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Exam (elaborations)

NHA Certification Exam 2 questions and answers 100% accurate

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NHA Certification Exam 2

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  • November 24, 2023
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  • 2023/2024
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NHA Practice Exam (B)


A phlebotomy technician should identify that which of the following additives is used to
prevent the break down of glucose?

A. Sodium citrate
B. Sodium fluoride
C. EDTA
D. Heparin - ANSWERSodium fluoride

A phlebotomy technician in an outpatient setting is identifying a patient before a
venipuncture procedure. To confirm the patient's identity, what question should the
technician ask?

A. "Are you Mr. Chapman?"
B. "Is this your name on the requisition?"
C. "Would you please state and spell your full name and provide your date of birth?"
D. "Is your name John C. Chapman?" - 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?

A. A HIPAA violation
B. A transfusion reaction
C. A medical transcription error
D. A pharmaceutical reaction - ANSWERA transfusion reaction

A phlebotomy technician should invert anticoagulant tubes to prevent which of the
following complications?

A. Ph imbalance
B. Hemolysis
C. Hemoconcentration
D. Specific gravity imbalance - ANSWERHemolysis

According to OSHA standards, which of the following vaccines must employers offer to
their phlebotomist offer at no cost?

A. Hepatitis B
B. Hepatitis C

,C. Hepatitis D
D. Hepatitis E - ANSWERHepatitis B

During a routine venipuncture, a phlebotomy 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?

A. Syncope
B. Seizure
C. Nausea
D. Petechiae - ANSWERSyncope

A phlebotomy technician should identify that which of the following tube selections
indicates the correct order of draw for a venipuncture?

A. Lavender, green, gray
B. Gray, green, lavender
C. Green, gray, lavender
D. Green, lavender, gray - ANSWERGreen, lavender, and grey

A 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?

A. Supply clamp
B. Phlebotomy wedge
C. Hand immobilizer
D. Hand brace - ANSWERHand 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?

A. Tell the patient to expect a pricking sensation.
B. Anchor the vein 2,5 to 5 cm below the puncture site.
C. Ask the patient to make a fist
D. Orient the needle in the same direction as the vein at a 15 to 30 degree angle. -
ANSWERAsk the patient to make a fist

Which of the following actions by a phlebotomy technician can result in a grossly
hemolyzed specimen?

A. Following an incorrect order of draw
B. Using an incorrect needle gauge
C. Applying the tourniquet too close to the draw site

, D. Failing to invert the tube - ANSWERUsing an incorrect needle gauge

A phlebotomy technician should identify that which of the following venipuncture steps is
in the appropriate order?

A. Insert the needle, place the tourniquet, and label the tube.
B. Assess the site, cleanse the site, and insert the needle.
C. Identify the patient, cleanse the site, and assess the site.
D. Draw the specimen, remove the needle, and remove the tourniquet. -
ANSWERAssess the site, cleanse the site, and insert the needle

A phlebotomy technician should comply with HIPAA to protect which of the following?

A. Patient's' consent
B. Patients' standards
C. Patients' information
D. Patients' compliance - ANSWERPatient's information

A phlebotomy technician is performing a capillary blood collection for an older adult
patient. Which of the following sites should the technician select?

A. The distal phalanx of either middle finger
B. The plantar surface of either big toe
C. Either pinky finger
D. Either earlobe - ANSWERThe 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?

A. Rolling up his shirtsleeve
B. Asking about the technician's experience
C. Expressing apprehension about the procedure
D. Saying he needs to make sure his provider wants these tests - ANSWERRolling 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?

A. Position the needle at a 45° angle to the skin.
B. Insert the needle with the bevel side facing downward.
C. Palpate below the puncture site if blood flow is not established.
D. Push the first collection tube gently into the holder. - ANSWERPush the first
collection tube gently into the holder

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