(100% verified) NHA Phlebotomy practice exam 2023 with complete solutions

A phlebotomy technician should identify that which of the following additives is used to prevent the breakdown of glucose? - ANSWER-Sodium fluoride A Phlebotomy technician in an outpatient setting is identifying a patient before performing a venipuncture procedure. To confirm the patient's identity, which of the following questions should the technician ask? - ANSWER-"Would you please state and spell your full name and provide your date of birth" Which of the following is a potential consequence of a phlebotomy technician mislabeling a blood bank specimen? - ANSWER-A transfusion reaction A phlebotomy technician should invert anticoagulant tubes to prevent which of the following complications? - ANSWER-Hemolysis According to OSHA standards, which of the following vaccines must employers offer to their phlebotomist at no cost? - ANSWER-Hepatitis B During a routine venipuncture, a phlebotomy technician notices that a patient is becoming pale and diaphoretic. The technician should identify that the patient is at risk for which of the following conditions? - ANSWER-Syncope A phlebotomy technician should identify that which of the following tube selections indicates the correct order of draw for venipuncture? - ANSWER-Green, lavender, grey Phlebotomy technician is preparing to collect a blood specimen from the hand of a patient whose veins are difficult to access. Which of the following devices should the technician use? - ANSWER-Hand immobilizer A phlebotomy technician is preparing to use an evacuated tube system to obtain a venous blood specimen from a patient. The tourniquet is in place and the technician has cleansed the puncture site. Which of the following procedural steps should the technician perform next? - ANSWER-Ask the patient to make a fist Which of the following actions by a phlebotomy technician can result in a grossly hemolyzed specimen? - ANSWER-Using an incorrect needle gauge A phlebotomy technician should identify that which of the following series of venipuncture steps is in the appropriate order? - ANSWER-assess the site, cleanse the site, insert the needle A phlebotomy technician should comply with HIPAA to protect which of the following? - ANSWER-Patients information A phlebotomy technician is performing a capillary blood collection for an older adult patient. Which of the following sites should the technician select? - ANSWER-The distal phalanx of either middle finger A phlebotomy technician is preparing to collect a blood specimen from a patient who signed a general informed consent form upon admission to the facility. Which of the following actions by the patient indicates implied consent for the venipuncture? - ANSWER-Rolling up his shirtsleeve A phlebotomy technician is using an evacuated needle holder and blood collection tubes to collect blood from a patient. Which of the following actions should the technician take? - ANSWER-Push the first collection tube gently into the holder For an older adult patient who has difficult-to-access veins, a phlebotomy technician should select which of the following beans to perform a venipuncture? - ANSWER-Dorsal veins How often should a phlebotomy technician run quality control test on point-of-care testing instruments? - ANSWER-Daily A phlebotomy technician must comply with which of the following OSHA requirements when performing a venipuncture? - ANSWER-Wear gloves when contact with blood is anticipated Which of the following actions should the phlebotomy technician take when performing a venipuncture using an evacuated tube system? - ANSWER-Position the needle at a 30° angle in the same direction as the vein and with the bevel up A phlebotomy technician is collecting a blood specimen from a patient to measure the trough level of a medication. The technician should collect the specimen at which of the following times? - ANSWER-Within 15 mins before the patient receives the next dose of medication. For which of the following test should a phlebotomy technician follow chain of custody guidelines? - ANSWER-Blood alcohol During a venipuncture, a patient reports a sharp pain radiating down his arm. Which of the following actions should the phlebotomy technician take? - ANSWER-Release the tourniquet and remove the needle A phlebotomy technician is teaching a patient about collecting a sputum specimen at home. Which of the following instruction should the technician include? - ANSWER-Spit thick secretions into the container after coughing deeply For which of the following procedures should a phlebotomy technician follow chain of custody guidelines? - ANSWER-Paternity testing A phlebotomy technician has a request to collect a routine CBC from a healthy 10 month old infant. Which of the following collection sites should the technician select? - ANSWER-Either heel When collecting a routine blood sample, which of the following beins should a phlebotomy technician attempt to draw from first? - ANSWER-Median cubital A phlebotomy technician should identify that which of the following is the next step after removing a needle from a patient's arm? - ANSWER-Engage the needle safety device A phlebotomy technician is preparing to collect a blood specimen from a patient for a coagulation study. The patient states, "I faint every time I get my blood drawn." which of the following statements should the technician make? - ANSWER-"I will perform the draw while you are laying down." A phlebotomy technician is collecting a blood specimen from a patient for blood cultures. Which of the following additives do the blood collection tubes require? - ANSWER-Sodium polyanethol sulfonate A phlebotomy technician has a requisition for collecting fast blood glucose and albumin specimens from a patient. Which of the following actions should the technician take before collecting the patient's blood? - ANSWER-Make sure the patient has fasted for the past 8 to 12 hours A phlebotomy technician is preparing to remove personal protective equipment following a venipuncture for a patient in an isolation room. Which of the following pieces of equipment should the technician remove first? - ANSWER-Gloves Phlebotomy technician is reviewing a laboratory requisition before obtaining blood specimens from a patient. The technician should verify that the requisition includes which of the following information? - ANSWER-A specimen identification code Phlebotomy technician is educating a patient about the at-home collection of a semen specimen. Which of the following statements by the patient indicates an understanding of the procedure? - ANSWER-"I will collect the specimen in a sterile container and return within 1 hour" A phlebotomy technician is preparing several specimens for transport to the facilities laboratory. Which of the following specimens should the technician protect from bright light by placing it in an amber/brown biohazard bag for transport? - ANSWER-Vitamin B6 A phlebotomy technician is preparing to perform a venipuncture for a twoyear old child. The child ask if the blood draw will hurt. Which of the following statements should the technician make? - ANSWER-"You will feel a small prick" A technician should identify that which of the following is one of the joint commission 2016 national patient safety goals? - ANSWER-Identify patients correctly A phlebotomy technician is following the clinical and laboratory standards institutes (CLSI) clinical laboratory workflow pathway. As part of the postexamination phase of this process, which of the following actions should the technician take? - ANSWER-Enter critical laboratory data I phlebotomy technician is collecting a urine specimen from a patient for a pre-employment drug screening. Which of the following findings should indicate to the technician that tampering has possibly occurred? - ANSWER-The temperature of the specimen is 30°C (80°F) A phlebotomy technician is preparing to obtain a blood specimen for a patient in an outpatient setting. Using standard precautions, which of the following pieces of personal protective equipment should the technician wear? - ANSWER-Gloves A phlebotomy technician enters a patient's room to obtain a stat specimen. The patient's provider and the nurse are speaking with the patient. Which of the following actions should the technician take first? - ANSWER-Introduce himself to the patient and the healthcare team members Which of the following actions should a phlebotomy technician take when labeling specimens? - ANSWER-Labeling specimens at the time of collection and in the presence of the patient A provider orders a stat specimen, but the phlebotomy technician forgets to fill out the patient ID number on the collection tube. The technician should expect the laboratory that received the specimen to take which of the following actions? - ANSWER-Reject the specimen Which of the following personal protective equipment provides a phlebotomy technician with the best protection when drawing blood from a patient who has active tuberculosis? - ANSWER-N95 respirator A phlebotomy technician is collecting a unit of blood from a donor. Which of the following actions should the technician take? - ANSWER-Instruct the donor to open and close his hand gently throughout the collection A phlebotomy technician should identify that which of the following phrases is represented by the abbreviation "SD"? - ANSWER-Standard deviation A phlebotomy technician is using a point-of-care test system to determine a patient's WBC count. For which of the following results should the technician immediately notify the provider? - ANSWER-1.8/mm^3 A phlebotomy technician is instructing a patient how to collect a clean-catch urine specimen. Which of the following cleansers should the technician instruct the patient to use when cleansing around her urinary meatus? - ANSWER-Mild antiseptic soap A phlebotomy technician is collecting a blood specimen from a patient who has cutaneous diphtheria. Besides gloves which of the following pieces of personal protective equipment should be technician where? - ANSWER-Gown A phlebotomy technician is collecting blood from a patient for donation. The collection bag only fills halfway, and the vein collapses. Which of the following actions should the technician take? - ANSWER-use a new collection bag to draw a new unit of blood A phlebotomy technician should identify that which of the following is an identifier for a specimen as long as it remains in the laboratory? - ANSWER-Accession number Which of the following actions should a phlebotomy technician take to locate a vein using the warming technique? - ANSWER-Encase the warm towel in a plastic bag A phlebotomy technician is collecting a venipuncture blood specimen from a patient for a blood assay. The technician should fill which of the following tubes first? - ANSWER-Yellow-topped tube A phlebotomy technician is collecting a urine specimen from a patient for a pre-employment drug test which of the following action should the technician take? - ANSWER-Verify that the specimen contains at least 45 mL of urine Phlebotomy technician is preparing to collect a blood specimen from a small vein of an older adult patient. Which of the following actions should the technician take to keep the vein from collapsing? - ANSWER-Use a small meal for the draw Which of the following action should I phlebotomy technician take after collecting an ammonia specimen? - ANSWER-Place the specimen tube in an ice-water slurry A phlebotomy technician is explaining the venipuncture process to an adult patient. The patient nods frequently but appears confused. Which of the following actions should the technician take? - ANSWER-Rephrase the information for the patient A phlebotomy technician sees a coworker receive a major electrical shock from an instrument. Which of the following actions should the technician take first? - ANSWER-shut off power to the instrument A phlebotomy technician should transport a semen sample at which of the following temperatures? - ANSWER-36° to 38°C A phlebotomy technician receives a chemical splash to his forearm. After removing his contaminated clothing, which of the following is the minimum amount of time the technician should rinse the affected area? - ANSWER-15 min A phlebotomy technician is performing a heel stick to obtain capillary blood for testing a newborns bilirubin level. Which of the following actions should the technician take? - ANSWER-Use an amber-colored microcontainer A phlebotomy technician is assembling the equipment he will need for collecting donor units of blood. Which of the following needle sizes should the technician select? - ANSWER-18-gauge A phlebotomy technician is collecting a blood specimen from a patient. Which of the following techniques should the technician use to anchor the vein just before inserting the needle? - ANSWER-Use thumb to anchor the vein 5 cm (2in) below the puncture site Within which of the following time periods to the phlebotomy technician collect a newborn blood-spot test screening card? - ANSWER-Within 72 hours A phlebotomy technician is washing her hands at the beginning of her shift. Which of the following action should the technician take? - ANSWER-Use enough soap to form a lather To prevent hospital-acquired infections, a phlebotomy technician should clean items that have been contaminated by blood with a 1:10 dilution of which of the following substances and water? - ANSWER-sodium hypochlorite A phlebotomy technician is obtaining a blood specimen from a patient. The technician notices swelling and a large hematoma forming at the puncture site. Which of the following actions should the technician take? - ANSWER-Remove the tourniquet and needle A phlebotomy technician has a mild sensitivity to latex. According to the national Institute for occupational safety and health (NIOSH), which of the following actions should the technician take? - ANSWER-Wear nitrile gloves instead of latex gloves According to standard precautions, a phlebotomy technician should take which of the following actions when shipping specimens to a reference laboratory in hot weather? - ANSWER-Place the specimens in a box with cold packs and a biohazard label For which of the following reason should a phlebotomy technician document the total volume of blood drawn from a patient? - ANSWER-To determine if the patient is at risk for developing iatrogenic anemia A phlebotomy technician should identify that which of the following is the total blood volume of an infant who weighs 3.3 kg (7.3lb)? - ANSWER-240 to 330 mL