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- What temperature should a semen sample be transported? - ANSWER- 36 - 38 degrees C
- 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 - ANSWER-b. Incorrect needle gauge
- 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) - ANSWER-d. Place specimen inicewater slurry (or a cup of ice)
- The phlebotomist has a request to collect a CBC from a healthy 10 month old. Which is appropriate? - ANSWER-a. Either heel
- 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? - ANSWER-a.Implied consent
- Why should phlebotomist document volume of blood drawn from a patient? - ANSWER-a. Iatrogenic anemia could be a result fo too much taken
- A phlebotomist has a requisition to draw blood on a patient with severe Down's syndrome. What steps would you take? - ANSWER-a. Speak with the patient guardianbefore performing venipuncture to enmsure the patient understands
- 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
- Which of the following actions is appropriate when labeling specimens? - ANSWER-a. Label specimens at the time of collection in front of the patient
- 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'tdraw until nurse puts an armband on patient
NHA Phlebotomy certification Exam
Questions and Answers
- Which is appropriate form of identification in inpatient setting? - ANSWER-a. Verbaland wrist band
- WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary? - ANSWER-a. Lavender and red
- A blood specimen is rejected by lab with QNS as the reason? Why? - ANSWER-a.The specimen was insufficient-not enough blood
- 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
- 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
- Phlebotomist is performing venipuncture and patient begins to seize. What is correct action? - ANSWER-a. Discontinue the draw
- Phlebotomist receives orders to draw an infant screening card, O2 levels, bilirubin, and DNA. Which is to be drawn first? - ANSWER-a. O2 levels
- 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
- 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 butterflyassembly
- Which of the following is the term for donation of a patient's own blood for an upcoming surgery? - ANSWER-a. Autologous donation
- The order of draw for capillary collections is different than venipuncture because - ANSWER-a. Increased risk of coagulation (remember platelets start to form)
- Upon entering a patient's room for routine blood draw, phlebotomist notices clergy member is with the patient. What should you do? - ANSWER-a. Return later after drawing other patients
- A phlebotomist notices a hematoma developing at the site of venipuncture. The phlebotomist should - ANSWER-a. Release the tourniquet and stop the draw
- Know ORDER of DRAW!! - ANSWER-
- When using evacuated tube system (EVS). - ANSWER-a. Position the needle in thesame direction as the vein at 30 degree angle
- What is additive for a PT/PTT? - ANSWER-a. Sodium Citrate (Blue top)
- Blood cultures have been ordered on ICU patient. You would use: - ANSWER-a.Aerobic and anaerobic bottles
- A phlebotomist is required to obtain what from a potential donor? - ANSWER-a. Complete medical history
- Phlebotomist needs to draw a glucose tolerance test on a patient and notices an empty breakfast plate at bedside. What should you do? - ANSWER-a. Ask the patientwhen he or she ate last
- Which vein should you attempt first? - ANSWER-a. Median cubital
- If a phlebotomist is stuck with a used needle, first action is: - ANSWER-a. Flush thearea with running water
- correct specimen handling, what should you put on collection tubes? - ANSWER-Before leaving a patient room, make sure the date, time and initials are on the tubes.
- When removing the needle from the arm, engage the safety device immediately - ANSWER-
- What can cause hemolysis? - ANSWER-a. Vigorously shaking the tube
- A phlebotomist must centrifuge a serum separator tube before shipment: - ANSWER-a. Cells must be separated from the serum
- 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 (EDTAtubes may be processed at 12 hours if refrigerated)
- What test results can be affected if iodine is used to clean the site? - ANSWER-a. Potassium
- According to CLSI, what is collected first? - ANSWER-a. Blood cultures
- KNOW ORDER OF DRAW - ANSWER-
- KNOW ADDITIVES - ANSWER-
- KNOW ORDER OF VENIPUNTURE PROCEDURE - ANSWER-
- 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 withthe nurse to make sure meds were given (or not given)
- phlebotomist notices red spots. What is appropriate action? - ANSWER-a. Apply pressure after collecting During the draw, the the sample
- What is a potential consequence of mislabeling a blood bank specimen? - ANSWER-a. A Transfusion reaction
- 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
- A 3.3 kg infant has a total blood volume of 240 - 330ml - ANSWER-
- Cleanse in an outward spiral - ANSWER-
- What would you use for a hand draw? - ANSWER-a. Butterfly or winged infusion set
- 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 is the meaning of these acronyms: ASPT, ASCP, and NHA? - ANSWER-ASPT = American Society of Phlebotomy Technicians ASCP = American Society for Clinical Pathology NHA = National Healthcareer Association Define Reference Laboratory: - 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: Vena Cave (superior/inferior) _7 Lungs Pulmonary Valve _6 Pulmonary Artery
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Right Atrium _8 Pulmonary Veins Right Ventricle _11 Left Ventricle Tricuspid Valve _12 Aortic Valve _10 Mitral Valve (aka, Bi-Cuspid) - ANSWER- To whom does the phlebotomist report? - ANSWER-A technical phlebotomy supervisor 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.
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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 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. Specimens collected in serum separator tubes are most frequently delivered to: a. blood bank. b. serology. c. hematology. d. chemistry - 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 - ANSWER-d. both A and B
a. ethylenediaminetetraacetic acid (EDTA). b. sodium citrate. c. heparin. 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 correctlyidentify 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.
d. treating all specimens as infectious. - 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. - 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. - 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 - 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. - ANSWER-d. when the hands are not visibly contaminated with blood or other body fluid The prefix that means decreased is: a. hypo- b. hyper- c. hetero- d. haplo- - ANSWER-a. hypo- Which of the following abbreviations on a patient's chart, test requisition, or bedside notice would be most important if a patient asked a phlebotomist for a drink of water? a. TPR b. PRN c. OP d. NPO - ANSWER-d. NPO The ability to keep body systems functioning in a steady state is called: a. coagulation. b. articulation. c. metabolism. d. homeostasis. - ANSWER-d. homeostasis.
The artery of choice for measuring the pulse rate in an adult is the: a. carotid. b. radial. c. brachial. d. temporal. - ANSWER-b. radial. The blood vessels that carry deoxygenated blood to the heart are: a. arteries. b. alveoli. c. capillaries. d. veins. - ANSWER-d. veins. All of the following are formed elements found in the blood except: a. erythrocytes. b. platelets. c. macrophages. d. leukocytes. - ANSWER-c. macrophages
. The primary role of the thrombocyte is to: a. transport nutrients. b. promote blood clotting. c. phagocytize bacteria. d. produce antibodies. - 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. - 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. - ANSWER-b. plasma. The primary antiseptic for routine venipuncture is: a. iodine. b. chlorhexidine.
c. isopropyl alcohol. d. Betadine. - 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.
