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NHA Phlebotomy Technician Exam Actual
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A phlebotomy technician is collecting a blood sample from a newborn who weighs 3. kg (7 lb). Which of the following amounts is the maximum volume of blood the technician can draw from this newborn at one time? ----CORRECT ANSWER----------2. mL maximum for newborn weighing 2.7 kg to 3.6 kg (6 to 8 lb) A phlebotomy technician is preparing to collect a patient's troponin T level. Which of the following troponin T levels should the technician immediately report to the provider? ---- CORRECT ANSWER----------0.3 ng/mL this is above the expected range of 0 to 0,2 ng/mL, a critical value A phlebotomy technician has a requisition form for a series of tests on a patient's serum. The technician should select a collection tube that contains which of the following additives? ----CORRECT ANSWER----------Thrombin helps accelerate clotting for serum specimens GREEN Tube A phlebotomy technician is collecting a blood specimen from a patient to measure the trough level a medication. the technician should collect the specimen at which of the following times? ----CORRECT ANSWER----------Within 15 min before the patient receives the next dose of medication To prevent hospital-aquired infections, a phlebotomy technician should clean items that have been contaminated by blood with 1:10 dilution of which of the following substances and water? ----CORRECT ANSWER----------Sodium hypochlorite or chlorine bleach
A phlebotomy technician is preparing to collect a blood specimen from the hand of a patient whose veins are difficult to access. Which of the following devices should the technician use? ----CORRECT ANSWER----------Hand immobilizer uses straps to keep the patient's hand still during the collection procedure A phlebotomy technician has collected a blood specimen from a patient who is in an isolation room. Which of the following pieces of (PPE) should the technician remove first? ----CORRECT ANSWER----------Gloves: to prevent cross-contamination A phlebotomy technician is collecting a urine specimen from a patient for pre- employment drug test. Which of the following actions should the technician take? ---- CORRECT ANSWER----------Verify that the specimen contains as least 45 mL of urine the amount allows 30 mL to be put in one specimen bottle and 15 mL to be put in another A phlebotomy technician should identify that the order of draw for capillary collections is different from venipuncture for which of the following reasons? ----CORRECT ANSWER----------An increased rate of coagulation Thromboplastin is released when the skin is punctured, causing blood to clot more quickly. The single most important way to prevent the spread of infection while performing phlebotomy is by? ----CORRECT ANSWER----------Washing Hands After drawing blood from a patient, the phlebotomist should dispose of the needle by? -- --CORRECT ANSWER----------Deposit it in an approved "Sharps Container" Negligence by a professional person is called? ----CORRECT ANSWER---------- Malpractice Which of the following is the single most common source of HIV and HBV in the workplace? ----CORRECT ANSWER----------Blood
Forming microscopic pathways Connecting arterioles with venules ALL OF THE ABOVE The branch of study of moral issues, questions and problems arising in the practice of medicine and in biomedical research is called? ----CORRECT ANSWER---------- Bioethics If a test requires serum rather than plasma, a tube with what color top should be drawn? ----CORRECT ANSWER----------Red When using evacuated tubes for blood collection, it is crucial to remember to? ---- CORRECT ANSWER----------Never under fill tubes that contain anticoagulant Never use tubes past their stated expiration dates Immediately invert any tubes that contain additives ALL OF THE ABOVE The rubber sleeve (at the end opposite the needle tip) on an evacuated tube needle makes it possible for use with? ----CORRECT ANSWER----------Multiple Tubes Capillary blood sampling may be used if the laboratory tests require? ----CORRECT ANSWER----------Very little blood The tube to collect whole blood with an EDTA additive in it has a _________________ stopper? ----CORRECT ANSWER----------Lavender Diastolic pressure is? ----CORRECT ANSWER----------The bottom number of blood pressure readings
Do not draw ________________ an intravenous infusion? ----CORRECT ANSWER------ ----Above Which of the following legally enforces the Bloodbourne Pathogen Standard? ---- CORRECT ANSWER----------OSHA Common symptoms of shock include all of the following EXCEPT? ----CORRECT ANSWER----------Temperature Which of the following causes AIDS? ----CORRECT ANSWER----------HIV Arterioles, the smallest arteries, subdivide into? ----CORRECT ANSWER---------- Capillaries Which is the best method for a phlebotomy technician to collect blood specimen from an older adult patient who has fragile, easy-to-collapse veins? ----CORRECT ANSWER----- -----Choose a syringe and butterfly assembly and transfer to an ETS tube: a syringe minimizes pressure on fragile veins and helps prevent collapsing A phlebotomy technician is preparing a blood specimen from a patient for an erythrocyte sedimentation rate (ESR) test. The technician should select a collection tube that has a top with which of the following colors? ----CORRECT ANSWER----------Lavender: should be used when collecting for an erythrocyte sedimentation rate test (ESR) A phlebotomy technician is reviewing a laboratory requisition before obtaining blood specimens from a patient. The technician should verify that the requisition includes which of the following information? ----CORRECT ANSWER----------A specimen identification code: A unique specimen ID code Patients full name Patients DOB
A phlebotomy technician should identify that which of the following is the first step in the blood collection procedure? ----CORRECT ANSWER----------Test Requisition: ensure you have the provider's order for a test before preforming a blood collection An unconscious patient is brought to the emergency department, and several blood tests are ordered. A phlebotomy technician should collect the patients blood because he has received which of the following types of consent? ----CORRECT ANSWER---------- IMPLIED Consent: implied consent can be obtained when a patient is unconscious and in an emergency situation A phlebotomy technician is collecting capillary blood drops on a filter paper card to screen a newborn for phenylketonuria. Which of the following actions should the technician take? ----CORRECT ANSWER----------Apply blood to the printed side of the filter paper: only apply blood to the printed side of the paper Which of the following actions should a phlebotomy technician take to locate a vein using the warming technique? ----CORRECT ANSWER----------Encase the warm towel in a plastic bag: maintain the towels temperature and to keep the patients skin dry A phlebotomy technician should transport a semen sample at which of the following temperatures? ----CORRECT ANSWER----------36º - 38º C: semen samples should be stored and transported at 37º C (98.6º F) A phlebotomy technician is educating a patient about the at-home collection of a semen specimen. Which of the following statements by the patient indicates an understanding of the procedure? ----CORRECT ANSWER----------"I will collect the specimen in a sterile container and return it to the lab within 1 hour.": specimen should be collected in a sterile container, kept warm, and delivered to the laboratory within 1 hour
A phlebotomy technician is assembling the equipment he will need for collecting donor units of blood. Which of the following needle sizes should the technician select? ---- CORRECT ANSWER---------- 18 - guage After placing the tourniquet on a patients arm, the phlebotomist notices small red spots below the tourniquet. Which of the following terms describes these spots? ---- CORRECT ANSWER----------Petechiae: small micro capillary bleeds that are associated with coagulation abnormalities A phlebotomy technician is transporting blood specimens to a laboratory. Which of the following actions should the technician take? ----CORRECT ANSWER----------Place the specimens in a lockable container: to avoid spills during transportation A phlebotomy technician is obtaining a blood specimen from a patient. The patient reports experiencing a sharp, painful, and tingling sensation going down her arm and into her hand. The technician should recognize that which of the following complications of venipuncture is occurring? ----CORRECT ANSWER----------Nerve injury: the patient is experiencing nerve injury, which causes a sharp, painful, and tingling sensation that radiates down the patients arm A phlebotomy technician has a requisition form for a series of tests on a patients serum. The technician should select a collection tube that contains which of the following additives? ----CORRECT ANSWER----------Thrombin: GREEN Tube which helps accelerate clotting for serum specimens A phlebotomy technician is preparing to collect a vancomycin peak level for a patient in an inpatient setting. Which of the following actions should the technician take prior to collecting the blood specimen? ----CORRECT ANSWER----------Ask the attending nurse in the patients vancomycin dose schedule accurate: the technician should ask this prior to collection. The action ensures an accurate peak level for therapeutic medication monitoring (TMM)
Which of the following organizations requires employees to be assessed for competency? ----CORRECT ANSWER----------The Joint Commission When using glass slides to make a blood smear, the recommended angle of contact between slides is ________ degrees? ----CORRECT ANSWER----------30 degrees What could be the danger of drawing too much blood from an infant with low birth weight? ----CORRECT ANSWER----------Anemia The Federal Government requires that specimens be transported in __________________? ----CORRECT ANSWER----------Watertight containers To insure hemostasis which of these must be in working order and or adequate supply? ----CORRECT ANSWER----------Coagulation factors The cellular components of blood include? ----CORRECT ANSWER----------Erythrocytes (RBC) Leukocytes (WBC) Thrombocytes (Platelets) ALL OF THE ABOVE Blood from a capillary puncture after excessive squeezing of a finger is? ----CORRECT ANSWER----------Contaminated with tissue fluids: Interstitial fluid Formed cellular elements of blood in a healthy human constitute? ----CORRECT ANSWER----------45 % of blood
The highest number of phlebotomy practitioner injuries occurs with the use of? ---- CORRECT ANSWER----------Winged infusion sets The function of thrombocytes is? ----CORRECT ANSWER----------To aid in the clotting process Anticoagulant specimens should be mixed / inverted? ----CORRECT ANSWER---------- Eight to ten times Disposable health care equipment is primarily used because it? ----CORRECT ANSWER----------Can reduce the spread of infection A grossly hemolyzed sample can be caused by? ----CORRECT ANSWER----------A traumatic venipuncture What transports oxygen to the tissue is the? ----CORRECT ANSWER----------Red blood cells (RBC) For which of the following laboratory tests should a patient be fasting? ----CORRECT ANSWER----------Lipid profile: fats Plasma ----CORRECT ANSWER----------The fluid / liquid portion of unclotted blood The best sample for the determination of blood pH and blood gases is? ----CORRECT ANSWER----------Arterial blood (ABG's)
If tourniquet is left on too long which of the following may occur? ----CORRECT ANSWER----------Hemoconcentration Multiple test requested as one unit is referred to as? ----CORRECT ANSWER---------- Profile The proper way to dispose of a used needle is to? ----CORRECT ANSWER----------Put into Sharps container immediately after withdrawing it from the patient: click and discard A specimen for blood lead level is drawn in a? ----CORRECT ANSWER----------Royal Blue top tube If a patient has an intravenous line in the arm, the phlebotomist should? ----CORRECT ANSWER----------Draw blood from the opposite limb Patient confidentiality is defined as? ----CORRECT ANSWER----------A patients right to authorize the use of their information What is the purpose of warming the site prior to a dermal puncture? ----CORRECT ANSWER----------Increase the blood flow If a patient is dehydrated due to severe vomiting and the physician orders a test for STAT electrolytes, which of the following tubes would be used? ----CORRECT ANSWER----------Green top tube Which of the following tests is not part of a complete blood count (CBC)? ----CORRECT ANSWER----------Activated partial thromboplastin time (APPT)
What specimens are kept warm/room temperature? ----CORRECT ANSWER---------- Cold agglutinins When the tourniquet is tied too tight, the capillaries in the area may rupture causing? ---- CORRECT ANSWER----------Petechiae: a small red or purple spot caused by bleeding into the skin A 13-yr old girl came into your clinic for a pregnancy test. The same day she returned without her parents and wants the results of her test. The phlebotomist should? ---- CORRECT ANSWER----------Tell her she should contact her physician The life span of an erythrocyte is? ----CORRECT ANSWER----------120 days All the employees at risk for blood borne pathogen (BBP) exposure are required by OSHA to? ----CORRECT ANSWER----------Vaccinate for HBV or sign a waiver Identify the term BATTERY? ----CORRECT ANSWER----------Touching someone without their consent To draw for coagulation studies the phlebotomist should? ----CORRECT ANSWER------- ---Fill the tube to the top: Lt Blue tube FORMITE is defined as? ----CORRECT ANSWER----------Inanimate things transmitting disease EDEAMA is? ----CORRECT ANSWER----------Fluid in the tissue
Which of the following is also referred to as SST? ----CORRECT ANSWER---------- Speckled-Red/Gray top tubes A patient has a SYNCOPAL (fainting) episode during a blood draw, the phlebotomist should? ----CORRECT ANSWER----------Call for assistance Of the following tests which test must be put immediately into ice water? ----CORRECT ANSWER----------Arterial blood gas (ABG) OSHA requires that all health care personnel exposed to blood or other body fluids receive a vaccine against? ----CORRECT ANSWER----------Hepatitis B virus (HBV) Which of these vessels has valves? ----CORRECT ANSWER----------Vein A test involving multiple collections of blood and urine over specified time intervals is called? ----CORRECT ANSWER----------GTT (Glucose Tolerance Test) In which test must alcohol never be used to cleanse the venipuncture site? ---- CORRECT ANSWER----------Alcohol (BAC) The artery that lies on the thumb side of the wrist is? ----CORRECT ANSWER---------- Radial Which vein is most often the prominent vein in an obese patient? ----CORRECT ANSWER----------Median Cubital
What should a phlebotomist do if blood was drawn from the wrong patient? ---- CORRECT ANSWER----------Report the incident immediately to the supervisor Which two arteries are occluded when performing the Allen test? ----CORRECT ANSWER----------Radial and Ulnar When making a blood smear, the goal is? ----CORRECT ANSWER----------To get a feathered edge Patients suspected of having Methicillin Resistant Staphylococcus Aureus (MRSA) should be isolated with ______________ precautions? ----CORRECT ANSWER---------- Contact What is the temperature range that will provide the needed warmth but not burn the infant? ----CORRECT ANSWER----------39º - 42º C / 102.2º - When inserting the needle the bevel should be? ----CORRECT ANSWER----------UP What is the additive/anticoagulant in a light blue stopper evacuated tube? ----CORRECT ANSWER----------Sodium Citrate What is the additive/anticoagulant is a glass red stopper evacuated tube? ----CORRECT ANSWER----------NO additive/anticoagulant To assure compliance with OSHA standards with respect to capillary blood collection, all devices used for puncture must be? - ---CORRECT ANSWER----------Retractable
Which safety device best protects a healthcare worker from contamination when in contact with body fluids? ----CORRECT ANSWER----------Gloves As a member of quality control a phlebotomist should always check collection tubes for the? ----CORRECT ANSWER----------Expiration Dates The process by which an object or area becomes unclean in medical terms is called? ---
- CORRECT ANSWER----------Contaminated The abbreviation AIDS stands for? ----CORRECT ANSWER----------Acquired Immune Deficiency Syndrome Lancets are used to collect blood samples by? ----CORRECT ANSWER----------Capillary or skin puncture Use a ______ topped evacuated tube for electrolyte testing? ----CORRECT ANSWER--- -------Red What is the patients initial preparation requirement prior to having a glucose tolerance test (GTT) drawn? ----CORRECT ANSWER----------Fast for 10 - 12 hours What specimens should be protected from light? ----CORRECT ANSWER---------- Biliruben Which of the following will insure balanced operation of a centrifuge? ----CORRECT ANSWER----------Positioning tubes of equal weight across from one another
OSHA requires training and educational information be given to phlebotomists on each subject EXCEPT? ----CORRECT ANSWER----------Laboratory A vein may be prone to collapse if the? ----CORRECT ANSWER----------1. Vacuum tube is too large for the vein
- Syringe plunger was pulled back too quickly A nosocomial infection is one that a patient acquires? ----CORRECT ANSWER---------- In the hospital A possible cause of blood not entering a tube when the phlebotomist is certain they are in the vein include all of the following EXCEPT? ----CORRECT ANSWER---------- Venipuncture area is full of edema These types of Hepatitis are all blood borne pathogens EXCEPT? ----CORRECT ANSWER----------Hepatitis A: HAV contagious liver infection caused by the hepatitis A virus While collecting blood from a combative patient you receive a splash of small blood drops to your face. What should you do? ----CORRECT ANSWER----------Wash your face thoroughly and report the incident following your facilities protocol What is the phrase used to describe the sequential tracking of a criminal blood sample that is to be used in evidence? ----CORRECT ANSWER----------Chain of Custody A routine venipuncture draw site is commonly cleaned with a __________ % solution of isopropyl alcohol? ----CORRECT ANSWER----------70 % The National Fire Protection Association label uses a color and number to indicate a deadly health hazard? ----CORRECT ANSWER----------Blue, #
