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NHA Quiz 1
Wrong Ones
| Question | Answer |
|---|---|
| A phlebotomist is preparing to collect a capillary blood specimen from a patient using the aseptic technique. Which of the following cleansing agents should the phlebotomist use? | 70% isopropyl alcohol |
| Quality control testing of a glucometer is important for which of the following reasons? | Promotes accurate test results |
| Which of the following veins should a phlebotomist evaluate first and is the preferred vein to use for venipuncture on an adolescent patient? | Median cubital |
| Which of the following orders of draw should a phlebotomist use for venipuncture collection? | Sodium citrate, SST, sodium heparin, EDTA |
| Which of the following actions by a phlebotomist can result in an unusable blood smear? | Applying firm pressure to the spreader slide |
| Which of the following accommodations should a phlebotomist make to increase a patient's comfort for venipuncture? | Place the patient in a supine position. |
| Which of the following statements is appropriate for a phlebotomist to make prior to a needlestick? | "This might hurt a little, but it will be over soon." |
| Which of the following glucometer readings should a phlebotomist identify as a critical value? | 50 mg/dl |
| Which of the following actions by a phlebotomist is a HIPAA violation? | Providing the laboratory results to the insurance company |
| The presence of which of the following in a urine analysis indicates an infection? | Leukocytes |
| A female patient refuses to have blood drawn by a male because of religious beliefs. The male phlebotomist should | have a female phlebotomist collect the specimen. |
| Which of the following is indicated by the yellow quadrant of the National Fire Protection Association hazard labeling system? | Reactivity/Instability |
| Which of the following information must a phlebotomist include on the label of a venipuncture specimen? | Time of the venipuncture |
| Which of the following is an appropriate choice for cleaning a surface contaminated with blood or body fluids? | 10% bleach solution |
| In which of the following situations does a phlebotomist have implied consent to provide care for a patient? | A patient is unconscious and clinically unstable. |
| A phlebotomist working in a remote clinic 60 min away from the laboratory needs to send a specimen in for blood gas analysis via courier. Which of the following actions should the phlebotomist take to ensure this blood specimen is handled properly? | Chill the blood specimen. |
| Which of the following actions should a phlebotomist take after collecting blood into a serum separation tube? | Invert the tube five to eight times. |
| Which of the following tube additives promotes clot formation? | Silica |
| According to CLSI, which of the following is the recommended last order of draw? | Sodium fluoride |
| A phlebotomist is performing a heel stick for a newborn screening. Which of the following actions demonstrates proper specimen collection? | The phlebotomist completely fills the circles on the filter paper |
| A phlebotomist informs a patient who is anxious that restraints will have to be used if the patient continues to move. When using this language, the phlebotomist is liable for which of the following? | Assault |
| Which of the following methods provides for the most secure and reliable delivery of laboratory results? | Electronic reports |
| A phlebotomist is preparing to collect blood for a liver profile. Which of the following tubes should the phlebotomist use? | Tiger top |
| A NIOSH-certified N95 or higher level mask should be worn when entering what type of isolation room? | Airborne |
| A phlebotomist has duplicate orders for a patient. How should the order be verified? | Call the provider to confirm the test requisition for the patient. |
| The first tube in a capillary draw contains which of the following additives? | EDTA |
| Which of the following describes proper insertion techniques for the evacuated tube method? | Bevel up at a 30° angle |
| The order of draw for phlebotomy collection is followed to avoid which of the following potential undesired results? | Carryover |
| Which of the following venipuncture tubes has an additive that removes calcium to prevent clot formation? | Light Blue |
| A patient experiences syncope during blood collection. Which of the following actions should the phlebotomist take first? | Terminate the procedure. |
| A patient who is on droplet precautions requires daily blood glucose monitoring. Besides gloves, what piece of personal protective equipment must the phlebotomist wear when drawing the sample? | Mask |
| When calculating total blood volume for a full-term, 2-day-old infant, which of the following information should a phlebotomist consider? | Weight |
| A phlebotomist is preparing to draw blood from a patient for therapeutic drug monitoring. Which of the following questions should the phlebotomist ask? | When was your last dose of lithium?" |
| A phlebotomist is sending home a stool sample kit with a patient. Which of the following instructions should the phlebotomist provide to the patient? | "Avoid urinating in the container." |
| Which of the following sites is appropriate to prepare for dermal specimen collection on a toddler? | Nondominant third finger |
| A phlebotomist should recognize that which of the following is a neonatal disorder caused by an inborn error of metabolism? | Phenylketonuria |
| A phlebotomist is performing a capillary puncture on an adult using a capillary tube. Which of the following steps should the phlebotomist take after the capillary tube is filled? | Apply pressure to the site. |
| A phlebotomist should identify that a blood spot collection for inborn errors of metabolism requires which of the following? | The specimen must be completely dried before the test can be processed. |
| Which of the following is the proper technique for a heel stick when collecting a blood sample from a newborn? | Wipe away the first drop of blood. |
| A phlebotomist is performing a capillary blood puncture on a patient and notices that there is not enough blood flow. Which of the following actions should the phlebotomist take to obtain a sufficient sample? | Lower the punctured appendage |
| Which of the following lancet positions should a phlebotomist use for a capillary blood collection on a healthy adult patient? | Perpendicular to the fingerprint grooves |
| Which of the following actions by a phlebotomist can be the source of a preanalytical error when collecting a blood specimen? | Underfilling the tube |
| Which of the following precautions should a phlebotomist take when performing venipuncture on a patient who is on active anticoagulant therapy? | Apply direct pressure to the puncture site for an extended length of time |
| Blood collection tubes fill correctly during venipuncture due to which of the following factors? | The negative pressure within the tube |
| Which of the following information should the physician's office provide to a phlebotomist for laboratory specimen collection? | Laboratory requisition form |
| Drawing a patient's blood without consent can result in a charge of | Battery. |
| Which of the following is the minimum required number of unique patient identifiers a phlebotomist should use prior to blood draw? | Two |