NHA PHLEBOTOMY EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS, Exams of Nursing

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NHA PHLEBOTOMY EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS What is the most preferred site for venipuncture? - Precise Answer ✔✔Median Cubital Prior to preforming the capillary (dermal) puncture the PT should select the - Precise Answer ✔✔Lancet size When collecting blood cultures from an adult patient it is recommended to collect - Precise Answer ✔✔8-10 mL per bottle Feather edge reflects the correct results for a - Precise Answer ✔✔Peripheral Blood Smear What tests require fasting - Precise Answer ✔✔Glucose, triglycerides, cholesterol, vitamin & mineral problems and pregnancy When entering a patients room you should - Precise Answer ✔✔introduce yourself and explain procedure What two factors that determine weather a child should have capillary collection by heel or stick? - Precise Answer ✔✔Age & developmental factors What is used to collect cerebrospinal fluid, which is a non blood specimen? - Precise Answer ✔✔Lumbar tap What type of alcohol compound is appropriate for a routine skin puncture? - Precise Answer ✔✔70% isopropyl alcohol When running an IV what is the preferred site for drawing blood specimen? - Precise Answer ✔✔Going Distal If during a venipunture the patient moves needle and needle comes out PT should - Precise Answer ✔✔Release tourniquet If patient notifies PT of fainting during blood collection you should - Precise Answer ✔✔Position in supine OSHA guidelines are standards for - Precise Answer ✔✔Reduction of risks and injuries to employee The lavender evacuated tube contains - Precise Answer ✔✔EDTA Stool specimen should be refrigerated for 24 hours when conducting what test - Precise Answer ✔✔Ova and parasite test Using antimicrobial sanitizers is a way of preventing - Precise Answer ✔✔Nosocomial infections The proper way a Pt should instruct their patient to collect a C&S stool specimen is to tell them to - Precise Answer ✔✔Chill stool specimen in a container Which veins should be avoided by PT unless otherwise instructed by Physician - Precise Answer ✔✔Dorsalis Pedis When receiving a specimen collected by a patient PT shoudl - Precise Answer ✔✔Compare the lab requisition form to patient photo ID After cleansing a site PT should - Precise Answer ✔✔Always let the spot dry What is the most important to verify prior to obtaining specimen - Precise Answer ✔✔Patient identity When performing a capillary collection serum tubes sample should be drawn when? - Precise Answer ✔✔Last What is a complication that could happen is the needle is too small? - Precise Answer ✔✔Hemolysis Which veins should be used by a PT at first choice by a venipuncture on a 3 yr old? - Precise Answer ✔✔Dorsal veins of the hand What does warming the site do? - Precise Answer ✔✔Increases blood flow When collecting a bilirubin specimen from a newborn it must? - Precise Answer ✔✔Be protected from the light If PT is inserting needle and patient complains of sharp radiating pain down his arm you should? - Precise Answer ✔✔Release tourniquet, remove needle and apply pressure and cover What is needed for homeostasis to take place? - Precise Answer ✔✔Thrombocytes When collecting a capillary specimen after the site is punctured you should? - Precise Answer ✔✔Wipe the first draw When is the winged infusion needle used? - Precise Answer ✔✔With patients who have fragile veins If the PT observes a hematoma forming at the site of draw the PT should? - Precise Answer ✔✔Release tourniquet and stop draw When a PT enters room without introducing or asking permission to enter its considered - Precise Answer ✔✔Invasion of privacy The duties of a PT are to - Precise Answer ✔✔Instruct and greet patients When drawing blood on a small child the PT should explain procedure to - Precise Answer ✔✔Parents and child When performing a dermal puncture on patients 1 year or older they should perform it on which finger? - Precise Answer ✔✔Middle finger A PT has orders to draw blood cultures, CBC, PTT, and iron panels but forgets to draw PTT what should you do? - Precise Answer ✔✔Draw a discard tube and redraw blood cultures Quality control testing of glucometer is important to - Precise Answer ✔✔Promote accurate test results What are additives sodium citrate and EDTA used to prevent? - Precise Answer ✔✔Hemostais While on flood a PT is paged for a STAT which is the most useful to PT? - Precise Answer ✔✔Room location Thrombus - Precise Answer ✔✔Blood clot Petechaie - Precise Answer ✔✔Tiny hemorrhage Thrombophlebitis - Precise Answer ✔✔Infected clot in vein Spticemia - Precise Answer ✔✔Infection in the blood Trauma - Precise Answer ✔✔Bruses When is povidone iodine solution used? - Precise Answer ✔✔For collections that require more stringent infection control ex blood cultures and arterial punctures When is chlorhexidine gluconate used? - Precise Answer ✔✔For those allergic to iodine and tests for alcohol What should you do when antibodies are produced in response to an infection? - Precise Answer ✔✔The specimen must be kept warm until the serum is separated from the cells What specimens must be chilled immediately after collection? - Precise Answer ✔✔ABG blood gases, ammonia, latic acid, pyruvate, ACTH, gastrin and parathyroid hormone Which specimens must be protected from light after collection? - Precise Answer ✔✔Bilirubin, beta carotene, vitamin A & B6 and prophyrins Where should dermal puncture be preformed for adult? - Precise Answer ✔✔Distal segment of third or fourth finger of non dominant hand Where should dermal puncture be preformed for infant less than 1 year? - Precise Answer ✔✔The heel cant go deeper than 2 mm What is order of draw for capillary punctures? - Precise Answer ✔✔Lavender, tubes with additives, tubes with no additives Pre analytical errors - Precise Answer ✔✔Patient misidentification, inadequate fast, patient posture, poor coordination with other treatment Post analytical erros - Precise Answer ✔✔Processing delays, failure to separate serum from cells, rimming clots Intra/ Co analytical errors - Precise Answer ✔✔Under filling tubes After draw the patient begins to twitch and shake and her eyes roll back what should PT do - Precise Answer ✔✔Observe patient and help protect against injury If before draw pattient was very talkative and after draw becomes quiet and stares blankly you should? - Precise Answer ✔✔Ask if he or she is okay and feels faint When collecting blood in an evacuated tube hemolysis would occur with which gauge needle> - Precise Answer ✔✔25' What are signs PT should recognize on patient during venipuncture? - Precise Answer ✔✔Cold, calmmy, and diaphoretic skin If a patient turns pale and complains of nausea when PT is about to collect these are signs of what - Precise Answer ✔✔Syncope Where should a PT document test preformed with regent products as part of protocol - Precise Answer ✔✔On a quality control log To ensure safety of PT and psychiatric patients and others a PT should - Precise Answer ✔✔Bring all necessary equipment to patients room What does SST in a collection tube indicate - Precise Answer ✔✔To indicate if plasma is used and distinguish weather a collection tube contains serum or plasma Because of time between collection and plasma separation the PT should - Precise Answer ✔✔Centrifuge specimen