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NHA PHLEOTOMY TECHNICIAN PRACTICE EXAM AND
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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 in icewater 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 guardian before 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't draw until nurse puts an armband on patient
- Which is appropriate form of identification in inpatient setting? - answer-a. Verbal and 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 should the code on glucose cuvettes or strips be compared to the code on the glucose meter?
- answer-a. When the patient is tested
- 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)
- 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
- Industry standard states needle insertion in the antecubital area should be: - answer-a. 15-30 degree angle
- Tubes with which additive should be used for CBC? - answer-a. EDTA (purple tube)
- When preparing for transport, which specimen must be placed on ice within 30 minutes after collection? - answer-a. Arterial Blood Gases
- Which provides the phlebotomist the best protection when drawing blood from a patient with active TB? - answer-a. N- 95 respirator mask
- During a draw, the patient becomes unresponsive. What should you do? - answer-a. Check for breathing
- 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
- 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
- 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
- When using evacuated tube system (EVS). - answer-a. Position the needle in the same 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 patient when 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 the area 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
- 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: _1 Vena Cave (superior/inferior) _7 Lungs _5 Pulmonary Valve _6 Pulmonary Artery _13 Aorta _9 Left Atrium _2 Right Atrium _8 Pulmonary Veins _4 Right Ventricle _11 Left Ventricle _3 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.
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 - 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. 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
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.
Using an evacuated tube after its expiration date can result in all of the following except: a. a short draw. b. a clotted specimen. c. a lipemic specimen. d. a contaminated specimen - answer-a. a short draw. The Patient's Bill of Rights guarantees the patient all of the following except: a. a private room. b. informed consent. c. confidentiality. d. treatment refusal. - answer-a. a private room. To complete the chain of infection, all of the following are required except a: a. source. b. contaminated surface. c. mode of transmission. d. host. - answer-b. contaminated surface. An infection contracted by a patient while in the hospital is termed: a. antibiotic-resistant. b. staphylococcal. c. nosocomial. d. unfortunate - answer-c. nosocomial. The recommended disinfectant for blood and body fluid contamination is: a. sodium hydroxide. b. antimicrobial soap. c. hydrogen peroxide. d. sodium hypochlorite. - answer-d. sodium hypochlorite.
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 layer of skin that contains the blood vessels is the: a. epidermis. b. dermis. c. keratinized epithelium. d. root shaft. - answer-b. dermis.
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.
d. Pink - 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 - 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. - 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 - 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. - 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. - 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 - 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. - 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. - 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. - 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:
