NHA phlebotomy technician exam latest
update 100% pass
A phlebotomy technician is preparing to perform a venipuncture for a patient who has
pneumonia. Besides gloves, which of the following pieces of personal protecti
...
NHA phlebotomy technician exam latest
update 100% pass
A phlebotomy technician is preparing to perform a venipuncture for a patient who has
pneumonia. Besides gloves, which of the following pieces of personal protective equipment
should the technician wear? ✔✔Face mask
while collecting a blood specimen, a phlebotomy technician notices the glass collection tube is
cracked. Which of the following actions should the technician use? ✔✔Dispose of the tube in a
sharps container
A phlebotomy technician is performing a glucometer reading for a young adult patient. The
patients parent id in the room and asks about the patients glucose level. Which of the following
actions should the technician take? ✔✔Ask the patient for permission to disclose the results with
the parent present
A phlebotomy technician is preparing to perform the third set of blood draws for a glucose
tolerance test, The patient starts to cry and refuses to extend her arm for the draw. Which of the
following statements should the technician make? ✔✔"May I please perform the draw?"
phlebotomy Technician is preparing to complete the glucose monitor quality control record.
Which information should the technician record in the quality control record? ✔✔Date of battery
change
A technician observes a glucometer reading of 250 mg/dL. A second test is performed and
returns a reading within the expected reference range. What could have been the cause of the
first test to be inaccurate? ✔✔Too much blood was used
What solution should a technician used to clean a cerebral spinal specimen spill? ✔✔Chlorine
bleach
A technician experiences a needlestick injury while performing a venipuncture. What should the
technician include in the online sharps injury log? ✔✔The department where the injury
happened
When testing a p.t for streptococcal pharyngitis, a phlebotomist should implement what type of
transmission-based precaution? ✔✔Droplet
what actions should a phlebotomist take when performing a blood culture collection? ✔✔scrub
the site with isopropyl alcohol for 1 minute in outward, concentric circles.
Which of the following what is the current procedure for medical professionals performing CPR
on an infant? ✔✔30 compressions, 3.8 cm (1.5in) deep
A technician collects a specimen in a microcollection container after two failed veni. attempts.
What reason should the technician write on the requisition form why the blood was collected in
this manner? ✔✔To alert the Lab of the presence of capillary blood
while a technician is using a centrifuge,the device catches on fire. The technician should identify
a centrifuge fire as what class of fire? ✔✔class C
A technician finishes performing a blood draw in an isolation room. What PPE should be
removed FIRST? ✔✔Gloves
A technician is preparing to aliquot a blood specimen. What PPE are the minimum requirments
for the technician to wear? ✔✔face shield and gloves
A technician experiences a needlestick injury while performing a draw. They are at greater risk
of exposure to what bloodborne pathogens? ✔✔Hep. B (HBV)
A tech. receives a splash of blood to the eye while transferring serum into an isolator tube. What
action should they take first? ✔✔Rinse eye with water
A tech. is collecting a sample for cholesterol, troporin, and HDL blood results. Which
department is responsible for processing these tests? ✔✔chemistry
A tech. is performing a blood alcohol test which antiseptic should the tech use? ✔✔ethanol
a tech. is performing a venipuncture on a pt. who has a wound infected with methicillin-resistant
staphylococcus aureus (MRSA) and has been placed in isolation. what action should a tech. take
after the procedure? ✔✔dispose of the gown before leaving the room
Which type of urine specimen should a tech. Instruct a pt. To collect for a pregnancy test?
✔✔First-morning
A tech. Is explaining a phlebotomy procedure to a pt. Who wears hearing aids. The pt. Seems
distracted. Which way should the tech. Ask to ensure the pt. Understands the procedure?
✔✔"Would you like me to repeat the directions?"
A tech should identify which information is required for positive identification of a pt. In an
outpatient facility? ✔✔Picture ID, full name, DOB
A tech enters a pts. Room to perform a blood draw and notices that the patient's ID band is
sitting on the bedside table. The pt states "I hate wearing it, so I took it off" what response should
the tech make? ✔✔"I will ask the nurse to replace the ID band"
A tech is seeking consent to perform veni. On an older adult pt who has been accompanied to the
facility by a younger adult. Which action should the tech take? ✔✔Speak to the pt in a normal
tone.
A tech is preparing to draw blood from a pt who had been admitted for life threatening cardiac
symptoms. Which action should the tech take? ✔✔Proceed with collecting the patients blood
A tech is collecting a specimen to test a patients lithium level following a recent dose of
medication. Which levels should the tech collect? ✔✔Peak
A tech is preparing to perform a blood collection in an outpatient setting. Which info is required
on the requisition form? ✔✔Patients billing info and test status
A tech is preparing to collect specimens to determine a pts peak and trough levels. Which actions
should the tech take? ✔✔Ask the nurse when the medication was administered.
A tech is processing the blood sample of a pt who ate a meal of meat and cheese prior to draw.
Following centrifugation, what should the tech expect to find? ✔✔The specimen is lipemic
A tech is preparing to draw a pts blood when the pt informs him that she is taking warfarin. The
tech should identify that the results of which of the tests is affected by the medication?
✔✔PT/INR
A tech is preparing to collect blood from a pt who has experienced syncope during previous
draws. Which action should the tech take? ✔✔Place the pt in a supine position
A pts asks a tech why his blood is being drawn. What response should the tech make? ✔✔"You
should ask your provider about the test"
A tech is informing a pt about the procedure for collecting a blood culture. What should the tech
include? ✔✔"I will swab the area twice to make sure it is sterile"
A tech is preparing to collect a blood sample from a patient for a cholesterol test. What statement
should the tech make? ✔✔"Please sit for at least 5 mins before the test"
A tech is positioning a pt for a veni. To prevent reflux or backflow, the tech should instruct the pt
to love arm into what position? ✔✔Fully extended in a downward position.
A tech is preparing to collect a specimen from a 3-year old pt to perform a coagulation test. What
collection method should the tech use? ✔✔Winged safety butterfly
A tech is performing a veni. On a pt. Who currently has an IV in both arms. What action should
the tech take? ✔✔Ask the nurse to turn off the IV for 2 mins
A tech is educating a pt ab a 24-hr urine collection. What instructions should the tech give the
pt? ✔✔"Start collecting at the second void of the day"
A tech is instructing a pt on how to collect a urine specimen for a culture and sensitivity test.
What statement should the tech include? ✔✔"You will need to collect a midstream clean-catch
specimen"
A tech is performing a veni. For bilirubin test, a cold agglutinin tiger, a CBC, and a PTT test.
Which tubes should the tech use? ✔✔One light blue, two serum tops, and one lavender tube
A pt sits down for a veni. In an outpatient setting, rolls up her sleeve, and extends arm. The pt
turns her head away from the tech and says "I don't want my blood drawn" which responses
should the tech make to the pt? ✔✔"May I draw your blood"
A tech is preforming a veni. On a deep median cubical vein. What methods of withdrawal should
the tech use? ✔✔Withdraw the bevel up a 25 degree - 30 angle
A tech is performing a dorsal veni. With the needle at 15 degrees resulting in slow blood flow
and the development of a hematoma. What should the tech identify as the cause of the
hematoma? ✔✔Needle went through the vein
A tech is preparing to perform a veni. Test for coagulation, WBC, pregnancy, and random
glucose. Which of the following tubes should the tech choose? ✔✔Sodium citrate, SST and
EDTA
A tech is performing a dermal puncture for an adult pt. What location should the tech use for the
procedure? ✔✔The side of the central of the ring finger
A tech is performing a hand veni. On a 25 year old pt who has small veins that are difficult to
access. What equipment should the tech use to perform the procedure? ✔✔23 gauge winged
collection set
A tech is preparing equipment for a blood draw. The tech notices that one tube on the tray is
expired. What action should the tech take to ensure accurate test results? ✔✔Use a new tube
from the front of the shelf
A tech is preforming a veni. For a potassium test, CBC, and glucose test. The tech has left the
tourniquet tied on the pt for 3 Mins. What outcome should the tech expect? ✔✔High potassium
level
A tech is preforming a blood collection for a pt who has edema in her right arm. What location
should the tech identify as the best vein choice for veni? ✔✔Left side dorsal hand
A tech is using providone-iodine during a capillary specimen collection. What outcome should
the tech expect? ✔✔Increased potassium level
A tech is preforming a veni. After removing the needle cap what steps should the tech take?
✔✔Anchor the vein 2.5-5 cm (1-2in) below the puncture site
A tech is drawing blood through a hematoma. What errors should the tech expect to see in the
specimen? ✔✔Hemolysis
A tech is preforming a capillary collection for CBC, FSH, and electrolyte tests. What is the
proper collection order? ✔✔Lavender microcollection container
Green microcollection container, the red microcollection container
A tech has three bar-coded labels but has to fill four tubes. The tech needs to create one more
label for evacuated tubes. What info should the tech include on the label ✔✔Tech initials, date,
and time of collection
A tech accidentally punctures a patients artery during a veni. Procedure. What actions should the
tech take? ✔✔Apply pressure on the site for at least 5 mins
A tech is preparing to preform a CBC for a 7 month old infant. What equipment will the tech
need? ✔✔Lancet with 2mm depth and a EDTA microcollection tube
A tech is preforming a veni. For a lipid profile, WBC, and a clotting time test. What is the
correct order of draw? ✔✔Light blue, SST, lavender
A tech is performing veni. On a pt. When the tech inserts needle the vein collapses. What is a
possible cause? ✔✔Applying the tourniquet too tight
A tech is preparing to collect a variety of blood specimens. What should the tech collect first?
✔✔Blood cultures
A tech is preparing to process a WBC differential test, testosterone test, and a glucose test. What
actions should the tech take to process these tests ✔✔Prepare a slide from lavender topped tube
and centrifuge a red topped tube and a gray topped tube
A tech is preparing a peripheral blood slide form a capillary puncture. What action should the
tech take? ✔✔Touch the slide to the second drop of blood
A tech is using a syringe method to collect a blood culture set, a PTT, and a CBC test. What is
the proper order of draw? ✔✔aerobic bottle
Anaerobic bottle
EDTA
light blue topped tube
A tech is preforming two sets of blood cultures for a pt. What action should the tech take?
✔✔Collect one set from the pts left arm and one set from a different site on the same arm.
A tech is collecting a peripheral blood smear from a pt. The tech should identify that this
collection technique is used for what test? ✔✔WBC differential test
A tech receives a forensic specimen. The tech should verify that what specimen info matches the
requisition form? ✔✔Case number
A tech is collecting capillary blood from a pt for neonatal screening. What actions should the
tech take to complete the newborn screening card? ✔✔Touch the paper to a drop of blood and
saturate each circle of the card
A tech is preparing to perform a neonatal screening test. The tech should identify what is the
optimal time to perform the test? ✔✔Between 24-72 hr after birth
A tech is screening potential blood donors. The tech should identify what pt is able to donate
blood? ✔✔A 65 year old pt who weighs 120lbs
A tech should identify that a pt who has what blood types is a universal recipient? ✔✔AB
A tech is caring for a 3 yr old child who weighs 35lbs during 1 month hospital stay, the tech
should identify what blood collection amounts is within total volume guidelines for this pt?
✔✔95 mL
A tech is collecting ab blood culture from an infant who weighs 6.6lbs. The tech should identify
what the total blood volume is for this infant? ✔✔240-330 mL
A tech is instructing a pt ab how to perform a pregnancy test. What statement should the tech
include? ✔✔"Collect your first urine specimen of the morning"
A tech is instructing a pt about how to collect a sputum specimen. What statement should the
tech make? ✔✔"You should provide the specimen in the morning before eating or drinking"
Which of the following additives should the tech use when performing a peripheral blood smear
for a WBC. Count? ✔✔EDTA
A tech is preparing to perform blood collection for blood cultures, PTT and testosterone levels.
What order should the tech collect these samples? ✔✔Yellow top
Blue top
Red top
A tech is performing a blood transfusion for a pt who has type O blood. The tech should identify
that the pt should receive what types of blood? ✔✔Type O
A tech is instructing a pt about how to collect a fecal specimen at home. What instructions
should be included? ✔✔"Do not mix urine with the fecal sample"
A tech is performing a brief psychical examination of a prospective blood donor. What
measurements would indicate the donors eligibility to donate blood? ✔✔Hematocrit level 42%
A tech has collected a neonatal screening card. What actions should the tech take to properly dry
the blood spot collection card? ✔✔Place card on a flat, dry surface
A tech is preparing to load two tubes into a centrifuge. What actions should the tech take?
✔✔Place tubes of equal volume across from each other
A tech is preparing serum samples for the centrifugation. How many minutes should the tech
allow the serum samples to stand before loading them into the centrifuge? ✔✔30 mins
A tech is preparing to draw a blood specimen that must be protected from light. what lab tests
will be performed on this specimen? ✔✔Bilirubin
A tech working in a lab has received six filled evacuated tubes, one of whimsy is missing a label.
What action should the tech take? ✔✔Recollect the unlabeled specimen
What action should a tech take when collecting urine specimen for drug testing? ✔✔Seal the
specimen in a tamper evident container
A tech is preparing to obtain a forensic specimen to determine a pts blood alcohol level. What
info should the tech include on the chain of custody form? ✔✔Date and time of specimen
collection
A tech has received a urine drug test specimen with a thermometer reading of 29.4 degrees
Celsius. What action should the tech take? ✔✔Have the pt provide another urine specimen under
observation.
A tech has released a specimen to a courier who is transporting it to the lab. What statements
should the courier use to instruct the medical specimen accessioner on how to complete the chain
of custody form? ✔✔"Write your name on the form"
A female pt is being referred to a reproductive specialist. What blood test last would the tech
release to the referring personnel? ✔✔FSH and LH
A tech calls a medical assistant to inquire about a lab requisition. What info is required on a lab
requisition? ✔✔Pt ID number
A tech is accessing the lab info system prior to collecting a specimen. What actions should the
tech take? ✔✔Print the specimen labels
A tech is accessing the lab info system. The tech should identify what info can be found in the
system? ✔✔Previous lab results
What info should the tech use to access a pts medical record in the lab info system? ✔✔Pt ID
number
A tech is performing a point of care glucose test for a pt and receives a glucometer reading of 46
mg/dL. What findings should the tech expect the pt to exhibit? ✔✔Rapid heartbeat
A tech is performing a point of care hemoglobin test for a pt. What values should the tech report
to the provider? ✔✔9.2 g/dL
A tech is performing a point of care total cholesterol test for a pt. What values should the tech
report to the provider? ✔✔250 mg/dL
A tech notices that the volume of blood required to fill the tests ordered by a pts endocrinologist
exceeds the recommended draw amount for the day. What action should the tech take?
✔✔Contact the pts endocrinologist
A tech has just received several blood test results from different pts. What results should the tech
distribute first? ✔✔Stat CBC drawn in surgery
A tech should refrigerate what specimens before transportation? ✔✔Lactic acid
A tech is transporting a cryoglobulin specimen to the lab. The tech should keep the specimen at
what temperature? ✔✔37 degrees Celsius (98.6 degrees F)
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