NHA Phlebotomy certification EXAM
. Prolonged tourniquet application will cause:
a. edema.
b. hemolysis.
c. hemoconcentration.
d. both B and C - Answer-d. both B and C
b. hemolysis.
c. hemoconcentration.
. Specimens are rejected by the laboratory for all of the following reasons except:
a. clots in a lavender stopper tube.
b. collection in the wrong tube.
c. incompletely filled light-blue stopper tubes.
d. clots in a red stopper tube. - Answer-d. clots in a red stopper tube.
. A patient who appears pale and has cold, damp skin may develop:
a. coagulation problems.
b. septicemia.
c. sclerosis.
d. syncope. - Answer-d. syncope.
. ABO and Rh typing are performed in which laboratory section?
a. Hematology
b. Blood bank
c. Chemistry
d. Cytology - Answer-b. Blood bank
. Allowing blood to leak from a vein into the surrounding tissue will cause:
a. hematoma.
b. hemolysis.
c. nerve damage.
d. syncope. - Answer-a. hematoma.
. An agency that assures quality care by hospitals is the:
a. Joint Commission.
b. Centers for Disease Control and Prevention.
c. Occupational Safety and Health Administration.
d. College of American Pathologists. - Answer-a. Joint Commission.
. An elevated bilirubin might indicate a disorder of the:
a. heart.
b. kidney.
,c. brain.
d. liver. - Answer-d. liver.
. Before placing a call on hold, a phlebotomist should:
a. record the caller's name.
b. check to see if it is an emergency.
c. transfer the call to the phlebotomy supervisor.
d. tell the caller his or her name. - Answer-b. check to see if it is an emergency.
. During the venipuncture, the phlebotomist should do all of the following except:
a. anchor the vein above and below the puncture site.
b. insert the needle with the bevel up.
c. insert the needle at a 15- to 30-degree angle.
d. brace the hand holding the adapter on the patient's arm. - Answer-a. anchor the vein
above and below the puncture site.
. A puncture device with a broken seal should not be used because:
a. it is no longer sterile.
b. the needle may contain a barb.
c. there may be a manufacturing defect.
d. the color coding will not match the size. - Answer-a. it is no longer sterile.
. Firmly anchoring the vein prior to needle insertion is necessary to prevent:
a. specimen hemolysis.
b. incompletely filled tubes.
c. an accidental needlestick.
d. the vein from rolling. - Answer-d. the vein from rolling.
. Functions of the blood include all of the following except:
a. transport oxygen.
b. regulate pulse rate.
c. deliver nutrients.
d. transport waste products. - Answer-b. regulate pulse rate.
. How full should you fill the Sharps Container before using a new container? - Answer-
¾ full
. If a patient refuses to have blood drawn, the phlebotomist should:
a. send another phlebotomist to collect the specimen.
b. report the situation to the nursing station.
c. return the requisition form to the laboratory.
d. ask someone to hold the patient and collect the specimen. - Answer-b. report the
situation to the nursing station.
. In what department of the lab is a complete blood count performed?
, A. Hematology
B. Microbiology
C. Chemistry
D. Blood bank - Answer-A. Hematology
. Is the Joint Commission a non-profit organization? - Answer-No, it's a not for profit
organization
. Lavender stopper tubes can be used for all of the following except:
a. coagulation tests.
b. platelet counts.
c. differential counts.
d. hematocrits. - Answer-a. coagulation tests.
. List five (5) physical and/or emotional changes associated with the aging process that
could impact phlebotomy procedures - Answer-Any 5 of the following:
- Hearing loss leading to embarrassment and frustration
- Impaired verbal communication
- Failing eyesight
- Loss of taste, smell and/or feeling
- Memory loss
- Thinner skin tissue
- Smaller muscles
- Increased susceptibility to accidental hypothermia
- Increased sensitivities and allergies
- Anxiety related to becoming older and less capable
. A nosocomial infection is:
a. Something acquired by healthcare workers.
b. Something acquired by visitors to a hospital.
c. Something acquired by patients.
d. A Hospital Acquired Infection.
e. Caused by antibiotic resistant bacteria.
f. Both c and d.
g. Both a and c. - Answer-f. Both c and d.
c. Something acquired by patients.
d. A Hospital Acquired Infection
. Most anticoagulants in blood collection tubes prevent clotting by:
A. Binding calcium
B. Acting as an antithrombin agent
C. Binding fibrinogen
D. Releasing heparin - Answer-A. Binding calcium
. Number the following items to reflect the correct blood flow through the heart and
lungs:
. Prolonged tourniquet application will cause:
a. edema.
b. hemolysis.
c. hemoconcentration.
d. both B and C - Answer-d. both B and C
b. hemolysis.
c. hemoconcentration.
. Specimens are rejected by the laboratory for all of the following reasons except:
a. clots in a lavender stopper tube.
b. collection in the wrong tube.
c. incompletely filled light-blue stopper tubes.
d. clots in a red stopper tube. - Answer-d. clots in a red stopper tube.
. A patient who appears pale and has cold, damp skin may develop:
a. coagulation problems.
b. septicemia.
c. sclerosis.
d. syncope. - Answer-d. syncope.
. ABO and Rh typing are performed in which laboratory section?
a. Hematology
b. Blood bank
c. Chemistry
d. Cytology - Answer-b. Blood bank
. Allowing blood to leak from a vein into the surrounding tissue will cause:
a. hematoma.
b. hemolysis.
c. nerve damage.
d. syncope. - Answer-a. hematoma.
. An agency that assures quality care by hospitals is the:
a. Joint Commission.
b. Centers for Disease Control and Prevention.
c. Occupational Safety and Health Administration.
d. College of American Pathologists. - Answer-a. Joint Commission.
. An elevated bilirubin might indicate a disorder of the:
a. heart.
b. kidney.
,c. brain.
d. liver. - Answer-d. liver.
. Before placing a call on hold, a phlebotomist should:
a. record the caller's name.
b. check to see if it is an emergency.
c. transfer the call to the phlebotomy supervisor.
d. tell the caller his or her name. - Answer-b. check to see if it is an emergency.
. During the venipuncture, the phlebotomist should do all of the following except:
a. anchor the vein above and below the puncture site.
b. insert the needle with the bevel up.
c. insert the needle at a 15- to 30-degree angle.
d. brace the hand holding the adapter on the patient's arm. - Answer-a. anchor the vein
above and below the puncture site.
. A puncture device with a broken seal should not be used because:
a. it is no longer sterile.
b. the needle may contain a barb.
c. there may be a manufacturing defect.
d. the color coding will not match the size. - Answer-a. it is no longer sterile.
. Firmly anchoring the vein prior to needle insertion is necessary to prevent:
a. specimen hemolysis.
b. incompletely filled tubes.
c. an accidental needlestick.
d. the vein from rolling. - Answer-d. the vein from rolling.
. Functions of the blood include all of the following except:
a. transport oxygen.
b. regulate pulse rate.
c. deliver nutrients.
d. transport waste products. - Answer-b. regulate pulse rate.
. How full should you fill the Sharps Container before using a new container? - Answer-
¾ full
. If a patient refuses to have blood drawn, the phlebotomist should:
a. send another phlebotomist to collect the specimen.
b. report the situation to the nursing station.
c. return the requisition form to the laboratory.
d. ask someone to hold the patient and collect the specimen. - Answer-b. report the
situation to the nursing station.
. In what department of the lab is a complete blood count performed?
, A. Hematology
B. Microbiology
C. Chemistry
D. Blood bank - Answer-A. Hematology
. Is the Joint Commission a non-profit organization? - Answer-No, it's a not for profit
organization
. Lavender stopper tubes can be used for all of the following except:
a. coagulation tests.
b. platelet counts.
c. differential counts.
d. hematocrits. - Answer-a. coagulation tests.
. List five (5) physical and/or emotional changes associated with the aging process that
could impact phlebotomy procedures - Answer-Any 5 of the following:
- Hearing loss leading to embarrassment and frustration
- Impaired verbal communication
- Failing eyesight
- Loss of taste, smell and/or feeling
- Memory loss
- Thinner skin tissue
- Smaller muscles
- Increased susceptibility to accidental hypothermia
- Increased sensitivities and allergies
- Anxiety related to becoming older and less capable
. A nosocomial infection is:
a. Something acquired by healthcare workers.
b. Something acquired by visitors to a hospital.
c. Something acquired by patients.
d. A Hospital Acquired Infection.
e. Caused by antibiotic resistant bacteria.
f. Both c and d.
g. Both a and c. - Answer-f. Both c and d.
c. Something acquired by patients.
d. A Hospital Acquired Infection
. Most anticoagulants in blood collection tubes prevent clotting by:
A. Binding calcium
B. Acting as an antithrombin agent
C. Binding fibrinogen
D. Releasing heparin - Answer-A. Binding calcium
. Number the following items to reflect the correct blood flow through the heart and
lungs:
