NHCO Phlebotomy Exam 2024 | NHCO
Phlebotomy Actual Exam Update 2024
Questions and Correct Answers
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Which of the following is the best indication that a patient might be at
risk of syncope?
a. Involuntary movement
b. Lightheadedness and shallow breath
c. Small red spots appearing on skin
d. Paleness and sweating -ANSWER-d. Paleness and sweating
Why is it important for a phlebotomist to invert anticoagulant tubes?
a. To prevent a pH imbalance
b. To prevent hemolysis
c. To ensure proper mixing of blood and additive
d. To prevent hemoconcentration -ANSWER-c. To ensure proper
mixing of blood and additive
Which of the following protects a patient's information?
a. OSHA
b. HIPPA
c. The Joint Commission
d. AAHSA -ANSWER-b. HIPPA
Which of the following needle sizes is NOT used for laboratory assays
but for collection of donor units of blood?
a. 18-gauge
b. 23-gague
c. 21-gague
d. 22-gague -ANSWER-a. 18-gauge
,How many minutes within collection of a urine sample should the
phlebotomist take the temperature of the specimen?
a. Within 10 minutes
b. Within 45 minutes
c. Within 30 seconds
d. Within 4 minutes -ANSWER-d. Within 4 minutes
Quality control checklists ensure machines are inspected for
compliance at time intervals specific to the equipment and ________.
a. Clinical application
b. Chemical measurement
c. Expiration date
d. Stock rotation -ANSWER-a. Clinical application
Which of the following actions will most likely prevent a needle stick
injury?
a. Having a nurse or other healthcare team member dispose of used
needles for the phlebotomist
b. Replacing sharps containers when they have reached their fill line
c. Recapping every needle prior to discarding it in the sharps
container
d. Wearing rubber gloves during venipuncture -ANSWER-b. Replacing
sharps containers when they have reached their fill line
Which of the following pieces of information need to be on a laboratory
requisition form before a phlebotomist should proceed with obtaining a
blood specimen?
a. The patient's status as an organ donor
b. A specimen identification code
c. A laboratory's CLIA number
d. The patient's emergency contact -ANSWER-b. A specimen
identification code
,A patient is listening to a phlebotomist explain the venipuncture
process before initiating the blood draw. The patient communicates
their understanding but seems hesitant and confused. How should the
phlebotomist handle the situation?
a. The phlebotomist should surmise that the patient has heard enough
information and get ready to draw the patient's blood.
b. The phlebotomist should leave the room and ask for another doctor
or nurse to explain the procedure.
c. The phlebotomist should repeat the same explanation in a slower
voice.
d. The phlebotomist should find another way to phrase the explanation
and invite the patient to ask any clarifying questions. -ANSWER-d.
The phlebotomist should find another way to phrase the explanation
and invite the patient to ask any clarifying questions.
The additive in a Pink Top Tube used in blood banking is which of the
following?
a. Sodium polyanethole sulfonate (SPS)
b. Sodium heparin
c. Potassium ethylenediaminetetraacetic acid (EDTA)
d. Acid citrate dextrose (ACD) -ANSWER-c. Potassium
ethylenediaminetetraacetic acid (EDTA)
If a patient verbally or physically refuses a venipuncture procedure,
the phlebotomist should do which of the following?
a. The phlebotomist should inform the patient that they will still be
reasonable to pay for the procedure.
b. The phlebotomist should re-explain the procedure in case the
patient did not understand.
c. The phlebotomist should inform the patient that they will need to
reschedule their appointment.
, d. The phlebotomist should immediately report the refusal and actions
taken to their supervisor. -ANSWER-d. The phlebotomist should
immediately report the refusal and actions taken to their supervisor.
What is the recommended allowance for a total volume of blood drawn
from a patient within a 24-hr period?
a. 0.05% - 1%
b. 1% - 5%
c. 5% - 7%
d. 10% -ANSWER-b. 1% - 5%
Which of the following is the proper way a phlebotomist should
dispose of a needle?
a. The phlebotomist should recap it with the original white lid with the
opposite hand and put it in a sharps container.
b. The phlebotomist should throw it, recapped, into a biohazard bag.
c. The phlebotomist should put it into a sharps container, SAFETY
CAPPED, after withdrawing it from the patient's arm.
d. The phlebotomist should collect them in a cup for disposal at the
end of the day. -ANSWER-c. The phlebotomist should put it into a
sharps container, SAFETY CAPPED, after withdrawing it from the
patient's arm.
When drawing blood from a patient who has a contagious pathogen,
like COVID-19, which PPE provides the best protection for a
phlebotomist?
a. Surgical mask
b. Gown
c. Double gloves
d. Respirator -ANSWER-a. Surgical mask
How should vitamin B6 be transported in order to protect its
photosensitive nature?
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