NHA CPT practice test #4

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

Airborne precautions

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

Shock

A phlebotomy technician should identify that HIPAA protects which of the following rights as part of the patient care partnership?

Privacy

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

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 phlebotomy technician bring?

An aerobic bottle and an anaerobic bottle

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

Isopropyl alcohol

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 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

After exiting a patient's room, which of the following is the last piece of personal protective equipment (PPE) a phlebotomy technician should remove?

Mask

A phlebotomy technician is removing a bag of contaminated items from a collection area. Which of the following actions should the technician take to properly dispose of the items?

Place the bag inside a second hazardous waste bag outside of the room

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 processing a semen specimen. Which of the following actions should the technician take?

Deliver the specimen to the laboratory within 2 hours

A phlebotomy technician is preparing to draw blood from a patient who states that she fainted during her last blood draw. Which of the following actions should the technician take?

Ask the patient to lie down for the procedure

A phlebotomy technician is preparing to perform a hand draw. Which of the following equipment should the technician assemble?

Winged infusion set and adapter

A phlebotomy technician collects multiple specimens from a premature infant. Which of the following is a possible result of the procedure?

Iatrogenic anemia

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

Potassium

A patient states that he is a difficult draw and requests a skin puncture. The test ordered is a PTT. Which of the following should a phlebotomy technician perform?

A syringe draw transferred into a light blue vacuum tube

A phlebotomy technician is informing a patient about how to enter a basal state for a blood collection. The technician should inform the patient not to consume for how many hours prior to blood collection?

12 hours

A phlebotomy technician is introducing herself to a patient and explaining the venipuncture procedure. In which of the following comfort zones is the technician working?

Personal

A phlebotomy technician is preparing to draw blood specimens from a patient who is alone and unresponsive. The technician should collect the specimens using which of the following types of consent?

Implied consent

A patient asks a phlebotomy technician to use her finger for blood work. In which of the following situations can the technician collect blood from the patient's finger?

The ordered test can be performed on a capillary specimen

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

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

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 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 updating quality control record while performing daily point of care tests. Which of the following information should the technician include?

Expiration date

A phlebotomy technician is preparing to enter a patient's room to collect a blood specimen. Which of the following actions should the technician plan to take?

Communicate name and department affiliation to the patient

Before collecting blood from a patient in an inpatient setting, a phlebotomy technician notices that the patient does not have a wristband on his wrist, but there is one attached to the patient's IV stand. Which of the following actions should the technician take?

Hold the draw until the nurse has attached a wristband to a patient

A phlebotomy technician is instructing a patient about how to collect a fecal occult specimen. Which of the following instructions should the technician include?

Avoid taking ibuprofen

The joint commission recommends using the patient's full name and which of the following pieces of information to ensure more accurate impatient identification?

Medical record number

A phlebotomy technician is reviewing a laboratory test requisition form before obtaining blood specimens from a patient. Which of the following actions should the technician take prior to performing the venipuncture?

Check the requisition form for duplicate test orders

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

Lavender top

Which of the following is the proper cleansing technique when a phlebotomy technician is performing a routine venipuncture?

Cleanse the site using back and forth friction

A phlebotomy technician 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?

Use a blood pressure cuff and inflate it to 40 mm Hg

Which of the following information should a phlebotomy technician document when adhering to a chain of custody guidelines?

Identity of everyone who had possession of the specimen

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

Contact precautions

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 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?

Speckled

A phlebotomy technician is preparing to perform a venipuncture on a patient who has small, rolling veins. Which of the following equipment should the technician use?

Winged infusion set

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 in an outpatient facility finds a patient who is in shock and bleeding profusely from his leg. Which of the following actions should the technician take first?

Apply direct pressure to the wound

A phlebotomy technician is preparing to perform a venipuncture for a patient who is on droplet precautions. In addition to following standard precautions, which of the following pieces of personal protective equipment should the technician apply before entering the patient's room?

Mask

A phlebotomy technician is instructing a patient about proper semen specimen collection for determination of fertility potential. Which of the following instructions should the technician include?

Protect the specimen from exposure to bright light

For which of the following reasons should a phlebotomy technician place a specimen in a biohazard bag for transport to an outside laboratory?

The biohazard bag prevents a possible exposure incident

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 ensure that which of the following specimens is protected from light?

Bilirubin

A phlebotomy technician uses sterile technique and demonstrates proper hygiene. Which of the following professional characteristics is the technician displaying?

Attention to cleanliness

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 test. Which of the following antiseptics should the technician use to clean the venipuncture site?

Soap and water

A phlebotomy technician is preparing to perform a venipuncture on a patient. Which of the following types of consent is the patient providing when she extends her arm to begin the procedure?

Implied consent

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 performing a venipuncture using a winged infusion set. The red cropped 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 fit

A phlebotomy technician is preparing to draw a blood sample from a patient for a glucose tolerance test (GTT) and notices an empty breakfast plate on a bedside table. Which of the following actions should the technician take?

Ask the patient when he last ate or drank

A phlebotomy technician should identify that which of the following actions can cause a hemolyzed specimen?

Shaking a collection tube vigorously

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

A patient's veins are inaccessible

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

Clear phone numbers from the fax machine

Which of the following tests is the most common point of care test performed at home and in medical facilities?

Glucose

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

EDTA

When performing a hand draw, which of the following steps should a phlebotomy technician take before removing the needle?

Disengage the tube from the adapter

A phlebotomy technician obtains two readings of 17 mg/dL when performing a glucometer test for a patient. Which of the following actions should the technician take?

Perform a set of liquid controls

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 is disposing of used supplies when he accidentally receives a needle stick 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 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 minutes

A phlebotomy technician is performing a blood glucose test. Which if the following glucose levels should the technician identify as being outside the expected reference range?

200 mg/dL

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

Discontinuing the draw

A phlebotomy technician is exposed to blood via a needle stick injury. Within how many hours should the technician initiate post exposure prophylaxis (PEP)?

24 hours

After a phlebotomy technician performs a heel puncture for neonatal screening, which of the following its the correct procedure for collecting the blood?

Saturate each circle with one drop of blood

Which of the following actions should a phlebotomy technician take to prevent needle stick injuries?

Replace a sharps container that has reached its full line

A phlebotomy technician performs a point of care glucose test for a patient in an outpatient setting. The result is in the critical value range. Which of the following actions should the technician take?

Report the result to the patient's provider

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

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 actions should a phlebotomy technician take when reporting laboratory results?

Send the results to the patient's ordering provider

While a phlebotomy technician is performing a blood collection, several drops of blood land on the drawing chair. Which of the following solutions should the technician use to remove the blood?

1:10 bleach

A phlebotomy technician is preparing to store a blood specimen. At which of the following temperatures should the technician store the specimen?

2-8 celsius (59 to 86 degrees)

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

test requisition

A phlebotomy technician is verifying a patient's identity before performing a venipuncture procedure. Which of the following information should the technician request from the patient?

The patients' full name and date of birth

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 should identify that the order of draw for capillary collection is different from venipuncture for which of the following reasons?

An increased risk of coagulation

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

Which of the following actions should a phlebotomy technician take when preparing a peripheral blood smear?

Place a 1 mm drop of blood one half inch from the edge of the side

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

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

A phlebotomy technician is preparing to perform a lactic acid test. Which of the following actions should the technician take?

Collect the specimen in a gray topped tube

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

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 selecting a site for a blood draw from a patient. From which of the following veins should the technician attempt draw first?

Median cubital

A phlebotomy technician is preparing to collect a timed medication draw ordered for 1400. The technician should verify when the patient received his previous dose of medication with which of the following members of the interprofessional team?

Nurse

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 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 hours after administration

A phlebotomy technician is preparing to collect a blood specimen from a patient. Which of the following statements should the technician make prior to performing the venipuncture?

Your provider has requested this test

Which of the following actions should a phlebotomy technician take to verify the quality of venipuncture supplies before beginning a blood draw on an adult patient?

Inspect the integrity of the needle's seal

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

Every day the meter is used

A phlebotomy technician is instructing a patient about how to collect a 24 hour urine specimen, which of the following instructions should the technician include?

Discard the first void of the morning

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

A phlebotomy technician enters a patient's room to perform a venipuncture and finds the patient sleeping. Which of the following actions should the technician take?

Gently wake the patient

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

Which if the following tasks is within a phlebotomy technician's scope of practice?

Providing instructions to patients for specimen collection

A phlebotomy technician is preparing to perform a finger stick for a patient. Which of the following actions should the technician take first?

Confirm the identity of the patient

A phlebotomy technician observes a hematoma developing at the site of a venous blood draw. Which of the following actions should the technician take?

Release the tourniquet and stop the draw

Which of the following blood tests should a phlebotomy technician place in ice immediately following collection?

Ammonia