Proper Phlebotomy Procedures and Techniques, Exams of Nursing

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NHA Phlebotomy certification EXAM 2024 prep questions and answers

NHA Phlebotomy certification EXAM 2024 prep questions and answers

1. What temperature should a semen sample be transported? - >>>36-38 degrees C
2. 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 - >>>b. Incorrect needle gauge
3. 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) - >>>d. Place specimen in icewater slurry (or a cup of ice)
4. The phlebotomist has a request to collect a CBC from a healthy 10 month old. Which is appropriate? - >>>a. Either heel
5. 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? - >>>a. Implied consent
6. Why should phlebotomist document volume of blood drawn from a patient? - >>>a. Iatrogenic anemia could be a result fo too much taken

15. 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? - >>>a. Lab rejects the mislabeled specimen
16. Phlebotomist is performing venipuncture and patient begins to seize. What is correct action? - >>>a. Discontinue the draw
17. Phlebotomist receives orders to draw an infant screening card, O2 levels, bilirubin, and DNA. Which is to be drawn first? - >>>a. O2 levels
18. When performing a venipuncture on a patient of average weight, which is the correct technique for needle insertion? - >>>a. Insert until a change in resistance
19. Which is the best method to collect a blood specimen from an older adult patient who has fragile, easy to collapse veins? - >>>a. Choose a syringe and butterfly assembly
20. Which of the following is the term for donation of a patient's own blood for an upcoming surgery? - >>>a. Autologous donation
21. The order of draw for capillary collections is different than venipuncture because - >>>a. Increased risk of coagulation (remember platelets start to form)
22. Upon entering a patient's room for routine blood draw, phlebotomist notices clergy member is with the patient. What should you do? - >>>a. Return later after drawing other patients
23. A phlebotomist notices a hematoma developing at the site of venipuncture. The phlebotomist should - >>>a. Release the tourniquet and stop the draw

24. Know ORDER of DRAW!! - >>>
25. A phlebotomist working in an infertility clinic and the patient is to submit a semen specimen. The phlebotomist would tell the patient: - >>>a. As soon as you collect the specimen, keep it next to your body and bring it in right away. (the reason is it needs to stay at body temp and delivered in lab within 2 hours)
26. After placing tourniquet on a patients arm, the phlebotomist notices small red spots below the tourniquet. - >>>a. Petechiae
27. The phlebotomist should examine the antecubital veins of both arms because: - >>>a. The median cubital might be more accessible on one side than the other
28. What is the appropriate cleanser to clean the meatus for a clean catch urine specimen? -

a. Benzalkonium chloride

29. When should the code on glucose cuvettes or strips be compared to the code on the glucose meter? - >>>a. When the patient is tested
30. Which of the following is appropriate to use when collecting for a chemistry test that requires serum? - >>>a. SST (this is the red gel tube)
31. A patient state she is a difficult draw and requests a skin puncture. The test is a PTT. Which should you do? - >>>a. Use a syringe and transfer to a light blue tube
32. Industry standard states needle insertion in the antecubital area should be: - >>>a. 15- degree angle

42. Blood cultures have been ordered on ICU patient. You would use: - >>>a. Aerobic and anaerobic bottles
43. A phlebotomist is required to obtain what from a potential donor? - >>>a. Complete medical history
44. Phlebotomist needs to draw a glucose tolerance test on a patient and notices an empty breakfast plate at bedside. What should you do? - >>>a. Ask the patient when he or she ate last
45. Which vein should you attempt first? - >>>a. Median cubital
46. If a phlebotomist is stuck with a used needle, first action is: - >>>a. Flush the area with running water
47. correct specimen handling, what should you put on collection tubes? - >>>Before leaving a patient room, make sure the date, time and initials are on the tubes.
48. When removing the needle from the arm, engage the safety device immediately - >>>
49. What can cause hemolysis? - >>>a. Vigorously shaking the tube
50. A phlebotomist must centrifuge a serum separator tube before shipment: - >>>a. Cells must be separated from the serum

51. The phlebotomist draws a CBC at 1800. Lab closed at 1730 and will not process until 500. What temp should the CBC be stored - >>>a. 2-10 degrees C (EDTA tubes may be processed at 12 hours if refrigerated)
52. What test results can be affected if iodine is used to clean the site? - >>>a. Potassium
53. According to CLSI, what is collected first? - >>>a. Blood cultures
54. KNOW ORDER OF DRAW - >>>
55. KNOW ADDITIVES - >>>
56. KNOW ORDER OF VENIPUNTURE PROCEDURE - >>>
57. A physician ordered a Tobramycin level to be drawn one hour after dose. The Tobramycin has been ordered for 11am. What should you do - >>>a. Check with the nurse to make sure meds were given (or not given)
58. phlebotomist notices red spots. What is appropriate action? - >>>a. Apply pressure after collecting During the draw, the the sample
59. What is a potential consequence of mislabeling a blood bank specimen? - >>>a. A Transfusion reaction
60. When should a phlebotomist perform external liquid controls for quality control on CLIA waived point of care test? - >>>a. When a new lot number or kit is opened

. 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) - >>> To whom does the phlebotomist report? - >>>A technical phlebotomy supervisor What two government agencies administer CLIA? - >>>Center for Medicare/Medicaid Services (CMS)__ FDA . Is the Joint Commission a non-profit organization? - >>>No, it's a not for profit organization In what year and by what organization was The Patient's Bill of Rights initiated? - >>>1973 by the American Hospital Association. . What is Informed Consent? - >>>When you explain the procedure to the patient and they give you verbal or written permission to proceed.

What is Implied Consent? - >>>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? - >>>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? - >>>A criminal lawsuit is initiated by the government, a civil lawsuit is between private parties. What is Assault? - >>>The threat of touching another person without his or her consent and with the intention of causing fear of harm What is Battery? - >>>Actual harmful touching of another person without his or her consent. What is Libel? - >>>False defamatory writing that is published. What is a Sentinel Event? - >>>An unanticipated death or permanent loss of function not related to a patient's illness or underlying condition.

. What does PPE stand for? - >>>Personal Protective Equipment . How full should you fill the Sharps Container before using a new container? - >>>¾ full . What is the name of the multi-purpose fire extinguisher? - >>>ABC

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 - >>>c. Read the posted instructions What does the acronym PASS describe and stand for? - >>>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? - >>>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. - >>>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. - >>>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. - >>>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. - >>>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. - >>>d. plasma contains fibrinogen. Specimens collected in serum separator tubes are most frequently delivered to: a. blood bank. b. serology. c. hematology. d. chemistry - >>>d. chemistry.

The activated partial thromboplastin time (APTT) or partial thromboplastin time (PTT) test is performed in: a. coagulation. b. chemistry. c. urinalysis. d. histology. - >>>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) - >>>b. Complete blood count (CBC) An anemia would be detected by a: a. glucose test. b. blood culture. c. urinalysis. d. complete blood count. - >>>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. - >>>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. - >>>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. - >>>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 - >>>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. - >>>a. a private room.

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. - >>>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. - >>>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 - >>>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. - >>>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- - >>>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 - >>>d. NPO The ability to keep body systems functioning in a steady state is called: a. coagulation. b. articulation. c. metabolism. d. homeostasis. - >>>d. homeostasis. The layer of skin that contains the blood vessels is the: a. epidermis. b. dermis.