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NHA Phlebotomy National Exam Actual
Exam | NHA Phlebotomy Certification |
Questions and Answers | Already
Passed | Latest Edition (Just Released)
Which of the following statements regarding standard precautions for infection control is false? ----CORRECT ANSWER-------------Use both hands to recap needles Antisepsis is a technique that is used on which of the following? ----CORRECT ANSWER-------------skin How often should latex gloves be changed? ----CORRECT ANSWER-------------Between patient contacts Once you have stopped excessive bleeding, what should you apply over the site? ---- CORRECT ANSWER-------------Pressure bandage The patient may leave when the bleeding has stopped com-pletely, and there are no signs of ----CORRECT ANSWER-------------Syncope What is the difference between syncope and hypovolemic shock? ----CORRECT ANSWER-------------Fainting may be caused by pain or emotions You are performing venipuncture, and a hemorrhage occurs in a limb. What must you do? ----CORRECT ANSWER-------------Elevate the extremity and continue applying pressure until more medical assistance arrives
How long should you scrub hands when washing according to CDC? ----CORRECT ANSWER-------------30 seconds Where should you dispose of all contaminated material? ----CORRECT ANSWER-------- -----A biohazard bag What is the best way to prevent infection and transmission? ----CORRECT ANSWER---- ---------Handwashing When disinfecting a venipunc-ture site, why should you not use cotton balls? ---- CORRECT ANSWER-------------Cotton balls leave behind small fibers While transferring serum into an isolator tube, some blood splashes into your eyes. What must you do? ----CORRECT ANSWER-------------Rinse your eyes with water for 15 minutes You are conducting a streptococcal pharyngitis test on a pa-tient. What transmission- based precaution should you take? ----CORRECT ANSWER-------------Droplet You observe a glucometer reading of 250 mL/dL. You get a reading in the average range when you do a second test. What may have caused the first result? ---- CORRECT ANSWER-------------You used too much blood You are to perform a glucometer reading for a young adult while the patient's parent is in the room. The parent asks what the patient's glucose level is. What should you do? -- --CORRECT ANSWER-------------Ask the patient for permission to provide the results to the parent
At a minimum, what personal protective equipment do you need to prepare to aliquot a blood specimen? ----CORRECT ANSWER-------------Face shield and gloves A centrifuge catches on fire. In what class of fire should this situation be identified? ---- CORRECT ANSWER-------------Class C When collecting a sample for cholesterol, troponin, and HDL blood results, in which department should these tests be pro-cessed? ----CORRECT ANSWER------------- Chemistry You collect a blood collection in a micro collection container after two failed venipuncture at-tempts. Why should you write on the medical requisition form that you collected the ----CORRECT ANSWER-------------To alert the lab of the presence of capillary blood What is the correct way to perform CPR on an infant as a medical professional? ---- CORRECT ANSWER-------------30 compressions, 5.08 cm (2 in) deep A patient has a wound infected with MRSA (methicillin-resist-ant Staphylococcus aureus). You are tasked with performing venipuncture for this patient. What must you do once you complete the procedure? ----CORRECT ANSWER------------
- Dispose of gloves upon leaving the room You are about to perform the third set of blood draws for a glucose tolerance test (GTT) when the patient starts to cry and does not want to extend her arm. What is the best thing to say? ----CORRECT ANSWER-------------"May I come back in an hour to perform the draw?"
Alcohol that has not fully dried on the venipuncture site can lead to ----CORRECT ANSWER-------------Hemolysis of the specimen What is alcohol's purpose in bacterial testing? ----CORRECT ANSWER------------- Remove oil What is the purpose of povi-done-iodine in bacterial testing? ----CORRECT ANSWER--- ----------Kill bacteria What should you use at the venipuncture site if the patient is allergic to alcohol? ---- CORRECT ANSWER-------------Chlorhexidine gluconate What form must you and the patient sign to permit blood tests to determine exposure? -- --CORRECT ANSWER-------------HIV What is required following accidental exposure to body fluids? ----CORRECT ANSWER- ------------Documentation of the accidental exposure What is the first priority after accidental exposure? ----CORRECT ANSWER------------- First aid What is the term for the following equipment: gloves, masks, gowns, face shields, and gog-gles? ----CORRECT ANSWER-------------Personal Protective Equipment What PPE should be worn for venipuncture? ----CORRECT ANSWER-------------Gloves
What independent, non-govern-mental, nonprofit organization accredits and certifies healthcare facilities to focus on the continual importance of quality of care and patient safety? ----CORRECT ANSWER-------------The Toint Commission (TIC) What organization established the proper order of draw for venipuncture? ----CORRECT ANSWER-------------Clinical and Laboratory Standards Institute (CLSI) What should you first use to disinfect a needlestick injury? ----CORRECT ANSWER------ -------Hydrogen peroxide Starting a procedure without consent is considered ----CORRECT ANSWER------------- Assault What should you do if a patient refuses care? ----CORRECT ANSWER-------------Notify a nurse and the ordering physician How should you obtain patient identification from a conscious patient prior to venipuncture? ----CORRECT ANSWER-------------Ask the patient, "What is your name?" How often should laboratory equipment be cleaned? ----CORRECT ANSWER------------- Several times a day What lab test is the least complicated to perform, with results that are as accurate as possible and a low risk of error? ----CORRECT ANSWER-------------CLIA-waived tests
What is not considered a sharp? ----CORRECT ANSWER-------------Glucometer What are the three types of transmission included in trans-mission-based precautions? - ---CORRECT ANSWER-------------Contact, droplet, airborne What types of transmission do mumps, rubella, meningi-tis, diphtheria, and influenza fall under? ----CORRECT ANSWER-------------Droplet What types of transmission do tuberculosis, rubeola (measles), and varicella (chickenpox) fall under? ----CORRECT ANSWER-------------Airborne What type of precaution is required for scabies and wound/ skin infections? ---- CORRECT ANSWER-------------Contact What PPE should you use for contact-based transmissions? ----CORRECT ANSWER--- ----------Gloves and grown What PPE should you use for droplet-based transmissions? ----CORRECT ANSWER---- ---------Mask What PPE should you use for air-borne-based transmissions? ----CORRECT ANSWER- ------------N95 mask When performing CPR, what results in a higher survival rate? ----CORRECT ANSWER- ------------Faster compressions What is the adult compression rate during CPR? ----CORRECT ANSWER------------- 100 - 12o compressions per minute
When obtaining patient identi-fication, which of the following information do you need? -- --CORRECT ANSWER-------------Patient number, full name, date of birth When drawing blood from a patient admitted for cardiac symp-toms, what action should you take when drawing blood? ----CORRECT ANSWER-------------Collect the patient's blood Which information is required on the requisition form for an outpatient blood collection? - ---CORRECT ANSWER-------------Patient's billing information and test status A patient has a history of syncope in previous blood collec-tions. What should you do to avoid this happening? ----CORRECT ANSWER-------------Place the patient in a su- pine position What should the patient do before their blood is taken for a cholesterol test? ---- CORRECT ANSWER-------------Sit for about 5 minutes before test What should you use when taking a sample for a coagulation test from a three-year-old patient? ----CORRECT ANSWER-------------Winged safety butterfly What should you do if an inpatient has an IV in both arms? ----CORRECT ANSWER----- --------Ask the nurse to turn off IVs for two minutes In what position should a patient's arm be during venipuncture? ----CORRECT ANSWER-------------Extended fully downward A blood sample of a patient who ate a fatty meal before blood collection is processing. What should you expect to find about the specimen after centrifugation? ----CORRECT ANSWER-------------The specimen is lipemic.
Before blood collection, a patient tells you he is taking warfarin (anticoagulant meds). What type of test will be affected by this medication? ----CORRECT ANSWER------------- PT/INR You are taking a patient's blood sample to check for lithium level after a dose of medication. At which level should you collect the sample? ----CORRECT ANSWER------ -------Peak How should you answer if a patient asks you why his blood is to be collected? ---- CORRECT ANSWER-------------You should ask your provider about the test. When collecting a urine sample for a culture and sensitivity test, how should you direct your patient to do so? ----CORRECT ANSWER-------------"You must collect a midstream clean catch specimen." What information should you provide to the patient about the venipuncture procedure? - ---CORRECT ANSWER-------------"I will swab the area twice to ensure it is sterile." What should you do when preparing to collect blood samples to track a patient's medication levels? ----CORRECT ANSWER-------------Ask the nurse when the medication was last administered What type of urine sample should a patient collect for a pregnancy test? ----CORRECT ANSWER-------------First morning void How should you interact with a patient wearing hearing aids to ensure he understands the pro-cedure? ----CORRECT ANSWER-------------"Would you like me to repeat the directions?"
The only time you should get consent from anyone else is ----CORRECT ANSWER------ -------From the parent/guardian if the patient is a minor What is medical malpractice? ----CORRECT ANSWER-------------When you continue with treatment without obtaining patient consent Patients cannot take consent back once they have given it. ----CORRECT ANSWER----- --------False What is the most commonly selected vein for venipuncture? ----CORRECT ANSWER---- ---------Cephalic and median cubital veins What must you do to find the right vein? ----CORRECT ANSWER-------------Always palpate the site first What is the first thing you must do if you struggle to see a vein? ----CORRECT ANSWER-------------Palpate or massage from the patient's wrist up to the elbow How many times should you mix tubes with an anticoagulant addi-tive? ----CORRECT ANSWER-------------Eight times A patient must remain calm because high stress can cause the blood sample to have ---
- CORRECT ANSWER-------------High adrenal hormone value What is it called when you assign a unique number for patient iden-tification? ---- CORRECT ANSWER-------------Accessioning
Which of the following is not one of the three primary goals of the Patient's Bill of Rights? ----CORRECT ANSWER-------------Promise affordable care To deliver quality patient care, which actions should be avoided? ----CORRECT ANSWER--------------Too many blood draw attempts
- Too many punctures
- Asking the patient for more details about their medical condition Which of the following duties is outside the scope of the phlebotomist's practice? ---- CORRECT ANSWER-------------Collecting a tissue sample. What organization gives out phlebotomy certifications?
- National Institutes of Health
- Center for Disease Control
- Health and Human Services ----CORRECT ANSWER-------------None of the above Implied consent to draw blood from a patient can be obtained by which action? ---- CORRECT ANSWER-------------The patient extends their arm A patient's name is spelled differently on the wristband than on the requisition form. What should you do? ----CORRECT ANSWER-------------Verify the information with your supervisor or attending nurse Which of the following options is one way phlebotomists uphold their ethical obligations? ----CORRECT ANSWER-------------Respect for patient's privacy Cleanliness and personal hygiene are important for ----CORRECT ANSWER------------- Personal and patient safety
What tests can be inaccurate if the patient is not fasting? ----CORRECT ANSWER-------- ------Glucose
- Cholesterol
- Iron A phlebotomy technician is preparing to perform a neonatal screening test. The technician should identify which of the following is the optimal time to perform the test? - ---CORRECT ANSWER-------------Between 24 and 72 hours after birth What information is needed for the requisition form? ----CORRECT ANSWER------------- Patient billing information and test status When should a patient begin the collection of their 24-hour urine collection? ---- CORRECT ANSWER-------------At the second void of the day What test is used to screen for diabetes? ----CORRECT ANSWER------------- 2 - hour postprandial specimens What is the name for the daily fluctuations in body hormonal levels and chemistry? ---- CORRECT ANSWER-------------Diurnal variation What is the first thing to do when collecting blood using a central venous access device? ----CORRECT ANSWER-------------Discard 5 mL of blood How much blood should be flushed or discarded for coagulation tests? ----CORRECT ANSWER-------------20 mL
What do the following tests have in common: ammonia, lactic acid, acetone, PTH, homo-cysteine, ABG? ----CORRECT ANSWER-------------They all must be chilled right after collection What do the following tests have in common: Bilirubin, Vitamin A, folate, vitamins A, B6, and B12? ----CORRECT ANSWER-------------They are all tests that are affected by light exposure What do the following tests have in common: molecular diagnostic specimens, drug screening, and blood alcohol specimens? ----CORRECT ANSWER-------------All are used for forensic studies What is the first course of action if a patient has an IV? ----CORRECT ANSWER---------- ---the other arm Where should you select the site if drawing from the same arm as the IV? ---- CORRECT ANSWER-------------Below the IV site What should you document in the case of venipuncture on the same arm of an IV? ---- CORRECT ANSWER-------------Document that the draw was distal to the IV and the type of solution What should you not do after disinfecting the venipuncture site? ----CORRECT ANSWER-------------Wipe the skin dry with a cotton ball What should you do during venipuncture if the patient has many severe burns? ---- CORRECT ANSWER-------------Avoid the burned areas How long should a tourniquet remain on the patient? ----CORRECT ANSWER------------- 1 minute
How many liters of blood does the average human adult body have? ----CORRECT ANSWER------------- 5 What can cause the rejection of a blood sample? ----CORRECT ANSWER-------------- Vein collapsing
- Hitting a nerve
- Scarring How many liters of blood does the average human adult body have? ----CORRECT ANSWER------------- 5 What can cause the rejection of a blood sample? ----CORRECT ANSWER-------------- Not enough quantity
- Incomplete chain of custody
- Improper specimen (serum/blood/plasma) What can happen if you do not allow the alcohol to dry completely after disinfecting the venipuncture site? ----CORRECT ANSWER-------------Hemolysis What is the nerve most susceptible to injury during venipuncture? ----CORRECT ANSWER-------------Median What do you do if you have attempted blood draw twice without success? ---- CORRECT ANSWER-------------Call for a more experienced phlebotomist or nurse Which of the following additive should be used for a CBC test? ----CORRECT ANSWER-------------EDTA
The patient becomes pale and diaphoretic during venipunc-ture? What is going on? ---- CORRECT ANSWER-------------The patient has syncope What happens if you have collected a STAT specimen but forget to label it with the patient ID number? ----CORRECT ANSWER-------------The lab will reject the specimen What can be used as patient identification for inpatients? ----CORRECT ANSWER-------- -----Verbal patient identification
- Intact, attached ID bracelet
- Driver's license What should you do if the patient says they feel a sharp pain down the arm? ---- CORRECT ANSWER-------------Remove tourniquet and needle ASAP What does the word phlebotomy mean? ----CORRECT ANSWER-------------Red, blood What is a venesection? ----CORRECT ANSWER-------------Another word for phlebotomy An emergency lab test request occurs in which phase of lab testing? ----CORRECT ANSWER-------------Preanalytical During which phase is a blood specimen tested? ----CORRECT ANSWER------------- Analytical What is the best way to apply antiseptic agents to the site? ----CORRECT ANSWER----- --------Use friction in a back-and-forth motion
