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NHA PHLEBOTOMY

CERTIFICATION EXAM

SOLUTION

ACTUAL SOLUTION

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NHA Phlebotomy certification EXAM SOLUTION

NHA Phlebotomy certification

EXAM SOLUTION

1. What temperature should a semen sample be transported? - answer - 36 - 38 degrees C
2. Which of the following would result in a grossly hemolyzed specimen? a. Incorrect order of draw

Speak with the patient guardian before performing venipuncture to enmsure the patient understands

1. A 69 year old unconscious patient is brought ot the ER. Several blood tests are ordered. The phlebotomist collects blood under - answer - a. Implied consent
2. Which of the following actions is appropriate when labeling specimens? - answer - a. Label specimens at the time of collection in front of the patient
3. 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? - answer - a. Don't draw until nurse puts an armband on patient
4. Which is appropriate form of identification in inpatient setting? - answer - a. Verbal and wrist band
5. WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary? - answer - a. Lavender and red
6. A blood specimen is rejected by lab with QNS as the reason? Why? - answer - a. The specimen was insufficient-not enough blood
7. Which of the following is best method to prevent internal or external bleeding from venipuncture site after needle is removed? -

answer - a. Apply pressure to prevent leakage of blood into the tissues

1. 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? - answer - a. Lab rejects the mislabeled specimen
2. Phlebotomist is performing venipuncture and patient begins to seize. What is correct action? - answer - a. Discontinue the draw
3. Phlebotomist receives orders to draw an infant screening card, O2 levels, bilirubin, and DNA. Which is to be drawn first? - answer - a. O2 levels
4. When performing a venipuncture on a patient of average weight, which is the correct technique for needle insertion? - answer - a. Insert until a change in resistance
5. Which is the best method to collect a blood specimen from an older adult patient who has fragile, easy to collapse veins? - answer - a. Choose a syringe and butterfly assembly
6. Which of the following is the term for donation of a patient's own blood for an upcoming surgery? - answer - a. Autologous donation

1. What is the appropriate cleanser to clean the meatus for a clean catch urine specimen? - answer - a. Benzalkonium chloride
2. When should the code on glucose cuvettes or strips be compared to the code on the glucose meter? - answer - a. When the patient is tested
3. Which of the following is appropriate to use when collecting for a chemistry test that requires serum? - answer - a. SST (this is the red gel tube)
4. A patient state she is a difficult draw and requests a skin puncture. The test is a PTT. Which should you do? - answer - a. Use a syringe and transfer to a light blue tube
5. Industry standard states needle insertion in the antecubital area should be: - answer - a. 15-30 degree angle
6. Tubes with which additive should be used for CBC? - answer - a. EDTA (purple tube)
7. When preparing for transport, which specimen must be placed on ice within 30 minutes after collection? - answer - a. Arterial Blood Gases

1. Which provides the phlebotomist the best protection when drawing blood from a patient with active TB? - answer - a. N- 95 respirator mask
2. During a draw, the patient becomes unresponsive. What should you do? - answer - a. Check for breathing
3. Why should a phlebotomist avoid drawing blood from a leg or foot of a diabetic patient? - answer - a. These areas are more susceptible to infection
4. Why is it important to place a specimen in a biohazard specimen bag outside the laboratory? - answer - a. The biohazard bag prevents a possible exposure incident
5. As a student. Proper introduction - answer - a. Hi, my name is Sally Smith. I am a student phlebotomist and I'm here to collect blood specimen
6. When using evacuated tube system (EVS). - answer - a. Position the needle in the same direction as the vein at 30 degree angle
7. What is additive for a PT/PTT? - answer - a. Sodium Citrate (Blue top)
8. Blood cultures have been ordered on ICU patient. You would use:

• answer - a. Aerobic and anaerobic bottles

1. The phlebotomist draws a CBC at 1800. Lab closed at 1730 and will not process until 500. What temp should the CBC be stored - answer - a. 2-10 degrees C (EDTA tubes may be processed at 12 hours if refrigerated)
2. What test results can be affected if iodine is used to clean the site? - answer - a. Potassium
3. According to CLSI, what is collected first? - answer - a. Blood cultures
4. KNOW ORDER OF DRAW - answer -
5. KNOW ADDITIVES - answer -
6. KNOW ORDER OF VENIPUNTURE PROCEDURE - answer -
7. A physician ordered a Tobramycin level to be drawn one hour after dose. The Tobramycin has been ordered for 11am. What should you do - answer - a. Check with the nurse to make sure meds were given (or not given)
8. phlebotomist notices red spots. What is appropriate action? - answer - a. Apply pressure after collecting During the draw, the the sample

1. What is a potential consequence of mislabeling a blood bank specimen? - answer - a. A Transfusion reaction
2. When should a phlebotomist perform external liquid controls for quality control on CLIA waived point of care test? - answer - a. When a new lot number or kit is opened
3. A 3.3 kg infant has a total blood volume of 240-330ml - answer -
4. Cleanse in an outward spiral - answer -
5. What would you use for a hand draw? - answer - a. Butterfly or winged infusion set
6. Invert anticoagulant tubes to :prevent coagulation - answer - Name the 3 types of blood samples - answer - whole blood/ plasma/ serum What two States require licensure - answer - Louisiana & California When the Phlebotomist collects blood, in which of the patient's zones of interpersonal space is he/she operating? - answer - The patient's Intimate Zone or Space Define Phlebotomy - answer - An incision into the vein

What two government agencies administer CLIA? - answer - Center for Medicare/Medicaid Services (CMS)__ FDA

. Is the Joint Commission a non-profit organization? - answer - No, it's a not for profit organization In what year and by what organization was The Patient's Bill of Rights initiated? - answer - 1973 by the American Hospital Association. . What is Informed Consent? - answer - When you explain the procedure to the patient and they give you verbal or written permission to proceed. What is Implied Consent? - 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? - 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? - answer - A criminal lawsuit is initiated by the government, a civil lawsuit is between private parties.

What is Assault? - answer - The threat of touching another person without his or her consent and with the intention of causing fear of harm What is Battery? - answer - Actual harmful touching of another person without his or her consent. What is Libel? - answer - False defamatory writing that is published. What is a Sentinel Event? - answer - An unanticipated death or permanent loss of function not related to a patient's illness or underlying condition.

. What does PPE stand for? - answer - Personal Protective Equipment . How full should you fill the Sharps Container before using a new container? - answer - ¾ full . What is the name of the multi-purpose fire extinguisher? - answer - ABC To what does the term "aseptic techniques" refer? - answer - Techniques that provide a degree of cleanliness that prevents infection and keeps the phlebotomy environment free of contamination by microorganisms.

a. Wash hands b. Put on a gown, mask and gloves c. Read the posted instructions d. Obtain permission - answer - c. Read the posted instructions What does the acronym PASS describe and stand for? - 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? - 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. - 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. - 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. - 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. - 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. - answer - d. plasma contains fibrinogen.

d. oxalate. - answer - b. sodium citrate.

. ABO and Rh typing are performed in which laboratory section? a. Hematology b. Blood bank c. Chemistry d. Cytology - 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. - 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) - 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. - 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. - 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. - answer - b. failure to correctly identify a patient. . 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. - answer - a. it is no longer sterile.