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NHA Phlebotomy Test
Sample Questions
Question | Answer |
---|---|
The proper way to dispose of a needle is to: | C. Put it into a sharps container, without recapping, immediately after withdrawing it |
2. The “Good Samaritan Law” encourages healthcare professionals to: | Provide medical care within the scope of their training at the scene of an accident without fear of being sued for negligence |
3. If a patient refuses a venipuncture procedure, the phlebotomist should: | D. Immediately report the refusal and actions taken to the nurse |
4. Microorganisms that cause disease are: | Pathogenic |
5. Which of the following veins in the arm is most subjected to venipuncture? | A. Median cubital vein |
6. Post-prandial means: | C. After a meal |
7. Tourniquets may be left on the patient for: | A. 1 minute |
8. This complication results from repeated venipuncture of the same vein | D. Phlebitis |
9. Which of the following is not a component that makes up the chain of infection? | A. Mode of transportation |
10. A hematoma can be prevented if: | 10. A hematoma can be prevented if: |
11. Arterial blood gases need special handling. What is the handling requirement? | A. Specimen must be chilled after collection |
12. The recommended depth for an infant microcapillary collection should not exceed? | B. 2.0 mm |
Which of the following represents the correct order of draw? A. Gray, Lavender, Green, Red, Light Blue, B. Green, Gray, Light Blue, Red C. Yellow, Light Blue, Green, Gray D. Red, Blue, Gray, Lavender | C. Yellow, Light Blue, Green, Gray |
. Which test tube would be used for “Fasting Blood Sugar” or “Glucose Tolerance Test” A. Red B. Light Blue C. Lavender D. Gray | D. Gray |
15. Which of the following is not a common symptom of shock: A. Pale, cold clammy skin B. Rapid, weak pulse C. Thrombus D. Expressionless face/staring eyes | C. Thrombus |
16. Bacteria, viruses, fungus or parasites belong to which type of hazard: A. Biologic B. Chemical C. Physical D. Allergic | A. Biologic |
17. Which of the following is not considered a PPE: A. Goggles B. Face Shield C. Mask D. Bio hazard bags | D. Bio hazard bags |
18. Isolation is condensed into three categories which are: A. Airborne, droplet and contact B. Droplet, allergy and airborne C. Contact, droplet and isoteric D. Airborne, contact and allergy | A. Airborne, droplet and contact |
19. Which of the following is considered a preanalytical error? A. Wrong order of draw B. Exposure to light C. Under filling tubes D. Inadequate fast | D. Inadequate fast |
20. Latex sensitivity is a type of: A. Biologic hazard B. Allergic reaction C. Physical hazard D. Chemical hazard | B. Allergic reaction |
Which of the following duties is outside the scope of the phlebotomist’s practice? a. Collecting a tissue sample. b. Labeling samples correctly. c. Drawing blood using the appropriate equipment. d. Identifying patients properly. | Collecting a Tissue Sample |
In delivering quality patient care, which of the following actions should be avoided? a. . Excessive punctures. b. Repeated draws. c. Probing on their medical condition. d. All of the above. | D: All the above |
What federal agency regulates phlebotomy certifications? a. Center for Disease Control (CDC). b. National Institutes of Health (NIH). c. Health & Human Services. d. None of the above. | D: None of the above |
If you encounter a hazardous chemical that you need more information about, where can you quickly and accurately locate that information? a. Employee manual. b. Material Safety Data Sheet (MSDS). c. By searching on the Internet. d. Procedural manual. | B: MSDS |
Being free from contamination or germs is referred to as what term? a. Asepsis. b. Healthy. c. Sepsis. d. Clean. | A: Asepsis |
Implied consent form a patient to draw blood would be obtained by which action? a. The patient signs a consent form. b. The patient verifies their identity. c. The patient extends their arm. d. All of the above. | C: The patient extends their arm |
When collecting a sample to determine blood alcohol levels, what color tube should be used? a. Yellow. b. Red. c. Royal Blue. d. Gray. | D: Gray |
If a sample needs to be diluted, what should be added? a. Anticoagulant. b. Preservative. c. Diluent. d. All of the above. | C: Diluent |
Potassium EDTA binds to what element in the blood? a. Iron. b. Calcium. c. Magnesium. d. All of the above. | B: Calcium |
A failure to fast when ordered can impact a blood sample in which of the following ways? a. Increasing its turbidity. b. Increasing stress hormones. c. Increasing enzymes such as creatinine and fatty acids. d. A false increase in analytes. | A: Increasing its turbidity. |
name of a patient is spelled different on the requisition and a patient’s armband, best course action? a. Assume there was a typo and ignore the requisition. b. Visit with your manager to verify the information and have it corrected. | B: Visit your manager to verify the information and have it corrected. |
Anchoring a vein requires which of the following actions? a. Placing your thumb to the side of the vein and pressing firmly. b. Placing the thumb of your free hand below the vein and pulling the skin. c. Increasing pressure on the tip of the needle. | B: Placing the thumb of your free hand below the vein and stretching the skin. |
The most common cause of contamination in blood cultures is which of the following? a. Improper site preparation. b. Improper transportation. c. Improper storage. d. All of the above. | A: Improper site preparation. |
What is another name for a thrombocyte? a. Platelet. b. Thrombus. c. White blood cell. d. Plasma. | A Platelet |
Inserting a needle at the point of divergence between veins can result in what? a. An increased chance of a hematoma. b. Nerve damage. c. Failed venipuncture. d. Nothing. This is an ideal spot for venipuncture. | A: An increased chance of a hematoma |
Which of the following is a complication that can arise in capillary sampling? a. Collapse of veins. b. Nerve Damage. c. Scarring. d. All of the above. | D: All of the above |
Approximately how many liters of blood is generally found in the adult human body? a. 2 liters. b. 3 liters. c. 5 liters. d. 10 liters. | C: 5 Liters |
Which of the following is a cause for rejection of a specimen? a. Improper specimen (serum, blood, plasma) b. Incomplete chain of custody documentation. c. Insufficient quantity. d. All of the above. | D: All the above |
A failure to allow alcohol to completely dry during site preparation can lead to what? a. Hemolysis. b. Hemoconcentration. c. Hematoma. d. There is impact if the alcohol fails to completely dry. | A Hemolysis |
A: Chain of custody | |
An incident reporting system should include which of the following components? a. Details of the incident. b. Potential causes. c. Management of adverse events. d. All of the above. | D: All of the above |
Which of the following is not required on a correctly completed requisition? a. Patient history b. Priority status. c. Test(s) ordered. d. Patient number. | A: Patient history |
Which of the following is a National Patient Safety Goal(s)? a. Identify the patient correctly. b. Prevent infection. c. Improve communication. d. All of the above. | D: All of the above |
Workplace safety in a lab is governed by which agency? a. Center for Disease Control (CDC). b. National Institutes of Health (NIH). c. Federal Emergency Management Administration (FEMA). d. Occupational Safety and Health Administration (OSHA). | D: Occupational Safety and Health Administration (OSHA) |
What is the proper sequence for putting on PPE? a. Gloves, Gown, Mask. b. Mask, Gloves, Gown. c. Gown, Mask, Gloves. d. Mask, Gown, Gloves. | C: Gown, Mask, Gloves |
When should a sharps container be disposed of? a. After it is half full. b. When it is 3/4 full. c. When it is completely full. d. Never. They are reusable. | B: When its 3/4 full. |
draws can be collected after a draw a gray tube (sodium fluoride/potassium oxalate with antiglycolytic inhibitor)? a. Blood culture (yellow with SPS). b. Sodium citrate tubes (light blue). c. Heparin tubes with or without gel d. None of the above. | D: None of these |
additive 3.2% sodium citrate results in what? a. prevention of clotting by binding calcium. b. Activation of clotting with glass or silica particles. c. Prevention of clotting by inhibiting thrombin and thromboplastin. | A: The prevention of clotting by binding calcium. |
Venipuncture should not be performed on which of the following sites? a. Sites with scar tissue. b. Sites with hematomas present. c. Sites with vascular grafts. d. All of the above. | D: All of the above |
The use of povidone iodine for site preparation can result in a false increase in what level? a. Potassium. b. Phosphorus. c. Uric Acid. d. All of the above. | D: All of the above |
Prior to drawing from a sleeping patient? b. Verify their identity on the armband and proceed with the draw. c. Gently wake them up, and when they are ready, request they provide verification of their identity. | C: Gently wake them up, and when they are ready, request they provide verification of their identity. |
What type of draw is generally performed for patients in infancy? a. Fingerstick. b. Heel stick. c. Venipuncture. d. Arterial. | B: Heel stick |
Which of the following would not be required for a finger stick? a. Syringe. b. Gauze. c. Alcohol wipes. d. Micro containers for the requested tests. | A: Syringe |
Which of the following is a characteristic of capillaries? A. They are found in every square inch of the human body. B. Their walls are rugged. C. Capillaries are only a small part of the vascular system. | b. They are found in every square inch of the human body. |
What action can prevent bruises from forming due to a blood draw? a. Applying firm pressure immediately after and keeping a bandage on for several hours. b. Taking ibuprofen. c. Applying heat. d. All of the above. | a. Applying firm pressure immediately after and keeping a bandage on for several hours. |
Which test order should be given the most priority? a. STAT. b. Urgent. c. Timed. d. Routine. | A: STAT |
Which of the following is not a primary method of venipuncture? a. Vacuum Tube. b. Lancet. c. Syringe. d. Butterfly. | B: Lancet |
Why is blood drawn in a specific order? a. To reduce pain and patient discomfort b. To avoid cross-contamination of additives. c. To facilitate transportation of the specimens. d. All of the above. | B: To avoid Cross - Contamination of additives. |
When a sample is rejected for QNS? a. Collect another sample while protecting from light. b. Collect another sample with sufficient quantity. c. Analyze the label for missing information. d. Redraw the blood in the proper order. | B: Collect another sample with sufficient quanity. |