Phlebotomy Technician Procedures and Best Practices, Exams of Public Health

Download Phlebotomy Technician Procedures and Best Practices and more Exams Public Health in PDF only on Docsity! A phlebotomy technician is selecting a site for a blood draw from a patient. From which of the following vein should the technician attempt to draw first? - >>Median cubital answer A phlebotomy technician uses a sterile technique and demonstrates proper hygiene. Which of the following professional characteristics is the technician Attention to cleanliness displaying? - answer>> A patient who has diabetes states that he prefers to be drawn on the inside of his wrist. Which of the following actions should a phlebotomy technician take? - Attempt to draw from the antecubital region answer>> A phlebotomy technician is preparing to collect a specimen for a blood alcohol level test. Which of the following antiseptics should the technician use to clean Soap and water the venipuncture site? - answer>> blood cultures have been ordered on an adult patient in an intensive care unit. A nurse calls a phlebotomy technician to bring the appropriate materials. Which of An the following materials should the phlebotomy technician bring? - answer>> aerobic bottle and an anaerobic bottle a phlebotomy technician is preparing a patient for a routine venipuncture. Which of the following antiseptic Solutions should the technician use? - Isopropyl alcoholanswer>> which of the following actions is a phlebotomy technician required to take before initial and mark the date and time on each leaving a patient's room? - answer>> tube drawn. A phlebotomy technician has collected a blood specimen from a patient who is in an isolation room. Which of the following pieces of personal protective >>Gloves equipment (PPE) should the technician remove first? - answer After exiting a patient's room, which of the following is the last piece of personal protective equipment (PPE) a phlebotomy technician should remove? - >>Mask answer A phlebotomy technician is removing a bag of contaminated items from a collection area. Which of the following actions should the technician take to Place the bag inside a second properly dispose of the items? - answer>> hazardous waste bag outside of the room A phlebotomy technician has a requisition form for a series of tests on a patient's serum. The technician should select a collection tube that contains which of the Thrombin following additives? - answer>> ( the technician should use a collection tube that has the additive thrombin, which helps accelerate clotting from serum specimens.) A phlebotomy technician is preparing to draw a blood specimen from a patient who has a Clostridium difficile infection. Which of the following precautions >>Contact precautionsshould the technician follow? - answer a phlebotomy technician should ensure that which of the following specimens is protected from light? - answer>>Bilirubin ( a bilirubin specimen is photosensitive. Therefore, the technician should protect the specimen from Light by wrapping the specimen in aluminum foil.) A phlebotomy technician is exposed to blood via a needle stick injury. Within how many hours should the technician initiate postexposure prophylaxis (PEP)? - answer>>24 hr A phlebotomy technician is preparing to collect a Time medication draw ordered for 1400. The technician should verify when the patient received his previous dose of medication with which of the following members of the interprofessional team? - answer>>Nurse A phlebotomy technician is preparing to collect a blood specimen from a patient who states he his HIV positive. which of the following actions should the technician take? - answer>>Perform the venipuncture After a phlebotomy technician performs a heel puncture for neonatal screening, which of the following is the correct procedure for collecting the blood? - answer>>Saturate each circle with one drop of blood A phlebotomy technician is preparing to perform a blood draw on a patient who had a left-sided mastectomy and an IV on her right side. In which of the following locations should the technician perform the draw? - answer>>Below the IV A phlebotomy technician is preparing to perform a venipuncture on a patient. Which of the following types of consent is the patient providing when she extends her arm to begin the procedure? - answer>>Implied consent which of the following actions should a phlebotomy technician take when preparing a peripheral blood smear? - answer>>place a 1 mm drop of blood one- half inch from the edge of the slide. A phlebotomy technician should select a tube that has which of the following anticoagulants to collect a sample for a PT/PTT test? - answer>>Sodium citrate ( the technician should use a collection tube that has the anticoagulant sodium citrate to collect a sample for a PT/PTT test) A phlebotomy technician should identify that the order of draw for capillary collections is different from venipuncture for which of the following reasons? - answer>>An increased rate of coagulation ( thromboplastin is released when the skin is punctured, causing blood to clot more quickly. Therefore, there is an increased rate of coagulation during capillary collections.) a phlebotomy technician is preparing to draw blood from a patient who has scabies. Which of the following pieces of personal protective equipment should the technician use? - answer>>Gown A phlebotomy technician is verifying a patient's identity before performing a venipuncture procedure. Which of the following information should the technician request from the patient? - answer>>The patient's full name and date of birth A phlebotomy technician should identify that which of the following is the first step in the blood collection procedure? - answer>>Test requisition Which of the following tasks is within a phlebotomy technician's scope of practice? - answer>>Providing instructions to patients for specimen collection A phlebotomy technician is preparing to perform a fingerstick for a patient. Which of the following actions should the technician take first? - answer>>Confirm the identity of the patient A phlebotomy technician observes a hematoma developing at the site of a venous blood draw. Which of the following actions should the technician take? - answer>>Release the tourniquet and stop the draw. which of the following actions should a phlebotomy technician take to maintain compliance with HIPAA? - answer>>clear phone numbers from the fax machine a phlebotomy technician is instructing a patient about how to collect a 24-hour urine specimen. Which of the following instructions should the technician include? - answer>>discard the first void of the morning ( the technician should instruct the patient to discard the first Floyd of the morning and collect all subsequent void until the next morning.) A phlebotomy technician is instructing a patient about how to collect a fecal occult specimen. Which of the following instructions should the technician include? - answer>>Avoid taking ibuprofen ( the technician should instruct the patient to avoid taking ibuprofen, which can cause false-positive test results.) Before collecting blood from a patient in an inpatient setting, a phlebotomy technician notices that the patient does not have a wristband on his wrist, but there is one attached to the patient's IV stand. Which of the following actions should the technician take? - answer>>hold the draw until the nurse has attached a wristband to the patient a phlebotomy technician is preparing to enter a patient's room to collect a blood specimen. which of the following actions should the technician plan to take? - answer>>communicate name and Department affiliation to the patient a phlebotomy technician is updating a quality control record while performing daily point-of-care test. Which of the following information should the technician include? - answer>>expiration date ( the technician should know the expiration date of the device when updating a quality control record.) a phlebotomy technician uses alcohol to clean a venipuncture site. Before performing the venipuncture, the technician should allow the site to dry for which of the following reasons? - answer>>alcohol requires time for antiseptic action to take effect A phlebotomy technician enters a patient's room to perform a venipuncture and finds the patient sleeping. Which of the following actions should the technician take? - answer>>Gently wake the patient A phlebotomy technician is preparing to obtain a blood specimen from a patient for an erythrocyte sedimentation rate test. The technician should select a collection tube that has a top with which of the following colors? - answer>>Lavender ( the technician should select a collection tube that has a lavender colored top when collecting for an erythrocyte sedimentation rate test) a phlebotomy technician is preparing to store a blood specimen. At which of the following temperatures should the technician store the specimen? - answer>>2° to 8° C (35° to 46.4° F) A phlebotomy technician is performing a venipuncture for a patient who begins to seize. Which of the following actions should the technician take? - answer>>discontinue the draw ( during a seizure, it is important for the technician to discontinue the draw and protect the patient from self-injury.) A phlebotomy technician should use a capillary collection instead of a venipuncture in which of the following situations? - answer>>A patient's veins are inaccessible. ( when veins are inaccessable due to IVs, scarring, or burns, the technician should collect a capillary specimen.) a phlebotomy technician should identify that which of the following actions should cause a hemolyzed specimen? - answer>>shaking a collection tube vigorously a phlebotomy technician is performing a blood glucose test. Which of the following glucose levels should the technician identify as being outside the expected reference range? - answer>>200 mg/dL (The technitian should identify that a troponin T level of 0.3 ng/mL is above the expected refrence range of 0 to 0.2 ng/mL and is therefore a critical value. The technitian should immediately report this finding to the provider.) which of the following actions should a phlebotomy technician take when reporting laboratory results? - answer>>send the results to the patient's ordering provider A phlebotomy Texhnician is obtaining a blood specimen from a patient. The patient reports experiencing sharp, painful, and tingling sensation going down her arm and into her hand. The technician should recognize that which of the following complications of venipuncture is occuring? - answer>>nerve injury - answer>> A patient asks a phlebotomy technician to use her finger for blood work. In which of the following situations can the technician collect blood from the patient's finger? - answer>>The ordered test can be performed on a capillary specimen. A phlebotomy technician is preparing to draw blood specimens from a patient who is alone and unresponsive. The technician should collect the specimens using which of the following forms of consent? - answer>>Implied Consent (Emergency Situations use implied consent to provide immediate treatment to save a patient's life. The patient may be unresponsive but is still entitled to continued care.) A phlebotomy Technician is preparing to draw blood from a patient who states that this is his first blood draw. Which of the following actions should the technician take? - answer>>Describe the procedure to the patient. After placing a tourniquet on a patient's arm, a phlebotomy technician notices small red spots below the tourniquet. Which of the following terms describe these spots? - answer>>Petechiae After verifying a patient's identity, a phlebotomy sees that the patient's laboratory results are ready. Which of the following actions should the technician take? - answer>>Inform the patient to contact the ordering provider to obtain the results. ( Only the ordering provider can discuss laboratory results with the patient. The technician should instinct the patient to contact the provide to obtain the laboratory results. ) A phlebotomy Technician is preparing to draw blood from a patient who states that she fainted during her last blood draw. Which of the following actions should the technician take? - answer>>ask the patient to lie down for the procedure A phlebotomy Technician is processing a semen specimen. Which of the following actions should the technician take? - answer>>Deliver the specimen to the Laboratory within 2hr. A phlebotomy technician performs a point-of-care glucose test for a patient in an outpatient settings. The results is in the critical value range. Which of the following actions should the technician take? - answer>>Report the result to the patient's provider. A phlebotomy technician is introducing herself to a patient and explaining the venipuncture procedure. In which of the following comfort zones is the technician working? - answer>>Personal (The personality interpersonal space refers to interactions within 45.7 cm to 1.2 m (18 in to 4 feet) of patient, such as when the technician explains the venipuncture procedure.) A phlebotomy technician is informing a patient about how to enter a basal state for a blood collection. The technician should inform the patient not to consume food for how many hours prior to blood collection? - answer>>12 hr A phlebotomy technician is preparing to perform a hand draw. Which of the following equipment should the technician assemble? - answer>>winged infusion set and adapter A phlebotomy technician is preparing to perform a venipuncture for a patient who is on droplet precautions. In addition to following standard precautions, which of the following pieces of personal protective equipment should the technician apply before entering the patient's room? - answer>>Mask (In addition to following standard precautions, the technician should wear a mask when performing a venipuncture for a patient who is on droplet precautions.) A phlebotomy technician is preparing to perform a blood draw when the patient states that he is severely allergic to latex. Which of the following actions should the technician take? - answer>>Use a blood pressure cuff and inflate it to 40 mm Hg. (For a patient who has an allergy to latex, the technician should use a blood pressure cuff and inflate it to 40 mm Hg, which provides enough pressure to palpate a vein.) Which of the following is a proper cleansing technique when a phlebotomy technician is performing a routine venipuncture? - answer>>Cleanse the site using back and forth friction. (Updated CLSI standards recommend cleaning the site using a back and forth friction motion.) Which of the following tubes should a phlebotomy technician collect first when obtaining dermal samples? - answer>>Lavender Top (The technician should collect the dermal samples using a lavender-topped tube first because this tube minimizes platelet clumping and microclot formation.) A phlebotomy technician is reviewing a laboratory test requisition form before obtaining blood specimens from a patient. Which of the following actions should the technician take prior to performing the venipuncture? - answer>>Check the requisition forms for duplicate test orders. A phlebotomy technician is instructing a patient about proper semen specimen collection for determination of fertility potential. Which of the following instructions should the technician include? - answer>>Protect the specimen from exposure to bright light. For which of the following reasons should a phlebotomy technician place a specimen in a biohazard bag for a transport to an outside laboratory? - answer>>The biohazard bag prevents a possible exposure incident. A phlebotomy technician is preparing to obtain a blood specimen to determine a patient's sodium level. The technician should select a collection tube that has a top with which of the following colors? - answer>>Green (The technician should select a collection tube that has a green-colored top to determine the patient's sodium level. This tube has heparin as an additive, which aids in determining sodium levels.) Which of the following actions should a phlebotomy technician take to prevent needle stick injuries? - answer>>Replace a sharps container that has reached its fill line. (To prevent needle stick injury, the technician should replace a sharps container that has reached its fill line.)