NHA Certification Test PCT, Questions and answers, Rated A+

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NHA Certification Test PCT, Questions and answers, Rated A+ What identifies a specimen as long as it remains in the laboratory? - ✔✔-accession number What tube should be collected first for de... rmal samples? - ✔✔-lavender When should the code on glucose cuvettes or strips be compared to the code on the glucose meter? - ✔✔-when patient is tested During a routine venipuncture, the patient becomes pale and diaphoretic. What condition is most likely to occur in this patient? - ✔✔-syncope A phlebotomist is drawing blood from a patient and observes red spots. What is an appropriate action for the phlebotomist to take? - ✔✔-apply pressure after collecting the specimen The phlebotomist must perform a blood draw on a patient with an IV on the right side and there has been a mastectomy on the left side. Where should the phlebotomist perform the venipuncture? - ✔✔- below the IV a phlebotomist has a requisition to draw blood on a patient who has severe Downs' syndrome. What steps should the phlebotomist take? - ✔✔-speak with the patients guardian before performing the venipuncture to ensure the explanation is understood According to standard precautions what is the procedure for shipping specimens to a reference laboratory in hot weather? - ✔✔-place in a box with cold packs and biohazard label When collecting a routine blood sample, which vessels should the phlebotomist attempt to draw from first? - ✔✔-medica cubital Before the phlebotomist performs a venipuncture, the patient warns that he is HIV positive. According to OSHA regulations, after donning gloves, the phlebotomist should - ✔✔-perform the venipuncture tubes with what additives should be used when collecting a sample for a CBC? - ✔✔-EDTA What is the best method to prevent internal or external bleeding from the venipuncture site after the needle is removed? - ✔✔-apply pressure to prevent leakage of blood into the tissue A phlebotomist is drawing five blood collection tubes. When should the tourniquet be released? - ✔✔-1 to 2 minutes What is an appropriate form of identification in the inpatient setting? - ✔✔-verbal, wrist band A physician orders a specimen STAT, but the phlebotomist forgets to fill out the patient ID number. What is the appropriate procedure for an improperly labeled specimen once the outside laboratory receives it? - ✔✔-laboratory rejects the mislabeled specimen During a venipuncture, the patient reports a sharp pain radiating down the are. What actions should the phlebotomist take? - ✔✔-release tourniquet and remove needle According to the CLSI order of draw guidelines, what tube should the phlebotomist collect first? - ✔✔- blood culture Blood cultures have been ordered on a patient in the intensive care unit. The nurse calls the phlebotomist to bring the appropriate materials. What should the phlebotomist bring? - ✔✔-an aerobic bottle and anaerobic bottle A phlebotomist performs a point-of-care glucose test on an outpatient. The result is in the critical value range. What would be the appropriate action to do? - ✔✔-report results to patients physician When preparing for transport, what specimen much be placed into an ice bath within 30 minutes after collection? - ✔✔-arterial blood gas After placing the tourniquet on a patient's arm, the phlebotomist notices small red spots below the tourniquet. What is the correct term for these spots? - ✔✔-petechiae What is the proper cleansing procedure for routine venipuncture? - ✔✔-cleanse spot in outward spiral A phlebotomist receives orders to draw and infant screening card, O2 levels, bilirubin, and DNA. What should be drawn first? - ✔✔-O2 levels What is the correct order of draw? - ✔✔-green, lavender, gray What can cause a hemolyzed specimen - ✔✔-shaking collection tube vigorously A physician ordered a Tobramycin level to be drawn one hour after dose. The Tobramycin has been ordered for 1100. What actions should the phlebotomist take? - ✔✔-check with the nurse When performing a venipuncture on a patient of average weight, what is a correct technique for needle insertion? - ✔✔-insert until a change in resistance What is an example of the acceptable reporting of routine lab results? - ✔✔-send results to physician in a marked envelope Why should a phlebotomist avoid drawing blood from the leg or foot of a diabetic patient? - ✔✔-area is more susceptible for infection What is the best method to collect a blood specimen from an older adult patient who has fragile, easyto-collapse veins? - ✔✔-choose a syringe and butterfly assembly and transfer to a ETS tube After performing a heel puncture for neonatal screening, what is the correct procedure for collecting the blood? - ✔✔-saturate each circle The phlebotomist has a request to collect a routine CBC from a healthy 10 month-old infant. Where is the most appropriate collection site? - ✔✔-either heel what procedural steps for a finger stick should the phlebotomist do first? - ✔✔-confirm correct identity of patient what is the proper procedure after collecting an ammonia specimen - ✔✔-place specimen tube in a ice water slurry For what must the phlebotomist follow chain of custody guidelines? - ✔✔-paternity testing WBC, RBC, glucose and electrolyte tests are ordered for a patent. The phlebotomist is unable to find accessible veins and has determined that it is acceptable to perform a skin puncture. What color tube should be drawn? - ✔✔-lavender and red what question is most important to ask the patient prior to collecting a metabolic panel? - ✔✔-w [Show More]

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