NHA PHLEBOTOMY CERTIFICATION EXAM 2024/2025, Exams of Nursing

Download NHA PHLEBOTOMY CERTIFICATION EXAM 2024/2025 and more Exams Nursing in PDF only on Docsity! NHA PHLEBOTOMY CERTIFICATION EXAM 2024/2025 1. What temperature should a semen sample be transported? - Precise Answer ✔✔36-38 degrees C 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 - Precise Answer ✔✔b. Incorrect needle gauge 3. Which of the following is proper procedure after collecting ammonia specimen? a. Protect from light b. Keep specimen warm c. Keep specimen at body temp d. Place specimen in icewater slurry (or a cup of ice) - Precise Answer ✔✔d. Place specimen in icewater slurry (or a cup of ice) 4. The phlebotomist has a request to collect a CBC from a healthy 10 month old. Which is appropriate? - Precise Answer ✔✔a. Either heel 5. A phlebotomist is preparing to draw blood from a patient in hospital/ The patient extends his arm and turns head away. Which consent does this indicate? - Precise Answer ✔✔a. Implied consent 6. Why should phlebotomist document volume of blood drawn from a patient? - Precise Answer ✔✔a. Iatrogenic anemia could be a result fo too much taken 7. A phlebotomist has a requisition to draw blood on a patient with severe Down's syndrome. What steps would you take? - Precise Answer ✔✔a. 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 - Precise Answer ✔✔a. Implied consent 9. Which of the following actions is appropriate when labeling specimens? - Precise Answer ✔✔a. Label specimens at the time of collection in front of the patient 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? - Precise Answer ✔✔a. Don't draw until nurse puts an armband on patient 25. A phlebotomist working in an infertility clinic and the patient is to submit a semen specimen. The phlebotomist would tell the patient: - Precise Answer ✔✔a. As soon as you collect the specimen, keep it next to your body and bring it in right away. (the reason is it needs to stay at body temp and delivered in lab within 2 hours) 26. After placing tourniquet on a patients arm, the phlebotomist notices small red spots below the tourniquet. - Precise Answer ✔✔a. Petechiae 27. The phlebotomist should examine the antecubital veins of both arms because: - Precise Answer ✔✔a. The median cubital might be more accessible on one side than the other 28. What is the appropriate cleanser to clean the meatus for a clean catch urine specimen? - Precise Answer ✔✔a. Benzalkonium chloride 29. When should the code on glucose cuvettes or strips be compared to the code on the glucose meter? - Precise Answer ✔✔a. When the patient is tested 30. Which of the following is appropriate to use when collecting for a chemistry test that requires serum? - Precise Answer ✔✔a. SST (this is the red gel tube) 31. A patient state she is a difficult draw and requests a skin puncture. The test is a PTT. Which should you do? - Precise Answer ✔✔a. Use a syringe and transfer to a light blue tube 32. Industry standard states needle insertion in the antecubital area should be: - Precise Answer ✔✔a. 15-30 degree angle 33. Tubes with which additive should be used for CBC? - Precise Answer ✔✔a. EDTA (purple tube) 34. When preparing for transport, which specimen must be placed on ice within 30 minutes after collection? - Precise Answer ✔✔a. Arterial Blood Gases 35. Which provides the phlebotomist the best protection when drawing blood from a patient with active TB? - Precise Answer ✔✔a. N-95 respirator mask 36. During a draw, the patient becomes unresponsive. What should you do? - Precise Answer ✔✔a. Check for breathing 37. Why should a phlebotomist avoid drawing blood from a leg or foot of a diabetic patient? - Precise Answer ✔✔a. These areas are more susceptible to infection 38. Why is it important to place a specimen in a biohazard specimen bag outside the laboratory? - Precise Answer ✔✔a. The biohazard bag prevents a possible exposure incident 39. As a student. Proper introduction - Precise Answer ✔✔a. Hi, my name is Sally Smith. I am a student phlebotomist and I'm here to collect blood specimen 40. When using evacuated tube system (EVS). - Precise Answer ✔✔a. Position the needle in the same direction as the vein at 30 degree angle 41. What is additive for a PT/PTT? - Precise Answer ✔✔a. Sodium Citrate (Blue top) 42. Blood cultures have been ordered on ICU patient. You would use: - Precise Answer ✔✔a. Aerobic and anaerobic bottles 43. A phlebotomist is required to obtain what from a potential donor? - Precise Answer ✔✔a. Complete medical history 44. Phlebotomist needs to draw a glucose tolerance test on a patient and notices an empty breakfast plate at bedside. What should you do? - Precise Answer ✔✔a. Ask the patient when he or she ate last 45. Which vein should you attempt first? - Precise Answer ✔✔a. Median cubital 46. If a phlebotomist is stuck with a used needle, first action is: - Precise Answer ✔✔a. Flush the area with running water 62. What would you use for a hand draw? - Precise Answer ✔✔a. Butterfly or winged infusion set 63. Invert anticoagulant tubes to :prevent coagulation - Precise Answer ✔✔ Name the 3 types of blood samples - Precise Answer ✔✔whole blood/ plasma/ serum What two States require licensure - Precise Answer ✔✔Louisiana & California When the Phlebotomist collects blood, in which of the patient's zones of interpersonal space is he/she operating? - Precise Answer ✔✔The patient's Intimate Zone or Space Define Phlebotomy - Precise Answer ✔✔An incision into the vein What is the meaning of these acronyms: ASPT, ASCP, and NHA? - Precise Answer ✔✔ASPT = American Society of Phlebotomy Technicians ASCP = American Society for Clinical Pathology NHA = National Healthcareer Association Define Reference Laboratory: - Precise Answer ✔✔A reference laboratory is one that specializes in one test or one group of tests, or where more unusual or obscure tests are performed. . Number the following items to reflect the correct blood flow through the heart and lungs: _1__ Vena Cave (superior/inferior) _7__ Lungs _5__ Pulmonary Valve _6__ Pulmonary Artery _13__ Aorta _9__ Left Atrium _2__ Right Atrium _8__ Pulmonary Veins _4__ Right Ventricle _11__ Left Ventricle _3__ Tricuspid Valve _12__ Aortic Valve _10__ Mitral Valve (aka, Bi-Cuspid) - Precise Answer ✔✔ To whom does the phlebotomist report? - Precise Answer ✔✔A technical phlebotomy supervisor What two government agencies administer CLIA? - Precise Answer ✔✔Center for Medicare/Medicaid Services (CMS)__ FDA . Is the Joint Commission a non-profit organization? - Precise Answer ✔✔No, it's a not for profit organization In what year and by what organization was The Patient's Bill of Rights initiated? - Precise Answer ✔✔1973 by the American Hospital Association. . What is Informed Consent? - Precise Answer ✔✔When you explain the procedure to the patient and they give you verbal or written permission to proceed. What is Implied Consent? - Precise Answer ✔✔When you explain the procedure to the patient and they make a gesture that implies their permission to proceed, such as extending their arm, rolling up their sleeve or nodding their head. What is required to obtain Informed Consent for a child? - Precise Answer ✔✔You explain the procedure to the parent or legal guardian and obtain their informed consent for the child. What is the difference between a Criminal Lawsuit and a Civil Lawsuit? - Precise Answer ✔✔A criminal lawsuit is initiated by the government, a civil lawsuit is between private parties. What is Assault? - Precise Answer ✔✔The threat of touching another person without his or her consent and with the intention of causing fear of harm What is Battery? - Precise Answer ✔✔Actual harmful touching of another person without his or her consent. What does the acronym PASS describe and stand for? - Precise Answer ✔✔It 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? - Precise Answer ✔✔It stands for what a healthcare worker should do if a fire or explosion occurs in the workplace: Rescue, Alarm, Contain, Exit . 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. - Precise Answer ✔✔b. check to see if it is an emergency. A competent professional demeanor is shown by: a. neatness and cleanliness. b. courtesy and cheerfulness. c. pleasantness. d. all of the above. - Precise Answer ✔✔d. all of the above. 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. - Precise Answer ✔✔c. performance of tests on patient samples in the laboratory . 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. - Precise Answer ✔✔c. anatomical and clinical. 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. - Precise Answer ✔✔d. plasma contains fibrinogen. Specimens collected in serum separator tubes are most frequently delivered to: a. blood bank. b. serology. c. hematology. d. chemistry - Precise Answer ✔✔d. chemistry. To prevent blood from clotting the specimen must be: d. both A and B c. centrifuged right after collection. d. both A and B - Precise Answer ✔✔d. both A and B d. both A and B Which of the following pairings is wrong? a. icteric and yellow. b. lipemic and cloudy. c. hemolyzed and red. - Precise Answer ✔✔d. fasting and cloudy. The main anticoagulant for coagulation studies is: a. ethylenediaminetetraacetic acid (EDTA). b. sodium citrate. c. heparin. d. oxalate. - Precise Answer ✔✔b. sodium citrate. 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 - Precise Answer ✔✔a. a short draw. The Patient's Bill of Rights guarantees the patient all of the following except: a. a private room. b. informed consent. c. confidentiality. d. treatment refusal. - Precise Answer ✔✔a. a private room. 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. - Precise Answer ✔✔b. contaminated surface. An infection contracted by a patient while in the hospital is termed: a. antibiotic-resistant. b. staphylococcal. c. nosocomial. d. unfortunate - Precise Answer ✔✔c. nosocomial. The recommended disinfectant for blood and body fluid contamination is: a. sodium hydroxide. b. antimicrobial soap. c. hydrogen peroxide. d. sodium hypochlorite. - Precise Answer ✔✔d. sodium hypochlorite. . The term universal precautions refers to: a. universal blood donors. b. mixing organic chemicals under a hood. c. wellness clinics available to everyone. d. treating all specimens as infectious. - Precise Answer ✔✔d. treating all specimens as infectious. In addition to changing gloves between every patient, phlebotomists should also: a. change their lab coats. b. disinfect the phlebotomy tray. c. double-bag the specimens. d. wash their hands. - Precise Answer ✔✔d. wash their hands. 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. - Precise Answer ✔✔d. activate the needle protective device and discard the needle and the adapter. 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 - Precise Answer ✔✔b. operation of a fire extinguisher. 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. - Precise Answer ✔✔d. when the hands are not visibly contaminated with blood or other body fluid b. promote blood clotting. c. phagocytize bacteria. d. produce antibodies. - Precise Answer ✔✔b. promote blood clotting. . Functions of the blood include all of the following except: a. transport oxygen. b. regulate pulse rate. c. deliver nutrients. d. transport waste products. - Precise Answer ✔✔b. regulate pulse rate. The fluid that comprises approximately 55% of the total blood volume is made up of: a. hematocrit. b. plasma. c. tissue fluid. d. serum. - Precise Answer ✔✔b. plasma. The primary antiseptic for routine venipuncture is: a. iodine. b. chlorhexidine. c. isopropyl alcohol. d. Betadine. - Precise Answer ✔✔c. isopropyl alcohol. 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. - Precise Answer ✔✔a. permits arterial flow and blocks venous flow. 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. - Precise Answer ✔✔c. need to invert the tube. . Which of the following tubes must always be completely filled? a. Gray b. Light blue c. Red d. Pink - Precise Answer ✔✔b. Light blue 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 - Precise Answer ✔✔c. 9:l Most anticoagulants in blood collection tubes prevent clotting by: a. binding calcium. b. acting as an antithrombin agent. c. binding fibrinogen. d. releasing heparin. - Precise Answer ✔✔a. binding calcium. Which of the following is the most acceptable order of tube draw? a. Yellow, red glass, and light blue b. Lavender, red plastic, and yellow c. Red plastic, light blue, and lavender d. Yellow, green, and light blue - Precise Answer ✔✔a. Yellow, red glass, and light blue Failing to adequately invert a lavender stopper tube after collection will: a. cause hemolysis. b. falsely elevate calcium results. c. destroy coagulation factors. d. produce a clotted specimen. - Precise Answer ✔✔d. produce a clotted specimen . The presence of a clot is acceptable in: a. standing. b. nervous. c. unable to make a fist. d. not fasting. - Precise Answer ✔✔a. standing. The maximum time a tourniquet should remain on the patient's arm is: a. 1 minute. b. 2 minutes. c. 3 minutes. d. 5 minutes. - Precise Answer ✔✔a. 1 minute. The vein of choice for routine venipuncture is the: a. median cubital. b. radial. c. cephalic. d.baslic - Precise Answer ✔✔a. median cubital. The vein located on the thumb side of the arm is the: a. brachial. b. median cubital. c. basilic. d. cephalic. - Precise Answer ✔✔c. basilic. Palpate means to: a. perform a venipuncture. b. examine by touch. c. examine by sound. d. obtain a specimen from an intravenous line. - Precise Answer ✔✔b. examine by touch. Prolonged application of a tourniquet will cause: a. excessive bleeding. b. difficulty locating a vein. c. hemolysis. d. both A and C - Precise Answer ✔✔d. both A and C a. excessive bleeding c. hemolysis. Failure to allow the alcohol to dry on the patient's arm after site cleansing can cause all of the following except: a. increased bacteriostatic action. b. a stinging sensation for the patient. c. a possible unsterile site. d. specimen hemolysis. - Precise Answer ✔✔a. increased bacteriostatic action. Correct palpation of a vein includes all of the following except: a. determining the depth of the vein. b. detecting a pulse using the thumb. c. determining the direction of the vein. d. probing with the index finger. - Precise Answer ✔✔b. detecting a pulse using the thumb. Hemoconcentration can be caused by: a. prolonged tourniquet application. b. intravenous therapy. c. excessive probing. d. failure to clench the fist. - Precise Answer ✔✔a. prolonged tourniquet application. . 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. - Precise Answer ✔✔d. the vein from rolling. . 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. When encountering a patient with a fistula, the phlebotornist should: a. apply the tourniquet below the fistula. b. use the other arm. c. collect the blood from the fistula. d. attach a syringe to the T-tube connector. - Precise Answer ✔✔b. use the other arm. When collecting blood from a patient with a very edematous right arm and a large hematoma in the antecubital area of the left arm, the phlebotornist should collect the specimen from: a. below the hematoma. b. above the hematoma. c. the antecubital area of the right arm. d. the antecubital area of the left arm. - Precise Answer ✔✔a. below the hematoma The maximum number of attempts that a phlebotomist should make to collect a specimen is: a. one. b. two. c. three. d. four. - Precise Answer ✔✔b. two. . Prolonged tourniquet application will cause: a. edema. b. hemolysis. c. hemoconcentration. d. both B and C - Precise Answer ✔✔d. both B and C b. hemolysis. c. hemoconcentration. . Specimens are rejected by the laboratory for all of the following reasons except: a. clots in a lavender stopper tube. b. collection in the wrong tube. c. incompletely filled light-blue stopper tubes. d. clots in a red stopper tube. - Precise Answer ✔✔d. clots in a red stopper tube. . Allowing blood to leak from a vein into the surrounding tissue will cause: a. hematoma. b. hemolysis. c. nerve damage. d. syncope. - Precise Answer ✔✔a. hematoma. Hematomas can be caused by all of the following except: a. having the patient bend the elbow. b. inserting the needle partially into the vein. c. drawing below an intravenous line. d. removing the tourniquet after removing the needle. - Precise Answer ✔✔c. drawing below an intravenous line. 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. - Precise Answer ✔✔c. the patient will be in the basal state, having restrained from strenuous exercise and having fasted for approximately 12 hours. . Plasma differs from Serum in that: a. Serum contains fibrinogen b. Serum is obtained by centrifugation c. Plasma contains fibrinogen d. Plasma is obtained by centrifugation - Precise Answer ✔✔c. Plasma contains fibrinogen A sentinel event would be most likely caused by delivery of a mislabeled tube to which lab department: A. Hematology B. Microbiology C. Chemistry D. Blood bank - Precise Answer ✔✔A. Hematology Which of the following would not be needed when collecting a throat culture? a. Flashlight b. Blood agar culture plate c. Tongue depressor d. Sterile swab - Precise Answer ✔✔b. Blood agar culture plate What type of tube is used for a complete blood count? A. Purple with clot activator B. Lavender with EDTA C. Lavender with EDTA D. Lavender with NaK - Precise Answer ✔✔C. Lavender with EDTA . What chemical or additive is needed for performing an activated partial thromboplastin time? A. EDTA B. SPS C. Clot activator D. Sodium citrate - Precise Answer ✔✔D. Sodium citrate What color of tube is used for activated partial thromboplastin time? A. Light blue B. Light green C. Purple D. Yellow - Precise Answer ✔✔B. Light green What is the abbreviation for activated partial thromboplastin time? A. PT B. CBC C. PTT D. CHEM-7 - Precise Answer ✔✔C. PTT Which of the following is not one of the three types of blood samples? A. Whole blood B. Plasma C. Serum D. Iron - Precise Answer ✔✔D. Iron In which part of the lab is a CMP performed? A. Microbiology B. Chemistry C. Hematology D. Blood bank - Precise Answer ✔✔B. Chemistry What does CMP stand for? A. Comprehensive Metabolic Panel B. Choke Mary Partially C. Chemistry Metabolic Panel D. Chloride Metabolic Panel - Precise Answer ✔✔A. Comprehensive Metabolic Panel . What color of tube does the phlebotomist use for blood bank testing? A. Red plastic B. Red glass C. Yellow D. Pink - Precise Answer ✔✔D. Pink 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 - Precise Answer ✔✔C. Perform test on patient samples in the lab Application of the tourniquet on the patient's arm for longer than one minute may cause: a. an increase in contaminated blood cultures. b. a clotted sample in the red top tubes collected. c. an increase in concentration of large molecules. d. decreased pain and discomfort in the arm. - Precise Answer ✔✔c. an increase in concentration of large molecules The anterior portion of the body is the: a. right side. b. front side. c. back side. d. left side. - Precise Answer ✔✔b. front side. When a central venous access device (CVAD) is present: a. blood is drawn from the line using a 30-mL syringe. b. laboratory specimens should not be collected from the catheter. c. blood is drawn and discarded before the specimen is collected. d. an evacuated tube is attached to the line for specimen collection. - Precise Answer ✔✔c. blood is drawn and discarded before the specimen is collected. 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. - Precise Answer ✔✔d. potassium. Inflammation of the meninges caused by a bacterial or viral infection is called: a. poliomyelitis. b. chondrosarcoma. c. meningitis. d. cerebral palsy - Precise Answer ✔✔c. meningitis. 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. - Precise Answer ✔✔c. assigning of identification numbers and distribution of specimens. Errors in prioritizing specimens appropriately (routine versus stat) for processing are classified as: a. post-examination variables. b. different types of variables depending on the type of laboratory. c. pre-examination variables. d. examination variables. - Precise Answer ✔✔c. pre-examination variables. 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. - Precise Answer ✔✔d. when the hands are not visibly contaminated with blood or other body fluid. The physical examination of urine includes reports on: a. odor and turbidity. b. color and appearance. c. clarity and foam color. d. color and blood. - Precise Answer ✔✔b. color and appearance. Which of the following pairings is wrong? a. icteric and yellow. b. lipemic and cloudy. c. hemolyzed and red. d. fasting and cloudy. - Precise Answer ✔✔d. fasting and cloudy. Areas that should be avoided for venipuncture include all of the following except: a. hematomas. b. deep cephalic veins. c. sclerosed veins. d. tattoos. - Precise Answer ✔✔b. deep cephalic veins. . 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. - Precise Answer ✔✔d. across the fingerprint. Using a small-gauge needle with a large evacuated tube can cause: a. a hematoma. b. petechiae. c. hemolysis. d. patient discomfort. - Precise Answer ✔✔c. hemolysis 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. - Precise Answer ✔✔c. sentinel event. The maximum safe length of lancets used for heel puncture is: a. 1.5 mm. b. 2.0 mm. c. 2.75 mm. d. 3.4 mm. - Precise Answer ✔✔b. 2.0 mm. The main organ(s) of the integumentary system is (are) the: a. nails. b. hair. c. skin. d. sweat glands. - Precise Answer ✔✔c. skin. . 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. - Precise Answer ✔✔b. report the situation to the nursing station.