NHA Phlebotomy final.docx

Order of Draw - correct answer 1. Yellow (SPS) 2. Light Blue (sodium citrate) 3. Red, Red/Grey, Gold (none and SST) 4. Green (heparin) 5. Lavender (EDTA) 6. Grey (sodium fluoride, potassium oxalate, lithium iodoasetate) Tube color departments & inversions - correct answer 1. yellow- microbiology (8-10x) 2. light blue- coagulation (3-4x) 3. red, red/grey, gold- chemistry (none, 5x) 4. green- chemistry (8-10x) 5. lavender- hematology (8-10x) 6. grey-chemistry (8-10x) A phlebotomy tech is working with a pt who has TB. Which of the following transmission precautions should the tech use? - correct answer airborne precautions For which of the following conditions does emergency first aid treatment include maintaining an open airway, controlling bleeding, and keeping the pt warm until help arrives? - correct answer shock A phlebotomy tech should identify that HIPAA protects which of the following rights as part of the Patient Care Partnership? - correct answer patient information A phlebotomy tech is collecting capillary blood drops on a filter paper card to screen a newborn for PKU. Which of the following actions should the tech take? - correct answer apply blood to the printed side of the filter paper pediatric needle gauge - correct answer 23g (over 1 year) lancet (under 12 months) Which tube is needed for a sickle cell screening? - correct answer lavender A phlebotomy tech is required to obtain which of the following from a potential blood donor? - correct answer complete medical history A phlebotomy tech has a requisition for collecting a fasting blood glucose and albumin specimens from a patient. Which of the following actions should the tech take before collecting blood? - correct answer make sure the patient has fasted for the past 8-12 hours A phlebotomy tech is performing a heel stick to obtain capillary blood for testing a newborn's bilirubin. Which of the following should actions should the tech take? - correct answer use an amber colored microcontainer pediatric heel puncture area - correct answer medial and lateral portions of the plantar surface Which of the following is a potential consequence of mislabeling a blood bank specimen? - correct answer a transfusion reaction A phlebotomy tech is preparing to use an ETS to obtain a venous blood specimen from a patient. The tourniquet is in place and the site has been cleansed. Which of the following procedural steps should the tech perform next? - correct answer uncap and inspect the needle A phlebotomy tech is performing a brief physical examination on prospective blood donor. Which of the following measurements would indicate the donor's eligibility to donate blood? - correct answer hematocrit level 42% Which of the following actions by a phlebotomy tech can result in a grossly hemolyzed specimen? - correct answer using an incorrect needle gauge A tech should identify that which of the following is one of the Joint Commission's National Patient Safety Goals? - correct answer identify patients correctly A provider orders a stat specimen, but a phlebotomy tech forgets to fill out the patient ID number on the collection tube. Which of the following should the tech expect from the lab? - correct answer reject the specimen For which of the following reasons should a phlebotomy tech avoid drawing blood from the leg or foot of a patient who has diabetes? - correct answer these are more susceptible to infection Which of the following regulations ensures that phlebotomy tech is proficient to perform job duties and responsibilities? - correct answer CLIA Which of the following actions should a phlebotomy tech take when performing a venipuncture using an ETS? - correct answer position the needle at a 30 degree angle in the same direction as the vein and with the bevel up A phlebotomy tech is instructing a patent to collect a clean-catch urine specimen. Which of the following cleansers should the tech instruct the patient to use when cleansing her urinary meatus? - correct answer mild antiseptic soap A phlebotomy tech should identify which of the following phrases is represented by the abbreviation "SD"? - correct answer standard deviation For which of the following reasons should a phlebotomy tech document the total volume of blood drawn from a patient? - correct answer to determine if the patient is at risk for developing iatrogenic anemia A phlebotomy tech should invert anticoagulant tubes to prevent which of the following complications? - correct answer hemolysis A phlebotomy tech is collecting a unit of blood from a donor. Which of the following actions should the tech take? - correct answer have the donor open and close her fist throughout the collection Within which of the following time periods should a phlebotomy tech collect a newborn blood-spot test screening card? - correct answer within 72 hours A phlebotomy tech is collecting a blood specimen from an adolescent patient who weighs 42.6kg (94lb). Which of the following amounts is appropriate to collect if the maximum allowable volume of blood is 1%? - correct answer 40 mL A phlebotomy tech is performing venipuncture for a patient who suddenly reports feeling faint. After removing the tourniquet and needle, which of the following actions should the tech take? - correct answer have the patient put her head between her legs A phlebotomy tech should identify which of the following additives is used to break down glucose? - correct answer sodium fluoride For an older adult patient who has difficult to access veins, a tech should select which of the following veins for venipuncture? - correct answer dorsal veins A phlebotomy tech is collecting a urine specimen from a patient for a pre-employment drug screen. Which of the following findings should indicate to the tech that tampering possibly occurred? - correct answer the temperature of the specimen is 30 degrees celsius (86 degrees F) A phlebotomy tech is explaining the venipuncture procedure to an adult patient. The patient nods frequently but appears confused. Which of the following actions should the tech take? - correct answer rephrase the information for the patient