NHA Phlebotomy Certification Exam, Exams of Nursing

Download NHA Phlebotomy Certification Exam and more Exams Nursing in PDF only on Docsity!

lOMoAR cPSD| 122634

NHA PHLEBOTOMY

CERTIFICATION

EXAM 2024/

WITH COMPLETE

SOLUTIONS

1. 1. What temperature should a semen sample be transported?: 36 - 38 de- grees C
2. 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. 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. 4. The phlebotomist has a request to collect a CBC from a healthy 10 month old. Which is appropriate?: a. Either heel
5. 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. 6. Why should phlebotomist document volume of blood drawn from a patient?: a. Iatrogenic anemia could be a result fo too much taken
7. 7. A phlebotomist has a requisition to draw blood on a patient with severe Down's syndrome. What steps would you take?: a. Speak with the patient guardian before performing venipuncture to enmsure the patient understands
8. 8. A 69 year old unconscious patient is brought ot the ER. Several blood tests are ordered. The phlebotomist collects blood under: a. Implied consent
9. 9. Which of the following actions is appropriate when labeling specimens?- : a. Label specimens at the time of collection in front of the patient
10. 10. 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?: a. Don't draw until nurse puts an armband on patient
11. 11. Which is appropriate form of identification in inpatient setting?: a. Verbal and wrist band
12. 12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capil- lary?: a. Lavender and red 1 / 27

NHA Phlebotomy certification EXAM

26. 26. After placing tourniquet on a patients arm, the phlebotomist notices small red spots below the tourniquet.: a. Petechiae
27. 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. 28. What is the appropriate cleanser to clean the meatus for a clean catch urine specimen?: a. Benzalkonium chloride
29. 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. 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. 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. 32. Industry standard states needle insertion in the antecubital area should be:: a. 15-30 degree angle
33. 33. Tubes with which additive should be used for CBC?: a. EDTA (purple tube)
34. 34. When preparing for transport, which specimen must be placed on ice within 30 minutes after collection?: a. Arterial Blood Gases
35. 35. Which provides the phlebotomist the best protection when drawing blood from a patient with active TB?: a. N-95 respirator mask
36. 36. During a draw, the patient becomes unresponsive. What should you do?: a. Check for breathing
37. 37. Why should a phlebotomist avoid drawing blood from a leg or foot of a diabetic patient?: a. These areas are more susceptible to infection
38. 38. Why is it important to place a specimen in a biohazard specimen bag outside the laboratory?: a. The biohazard bag prevents a possible exposure incident
39. 39. As a student. Proper introduction: a. Hi, my name is Sally Smith. I am a student phlebotomist and I'm here to collect blood specimen
40. 40. When using evacuated tube system (EVS).: a. Position the needle in the same direction as the vein at 30 degree angle
41. 41. What is additive for a PT/PTT?: a. Sodium Citrate (Blue top) 3 / 27

4 / 27

42. 42. Blood cultures have been ordered on ICU patient. You would use:: a. Aerobic and anaerobic bottles
43. 43. A phlebotomist is required to obtain what from a potential donor?: a. Complete medical history
44. 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. 45. Which vein should you attempt first?: a. Median cubital
46. 46. If a phlebotomist is stuck with a used needle, first action is:: a. Flush the area with running water
47. 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. 48. When removing the needle from the arm, engage the safety device immediately:
49. 49. What can cause hemolysis?: a. Vigorously shaking the tube
50. 50. A phlebotomist must centrifuge a serum separator tube before ship- ment:: a. Cells must be separated from the serum
51. 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. 52. What test results can be affected if iodine is used to clean the site?: a. Potassium
53. 53. According to CLSI, what is collected first?: a. Blood cultures
54. 54. KNOW ORDER OF DRAW:
55. 1. KNOW ADDITIVES:
56. 55. KNOW ORDER OF VENIPUNTURE PROCEDURE:
57. 56. 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. 57. phlebotomist notices red spots. What is appropriate action?: a. Apply pressure after collecting During the draw, the the sample NHA Phlebotomy certification EXAM Study online at https://quizlet.com/_9529ki

6 / 27

73. What two government agencies administer CLIA?: Center for Medicare/Medicaid Services (CMS) FDA 74.. Is the Joint Commission a non-profit organization?: No, it's a not for profit organization
74. In what year and by what organization was The Patient's Bill of Rights initiated?: 1973 by the American Hospital Association. 76.. What is Informed Consent?: When you explain the procedure to the patient and they give you verbal or written permission to proceed.
75. 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.
76. 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.
77. 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.
78. What is Assault?: The threat of touching another person without his or her consent and with the intention of causing fear of harm
79. What is Battery?: Actual harmful touching of another person without his or her consent.
80. What is Libel?: False defamatory writing that is published.
81. What is a Sentinel Event?: An unanticipated death or permanent loss of function not related to a patient's illness or underlying condition. 84.. What does PPE stand for?: Personal Protective Equipment 85.. How full should you fill the Sharps Container before using a new con- tainer?: ¾ full 86.. What is the name of the multi-purpose fire extinguisher?: ABC
82. To what does the term "aseptic techniques" refer?: Techniques that provide a degree of cleanliness that prevents infection and keeps the phlebotomy environ- ment free of contamination by microorganisms. 88.. A nosocomial infection is: a. Something acquired by healthcare workers. NHA Phlebotomy certification EXAM Study online at https://quizlet.com/_9529ki

7 / 27 b. Something acquired by visitors to a hospital. c. Something acquired by patients. d. A Hospital Acquired Infection. e. Caused by antibiotic resistant bacteria. f. Both c and d. g. Both a and c.: f. Both c and d. c. Something acquired by patients. d. A Hospital Acquired Infection

89. When is hand hygiene performed? a. When gloves are visibly soiled. b. Before putting on gloves c. After removing gloves d. All of the above e. Both a and b: d. All of the above a. When gloves are visibly soiled. b. Before putting on gloves c. After removing gloves
90. 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
91. 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.
92. 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 93.. 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.
93. A competent professional demeanor is shown by: a. neatness and cleanliness. b. courtesy and cheerfulness. NHA Phlebotomy certification EXAM Study online at https://quizlet.com/_9529ki

9 / 27 b. sodium citrate. c. heparin. d. oxalate.: b. sodium citrate.

102.. ABO and Rh typing are performed in which laboratory section? a. Hematology b. Blood bank c. Chemistry d. Cytology: b. Blood bank

103. The activated partial thromboplastin time (APTT) or partial thromboplas- tin time (PTT) test is performed in: a. coagulation. b. chemistry. c. urinalysis. d. histology.: a. coagulation. 104.. 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)
104. An anemia would be detected by a: a. glucose test. b. blood culture. c. urinalysis. d. complete blood count.: d. complete blood count. 106.. 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. 107.. 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. NHA Phlebotomy certification EXAM Study online at https://quizlet.com/_9529ki

10 / 27

108.. 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.

109. 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.
110. 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.
111. 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.: b. contaminated surface.
112. An infection contracted by a patient while in the hospital is termed: a. antibiotic-resistant. b. staphylococcal. c. nosocomial. d. unfortunate: c. nosocomial.
113. The recommended disinfectant for blood and body fluid contamination is: a. sodium hydroxide. b. antimicrobial soap. c. hydrogen peroxide. d. sodium hypochlorite.: d. sodium hypochlorite. 114.. The term universal precautions refers to: a. universal blood donors. b. mixing organic chemicals under a hood. NHA Phlebotomy certification EXAM Study online at https://quizlet.com/_9529ki

12 / 27

120. Which of the following abbreviations on a patient's chart, test req- uisition, 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
121. The ability to keep body systems functioning in a steady state is called: a. coagulation. b. articulation. c. metabolism. d. homeostasis.: d. homeostasis.
122. The layer of skin that contains the blood vessels is the: a. epidermis. b. dermis. c. keratinized epithelium. d. root shaft.: b. dermis.
123. The artery of choice for measuring the pulse rate in an adult is the: a. carotid. b. radial. c. brachial. d. temporal.: b. radial.
124. The blood vessels that carry deoxygenated blood to the heart are: a. arteries. b. alveoli. c. capillaries. d. veins.: d. veins.
125. All of the following are formed elements found in the blood except: a. erythrocytes. b. platelets. c. macrophages. d. leukocytes.: c. macrophages 126.. The primary role of the thrombocyte is to: a. transport nutrients. b. promote blood clotting. c. phagocytize bacteria. d. produce antibodies.: b. promote blood clotting. NHA Phlebotomy certification EXAM Study online at https://quizlet.com/_9529ki

13 / 27

127.. Functions of the blood include all of the following except: a. transport oxygen. b. regulate pulse rate. c. deliver nutrients. d. transport waste products.: b. regulate pulse rate.

128. The fluid that comprises approximately 55% of the total blood volume is made up of: a. hematocrit. b. plasma. c. tissue fluid. d. serum.: b. plasma.
129. The primary antiseptic for routine venipuncture is: a. iodine. b. chlorhexidine. c. isopropyl alcohol. d. Betadine.: c. isopropyl alcohol.
130. A properly tied tourniquet: a. permits arterial flow and blocks venous flow. b. blocks arterial and venous flow. c. prevents backflow. d. permits venous flow and blocks arterial flow.: a. permits arterial flow and blocks venous flow.
131. The color coding of evacuated tubes provides information about all of the following except the: a. volume of specimen collected. b. type of specimen collected. c. need to invert the tube. d. presence of an anticoagulant.: c. need to invert the tube. 132.. Which of the following tubes must always be completely filled? a. Gray b. Light blue c. Red d. Pink: b. Light blue
132. The ratio of blood to anticoagulant in a light blue stopper tube is: a. 2:l b. 5:l NHA Phlebotomy certification EXAM Study online at https://quizlet.com/_9529ki

15 / 27

141. 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.: c. disposed of as a unit with the collection needle into a sharps container.
142. All of the following are used to identify a patient except the: a. bed sign. b. requisition form. c. identification band. d. bar codes.: a. bed sign.
143. The most important purpose of a requisition form is: a. authorization to perform the procedure.a. authorization to perform the procedure. b. providing a system to report results. c. location of the patient. d. monitoring test result turnaround time.: a. authorization to perform the pro- cedure.a. authorization to perform the procedure.
144. Blood should not be drawn from a patient who is: a. standing. b. nervous. c. unable to make a fist. d. not fasting.: a. standing.
145. The maximum time a tourniquet should remain on the patient's arm is: a. 1 minute. b. 2 minutes. c. 3 minutes. d. 5 minutes.: a. 1 minute.
146. The vein of choice for routine venipuncture is the: a. median cubital. b. radial. c. cephalic. d. baslic: a. median cubital.
147. The vein located on the thumb side of the arm is the: a. brachial. NHA Phlebotomy certification EXAM Study online at https://quizlet.com/_9529ki

16 / 27 b. median cubital. c. basilic. d. cephalic.: c. basilic.

148. Palpate means to: a. perform a venipuncture. b. examine by touch. c. examine by sound. d. obtain a specimen from an intravenous line.: b. examine by touch.
149. Prolonged application of a tourniquet will cause: a. excessive bleeding. b. difficulty locating a vein. c. hemolysis. d. both A and C: d. both A and C a. excessive bleeding c. hemolysis.
150. Failure to allow the alcohol to dry on the patient's arm after site cleans- ing can cause all of the following except: a. increased bacteriostatic action. b. a stinging sensation for the patient. c. a possible unsterile site. d. specimen hemolysis.: a. increased bacteriostatic action.
151. Correct palpation of a vein includes all of the following except: a. determining the depth of the vein. b. detecting a pulse using the thumb. c. determining the direction of the vein. d. probing with the index finger.: b. detecting a pulse using the thumb.
152. Hemoconcentration can be caused by: a. prolonged tourniquet application. b. intravenous therapy. c. excessive probing. d. failure to clench the fist.: a. prolonged tourniquet application. 153.. Firmly anchoring the vein prior to needle insertion is necessary to prevent: a. specimen hemolysis. b. incompletely filled tubes. c. an accidental needlestick. d. the vein from rolling.: d. the vein from rolling. NHA Phlebotomy certification EXAM Study online at https://quizlet.com/_9529ki

18 / 27 b. 10:00 a.m. c. 2:00 p.m. d. 6:00 p.m.: a. 6:00 a.m

160.. A patient who appears pale and has cold, damp skin may develop: a. coagulation problems. b. septicemia. c. sclerosis. d. syncope.: d. syncope.

161. When encountering a patient with a fistula, the phlebotornist should: a. apply the tourniquet below the fistula. b. use the other arm. c. collect the blood from the fistula. d. attach a syringe to the T-tube connector.: b. use the other arm.
162. When collecting blood from a patient with a very edematous right arm and a large hematoma in the antecubital area of the left arm, the phlebotornist should collect the specimen from: a. below the hematoma. b. above the hematoma. c. the antecubital area of the right arm. d. the antecubital area of the left arm.: a. below the hematoma
163. The maximum number of attempts that a phlebotomist should make to collect a specimen is: a. one. b. two. c. three. d. four.: b. two. 164.. Prolonged tourniquet application will cause: a. edema. b. hemolysis. c. hemoconcentration. d. both B and C: d. both B and C b. hemolysis. c. hemoconcentration. 165.. Specimens are rejected by the laboratory for all of the following rea- sons except: a. clots in a lavender stopper tube. b. collection in the wrong tube. NHA Phlebotomy certification EXAM Study online at https://quizlet.com/_9529ki

19 / 27 c. incompletely filled light-blue stopper tubes. d. clots in a red stopper tube.: d. clots in a red stopper tube.

166.. Allowing blood to leak from a vein into the surrounding tissue will cause: a. hematoma. b. hemolysis. c. nerve damage. d. syncope.: a. hematoma.

167. Hematomas can be caused by all of the following except: a. having the patient bend the elbow. b. inserting the needle partially into the vein. c. drawing below an intravenous line. d. removing the tourniquet after removing the needle.: c. drawing below an intravenous line.
168. The best reason why the majority of patient samples are drawn in the early moming hours is because: a. the patient will not be in the basal state early in the rnorning because this requires several hours of normal physical activity by the patient. b. patients should have consumed a meal no less than three hours prior to the time of collection. c. the patient will be in the basal state, having restrained from strenuous exercise and having fasted for approximately 12 hours. d. patients are generally more agreeable with collection times scheduled early in the morning.: c. the patient will be in the basal state, having restrained from strenuous exercise and having fasted for approximately 12 hours. 169.. Plasma differs from Serum in that: a. Serum contains fibrinogen b. Serum is obtained by centrifugation c. Plasma contains fibrinogen d. Plasma is obtained by centrifugation: c. Plasma contains fibrinogen
169. A sentinel event would be most likely caused by delivery of a mislabeled tube to which lab department: a. Coagulation b. Hematology c. Immunology d. Blood bank: d. Blood bank NHA Phlebotomy certification EXAM Study online at https://quizlet.com/_9529ki