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NHA Phlebotomy Certification Exam: Questions and Answers, Exams of Nursing

City University of New York (CUNY) - Lehman College Nursing

A list of questions and answers related to phlebotomy certification exam. The questions cover various topics such as proper procedures, appropriate techniques, and potential consequences of mislabeling a blood bank specimen. The answers are verified and up-to-date. useful for students who are preparing for the phlebotomy certification exam or for those who want to refresh their knowledge on the subject.

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NHA Phlebotomy certification Exam |

Questions and Answers | Latest

Edition | Verified Answers

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.

Partial preview of the text

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lOMoAR cPSD| 29752889

NHA Phlebotomy certification Exam |

Questions and Answers | Latest

Edition | Verified Answers

1. What temperature should a semen sample be transported?: 36 - 38 de- grees C
1. 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
1. 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)
1. The phlebotomist has a request to collect a CBC from a healthy 10 month old. Which is appropriate?: a. Either heel
1. 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
1. Why should phlebotomist document volume of blood drawn from a patient?: a. Iatrogenic anemia could be a result fo too much taken
1. 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
1. A 69 year old unconscious patient is brought ot the ER. Several blood tests are ordered. The phlebotomist collects blood under: a. Implied consent
1. Which of the following actions is appropriate when labeling specimens?- : a. Label specimens at the time of collection in front of the patient
1. 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

1. Which is appropriate form of identification in inpatient setting?: a. Verbal and wrist band
1. WBC, RBC, Electrolytes are ordered. Which tubes are used for capil- lary?: a. Lavender and red NHA Phlebotomy certification EXAM
1. A blood specimen is rejected by lab with QNS as the reason? Why?: a. The specimen was insufficient-not enough blood
1. Which of the following is best method to prevent internal or external bleeding from venipuncture site after needle is removed?: a. Apply pressure to prevent leakage of blood into the tissues
1. A physician orders a STAT but phlebotomist forgets to fill out patient ID number. What is appropriate procedure for an improperly labeled speci- men when received in lab?: a. Lab rejects the mislabeled specimen
1. Phlebotomist is performing venipuncture and patient begins to seize. What is correct action?: a. Discontinue the draw
1. Phlebotomist receives orders to draw an infant screening card, O levels, bilirubin, and DNA. Which is to be drawn first?: a. O2 levels
1. 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
1. 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
1. Which of the following is the term for donation of a patient's own blood for an upcoming surgery?: a. Autologous donation
1. The order of draw for capillary collections is different than venipunc- ture because: a. Increased risk of coagulation (remember platelets start to form)
1. 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
1. A phlebotomist notices a hematoma developing at the site of venipuncture. The phlebotomist should: a. Release the tourniquet and stop the draw
1. Know ORDER of DRAW!!:
1. A phlebotomist working in an infertility clinic and the patient is to

student phlebotomist and I'm here to collect blood specimen

1. When using evacuated tube system (EVS).: a. Position the needle in the same direction as the vein at 30 degree angle
1. What is additive for a PT/PTT?: a. Sodium Citrate (Blue top)
1. Blood cultures have been ordered on ICU patient. You would use:: a. Aerobic and anaerobic bottles
1. A phlebotomist is required to obtain what from a potential donor?: a. Complete medical history
1. 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
1. Which vein should you attempt first?: a. Median cubital
1. If a phlebotomist is stuck with a used needle, first action is:: a. Flush the area with running water
1. 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.
1. When removing the needle from the arm, engage the safety device immediately:
1. What can cause hemolysis?: a. Vigorously shaking the tube
1. A phlebotomist must centrifuge a serum separator tube before ship- ment:: a. Cells must be separated from the serum
1. 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)
1. What test results can be affected if iodine is used to clean the site?: a. Potassium
1. According to CLSI, what is collected first?: a. Blood cultures
1. KNOW ORDER OF DRAW:
1. KNOW ADDITIVES:
1. KNOW ORDER OF VENIPUNTURE PROCEDURE:
1. 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)

1. phlebotomist notices red spots. What is appropriate action?: a. Apply pressure after collecting During the draw, the the sample
1. What is a potential consequence of mislabeling a blood bank speci- men?: a. A Transfusion reaction
1. 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
1. A 3.3 kg infant has a total blood volume of 240 - 330ml:
1. Cleanse in an outward spiral:
1. What would you use for a hand draw?: a. Butterfly or winged infusion set
1. Invert anticoagulant tubes to :prevent coagulation:
Name the 3 types of blood samples: whole blood/ plasma/ serum
What two States require licensure: Louisiana & California
When the Phlebotomist collects blood, in which of the patient's zones of interpersonal space is he/she operating?: The patient's Intimate Zone or Space
Define Phlebotomy: An incision into the vein
What is the meaning of these acronyms: ASPT, ASCP, and NHA?: ASPT = American Society of Phlebotomy Technicians ASCP = American Society for Clinical Pathology NHA = National Healthcareer Association
Define Reference Laboratory:: A reference laboratory is one that specializes in one test or one group of tests, or where more unusual or obscure tests are performed. 71.. 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

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

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
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 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.
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 96.. 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 deliv- ered to: a. blood bank. b. serology. c. hematology. d. chemistry: d. chemistry.
To prevent blood from clotting the specimen must be: d. both A and B c. centrifuged right after collection. d. both A and B: d. both A and B d. both A and B
Which of the following pairings is wrong? a. icteric and yellow. b. lipemic and cloudy. c. hemolyzed and red.: d. fasting and cloudy.
The main anticoagulant for coagulation studies is: a. ethylenediaminetetraacetic acid (EDTA).

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.

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.
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.
An infection contracted by a patient while in the hospital is termed: a. antibiotic-resistant. b. staphylococcal. c. nosocomial. d. unfortunate: c. nosocomial.
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 Graded A+

c. wellness clinics available to everyone. d. treating all specimens as infectious.: d. treating all specimens as infectious.

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, phle- botomists 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 hand- washing: 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- NHA Phlebotomy certification EXAM Graded A+

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.

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.
The primary antiseptic for routine venipuncture is: a. iodine. b. chlorhexidine. c. isopropyl alcohol. d. Betadine.: c. isopropyl alcohol.
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.
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
The ratio of blood to anticoagulant in a light blue stopper tube is: a. 2:l b. 5:l NHA Phlebotomy certification EXAM Graded A+

c. 9:l d. 10:1: 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.: 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: 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.: d. produce a clotted specimen 137.. 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.: a. red stopper tubes. 138.. Which of the following needles has the largest diameter? a. 16 gauge b. 18 gauge c. 20 gauge d. 22 gauge: 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.: 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.: c. may hemolyze the specimen NHA Phlebotomy certification EXAM Graded A+

b. median cubital. c. basilic. d. cephalic.: c. basilic.

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.
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.
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.
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.
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 Graded A+

154.. During the venipuncture, the phlebotomist should do all of the follow- ing except: a. anchor the vein above and below the puncture site. b. insert the needle with the bevel up. c. insert the needle at a 15 - to 30 - degree angle. d. brace the hand holding the adapter on the patient's arm.: a. anchor the vein above and below the puncture site.

A properly labeled tube must have all of the following information except the: a. patient location. b. patient identification number. c. date of collection. d. phlebotomist's initials.: a. patient location.
Two identifiers for patient identification before specimen collection are routinely secured by all the following means except: a. verifying the patient's identification number on the wrist or ankle identifi- cation band. b. asking the patient to state his or her first name and last name. c. asking the patient "Are you John Doe?" or "Are you Mary Doe?". d. comparing information obtained verbally and from the patient's iden- tification band with the information on the test requisition.: d. comparing information obtained verbally and from the patient's identification band with the information on the test requisition
When encountering a patient who is sleeping, the phlebotornist should: a. return at another time. b. try to collect the specimen without waking the patient. c. notify the nursing station. d. awaken the patient before collecting the specimen: d. awaken the patient before collecting the specimen
The best way to prevent fainting in a patient during blood collection is to: a. have the patient stand during the phlebotomy. b. have the patient lie down during the phlebotomy. c. have the patient pump the fist three times. d. place a pillow under the patient's head.: b. have the patient lie down during the phlebotomy
Patients are most likely to be in a basal state at: a. 6:00 a.m. NHA Phlebotomy certification EXAM Graded A+

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.

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.
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
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 Graded A+

171.. Which of the following tests is not part of the CBC: a. Red blood cell count b. Platelet count c. Sedimentation rate d. Differential: c. Sedimentation rate 172.. Testing of a fecal stool for parasites is performed in: a. Hematology b. Microbiology c. Immunology d. Urinalysis: b. Microbiology

A prothrombin test is performed in: a. Coagulation b. Immunology c. Microbiology d. Chemistry: a. Coagulation
True/False Indicate whether the following statements are true or false. The liquid portion of a specimen collected in a tube containing ethylenedi- aminetetraacetic acid (EDTA) is serum.: False
True/False Indicate whether the following statements are true or false. If a needle has not been used it can be recapped?: False
True/False Indicate whether the following statements are true or false. When using a butterfly, a light blue stopper tube should be collected first.: - /False 177.. What zone does a phlebotomist work in, according to the American zone of comfort guide lines? A. Intimate zone 18 - 24 inches B. Intimate zone 24 - 36 inches C. Personal zone 18 - 24 inches D. None of the above: A. Intimate zone 18 - 24 inches 178.. In what department of the lab is a complete blood count performed? A. Hematology B. Microbiology C. Chemistry D. Blood bank: A. Hematology NHA Phlebotomy certification EXAM Graded A+

NHA Phlebotomy Certification Exam: Questions and Answers, Exams of Nursing

Related documents

Partial preview of the text

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

NHA Phlebotomy certification Exam |

Questions and Answers | Latest

Edition | Verified Answers