PLB NHA EXAM (Certification) Questions and Answers

PLB NHA EXAM (Certification) Questions and Answers 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 transport a semen sample at which of the following temperatures 36 - 38 degrees C A phlebotomy technician has a mild sensitivity to latex. According to the National Institure for Occupational Safety and Health (NIOSH), which of the following actions should the technician take? Wear nitrile gloves instead of latex A phlebotomy technician should invert anticoagulant tubes to prevent which of the following complications? Hemolysis 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? N95 Respirator For which of the following procedures should a phlebotomy technician follow chain of custody guidelines? Paternity Testing 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 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 using a glucose monitor for point-of-care testing of a patient who has been fasting for 12hours. For which of the following results should the technician immediately notify the provider? 130 mg/dL A phlebotomy technician 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 phlebotomy technician avoid drawing blood from the leg or foot of a patient who has diabetes? These areas are more 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 should comply with HIPAA to protect which of the following? Patients information A phlebotomy technician is preparing to remove personal protective equipment following a venipuncture for a patient in an isolation room. Which of the following pieces of equipment should the technician remove first? Gloves 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 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 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 enters a patient's 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 teach members. A phlebotomy technician should identify that which of the following series of venipuncture steps is in the appropriate order? Asses the site, cleanse the site, and insert the needle. 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? 8-10 times Which of the following sources for patient identification should a phlebotomy technician use in an inpatient setting? Verbal and wristband A phlebotomy technician is preparing to collect a blood specimen from a patient for a coagulation study. The patient states, "I faint everytime I get my blood drawn." Which of the following statements should the technician make? "I will perform the draw while you are laying down" 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 ot the lab within an hour." A phlebotomy technician is collecting a venipuncture blood specimen form a patient for a blood assay. The technician should fill which of the following tubes first? Yellow-topped tube 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. A phlebotomy technician enters a patients room to perform a venipuncture and notices that the patient is sleeping. Which of the following actions should the technician take? Wake the patient before collection 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? 300mg/dL 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 is collecting a urine specimen from a patient for a pre-employment drug screening. Which of the following findings should indicate to the technician that tampering has possibly occured? The temperature of the specimen is 30 degrees C (86 degrees F) A phlebotomy technician must comply with which of the following OSHA requirements when performing a venipuncture? Wear gloves when contact with blood is anticipated A phlebotomy technician should identify that which of the following is the next step after removing a needle from a patient's arm? Engage the needle safety device 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 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? Mask A phlebotomy technician is removing his gloves after a venipuncture procedure. Which of the following actions should the technician take? Remove the first glove so that it turns inside out during removal 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 should identify that which of the following additives is used to prevent the breakdown of glucose? Sodium flouride Which of the following actions by a phlebotomy technician can result in a grossly hemolyzed specimen? Using an incorrect needle gauge An unconsious 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 recevied which of the following types of consent? Implied consent How often should a phlebotomy technician run quality control tests on point-of-care testing instruments? Daily A phlebotomy technician is preparing to collect a blood specimen from the had of a patient whose veins are difficult to access. Which of the following devices should the technican use? Hand immobilizer 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 mins When collecting a routine blood sampl, which of the following veins should a phlebotomy technician attempt to draw from first? Median Cubital A phlebotomy technician is preparing to obtain a blood specimen from a patient in an outpatient setting. Using standard precauting, which of the following pieces of PPE should the technician wear? Gloves A phlebotomy technician is collecting vlood from a patient for donation. The collectionf bag only fills halfway, and the vein collapses. Which of the following actions should the technician take? Use a new collection bag to draw a new unit of blood. A phlebotomy technician is performing a venipuncture for a patient. The patient suddenlt 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. 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 PLB technician should identify that which of the following is an indentifier for a specimen as long as it remains in the laboratory? Accession number A PLB 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 phlebotomy technician is collecting a blood specimen from a patient who has cutaneous diptheria . Besides gloves, which of the following pieces of PPE should the technician wear? Gown A PLB technician should identify that which of the following is the total blood volume of an infant who weighs 3.3kg (7.3lbs) 240 to 330 mL A PLB 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 PLB technician is required to obtain which of the following from a potential blood donor? Complete medical history A PLB 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 PLB 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 PLB technician is explaining the venipuncture process to an adult patient. The patient nods frequently but appears confused. Which of the followign actions should the the technician take? Rephrase the information for the patient. A PLB 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 For which of the following reasons should a phlebotomy technician document the total volume of blood drawn from a patient? To determine if the patient is at risk for developing iatrogenic anemia A PLB technician should identify that which of the following colors signifies a health hazard in the National Protection Association (NFPA) 704 Marking System? Blue For which of the following tests should a phlebotomy technician follow chain of custody guidelines? Blood alcohol A PLB technician is collectin a vlood 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 mins before the patient receives the next dose of medication A PLB technician is reviewing a laboratory requisition before obtaining blood specimens from a patient. The technician should verify that the requistion includes which of the following information? A specimen identification code A tourniquet should be left on a patient's arm for which of the following amounts of time? No longer than 60 seconds A PLB technician is collecting blood specimens fom a patient for multiple blood assays. The technician should fill the tube that has which of the following additives first? Sodium citrate A PLB technician 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 a phlebotomy technician mislabeling a blood bank specimen? A transfusion reaction 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 When should a PLB technician perform external liquid controls for quality control on a CLIA-waived glucose poin-of-care test? When a new lot number or kit is opened A PLB technician is following the Clinicla and Laboratory Standards Institute's (CLSI) clinical lab workflow pathway. As part of the postexamination phase of the process, which of the following actions should the technician take? Enter critical laboratory data According to the Clinical and Laboratory Standards Institutes order of draw guidelines, which of the followign samples should a phlebotomy technician collect first? Blood cultures A PLB technician is collecting a unit of blood from a donor. Which of the following actions should the technician take? Instruct the donor to open and close his hand gently throughout the collection A provider orders a stat specimen, but a PLB 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 PLB 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 PLB technician is performing a heelstick to obtain capillary blood for testing a newborn's bilirubin level. Which of the following actions should the technician take? Use an amber-colored microcontainer A PLB technician is collecting a blood specimen from an adolescent patient who weighs 42.6 kg (94 lbs). Which of the following amounts is appropriate to collect if the maximum allowable volume of blood is 1% 40 mL A PLB 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/mm^3 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