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NHA Quiz 2
Wrong Ones
| Question | Answer |
|---|---|
| While a phlebotomist is inserting a needle, the patient complains of a sharp pain radiating down his arm. The appropriate course of action would be to | release the tourniquet, remove the needle, and apply pressure over the collection site. |
| How should a phlebotomist instruct a female patient to collect a urine specimen for culture testing? | Do not touch the inside of the container, clean the urinary meatus from front to back, begin voiding in toilet, and then collect the specimen. |
| 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. |
| In which of the following locations should a phlebotomist directly dispose of a contaminated microscope slide? | Red sharps container |
| A phlebotomist is obtaining a venipuncture specimen and has decided to use the vein which lies on the outer edge of the arm. Which of the following veins has the phlebotomist selected? | Cephalic |
| 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 types of gloves presents the lowest allergy risk for the patient and phlebotomist? | Non-powdered nitrile |
| 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? | Per mucosal |
| When performing a 3-hr glucose tolerance test, a phlebotomist should verify the patient has fasted for which of the following required lengths of time? | 8 to 12 hr |
| Which of the following would be the appropriate action for a phlebotomist to take after failing to find a hospital band on either wrist of a hospitalized patient? | Check the ankles an ID band. |
| Which of the following tube additives promotes clot formation? | Silica |
| A phlebotomist releases the tourniquet as the last tube of blood is being collected. Which of the following actions should the phlebotomist perform next? | Remove the tube. |
| 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. |
| At the completion of a routine venipuncture, a phlebotomist incurs a needlestick to her finger. What information should she include on the required post-accident form for this situation? | The type of blood collection device used |
| When using a butterfly needle for venipuncture on dorsal hand veins, which of the following actions should the phlebotomist take? | Hold the needle by the wings of the butterfly. |
| Which of the following complications is associated with a dermal puncture? | Osteomyelitis |
| Which of the following blood specimen tests are photosensitive and should be protected from light during handling and transportation? | Bilirubin |
| A phlebotomist is processing a urine specimen in the laboratory. Which of the following personal protective equipment is required to maintain safety regulations in the laboratory? | Face shield |
| Which of the following signs of shock should the phlebotomist recognize in a patient during venipuncture? | The patient has pale, cold, clammy, and diaphoretic skin. |
| Which of the following should a phlebotomist recognize as being a component of CLSI? | Quality efficiency measures |
| Utilizing tubes that have expired may result in which of the following? | Loss of vacuum |
| 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. |
| Which of the following is a proper way to select a vein for venipuncture? | Palpate for veins using a tourniquet. |
| A phlebotomist should explain to a male patient that which of the following fluids is used for fertility testing? | Seminal |
| Which of the following information should be included in the chain of custody following a blood alcohol testing procedure? | The identity of each person who handles the specimen |
| A phlebotomist is collecting a lactic acid sample that will be transported to an outside laboratory. Which of the following actions should the phlebotomist take when handling the specimen? | Chill the sample. |
| When labeling a non-blood specimen, why is it important to place the label on the container itself and not the lid? | Once the lid is removed in the lab, the specimen is unlabeled. |
| Which of the following is caused by excessive shaking of a tube? | Hemolysis |
| Which of the following blood collection methods uses interchangeable collection tubes that allows a phlebotomist to draw several blood specimens at once? | Evacuated tube system |
| Which of the following actions is appropriate when transporting a specimen for ABG analysis? | Placing the specimen in ice |
| An emergency department provider orders a venipuncture on an unidentified and unconscious patient. Which of the following actions should the phlebotomist take when labeling the blood specimen? | Place the temporary ID number assigned to the patient on the specimen. |
| 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 has washed their hands in preparation for a routine venipuncture. Which of the following actions should the phlebotomist take to dry their hands? | Dry hands with a clean disposable towel. |
| 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 |
| When should the phlebotomist label the collection tubes? | Immediately after collection |
| A phlebotomist enters a patient's room and observes the patient to be motionless and cyanotic. Which of the following actions should the phlebotomist take first? | Ask the patient if they are okay in a loud voice. |
| Which of the following sites is appropriate to prepare for dermal specimen collection on a toddler? | Nondominant third finger |
| A phlebotomist is collecting a urine drug screen from a Department of Transportation employee. The phlebotomist should take the specimen temperature at which of the following times following collection? | Before 4 min |
| Which of the following orders of draw should the phlebotomist use for capillary collection? | EDTA, sodium heparin, non-additive |
| Point of care test regulations require quality control to | ensure accuracy of test results. |
| 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 actions should a phlebotomist take first after removing the needle from a patient's arm? | Activate the needle safety device. |
| A phlebotomist has a requisition form requesting a prothrombin time (PT) and aPTI be collected from a patient. Which of the following tube additives is correct for the draw? | Sodium citrate |
| A phlebotomist is concerned about contracting HIV during venipuncture. Which of the following precautions should the phlebotomist take prior to venipuncture? | Standard |
| Which of the following tubes is required for a phlebotomist to use when collecting a microbiological blood specimen? | Culture media tube |
| The results from which of the following tests are an example of point of care testing? | An elevated blood glucose test |
| Which of the following blood samples should the phlebotomist recognize as needing to be protected from the light? | Beta-carotene |
| A phlebotomist should expect to collect a blood culture from which of the following patients? | A patient who has a fever of unknown origin |
| Which of the following conditions results from exceeding the maximum blood volume parameter during blood collection? | Iatrogenic anemia |
| A phlebotomist is working with an administrative assistant to schedule an appointment for a patient who requires a postprandial glucose test. At which of the following times should the phlebotomist ensure this patient's appointment is scheduled? | 2 hr after eating a meal |
| A phlebotomist is called to the emergency department to draw blood from patient who is in critical condition. Which of the following is the applicable consent for this procedure? | Implied |
| How can a phlebotomist distinguish whether a collection tube contains serum or plasma? | EDTA in the collection tube indicates plasma |
| Failure to demonstrate proper care that results in an injury to another person is an example of | Negligence |
Created by:
jay096
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