Phlebotomy Techniques and Procedures, Exams of Nursing

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NHA Phlebotomy Exam1 Questions with Answers latest

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1. What is the most preferred site for venipuncture? - Correct Answer Median Cubital
2. Prior to preforming the capillary (dermal) puncture the PT should select the - Correct Answer Lancet size
3. When collecting blood cultures from an adult patient it is recommended to collect
   • Correct Answer 8-10 mL per bottle
4. Feather edge reflects the correct results for a - Correct Answer Peripheral Blood Smear
5. What tests require fasting - Correct Answer Glucose, triglycerides, cholesterol, vitamin & mineral problems and pregnancy
6. When entering a patients room you should - Correct Answer introduce yourself and explain procedure
7. What two factors that determine weather a child should have capillary collection by heel or stick? - Correct Answer Age & developmental factors
8. What is used to collect cerebrospinal fluid, which is a non blood specimen? - Correct Answer Lumbar tap
9. What type of alcohol compound is appropriate for a routine skin puncture? - Correct Answer 70% isopropyl alcohol
10. When running an IV what is the preferred site for drawing blood specimen? - Correct Answer Going Distal
11. If during a venipunture the patient moves needle and needle comes out PT should - Correct Answer Release tourniquet
12. If patient notifies PT of fainting during blood collection you should - Correct Answer Position in supine
13. OSHA guidelines are standards for - Correct Answer Reduction of risks and injuries to employee
14. The lavender evacuated tube contains - Correct Answer EDTA

15. Stool specimen should be refrigerated for 24 hours when conducting what test - Correct Answer Ova and parasite test
16. If a PT needs to collect a prothrombin time from a patient with difficult veins - Correct Answer A light blue tube is best
17. According to CISI order of draw guidelines, the following samples should be collected first - Correct Answer Cultures
18. What is the most important info included on MSDS (material safety data sheet) - Correct Answer The composition of compounds
19. In order for blood alcohol level to be admitted by evidence in court of law what must be done - Correct Answer PT must document the process of cleansing the site with chlohexadine prep
20. What is needed for proper out patient ID - Correct Answer Name and DOB
21. If a patient is a contact isolation - Correct Answer Precaution gown and gloves must be worn
22. If a female refuses to get blood drawn from a male for religious purposes - Correct Answer A female PT should collect the specimen
23. A PT should explain the procedure prior to the venipuncture in order to - Correct Answer Obtain patient consent
24. According to CISI the standard depth of dermal puncture for infants is - Correct Answer 2mm
25. What are one of the complications associated with dermal puncture? - Correct Answer Osteomyelitis
26. What is the most common reason for glucose monitoring through point of care testing - Correct Answer To monitor glucose levels
27. If a patient had a mastectomy when preforming a venipuncture you should - Correct Answer Draw from opposite arm
28. When is it appropriate to place specimen in ice when transporting - Correct Answer For ABG analysis
29. The timing for a GTT begins when - Correct Answer Patient finishes drinking glucose solution

30. The proper order of draw of capillary specimen is - Correct Answer Lavender, green, gray, SST
31. An alcohol level test is ordered - Correct Answer The sodium fluoride tube should be used
32. After collecting a billirubin test the specimen should - Correct Answer Be kept away from direct light to ensure accurate results
33. Using antimicrobial sanitizers is a way of preventing - Correct Answer Nosocomial infections
34. The proper way a Pt should instruct their patient to collect a C&S stool specimen is to tell them to - Correct Answer Chill stool specimen in a container
35. Which veins should be avoided by PT unless otherwise instructed by Physician - Correct Answer Dorsalis Pedis
36. When receiving a specimen collected by a patient PT shoudl - Correct Answer Compare the lab requisition form to patient photo ID
37. After cleansing a site PT should - Correct Answer Always let the spot dry
38. What is the most important to verify prior to obtaining specimen - Correct Answer Patient identity
39. When performing a capillary collection serum tubes sample should be drawn when? - Correct Answer Last
40. What is a complication that could happen is the needle is too small? - Correct Answer Hemolysis
41. Which veins should be used by a PT at first choice by a venipuncture on a 3 yr old? - Correct Answer Dorsal veins of the hand
42. What does warming the site do? - Correct Answer Increases blood flow
43. When collecting a bilirubin specimen from a newborn it must? - Correct Answer Be protected from the light
44. If PT is inserting needle and patient complains of sharp radiating pain down his arm you should? - Correct Answer Release tourniquet, remove needle and apply pressure and cover
45. What is needed for homeostasis to take place? - Correct Answer Thrombocytes

46. When collecting a capillary specimen after the site is punctured you should? - Correct Answer Wipe the first draw
47. When is the winged infusion needle used? - Correct Answer With patients who have fragile veins
48. If the PT observes a hematoma forming at the site of draw the PT should? - Correct Answer Release tourniquet and stop draw
49. When a PT enters room without introducing or asking permission to enter its considered - Correct Answer Invasion of privacy
50. The duties of a PT are to - Correct Answer Instruct and greet patients
51. When drawing blood on a small child the PT should explain procedure to - Correct Answer Parents and child
52. When performing a dermal puncture on patients 1 year or older they should perform it on which finger? - Correct Answer Middle finger
53. A PT has orders to draw blood cultures, CBC, PTT, and iron panels but forgets to draw PTT what should you do? - Correct Answer Draw a discard tube and redraw blood cultures
54. Quality control testing of glucometer is important to - Correct Answer Promote accurate test results
55. What are additives sodium citrate and EDTA used to prevent? - Correct Answer Hemostais
56. While on flood a PT is paged for a STAT which is the most useful to PT? - Correct Answer Room location
57. During venipuncture the needle in the vein and bloodflow is established when the second tube is attached blood flow stops the PT should - Correct Answer Rotate the bevel of needle
58. While the PT is drawing and patient reports feeling lightheaded and faints PT should - Correct Answer Remove tourniquet
59. All test results of hospital patients are available to physicians and nursing staff in house via - Correct Answer Internet
60. While preforming donor phlebotomy for blood bank PT should use what size needle? - Correct Answer 18-16 gauge

61. Vein located laterally on arm is called - Correct Answer Cephalic
62. Hemoconcentration of a venous blood sample is most often caused when - Correct Answer The tourniquet is in place for more than 2 mins
63. When performing a draw on a diabetic patient with small fragile veins and PT misses twice the PT should - Correct Answer Ask another PT to obtain
64. Utilizing tubes that have expired may result in - Correct Answer Loss of vacuum
65. What causes hemolysis - Correct Answer Vigorously inverting tubes
66. Dermal puncture performed on an infant are routinely collected from - Correct Answer Lateral plantar surface
67. After introducing yourself you should - Correct Answer Correctly identify patient
68. What is negligence - Correct Answer Failure to demonstrate proper care that results in an injury to another person
69. Heel sticks are done for which neonatal screening - Correct Answer PKU
70. For patient compliance with GTT test PT should - Correct Answer Confirm patient has been fasting
71. Sclerosed vein - Correct Answer Hardening of vein
72. Hemoconcentration - Correct Answer Concentration of blood
73. Hematoma - Correct Answer Accumulation of blood under skin
74. Phlebitis - Correct Answer Inflammation of the vein
75. Thrombus - Correct Answer Blood clot
76. Petechaie - Correct Answer Tiny hemorrhage
77. Thrombophlebitis - Correct Answer Infected clot in vein
78. Spticemia - Correct Answer Infection in the blood
79. Trauma - Correct Answer Bruses
80. When is povidone iodine solution used? - Correct Answer For collections that require more stringent infection control ex blood cultures and arterial punctures

81. When is chlorhexidine gluconate used? - Correct Answer For those allergic to iodine and tests for alcohol
82. What should you do when antibodies are produced in response to an infection? - Correct Answer The specimen must be kept warm until the serum is separated from the cells
83. What specimens must be chilled immediately after collection? - Correct Answer ABG blood gases, ammonia, latic acid, pyruvate, ACTH, gastrin and parathyroid hormone
84. Which specimens must be protected from light after collection? - Correct Answer Bilirubin, beta carotene, vitamin A & B6 and prophyrins
85. Where should dermal puncture be preformed for adult? - Correct Answer Distal segment of third or fourth finger of non dominant hand
86. Where should dermal puncture be preformed for infant less than 1 year? - Correct Answer The heel cant go deeper than 2 mm
87. What is order of draw for capillary punctures? - Correct Answer Lavender, tubes with additives, tubes with no additives
88. Pre analytical errors - Correct Answer Patient misidentification, inadequate fast, patient posture, poor coordination with other treatment
89. Post analytical erros - Correct Answer Processing delays, failure to separate serum from cells, rimming clots
90. Intra/ Co analytical errors - Correct Answer Under filling tubes
91. After draw the patient begins to twitch and shake and her eyes roll back what should PT do - Correct Answer Observe patient and help protect against injury
92. If before draw pattient was very talkative and after draw becomes quiet and stares blankly you should? - Correct Answer Ask if he or she is okay and feels faint
93. When collecting blood in an evacuated tube hemolysis would occur with which gauge needle> - Correct Answer 25'
94. What are signs PT should recognize on patient during venipuncture? - Correct Answer Cold, calmmy, and diaphoretic skin
95. If a patient turns pale and complains of nausea when PT is about to collect these are signs of what - Correct Answer Syncope

96. Where should a PT document test preformed with regent products as part of protocol - Correct Answer On a quality control log
97. To ensure safety of PT and psychiatric patients and others a PT should - Correct Answer Bring all necessary equipment to patients room
98. What does SST in a collection tube indicate - Correct Answer To indicate if plasma is used and distinguish weather a collection tube contains serum or plasma
99. Because of time between collection and plasma separation the PT should - Correct Answer Centrifuge specimen
100. If a PT is ordered to draw blood from a 6lb newborn from the NICU and the order states blood draw for HCT, HGB and potassium every 24 hours what is a complication for patient? - Correct Answer Hemolytic anemia
101. What is the percent of body weight is the volume of blood that can be drawn at one time or short period of time before patient faces the risk of latrogenic anemia? - Correct Answer 10-20%
102. What must be followed exactly whenever a PT draws patient test samples that may be used in a legal proceeding? - Correct Answer Chain of custody
103. For inpatient in addition to patients complete name and DOB, medical record # what else must be included in the physicians requisition form - Correct Answer Test to be preformed
104. A positive HIV test results are an example of - Correct Answer Point of care testing
105. When labeling a non blood specimen where must the label be put - Correct Answer On the container
106. Quality assurance standards include - Correct Answer Procedure manuals, instrument maintenance, quality control and proficiency testing
107. A STAT electrolyte panels was reported to have critically high sodium levels - Correct Answer Use gold tube explains pre analytic error
108. What would exclude a patient from donating blood? - Correct Answer Obesity

109. The emergency dept sends 2 swabs from 2 year old child for influenza and strep only one swab has patients label PT should - Correct Answer Run test on labeled swab
110. Which is a likely result of filling a light blue tube with a ratio 1:6 - Correct Answer False elevation of international normalized ratio
111. When drawing blood PT should instruct patient to - Correct Answer Make a fist do not pump