NHA Phlebotomy certification EXAM 2024. All Real Exam Questions & Correct Answers.Grade A+, Exams of Nursing

Download NHA Phlebotomy certification EXAM 2024. All Real Exam Questions & Correct Answers.Grade A+ and more Exams Nursing in PDF only on Docsity! NHA Phlebotomy certification EXAM 2024. All Real Exam Questions & Correct, Verified Answers. Graded A+ . A nosocomial infection is: a. Something acquired by healthcare workers. b. Something acquired by visitors to a hospital. c. Something acquired by patients. d. A Hospital Acquired Infection. e. Caused by antibiotic resistant bacteria. f. Both c and d. g. Both a and c. - ANSf. Both c and d. c. Something acquired by patients. d. A Hospital Acquired Infection . A patient who appears pale and has cold, damp skin may develop: a. coagulation problems. b. septicemia. c. sclerosis. d. syncope. - ANSd. syncope. . A puncture device with a broken seal should not be used because: a. it is no longer sterile. b. the needle may contain a barb. c. there may be a manufacturing defect. d. the color coding will not match the size. - ANSa. it is no longer sterile. . ABO and Rh typing are performed in which laboratory section? a. Hematology b. Blood bank c. Chemistry d. Cytology - ANSb. Blood bank . Allowing blood to leak from a vein into the surrounding tissue will cause: a. hematoma. b. hemolysis. c. nerve damage. d. syncope. - ANSa. hematoma. . An agency that assures quality care by hospitals is the: a. Joint Commission. b. Centers for Disease Control and Prevention. c. Occupational Safety and Health Administration. d. College of American Pathologists. - ANSa. Joint Commission. . An elevated bilirubin might indicate a disorder of the: a. heart. b. kidney. c. brain. d. liver. - ANSd. liver. . Before placing a call on hold, a phlebotomist should: a. record the caller's name. b. check to see if it is an emergency. c. transfer the call to the phlebotomy supervisor. d. tell the caller his or her name. - ANSb. check to see if it is an emergency. . During the venipuncture, the phlebotomist should do all of the following except: a. anchor the vein above and below the puncture site. b. insert the needle with the bevel up. c. insert the needle at a 15- to 30-degree angle. d. brace the hand holding the adapter on the patient's arm. - ANSa. anchor the vein above and below the puncture site. . Firmly anchoring the vein prior to needle insertion is necessary to prevent: a. specimen hemolysis. b. incompletely filled tubes. c. an accidental needlestick. d. the vein from rolling. - ANSd. the vein from rolling. . Functions of the blood include all of the following except: a. transport oxygen. b. regulate pulse rate. c. deliver nutrients. d. transport waste products. - ANSb. regulate pulse rate. . How full should you fill the Sharps Container before using a new container? - ANS¾ full . If a patient refuses to have blood drawn, the phlebotomist should: a. send another phlebotomist to collect the specimen. b. report the situation to the nursing station. c. return the requisition form to the laboratory. d. ask someone to hold the patient and collect the specimen. - ANSb. report the situation to the nursing station. . In what department of the lab is a complete blood count performed? A. Hematology B. Microbiology . The two major areas of the clinical laboratory are: a. chemistry and hematology. b. cytology and histology. c. anatomical and clinical. d. urinalysis and microbiology. - ANSc. anatomical and clinical. . To prevent blood from clotting, the specimen must be: A. Collected in a tube containing an anticoagulant B. Inverted right after collection C. Centrifuged right after collection D. Both a and b - ANSD. Both a and b A. Collected in a tube containing an anticoagulant B. Inverted right after collection . To produce a rounded drop of blood, finger punctures should be made: a. on the index finger. b. on the fingerprint. c. before the alcohol is dry. d. across the fingerprint. - ANSd. across the fingerprint. . What chemical or additive is needed for performing an activated partial thromboplastin time? A. EDTA B. SPS C. Clot activator D. Sodium citrate - ANSD. Sodium citrate . What color of tube does the phlebotomist use for blood bank testing? A. Red plastic B. Red glass C. Yellow D. Pink - ANSD. Pink . What does PPE stand for? - ANSPersonal Protective Equipment . What is Informed Consent? - ANSWhen you explain the procedure to the patient and they give you verbal or written permission to proceed. . What is the name of the multi-purpose fire extinguisher? - ANSABC . What zone does a phlebotomist work in, according to the American zone of comfort guide lines? A. Intimate zone 18-24 inches B. Intimate zone 24-36 inches C. Personal zone 18-24 inches D. None of the above - ANSA. Intimate zone 18-24 inches . Which of the following needles has the largest diameter? a. 16 gauge b. 18 gauge c. 20 gauge d. 22 gauge - ANSa. 16 gauge . Which of the following pairings is incorrect? a. Thumb and calluses b. Index finger and increased nerve endings c. Third finger and increased possibility of bone puncture d. Fifth finger and decreased tissue mass - ANSc. Third finger and increased possibility of bone puncture . Which of the following tests is not part of the CBC: a. Red blood cell count b. Platelet count c. Sedimentation rate d. Differential - ANSc. Sedimentation rate . Which of the following tubes must always be completely filled? a. Gray b. Light blue c. Red d. Pink - ANSb. Light blue . Which test would a physician order on a patient with a suspected infection? a. Glucose b. Complete blood count (CBC) c. Cholesterol d. Antinuclear antibody (ANA) - ANSb. Complete blood count (CBC) 1. KNOW ADDITIVES - ANS 1. What temperature should a semen sample be transported? - ANS36-38 degrees C 10. Before collecting blood on an inpatient, the phlebotomist notices there's no wristband on wrist. There is one on the IV pole. What do you do? - ANSa. Don't draw until nurse puts an armband on patient 11. Which is appropriate form of identification in inpatient setting? - ANSa. Verbal and wrist band 12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary? - ANSa. Lavender and red 13. A blood specimen is rejected by lab with QNS as the reason? Why? - ANSa. The specimen was insufficient-not enough blood 14. Which of the following is best method to prevent internal or external bleeding from venipuncture site after needle is removed? - ANSa. Apply pressure to prevent leakage of blood into the tissues 15. A physician orders a STAT but phlebotomist forgets to fill out patient ID number. What is appropriate procedure for an improperly labeled specimen when received in lab? - ANSa. Lab rejects the mislabeled specimen 16. Phlebotomist is performing venipuncture and patient begins to seize. What is correct action? - ANSa. Discontinue the draw 17. Phlebotomist receives orders to draw an infant screening card, O2 levels, bilirubin, and DNA. Which is to be drawn first? - ANSa. O2 levels 18. When performing a venipuncture on a patient of average weight, which is the correct technique for needle insertion? - ANSa. Insert until a change in resistance 19. Which is the best method to collect a blood specimen from an older adult patient who has fragile, easy to collapse veins? - ANSa. Choose a syringe and butterfly assembly 2. Which of the following would result in a grossly hemolyzed specimen? a. Incorrect order of draw b. Incorrect needle gauge c. Applying tourniquet too close to the draw site d. Failure to invert tube - ANSb. Incorrect needle gauge 20. Which of the following is the term for donation of a patient's own blood for an upcoming surgery? - ANSa. Autologous donation 21. The order of draw for capillary collections is different than venipuncture because - ANSa. Increased risk of coagulation (remember platelets start to form) 22. Upon entering a patient's room for routine blood draw, phlebotomist notices clergy member is with the patient. What should you do? - ANSa. Return later after drawing other patients 23. A phlebotomist notices a hematoma developing at the site of venipuncture. The phlebotomist should - ANSa. Release the tourniquet and stop the draw 24. Know ORDER of DRAW!! - ANS 51. The phlebotomist draws a CBC at 1800. Lab closed at 1730 and will not process until 500. What temp should the CBC be stored - ANSa. 2-10 degrees C (EDTA tubes may be processed at 12 hours if refrigerated) 52. What test results can be affected if iodine is used to clean the site? - ANSa. Potassium 53. According to CLSI, what is collected first? - ANSa. Blood cultures 54. KNOW ORDER OF DRAW - ANS 55. KNOW ORDER OF VENIPUNTURE PROCEDURE - ANS 56. A physician ordered a Tobramycin level to be drawn one hour after dose. The Tobramycin has been ordered for 11am. What should you do - ANSa. Check with the nurse to make sure meds were given (or not given) 57. phlebotomist notices red spots. What is appropriate action? - ANSa. Apply pressure after collecting During the draw, the the sample 58. What is a potential consequence of mislabeling a blood bank specimen? - ANSa. A Transfusion reaction 59. When should a phlebotomist perform external liquid controls for quality control on CLIA waived point of care test? - ANSa. When a new lot number or kit is opened 6. Why should phlebotomist document volume of blood drawn from a patient? - ANSa. Iatrogenic anemia could be a result fo too much taken 60. A 3.3 kg infant has a total blood volume of 240-330ml - ANS 61. Cleanse in an outward spiral - ANS 62. What would you use for a hand draw? - ANSa. Butterfly or winged infusion set 63. Invert anticoagulant tubes to :prevent coagulation - ANS 7. A phlebotomist has a requisition to draw blood on a patient with severe Down's syndrome. What steps would you take? - ANSa. Speak with the patient guardian before performing venipuncture to enmsure the patient understands 8. A 69 year old unconscious patient is brought ot the ER. Several blood tests are ordered. The phlebotomist collects blood under - ANSa. Implied consent 9. Which of the following actions is appropriate when labeling specimens? - ANSa. Label specimens at the time of collection in front of the patient A competent professional demeanor is shown by: a. neatness and cleanliness. b. courtesy and cheerfulness. c. pleasantness. d. all of the above. - ANSd. all of the above. A phlebotomist may be requested not to transport a specimen through the pneumatic tube system if it is to be tested for: a. glucose. b. cholesterol. c. creatinine. d. potassium. - ANSd. potassium. A properly labeled tube must have all of the following information except the: a. patient location. b. patient identification number. c. date of collection. d. phlebotomist's initials. - ANSa. patient location. A properly tied tourniquet: a. permits arterial flow and blocks venous flow. b. blocks arterial and venous flow. c. prevents backflow. d. permits venous flow and blocks arterial flow. - ANSa. permits arterial flow and blocks venous flow. A prothrombin test is performed in: a. Coagulation b. Immunology c. Microbiology d. Chemistry - ANSa. Coagulation A sentinel event would be most likely caused by delivery of a mislabeled tube to which lab department: a. Coagulation b. Hematology c. Immunology d. Blood bank - ANSd. Blood bank Accessioning refers to: a. a test performed in the chemistry section. b. organization of requisition slips for morning sweeps. c. assigning of identification numbers and distribution of specimens. d. processing of specimens requiring special handling. - ANSc. assigning of identification numbers and distribution of specimens. Alcohol-based hand sanitizers may be used as a substitute for handwashing: a. only in a blood donation center. b. only in certain patient care areas such as oncology or obstetrics and gynecology c. at any time. d. when the hands are not visibly contaminated with blood or other body fluid. - ANSd. when the hands are not visibly contaminated with blood or other body fluid. Alcohol-based hand sanitizers may be used as a substitute for handwashing: a. only in a blood donation center. b. only in certain patient care areas such as oncology or obstetrics and gynecology. c. at any time. d. when the hands are not visibly contaminated with blood or other body fluid. - ANSd. when the hands are not visibly contaminated with blood or other body fluid All of the following are formed elements found in the blood except: a. erythrocytes. b. platelets. c. macrophages. d. leukocytes. - ANSc. macrophages All of the following are used to identify a patient except the: a. bed sign. b. requisition form. c. identification band. d. bar codes. - ANSa. bed sign. An anemia would be detected by a: a. glucose test. b. blood culture. c. urinalysis. d. complete blood count. - ANSd. complete blood count. An infection contracted by a patient while in the hospital is termed: a. antibiotic-resistant. b. staphylococcal. c. nosocomial. d. unfortunate - ANSc. nosocomial. An unexpected patient death that is not related to the patient's illness is termed a: a. root cause. b. human error. c. sentinel event. d. professional liability. - ANSc. sentinel event. Application of the tourniquet on the patient's arm for longer than one minute may cause: C. Hematology D. Blood bank - ANSB. Chemistry Inflammation of the meninges caused by a bacterial or viral infection is called: a. poliomyelitis. b. chondrosarcoma. c. meningitis. d. cerebral palsy - ANSc. meningitis. List two other terms used to refer to point-of-care testing: Any two of the following: - ANS- Decentralized laboratory testing - On-site testing - Bedside testing - Near-patient testing - Patient-focused testing Most anticoagulants in blood collection tubes prevent clotting by: a. binding calcium. b. acting as an antithrombin agent. c. binding fibrinogen. d. releasing heparin. - ANSa. binding calcium. Name the 3 types of blood samples - ANSwhole blood/ plasma/ serum Palpate means to: a. perform a venipuncture. b. examine by touch. c. examine by sound. d. obtain a specimen from an intravenous line. - ANSb. examine by touch. Patients are most likely to be in a basal state at: a. 6:00 a.m. b. 10:00 a.m. c. 2:00 p.m. d. 6:00 p.m. - ANSa. 6:00 a.m Phlebotomists may be required to classify tests using a: a. current procedural technology (CPT) code. b. bar code. c. International Classification of Diseases, 9th Revision (ICD-9) code. d. Centers for Disease Control and Prevention (CDC) code. - ANSa. current procedural technology (CPT) code. Prolonged application of a tourniquet will cause: a. excessive bleeding. b. difficulty locating a vein. c. hemolysis. d. both A and C - ANSd. both A and C a. excessive bleeding c. hemolysis. Specimens collected in serum separator tubes are most frequently delivered to: a. blood bank. b. serology. c. hematology. d. chemistry - ANSd. chemistry. The ability to keep body systems functioning in a steady state is called: a. coagulation. b. articulation. c. metabolism. d. homeostasis. - ANSd. homeostasis. The activated partial thromboplastin time (APTT) or partial thromboplastin time (PTT) test is performed in: a. coagulation. b. chemistry. c. urinalysis. d. histology. - ANSa. coagulation. The anterior portion of the body is the: a. right side. b. front side. c. back side. d. left side. - ANSb. front side. The artery of choice for measuring the pulse rate in an adult is the: a. carotid. b. radial. c. brachial. d. temporal. - ANSb. radial. The best reason why the majority of patient samples are drawn in the early moming hours is because: a. the patient will not be in the basal state early in the rnorning because this requires several hours of normal physical activity by the patient. b. patients should have consumed a meal no less than three hours prior to the time of collection. c. the patient will be in the basal state, having restrained from strenuous exercise and having fasted for approximately 12 hours. d. patients are generally more agreeable with collection times scheduled early in the morning. - ANSc. the patient will be in the basal state, having restrained from strenuous exercise and having fasted for approximately 12 hours. The best way to prevent fainting in a patient during blood collection is to: a. have the patient stand during the phlebotomy. b. have the patient lie down during the phlebotomy. c. have the patient pump the fist three times. d. place a pillow under the patient's head. - ANSb. have the patient lie down during the phlebotomy The blood vessels that carry deoxygenated blood to the heart are: a. arteries. b. alveoli. c. capillaries. d. veins. - ANSd. veins. The code word PASS refers to: a. storage of volatile chemicals. b. operation of a fire extinguisher. c. labeling of hazardous material. d. the presence of radioactive material - ANSb. operation of a fire extinguisher. The color coding of evacuated tubes provides information about all of the following except the: a. volume of specimen collected. b. type of specimen collected. c. need to invert the tube. d. presence of an anticoagulant. - ANSc. need to invert the tube. The difference between plasma and serum is that: a. serum contains fibrinogen. b. serum is obtained from a non-clotted specimen. c. plasma is obtained from a clotted specimen. d. plasma contains fibrinogen. - ANSd. plasma contains fibrinogen. The fluid that comprises approximately 55% of the total blood volume is made up of: a. hematocrit. b. plasma. c. tissue fluid. d. serum. - ANSb. plasma. The layer of skin that contains the blood vessels is the: a. epidermis. b. dermis. c. keratinized epithelium. c. frequently takes aspirin. d. both B and C - ANSd. both B and C b. is taking anticoagulants. c. frequently takes aspirin The ratio of blood to anticoagulant in a light blue stopper tube is: a. 2:l b. 5:l c. 9:l d. 10:1 - ANSc. 9:l The recommended disinfectant for blood and body fluid contamination is: a. sodium hydroxide. b. antimicrobial soap. c. hydrogen peroxide. d. sodium hypochlorite. - ANSd. sodium hypochlorite. The sweat electrolyte test is used in the diagnosis of; a. multiple sclerosis. b. cystic fibrosis. c. muscular dystrophy. d. electrolyte imbalance. - ANSb. cystic fibrosis. The vein located on the thumb side of the arm is the: a. brachial. b. median cubital. c. basilic. d. cephalic. - ANSc. basilic. The vein of choice for routine venipuncture is the: a. median cubital. b. radial. c. cephalic. d.baslic - ANSa. median cubital. To complete the chain of infection, all of the following are required except a: a. source. b. contaminated surface. c. mode of transmission. d. host. - ANSb. contaminated surface. To comply with the current Bloodborne Pathogens Standard, phlebotomists must: a. discard sharps only into containers attached to the wall. b. activate the needle protection device before removing the needle from the adapter. c. decontaminate needle adapters between each patient. d. activate the needle protective device and discard the needle and the adapter. - ANSd. activate the needle protective device and discard the needle and the adapter. To prevent blood from clotting the specimen must be: d. both A and B c. centrifuged right after collection. d. both A and B - ANSd. both A and B d. both A and B To what does the term "aseptic techniques" refer? - ANSTechniques that provide a degree of cleanliness that prevents infection and keeps the phlebotomy environment free of contamination by microorganisms. To whom does the phlebotomist report? - ANSA technical phlebotomy supervisor Traditional duties of the phlebotomist include all of the following except: a. correct labeling of all specimens with the required information. b. selection of the appropriate specimen containers for the specified tests. c. performance of tests on patient samples in the laboratory. d. collection of the appropriate amount of blood by venipuncture or dermal puncture. - ANSc. performance of tests on patient samples in the laboratory Traditional duties of the phlebotomist include all of the following except: A. Correctly label all specimens with required information B. Select the appropriate specimen containers for the specified test C. Perform test on patient samples in the lab D. Collect the appropriate amount of blood by venipuncture or dermal puncture - ANSC. Perform test on patient samples in the lab True/False Indicate whether the following statements are true or false. If a needle has not been used it can be recapped? - ANSFalse True/False Indicate whether the following statements are true or false. The liquid portion of a specimen collected in a tube containing ethylenediaminetetraacetic acid (EDTA) is serum. - ANSFalse True/False Indicate whether the following statements are true or false. When using a butterfly, a light blue stopper tube should be collected first. - ANS/False Two identifiers for patient identification before specimen collection are routinely secured by all the following means except: a. verifying the patient's identification number on the wrist or ankle identification band. b. asking the patient to state his or her first name and last name. c. asking the patient "Are you John Doe?" or "Are you Mary Doe?". d. comparing information obtained verbally and from the patient's identification band with the information on the test requisition. - ANSd. comparing information obtained verbally and from the patient's identification band with the information on the test requisition Using a small-gauge needle with a large evacuated tube can cause: a. a hematoma. b. petechiae. c. hemolysis. d. patient discomfort. - ANSc. hemolysis Using an evacuated tube after its expiration date can result in all of the following except: a. a short draw. b. a clotted specimen. c. a lipemic specimen. d. a contaminated specimen - ANSa. a short draw. What color of tube is used for activated partial thromboplastin time? A. Light blue B. Light green C. Purple D. Yellow - ANSB. Light green What does CMP stand for? A. Comprehensive Metabolic Panel B. Choke Mary Partially C. Chemistry Metabolic Panel D. Chloride Metabolic Panel - ANSA. Comprehensive Metabolic Panel What does the acronym PASS describe and stand for? - ANSIt describes the use of a fire extinguisher and stands for: Pull pin, Aim nozzle, Squeeze handle, Sweep from side to side. What does the acronym RACE stand for? - ANSIt stands for what a healthcare worker should do if a fire or explosion occurs in the workplace: Rescue, Alarm, Contain, Exit What is a Sentinel Event? - ANSAn unanticipated death or permanent loss of function not related to a patient's illness or underlying condition. What is Assault? - ANSThe threat of touching another person without his or her consent and with the intention of causing fear of harm