NHA Exam Three Practice A

A phlebotomy technician should identify what additive is used to prevent the breakdown of glucose?

Sodium Fluoride

A phlebotomy technician in an outpatient setting is identifying a patient before performing a venipuncture procedure. To confirm the patient's identity, what question should the technician ask?

"Would you please state and spell your full name and provide your date of birth?"

What is a potential consequence of a phlebotomy technician mislabeling a blood bank specimen?

A transfusion reaction

A phlebotomy technician should invert anticoagulant tubes to prevent what complication?

Hemolysis

According to OSHA standards, which vaccine must employers offer to their phlebotomists at no cost?

Hepatitis B

During a routine venipuncture, a phlebotomy technician notices that a patient is becoming pale and diaphoretic. The technician should identify that the patient is at risk for what condition?

Syncope

A phlebotomy technician should identify that what tube selections indicates the correct order of draw for a venipuncture?
Lavender, Green, Gray

Green, Lavender, Gray

A phlebotomy technician is preparing to collect a blood specimen from the antecubital site of the patient. What device can be used to help stabilize the arm for the collection?

Phlebotomy wedge

A phlebotomy technician is preparing to use an evacuated tube system to obtain a venous blood specimen from a patient. The tourniquet is in place and the technician has cleansed the puncture site. What procedural steps should the technician perform next?

Uncap the needle and inspect it

What action by a phlebotomy technician can result in a grossly hemolyzed specimen?

using an incorrect needle gauge

A phlebotomy technician should identify that what is the correct steps for a venipuncture?

Access the site, cleanse the site, and insert the needle

A phlebotomy technician should comply with HIPAA to protect what?

Patient's information

A phlebotomy technician is performing a capillary blood collection for an older adult patient. What site should the technician select?

The distal phalanx of either middle finger

A phlebotomy technician is preparing to collect a blood specimen from a patient who signed a general informed consent form upon admission to the facility. What action by the patient indicates implied consent for the venipuncture?

Rolling up his shirtsleeve

A phlebotomy technician is using an evacuated needle holder and blood collection tubes to collect blood from a patient. What action should the technician use?

Push the first collection tube gently into the holder

For an older adult patient who has difficult to access veins, a phlebotomy technician should select what vein to perform a venipuncture?

Dorsal veins

How often should a phlebotomy technician run quality control tests on point of care testing instruments?

Daily

A phlebotomy technician must comply with which OSHA requirement when performing a venipuncture?

Wear gloves when contact with blood is anticipated

What action should a phlebotomy technician take when performing a venipuncture using an evacuated tube system?

Position the needle at a 30 degree angle in the same direction as the vein and with the bevel up

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 what time?

Within 15 minutes before the patient receives the next dose of medication

What which test should a phlebotomy technician follow chain of custody guidelines?

Blood alcohol

During a venipuncture, a patient reports a sharp pain radiating down his arm. What action should a phlebotomy technician take?

Release the tourniquet and remove the needle

A phlebotomy technician is teaching a patient about collecting a sputum specimen at home. What instruction should the technician include?

Spit thick secretions into the container after coughing deeply

For what procedure should a phlebotomy technician follow chain of custody guidelines?

Paternity testing

A phlebotomy technician has a request to collect a routine CBC from a healthy 10 month old infant. What collection site should the technician select?

Either heel

When collecting a routine blood sample, what vein should a phlebotomy technician attempt to draw from first?

Median cubital

A phlebotomy technician should identify that what is the next step after removing a needle from a patient's arm?

Engage the needle safety device

A phlebotomy technician is preparing to collect a blood specimen from a patient for a coagulation study. The patient states, "I faint every time I get my blood drawn." What statement should the technician make?

"I will perform the draw while you are lying down."

A phlebotomy technician is collecting a blood specimen from a patient for blood cultures. What additive does the blood collection tubes require?

Sodium Polyanethol sulfanate

A phlebotomy technician has a requisition for collecting fasting food glucose and albumin specimens from a patient. What action should the technician take before collecting the patient's blood?

Make sure the patient has fasted for the past 8 to 12 hours

A phlebotomy technician is preparing to remove PPE following a venipuncture for a patient in an isolation room. What piece of PPE equipment should the technician remove first?

Gloves

A phlebotomy technician is reviewing a lab requisition before obtaining blood specimens from a patient. The technician should verify that the requisition includes what information?

A specimen identification code

A phlebotomy technician is educating a patient about the at-home collection of a semen specimen. What statement 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 phlebotomy technician is preparing several specimens for transport to the facility's lab. What specimens should the technician protect from bright light by placing it in an amber/brown biohazard bag for transport?

Vitamin B6

A phlebotomy technician is preparing to perform a venipuncture for a 2 year old child. The child asks if the blood draw will hurt. What statement should the technician make?

"You will feel a small prick"

A technician should identify that what is one of the joint commission's 2016 National Patient Safety Goals?

Identify patients correctly

A phlebotomy technician is following the Clinical and Laboratory Standards Institute's (CLSI) clinical laboratory workflow pathway. As part of the postexamination phase of this process, What action should the technician take?

Enter critical lab data

A phlebotomy technician is collecting a urine specimen from a patient for a pre-employment drug screening. What findings should indicate to the technician that tampering has possibly occurred?

The temperature of the specimen is 30 degrees celsius or 86 degree ferenheit

A phlebotomy technician is preparing to obtain a blood specimen from a patient in an outpatient setting. Using standard precautions, What piece of PPE should the technician wear?

Gloves

A phlebotomy technician enters a patient's room to obtain a STAT specimen. The patient's provider and a nurse are speaking with the patient. What actions should the technician take first?

Introduce himself to the patient and the health care team members

What action should a phlebotomy technician take when labeling specimens?

Labeling specimens at the time of collection and in the presence of the patient

A provider orders a STAT specimen, but a phlebotomy technician forgets to fill out the patient ID number on the collection tube. The technician should expect the lab that received the specimen to take what action?

Reject the specimen

What piece of PPE provides a phlebotomy technician with the best protection when drawing blood from a patient who has active tuberculosis?

N95 respirator

A phlebotomy technician is collecting a unit of blood from a donor. What action should the technician take?

Instruct the donor to open and close his hand gently throughout the collection

A phlebotomy technician should identify SD is an abbreviation for what?

Standard Deviation

A phlebotomy technician is using a point of care test system to determine a patient's white blood cell count. For what result value should the technician immediately notify the provider?

1.8 mm cubed

A phlebotomy technician is instructing a patient how to collect a clean-catch urine specimen. What cleanser should the technician instruct the patient to use when cleansing around her urinary meatus?

Mild antiseptic soap

A phlebotomy technician is collecting a blood specimen from a patient who has cutaneous diphtheria. Besides gloves, what piece of PPE should the technician wear?

Gown

A phlebotomy technician is collecting a blood from a patient for donation. The collection bag only fills halfway, and the vein collapses. What action should the technician take?

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

A phlebotomy technician should identify that what is an identifier for a specimen as long as it remains in the lab?

Accession number

What action should a phlebotomy technician take to locate a vein using the warming technique?

Encase the warm towel in a plastic bag

A phlebotomy technician is collecting a venipuncture blood specimen from a patient for a blood assay. The technician should fill what colored tube first?

yellow-topped tube

A phlebotomy technician is collecting a urine specimen from a patient for a pre-employment drug test. What action should the technician take?

Verify that the specimen contains at least 45 ml of urine

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

Use a small needle for the draw

What action should a phlebotomy technician take after collecting an ammonia specimen?

Place the specimen tube in an ice-water slurry

A phlebotomy technician is explaining the venipuncture process to an adult patient. The patient nods frequently but appears confused. What action should the technician take?

Rephrase the information for the patient

A phlebotomy technician sees a coworker receive a major electrical shock from an instrument. What action should the technician take first?

Shut off power to the instrument

A phlebotomy technician should transport a semen sample at what temperature?

36 degrees to 38 degrees celsius

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

15 minutes

A phlebotomy technician is performing a heelstick to obtain capillary blood for testing a newborn's bilirubin level. What action should the technician take?

Use an amber-colored micrcontainer

A phlebotomy technician is assembling the equipment he will need for collecting donor units of blood. What needle size should the technician select?

18-gauge

A phlebotomy technician is collecting a blood specimen from a patient. What technique should the technician use to anchor the vein just before inserting the needle?

Use the thumb to anchor the vein 5 cm or 2 inches below the puncture site

Within what time period should a phlebotomy technician collect a newborn blood-spot test screening card?

Within 72 hours

A phlebotomy technician is washing her hands at the beginning of her shift. What action should the technician take?

Use enough soap to form a lather

To prevent hospital-acquired infections, a phlebotomy technician should clean items that have been contaminated by blood with a 1:10 dilution of what substance and water?

Sodium hypochlorite

A phlebotomy technician is obtaining a blood specimen from a patient. The technician notices swelling and a large hematoma forming at the puncture site. What action should the technician take?

Remove the tourniquet and needle

A phlebotomy technician has a mild sensitivity to latex. According to the National Institute for Occupational Safety and Health (NIOSH), What action should the technician take?

Wear nitrile gloves instead of latex gloves

According to standard precautions, a phlebotomy technician should take what action when shipping specimens to a reference lab in hot weather?

Place the specimens in a box with cold packs and a biohazard label

What reason should a phlebotomy technician document the total volume of blood drawn from a patient?

To determine if the patient is at risk for developing iatrogenic anemia

A phlebotomy technician should identify that what is the total blood volume of an infant who weighs 3.3 kg or 7.3 pounds?

240 to 330 ml

An unconscious patient is brought to the emergency department, and several blood tests are ordered. A phlebotomy technician should collect the patient's blood because he has received what type of consent?

Implied consent

A phlebotomy technician is performing a venipuncture on a patient who recently had a mastectomy on her right side. The technician should draw blood from what location?

Left arm

A phlebotomy technician should identify that what color signifies a health hazard in the National Fire Protection Association (NFPA) 704 Marking System?

blue

A phlebotomy technician is preparing to dispose of contaminated sharps. According to OSHA standards, what action should the technician take?

Replace the sharps container when it is two-thirds full

A phlebotomy technician is collecting a blood specimen from an adolescent patient who weighs 42.6 kg or 94 pounds. What amount is appropriate to collect if the maximum allowable volume of blood is 1%

40 ml

A phlebotomy technician is collecting blood specimens from a patient for multiple blood assays. The technician should fill the tube that has what additive first?

Sodium citrate

A phlebotomy technician is collecting a blood specimen from a patient who has pneumonia. Besides gloves, what piece of PPE equipment should the technician wear?

Mask

A phlebotomy technician is applying a tourniquet prior to collecting a blood specimen from a patient. What action should the technician take?

Tuck a partial loop of tourniquet underneath the tourniquet

What reason should a phlebotomy technician avoid drawing from the leg or foot of a patient who has diabetes?

These areas are more susceptible to infection

A phlebotomy technician enters a patient's room to perform a venipuncture and notices that the patient is sleeping. What action should the technician take?

Wake the patient before collection

A phlebotomy technician is removing his gloves after a venipuncture procedure. What action should the technician take?

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

What action should a phlebotomy technician take to prevent bleeding from a venipuncture site after the needle is removed?

Apply pressure to prevent leakage of blood into the tissues

A phlebotomy technician is preparing to collect a vancomycin peak level for a patient in an inpatient setting. What action should the technician take prior to collecting the blood specimen?

Ask the attending nurse if the patient's vancomycin dose schedule is accurate

What regulation ensures that a phlebotomy technician is proficient to perform job duties and responsibilities?

CLIA

A phlebotomy technician is preparing to collect a blood specimen from a patient who is allergic to alcohol. What antiseptic solution should the technician use to prepare the insertion site?

Chlorhexidine

A phlebotomy technician is using a glucose monitor for point of care testing of a patient who has been fasting for 12 hours. What result values should the technician immediately notify the provider?

130 mg/dl

Prior to transport, what specimen should a phlebotomy technician place in an ice bath with 30 minutes after collection?

Arterial blood gas

What source for patient identification should a phlebotomy technician use in an inpatient setting?

Verbal and wristband

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." What precautionary action should the technician take?

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

A phlebotomy technician is performing a venipuncture for a patient. The patient suddenly reports "feeling faint." After removing the tourniquet and the needle, what action should the technician take next?

Have the patient put her head between her legs

When should a phlebotomy technician perform external liquid controls for quality control on a CLIA-waived glucose point of care test?

When a new lot number or kit is opened

While performing a venipuncture, a phlebotomy technician is stuck with a used needle. What action should the technician take first?

Flush the injured area with running water

A phlebotomy technician is required to obtain what from a potential blood donor?

Complete medical history

According to the Clinical Laboratory Standards Institute's order of draw guidelines, What sample should a phlebotomy technician collect first?

Blood cultures

A phlebotomy technician is transporting blood specimens to a laboratory. What action should the technician take?

Place the specimens in a lockable container

A tourniquet should be left on a patient's arm for what amount of time

No longer than 60 seconds

A phlebotomy technician is preparing a patient's arm for venipuncture. What technique should the technician use when applying an antiseptic solution?

Back and forth strokes

A patient arrives at a clinic with a requisition for a chemistry panel. A technician notices that the patient's last name on the requisition differs from the patient's provided identification. What action should the technician take?

Contact the ordering provider to correct the requisition form

A phlebotomy technician is collecting a patient's blood specimen in a lavender-topped tube. How many times should the technician gently invert the tube before setting in the specimen collection tray?

Eight to ten times

A phlebotomy technician is performing a total cholesterol point of care test for a patient. What findings should the technician immediately report to the provider?

300 mg/dl