NHA 5

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

Remove the tourniquet and needle

A phlebotomy technician is collecting a blood specimen from a patient who has cutaneous diphtheria. Besides gloves, which of the following pieces of personal protective equipment should the technician wear?

Gown

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 which of the following types of consent?

Implied consent

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?

18 gauge

A tourniquet should be left on a patient's arm for which of the following amounts of time?

No longer than 60 seconds

A phlebotomy technician is explaining the venipuncture process to an adult patient. The patient nods frequently but appears confused. Which of the following actions should the technician take?

Rephrase the information for the patient

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 it in the specimen collection tray?

8-10 times

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 laboratory that received the specimen to take which of the following actions?

Reject the specimen

A phlebotomy technician 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?

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

A phlebotomy technician is collecting a blood specimen for 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 5cm (2 inches) below the puncture site

A phlebotomy technician is preparing to remove personal protective equipment following a venipuncture for a patient in an isolation room. Which of the following pieces of equipment should the technician remove first?

Gloves

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

Chlorhexidine

A phlebotomy technician is preparing to obtain a blood specimen from a patient in an outpatient setting. Using standard precautions, which of the following pieces of personal protective equipment should the technician wear?

Gloves

A phlebotomy technician should identify that which of the. following is the total blood volume of an infant who weights 3.3kg (7.3lb)?

240 to 330 mL

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

Engage the needle and safety device

Within which of the following time periods should a phlebotomy technician collect a newborn blood spot test screening card?

Within 72 hours

Which of the following actions should a phlebotomy technician take when labeling specimens?

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

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

A phlebotomy technician is preparing to collect blood specimen from a patient who signed a general informed consent form upon admission to the hospital. Which of the following actions bob the patient indicates implied consent for the venipuncture?

Rolling up his shirtsleeve

While performing a venipuncture, a phlebotomy technician is stuck with a used needle. Which of the following actions should the technician take first?

Flush the injured area with running water

A phlebotomy technician is teaching a patient about collecting a sputum specimen at home. Which of the following instructions should the technician include?

Spit thick secretions into the container after coughing deeply

A phlebotomy technician should identify that which of the following phrases is represented by the abbreviation SD?

Standard deviation

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

A phlebotomy technician has a mild sensitivity to latex. According to the national institute for occupational safety and health (NIOSH), which of the following actions should the technician take?

Wear nitrile gloves instead of latex gloves

Which of the following is a potential consequence of a phlebotomy technician mislabeling a blood bank specimen?

A transfusion reaction

A phlebotomy technician is collecting a blood specimen from a patient who has pneumonia. Besides gloves, which of the following pieces of personal protective equipment should the technician wear?

Mask

A phlebotomy technician is performing a venipuncture on a patient who recently had a vasectomy on her right side. The technician should draw blood from which of the following locations?

Left arm

For which of the following tests should a phlebotomy technician follow chain of custody guidelines?

Blood alcohol

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

Contact the ordering provider to correct the requisition form

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 then vein collapses. Which of the following actions should the technician take?

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

A phlebotomy technician is collecting a venipuncture blood specimen from a patient for a blood array. The technician should fill which of the following tubes first?

Yellow topped tube

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 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

For which of the following procedures should a phlebotomy technician follow chain of custody guidelines?

Paternity testing

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

Remove the glove so that it turns inside out during removal

A phlebotomy technician is required to obtain which of the following from a potential blood donor?

Complete medical history

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

Vitamin B^6

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

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

According to standard precautions, a phlebotomy technician should take which of the following actions when shipping specimens to a reference laboratory in hot weather?

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

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

Either heel

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

During a routine venipuncture, a phlebotomy technician notices that a patient is being pale and diaphoretic. The technician should identify that the patient is at risk for which of the following conditions?

Syncope

A phlebotomy technician should identify that which of the following selections indicates the correct order of draw for a venipuncture?

Green, lavender, gray

A phlebotomy technician is collecting blood specimens from a patient for multiple blood assays. The technician should fill the tube that has which of the following additives first?

Sodium citrate

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. Which of the following statements 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 to measure the trough level of medication. The technician should collect the specimen at which of the following times?

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

A phlebotomy technician is collecting a blood specimen from a patient for blood cultures. Which of the following additives di the blood collection tubes require?

Sodium polyanethol sulfonate

A phlebotomy technician should invert anticoagulant tubes to prevent which of the following complications?

Hemolysis

Which of the following actions should a phlebotomy technician take after collecting an ammonia specimen?

Place the specimen tube in an ice water slurry

Prior to transport, which of the following specimens should a phlebotomy technician place in an Ince bath within 30 minutes after collection?

Arterial blood gas

A phlebotomy technician should identify that which of the following series of venipuncture steps in the appropriate order?

Assess the site, cleanse the site, and insert the needle

Which of the following sources for patient identification should a phlebotomy technician use in an inpatient setting?

Verbal and wristband

Which of the following actions 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 the bevel up

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

Shut off power to the instrument

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?

A specimen identification code

A phlebotomy technician enters a patient's room to obtain a stat specimen. The patient's provider and a nurse are speaking with one patient. Which of the following actions should the technician take first?

Introduce himself to the patient and the health care team members

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 tourniquet underneath the tourniquet

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 glucose monitor for point of care testing of a patient who has been fasting for 12 hours, For which of the following results should the technician immediately notify the provider?

130mg/dL

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/mm^3

A phlebotomy technician is collecting a blood specimen from an adolescent patient who weights 42.6kg (94 pounds). Which of the following amounts is appropriate to collect if the maximum allowable volume of blood is 1%?

40 mL

A phlebotomy technician should identify that which of the following additives is used to prevent the breakdown of glucose?

Sodium fluoride

When collecting a routine blood sample, which of the following veins should a phlebotomy technician attempt to draw from first?

Median cubital

According to the clinical and laboratory standards institutes order of draw guidelines, which of the following samples should a phlebotomy technician collect first?

blood cultures

For which of the following reasons should a phlebotomy technician avoid drawing blood from the leg or foot of a patient who has diabetes?

These areas are more susceptible to infection

To prevent hospital acquired infections, a phlebotomy technician should clean items that have beeb contaminated by blood with a 1:10 dilution of which of the following substances and water?

Sodium hypochlorite

A phlebotomy technician is performing a capillary blood collection for an adult older patient. Which of the following sites should the technician select?

The distal phalanx of either middle finger

A phlebotomy technician is instructing a patient how to collect a clean catch urine specimen. Which of the following cleansers should the technician instruct the patient to use when cleaning around her urinary meatus?

Mild antiseptic soap

For which of the following reasons 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 is preparing to collect a blood specimen from the antecubital site of a patient. Which of the following devices can be used to help stabilize the arm for the collection?

Phlebotomy wedge

A phlebotomy technician is performing a venipuncture for a patient. The patient suddenly reports feeling faint. After removing the tourniquet and needle, which of the following actions should the technician take next?

Have the patient put her head between her legs

During a venipuncture, a patient reports a sharp pain radiating down his arm. Which of the following actions should a phlebotomy technician take?

Release the tourniquet and remove the needle

Which of the following actions by a phlebotomy technician can result in a grossly hemolyzed specimen?

Using an incorrect needle gauge

A phlebotomy technician enters a patients room to perform a venipuncture and notices that the patent is sleeping. Which of the following actions should the technician take?

Wake the patient before collection

A phlebotomy technician should identify that which of the following Is an identifier for a specimen as long as it remains in the laboratory?

Accession number

A phlebotomy technician is collecting a unit of blood from a donor. Which of the following actions should the technician take?

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

A phlebotomy technician is following the clinical and laboratory standards institute (CLSI) clinical laboratory workflow pathway. As part of the post examination phase of this process, which of the following actions should the technician take?

Process the specimen

A phlebotomy technician is preparing a patient's arm for venipuncture. Which of the following techniques should the technician use when applying an antiseptic solution?

Back and forth strokes

According to OSHA standards, which of the following vaccines must employers offer to their phlebotomists at no cost?

Hepatitis B

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

The temperature of the specimen is 30 celsius (86 degrees Fahrenheit)

A phlebotomy technician is preparing to perform a venipuncture for a two 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

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

Daily

A phlebotomy technician is performing a heel stick to obtain capillary blood for testing a newborn's bilirubin level. Which of the following actions should the technician take?

Use an amber colored colored micro container

A technician should identify that which of the following is one of the joint comission's 2016 national patient safety goals?

Identifying patients correctly

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

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 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. Which of the following procedural steps should the technician perform next?

Uncap the needle and inspect it

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 minutes

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

36-38 degrees celsius

For an older adult patient who has difficult-to-access veins, a phlebotomy technician should select which of the following veins to perform a venipuncture?

Dorsal veins

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

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

A phlebotomy technician should comply with HIPAA to protect which of the following?

Patient's information

Which of the following regulations ensures that a phlebotomy technician is proficient to perform job duties and responsibilities?

CLIA

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

300mg/dL

A phlebotomy technician has a requisition for collecting fasting blood glucose and albumin specimens from a patient. Which of the following actions should the technician take before collecting the patient's blood?

make sure the patient has fasted for the past 8-12 hours

A phlebotomy technician must comply with which of the following OSHA requirements when performing a venipuncture?

Wear gloves when contact with blood is anticipated

Which of the following personal protective equipment provides a phlebotomy technician with the best protection when drawing blood from a patient who has active tuberculosis?

N95 respirator