NHA Phlebotomy Exam
OSHA Correct answers Establishes regulations and guidelines to direct
to work at the highest level of safety possible when handling bio hazards and
phlebotomists
chemicals.
The blood borne pathogens standard (OSHA) Correct answers - addresses
-use of PPE to the Hep B
availability
- Each workplace must have a exposure
immunization
-control plan
has guidelines to ensure
- provides standard plans for after an
safety
exposure.
- engineering controls and record keeping
protocols
PPE for venipuncture and capillary (OSHA) Correct answers well
fitting gloves
Airborne infection PPE (OSHA) Correct answers N99 or
N95 mask
What do you do when you have an accidental needle stick? (OSHA) Correct
answers
First you wash the area with soap and water (basic first aid), then
undergo medical
examination that includes you and the patient get tested for HIV, HBV and
HCV. Then
What do you include in a sharps injury log? (OSHA) Correct answers date
document the exposure in sharps
and time
incident,
injury of of sharps used, who was involved (patient or staff w/o
log.type
names),
and a detailed
location
description of how it
occurred.
What is the joint commission? Correct answers - accredits and certifies
healthcare
organizatio
- independent, nongovernmental, and
ns
nonprofit
- focuses on continual improvement of patient safety and quality of
care throughand
regulations
standards
The national patient safety goals program (JC) Correct answers sets
requirements
issues including fortraining of health care professionals, communication of test
results, and
accurate IDs (2-factor
method)
Clinical and Laboratory Standards Institute (CLSI) Correct answers -develops
standards
and guidelines in order for a laboratory to be
accredited
- provides guidelines for phlebotomists for better accuracy and patient care
(likeof
use fortubes
the and needles). standards include level of additives and their
tests,
use fororder
which of draw, processing and handling, depth of needle and location
needed for
capillary
collection
,- provides guidelines for quality control, patient care, risk reductions, and
timecost
and saving
cutting
measures.
Centers for Disease Control and Prevention (CDC) Correct answers - helps ID
and and about infections, illnesses and disease
educate
- IDs new disease and works to prevent
preventions.
spreads
- Provides guidelines for PPE sharps handling and hand
- recommends standard precautions when handling
hygiene
body fluids
HIPPA Correct answers - Protects every patients PHI (protected health info)
which
any andis all info that relates to the patients medical record or electronic
-health
details record.
what info is confidential and any authorized release
of that info
Info protected under HIPPA Correct answers demographic info,
treatment, testing.
diagnostic meds, Any info w/o a way to ID the patient is not
protected
When is the phlebotomist responsible for the patient? Correct answers
and
Before,immediately
during after
venipuncture
What happens if you go through with the venipuncture without
consent?ItCorrect
answers would be considered
assult
Techniques to find a vein Correct answers warming the area, wiping it with
an alcohol
wipe, and lowering the limb below the level of the
patients heart
Why do phlebotomists avoid the wrist? Correct answers potential ulnar
nerve
or damage arterial
inadvertent
access
Why is the basilic vein the least desirable for venipuncture? Correct answers
it isthe
to close
brachial artery and it is most
painful
Why would a phlebotomist avoid the legs and feet of a patient who
has diabetes
mellitus? Correct answers To prevent possible
infection
What do you do if a hematoma develops? Correct answers Stop the
procedure
What do you do if the patient shows early signs of a seizure or
syncope?You
answers Correct
immediately stop the procedure and lie them on the floor or
in their
Give thembed.a cold compress and stay with them until
they recover
Quality control Correct answers a measure of precision or of how well an
functioning
instrument is over
time
Quality assurance Correct answers ensuring a test is as accurate as
possible
, What do you write in the equipment log Correct answers The time and
date you
quality control
ran a test and the results of
the test
How often should you clean lab equipment? Correct answers several
times per day
Why would a centrifuge be shaking excessively? Correct answers The tubes
need to
about thebesame size and volume. The tubes also have to be placed directly
across from
each
other
What could happen if the centrifuge shakes too much Correct answers tube
breakage or
improper
centrifuging
What do you do if a piece of equipment is not working correctly or at
all? Correct
answers Make a repair report (state the date, description of issue, and the
stepsto
took youtry to fix the
problem)
How can you ensure quality control when using glucometers? Correct
external
answers controls,
Use of matching test strip codes and reviewing
expiration dates
When do you use external controls when using a glucometer? Correct
answers a- when
opening new package of strips and each day you
-preform
drastically
a test
out of range
readings
- use at room temp and not past
expiration date
What step should the phlebotomist take after seeing 2 widely divergent test
results in a Correct answers Preform liquid controls (running controls
glucometer?
will help to the
troubleshoot
problem)
What should the phlebotomist do about the defective glucometer
strips? Correct
answers Contact the manufacturer and follow instructions for sending
back the strips
While collecting a blood specimen, a phlebotomist notices the glass
collectionWhat
cracked. tube would
is be the correct action? Correct answers dispose of the
tube in a
sharps
container
A phlebotomist is taking blood from a patient with a MRSA infected wound,
what
they doshould
once once the procedure is done? Correct answers Dispose of
their gown
before leaving the
room
A phlebotomist is performing a blood alcohol test. What antiseptic should
they use?
Correct answers Chlorhexidine gluconate (ethanol, iodine tincture and
isopropyl
all alcohol
has alcohol in it and would skew the
results)
If a centrifuge where to catch on fire, which class of fire would it be?
Correct
Class answers
C (it involves electrical
equipment)
OSHA Correct answers Establishes regulations and guidelines to direct
to work at the highest level of safety possible when handling bio hazards and
phlebotomists
chemicals.
The blood borne pathogens standard (OSHA) Correct answers - addresses
-use of PPE to the Hep B
availability
- Each workplace must have a exposure
immunization
-control plan
has guidelines to ensure
- provides standard plans for after an
safety
exposure.
- engineering controls and record keeping
protocols
PPE for venipuncture and capillary (OSHA) Correct answers well
fitting gloves
Airborne infection PPE (OSHA) Correct answers N99 or
N95 mask
What do you do when you have an accidental needle stick? (OSHA) Correct
answers
First you wash the area with soap and water (basic first aid), then
undergo medical
examination that includes you and the patient get tested for HIV, HBV and
HCV. Then
What do you include in a sharps injury log? (OSHA) Correct answers date
document the exposure in sharps
and time
incident,
injury of of sharps used, who was involved (patient or staff w/o
log.type
names),
and a detailed
location
description of how it
occurred.
What is the joint commission? Correct answers - accredits and certifies
healthcare
organizatio
- independent, nongovernmental, and
ns
nonprofit
- focuses on continual improvement of patient safety and quality of
care throughand
regulations
standards
The national patient safety goals program (JC) Correct answers sets
requirements
issues including fortraining of health care professionals, communication of test
results, and
accurate IDs (2-factor
method)
Clinical and Laboratory Standards Institute (CLSI) Correct answers -develops
standards
and guidelines in order for a laboratory to be
accredited
- provides guidelines for phlebotomists for better accuracy and patient care
(likeof
use fortubes
the and needles). standards include level of additives and their
tests,
use fororder
which of draw, processing and handling, depth of needle and location
needed for
capillary
collection
,- provides guidelines for quality control, patient care, risk reductions, and
timecost
and saving
cutting
measures.
Centers for Disease Control and Prevention (CDC) Correct answers - helps ID
and and about infections, illnesses and disease
educate
- IDs new disease and works to prevent
preventions.
spreads
- Provides guidelines for PPE sharps handling and hand
- recommends standard precautions when handling
hygiene
body fluids
HIPPA Correct answers - Protects every patients PHI (protected health info)
which
any andis all info that relates to the patients medical record or electronic
-health
details record.
what info is confidential and any authorized release
of that info
Info protected under HIPPA Correct answers demographic info,
treatment, testing.
diagnostic meds, Any info w/o a way to ID the patient is not
protected
When is the phlebotomist responsible for the patient? Correct answers
and
Before,immediately
during after
venipuncture
What happens if you go through with the venipuncture without
consent?ItCorrect
answers would be considered
assult
Techniques to find a vein Correct answers warming the area, wiping it with
an alcohol
wipe, and lowering the limb below the level of the
patients heart
Why do phlebotomists avoid the wrist? Correct answers potential ulnar
nerve
or damage arterial
inadvertent
access
Why is the basilic vein the least desirable for venipuncture? Correct answers
it isthe
to close
brachial artery and it is most
painful
Why would a phlebotomist avoid the legs and feet of a patient who
has diabetes
mellitus? Correct answers To prevent possible
infection
What do you do if a hematoma develops? Correct answers Stop the
procedure
What do you do if the patient shows early signs of a seizure or
syncope?You
answers Correct
immediately stop the procedure and lie them on the floor or
in their
Give thembed.a cold compress and stay with them until
they recover
Quality control Correct answers a measure of precision or of how well an
functioning
instrument is over
time
Quality assurance Correct answers ensuring a test is as accurate as
possible
, What do you write in the equipment log Correct answers The time and
date you
quality control
ran a test and the results of
the test
How often should you clean lab equipment? Correct answers several
times per day
Why would a centrifuge be shaking excessively? Correct answers The tubes
need to
about thebesame size and volume. The tubes also have to be placed directly
across from
each
other
What could happen if the centrifuge shakes too much Correct answers tube
breakage or
improper
centrifuging
What do you do if a piece of equipment is not working correctly or at
all? Correct
answers Make a repair report (state the date, description of issue, and the
stepsto
took youtry to fix the
problem)
How can you ensure quality control when using glucometers? Correct
external
answers controls,
Use of matching test strip codes and reviewing
expiration dates
When do you use external controls when using a glucometer? Correct
answers a- when
opening new package of strips and each day you
-preform
drastically
a test
out of range
readings
- use at room temp and not past
expiration date
What step should the phlebotomist take after seeing 2 widely divergent test
results in a Correct answers Preform liquid controls (running controls
glucometer?
will help to the
troubleshoot
problem)
What should the phlebotomist do about the defective glucometer
strips? Correct
answers Contact the manufacturer and follow instructions for sending
back the strips
While collecting a blood specimen, a phlebotomist notices the glass
collectionWhat
cracked. tube would
is be the correct action? Correct answers dispose of the
tube in a
sharps
container
A phlebotomist is taking blood from a patient with a MRSA infected wound,
what
they doshould
once once the procedure is done? Correct answers Dispose of
their gown
before leaving the
room
A phlebotomist is performing a blood alcohol test. What antiseptic should
they use?
Correct answers Chlorhexidine gluconate (ethanol, iodine tincture and
isopropyl
all alcohol
has alcohol in it and would skew the
results)
If a centrifuge where to catch on fire, which class of fire would it be?
Correct
Class answers
C (it involves electrical
equipment)
