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NHA PHLEBOTOMY EXAM 202 5 / NEW UPDATE WITH 111
QUESTIONS AND CORRECT DETAILED AND VERIFIED
ANSWERS/ALREADY GRADED A+/202 5 MOST EXPECTED
QUESTIONS AND ANSWERS. BAY AREA MEDICAL
ACADEMY
What is the most preferred site for venipuncture? - RIGHT ANS:->>Median Cubital Prior to preforming the capillary (dermal) puncture the PT should select the - RIGHT ANS :->>Lancet size When collecting blood cultures from an adult client it is recommended to collect - RIGHT ANS :->>8- 10 mL per bottle Feather edge reflects the correct results for a - RIGHT ANS :->>Peripheral Blood Smear What tests require fasting - RIGHT ANS :->>Glucose, triglycerides, cholesterol, vitamin & mineral problems and pregnancy When entering a clients room you should - RIGHT ANS :->>introduce yourself and explain procedure What two factors that determine weather a child should have capillary collection by heel or stick? - RIGHT ANS :->>Age & developmental factors
What is used to collect cerebrospinal fluid, which is a non blood specimen? - RIGHT ANS :->>Lumbar tap What type of alcohol compound is appropriate for a routine skin puncture? - RIGHT ANS:->> 70% isopropyl alcohol When running an IV what is the preferred site for drawing blood specimen? - RIGHT ANS:->> Going Distal If during a venipunture the client moves needle and needle comes out PT should - RIGHT ANS :->>Release tourniquet If client notifies PT of fainting during blood collection you should - RIGHT ANS:-
Position in supine OSHA guidelines are standards for - RIGHT ANS :->>Reduction of risks and injuries to employee The lavender evacuated tube contains - RIGHT ANS :->>EDTA Stool specimen should be refrigerated for 24 hours when conducting what test - RIGHT ANS:->> Ova and parasite test If a PT needs to collect a prothrombin time from a client with difficult veins - RIGHT ANS :->>A light blue tube is best
What is the most common reason for glucose monitoring through point of care testing - RIGHT ANS :->>To monitor glucose levels If a client had a mastectomy when preforming a venipuncture you should - RIGHT ANS: - >>Draw from opposite arm When is it appropriate to place specimen in ice when transporting - RIGHT ANS:->> For ABG analysis The timing for a GTT begins when - RIGHT ANS:->>Client finishes drinking glucose solution The proper order of draw of capillary specimen is - RIGHT ANS :->>Lavender, green, gray, SST An alcohol level test is ordered - RIGHT ANS:->>The sodium fluoride tube should be used After collecting a billirubin test the specimen should - RIGHT ANS:->>Be kept away from direct light to ensure accurate results Using antimicrobial sanitizers is a way of preventing - RIGHT ANS:-
Nosocomial infections The proper way a Pt should instruct their client to collect a C&S stool specimen is to tell them to - RIGHT ANS:->>Chill stool specimen in a container
Which veins should be avoided by PT unless otherwise instructed by Physician
- RIGHT ANS:->>Dorsalis Pedis When receiving a specimen collected by a client PT shoudl - RIGHT ANS:-
Compare the lab requisition form to client photo ID After cleansing a site PT should - RIGHT ANS:->>Always let the spot dry A light blue tube is best What is the most common reason for glucose monitoring through point of care testing - RIGHT ANS :->>To monitor glucose levels If a client had a mastectomy when preforming a venipuncture you should - RIGHT ANS: - >>Draw from opposite arm When is it appropriate to place specimen in ice when transporting - RIGHT ANS:->> For ABG analysis The timing for a GTT begins when - RIGHT ANS:->>Client finishes drinking glucose solution The proper order of draw of capillary specimen is - RIGHT ANS :->>Lavender, green, gray, SST An alcohol level test is ordered - RIGHT ANS:->>The sodium fluoride tube should be used After collecting a billirubin test the specimen should - RIGHT ANS:->>Be kept away from direct light to ensure accurate results Using antimicrobial sanitizers is a way of preventing - RIGHT ANS:- >>Nosocomial infections The proper way a Pt should instruct their client to collect a C&S stool specimen is to tell them to - RIGHT ANS:->>Chill stool specimen in a container Which veins should be avoided by PT unless otherwise instructed by Physician - RIGHT ANS:->>Dorsalis Pedis When receiving a specimen collected by a client PT shoudl - RIGHT ANS:- >>Compare the lab requisition form to client photo ID After cleansing a site PT should - RIGHT ANS:->>Always let the spot dry What is the most important to verify prior to obtaining specimen - RIGHT ANS:- Client identity When performing a capillary collection serum tubes sample should be drawn when? - RIGHT ANS:->>Last What is a complication that could happen is the needle is too small? - RIGHT ANS:->>Hemolysis Which veins should be used by a PT at first choice by a venipuncture on a 3 yr old? - RIGHT ANS:->>Dorsal veins of the hand What does warming the site do? - RIGHT ANS:->>Increases blood flow When collecting a bilirubin specimen from a newborn it must? - RIGHT ANS:- Be protected from the light
A PT has orders to draw blood cultures, CBC, PTT, and iron panels but forgets to draw PTT what should you do? - RIGHT ANS:->>Draw a discard tube and redraw blood cultures Quality control testing of glucometer is important to - RIGHT ANS:-
Promote accurate test results What are additives sodium citrate and EDTA used to prevent? - RIGHT ANS:- Hemostais While on flood a PT is paged for a STAT which is the most useful to PT? - RIGHT ANS:->>Room location During venipuncture the needle in the vein and bloodflow is established when the second tube is attached blood flow stops the PT should - RIGHT ANS:- Rotate the bevel of needle While the PT is drawing and client reports feeling lightheaded and faints PT should - RIGHT ANS:->>Remove tourniquet All test results of hospital clients are available to physicians and nursing staff in house via - RIGHT ANS:->>Internet While preforming donor phlebotomy for blood bank PT should use what size needle? - RIGHT ANS:->>18-16 gauge
Vein located laterally on arm is called - RIGHT ANS:->>Cephalic Hemoconcentration of a venous blood sample is most often caused when - RIGHT ANS:->>The tourniquet is in place for more than 2 mins
Hematoma - RIGHT ANS:->>Accumulation of blood under skin Phlebitis - RIGHT ANS:->>Inflammation of the vein Thrombus - RIGHT ANS:->>Blood clot Petechaie - RIGHT ANS:->>Tiny hemorrhage Thrombophlebitis - RIGHT ANS:->>Infected clot in vein Spticemia - RIGHT ANS:->>Infection in the blood Trauma - RIGHT ANS:->>Bruses When is povidone iodine solution used? - RIGHT ANS:->>For collections that require more stringent infection control ex blood cultures and arterial punctures When is chlorhexidine gluconate used? - RIGHT ANS:->>For those allergic to iodine and tests for alcohol What should you do when antibodies are produced in response to an infection? - RIGHT ANS:->>The specimen must be kept warm until the serum is separated from the cells
What specimens must be chilled immediately after collection? - RIGHT ANS:-
ABG blood gases, ammonia, latic acid, pyruvate, ACTH, gastrin and Remove tourniquet All test results of hospital clients are available to physicians and nursing staff in house via - RIGHT ANS:->>Internet While preforming donor phlebotomy for blood bank PT should use what size needle? - RIGHT ANS:->>18-16 gauge Vein located laterally on arm is called - RIGHT ANS:->>Cephalic Hemoconcentration of a venous blood sample is most often caused when - RIGHT ANS:->>The tourniquet is in place for more than 2 mins Hematoma - RIGHT ANS:->>Accumulation of blood under skin Phlebitis - RIGHT ANS:->>Inflammation of the vein Thrombus - RIGHT ANS:->>Blood clot Petechaie - RIGHT ANS:->>Tiny hemorrhage Thrombophlebitis - RIGHT ANS:->>Infected clot in vein Spticemia - RIGHT ANS:->>Infection in the blood Trauma - RIGHT ANS:->>Bruses When is povidone iodine solution used? - RIGHT ANS:->>For collections that require more stringent infection control ex blood cultures and arterial punctures When is chlorhexidine gluconate used? - RIGHT ANS:->>For those allergic to iodine and tests for alcohol What should you do when antibodies are produced in response to an infection? - RIGHT ANS:->>The specimen must be kept warm until the serum is separated from the cells What specimens must be chilled immediately after collection? - RIGHT ANS:- >>ABG blood gases, ammonia, latic acid, pyruvate, ACTH, gastrin and parathyroid hormone Which specimens must be protected from light after collection? - RIGHT ANS:- Bilirubin, beta carotene, vitamin A & B6 and prophyrins Where should dermal puncture be preformed for adult? - RIGHT ANS:- Distal segment of third or fourth finger of non dominant hand Where should dermal puncture be preformed for infant less than 1 year? - RIGHT ANS:->>The heel cant go deeper than 2 mm What is order of draw for capillary punctures? - RIGHT ANS:->>Lavender, tubes with additives, tubes with no additives Pre analytical errors - RIGHT ANS:->>Client misidentification, inadequate fast, client posture, poor coordination with other treatment Post analytical erros - RIGHT ANS:->>Processing delays, failure to separate serum from cells, rimming clots Intra/ Co analytical errors - RIGHT ANS:->>Under filling tubes After draw the client begins to twitch and shake and her eyes roll back what should PT do - RIGHT ANS:->>Observe client and help protect against injury
order states blood draw for HCT, HGB and potassium every 24 hours what is a complication for client? - RIGHT ANS:->>Hemolytic anemia 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 client faces the risk of latrogenic anemia? - RIGHT ANS:->>10-20% What must be followed exactly whenever a PT draws client test samples that may be used in a legal proceeding? - RIGHT ANS:->>Chain of custody For inclient in addition to clients complete name and DOB, medical record # what else must be included in the physicians requisition form - RIGHT ANS:-
Test to be preformed A positive HIV test results are an example of - RIGHT ANS:->>Point of care testing When labeling a non blood specimen where must the label be put - RIGHT ANS:->>On the container Quality assurance standards include - RIGHT ANS:->>Procedure manuals, instrument maintenance, quality control and proficiency testing A STAT electrolyte panels was reported to have critically high sodium levels - RIGHT ANS:->>Use gold tube explains pre analytic error What would exclude a client from donating blood? - RIGHT ANS:->>Obesity
The emergency dept sends 2 swabs from 2 year old child for influenza and strep only one swab has clients label PT should - RIGHT ANS:->>Run test on labeled swab Which is a likely result of filling a light blue tube with a ratio 1:6 - RIGHT ANS:-
False elevation of international normalized ratio When drawing blood PT should instruct client to - RIGHT ANS:->>Make a fist do not pump
