NHA Phlebotomy Practice Test -3 Questions and Answers

NHA Phlebotomy Practice Test -3 Questions and Answers 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 refrigerate." "I will collect the specimen in a sterile container and return it to the lab within 1 hour." "I will collect the specimen in a clean condom and return in 3 hours." "I will abstain from ejaculation for 12 hours prior to the test." "I will collect the specimen in a sterile container and return it to the lab within 1 hour." After verifying a patient's identity, a phlebotomy technician sees that the patient's laboratory results are ready. Which of the following actions should the technician take? Have a laboratory 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 phlebotomy technician is preparing to draw blood from a patient's arm and observes a sore at the site where the tourniquet is to be placed. Which of the following actions should the technician take? Keep the tourniquet on the patient's arm for 2 min. Use a slip tourniquet. Tie the tourniquet over the patient's sleeve. Position the tourniquet distal to the antecubital area. Tie the tourniquet over the patient's sleeve. A phlebotomy technician is transporting blood specimens to a laboratory. Which of the following actions should the technician take? Place the specimens in a specimen collection tray. Place the specimens in the trunk of a car. Place the specimens in a lockable container. Place the specimens near an air-conditioning vent in a car. Place the specimens in a lockable container. A phlebotomy technician is preparing to perform a fingerstick for a patient. Which of the following actions should the technician take first? Cleanse the site with an antiseptic wipe. Select the appropriate part of the third or fourth finger. Position the blade of the lancet across the lines of the fingertip. Confirm the identity of the patient. Confirm the identity of the patient. 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? "This will not hurt at all." "This will go quickly." "You will feel a small prick." "You have no reason to worry." "You will feel a small prick." A phlebotomy technician should identify that which of the following colors signifies a health hazard in the National Fire Protection Association (NFPA) 704 Marking System? Red White Yellow Blue Blue 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 Informed consent Expressed consent Explicit consent Implied consent A phlebotomy technician is collecting blood from a patient for donation. The collection bag only fills halfway, and the vein collapses. Which of the following actions should the technician take? Mark the collection bag as half full. Use a new collection bag to draw a new unit of blood. Continue filling the collection bag from an alternate site. Combine two separate collection bags to make a whole. Use a new collection bag to draw a new unit of blood. A phlebotomy technician is removing his gloves after a venipuncture procedure. Which of the following actions should the technician take? Grasp the tips of the fingers of one glove with the other gloved hand. Remove the first glove so that it turns inside out during removal. Discard the first glove before removing the second glove. Turn the gloves right side out before discarding them. Remove the first glove so that it turns inside out during removal. When collecting a routine blood sample, which of the following veins should a phlebotomy technician attempt to draw from first? Radial Ulnar Distal cephalic Median cubital Median cubital Which of the following tubes should a phlebotomy technician collect first when obtaining dermal samples? Lavender top Green top Red top Light blue top Lavender top 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 min before the patient receives the next dose of medication Less than 15 min after the patient receives a dose of the medication At least 2 hr after the patient receives a dose of the medication Approximately halfway between two doses of the medication Within 15 min before the patient receives the next dose of medication A phlebotomy technician is preparing to draw blood from a patient who has scabies. Which of the following pieces of personal protection equipment should the technician use? Goggles N95 respirator Gown Face shield Gown Which of the following actions should a phlebotomy technician take to locate a vein using the warming technique? Heat a clean towel to 45° C (113° F). Wrap the warm towel around the site for 1 to 2 min. Encase the warm towel in a plastic bag. Ask the patient to rinse her hands in warm water for 2 min. Encase the warm towel in a plastic bag. A phlebotomy technician should identify that the order of draw for capillary collections is different from venipuncture for which of the following reasons? The risk of hemoconcentration An increased rate of coagulation Smaller size of specimens Additive cross-contamination An increased rate of coagulation A phlebotomy technician is collecting a blood specimen from a patient. To avoid hemolysis, which of the following precautions should the technician take? Leave the tourniquet in place for 90 seconds. Ensure the alcohol at the insertion site has dried. Shake the tube after filling it with the patient's blood. Readjust the needle after insertion. Ensure the alcohol at the insertion site has dried. For which of the following reasons should a phlebotomy technician centrifuge a serum specimen before transport to an outside reference laboratory? Cells must be separated from the serum. Cells will hemolyze. Platelets must be separated from the serum. White blood cell levels will be elevated. Cells must be separated from the serum. A phlebotomy technician is preparing to collect a patient's troponin T level. Which of the following troponin T levels should the technician 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 A phlebotomy technician observes a hematoma developing at the site of a venous blood draw. Which of the following actions should the technician 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 patient's condition. Release the tourniquet and stop the draw. 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? 23-gauge 22-gauge 21-gauge 18-gauge 18-gauge A phlebotomy technician is preparing to perform a blood draw on a patient who had a left-sided mastectomy and has an IV on her right side. In which of the following locations should the technician perform the draw? Left median cubital vein Above the IV Left dorsal vein Below the IV Below the IV 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? Third finger of either hand Median antecubital vein Cephalic vein Either heel Either heel 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 (2 in) below the puncture site. Attach a 5 cm (2 in) piece of hypoallergenic tape 7.5 cm (3 in) below the puncture site to anchor the vein. Anchor the vein 7.5 to 10 cm (3 to 4 in) above the puncture site. Apply a flat tourniquet snugly 2.5 cm (1 in) below the puncture site to anchor the vein. Use the thumb to anchor the vein 5 cm (2 in) below the puncture site. A phlebotomy technician is performing a venipuncture for a patient who begins to seize. Which of the following actions should the technician take? Insert a tongue depressor into the patient's mouth. Place the patient in the prone position. Discontinue the draw. Restrain the patient. Discontinue the draw. A phlebotomy technician is preparing to collect a blood specimen from a patient who had a right-sided mastectomy. Which of the following sites should the technician select? Medial cubital vein in the right arm Medial cubital vein in the left arm Underside of the right wrist Underside of the left wrist Medial cubital vein in the left arm A phlebotomy technician is selecting a site to collect a blood specimen from a patient. After applying a tourniquet, the technician sees no apparent vein to use for the venipuncture. Which of the following actions should the technician take? Apply and inflate a blood pressure cuff to 60 mm Hg. Puncture the area where the patient's vein 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 phlebotomy technician should comply with HIPAA to protect which of the following? Patients' consent Patients' standards Patients' information Patients' compliance Patients' information 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? The patient's next of kin Emergency contact information The patient's previous medications A specimen identification code A specimen identification code A phlebotomy technician is reviewing a laboratory test requisition form before obtaining blood specimens from a patient. Which of the following actions should the technician take prior to performing the venipuncture? Ensure the requisition form includes an accession number. Review the patient's medication record. Check the provider's availability. Check the requisition form for duplicate test orders. Check the requisition form for duplicate test orders. A phlebotomy technician is preparing to obtain a blood specimen to determine a patient's sodium level. The technician should select a collection tube that has a top with which of the following colors? Lavender Gray Green Yellow Green Which of the following actions is a phlebotomy technician required to take before leaving a patient's room? Ask the patient for feedback. Alert the nurse that she is leaving. Initial and mark the date and time on each tube drawn. Initial and mark the date and time on the requisition form. Initial and mark the date and time on each tube drawn. Which of the following collection tubes should a phlebotomy technician use when collecting for a routine chemistry test that requires serum? SST EDTA PST SPS SST A phlebotomy technician 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 technician wait prior to attempting the draw? 30 min after administration 2 hr after administration 15 min after administration 4 hr after administration 2 hr after administration A phlebotomy technician is drawing a patient's blood when the patient states that she is becoming dizzy and light-headed. Which of the following actions should the technician take first? Place the patient's head between her legs. Remove the tourniquet and needle. Call other medical personnel for help. Instruct the patient to breathe deeply. Remove the tourniquet and needle. 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? Scrub hands with detergent after wearing latex gloves. Use gloves with powder inside of them. Apply oil-based hand creams before putting on latex gloves. Wear nitrile gloves instead of latex gloves. Wear nitrile gloves instead of latex gloves. Which of the following personal protective equipment provides a phlebotomy technician with the best protection when drawing blood from a patient who has active tuberculosis? Double gloves N95 respirator Surgical mask Shoe covers N95 respirator A phlebotomy technician should use a capillary collection instead of a venipuncture in which of the following situations? A patient's veins are inaccessible. A patient prefers capillary collection. The technician is collecting blood cultures. The technician is conducting erythrocyte sedimentation rate (ESR) tests. A patient's veins are inaccessible. A phlebotomy technician is collecting a blood specimen from a patient who has pneumonia. Besides gloves, which of the following pieces of personal protective equipment should the technician wear? Goggles Gown Mask N95 respirator Mask Which of the following test results are affected when a phlebotomy technician uses povidone-iodine to cleanse a site for a dermal puncture? Glucose Blood urea nitrogen Potassium Coagulation studies Potassium A phlebotomy technician should identify that which of the following is an identifier for a specimen as long as it remains in the laboratory? ICD-10 codes Accession number CPT code Medical record number Accession number A phlebotomy technician is preparing to enter a patient's room to collect a blood specimen. Which of the following actions should the technician plan to take? Knock firmly on the patient's door. Speak in a loud tone when addressing the patient. Communicate name and department affiliation to the patient. Place the specimen collection tray on the patient's bed. Communicate name and department affiliation to the patient. 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. Discard covered lancets into a metal trash receptacle. Recap needles before placing them into the sharps container. Disassemble the evacuated tube system prior to dropping it into the sharps container. Replace the sharps container when it is two-thirds full. A phlebotomy technician is collecting a blood sample from a newborn who weighs 3 kg (6.6 lb). Which of the following amounts is the maximum volume of blood the technician can draw from this newborn at one time if the maximum allowable volume is 1%? 1.5 mL 3 mL 4 mL 6 mL 3 mL A phlebotomy technician is preparing a peripheral blood smear from a patient's capillary blood. Which of the following actions should the technician take? Select the patient's index finger for the capillary blood draw. Use the second drop of blood that emerges from the puncture. Position the puncture device so it cuts along the lines of the fingerprint. Touch the slide to the blood at least 3.8 cm (1.5 in) from the end of the slide. Use the second drop of blood that emerges from the puncture. A phlebotomy technician 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 phlebotomy technician has a requisition form to perform 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 A phlebotomy technician sees a coworker receive a major electrical shock from an instrument. Which of the following actions should the technician take first? Call 911. Notify the shift supervisor. Remove the coworker from contact with the instrument. Shut off power to the instrument. Shut off power to the instrument. A phlebotomy technician is preparing to collect a blood specimen from the antecubital site of a patient. Which of the following devices can be used to help stabilize the arm for the collection? Supply clamp Hand immobilizer Phlebotomy wedge Hand brace Phlebotomy wedge 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 patient when he received his last dose of vancomycin. Ask the attending nurse if the patient's vancomycin dose schedule is accurate. Ask the pharmacist when the next dose of vancomycin is scheduled for the patient. Ask the provider if the patient has received his dose of vancomycin. Ask the attending nurse if the patient's vancomycin dose schedule is accurate. A phlebotomy technician is preparing to perform a venipuncture on a patient who states, "I faint at the sight of blood." Which of the following positions is optimal for the patient's safety during the procedure? Lying in a reclined position Standing against the wall Sitting upright in a chair Leaning on a stool Lying in a reclined position A phlebotomy technician is obtaining a blood specimen from a patient. The patient reports experiencing a sharp, painful, and tingling sensation going down her arm and into her hand. The technician should recognize that which of the following complications of venipuncture is occurring? Nerve injury Petechiae Hematoma Hemoconcentration Nerve injury A phlebotomy technician should select a tube that has which of the following anticoagulants to collect a sample for a PT/PTT test? EDTA Sodium citrate Potassium oxalate Heparin Sodium citrate For which of the following procedures should a phlebotomy technician follow chain of custody guidelines? Digoxin level testing Blood culture testing Paternity testing Lead level testing Paternity testing A phlebotomy technician has collected a blood specimen from a patient who is in an isolation room. Which of the following pieces of personal protective equipment (PPE) should the technician remove first? Gown Gloves Mask Goggles Gloves A phlebotomy technician uses alcohol to cleanse a venipuncture site. Before performing the venipuncture, the technician should allow the site to dry for which of the following reasons? Alcohol requires time for antiseptic action to take effect. Alcohol destroys white blood cells. Alcohol compromises the additives in the tubes. Alcohol dilutes the blood specimen. Alcohol requires time for antiseptic action to take effect. How frequently should a phlebotomy technician perform a quality control test on a glucometer in the laboratory? Every month the meter is used Every week the meter is used Every day the meter is used Every 6 months the meter is used Every day the meter is used A phlebotomy technician should transport a semen sample at which of the following temperatures? -20° to -10° C 21° to 23° C 25° to 30° C 36° to 38° C 36° to 38° C 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? Ensure the specimen is within a temperature range of 21.1° to 26.6° C (69.9° to 79.8° F). Take the temperature of the specimen within 8 min of collection. Instruct the patient to flush the toilet after filling the collection container. Verify that the specimen contains at least 45 mL of urine. Verify that the specimen contains at least 45 mL of urine. A phlebotomy technician is preparing several specimens for transport to the facility's laboratory. Which of the following specimens should the technician protect from bright light by placing it in an amber/brown biohazard bag for transport? Lactic acid Vitamin B6 Blood gas Ammonia Vitamin B6 Prior to transport, which of the following specimens should a phlebotomy technician place in an ice bath within 30 min after collection? Arterial blood gas Cold agglutinin Cryoglobulin Blood culture Arterial blood gas A phlebotomy technician 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 phlebotomy technician should identify that which of the following is the first step in the blood collection procedure? Test requisition Preparing equipment Test accession Vein location Test requisition A phlebotomy technician is preparing a patient for a routine venipuncture. Which of the following antiseptic solutions should the technician use? Povidone-iodine Hypochlorite solution Chloramine Isopropyl alcohol Isopropyl alcohol A phlebotomy technician is planning to collect a sputum specimen from a patient. Which of the following instructions should the technician give the patient? "Rinse your mouth with mouthwash before we collect the specimen." "Gargle some water before we collect the specimen." "Leave your dentures in during 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 phlebotomy technician is preparing to obtain a blood specimen from a patient for thyroid studies. The technician should select a collection tube that has a top with which of the following colors? Speckled Gray Green Light blue Speckled