NHA Phlebotomy Practice Test B Questions and Answers

NHA Phlebotomy Practice Test B Questions and Answers According to standard precautions, a phlebotomy technician should take which of the following actions when shipping specimens to a reference laboratory in hot weather? Place the specimens in a box with cold packs and a biohazard label A phlebotomy technician is obtaining a blood specimen from a patient. The technician notices swelling and a large hematoma forming at the puncture site. Which of the following actions should the technician take? Remove the tourniquet and needle A phlebotomy technician is teaching a patient about collecting a sputum specimen at home. Which of the following instructions should the technician include? Spit thick secretion into the container after coughing deeply A phlebotomy technician 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 A phlebotomy technician should identify that which of the following tube selections indicates the correct order of draw for a venipuncture? Green, lavender, gray During a routine venipuncture, a phlebotomy technician notices that a patient is becoming pale and diaphoretic. The technician should identify that the patient is a risk for which of the following conditions? Syncope Which of the following actions should a phlebotomy technician take to locate a vein using the warming technique? Encase the warm towel in a plastic bag 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? Either heel Which of the following actions should a phlebotomy technician take after collecting an ammonia specimen? Place the specimen tube in an ice water slurry A phlebotomy technician is washing her hands at the beginning of her shift. Which of the following actions should the technician take? Use enough soap to form a lather A phlebotomy technician should identify that which of the following phrases is represented by the abbreviation "SD"? Standard deviation A phlebotomy technician is transporting blood specimens to a laboratory. Which of the following actions should the technician take? Place the specimens in a lockable container A phlebotomy technician has a mild sensitivity to latex. According to the National Institute for Occupational Safety and Health (NIOSH), which of the following actions should the technician take? wear nitrile gloves instead of latex gloves Which of the following is a potential consequence of a phlebotomy technician mislabeling a blood bank specimen? A transfusion reaction A phlebotomy technician is collecting a blood specimen from a patient who has pneumonia. Besides gloves, which of the following pieces of PPE should the technician wear? Mask A phlebotomy technician is performing a venipuncture on a patient who recently had a mastectomy on her right side. The technician should draw blood from which of the following location? Left arm For which of the following tests should a phlebotomy technician follow chain of custody guidelines? Blood alcohol A patient arrives at a clinic with a requisition for a chemistry panel. A technician notices that the patient's last name on the requisition differs from the patient's provided identification. Which of the following actions should the technician take? Contact the ordering provider to correct the requisition form A phlebotomy technician is collecting a urine specimen from a patient for a pre-employment drug test. Which of the following actions should the technician take? Verify that the specimen contains at least 45 mL of urine A phlebotomy technician is preparing a patient's arm for venipuncture. Which of the following techniques should the technician use when applying an antiseptic solution? back and forth strokes A phlebotomy technician receives a chemical splash to his forearm. After removing his contaminated clothing, which of the following is the minimum amount of time the technician should rinse the affected area? 15 minutes A phlebotomy technician is interviewing a patient before a venipuncture. During the interview, the patient states that he lives nearby and ran to the facility to "get some running time today." Which of the following precautionary actions should the technician take? have the patient rest comfortably for at least 15 minutes before the venipuncture For an older adult patient who has difficult to access veins, a phlebotomy technician should select which of the following veins to perform a venipuncture? dorsal veins A phlebotomy technician should comply with HIPAA to protect which of the following? patient's information Which of the following regulations ensures that a phlebotomy technician is proficient to perform job duties and responsibilities? CLIA A phlebotomy technician is performing a total cholesterol point of care test for a patient. Which of the following findings should the technician immediately report to the provider? 300 mg/dL A phlebotomy technician has a requisition for collecting fasting blood glucose and albumin specimens from a patient. Which of the following actions should the technician take before collecting the patient's blood? make sure the patient has fasted for the past 8 to 12 hours A phlebotomy technician should transport a semen sample at which of the following temperatures? 36 to 38 degree C According to OSHA standards, which of the following vaccines must employers offer to their phlebotomists at no cost? Hep B Prior to transport, which of the following specimens should a phlebotomy technician place in an ice bath within 30 minutes after collection? Arterial blood gas A phlebotomy technician should identify that which of the following series of venipuncture steps is in the appropriate order? assess the site, cleanse the site, and insert the needle Which of the following sources for patient identification should a phlebotomy technician use in an inpatient setting? verbal and wristband Which of the following actions should a phlebotomy technician take when performing a venipuncture using an evacuated tube system? position the needle at a 30 degree angle in the same direction as the vein and with the bevel up A phlebotomy technician is preparing to collect a blood specimen from a small vein of an older adult patient. Which of the following actions should the technician take to keep the vein from collapsing? use a small needle for the draw 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? I will perform the draw while you are lying down 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? within 15 minutes before the patient receives the next dose of medication 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? sodium polyanethol sulfonate A phlebotomy technician should invert anticoagulant tubes to prevent which of the following complications? hemolysis A phlebotomy technician sees a coworker receive a major electrical shock from an instrument. Which of the following actions should the technician take first? shut off power to the instrument A 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? a specimen identification code A phlebotomy technician enters a patients room to obtain a stat specimen. The patient's provider and a nurse are speaking with the patient. Which of the following actions should the technician take first? introduce himself to the patient and the health care team members A phlebotomy technician is applying a tourniquet prior to collecting a blood specimen from a patient. Which of the following actions should the technician take? tuck a partial loop of tourniquet underneath the tourniquet A phlebotomy technician is collecting a urine specimen from a patient for pre-employment drug screening. Which of the following findings should indicate to the technician that tampering has possibly occurred? The temperature of the specimen is 30 degree C A phlebotomy technician is preparing to perform a venipuncture for a 2 year old child. The child asks if the blood draw will hurt. Which of the following statements should the technician make? You will feel a small prick How often should a phlebotomy technician run quality control tests on point of care testing instruments? Daily A phlebotomy technician is performing a heelstick to obtain capillary blood for testing a newborn's bilirubin level. Which if the following actions should the technician take? Use an amber colored microcontainer A phlebotomy technician is using a glucose monitor for point of care testing of a patient who has been fasting for 12 hours. For which of the following results should the technician immediately notify the provider? 130 mg/dl A phlebotomy technician is using a point of care test system to determine a patient's WBC count. For which of the following results should the technician immediately notify the provider? 1.8/mm3 A phlebotomy technician is collecting a blood specimen from an adolescent patient who weighs 42.6 kg (94lb). Which of the following amounts is appropriate to collect if the maximum allowable volume of blood is 1%? 40 mL A phlebotomy technician should identify that which of the following additives is used to prevent the breakdown of glucose? sodium fluoride When collecting a routine blood sample, which of the following veins should a phlebotomy technician attempt to draw from first? Median cubital While performing a venipuncture, a phlebotomy technician is stuck with a used needle. Which of the following actions should the technician take first? flush the injured area with running water 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? rolling up his shirt sleeve A phlebotomy technician is collecting a blood specimen from a patient. Which of the following techniques should the technician use to anchor the vein just before inserting the needle? use the thumb to anchor the vein 5 cm (2in) below the puncture site A phlebotomy technician is preparing to collect a vancomycin peak level for a patient in an inpatient setting. Which of the following actions should the technician take prior to collecting the blood specimen? ask the attending nurse if the patient's vancomycin dose schedule is accurate A provider orders a stat specimen, but a 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? reject the specimen A phlebotomy technician is collecting a patient's blood specimen in a lavender topped tube. How many times should the technician gently invert the tube before setting it in the specimen collection tray? 8 to 10 times A phlebotomy technician is explaining the venipuncture process to an adult patient. The patient nods frequently but appears confused. Which of the following actions should the technician take? rephrase the information for the patient A tourniquet should be left on a patient's arm for which of the following amounts of time? no longer than 60 seconds A phlebotomy technician is assembling the equipment he will need for collecting donor units of blood. Which of the following needle sizes should the technician select? 18 gauge An unconscious patient is brought to the emergency department, and several blood tests are ordered. A phlebotomy technician should collect the patient's blood because he has received which of the following types of consent? implied consent A phlebotomy technician is preparing to dispose of contaminated sharps. According to OSHA standards, which of the following actions should the technician take? replace the sharps container when it is two thirds full A phlebotomy technician is collecting a blood specimen from a patient who has cutaneous diphtheria. Besides gloves, which of the following pieces of PPE should the technician wear? gown Which of the following actions should a phlebotomy technician take when labeling specimens? labeling specimens at the time of collection and in the presence of the patient Within which of the following time periods should a phlebotomy technician collect a newborn blood spot test screening card? within 72 hours A phlebotomy technician should identify that which of the following is the next step after removing a needle from a patients arm? engage the needle safety device A phlebotomy technician should identify that which of the following is the total blood volume of an infant who weighs 3.3 kg (7.3 lb)? 240 to 330 mL A phlebotomy technician is preparing to obtain a blood specimen from a patient in an outpatient setting. Using standard precautions, which of the following pieces of PPE should the technician wear? gloves A phlebotomy technician is preparing to collect a blood specimen from a patient who is allergic to alcohol. Which of the following solutions should the technician use to prepare the insertion site? chlorhexidine A phlebotomy technician is preparing to remove PPE following a venipuncture procedure for a patient in an isolation room. Which of the following pieces should the technician remove first? gloves According to CLIA order of draw guidelines, which of the following samples should a phlebotomy technician collect first? blood cultures For which of the following reasons should a phlebotomy technician avoid drawing blood from the leg or foot of a patient who has diabetes? these areas are or susceptible to infection To prevent hospital acquired infections, a phlebotomy technician 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 phlebotomy technician is performing a capillary blood collection for an older adult patient. Which of the following sites should the technician select? the distal phalanx of either middle finger A technician should identify that which of the following is one of the Joint Commissions 2016 National Patient Safety Goals? identify patients correctly When should a phlebotomy technician perform external liquid controls for quality control on a CLIA waived glucose point of care test? when a new lot number or kit is opened A 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? I will collect the specimen in a sterile container and return it to the lab within 1 hour