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Phlebotomy NHA Practice Test actual solution.pdf
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A Phlebotomist has a requisition to draw blood on a patient who has severe Down syndrome. Which of the following steps should the Phlebotomist take? A) Explain the procedure to the patient in simple terms, then proceed with venipunture. B) Speak with the patients guardian before performing the venipuncture to ensure the explanation is understood
C) Draw the Patient's blood without trying to explain the procedure D) Ask the patient's guardian to assist in holding the patient's arm still for the procedure - answer -B) Speak with the patients guardian before performing the venipuncture to ensure the explanation is understood Which of the following procedural steps for a finger stick should the phlebotomist do first? A) Cleanse the site B) Select the appropriate part of the 3rd or 4th finger C) Position the Blade of the Lancet across the lines of the fingertip D) Confirm Identity of the patient - answer -D) Confirm Identity of the patient
D) SPS - answer -A) SST A Phlebotomist Working in a fertility clinic draws blood form a patient who also must submit a semen sample for analysis. Which of the following should the phlebotomist tell the patient? A) As soon as you collect the specimen, keep it next to your body. We will need to submit it right away to the lab for testing B) You'll have to talk to the lab techs about collecting the sample. They do all the testing C) Leave the semen sample in the front desk for delivery to the lab D) You should discuss that with your doctor, I only draw blood - answer -A) As soon as you collect the specimen,
keep it next to your body. We will need to submit it right away Which of the following test results are affected when povidone iodine is used to cleanse the site for a dermal procedure? A) Glucose B) Blood urea nitrogen C) Potassium D) Coagulation Studies - answer -C) Potassium Blood Cultures have been ordered on a patient in the intensive care unit(ICU). The nurse calls the phlebotomist to bring the appropriate materials. Which of the following should the phlebotomist bring?
Which of the following can cause a hemolyzed specimen? A) Inverting the specimen 4 times B) Partially filling the collection tube C) Shaking the collection tube vigorously D) Allowing the specimen to clot - answer -C) Shaking the collection tube vigorously Which is an example of the acceptable reporting of routine lab results? A) Call the family physician with the results B) Send the results to the patient's personal email
C) Send the results to the physician in a marked Envelope D) Fax the results to the insurance company - answer -C) Send the results to the physician in a marked Envelope Before the phlebotomist performs a venipuncture, the patient warns that he is HIV positive. According to OSHA regulations, after donning gloves, the phlebotomist should? A) Apply an extra set of gloves over the first set B) Have the supervisor observe the draw C) Don a mask and eye protection D) Perform the venipuncture - answer -D) Perform the venipuncture
C)Potassium oxalate D) Heparin - answer -B) Sodium citrate When should the code on glucose cuvettes or strips be compared to the code on the glucose meter? A) After a new package is opened B) When a patient is tested C) At the beginning of the shift D) Following an error code - answer -B) When a patient is tested A Phlebotomist recieves orders to draw an infant screening card, O2 levels, bilirubin, and DNA. Which of the following should be drawn first?
A) O2 Levels B) Bilirubin C) DNA D)Screening card - answer -A) O2 Levels After performing a heel puncture for neonatal screening, which of the following is the correct procedure for collecting the blood? A) Smear the blood on the circle B) Saturate each circle C) Touch the heel to the center of the circle D) Drop the blood on the circle - answer -B) Saturate each circle Which indicates the proper order of draw? A) Lavender, Green, Gray B) Gray, Green, Lavender
A Phlebotomist is preparing to perform a hand draw. Which of the following should the phlebotomist assemble? A) ETS Needle and transfer B) Winged infusion set and adapter C) Syringe and vacutainer D) Lancet and microtainer - answer -B) Winged infusion set and adapter A patient comes in to find out his test results. The phlebotomist notices the results are ready and verifies the patient's identity. Which of the following actions is most appropriate? A) Have the lab manager discuss the results with the patient B) Have the nurse interpret the result for the patient
C) Obtain a signed authorization from the patient and explain the results in a private exam room D) Inform the patient to contact the ordering physician to get the results. - answer -D) Inform the patient to contact the ordering physician to get the results During a venipuncture, the patient reports a sharp pain radiating down the arm. Which of the following actions should the phlebotomist take? A) Release the tourniquet and remove the needle B) Pull back on the needle and continue procedure C) Reposition the patient and change the needle gauge D) Continue to draw and monitor the patient's pain. - answer -A) Release the tourniquet and remove the needle
B) Have the patient bend the arm at the elbow to reduce bleeding C) Apply a hot pack to the site if swelling or discoloration occurs D)Apply a cotton ball to the site - answer -A) Apply pressure to prevent leakage of blood into the tissues When collecting a routine blood sample, which of the following vessels should you attempt to draw from first? A) Median Cubital B) Ulnar C) Distal cephalic D) Radial - answer -A) Median Cubital A diabetic patient states she prefers to be drawn on the inside of her wrist. Which of the following actions should the phlebotomist do?
A) Draw from the inside of the patient's wrist B) Warm the ventral side of the hand to enhance vein location prior to draw C) Perform a draw on her foot D) Attempt to draw from the antecubital region - answer -D) Attempt to draw from the antecubital region Which of the following provides the phlebotomist the best protection when drawing blood from a patient with active TB? A) Double gloves B) N-95 respirator C) Surgical mask D) Shoe covers - answer -B) N-95 respirator
controlling bleeding, and keeping the victim warm until help arrives A) Syncope B) Convulsions C) Diaphoresis D) Shock - answer -D) Shock Performing a venipuncture for blood cultures from other venipuncture procedures in that A) More blood is drawn B) The site is Cleaned more stringently C) Special patient permission must be obtained D) A larger gauge needle is used - answer -B) The site is Cleaned more stringently Which of the following is the term for a donation of a patient's own blood for an upcoming surgery?
A) Autonomic Donation B) Presurgical Donation C) Autologous donation D) Homologous Donation - answer -C) Autologous donation The tourniquet should be left on the patients arm for no longer than A) 30 seconds B) 60 seconds C) 90 seconds D) 120 seconds - answer -B) No longer than 60 seconds A phlebotomist is preparing to draw blood from a patient in a hospital, the patient extends his arm and turns his head away. Which of the following forms of consent does this indicate? A) Informed consent
