NHA Study guide 2023 complete exam update
What test results are affected when Povidone iodine is used to cleanse the site for a dermal
puncture? - Potassium (Povidone-iodine is contraindicated for potassium tests because it can
cause a false elevation of potassium in a specimen
What actions should a phlebotomy Technician take to locate a vein using the warming
technique? - Encase the warm towel in a plastic bag
A Phlebotomy technician is applying a tourniquet prior to collecting a blood specimen from a
patient. What actions should the Technician take? - Tuck a partial loop of the tourniquet under
the tourniquet
A Phlebotomy technician has collected a blood specimen from a patient who is in Ann isolation
room. What pieces of PPE should the Technician remove first? - Gloves ( To prevent cross-
contamination)
A Phlebotomy technician should transport a semen sample at what temperature? - 36 to 38 C
(98.6 F)
For what reason should a Phlebotomy Technician examine the anticubital areas in both of a
patient's arm? - The medial cubital vein could be more accessible one one side then the other
A Phlebotomy technician is preparing to dispose of contaminated sharps. According to OSHA
what actions should the Technician take? - Replace the sharps container when it is two-thirds
full
A Phlebotomy technician is educating a patient about the at home collection of a semen
specimen. What statement by the patient indicates Ann understanding of the procedure? - "I
will collect the specimen in a sterile container and return it to the lab within 1 hour
A Phlebotomy technician is using a point of care test system to determine a patient's WBC. For
what result should the Technician immediately notify the provider? - 1.8/mm3 (because the
finding is outside the expected reference of 4.4 to 11/mm3 for white blood cells
A Phlebotomy technician is selecting a site to collect a blood specimen from a patient. After
applying a tourniquet, seen no apparent veins to use for the venipuncture. What actions should
the Technician take? - Have the patient dangle her arm for 1 to 2 mins
What actions should a phlebotomy Technician take to maintain compliance with HIPA? - Clear
number from fax machine.
, A phlebotomy Technician ic collecting a blood specimen from a patient to measure the trough
level of a medication. The Technician should collect the specimen at what time? - Within 15 min
before the patient receives the next dose of medication. (The Technician should collect no
more than 15 min prior to administration of the next dose of medication. The trough level is the
lowest conncentration innn the patient's blood
What tubes should a phlebotomy Technician collect first when obtaining dermal samples? -
Lavender tube (The Technician should collect the dermal sample using a lavender topped tube
first because this tube minimizes platelet clumping and micro clot formation)
What is the best method for a Phlebotomy Technician to collect blood specimen from an older
adult patient who has fragile, easy to collapse veins? - Choose a syringe and butterfly assembly
and transfer to an ETS tube (The Technician should identify that the syringe minimizes pressure
on fragile veins and helps prevent collapsing
A Phlebotomy technician is preparing to draw a peak level for a medication that was
administered orally to a patient. After verifying when the patient received the medication, how
long should the Technician wait prior to attempting the draw? - 2 hr after administering (The
Technician should collect a peak level 1-2 hrs following Ann oral administration to ensure that
the medication is not at a toxic level
A phlebotomy technician has a requisition form to perform a chromosome analysis for a
patient. The Technician should select a collection tube that contains what following additive? -
Heparin (It is an anticoagulant that produces a plasma specimen for chromosome analysis)
A provider has ordered a urine culture and sensitivity test. What type of urine collection should
a phlebotomy Technician obtain? - Clean catch midstream (This type of collection is preferred
because it reduces bacteria for testing)
A phlebotomy technician is preparing to obtain a blood specimen to determine a patient's
sodium level. The Technician should select a collection tube that has a top with what colors? -
Green (This tube has heparin as an additive, which aids in determining sodium levels.)
A phlebotomy technician is collecting capillary blood drops on a filter paper card to screen a
newborn for phenylketonuria. What actions should the Technician take? - Apply blood to the
printed side of the filter paper.
A phlebotomy technician is interviewing a patient before performing a venipuncture. During
the interview, the patient states that he lives nearby and ran to the facility to "get in some
running time". What precautions should the Technician take? - Have the patient rest
comfortably for at least 15 min before the venipuncture.
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