NHA Phlebotomy Patient Preparation Questions and Answers 100% Complete

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NHA Phlebotomy Patient Preparation Questions and Answers 100% Complete A phlebotomy technician is explaining a phlebotomy procedure to a patient who wears hearing aids. The patient seems distracted... . Which of the following questions should the technician ask to ensure the patient understands the procedure? A. "Did you hear what I said?" B. "Do you understand what you need to do?" C. "Do you need me to talk slower?" D. "Would you like me to repeat the directions?" ✔✔D. "Would you like me to repeat the directions?" (The technician should ask the patient if she needs any directions repeated to verify that the patient clearly understands the information.) A phlebotomy technician is preparing to draw blood from a patient who has been admitted for life-threatening cardiac symptoms. Which of the following actions should the technician take? A. Ask the patient to sign a consent form. B. Ask for consent from a family member. C. Proceed with collecting the patient's blood. D. Proceed after verbal consent has been given. ✔✔C. Proceed with collecting the patient's blood (The technician should recognize that an emergency situation removes the need for consent. Therefore, the technician should proceed with the blood collection.) A phlebotomy technician is educating a patient about a 24-hr urine collection. Which of the following instructions should the technician give to the patient? A "Avoid mixing or inverting the container after collecting the specimen." B. "Start collecting at the second void of the day." C. "Reduce fluid intake during the 24-hour time frame." D. "Store the specimen at room temperature." ✔✔B. "Start collecting at the second void of the day." (The patient should use the second void of the day to begin the 24-hr urine collection. The exact time should be written on the container label.) A phlebotomy technician should identify that which of the following information is required for positive identification of a patient in an outpatient facility? A. Attached ID band, full name, accession number B. Picture ID, full name, date of birth C. Accession number, full name, date of birth D. Medical requisition number, full name, date of draw ✔✔B. Picture ID, full name, date of birth (For patient identification in an outpatient facility, the technician must have one piece of visual identification and two instances of verbal confirmation of identification. When providing verbal confirmation of their name, the client must state and spell their full name.) A phlebotomy technician is preparing to collect specimens to determine a patient's peak and trough levels of a medication. Which of the following actions should the technician take? A. Ask the patient when he received the medication. B. Perform the draw at the time assigned on the requisition form. C. Ask the nurse when the medication was administered. D. Perform the draw as soon as possible after breakfast. ✔✔C. Ask the nurse when the medication was administered. (The technician should verify the time of administration with a nurse prior collecting the specimens to determine the patient's peak and trough levels.) A phlebotomy technician is processing the blood sample of a patient who ate a meal of meat and cheese prior to the draw. Following centrifugation of the sample, which of the following findings should the technician expect? A. The specimen does not coagulate. B. The specimen is hemolyzed. C. The specimen has a buffy coat. D. The specimen is lipemic. ✔✔D. The specimen is lipemic (A lipemic specimen indicates that the patient has eaten fatty foods. If a specimen is lipemic, it will appear cloudy.) A phlebotomy technician is preparing to collect blood from a patient who has experienced syncope during previous draws. Which of the following actions should the technician take? A. Draw from the patient's hand. B. Place the patient in a supine position. C. Place the patient in a prone position. D. Perform a capillary draw. ✔✔B. Place the patient in a supine position. (The technician should place the patient in a supine position to reduce the risk of her falling if she experiences syncope.) A phlebotomy technician is preparing to collect a specimen from a 3-year-old patient to perform a coagulation test. Which of the following collection methods should the technician use? A. Finger stick B. Heel stick C. Winged safety butterfly D. Evacuated tube system ✔✔C. Winged safety butterfly (The technician should use a winged safety butterfly device when collecting a specimen from a 3-year-old patient to perform a coagulation test. This method is best for patients who have small veins, such as young children.) A phlebotomy technician is preparing to draw a patient's blood when the patient informs him that she is taking warfarin. The technician should identify that the results of which of the following tests is affected by this medication? A. PT/INR B. HDL C. Thyroid-stimulating hormone (TSH) D. LDL ✔✔A. PT/INR (Taking an anticoagulant medication, such as warfarin, can affect PT/INR levels.) A phlebotomy technician is collecting a specimen to test a patient's lithium level following a recent dose of medication. Which of the following levels should the technician collect? A. Random B. Trough C. Fasting D. Peak ✔✔D. Peak (The technician should collect a blood specimen 15 to 30 min after the lithium has been administered for an optimum peak level result.) A patient asks a phlebotomy technician why his blood is being drawn. Which of the following responses should the technician make? A. "The test is critical to determining your diagnosis." B. "You should ask your provider about the test." C. "Your provider has ordered cardiac enzymes and digoxin levels." D. "Your provider has ordered these tests in order to rule out cancer." ✔✔B. "You should ask your provider about the test." (The patient's provider should discuss the reasons that specific tests are being performed and the results of those tests with the patient. The technician should instruct the patient to direct all questions to his provider.) Which of the following types of urine specimen should a pharmacy technician instruct a patient to collect for a pregnancy test? A. Timed B. First-morning C. Random D. Suprapubic ✔✔B. First-morning (The technician should instruct the client to collect a firstmorning void because it is the most concentrated specimen of the day, which makes it the optimal method for detecting human chorionic gonadotropin (hCG).) A phlebotomy technician is positioning a patient for a venipuncture. To prevent reflux or backflow, the technician should instruct the patient to move her arm into which of the following positions? A. Fully extended in a downward position B. Elbow bent at a 90° angle C. Hyper-extended at the elbow D. Slightly bent in an outward position ✔✔A. Fully extended in a downward position (The phlebotomy technician should instruct the patient to fully extend her arm in a downward position to prevent reflux or backflow.) A phlebotomy technician is preparing to perform a blood collection in an outpatient setting. Which of the following information is required on the requisition form? A. Patient medical record number and bed number B. Provider's name and provider's license number C. Patient's driver's license number and provider's DEA number D. Patient's billing information and test status ✔✔D. Patient's billing information and test status (The patient's billing information and test status are required components of the requisition form for a blood collection in an outpatient setting.) A phlebotomy technician is performing a venipuncture on a patient who currently has an IV in both arms. Which of the following actions should the technician take? A. Ask the nurse to turn the IVs off for 1 min. B. Apply the tourniquet above the IV site. C. Ask the nurse to turn the IVs off for 2 min. D. Ask the nurse to remove one of the IVs. ✔✔C. Ask the nurse to turn the IVs off for 2 min. (The technician should ask the nurse to turn both of the IVs off for 2 min before proceeding with the venipuncture.) A phlebotomy technician enters a patient's room to perform a blood draw and notices that the patient's identification band is sitting on the bedside table. The patient states, "I hate wearing it, so I took it off." Which of the following responses should the technician make? A."I will ask your roommate to verify your identification." B. "Please show me your driver's license." C. "I will proceed with the blood draw." D. "I will ask the nurse to replace the identification band." ✔✔D. "I will ask the nurse to replace the identification band." (Before performing a blood draw, the technician must ensure the patient's armband is in place and verbally verify the patient's identification.) A phlebotomy technician is seeking consent to perform venipuncture on an older adult patient who has been accompanied to the facility by a younger adult. Which of the following actions should the technician take? A. Speak to the patient in a loud voice. B. Give the consent form to the adult accompanying the patient. C. Speak to the patient in a normal tone. D. Stand close to the patient while speaking. ✔✔C. Speak to the patient in a normal tone. (The technician should treat the patient with respect, regardless of age. After assessing the patient, the technician should alter communication methods to fit the patient's needs.) A phlebotomy technician is informing a patient about the procedure for collecting a blood culture. Which of the following information should the technician include? A. "I will swab the area twice to make sure it is sterile." "B. I am going to use an evacuated tube system to perform the draw." C. "I am going to wait 15 seconds to let the antiseptic dry before I draw your blood." D. "I will leave the tourniquet on longer, so we can collect enough blood for testing." ✔✔A. "I will swab the area twice to make sure it is sterile." (The technician should swab the puncture site twice, first with isopropyl alcohol and then with a chlorhexidine gluconate swab.) A phlebotomy technician is preparing to collect a blood sample from a patient for a cholesterol test. Which of the following statements should the technician make? A. "Please sit for at least 5 minutes before the test." B. "Please take any prescribed medication after the test." C. "Avoid eating red meat the day before the test." D. "Avoid any caffeine on the day of the test." ✔✔A. "Please sit for at least 5 minutes before the test." (Sitting or lying down before a cholesterol test will help to lower test results.) A phlebotomy technician is instructing a patient on how to collect a urine specimen for a culture and sensitivity test. Which of the following statements should the technician include? A. "You will need to collect a midstream clean-catch specimen." B. "You will need to collect your first void of the morning." C. "You will need to collect the specimen after a 12-hour fast." D. "You will need to collect the specimen 2 hours after eating." ✔✔A. "You will need to collect a midstream clean-catch specimen." (The patient should collect a midstream clean-catch specimen to avoid cross-contamination with other microbes. This is the preferred collection process for a culture and sensitivity test.) [Show More]

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