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Phlebotomy Cards
NHA Phlebotomy exam questions
| Question | Answer |
|---|---|
| Every state in the US requires newborns be tested for which of the following disorders? | Phenylketonuria |
| What is the correct location to anchor a vein before a venipuncture? | 1-2 inches below the puncture site |
| Which parameters should a phlebotomist consider when selecting a collection method? | Patient condition, patient age, and blood volume required |
| When performing a dermal puncture on a patient 1yr of age and older the phlebotomist should place the lancet in what location? | Middle (3rd) finger |
| A phlebotomist is processing a urine specimen in the lab. What personal protective equipment is required to maintain safety regulations? | Surgical Gloves |
| What actions should a phlebotomist take to comply with a CILA- Waved procedure? | Document quality control results |
| A phlebotomist informs a patient who is anxious that restraints will be used if the patient continues to move. When using this language, the phlebotomist is liable for..... | Assault |
| Which of the following positions should a phlebotomist use for a capillary blood collection on a healthy adult patient? | Perpendicular to the fingerprint grooves |
| Failure to demonstrate proper care in an injury to another person is an example of..... | Negligence |
| A phlebotomist has just confirmed critical values on a laboratory test. What action should a phlebotomist take when the physician's office is already closed? | Contact the physician by paging or calling right away |
| ________ refers to the process of cleaning up a blood specimen spill on a counter | Disinfection |
| A phlebotomist should identify which of the following as the best site for phenylketonuria collection on an infant | The medial or lateral areas of the heel |
| _________ is an appropriate technique for specimen collection | Performing a thumb stick on an infant |
| A phlebotomist should use a blood transfer device for which method of blood collection? | Syringe |
| What action should a phlebotomy technician take when a patient has a seizure during blood collection | Move the patient to the floor |
| A report of laboratory results is required to have what information | Date of specimen collection |
| What information is a phlebotomist required to document during urine collection for federal department of transportation | Temperature of urine collected |
| drawing a patient's blood without consent can result in a charge of what | Battery |
| The clinical laboratory standards institute recommends a heel lancet's penetration to be less than 2mm to prevent what condition | Bone penetration |
| A phlebotomy technician is caring for a patient who is in shock. What action should the technician take | Keep the patient warm |
| Following collection of the last specimen collection tube, what action should the phlebotomist take next | Withdraw the collection needle from the vein |
| What action should a phlebotomist take for a patient who has had a recent double mastectomy | Contact the ordering provider and obtain permission to draw from either arm |
| If a patient is on droplet precautions, the phlebotomist should recognize that which of the following is a means of transmission | The patient sneezes |
| Which of the following methods provides for the most secure and reliable delivery of laboratory results | Electronic Reports |
| While performing donor phlebotomy for a blood bank, the phlebotomist should use..... | 16- to 18- gauge needle |
| A phlebotomist is required to document_____ on a CBC specimen label | Patients' identification number |
| After collecting a bilirubin test, which of the following steps should be taken post venipuncture to ensure an accurate test result | Specimen should be kept away from direct light |
| A phlebotomist is performing a venipuncture on a patient who is allergic to alcohol. Which of the following is an appropriate antiseptic to use in place of alcohol | Chlorhexidine |
| The duties of a phlebotomist include _____ | Greeting and instructing patients |
| An adult patient gives implied consent to a phlebotomist when _____ occurs | when the patient offers their arm out to the phlebotomist |
| According to the CLSI order of draw guidelines, which of the following samples should the phlebotomist collect first | Cultures |
| A phlebotomist experiences a needlestick injury and discusses the event with the patients partner without the patient's permission. The phlebotomist is now in violation of what | HIPAA |
| A phlebotomist is required to use the sharps container to dispose of which of the following items after performing a capillary collection | Lancet |
| When drawing blood on a preschooler, the phlebotomist should ______ | explain the procedure to the parent and child |
| According to CLSI, the standard depth of a dermal puncture for an infant is | 2mm |
| The results from which of the following test are an example of point of care | An elevated sweat chloride test |
| A phlebotomist is preparing to draw from a patient for therapeutic drug monitoring. Which of the following questions should the phlebotomist ask | "When was your last dose of lithium?" |
| Which of the following actions should a phlebotomist take when using a tourniquet | Release the tourniquet with one hand |
| A phlebotomist has washed their hands in preparation for a venipuncture. Which of the following actions should the phlebotomist take to dry their hands | Dry hands with a clean disposable towel |
| A phlebotomist should collect which of the following equipment for an ordered comprehensive metabolic panel (CMP) | Tourniquet, multi- sample needle, collection tube |
| Which of the following is the general concept behind standard precautions | Assume that all body fluids are infected with bloodborne pathogens |
| which of the following processes occurs after a venipuncture to control the bleeding | Hemostasis |
| A phlebotomist allows another administrative employee to use their login password to enter a patients laboratory results. which of the following regulates the confidentiality that has been breached in this situation | HIPAA |
| which of the following practices should a phlebotomist follow to help monitor the volume of blood collected in pediatric patients | Maintain an updated log of blood collected from patients |
| After centrifuging a green top tube yields a specimen of | Plasma |
| which of the following information must a phlebotomist include on the label of a venipuncture specimen | Time of the venipuncture |
| A phlebotomist enters a patients room and observes the patient to be motionless and cyanotic. Which of the following actions should the phlebotomist take first | look, listen, and feel for breathing movements |
| which of the following nonverbal factors can have a positive impact when a phlebotomist introduces themselves to patients | take a position facing a patient |
| a phlebotomist should recognize that proper hand hygiene can result in which of the following | a decrease in the incidence of health care associated infections |
| which of the following criteria is acceptable in determining the quality of a peripheral blood smear | A feathered edge |
| a phlebotomist is preparing to perform venipuncture on a patient who had a right sided mastectomy. which of the following is the correct site to perform the collection | Left Antecubital |
| A phlebotomist has entered incorrect information in a patients paper chart after a venipuncture procedure. which of the following actions should the phlebotomist take to correct the error | Strike a line through the error and inital |
| a blood glucose meter was checked during the previous morning for errors. At which of the following times should the quality control of the meter be checked | Before use |
| when preparing to explain a phlebotomy procedure to a patient which of the following actions should the phlebotomist take | plan to use empathy toward the patient during the discussion |
| which of the following best exemplifies diversity awareness in the workplace | acknowledging the patients beliefs and customs |
| a laboratory is scheduled for a routine annual inspection with the primary focus on equipment maintenance logs. which of the following areas will be the focus of the inspection | Mechanical Safety |
| which of the following types of bleeding should a phlebotomist notify a provider or nurse about | Arterial |
| which of the following is required on a chain of custody form after a urine drug screen | patients signature |
| which of the following is the vein of choice for a venipuncture procedure | Median Cubital |
| a phlebotomy technician is concerned that the offices current butterfly needles are not up to the safety standards. which of the following agencies can confirm safety compliance of the equipment for the technician | OSHA |
| a large spill has occurred in a laboratory involving venous blood. which of the following actions should the phlebotomist take | apply a liquid thickening agent on top of the spill |
| which of the following blood specimen tests are photosensitive and should be protected from light during handling and transportation | Bilirubin |
| a phlebotomist is obtaining a blood specimen from a patient who is suspected of having a mycobacterium tuberculosis infection. Which of the following pieces of equipment is required | N95 respirator |
| Aseptic techniques are followed by phlebotomist during phlebotomy procedures for what reason | to decrease the risk of infection to patients and phlebotomist |
| a phlebotomist is planning to collect a specimen to measure a patients serum cortisol level. which of the following factors should the phlebotomist consider | time of day |
| which of the following actions should a phlebotomist take after collecting blood into a serum separation tube | invert the tube 5-8 times |
| which of the following pieces of information is a phlebotomist required to include on the label of a blood specimen tube | phlebotomist initials |
| Which of the following actions should a phlebotomist take first after removing the needle from a patients arm | activate the needle safety device |
| which of the following orders of draw should a phlebotomist use for venipuncture collections | sodium citrate, SST, sodium heparin, EDTA |
| a phlebotomist is instructing a patient on how to collect a stool specimen. which of the following instructions should the phlebotomist give the patient about the collection procedure | "avoid urine contact with the specimen" |
| which of the following pairs of blood tests is appropriate for a fasting specimen | Glucose and triglycerides |
| a patient is on contact precautions. what PPE other than the standard gloves would be required | Gown |
| which of the following is the appropriate procedure for handling an ammonia specimen | transport on ice |
| a phlebotomist is called to the emergency room department to draw blood from a patient who is in critical condition. which of the following is the applicable consent for this procedure | Implied |
| which of the following is caused by excessive shaking of a tube | hemolysis |
| when performing a test for PKU the specimen should be processed using which of the following | Filter paper |
| which of the following anticoagulants is found in a lavender- topped blood collection vacuum tube | EDTA |
| which of the following needles should a phlebotomist use for a venipuncture using a winged infusion set and a 5 ML syringe | 23-gauge |
| which of the following actions should a phlebotomist take next for an adult capillary puncture after sanitizing and puncturing the site | wipe away the first drop of blood |
| a phlebotomist is scheduled to perform a venipuncture on a child who is unable to provide identification. which of the following information should the phlebotomist use to identify the child | identification by the patients nurse |
| which of the following tests is performed to identify bactermia | blood culture |
| a phlebotomist is preparing to draw blood from an infant. to calculate the blood volume that can be drawn, which of the following types of patient information must the phlebotomist have | weight |
| how can a phlebotomist distinguish whether a collection tube contains serum or plasma | SST in the collection tube indicates plasma |
| which of the following blood components is needed for hemostasis to take place | Thrombocytes |
| which of the following governing bodies mandates the use of safety features on needles and the immediate disposal as one unit in a biohazard container after use | OSHA |
| if phlebotomist hands are soiled with blood or body fluids, which of the following decontamination agents should the phlebotomist use to clean them | Soap and water |
| which of the following actions is required immediately after a phlebotomist experiences an accidental needlestick injury when drawing blood from a patient who has HIV | report the exposure to the supervisor |
| which f the following information should the physicians office provide to a phlebotomist for laboratory specimen collection | laboratory requisition form |
| which of the following techniques of needle insertion into the antecubital space is in accordance with suggested venipuncture guidelines | with the bevel facing up at an angle of 15-30 degrees |
| if a tube is not inverted correctly after collection, it may cause | hemoconcentration |
| there has been a chemical spill in the laboratory. which of the following should a phlebotomist refer for directions to clean up the spill | SDS |
| by wearing a face shield when coming into contact with body fluids, a phlebotomist is preventing exposure by which of the following modes of transmission | Vector |
| which of the following is used to stabilize a patients arm during a venipuncture | A phlebotomy wedge |
| if no vein is apparent on first inspection, which of the following actions should a phlebotomy technician take before reapplying the tourniquet | have the patient rest their arm in a downward position |
| a phlebotomist is preparing to obtain an inpatient specimen from a patient. which of the following locations is the phlebotomist to place the tourniquet | over the patient's gown sleeve |
| Utilizing tubes that have expired may result in which of the following | Hemolysis |
| A phlebotomist should administer CPR to which of the following patients | a patient who is pulseless |
Created by:
AMGRIMES39
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