in an inpatient setting, a phleb tech notices that the patient does not have a wristband on his wrist, but there is one attached to the patients IV stand. Which of the following actions should the tech take. Hold the draw until the nurse has attached the wristband to the patient Write "unable to draw" on the requisition form Verify the patient's identity with the wristband on the IV stand Ask the patient to confirm his identity. Hold the draw until the nurse has attached the wristband to the patient A pleb tech is preparing to preform a blood draw on a patient who has a left-sided mastectomy and has an IV on her right side. In which of the following locations should the tech preform the draw Left median cubital vein Above the IV Left dorsal vein Below the IV Below the IV A phleb tech is preparing to obtain a blood specimen from a patient for an erythrocyte sedimentation rate test. This tech should select a collection tube that has a top with which of the following colors. Red Light green Lavender Royal blue Lavender Which of the following tests is the most common point-of-care test preformed at home and in medical facilities. PT/INR Glucose CBC BMP Glucose A phleb tech is instructing a patient about how to collect fecal occult specimen. Which of the following instructions should the tech include. Avoid taking ibuprofen Collect fecal specimens for 2 days Decrease fiber intake Refrigerate each card until transporting them to the lab Avoid taking ibuprofen Which of the following actions should a phleb tech take to verify the quality of venipuncture supplies before beginning a blood draw on an adult. Determine that the tourniquet is proper size Check the vacuum of the tube Inspect the integrity of the needles seal Verify that they adapter is the correct color. Inspect the integrity of the needles seal, to ensure the sterility of the needle A phleb tech is verifying a patients identity before preforming a venipuncture procedure. Which of the following information should the tech request from the patient. The patients full name and date of birth The name of the patient's provider The patient's room and bed number The patients city and state of birth The patients full name and date of birth How frequently should a phleb tech preform a quality control test on a glucometer in the lab. Every month the meter is used Every week the meter is used Every day the meter is used Every 6 month the meter is used Every day the meter is used A phleb tech is preparing to collect a patients troponin T level. Which of the following troponin T levels should the tech immediately report to the provider. 0.3 ng/mL 0.2 ng/mL 0.03 ng/mL 0.02 ng/mL 0.3 ng/mL. The expected range is 0-0.2 For which of the following conditions does emergency first aid treatment include maintaining an open airway, controlling bleeding, and keeping the patient warm until help arrives. Syncope Convulsions Vommiting Shock Shock A phleb tech is preparing to obtain a blood specimen from a patient for thyroid studies. The tech should select a collection tube that has a top of which of the following colors. Speckled Gray Green Light blue Speckled A phleb tech should select a tube that has which of the following anticoagulants to collect a sample for a PT/PTT EDTA Sodium citrate Potassium oxalate Heparin Sodium citrate A phleb tech is preparing to preform a venipuncture on a patient. Which of the following types of consent is the patient providing when she extends her arm to begin the procedure. Expressed consent Implied consent Informed Consent Full disclosure Implied consent A pleb tech has a requisition form for a series of tests on a patient's serum. The tech should select a collection tube that contains which of the following additives. Sodium fluoride Thrombin Sodium citrate Heparin Thrombin A phleb tech is preparing to draw a blood sample from a patient for a glucose tolerance test (GTT) and notices an empty breakfast on a beside table. Which of the following actions should the tech take. Ask the patient when he last ate or drank Call the dietary department to see if the patient ate his breakfast Delay preforming the draw for 4 hours Refuse to collect the specimen Ask the patient when he last ate or drank A phleb tech is preparing to collect a timed medications draw ordered for 1400. The tech should verify when the patient received his previous dose of medication with which of the following members of the interprofessional team. Pharmacist Lab tech Nurse Medical assistant Nurse Which of the following actions should a phleb tech take to maintain compliance with HIPAA Discard test results into the office trash can Leave patient information next to the printer Clear phone numbers from the fax machine Share passwords with other facility staff Clear phone numbers from the fax machine A phleb tech 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 tech wait prior to attempting the draw 30 min 2 hr 15 min 4 hr 2 hr Which of the following test results are affected when a phleb tech uses povidone-iodine to cleanse a site for dermal puncture Glucose Blood urea nitrogen Potassium Coagulation studies Potassium After a PT preforms a heel puncture for neonatal screening, which of the following is the correct procedure for collecting the blood Smear the blood on the circle saturate each circle with one drop of blood Touch the heal to the center of the circle Apply multiple drops of blood on each circle saturate each circle with one drop of blood A PT is removing a bag of contamined items from a collection are. Which of the following actions should that tech take to properly dispose of the items Transfer contents of the bag into a different hazardous waste bag Transfer the contents into a large trash bin Take the items directly to the dirty utilities room Place the bag inside a second hazardous waste bag outside the room Place the bag inside a second hazardous waste bag outside the room A PT is preparing to draw blood from a patient who states that she fainted during her last blood draw. Which of the following actions should the tech take. Ask the patient to stand up during the procedure Have the patient rest for 30 min prior to the procedure Have the patient raise her head during the procedure Ask the patient to lie down for the procedure Ask the patient to lie down for the procedure Which of the following actions should a PT take when reporting lab results. Send the results to the patients partner Send the results to the patients personal email Send the results to the patients ordering provider Send the results to the patients insurance office Send the results to the patients ordering provider A PT is preparing to draw blood from a patient who states that is his first blood draw. Which of the following actions should the tech take. Explain the reason the test was ordered Inform the patient of possible complications of the procedure Show the patient the gauge of the needle Describe the procedure to the patient Describe the procedure to the patient The Joint Commission recommends using the patient's full name and which of the following pieces of information to ensure accurate inpatient identification. Insurance carrier Medical record number Lab requisition number Providers name Medical record number, a number assigned to the patient by a facility, is an acceptable form of patient ID. The patients birthday and home address are also acceptable patient ID A PT is preforming a venipuncture using a winger infusion set. The red-topper tub fills, but the light-blue topped tube slows and does not fill completely. Which of the following actions should the tech take. Tell the patient that another venipuncture will need to be preformed Write "insufficient quantity" on the requisition form Submit the partially filled light blue-topped tube to the lab Insert a new light blue-topped tube to see if it'll fill Insert a new light blue-topped tube to see if it'll fill A PT is drawing a patients blood when the patient states that she is becoming dizzy and light headed. Which of the following actions should the PT take first Place the patients head between her legs Remove the tourniquet and needle Call another medical professional for help Instruct the patient to breathe deeply Remove the tourniquet and needle When preforming a hand draw, which of the following steps should a PT take before removing the needle Ask the patient to release his fist Apply pressure to the site Disengage the tube from the adapter Reapply the tourniquet Disengage the tube from the adapter A PT observes a hematoma developing at the site of venous blood draw. Which of the following actions should the tech take Observe the site to see if the hematoma worsens Ask the patient to apply pressure to the area Release the tourniquet and stop the draw Call for a nurse to assess the patients condition Release the tourniquet and stop the draw Which of the following blood tests should a PT place in ice immediately following collection Ammonia Cryoglobulin Cold agglutinin Blood culture Ammonia A PT is planning to collect a sputum specimen from a patient. Which of the following instructions should the tech give the patient "Rinse you mouth with mouthwash before we collect the specimen: "Gargle some water before we collect the specimen" "Leave your dentures in during the specimen collection" "Breathe deeply and then cough up a specimen into the container" "Breathe deeply and then cough up a specimen into the container" A PT is informing a patient about how to enter a basal state for blood collection. The tech should inform the patient not to consume food for how many hours prior to blood collection 12 hr 6 hr 24 hr 15 hr 12 hr A PT is preforming a blood glucose test. Which of the following glucose levels should the tech identify as being outside the expected reference range 70 mg/gL 120 mg/gL 200 mg/gL 86 mg/gL 200 mg/gL After verifying a patients identity, a PT sees that the patients lab results are ready. Which of the following action should the tech take. Have the lab manager discuss the results with the patient Have a nurse interpret the results for the patient Inform the patient to contact the ordering provider to obtain the results Explain the results to the patient in a private exam room Inform the patient to contact the ordering provider to obtain the results A PT is exposed to blood via a needlestick injury. Within how many hours should the tech initiate postexposure prophlaxis (PEP) 24 hr 36 hr 48 hr 72 hr 24 hr Which of the following tasks is within a PT scope of practice Requesting a blood collection Sharing new lab results with a patient Providing instructions to patients for specimen collections Discharge an inpatient following a blood collection Providing instructions to patients for specimen collections Blood cultures have been ordered on an adult patient in an intensive care unit. A nurse calls a PT to bring the appropriate materials. Which of the following materials should the PT bring. Two aerobic bottles Two anaerobic bottles An aerobic bottle and an SPS tube An aerobic bottle and an anaerobic bottle An aerobic bottle and an anaerobic bottle A PT is preparing to preform a fingerstick for a patient. Which of the following actions should the tech take first. Cleanse the site with an antiseptic wipe Select the appropriate part of the third or fourth finger Position the black of the lancet across the lines of the fingertip Confirm the identity of the patient. Confirm the identity of the patient. Which of the following is the best methof for a PT to collect a blood specimen from an older adult patient who has fragile easy-to-collapse veins Choose a butterfly assembly using a regular ETS tube Choose a butterfly assembly and use a pediatric tube Choose a syringe and butterfly assembly to transfer to an ETS tube Choose a pediatric tube assembly and a regular ETS tube Choose a syringe and butterfly assembly to transfer to an ETS tube Which of the following actions should a PT take to prevent needlestick injuries Lock the sharps container after every blood draw Use a new sharps container with every blood draw Recap a needle prior to discarding it into the sharps container Replace a sharps container that has reached its fill line Replace a sharps container that has reached its fill line For which of the following reasons should a PT centrifuge a serum specimen before transport to an outside reference lab. Cells must be separated from the serum Cells will hemolyze Platelets must be separated from the serum WBC levels will be elevated Cells must be separated from the serum A PT is selecting a site to collect a blood specimen from a patient. After applying a tourniquet, the tech sees no apparent vein to use for the venipuncture. Which of the following actions should the tech take Apply and inflate a blood pressure cuff to 60 mm Hg Puncture the area where the patients veins should be located Tap the area repeatedly until a vein appears Have the patient dangle her arm for 1 to 2 min Have the patient dangle her arm for 1 to 2 min A PT is preparing to collect a blood specimen from a patient. Which of the following statements should the tech make prior to preforming the venipuncture. "Your provider has requested this test" "I'm going to put my supplies here on your bedside table" "I already have the supplies open to save time" "We can leave all the light off during the procedure" "Your provider has requested this test" Which of the following tubes should a PT collect first when obtaining dermal samples. Lavender top Green top Red top Light blue top Lavender top tune first because this tub minimized platelet clumping and microclot formation. The platelets are the first to come out due to the puncture of the skin so the EDTA tube will stop the clumping of the platelets. The green top is also an anticoagulant, but heparin is naturally in the body, so the EDTA tube is a better choice. Which of the following action should a PT take when preparing a peripheral blood smear. Place a drop of blood the size of a dime on the center of the slide Place a 1 mm drop of blood one half inch from the edge of the slide Place a 1 mm drop of blood on the center of the slide Place a drop of blood the size of a dime a half inch from the edge of the slide Place a 1 mm drop of blood one half inch from the edge of the slide A PT is preparing to preform a hand draw. Which of the following equipment should the tech assemble ETS needs and transfer device Winged infusion set and adapter Syringe and vacuum tube Lancet and microcontainer Winged infusion set and adapter A Pt should select a tube that has which of the following additives when collecting a blood specimen for a CBC SST EDTA Lithium heparin Sodium citrate EDTA A PT is obtaining blood culture specimen from an adult. Which of the following actions should the tech take. Scrub the insertion site with isopropyl alcohol for 30 sec Withdraw the blood into a sterile safety syringe Collect a total of 10 ml of blood from the patient Transfer blood to the aerobic culture bottle first Withdraw the blood into a sterile safety syringe For which of the following reasons should a PT place a specimen in a biohazard bag for transport to an outside laboratory The biohazard bag ensures prompt transportation of the specimen The biohazard bag prevents a possible exposure incident The biohazard bag allows a whole blood specimen to be placed in the freezer The biohazard bag maintains the proper in vitro characteristics of the specimen The biohazard bag prevents a possible exposure incident A PT is preparing to collect a blood specimen from a patient who states that he is HIV positive. Which of the following actions should the PT take Wear an extra set of gloves Have a supervisor observe the venipuncture Don a mask and eye protection Preform the venipuncture Preform the venipuncture A PT is is preparing to preform a venipuncture on a patient who has small rolling veins which of the following equipment should the PT use Syringe ETS Heel lancet Winged infusion set Winged infusion set A PT should ensure that which of the following specimens is protected from light Bilirubin Triglyceride Lead Amylase Bilirubin A PT 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 Seek out counseling about the incident Go to a medical facility for evaluation Wash the puncture site with soap and water Report the incident to the supervisor Wash the puncture site with soap and water A PT has a requisition form to preform a chromosome analysis for a patient. The technician should select a collection tube that contains which of the following additives Sodium polyanethol sulfonate Thrombin Sodium citrate Heparin Heparin