NHA CCMA MOCK EXAM #1

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?

Use the thumb to anchor the vein 5 cm (2 in) below the puncture site.

Which of the following actions should a phlebotomy technician take to locate a vein using the warming technique?

Encase the warm towel in a plastic bag

A phlebotomy technician receives a chemical splash to his forearm. After removing his contaminated clothing, which of the following is the minimum amount of time the technician should rinse the affected area?

15 min

For which of the following reasons should a phlebotomy technician examine the antecubital areas in both of a patient's arms?

The median cubital vein could be more accessible on one side than the other.

A phlebotomy technician is collecting a urine specimen from a patient for a pre-employment drug test. Which of the following actions should the technician take?

Verify that the specimen contains at least 45 mL of urine.

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?

Use a new collection bag to draw a new unit of blood.

Which of the following tubes should a phlebotomy technician collect first when obtaining dermal samples?

Lavender top

A phlebotomy technician is preparing to obtain a blood specimen to determine a patient's sodium level. The technician should select a collection tube that has a top with which of the following colors?

Green

A phlebotomy technician should identify that which of the following colors signifies a health hazard in the National Fire Protection Association (NFPA) 704 Marking System?

Blue

A phlebotomy technician is transporting blood specimens to a laboratory. Which of the following actions should the technician take?

Place the specimens in a lockable container.

After verifying a patient's identity, a phlebotomy technician sees that the patient's laboratory results are ready. Which of the following actions should the technician take?

Inform the patient to contact the ordering provider to obtain the results.

A phlebotomy technician has a requisition form to perform a chromosome analysis for a patient. The technician should select a collection tube that contains which of the following additives?

Heparin

A phlebotomy technician sees a coworker receive a major electrical shock from an instrument. Which of the following actions should the technician take first?

shut off the power to the instrumen

A phlebotomy technician is preparing several specimens for transport to the facility's laboratory. Which of the following specimens should the technician protect from bright light by placing it in an amber/brown biohazard bag for transport?

Vitamin B6

Which of the following actions is a phlebotomy technician required to take before leaving a patient's room?

Initial and mark the date and time on each tube drawn.

A phlebotomy technician is obtaining a blood culture specimen from an adult patient. Which of the following actions should the technician take?

Withdraw the blood into a sterile safety syringe.

A phlebotomy technician is preparing to draw blood from a patient who states that this is his first blood draw. Which of the following actions should the technician take?

Describe the procedure to the patient.

A phlebotomy technician is selecting a site to collect a blood specimen from a patient. After applying a tourniquet, the technician sees no apparent vein to use for the venipuncture. Which of the following actions should the technician take?

Have the patient dangle her arm for 1 to 2 min.

A phlebotomy technician is preparing to collect a blood specimen from a small vein of an older adult patient. Which of the following actions should the technician take to keep the vein from collapsing?

Use a small needle for the draw.

A phlebotomy technician is collecting a blood specimen from a patient to measure the trough level of a medication. The technician should collect the specimen at which of the following times?

Within 15 min before the patient receives the next does of medication.

A phlebotomy technician has a request to collect a routine CBC from a healthy 10-month-old infant. Which of the following collection sites should the technician select?

Either heel

A phlebotomy technician is preparing to perform a venipuncture for a 2-year-old child. The child asks if the blood draw will hurt. Which of the following statements should the technician make?

"You will feel a small prick."

Which of the following actions should a phlebotomy technician take to maintain compliance with HIPAA?

Clear phone numbers from the fax machine.

A phlebotomy technician is performing a venipuncture for a patient who begins to seize. Which of the following actions should the technician take?

Discontinue the draw.

A phlebotomy technician is preparing to draw blood from a patient in an inpatient setting. The patient extends his arm and turns his head away. This action by the patient is an example of which of the following types of consent?

Implied Consent

A phlebotomy technician is interviewing a patient before performing a venipuncture. During the interview, the patient states that he lives nearby and ran to the facility to "get in some running time today." Which of the following precautionary actions should the technician take?

Have the patient rest comfortably for at least 15 minutes before the venipuncture.

How frequently should a phlebotomy technician perform a quality control test on a glucometer in the laboratory?

Every day the meter is used

A phlebotomy technician is washing her hands at the beginning of her shift. Which of the following actions should the technician take?

Use enough soap to form a lather.

A phlebotomy technician is using a point-of-care test system to determine a patient's WBC count. For which of the following results should the technician immediately notify the provider?

1.8/mm3

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?

Thrombin

After placing a tourniquet on a patient's arm, a phlebotomy technician notices small red spots below the tourniquet. Which of the following terms describes these spots?

Petechiae

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?

Choose a syringe and butterfly assembly and transfer to an ETS tube.

A phlebotomy technician is performing a venipuncture using a winged infusion set. The red-topped tube fills, but the light blue-topped tube slows and does not fill completely. Which of the following actions should the technician take?

Insert a new light blue-topped tube to see if it will fill

Which of the following test results are affected when a phlebotomy technician uses povidone-iodine to cleanse a site for a dermal puncture?

Potassium

A phlebotomy technician should transport a semen sample at which of the following temperatures?

36° to 38° C

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?

Tuck a partial loop of a tourniquet underneath the tourniquet.

A phlebotomy technician is preparing to draw blood from a patient who has scabies. Which of the following pieces of personal protection equipment should the technician use?

Gown

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?

2 hr after administration

A phlebotomy technician is using an evacuated needle holder and blood collection tubes to collect blood from a patient. Which of the following actions should the technician take?

Push the first collection tube gently into the holder.

A phlebotomy technician is preparing to perform a venipuncture on a patient who states, "I faint at the sight of blood." Which of the following positions is optimal for the patient's safety during the procedure?

Lying in a reclined position.

A phlebotomy technician is preparing a peripheral blood smear from a patient's capillary blood. Which of the following actions should the technician take?

Use the second drop of blood that emerges from the puncture.

A phlebotomy technician is preparing a patient for a routine venipuncture. Which of the following antiseptic solutions should the technician use?

Isopropyl alcohol

A phlebotomy technician is removing his gloves after a venipuncture procedure. Which of the following actions should the technician take?

Remove the first glove so that it turns inside out during removal.

A phlebotomy technician has collected a blood specimen from a patient who is in an isolation room. Which of the following pieces of personal protective equipment (PPE) should the technician remove first?

Gloves

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?

Apply blood to the printed side of the filter paper.

A phlebotomy technician is preparing to perform a blood draw on a patient who had a left-sided mastectomy and has an IV on her right side. In which of the following locations should the technician perform the draw?

Below the IV

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?

"I will collect the specimen in a sterile container and return it to the lab within 1 hour."

A provider has ordered a urine culture and sensitivity test. Which of the following types of urine collection should a phlebotomy technician obtain?

Clean-catch midstream

A phlebotomy technician is disposing of used supplies when he accidentally receives a needlestick injury. According to OSHA guidelines, which of the following actions should the technician take first?

Wash the puncture site with soap and water.

A phlebotomy technician is preparing to dispose of contaminated sharps. According to OSHA standards, which of the following actions should the technician take?

Replace the sharps container when it is two-thirds full.