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NHA PCT Certification Test 2024/2025: Questions and Answers, Exams of Nursing

Rowan UniversityNursing

A comprehensive set of questions and answers for the nha pct certification test, covering various aspects of phlebotomy procedures, patient care, and safety protocols. It serves as a valuable resource for individuals preparing for the nha pct exam, offering insights into the key concepts and practical skills required for success.

Typology: Exams

2024/2025

Available from 11/02/2024

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NHA PCT Certification Test 2024/2025
UPDATE!!! GRADED A (QUESTIONS AND
100% CORRECT VERIFIED ANSWERS)
1. A phlebotomist must centrifuge a serum specimen before shipment to an outside
reference laboratory because
โœ“ Answer: cells must be separated from from the serum
2. performing a venipuncture for blood cultures differs from other venipuncture procedures
in that
โœ“ Answer: the site is cleansed more stringently
3. A phlebotomist must choose the correct tube color and additive for the corresponding
โœ“ Answer: laboratory test
4. During venipuncture, the phlebotomist is stuck with a used needle. what is the first action
the phlebotomist should take?
โœ“ Answer: flush the injured area with running water
5. when a phlebotomist is distributing laboratory results to order physicians, which results
have priority?
โœ“ Answer: pre-surgical
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Partial preview of the text

Download NHA PCT Certification Test 2024/2025: Questions and Answers and more Exams Nursing in PDF only on Docsity!

NHA PCT Certification Test 2024/

UPDATE!!! GRADED A (QUESTIONS AND

100% CORRECT VERIFIED ANSWERS)

  1. A phlebotomist must centrifuge a serum specimen before shipment to an outside reference laboratory because โœ“ Answer: cells must be separated from from the serum
  2. performing a venipuncture for blood cultures differs from other venipuncture procedures in that โœ“ Answer: the site is cleansed more stringently
  3. A phlebotomist must choose the correct tube color and additive for the corresponding โœ“ Answer: laboratory test
  4. During venipuncture, the phlebotomist is stuck with a used needle. what is the first action the phlebotomist should take? โœ“ Answer: flush the injured area with running water
  5. when a phlebotomist is distributing laboratory results to order physicians, which results have priority? โœ“ Answer: pre-surgical

Answer: Answer: Answer: Answer: Answer:

  1. The phlebotomist should examine the antecubital veins of both arms for what reason? โœ“ the median cubital vein could be more accessible on one side than the other
  2. what actions would result in a grossly hemolyzed specimen? โœ“ incorrect needle gauge
  3. A diabetic patient states she prefers to be drawn on the inside of her wrist. What actions should the phlebotomist take? โœ“ attempt to draw from the antecubital region
  4. The phlebotomist needs to draw a glucose tolerance test (GTT) on a patient and notices an empty breakfast plate on the bedside table. What actions should the phlebotomist take? โœ“ ask the patient when she last ate or drank
  5. A phlebotomist is preparing to draw blood from a patient in a hospital. The patient extends his arm and turns his head away. What form of consent does this indicate? โœ“ implied consent
  6. before collecting blood on an impatient, the phlebotomist notices that the patient does not have a wristband on his wrist, but there is one attached to the patient's IV stand. What should be the proper action?
  1. why should the phlebotomist document the total volume of blood drawn from a patient? โœ“ Answer: to determine if the patient is at risk for developing iatrogenic anemia
  2. industry standard states that needle insertion in the antecubital area should be at a โœ“ Answer: 15 to 30 degree angle
  3. A patient states she is a difficult draw and requests a skin puncture. The test ordered is a PTT. what should the phlebotomist perform? โœ“ Answer: a syringe draw into a light blue vacutainer
  4. what actions is appropriate for preparing a peripheral blood smear? โœ“ Answer: place a 1mm drop of blood a half inch from the edge of the side
  5. what is the first step in the blood collection procedure โœ“ Answer: test requisition
  6. before leaving the patient's room. what actions is required for the phlebotomist to take? โœ“ Answer: initial, date, and tim mark each tube drawn
  1. when should a phlebotomist perform external liquid controls for quality control on a CLIA-waived point of care test? โœ“ Answer: when new lot number or kit is opened
  2. what is appropriate to use when collecting for a chemistry test that requires serum? โœ“ Answer: SST
  3. A patient comes in to find out his test results. The phlebotomist notices the results are ready and verifies the patient's identity. What action is most appropriate? โœ“ Answer: inform patient to contact ordering physician to get results
  4. A patient asks the phlebotomist to please use her finger for the blood work. The phlebotomist can do this if โœ“ Answer: the ordered test can be performed on a capillary specimen
  5. when alcohol is used to cleanse the venipuncture site, it must be allowed to air dry prior to the venipuncture because alcohol โœ“ Answer: requires time for antiseptic action
  6. The order of draw for capillary collections is different than venipuncture because of โœ“ Answer: increased rate of coagulation
  1. During a draw, the patient become unresponsive. what is the next action the phlebotomist should take? โœ“ Answer: check for breathing
  2. why is it important to place a specimen in a biohazard specimen bag when transporting to an outside laboratory? โœ“ Answer: biohazard bag prevents a possible exposure incident
  3. phlebotomist must comply with what OSHA requirement specific to the venipuncture procedure? โœ“ Answer: wear globes when contact with blood is anticipated
  4. A phlebotomist must invert anticoagulant tubes to prevent what? โœ“ Answer: clotting
  5. A phlebotomist working in an outpatient facility finds an unconscious patient in the waiting room bleeding profusely from the leg. what action should the phlebotomist take first? โœ“ Answer: apply direct pressure to the wound
  6. A phlebotomist should comply with HIPAA to protect what? โœ“ Answer: patient's information
  1. While a phlebotomist is performing a venipuncture, the patient begins to seize. what is an appropriate action for the phlebotomist to take? โœ“ Answer: discontinue the draw
  2. A 69 year-old unconscious patient is brought to the emergency department. several blood tests are ordered. the phlebotomist collect blood under โœ“ Answer: implied consent
  3. when 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. what steps should the phlebotomist take? โœ“ Answer: inser a new tube to see if it will fill
  4. The phlebotomist draws a CBC at the physician's office at 1800. The laboratory closed at 1730 and will not process specimens again until 0500. what is the proper temperature for preserving the specimen? โœ“ Answer: 2 to 10 degrees celsius
  5. capillary specimen collection is preferred over venipuncture when โœ“ Answer: veins are inaccessible
  6. The tourniquet should be left on the patient's arm โœ“ Answer: for no longer than 60 seconds

โœ“ Answer: a transfusion reaction

  1. some older-adult or obese patients may not have accessible antecubital veins. in this situation the phlebotomist may use what? โœ“ Answer: dorsal veins
  2. At what temperature should a semen sample be transported by the phlebotomist? โœ“ Answer: 36 to 38 degrees celsius
  3. What can cause a hemolyzed specimen โœ“ Answer: shaking collection tube vigorously
  4. 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? โœ“ Answer: check with the nurse
  5. When performing a venipuncture on a patient of average weight, what is a correct technique for needle insertion? โœ“ Answer: insert until a change in resistance
  6. What is an example of the acceptable reporting of routine lab results? โœ“ Answer: send results to physician in a marked envelope
  1. Why should a phlebotomist avoid drawing blood from the leg or foot of a diabetic patient? โœ“ Answer: area is more susceptible for infection
  2. What is the best method to collect a blood specimen from an older adult patient who has fragile, easy-to-collapse veins? โœ“ Answer: choose a syringe and butterfly assembly and transfer to a ETS tube
  3. After performing a heel puncture for neonatal screening, what is the correct procedure for collecting the blood? โœ“ Answer: saturate each circle
  4. The phlebotomist has a request to collect a routine CBC from a healthy 10 month-old infant. Where is the most appropriate collection site? โœ“ Answer: either heel
  5. what procedural steps for a finger stick should the phlebotomist do first? โœ“ Answer: confirm correct identity of patient
  6. what is the proper procedure after collecting an ammonia specimen โœ“ Answer: place specimen tube in a ice water slurry
  1. What test results are affected when povidone iodine is used to cleanse the site for a dermal puncture? โœ“ Answer: potassium
  2. A phlebotomist is preparing to perform a hand draw. what should the phlebotomist assemble? โœ“ Answer: winged infusion set and adaptor
  3. A patient states that this is his first blood draw. what action is appropriate? โœ“ Answer: describe the procedure
  4. A phlebotomist observes a hematoma developing at the site of a venous blood draw. The phlebotomist should ~ Answer: release tourniquet and stop draw
  5. when performing an evacuated tube system (ETS) venipuncture, a phlebotomist should โœ“ Answer: position needle in same direction as vein and at a 30 degree angle with the bevel up
  6. What identifies a specimen as long as it remains in the laboratory? โœ“ Answer: accession number
  1. What tube should be collected first for dermal samples? โœ“ Answer: lavender
  2. When should the code on glucose cuvettes or strips be compared to the code on the glucose meter? โœ“ Answer: when patient is tested
  3. During a routine venipuncture, the patient becomes pale and diaphoretic. What condition is most likely to occur in this patient? โœ“ Answer: syncope
  4. A phlebotomist is drawing blood from a patient and observes red spots. What is an appropriate action for the phlebotomist to take? โœ“ Answer: apply pressure after collecting the specimen
  5. 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? โœ“ Answer: below the IV
  6. a phlebotomist has a requisition to draw blood on a patient who has severe Downs' syndrome. What steps should the phlebotomist take?

โœ“ Answer: 1 to 2 minutes

  1. What is an appropriate form of identification in the inpatient setting? โœ“ Answer: verbal, wrist band
  2. 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? โœ“ Answer: laboratory rejects the mislabeled specimen
  3. During a venipuncture, the patient reports a sharp pain radiating down the are. What actions should the phlebotomist take? โœ“ Answer: release tourniquet and remove needle
  4. According to the CLSI order of draw guidelines, what tube should the phlebotomist collect first? โœ“ Answer: blood culture
  5. 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? โœ“ Answer: an aerobic bottle and anaerobic bottle
  1. 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? โœ“ Answer: report results to patients physician
  2. When preparing for transport, what specimen much be placed into an ice bath within 30 minutes after collection? โœ“ Answer: arterial blood gas
  3. 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? โœ“ Answer: petechiae
  4. What is the proper cleansing procedure for routine venipuncture? โœ“ Answer: cleanse spot in outward spiral
  5. A phlebotomist receives orders to draw and infant screening card, O2 levels, bilirubin, and DNA. What should be drawn first? โœ“ Answer: O2 levels
  6. What is the correct order of draw? โœ“ Answer: green, lavender, gray