NHA (CPT) Practice Test 2.0 A. 1-6 test

NHA (CPT) Practice Test 2.0 A. 1-6 test A Phlebotomy technician is collecting a blood specimen from a patient who has cutaneous diphtheria. Besides gloves, which of the following pieces of personal protective equipment should the technician wear? Gown Phlebotomy receives a chemical splash to his forearm. After removing his contaminated clothing, which of the following is the minimum amount of the time the technician should rinse the affected area? 15 minutes To prevent hospital-acquired infections, a phlebotomy technician should clean items that have been contaminated by blood with a 1:10 dilution which of the following substances and water? Sodium Hypochlorite After exiting a patient's room, which of the following is the last piece of personal protective equipment (PPE) a phlebotomy technician should remove? Mask A phlebotomy technician is preparing to draw blood from a patient who states that this is his first blood draw. Which of the following actions should the technician take? Describe the procedure to the patient A phlebotomy technician is preparing to collect a blood specimen from a patient who signed a general informed consent from upon admission to the facility. Which of the following actions by the patient indicated implied consent for the venipuncture? Rolling up his shirtsleeve A phlebotomy technician is following the Clinical and Laboratory Standards Institute's (CLSI) clinical laboratory workflow pathway. As part of the post-examination phase of this process, which of the following actions should the technician take? Enter critical laboratory data When should a phlebotomy technician perform liquid controls for quality control on a CLIA-waived glucose point-of-care? When a new lot number or kit is opened 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 who is allergic to alcohol. Which of the following antiseptic solutions should the technician use to prepare the insertion site? Chlorhexidine Which of the following actions should a phlebotomy technician take to maintain compliance with HIPAA? Clear phone numbers from the fax machine A phlebotomy technician is using a glucose monitor for point of care testing of a patient who has been fasting 12 hr. For which of the following results should the technician request from the patient? 130 mg/dL A phlebotomy technician is verifying a patient's identity before performing a venipuncture procedure. Which of the following information should the technician request from the patient? The patient's full name and date of birth After placing a tourniquet on a patients arm, a phlebotomy technician notices small red spots below the tourniquet. Which of the following terms describes these spots? Petechiae A phlebotomy technician is applying a tourniquet prior to collecting a blood specimen from a patient. Which of the following actions should the technician do? Tuck a partial loop of tourniquet underneath the tourniquet. A phlebotomy technician has a requisition form for a series of tests on a patient's serum. The technician should select a collection tube that contains which of the following additive? Thrombin Which of the following sources for patient identification should a phlebotomy technician use in an inpatient setting? Verbal and wristband A phlebotomy technician is using the syringe method to obtain a blood culture specimen from an adult patient. Which of the following actions should the technician take? Withdraw the blood into a sterile safety syringe A phlebotomy technician is interviewing a patient before performing a venipuncture. During the interview, the patient states that he lives nearby and ran to the facility to "get in 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. A phlebotomy technician is preforming a venipuncture using a winged infusion set. The red-topped tube fills, but the light blue topped tube slows and does not fill completely. Which of the following actions should the technician take? Insert a new light blue-topped tube to see if it will fill Which of the following is the best method to get a phlebotomy technician to collect a blood specimen from an older adult patient who has fragile easy-to-collect veins? Choose a syringe and butterfly assembly and transfer to an ETS tube A phlebotomy technician is using an evacuated needle holder and blood collection tubes to collect blood from a patient. Which of the following actions should the technician take? Push the first collection tube gently into the holder A phlebotomy technician is using a point of care test system to determine a patients WBC count. For which of the following results should the technician immediately notify the provider? 1.8/mm3 The technician should immediately report a finding of 1.8/mm3 to the provider, because this finding is outside the expected reference range of 4.4 to 11/mm3 for white blood cells According to OSHA standards, which of the following vaccines must employers offer to their phlebotomists at no cost? Hepatitis B 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 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 *The technician should identify that a finding of 300 mg/dL is above the reference range of 140 to 200 mg/dL for total cholesterol. The technician should immediately report this finding to the provider.* A phlebotomy technician is preparing to draw blood from a patient in an inpatient setting. He sets his arm and turns his head. away. This action by the patient is an example of which of the following types of consent? Implied consent For which of the following reasons should a phlebotomy technician examine the antecubital areas in both of a patient's arm? The median cubital vein could be more accessible on one side than the other A phlebotomy technician is collecting capillary blood drops on a filter paper card to screen a newborn for phenylketonuria. Which of the following actions should the technician take? Apply blood to the printed side of the filter paper A phlebotomy technician is preparing to obtain a blood specimen from a patient for an erythrocyte sedimentation rate test. The technician should select a collection tube that has a top with which of the following colors? Lavender (The technician should select a collection tube that has a lavender-colored top when collecting for an erythrocyte sedimentation rate test.) Which of the following actions should a phlebotomy technician take after collecting an ammonia specimen? Place the specimen tube in an ice water slurry. The technician should place the specimen tube in an ice water slurry. Chilling the specimen slows down metabolic processes and protects the analytes. 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 personal equipment should the technician wear? Gloves According to standard precautions, a phlebotomy technician should take which of the following actions when shipping specimens to a reference library in hot weather? Place the specimens in a box with cold packs and a biohazard label 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 (Tiger top) A phlebotomy technician is planning to collect a sputum specimen from a patient. Which of the following instructions should the technician give the patient? "Breathe deeply and then cough up a specimen into the container" The phlebotomy technician is preparing a patient for routine venipuncture. Which of the following antiseptic solution should the technician use? Isopropyl Alcohol A phlebotomy technician should identify which of the following is the first step in the blood collection procedure? Test requisition A phlebotomy technician is disposing of used supplies when he accidentally receives a needle stick injury. According to OSHA guidelines, which of the following actions should the technician take first? Wash the puncture site with soap and water Prior to transport, which of the following specimens should a phlebotomy technician place in an ice bath within 30 mins. after collection? Arterial Blood gas 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? Vitamin B6 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 should transport semen at which of the following temperatures? 36 to 38 C How frequently should phlebotomy preform quality control test on glucometer in the laboratory? Everyday the meter is used A phlebotomy technician uses alcohol to cleanse a venipuncture site. Before preforming 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 A phlebotomy technician has collected a blood specimen from a patient who is in an isolation room. Which of the following pieces of PPE should the tech remove first? Gloves For which of the following procedures should a phlebotomy technician follow a chain of custody guidelines? Paternity testing A phlebotomy technician should select a tube that has which of the following anticoagulants to collect a sample for a PT/PTT test? Sodium citrate A phlebotomy technician has obtained a blood specimen from a patient. The patient reports experiencing a sharp, painful, and tingling sensation going down her arm in into her head. The technician should recognize that which of the following complications of venipuncture is occurring? Nerve injury A phlebotomy technician is preparing to perform venipuncture on a patient who states "I faint at the sight of blood". Which of the following positions is optimal for the patient safety during the procedure? Lying in a reclined position 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 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? Phlebotomy wedge 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 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? Heparin A phlebotomy technician should select a tube that has which of the following additives when collecting a blood specimen for CBC? EDTA A phlebotomy technician is preparing a peripheral blood smear from a patients capillary blood. Which of the following actions should the technician take? Use the second drop of blood that emerges from the puncture 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%? 3 mL This is the maximum amount of blood that the technician can draw at one time on this patient. Using 1% as the maximum allowable volume, the technician can draw a maximum volume of 3 mL at one time from a newborn who weighs 3 kg. 3 kg x 100 = 300 mL total blood volume. 300 x .01 = 3 mL maximum allowable amount. A phlebotomy technician is preparing to dispose of contaminated sharps. According to OSHA standard, which of the following actions should the technician take? Replace the sharps container when it is two-third full 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? Communicate name and department affiliation with the patient A phlebotomy technician should identify which of the following is an identifier for a specimen as long as it remains in the laboratory? Accession number Which of the following test results are affected when a phlebotomy technician uses povidone-iodine to cleanse a site for a dermal puncture? Potassium 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 should use a capillary collection instead of a venipuncture in which of the following situations? A patient's veins are inaccessible