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Phlebotomy Technician Best Practices, Exams of Nursing

Norfolk State University (NSU)Nursing

A comprehensive overview of the best practices and procedures for phlebotomy technicians. It covers a wide range of topics, including proper techniques for blood collection, handling of contaminated items, patient identification, order of draw, and quality control measures. Designed to serve as a valuable resource for phlebotomy technicians, helping them to ensure the safety and accuracy of their work, as well as to provide high-quality patient care. The information presented in this document is based on industry standards and guidelines, and it covers a variety of scenarios that phlebotomy technicians may encounter in their daily practice.

Typology: Exams

2023/2024

Available from 10/17/2024

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NHA Phlebotomy Exam (2024/ 2025 Update)
| Questions and Verified Answers
1. To prevent hospital-acquired infections, a phleb. Tech should clean items that have been
contaminated by blood with a 1:10 dilution of which of the following substances and
water?
โœ“ Answer: sodium hypochlorite
2. A phleb tech is collecting a blood specimen from a patient to measure trough level of a
medication. The technician should collect the specimen at which of the following times?
โœ“ Answer: within 15 mins before the patient receives the next dose of
meds
3. A phleb tech is following the clsi clinical laboratory workflow pathway. As part of the
postexamination phase of this process, which of the following actions should the
technician take?
โœ“ Answer: enter critical laboratory data
4. A phleb tech is selecting a site to collect a blood specimen from a patient. After applying
a tourniquet, the tech sees no apparent vein to use for the venipuncture. Which of the
following actions should the technician take
โœ“ Answer: have the patient dangle their arm for 1 to 2 mins
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NHA Phlebotomy Exam (202 4 / 202 5 Update)

| Questions and Verified Answers

  1. To prevent hospital-acquired infections, a phleb. Tech should clean items that have been contaminated by blood with a 1:10 dilution of which of the following substances and water? โœ“ Answer: sodium hypochlorite
  2. A phleb tech is collecting a blood specimen from a patient to measure trough level of a medication. The technician should collect the specimen at which of the following times? โœ“ Answer: within 15 mins before the patient receives the next dose of meds
  3. A phleb tech is following the clsi clinical laboratory workflow pathway. As part of the postexamination phase of this process, which of the following actions should the technician take? โœ“ Answer: enter critical laboratory data
  4. A phleb tech is selecting a site to collect a blood specimen from a patient. After applying a tourniquet, the tech sees no apparent vein to use for the venipuncture. Which of the following actions should the technician take โœ“ Answer: have the patient dangle their arm for 1 to 2 mins
  1. Which of the following actions is a phleb tech required to take before leaving a patients room? โœ“ Answer: initial and mark the date and time on each tube drawn
  2. A phleb tech is preparing to collect a vancomycin peak level for a patient in an impatient setting. Which of the following actions should the technician take prior to collecting the blood specimen? โœ“ Answer: ask the attending nurse if the patients vancomycin dose schedule is accurate
  3. A phleb tech 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? โœ“ Answer: thrombin
  4. A phleb tech is transporting blood specimens to a lab. Which of the following actions should the tech take? โœ“ Answer: place the specimens in a lockable container
  5. A phleb tech is assembling the equipment he will need for collecting donor units of blood. Which of the following needle sizes should the tech select?

โœ“ Answer: accession number

  1. What tube is used for esr? โœ“ Answer: lavender
  2. Which of the following is the best method for a phlebotomy technician to collect a blood specimen from an older adult patient who has fragile, easy to collapse veins? โœ“ Answer: choose a syringe and butterfly assembly and transfer to an ets tube
  3. A phleb tech is collecting blood specimens from a patient for multiple blood assays. The tech should fill the tube that has which of the following additives first? โœ“ Answer: sodium citrate
  4. Which of the following actions should a phleb tech take after collecting an ammonia specimen? โœ“ Answer: place the specimen tube in an ice-water slurry
  5. A phleb tech should identify that which of the following phrases is represented by the abbreviation "sd"?

โœ“ Answer: standard deviation

  1. For which of the following tests should a phleb tech follow chain of custody guidelines? โœ“ Answer: blood alcohol
  2. A phleb tech is collecting a urine specimen from a patient for a pre-employment drug test. Which of the following actions should the technician take first? โœ“ Answer: verify that the specimen contains at least 45 ml of urine
  3. A phleb tech is preparing a patient's arm for venipuncture. Which of the following techniques should the tech use when applying an antiseptic solution? โœ“ Answer: back and forth strokes
  4. For an older adult who has difficult to access veins, a phleb tech should select which of the following places? โœ“ Answer: dorsal veins
  5. A phleb tech should identify that which of the following series of venipunctures steps is in the appropriate order?
  1. What else, other than gloves, should a phleb tech wear while collecting blood from a patient with diptheria? โœ“ Answer: gown
  2. To prevent hospital acquired infections, a phleb tech should clean items that have been contaminated by blood with a 1:10 dilution of which of the following substances and water? โœ“ Answer: sodium hypochlorite
  3. A phleb tech is following the clisi's clinical lab workflow pathway. As part of the postexamination phase of this process, which of the following actions should the tech take? โœ“ Answer: enter critical lab data
  4. A phleb tech should identify that which of the following colors signifies a health hazzard in the national fire protection association (nfpa) 704 marking system? โœ“ Answer: blue
  5. A phleb tech is collecting a venipuncture blood specimen from a patient for a blood assay. The tech should fill which of the following tubes first? โœ“ Answer: yellow
  1. Used to see veins through the skin using a special light โœ“ Answer: hand immobilizer
  2. A phlebotomy technician is preparing to enter a patients room to collect a blood specimen. Which of the following actions should the technician plan to take? โœ“ Answer: communicate name and department affiliation to the patient
  3. A phlebotomy technician is using a poc test system to determine a patients wbc count. For which of the following results should the technician immediately notify the provider? โœ“ Answer: 1.8/mm
  4. A phlebotomy technician is preparing to draw a peak level for a medication that was administered orally to a patient. After verifying when the patient received the medication, how long should the technician wait prior to attempting the draw? โœ“ Answer: 2 hr after administration
  5. A phlebotomy technician is drawing a patients blood when the patient states that she is becoming dizzy and light-headed. Which of the following actions should the technician take first? โœ“ Answer: remove the tourniquet and needle
  1. For which of the following reasons should a phleb tech document the total volume of blood drawn from a patient? โœ“ Answer: to determine if the patient is at risk for developing latrogentic anemia
  2. A phleb tech is preparing to perform a lactic acid test. Which of the following actions should the technician take? โœ“ Answer: collect the specimen in a gray-topped tube
  3. The joint commission recommends using the patient's full name and which of the following pieces of information to ensure accurate inpatient identification? โœ“ Answer: medical record number
  4. Blood cultures have been ordered on an adult patient in an intensive care unit. A nurse calls a phlebotomy technician to bring the appropriate materials. Which of the following materials should the phleb tech bring? โœ“ Answer: an aerobic bottle and an aerobic bottle
  1. A phleb tech is preparing to obtain a blood specimen from a patient for an erythrocyte sedimentation rate test. The tech should select a collection tube that has a top with which of the following colors? โœ“ Answer: lavender
  2. Which of the following action should a phleb tech take when reporting lab results? โœ“ Answer: send the results to the patients ordering provider
  3. Which of the following information should a phleb tech document when adhering to chain of custody guidelines? โœ“ Answer: identify if everyone who has posession of the specimen
  4. When performing a hand draw, which of the following steps should a phleb tech take before removing the needle โœ“ Answer: disengage the tube from the adapter
  5. A phleb tech is preparing to perform a blood draw when the patient states that he is severely allergic to latex. Which of the following actions should the technician take? โœ“ Answer: use a blood pressure cuff and inflate it to 40 mm hg
  1. A phleb tech is obtaining blood culture specimen from an adult patient. Which of the following actions should the tech take? โœ“ Answer: withdraw the blood into a sterile safety syringe
  2. For which of the following reasons should a phleb tech centrifuge a serum specimen before transport to an outside reference lab? โœ“ Answer: cells must be separated from the serum
  3. What ppe, other than gloves, should you wear while with a patient on droplet precautions? โœ“ Answer: mask
  4. What should you clean a site with while drawing blood for a blood and alcohol level? โœ“ Answer: soap and water
  5. A phleb tech should select a tube that has which of the following additives when collecting a blood specimen for a cbc? โœ“ Answer: edta
  6. When trasnporting a specimen with a fertility potential, what should you do?

โœ“ Answer: protect it from light

  1. A phlebotomy technician is washing her hands at the beginning of her shift. Which of the following actions should the technician take? โœ“ Answer: use enough soap to form a lather
  2. Which of the following test results are affected when a phlebotomy technician uses povidone-iodine to cleanse a site for a dermal puncutre? โœ“ Answer: potassium
  3. A phlebotomy technician is preparing to dispose of contaminated sharps. According to osha standards, which of the following actions should the technician take? โœ“ Answer: replace the sharps container when it is two-thirds full
  4. After exiting a patients room, which of the following is the last piece of ppe a phlebotomy technician should remove? โœ“ Answer: mask
  5. After verifying a patients identity, a phlebotomy technician sees that the patients lab results are ready. Which of the following actions should the technician take?
  1. A phlebotomy technician is obtaining a blood culture specimen from an adult patient. Which of the following actions should the technician take? โœ“ Answer: withdraw the blood into a sterile safety syringe
  2. A phlebotomy technician is collecting blood from a patient for donation. The collection bag only fills halfway, and the vein collapses. Which of the following actions should the technician take? โœ“ Answer: use a new collection bag to draw a new unit of blood
  3. A phlebotomy technician is applying a tourniquet prior to collecting a blood specimen from a patient. Which of the following actions should the technician take? โœ“ Answer: tuck a partial loop of tourniquet underneath the tourniquet
  4. A phlebotomy technician uses alcohol to cleanse a venipuncture site. Before performing the venipuncture, the technician should allow the site to dry for which of the following reasons? โœ“ Answer: alcohol requires time for antiseptic action to take effect
  5. A phlebotomy technician should identify that which of the following colors signifies a health hazard in the national fire protection association (nfpa) 704 marketing system? โœ“ Answer: blue
  1. A phlebotomy technician is collecting a blood specimen from a patient. To avoid hemolysis, which of the following precautions should the technician take? โœ“ Answer: ensure the alcohol at the insertion site has dried
  2. A phlebotomy technician is collecting a blood specimen from a patient. Which of the following techniques should the technician use to anchor the vein just before inserting the needle? โœ“ Answer: use thumb and forefinger to hold the vein in place
  3. A phlebotomy technician is preparing to obtain a blood specimen from a patient for thyroid studies. The technician should select a collection tube that has a top with which of the following colors? โœ“ Answer: speckled
  4. How frequently should a phlebotomy technician perform a quality control test on a glucometer in the lab? โœ“ Answer: every day the meter is used
  5. For which of the following reasons should a phlebotomy technician centrifuge a serum specimen before transport to an outside reference lab?