NHA Phlebotomy certification EXAM Q&A UPDATED 2024-2025, Exams of Nursing

Download NHA Phlebotomy certification EXAM Q&A UPDATED 2024-2025 and more Exams Nursing in PDF only on Docsity! NHA Phlebotomy certification EXAM Q&A UPDATED 2024-2025 1. What temperature should a semen sample be transported? - CORRECT 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 - CORRECT 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) - CORRECT 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? - CORRECT 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? - CORRECT ANSWER-a. Implied consent 6. Why should phlebotomist document volume of blood drawn from a patient? - CORRECT 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? - CORRECT 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 - CORRECT ANSWER-a. Implied consent 9. Which of the following actions is appropriate when labeling specimens? - CORRECT 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? - CORRECT ANSWER-a. Don't draw until nurse puts an armband on patient 11. Which is appropriate form of identification in inpatient setting? - CORRECT ANSWER-a. Verbal and wrist band 12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary? - CORRECT ANSWER-a. Lavender and red 13. A blood specimen is rejected by lab with QNS as the reason? Why? - CORRECT ANSWER-a. 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? - CORRECT ANSWER-a. 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? - CORRECT ANSWER-a. Lab rejects the mislabeled specimen 16. Phlebotomist is performing venipuncture and patient begins to seize. What is correct action? - CORRECT ANSWER-a. Discontinue the draw 17. Phlebotomist receives orders to draw an infant screening card, O2 levels, bilirubin, and DNA. Which is to be drawn first? - CORRECT ANSWER-a. O2 levels 18. When performing a venipuncture on a patient of average weight, which is the correct technique for needle insertion? - CORRECT ANSWER-a. 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? - CORRECT ANSWER-a. Choose a syringe and butterfly assembly 20. Which of the following is the term for donation of a patient's own blood for an upcoming surgery? - CORRECT ANSWER-a. Autologous donation 21. The order of draw for capillary collections is different than venipuncture because - CORRECT ANSWER-a. 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? - CORRECT ANSWER-a. Return later after drawing other patients 23. A phlebotomist notices a hematoma developing at the site of venipuncture. The phlebotomist should - CORRECT ANSWER-a. Release the tourniquet and stop the draw 24. Know ORDER of DRAW!! - CORRECT ANSWER- 25. A phlebotomist working in an infertility clinic and the patient is to submit a semen specimen. The phlebotomist would tell the patient: - CORRECT 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. - CORRECT ANSWER-a. Petechiae 27. The phlebotomist should examine the antecubital veins of both arms because: - CORRECT 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? - CORRECT ANSWER-a. Benzalkonium chloride 29. When should the code on glucose cuvettes or strips be compared to the code on the glucose meter? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER-a. Use a syringe and transfer to a light blue tube In what year and by what organization was The Patient's Bill of Rights initiated? - CORRECT ANSWER-1973 by the American Hospital Association. . What is Informed Consent? - CORRECT ANSWER-When you explain the procedure to the patient and they give you verbal or written permission to proceed. What is Implied Consent? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER-A criminal lawsuit is initiated by the government, a civil lawsuit is between private parties. What is Assault? - CORRECT ANSWER-The threat of touching another person without his or her consent and with the intention of causing fear of harm What is Battery? - CORRECT ANSWER-Actual harmful touching of another person without his or her consent. What is Libel? - CORRECT ANSWER-False defamatory writing that is published. What is a Sentinel Event? - CORRECT ANSWER-An unanticipated death or permanent loss of function not related to a patient's illness or underlying condition. . What does PPE stand for? - CORRECT ANSWER-Personal Protective Equipment . How full should you fill the Sharps Container before using a new container? - CORRECT ANSWER-¾ full . What is the name of the multi-purpose fire extinguisher? - CORRECT ANSWER-ABC To what does the term "aseptic techniques" refer? - CORRECT ANSWER-Techniques that provide a degree of cleanliness that prevents infection and keeps the phlebotomy environment free of contamination by microorganisms. . 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. - CORRECT ANSWER-f. Both c and d. c. Something acquired by patients. d. A Hospital Acquired Infection When is hand hygiene performed? a. When gloves are visibly soiled. b. Before putting on gloves c. After removing gloves d. All of the above e. Both a and b - CORRECT ANSWER-d. All of the above a. When gloves are visibly soiled. b. Before putting on gloves c. After removing gloves Before entering an isolation room, what is the first thing the phlebotomist should do? a. Wash hands b. Put on a gown, mask and gloves c. Read the posted instructions d. Obtain permission - CORRECT ANSWER-c. Read the posted instructions What does the acronym PASS describe and stand for? - CORRECT 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? - CORRECT 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. - CORRECT 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. - CORRECT 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. - CORRECT 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. - CORRECT 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. - CORRECT 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 - CORRECT 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 - CORRECT 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. - CORRECT ANSWER-d. fasting and cloudy. The main anticoagulant for coagulation studies is: a. ethylenediaminetetraacetic acid (EDTA). b. sodium citrate. c. heparin. d. oxalate. - CORRECT ANSWER-b. sodium citrate. . ABO and Rh typing are performed in which laboratory section? a. Hematology b. Blood bank c. Chemistry d. Cytology - CORRECT ANSWER-b. Blood bank The activated partial thromboplastin time (APTT) or partial thromboplastin time (PTT) test is performed in: a. coagulation. b. chemistry. c. urinalysis. d. histology. - CORRECT ANSWER-a. coagulation. . 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) - CORRECT ANSWER-b. Complete blood count (CBC) An anemia would be detected by a: a. glucose test. b. blood culture. c. urinalysis. d. complete blood count. - CORRECT ANSWER-d. complete blood count. . 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. - CORRECT ANSWER-a. Joint Commission. . The most serious error a phlebotomist can make is: a. causing a hematoma. b. failure to correctly identify a patient. c. drawing a specimen in the wrong tube. d. collecting a hemolyzed dermal puncture specimen. - CORRECT ANSWER-b. failure to correctly identify a patient. . A puncture device with a broken seal should not be used because: d. veins. - CORRECT ANSWER-d. veins. All of the following are formed elements found in the blood except: a. erythrocytes. b. platelets. c. macrophages. d. leukocytes. - CORRECT ANSWER-c. macrophages . The primary role of the thrombocyte is to: a. transport nutrients. b. promote blood clotting. c. phagocytize bacteria. d. produce antibodies. - CORRECT 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. - CORRECT 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. - CORRECT ANSWER-b. plasma. The primary antiseptic for routine venipuncture is: a. iodine. b. chlorhexidine. c. isopropyl alcohol. d. Betadine. - CORRECT 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. - CORRECT 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. - CORRECT 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 - CORRECT 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 - CORRECT 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. - CORRECT 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 - CORRECT 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. - CORRECT ANSWER-d. produce a clotted specimen . The presence of a clot is acceptable in: a. red stopper tubes. b. lavender stopper tubes. c. green stopper tubes. d. light blue stopper tubes. - CORRECT ANSWER-a. red stopper tubes. . Which of the following needles has the largest diameter? a. 16 gauge b. 18 gauge c. 20 gauge d. 22 gauge - CORRECT ANSWER-a. 16 gauge Collecting a large evacuated tube using a 23-gauge needle: a. is recommended for geriatric patients. b. is required for certain automated tests. c. may cause a hemolyzed sample. d. may cause a loss of vacuum in the tube. - CORRECT ANSWER-c. may cause a hemolyzed sample. Forcing blood from a syringe into an evacuated tube: a. prevents the blood from clotting. b. can only be done when using a small syringe. c. may hemolyze the specimen. d. is required when using a transfer device. - CORRECT ANSWER-c. may hemolyze the specimen The needle holder that is part of the evacuated tube collection system is: a. disposed of in the general trash after removing the collection needle. b. disposed of as a unit with the collection needle into a red bag. c. disposed of as a unit with the collection needle into a sharps container. d. made of a grade of plastic that does not require disposal in a sharps container. - CORRECT ANSWER-c. disposed of as a unit with the collection needle into a sharps container. All of the following are used to identify a patient except the: a. bed sign. b. requisition form. c. identification band. d. bar codes. - CORRECT ANSWER-a. bed sign. The most important purpose of a requisition form is: a. authorization to perform the procedure.a. authorization to perform the procedure. b. providing a system to report results. c. location of the patient. d. monitoring test result turnaround time. - CORRECT ANSWER-a. authorization to perform the procedure.a. authorization to perform the procedure. Blood should not be drawn from a patient who is: a. standing. b. nervous. c. unable to make a fist. d. not fasting. - CORRECT 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. - CORRECT ANSWER-a. 1 minute. The vein of choice for routine venipuncture is the: a. median cubital. b. radial. c. cephalic. d.baslic - CORRECT 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. - CORRECT 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. - CORRECT 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 - CORRECT ANSWER-d. both A and C a. excessive bleeding 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. - CORRECT 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. - CORRECT 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. - CORRECT 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. - CORRECT 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 - CORRECT ANSWER-c. Plasma contains fibrinogen 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 - CORRECT ANSWER-d. Blood bank . Which of the following tests is not part of the CBC: a. Red blood cell count b. Platelet count c. Sedimentation rate d. Differential - CORRECT ANSWER-c. Sedimentation rate . Testing of a fecal stool for parasites is performed in: a. Hematology b. Microbiology c. Immunology d. Urinalysis - CORRECT ANSWER-b. Microbiology A prothrombin test is performed in: a. Coagulation b. Immunology c. Microbiology d. Chemistry - CORRECT ANSWER-a. Coagulation 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. - CORRECT ANSWER-False True/False Indicate whether the following statements are true or false. If a needle has not been used it can be recapped? - CORRECT ANSWER-False True/False Indicate whether the following statements are true or false. When using a butterfly, a light blue stopper tube should be collected first. - CORRECT ANSWER-/False . 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 - CORRECT ANSWER-A. Intimate zone 18-24 inches . In what department of the lab is a complete blood count performed? A. Hematology B. Microbiology C. Chemistry D. Blood bank - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER-B. Light green What is the abbreviation for activated partial thromboplastin time? A. PT B. CBC C. PTT D. CHEM-7 - CORRECT 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 - CORRECT ANSWER-D. Iron In which part of the lab is a CMP performed? A. Microbiology B. Chemistry C. Hematology D. Blood bank - CORRECT ANSWER-B. Chemistry What does CMP stand for? A. Comprehensive Metabolic Panel B. Choke Mary Partially C. Chemistry Metabolic Panel D. Chloride Metabolic Panel - CORRECT 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 - CORRECT 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 - CORRECT ANSWER-C. Perform test on patient samples in the lab . 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 - CORRECT ANSWER-D. Both a and b A. Collected in a tube containing an anticoagulant B. Inverted right after collection The primary antiseptic for venipuncture is: A. 70% isopropyl alcohol B. 80% isopropyl alcohol C. 90% isopropyl alcohol - CORRECT ANSWER-A. 70% isopropyl alcohol The sweat electrolyte test is used in the diagnosis of; a. multiple sclerosis. b. cystic fibrosis. c. muscular dystrophy. d. electrolyte imbalance. - CORRECT ANSWER-b. cystic fibrosis. The puncture site may require additional pressure to stop bleeding when the patient: a. has low blood pressure. b. is taking anticoagulants. c. frequently takes aspirin. d. both B and C - CORRECT ANSWER-d. both B and C b. is taking anticoagulants. c. frequently takes aspirin . 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 - CORRECT ANSWER-c. Third finger and increased possibility of bone puncture . Lavender stopper tubes can be used for all of the following except: a. coagulation tests. b. platelet counts. c. differential counts. d. hematocrits. - CORRECT ANSWER-a. coagulation tests. The most economical and safest method for performing routine venipuncture is the use of: a. butterflies. b. plastic syringes. c. glass syringes. d. evacuated tubes - CORRECT ANSWER-d. evacuated tubes. . An elevated bilirubin might indicate a disorder of the: a. heart. b. kidney. c. brain. d. liver. - CORRECT ANSWER-d. liver. Areas that should be avoided for venipuncture include all of the following except: a. hematomas. b. deep cephalic veins. c. sclerosed veins. d. tattoos. - CORRECT 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. - CORRECT 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. - CORRECT 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. - CORRECT 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. - CORRECT 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. - CORRECT 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. - CORRECT ANSWER-b. report the situation to the nursing station.