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NHA PHLEBOTOMY EXAM 2024/ NEW UPDATE WITH
111 QUESTIONS AND CORRECT DETAILED AND
VERIFIED ANSWERS/ALREADY GRADED A+/
MOST EXPECTED QUESTIONS AND ANSWERS
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 According to CISI order of draw guidelines, the following samples should be collected first - RIGHT ANS :->>Cultures
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 If PT is inserting needle and client complains of sharp radiating pain down his arm you should? - RIGHT ANS:->>Release tourniquet, remove needle and apply pressure and cover
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
When performing a draw on a diabetic client with small fragile veins and PT misses twice the PT should - RIGHT ANS:->>Ask another PT to obtain Utilizing tubes that have expired may result in - RIGHT ANS:->>Loss of vacuum What causes hemolysis - RIGHT ANS:->>Vigorously inverting tubes Dermal puncture performed on an infant are routinely collected from - RIGHT ANS:->>Lateral plantar surface After introducing yourself you should - RIGHT ANS:->>Correctly identify client What is negligence - RIGHT ANS:->>Failure to demonstrate proper care that results in an injury to another person Heel sticks are done for which neonatal screening - RIGHT ANS:->>PKU For client compliance with GTT test PT should - RIGHT ANS:->>Confirm client has been fasting Sclerosed vein - RIGHT ANS:->>Hardening of vein Hemoconcentration - RIGHT ANS:->>Concentration of blood
What specimens must be chilled immediately after collection? - RIGHT ANS:-
ABG blood gases, ammonia, latic acid, pyruvate, ACTH, gastrin and parathyroid hormone
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 When performing a draw on a diabetic client with small fragile veins and PT misses twice the PT should - RIGHT ANS:->>Ask another PT to obtain Utilizing tubes that have expired may result in - RIGHT ANS:->>Loss of vacuum What causes hemolysis - RIGHT ANS:->>Vigorously inverting tubes Dermal puncture performed on an infant are routinely collected from - RIGHT ANS:->>Lateral plantar surface After introducing yourself you should - RIGHT ANS:->>Correctly identify client What is negligence - RIGHT ANS:->>Failure to demonstrate proper care that results in an injury to another person Heel sticks are done for which neonatal screening - RIGHT ANS:->>PKU For client compliance with GTT test PT should - RIGHT ANS:->>Confirm client has been fasting Sclerosed vein - RIGHT ANS:->>Hardening of vein Hemoconcentration - RIGHT ANS:->>Concentration of blood 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 If before draw pattient was very talkative and after draw becomes quiet and stares
blankly you should? - RIGHT ANS:->>Ask if he or she is okay and feels faint When collecting blood in an evacuated tube hemolysis would occur with which gauge needle> - RIGHT ANS:->>25' What are signs PT should recognize on client during venipuncture? - RIGHT ANS:->>Cold, calmmy, and diaphoretic skin If a client turns pale and complains of nausea when PT is about to collect these are signs of what - RIGHT ANS:->>Syncope Where should a PT document test preformed with regent products as part of protocol - RIGHT ANS:->>On a quality control log To ensure safety of PT and psychiatric clients and others a PT should - RIGHT ANS:->>Bring all necessary equipment to clients room What does SST in a collection tube indicate - RIGHT ANS:->>To indicate if plasma is used and distinguish weather a collection tube contains serum or plasma Because of time between collection and plasma separation the PT should - RIGHT ANS:->>Centrifuge specimen If a PT is ordered to draw blood from a 6lb newborn from the NICU and the 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
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
