NHA Phlebotomy Practice Test Questions and Answers

NHA Phlebotomy Practice Test Questions and Answers A phlebotomist is using a POCT system to determine a patient's WBC count. For which of the following results should the tech immediately notify the provider? 1.8mm^3 To prevent hospital-acquired infections, a phlebotomist should clean items that have been contaminated by blood with a 1:10 dilution of which of the following substances and water? Sodium hypochlorite A phlebotomist is collecting blood specimen from a patient who has cutaneous diphtheria. Besides gloves, which of the following PPE should the tech wear? Gown A phlebotomist has a req form for a series of tests on a patient's serum. The tech should select a tube that contains which of the following additives? Thrombin Which of the following collection tubes should a phlebotomist use when collection for a routine chemistry test that requires serum? SST A phlebotomist has a requisition form to perform a chromosome analysis for a patient. The tech should select a collection tube that contains which of the following additives? Heparin A phlebotomist is preparing to perform a blood draw when the patient states that he is severely allergic to latex. Which of the following actions should the tech take? Use a blood pressure cuff and inflate it to 40 mm Hg Which of the following tubes should a phlebotomist collect first when obtaining dermal samples? Lavender top A phlebotomist is preparing to collect a patient's troponin T level. Which of the following T levels should the tech immediately report to the provider? 0.3ng/mL (normal range 0-0.2ng/mL) A patient ask a phlebotomist to use her finger for blood work. In which of the following situations can the technician collect blood from the patient's finger? The ordered test can be performed on a capillary specimen A phlebotomist performs a POC glucose test for a patient in an outpatient setting. The results is in the critical value range. Which of the following actions should the tech take? Report the result to the patient's provider A phlebotomist is introducing herself to a patient and explaining the venipuncture procedure. In which of the following comfort zones if the tech working? Personal Which of the following is the best method for a phlebotomist to collect a blood specimen from an older adult patient who has fragile easy-to-collaspe veins? Choose a syringe and butterfly assembly and transfer to an ETS tube A phlebotomist tech is performing a venipuncture using a butterfly. The red-topped tube fills, but the light blue tube slows down and does not fill completely. Which of the following actions should the tech take? Insert a new light blue tube to see if it will fill A phlebotomist is obtaining a blood culture specimen from an adult patient. Which of the following actions should the tech make? Withdraw the blood into a sterile safety syringe A phlebotomist is disposing of used supplies when he accidentally receives a needle stick injury. According to OSHA guidelines, which of the following actions should the tech take first? Wash the puncture site with soap and water A phlebotomist is selecting a site to collect a blood specimen from a patient. After applying tourniquet, the tech sees no apparent vein to use for venipuncture. Which of the following actions should the technician take? Have the patient dangle their arm for 1-2 minutes A phlebotomist is performing a blood glucose test. Which of the following glucose levels should the tech identify as being outside the expected reference range? 200mg/dL (normal range is 70-126 mg/dL) A phlebotomist is preparing to store a blood specimen. At which of the following temp should the tech store the specimen? 2°C to 8°C (35.6 to 46.4° F) A phlebotomist is instructing a patient about how to collect a 24-hour urine specimen. Which of the following instructions should the tech include? Discard the first void of the morning TJC recommends using the patient's full name and which of the following pieces of information to ensure accurate inpatient identification? Medical records number A phlebotomist is preparing to draw a peak level for medication that was administered orally to a patient. After verifying when the patient received the medication, how long should the technician wait prior to attempting the draw? 2 hr after administration A phlebotomist should select a tube that has which of the following additives when collecting a blood specimen for a CBC? EDTA A phlebotomist obtains two readings of 17mg/dL when performing a glucose test for a patient. Which of the following actions should the tech take? Perform a set of liquid controls A phlebotomist is preparing to draw blood from a patient who has scabies. The tech is already wearing gloves. Which of the following pieces of PPE equipment should the tech use? Gown A phlebotomist should select a tube which of the following anticoagulants to collect a sample for PT/PTT test? Sodium Citrate A phlebotomist is preparing to perform a venipuncture on a patient who has small, rolling veins. Which of the following equipment should the tech use? Butterfly A phlebotomist should identify that the order of draw for capillary collections is different from venipuncture for which of the following reasons? An increased rate of coagulation For which of the following reasons should a phlebotomist centrifuge a serum specimen before transport to an outside lab? Cells must be separated from the serum A phlebotomist tech is preparing to perform a lactic acid test. Which of the following actions should the tech take? Collect in the specimen in gray-topped tube A phlebotomist is preparing to obtain a blood specimen for thyroid studies. The tech should select a tube that has a top with which of the following colors? Speckled A phlebotomist is reviewing a lab requisition before obtaining blood specimens from a patient. The tech should verify that the requisition includes which of the following info? Specimen identification code A phlebotomist is preparing to collect a specimen for blood alcohol level test? Which of the following antiseptics should the tech use to clean venipuncture site? Soap and water A phlebotomist is preparing to draw blood specimen from a patient who has clostridium difficile infection. What precaution should the tech take? Contact precautions A phlebotomist is collecting a capillary blood drops on a filter paper card to screen a newborn PKU. Which of the following actions should the tech take? Apply blood to printed side of the filter paper A phlebotomist is working with a patient who has Mycobacterium TB infection. Which of the following transmission precautions should the tech use for this patient? Airborne precautions For which of the following conditions does emergency first aid treatment include maintaining an open airways, controlling bleeding, and keeping patient warm until help arrives? Shock A phlebotomist should identify that HIPAA protects which of the following rights as part of the Patient Care Partnership? Privacy A phlebotomist should invert anticoagulant tubes to prevent which of the following complications? Hemolysis A phlebotomist is collecting blood specimen from a patient for BC. Which of the following additive do the blood collection tubes require? Sodium polyanethonal sulfonate (SPS) Which of the following sources for patient identification should a phlebotomist use in an inpatient setting? Verbal and wristband A phlebotomist should identify that which of the following series of venipuncture steps is in the appropriate order? Assess the site, cleanse the site, and insert needle For an older adult patient who has difficult-to-access veins, a phlebotomist should select which of the following veins to perform a venipuncture? Dorsal veins A phlebotomist receives a chemical splash to his forearm. After removing his contaminated clothing, which of the following is the minimum amount of time the tech should rinse the affected area? 15 min A phlebotomist is preparing a patient's arm for venipuncture. Which of the following techniques should the tech use when applying an antiseptic solution? Back and forth strokes A phlebotomist is collecting a urine specimen from a patient for a pre-employment drug test. Which of the following actions should the tech take? Verify the specimen contains at least 45mL of urine For which of the following tests should a phlebotomist follow chain of custody? Blood alcohol, paternity test, drug test A phlebotomist is collecting a blood specimen from a a patient who has pneumonia. Besides gloves, which of the following pieces of PPE should the tech wear? Mask A phlebotomist should identify that which of the following phrases is represented by the abbreviation "SD"? Standard deviation Which of the following is a potential consequence of the phlebotomist mislabeling a blood bank specimen? A transfusion reaction A phlebotomist is transporting blood to a lab. Which of the following should the technician take? Place specimen in lockable container (to prevent spills during transportation) According to standard precautions, a phlebotomist should take which of the following actions when shipping specimens to a reference lab in hot weather? Place the specimens in a box with cold packs and a biohazard label Which of the following actions should a phlebotomist take to locate a vein using the warming technique? Encase the warm towel in a bag (to keep patient skin dry) During venipuncture, a phlebotomist 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? Syncope A phlebotomist is collecting blood specimens from a patient for multiple blood assays? The technician should fill the tube that has which of the following additives first? Sodium citrate (lt. blue) A phlebotomist is teaching a patient about collecting a sputum specimen at home. Which of the following instructions should the technician include? Spit thick secretions into container after coughing deeply A phlebotomist 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? Ask the patient to make a fist A phlebotomist is instructing a patient how to collect a clean-catch urine specimen. Which of the following cleansers should the technician instruct the patient to use when cleansing around her urinary meatus? Mild antiseptic soap For which of the following reasons should a phlebotomist document the total volume of blood drawn from a patient? To determine if the patient is at risk for developing iatrogenic anemia (condition of lowered hematocrit and hemoglobin count resulting from large or frequent removal of blood samples) A phlebotomist is performing a venipuncture for a patient, The patient suddenly reports "feeling faint". After removing the tourniquet and needle, which of the following actions should the technician take next? Have the patient put their head between her legs (to prevent syncope) Which of the following actions by a phlebotomist can result in a grossly hemolyzed specimen? Using incorrect needle gauge A phlebotomy tech is required to obtain which of the following from a potential blood donor? Complete medical history A phlebotomy technician is collecting a unit of blood from a donor. Which of the following actions should the technician take? Instruct the donor to gently open and close hand throughout collection When should a phlebotomy technician perform external liquid controls for quality control on a CLIA-waived glucose POCT? When a new lot number or kit is opened