NHA Phlebotomy Exam Study Terms & Definitions 2024

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

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

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

Lavender top

A phlebotomy technician is planning to collect a sputum specimen from a patient. Which of the following instructions should the technician give the patient?

"Breathe deeply and then cough up a specimen into the container."

To prevent hospital-acquired infections, a phlebotomy technician should clean items that have been contaminated by blood with a

1:10 dilution of which of the following substances and water?

sodium hypochlorite

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. Which of the following actions by the patient indicates implied consent for the venipuncture?

Rolling up his shirtsleeve

A phlebotomy technician should select a tube that has which of the following additives when collecting a blood specimen for a CBC?

EDTA

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?

36-38 C

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 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 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?

Tiger(speckled)

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 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 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

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

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 following the Clinical and Laboratory Standards Institute's (CLSI) clinical laboratory workflow pathway.

As part of the postexamination phase of this process, which of the following actions should the technician take?

Enter critical laboratory data

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

Patient's information

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

Lavender top

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 is preparing to collect a blood specimen from a patient who had a right-sided mastectomy. Which of the following sites should the technician select?

Medial cubital vein in the left arm

For which of the following reasons should a phlebotomy technician centrifuge a serum specimen before transport to an outside reference laboratory?

Cells must be separated from the serum

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

300 mg/dL

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 dose of medication

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

Hepatitis B

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

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

Median cubtil

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

Lying in a reclined position

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

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

A phlebotomy technician is obtaining a blood specimen from a patient. The patient reports experiencing a sharp, painful, and tingling sensation going down her arm and into her hand. The technician should recognize that which of the following complications of venipuncture is occurring?

nerve injury

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 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 obtain a blood specimen from a patient for an erythrocyte sedimentation rate test. The technician should select a collection tube that has a top with which of the following colors?

lavender

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

A phlebotomy technician should identify that the order of draw for capillary collections is different from venipuncture for which of the following reasons?

An increased rate of coagulation

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 in a box with cold packs and a biohazard label

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

A phlebotomy technician is collecting a blood specimen from a patient. To avoid hemolysis, which of the following precautions should the technician take?

Ensure the alcohol at the insertion site has dried

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

Verbal and wristband

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

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

Place the specimen tube in an ice-water slurry

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 should select a tube that has which of the following anticoagulants to collect a sample for a PT/PTT test?

sodium citrate

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

A phlebotomy technician is preparing to draw blood from a patient's arm and observes a sore at the site where the tourniquet is to be placed. Which of the following actions should the technician take?

Tie the tourniquet over the patient's sleeve

A phlebotomy technician is preparing to collect a patient's troponin T level. Which of the following troponin T levels should the technician immediately report to the provider?

0.3 ng/mL

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 locate a vein using the warming technique?

Encase the warm towel in a plastic bag

A phlebotomy technician is preparing to collect a vancomycin peak level for a patient in an inpatient 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 from a patient who has cutaneous diphtheria. Besides gloves, which of the following pieces of personal protective equipment should the technician wear?

gown

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

arterial blood gas

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 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 is using the syringe method to obtain 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 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?

Alcohol requires time for antiseptic action to take effect

Which of the following collection tubes should a phlebotomy technician use when collecting for a routine chemistry test that requires serum?

SST

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 is drawing a patient's blood when the patient states that she is becoming dizzy and light-headed. Which of the following actions should the technician take first?

Remove the tourniquet and needle

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 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

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 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 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

A phlebotomy technician should identify that which of the following is the first step in the blood collection procedure?

Test requisition

A phlebotomy technician should use a capillary collection instead of a venipuncture in which of the following situations?

A patient's veins are inaccessible

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

Complete medical history

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

transfusion reaction

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 to 12 hours

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

An amber colored microcontainer

A phlebotomy technician is preparing to use an evacuated tube system to obtain a venous blood specimen from a patient. The tourniquet is ir 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.

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

Using an incorrect needle gauge

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. Which of the following actions should the technician take?

Contact the ordering provider to correct the requisition form

A technician should identify that which of the following is one of the Joint Commission's 2016 National Patient Safety Goals?

Identify patients correctly

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 farenheight

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

sodium fluoride

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

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

Have the patient put her head between her legs

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

CLIA

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

Within 72 hr

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 when labeling specimens?

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

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

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 the following conditions?

Syncope

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

standard deviation

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

240 to 330 mL

For which of the following conditions does emergency first aid treatment include maintaining an open airway, controlling bleeding, and keeping the patient warm until help arrives?

shock

A phlebotomy technician is working with a patient who has a Mycobacterium tuberculosis infection. Which of the following transmission precautions should the technician use for this patient?

airborne precautions

A phlebotomy technician is preparing to draw a blood specimen from a patient who has a Clostridium difficile infection. Which of the following precautions should the technician follow?

contact precautions

A phlebotomy technician is exposed to blood via a needlestick injury. Within how many hours should the technician initiate postexposure prophylaxis (PEP)?

24 hr

A phlebotomy technician is preparing to collect a blood specimen from a patient who states that he is HIV positive. Which of the following actions should the technician take?

Perform the venipuncture

A patient who has diabetes states that he prefers to be drawn on the inside of his wrist. Which of the following actions should a phlebotomy technician take?

Attempt to draw from the antecubital region

A phlebotomy technician is preparing to collect a specimen for a blood alcohol level test. Which of the following antiseptics should the technician use to clean the venipuncture site?

Soap and water