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NHA Qualifier #3
Version C
| Question | Answer |
|---|---|
| 1- 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. |
| 2- Which of the following actions should a phlebotomy technician take when reporting laboratory results? | Send the results to the patients ordering provider. |
| 3- A phlebotomy technician is disposing of used supplies when he accidentally receives a needlestick injury. According to OSHA guidelines, which of the following actions should the technician take first? | Wash the puncture site with soap and water |
| 4- A phlebotomy technician is selecting a site for a blood draw from a patient. From which of the following veins should the technician attempt to draw first? | Median Cubital |
| 5- 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 |
| 6- 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 |
| 7- 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 |
| 8- 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. |
| 9- A phlebotomy technician is performing a venipuncture for a patient who begins to seize. Which of the following actions should the technician take? | Discontinue the draw |
| 10- A patient who has diabetes states that he prefers to be drawn on the inside of the wrist. Which of the following actions should a phlebotomy technician take? | Attempt to be drawn from the antecubital region |
| 11- A phlebotomy technician should identify that which of the following actions can cause a hemolyzed specimen? | Shaking the tube vigorously |
| 12- A phlebotomy technician is preparing to perform a venipuncture on a patient who has a small, rolling veins. Which of the following equipment should the technician use? | Winged infusion set |
| 13- 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 |
| 14- A phlebotomy technician should identify that HIPAA protects which of the following rights as part of the Patient Care Partnership? | Privacy |
| 15- How frequently should a phlebotomy technician perform a quality control test on a glucometer in the laboratory? | Every day the meter is used |
| 16- 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. |
| 17- A phlebotomy technician is updating a quality controlled record while performing daily point-of-care tests. Which of the following information should the technician include? | Expiration date |
| 18- 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. |
| 19- A phlebotomy technician should select a tube that has which of the following additives when collecting a blood specimen for a CBC? | EDTA |
| 20- A phlebotomy technician is preparing to perform a hand draw. Which of the following equipment should the technician assemble? | Winged infusion set and adapter |
| 21- A phlebotomy technician is obtaining 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 |
| 22- Which of the following test results are affected when a phlebotomy technician uses povidone-iodine to cleanse a site for a dermal puncture? | Potassium |
| 23- A phlebotomy technician notices that the patient does not have a wrist band on his wrist, but there is one attached to the patient's IV stand in inpatient setting. Which of the following actions should the technician take? | Hold the draw until the nurse has attached a wristband to the patient |
| 24- Which of the following tests is the most common point-of-care test performed at home and in medical facilities? | glucose |
| 25- 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 |
| 26- A phlebotomy technician is performing a venipuncture using a winged infusion set. The red topped tube fills, but the light blue topped tube slows down 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 |
| 27- A phlebotomy technician is performing a blood glucose test. Which of the following glucose levels should the technician identify as being outside the expected reference range? | 200 mg/dL |
| 28- A phlebotomy technician is preparing to store a blood specimen. At which of the following temperatures should the technician store the specimen? | 2 to 8 (35.6 - 46.4 F) |
| 29- For which of the following reasons should a phlebotomy technician place a specimen in a bio hazard bag for transport to an outside laboratory? | The biohazard bag prevents a possible exposure incident |
| 30- 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. |
| 31- 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 |
| 32- A phlebotomy technician collects multiple specimens from a premature infant. Which of the following is a possible result of the procedure? | Iatrogenic anemia |
| 33- 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 |
| 34-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 patient's full name and date of birth |
| 35- 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. |
| 36- A phlebotomy technician uses sterile technique and demonstrates proper hygiene. Which of the following professional characteristics is the technician displaying? | Attention to cleanliness |
| 37- 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 hr. |
| 38- A phlebotomy technician is preparing to collect a patients troponin T level. Which of the following troponin T levels should the technician immediately report to the provider? | 0.03 ng/mL |
| 39- After a phlebotomy technician performs a heel puncture for neonatal screening, which of the following is the correct procedure for collecting the blood? | Saturate each circle with one drop of blood. |
| 40- 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 |
| 41- 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 |
| 42- Which of the following is the proper cleansing technique when a phlebotomy technician is performing a routine venipuncture? | Cleanse the site with friction using back and forth strokes. |
| 43- 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 use? | Ask the patient to lie down for the procedure. |
| 44- 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. |
| 45- Which of the following actions should a phlebotomy technician take to maintain compliance with HIPAA? | Clear phone numbers from the fax machine |
| 46- 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 inter professional team? | nurse |
| 47- 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 |
| 48- 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 |
| 49-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 min |
| 50-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 |
| 51-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 |
| 52- 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 |
| 53- Which of the following actions should a phlebotomy technician take to prevent a needle stick injury? | Replace a sharps container that has reached its fill line. |
| 54- Which of the following tasks is within a phlebotomy technician's scope of practice? | Providing instructions to patients for specimen collection |
| 55- A phlebotomy technician is instructing a patient about how to collect a 24-hr urine specimen. Which of the following instructions should the technician include? | Discard the first void of the morning |
| 56- 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. |
| 57- A phlebotomy technician is preparing a patient for a routine venipuncture. Which of the following antiseptic solutions should the technician use? | Isopropyl alcohol |
| 58- 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 |
| 59- 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 |
| 60- 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. |
| 61- The Joint Commission recommends using the patient's full name and which of the following pieces of information to ensure accurate inpatient identification? | Medical record number |
| 62- Which of the following blood test should a phlebotomy technician place in ice immediately following collection ? | Ammonia |
| 63- 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 |
| 64- 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 |
| 65- A phlebotomy technician is preparing to perform a venipuncture for a patient who is on droplet precautions. Which of the following pieces of PPE should the technician apply before entering the patient's room? | Mask |
| 66- 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 |
| 67- A phlebotomy technician is working with a patient who has a mycobacterium tuberculosis (TB) infection. Which of the following transmission precautions should the technician use for this patient? | Airborne precautions |
| 68- 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 |
| 69- 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 |
| 70- 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 |
| 71- Which of the following tubes should a phlebotomy technician collect first when obtaining dermal samples? | Lavender Top |
| 72- A phlebotomy technician should ensure that which of the following specimens is protected from light? | Bilirubin |
| 73- 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 |
| 74- 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 |
| 75- Which of the following collection tubes should a phlebotomy technician use when collecting for a routine chemistry test that requires serum? | SST |
| 76- 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. |
| 77- 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 |
| 78- 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 |
| 79- A phlebotomy technician should use a capillary collection instead of a venipuncture in which of the following situations? | A patient's veins are inaccessible. |
| 80- 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 |
| 81- 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 |
| 82- 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 tests can be performed on a capillary specimen. |
| 83- A phlebotomy technician is obtaining a blood specimen from a patient. The patient reports experiencing a sharp painful and tingling sensation going down on her arm and int her hand. Which of the following complications of venipuncture is occurring? | Nerve Injury |
| 84- 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 forms of consent? | Implied consent |
| 85- 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. |
| 86- A phlebotomy technician should identify that the order of draw for capillary collections different from venipuncture for which of the following reasons? | An increased rate of coagulation |
| 87- After exiting a patients room, which of the following is the last piece of PPE a phlebotomy technician should remove? | Mask |
| 88- A phlebotomy technician should identify that which of the following is the first step in blood collection procedure? | Test requisition |
| 89- 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. |
| 90- 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. |
| 91- A phlebotomy technician is preparing to obtain a blood specimen to determine a patients sodium level. The technician should select a collection tube that as a top of which of the following colors? | Green |
| 92- 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." |
| 93- 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. |
| 94- 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 |
| 95- A phlebotomy technician is informing a patient about how to enter a basal state for blood collection. The technician should inform the patient not to consume food for how many hours prior to blood collection? | 12 hours |
| 96- Which of the following information should a phlebotomy technician document when adhering to chain of custody guidelines? | Identity of everyone who had possession of the specimen |
| 97- 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 the bedside table. Which of the following actions should the technician take ? | Ask the patient when he last ate or drank |
| 98- 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? | Remove the tourniquet and the needle. |
| 99- 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. |
| 100- A phlebotomy technician is instructing a patient about how to collect a fecal occult specimen. Which of the following instructions should the technician use? | Avoid taking ibuprofen. |
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