*NURSING > QUESTIONS & ANSWERS > NHA CPT Exam Study Questions and Answers Latest Updated 2022 Already Passed (All)
NHA CPT Exam Study Questions and Answers Latest Updated 2022 Already Passed A phlebotomist has a requisition to draw blood on a patient who has severe Downs' Syndrome. Which of the following steps... should the phlebotomist take? Correct Answer-Speak with the patient's guardian before performing the venipuncture to ensure the explanation is understood Which of the following procedural steps for a finger stick should the phlebotomist do first? Correct Answer-Confirm the correct identity of the patient A phlebotomist is drawing blood from a patient and observes red spots. Which of the following is an appropriate action for the phlebotomist to take? Correct Answer-Apply pressure after collecting the specimen. The development of petechiae is a sign of reduced platelet function and carries an increased risk of bleeding. Which of the following is appropriate to use when collecting for a chemistry test that requires serum? Correct Answer-SST A phlebotomist working in a fertility clinic draws blood from a patient who also must submit a semen sample for analysis. Which of the following should the phlebotomist tell the patient? Correct Answer-"As soon as you collect the specimen, keep it next to your body. We will need to submit it right away for testing." Semen samples for fertility must be delivered to the laboratory within 2 hr of collection and kept at body temperature. Which of the following test results are affected when povidone iodine is used to cleanse the site for a dermal puncture? Correct Answer-Potassium Blood cultures have been ordered on a patient in the intensive care unit. The nurse calls the phlebotomist to bring the appropriate materials. Which of the following should the phlebotomist bring? Correct Answer-An aerobic and an anaerobic bottleWhen a phlebotomist is distributing laboratory results to ordering physicians, which results have priority? Correct Answer-Pre-surgical test results are a priority to report, because the results may alter how or if a surgery is performed. Which of the following can cause a hemolyzed specimen? Correct Answer-Shaking the collection tube vigorously. This will cause the red blood cells to rupture, causing hemolysis. Which of the following is an example of the acceptable reporting of routine lab results? Correct AnswerSend the results to the physician in a marked envelope. Before the phlebotomist performs a venipuncture, the patient warns the he is HIV positive. According to OSHA regulations, after donning gloves, the phlebotomist should... Correct Answer-perform the venipuncture as normal per OSHA regulations. Which of the following is an appropriate cleanser for cleansing around the urinary meatus in a clean-catch urine collection Correct Answer-Benzalkonium chloride The phlebotomist should use a tube with which of the following anticoagulants to collect a PT/PTT test? Correct Answer-Sodium citrate When should the code on glucose cuvettes or strips be compared to the code on the glucose meter? Correct Answer-When a patient is tested A phlebotomist receives orders to draw an infant screening card, O2 levels, bilirubin, and DNA. Which of the following should be drawn first? Correct Answer-O2 levels. The infant may cry due to the draw, so every attempt must be made to collect the O2 levels as close to resting as possible. After performing a heel puncture for neonatal screening, which of the following is the correct procedure for collecting the blood? Correct Answer-Saturate each circle. Which of the following indicates the correct order of draw? Correct Answer-Green, lavender, grayThe order of draw for capillary collections is different than venipuncture because of... Correct Answer-an increased rate of coagulation A phlebotomist is preparing to perform a hand draw. Which of the following should the phlebotomist assemble? Correct Answer-Winged infusion set and adapter A patient comes in to find out his test results. The phlebotomist notices the results are ready and verifies the patient's identity. Which of the following actions is most appropriate? Correct Answer-Inform the patient to contact the ordering physician to get the results During a venipuncture, the patient reports a sharp pain radiating down the arm. Which of the following actions should the phlebotomist take? Correct Answer-Release the tourniquet and remove the needle A blood specimen was rejected by the laboratory with the abbreviation QNS. Why was the specimen rejected. Correct Answer-The specimen was insufficient Which of the following is the best method to prevent internal or external bleeding from the venipuncture site after the needle is removed? Correct Answer-Apply pressure to prevent leakage of blood into the tissues. When collecting a routine blood sample, which of the following vessels should the phlebotomist attempt to draw from first Correct Answer-Median cubital A diabetic patient states she prefers to be drawn on the inside of her wrist. Which of the following actions should the phlebotomist take? Correct Answer-Attempt to draw from the antecubital region. With any patient the antecubital region is the first choice for a draw. Which of the following provides the phlebotomist the best protection when drawing blood from a patient with active tuberculosis? Correct Answer-N-95 respiratorAccording to the CLSI order of draw guidelines, which of the following samples should the phlebotomist collect first? Correct Answer-Blood Cultures are collected first to prevent contamination A phlebotomist must invert anticoagulant tubes to prevent which of the following? Correct Answerclotting For which of the following does emergency first-aid treatment include maintaining an open airway, controlling bleeding, and keeping the victim warm until help arrives? Correct Answer-SHOCK Performing a venipuncture for blood cultures differs from other venipuncture procedures in that... Correct Answer-The site is cleaned more stringently Which of the following is the term for a donation of a patient's own blood for an upcoming surgery? Correct Answer-Autologeous donation The tourniquet should be left of a patient's arm... Correct Answer-for no longer than 60 seconds A phlebotomist is preparing to draw blood from a patient in a hospital. The patient extends his arm and turns his head away. Which of the following forms of consent does this indicate? Correct Answer-Implied consent A phlebotomist is drawing five blood collection tubes. When should the tourniquet be released? Correct Answer-1-2 minutes A phlebotomist must choose the correct tube color and additive for the corresponding... Correct Answerlaboratory test Which of the following is the proper cleansing procedure for routine venipuncture? Correct AnswerCleanse the site in an outward spiral Which of the following actions is appropriate when labeling specimens? Correct Answer-Labeling specimens at the time of collection in front of the patients.At what temperature should a semen sample be transported y the phlebotomist? Correct Answer-36-38 degrees C. While performing a venipuncture, the first tube fills, but the second tube slows and does not fill completely. The phlebotomist needs to draw two additional tubes. Which of the following steps should the phlebotomist take? Correct Answer-Insert a new tube to see if it will fill. Which of the following is the next step after removing the needle from the patient's arm? Correct AnswerEngage the needle safety device Which of the following is the first step in the blood collection procedure? Correct Answer-Test requisition Capillary specimen collection is preferred over venipunture when... Correct Answer-veins are inaccessible A 69-year old unconscious patient is brought to the emergency department. Several blood tests are ordered. The phlebotomist collects blood under... Correct Answer-implied consent A physician orders a specimen STAT, but the phlebotomist forgets to fill out the patient ID number. What is the appropriate procedure for a improperly labeled specimen once the outside laboratory receives it? Correct Answer-The laboratory rejects the mislabeled specimen Which of the following is the best method to collect a blood specimen from an older adult patient who has fragile, easy-to-collapse veins? Correct Answer-Choose a syringe and butterfly assembly and transfer to an ETS tube. A phlebotomist collects multiple specimens on a premature infant. Which of the following is a possible result of the procedure? Correct Answer-Iatrogenic anemia. This disease is caused by too much blood loss from testing, and clearing of lines. Why is it important to place a specimen in a biohazard specimen bag when transporting to an outside laboratory? Correct Answer-The biohazard bag prevents a possible exposure incidentThe phlebotomist should examine the antecubital veins of both arms for which of the following reasons? Correct Answer-The median cubital vein could be more accessible on one side than the other. When should a phlebotomist perform external liquid controls for quality control on a CLIA-waived point of care test? Correct Answer-When a new lot number or kit is opened. Which of the following is a potential consequence of mislabeling a blood bank specimen? Correct AnswerA transfusion reaction. Could cause a fatal transfusion. Which of the following actions would result in a grossly hemolyzed specimen? Correct Answer-An incorrect needle gauge. A large-guage needle indicates a smaller lumen, which causes hemolysis. Upon entering a patient's room for a routine blood draw, a phlebotomist notices a clergy member is with the patient. The phlebotomist should... Correct Answer-return after drawing other patients if it isn't a STAT test. A patient states that this is his first blood draw. Which of the following actions is appropriate? Correct Answer-Describe the procedure When alcohol is used to cleanse the veipuncture site, it must be allowed to air dry prior to the venipuncture because alcohol... Correct Answer-requires time for antiseptic action A phlebotomist must centrifuge a serum specimen before shipment to an outside reference laboratory because... Correct Answer-cells must be separated from the serum. If not the cells continue to metabolize into the serum. The phlebotomist needs to draw a glucose tolerance test (GT [Show More]
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