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NHA Quiz 3
Wrong Ones
| Question | Answer |
|---|---|
| Which of the following blood specimen tests are photosensitive and should be protected from light during handling and transportation? | Bilirubin |
| A phlebotomist should identify that a blood spot collection for inborn errors of metabolism requires which if the following? | The specimen must be completely dried before the test can be processed |
| Which of the following actions should a phlebotomist take to comply with guidelines for a CLIA- waived procedure? | Document quality control results |
| Which of the following methods provides for the most secure reliable delivery of laboratory results? | Electronic reports |
| A phlebotomist has just confirmed critical values on a laboratory test. Which of the following actions should the phlebotomist make when the physician's office is already closed? | Contact the physician by paging or calling right away |
| Which of the following is the appropriate procedure for handling an ammonia specimen? | Transport on ice |
| 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 |
| which of the following refers to the process of cleaning up a blood specimen spill on a counter? | Disinfection |
| A phlebotomist should use a blood transfer device with which of the following methods of blood collection? | Syringe |
| How can a phlebotomist distinguish whether a collection tube contains serum or plasma? | EDTA in the collection tube indicates plasma |
| Which of the following actions should a phlebotomist do 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 |
| 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 processes occurs after the venipuncture to control the bleeding? | Hemostasis |
| A phlebotomist inserts a needle into a patient's vein and observes no blood flow into the tube. Which of the following actions should the phlebotomist take first? | Pull the needle back slightly |
| 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 methods of reporting results by a clinical laboratory abides by the recommended standards set by the Joint Commission? | A faxed report from the clinical laboratory technician to the physician |
| 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 |
| 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 orders of draw should a phlebotomist use for venipuncture collection? | Sodium citrate, SST, sodium heparin, EDTA |
| A patient is on contact isolation precautions. What PPE, other than standard gloves, would be required? | Gown |
| An 8-year old patient arrived to the laboratory for blood work. Which of the following information is required on the venipuncture requisition? | Requesting provider's name |
| Aseptic techniques are followed by phlebotomist during phlebotomy procedures for which of the following reasons? | To decrease the risk of infection to patients and phlebotomist |
| When performing a test for PKU, the specimen should be processed using which of the following? | Filter paper |
| According to CLSI, the standard depth of a dermal puncture of an infant is | 2 mm |
| 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 practices should a phlebotomist follow to help monitor the volumes of blood collected in pediatric patient? | Maintain an updated log of blood collected from patients |
| Which of the following actions is required immediately after a phlebotomist experiences an accidental needle stick injury when drawing blood from a patient who has HIV? | Report the exposure to the supervisor |
| A phlebotomist should collect which of the following equipment or an ordered comprehensive metabolic panel (CMP)? | Tourniquet, multi sample needle, collection tube |
| Which of the following actions should a phlebotomy technician take when a patient has a seizure during blood collection? | Move the patient to the floor |
| Which of the following actions should I phlebotomist take for a patient who has a recent double mastectomy? | Contact the ordering provider and obtain permission to draw from either of the arms |
| Which of the following information is a phlebotomist required to document during urine collection for federal department of transportation drug testing? | Temperature of urine collected |
| 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 |
| I phlebotomist is instructing a patient on how to collect a stool specimen. Which of the following instructions should a phlebotomist give the patient about the collection procedure? | " Avoid urine contact with the specimen" |
| Which of the following needles should a phlebotomist use for a venipuncture using a winged fusion set and a 5 mL syringe? | 23 gauge |
| A phlebotomist is preparing to draw blood from a patient for therapeutic drug monitoring. Which of the following question should the phlebotomist ask? | " When was your last dose of lithium?" |
| Which of the following is an appropriate technique for specimen collection? | Performing a fingerstick on a toddler patient |
| A phlebotomist is working with an administrative assistant to schedule an appointment for a patient who requires a post prandial glucose test. At which of the following times should the phlebotomist ensure the patient's appointment is scheduled? | Two hours after eating a meal |
| How many times should an EDTA tube be inverted after blood collection? | 8 to 10 |
| Following collection of the last specimen collection tube, which of the following actions should the phlebotomist take next? | Disengage the tube from collection set |
| 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? | Permucosal |
| after collecting a bilirubin test, which of the following steps must be taken post venipuncture to ensure the accurate test results? | Specimen should be kept away from direct light |
| if a tube is not inverted correctly after collection, it may cause | False test results |
| While performing donor phlebotomy for a blood bank, the phlebotomist should use a? | 16-18 gauge needle |
| If no vein is apparent on first inspection, which of the following actions should the phlebotomist technician take before reapplying to tourniquet? | Have the patient rest their arm in a downward position |
| A phlebotomy technician is caring for a patient who is in shock. Which of the following actions should the technician take? | Keep the patient warm |
| After centrifuging, a green top tube yields a specimen of? | Plasma |
| A phlebotomist experiences a needlestick injury and discusses the event with a patient's partner without the patient's permission. The phlebotomist is now in violation of which of the following? | HIPPA |
| A phlebotomist is preparing to obtain an inpatient specimen from a patient. which of the following locations is the proper place for a phlebotomist to place the tourniquet? | Over the patients gown sleeve |
| utilizing tubes that have been expired may result in which of the following? | Loss of vacuum |
| Which of the following lancet positions should a phlebotomist use for capillary blood collection on a healthy adult patient? | Perpendicular to the fingerprint grooves |
| which of the following is the correct location to anchor a vein before performing a venipuncture? | 1 to 2 inches below puncture site |
| Which of the following actions should a phlebotomist take first after removing the needle from a patient's arm? | Activate the needle safety device |
| when performing a dermal puncture on patients one year of age and older, the phlebotomist should place the lancet in which of the following locations? | Middle (3rd) finger |