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PHLEBOTOMY NHA EXAM 2023/2024 UPDATE
QUESTIONS AND ANSWERS GRADED A+
"Which of the following sources for patient identification should a phlebotomy technician use in an
inpatient setting? - CORRECT ANSWER Verbal and wristband"
"When should a phlebotomy technician perform external liquid controls for quality control on a CLIA-
waived glucose point-of-care test? - CORRECT ANSWER When a new lot number or kit is opened"
"A phlebotomy technician should select a tube that has which of the following anticoagulants to collect
a sample for a PT/PTT test? - CORRECT ANSWER sodium citrate"
"According to OSHA standards, which of the following vaccines must employers offer to their
phlebotomists at no cost? - CORRECT ANSWER Hepatitis B"
"A phlebotomy technician is preparing to obtain a blood specimen to determine a patient's sodium
level. The technician should select a collection tube that has a top with which of the following colors? -
CORRECT ANSWER green"
"A phlebotomy technician is preparing to draw blood from a patient who has scabies. Which of the
following pieces of personal protection equipment should the technician use? - CORRECT ANSWER
gown" "Which of the following is a potential consequence of a phlebotomy technician mislabeling a blood bank
specimen? - CORRECT ANSWER transfusion reaction"
"Which of the following actions is a phlebotomy technician required to take before leaving a patient's
room? - CORRECT ANSWER Initial and mark the date and time on each tube drawn"
"Which of the following tubes should a phlebotomy technician collect first when obtaining dermal
samples? - CORRECT ANSWER Lavender top"
"To prevent hospital-acquired infections, a phlebotomy technician should clean items that have been contaminated by blood with a
1:10 dilution of which of the following substances and water? - CORRECT ANSWER sodium
hypochlorite"
"A phlebotomy technician is preparing to collect a blood specimen from a patient who signed a general informed consent form upon admission to the facility. Which of the following actions by the patient
indicates implied consent for the venipuncture? - CORRECT ANSWER Rolling up his shirtsleeve"
"Which of the following test results are affected when a phlebotomy technician uses povidone-iodine to
cleanse a site for a dermal puncture? - CORRECT ANSWER Potassium"
"A phlebotomy technician should transport a semen sample at which of the following temperatures? -
CORRECT ANSWER 36-38 C"
"A phlebotomy technician is preparing to obtain a blood specimen from a patient for thyroid studies.
The technician should select a collection tube that has a top with which of the following colors? -
CORRECT ANSWER Tiger(speckled)"
"A phlebotomy technician is collecting capillary blood drops on a filter paper card to screen a newborn
for phenylketonuria. Which of the following actions should the technician take? - CORRECT ANSWER
Apply blood to the printed side of the filter paper" "A phlebotomy technician is using a point-of-care test system to determine a patient's WBC count. For
which of the following results should the technician immediately notify the provider? - CORRECT
ANSWER 1.8/mm3"
"A phlebotomy technician is preparing a peripheral blood smear from a patient's capillary blood. Which
of the following actions should the technician take? - CORRECT ANSWER Use the second drop of blood
that emerges from the puncture" "How frequently should a phlebotomy technician perform a quality control test on a glucometer in the
laboratory? - CORRECT ANSWER Every day the meter is used"
"A phlebotomy technician is following the Clinical and Laboratory Standards Institute's (CLSI) clinical laboratory workflow pathway. As part of the postexamination phase of this process, which of the following actions should the
technician take? - CORRECT ANSWER Enter critical laboratory data"
"A phlebotomy technician should comply with HIPAA to protect which of the following? - CORRECT
ANSWER Patient's information"
"Which of the following tubes should a phlebotomy technician collect first when obtaining dermal
samples? - CORRECT ANSWER Lavender top"
"A phlebotomy technician should identify that which of the following is an identifier for a specimen as
long as it remains in the laboratory? - CORRECT ANSWER Accession number"
"A phlebotomy technician is educating a patient about the at-home collection of a semen specimen.
Which of the following statements by the patient indicates an understanding of the procedure? -
CORRECT ANSWER "I will collect the specimen in a sterile container and return it to the lab within 1
hour."" "A phlebotomy technician is preparing to obtain a blood specimen from a patient for an erythrocyte sedimentation rate test. The technician should select a collection tube that has a top with which of the
following colors? - CORRECT ANSWER lavender"
"A phlebotomy technician receives a chemical splash to his forearm. After removing his contaminated clothing, which of the following is the minimum amount of time the technician should rinse the affected
area? - CORRECT ANSWER 15 min"
"A phlebotomy technician should identify that the order of draw for capillary collections is different
from venipuncture for which of the following reasons? - CORRECT ANSWER An increased rate of
coagulation" "According to standard precautions, a phlebotomy technician should take which of the following actions
when shipping specimens to a reference laboratory in hot weather? - CORRECT ANSWER Place the
specimens in a box with cold packs and a biohazard label" "A phlebotomy technician is collecting a blood specimen from a patient. To avoid hemolysis, which of
the following precautions should the technician take? - CORRECT ANSWER Ensure the alcohol at the
insertion site has dried" "A phlebotomy technician is using an evacuated needle holder and blood collection tubes to collect
blood from a patient. Which of the following actions should the technician take? - CORRECT ANSWER
Push the first collection tube gently into the holder" "Which of the following actions should a phlebotomy technician take after collecting an ammonia
specimen? - CORRECT ANSWER Place the specimen tube in an ice-water slurry"
"A phlebotomy technician has a requisition form for a series of tests on a patient's serum. The technician
should select a collection tube that contains which of the following additives? - CORRECT ANSWER
thrombin"
"A phlebotomy technician is preparing to draw blood from a patient's arm and observes a sore at the
site where the tourniquet is to be placed. Which of the following actions should the technician take? -
CORRECT ANSWER Tie the tourniquet over the patient's sleeve"
“A phlebotomy technician is preparing to draw a peak level for a medication that was administered orally to a patient. After verifying when the patient received the medication, how long should the
technician wait prior to attempting the draw? - CORRECT ANSWER 2 hr after administration"
"A phlebotomy technician is planning to collect a sputum specimen from a patient. Which of the
following instructions should the technician give the patient? - CORRECT ANSWER "Breathe deeply
and then cough up a specimen into the container."" "A phlebotomy technician should select a tube that has which of the following additives when collecting
a blood specimen for a CBC? - CORRECT ANSWER EDTA"
"A phlebotomy technician is preparing to draw blood from a patient in an inpatient setting. The patient extends his arm and turns his head away. This action by the patient is an example of which of the
following types of consent? - CORRECT ANSWER implied consent"
"A phlebotomy technician is transporting blood specimens to a laboratory. Which of the following
actions should the technician take? - CORRECT ANSWER Place the specimens in a lockable container"
"A phlebotomy technician should identify that which of the following colors signifies a health hazard in
the National Fire Protection Association (NFPA) 704 Marking System? - CORRECT ANSWER Blue"
"A phlebotomy technician is preparing to collect a patient's troponin T level. Which of the following
troponin T levels should the technician immediately report to the provider? - CORRECT ANSWER 0.
ng/mL" "A phlebotomy technician is preparing to perform a venipuncture for a 2-year-old child. The child asks if the blood draw will hurt.
Which of the following statements should the technician make? - CORRECT ANSWER "You will feel a
small prick."" "Which of the following actions should a phlebotomy technician take to locate a vein using the warming
technique? - CORRECT ANSWER Encase the warm towel in a plastic bag"
"A phlebotomy technician is preparing to collect a vancomycin peak level for a patient in an inpatient setting. Which of the following actions should the technician take prior to collecting the blood
specimen? - CORRECT ANSWER Ask the attending nurse if the patient's vancomycin dose schedule is
accurate."
"A phlebotomy technician is preparing to collect a blood specimen from the antecubital site of a patient.
Which of the following devices can be used to help stabilize the arm for the collection? - CORRECT
ANSWER Phlebotomy wedge"
"A phlebotomy technician has a requisition form for a series of tests on a patient's serum. The technician
should select a collection tube that contains which of the following additives? - CORRECT ANSWER
thrombin" "A phlebotomy technician should identify that which of the following is the first step in the blood
collection procedure? - CORRECT ANSWER Test requisition"
"A phlebotomy technician should use a capillary collection instead of a venipuncture in which of the
following situations? - CORRECT ANSWER A patient's veins are inaccessible"
"A phlebotomy technician is collecting a patient's blood specimen in a lavender-topped tube. How many
times should the technician gently invert the tube before setting it in the specimen collection tray? -
CORRECT ANSWER 8-10 times"
"A phlebotomy technician is required to obtain which of the following from a potential blood donor? -
CORRECT ANSWER Complete medical history"
"A phlebotomy technician has a requisition for collecting fasting blood glucose and albumin specimens from a patient. Which of the following actions should the technician take before collecting the patient's
blood? - CORRECT ANSWER Make sure the patient has fasted for the past 8 to 12 hours"
"A phlebotomy techniclan is performing a heelstick to obtain capillary blood for testing a newborn's
bilirubin level. Which of the following actions should the technician take? - CORRECT ANSWER An
amber colored microcontainer" "Which of the following actions by a phlebotomy technician can result in a grossly hemolyzed specimen?
- CORRECT ANSWER Using an incorrect needle gauge" "A patient arrives at a clinic with a requisition for a chemistry panel. A technician notices that the patient's last name on the requisition differs from the patient's provided identification. Which of the
following actions should the technician take? - CORRECT ANSWER Contact the ordering provider to
correct the requisition form" "A technician should identify that which of the following is one of the Joint Commission's 2016 National
Patient Safety Goals? - CORRECT ANSWER Identify patients correctly"
"A phlebotomy technician is collecting a urine specimen from a patient for a pre-employment drug screening. Which of the following findings should indicate to the technician that tampering has possibly
occurred? - CORRECT ANSWER the temperature of the specimen is 30 celsius, 86 farenheight"
"A phlebotomy technician is applying a tourniquet prior to collecting a blood specimen from a patient.
Which of the following actions should the technician take? - CORRECT ANSWER Tuck a partial loop of
tourniquet underneath the tourniquet" "A phlebotomy technician should identify that which of the following additives is used to prevent the
breakdown of glucose? - CORRECT ANSWER sodium fluoride"
"For which of the following reasons should a phlebotomy technician avoid drawing blood from the leg or
foot of a patient who has diabetes? - CORRECT ANSWER These areas are more susceptible to
infection" "Which of the following regulations ensures that a phlebotomy technician is proficient to perform job
duties and responsibilities? - CORRECT ANSWER CLIA"
"Within which of the following time periods should a phlebotomy technician collect a newborn blood-
spot test screening card? - CORRECT ANSWER Within 72 hr"
"A phlebotomy technician should invert anticoagulant tubes to prevent which of the following
complications? - CORRECT ANSWER hemolysis"
"Which of the following actions should a phlebotomy technician take when labeling specimens? -
CORRECT ANSWER Labeling specimens at the time of collection and in the presence of the patient"
"For which of the following reasons should a phlebotomy technician document the total volume of
blood drawn from a patient? - CORRECT ANSWER To determine if the patient is at risk for developing
iatrogenic anemia" "During a routine venipuncture, a phlebotomy technician notices that a patient is becoming pale and
diaphoretic. The technician should identify that the patient is at risk for the following conditions? -
CORRECT ANSWER Syncope"
"A phlebotomy technician should identify that which of the following phrases is represented by the
abbreviation "SD"? - CORRECT ANSWER standard deviation"
"A phlebotomy technician should identify that which of the following is the total blood volume of an
infant who weighs 3.3 kg (7.3 lb)? - CORRECT ANSWER 240 to 330 mL"
"A phlebotomy technician obtains two readings of 17 mg/dL when performing a glucometer test for a
patient. Which of the following actions should the technician take? - CORRECT ANSWER Perform a set
of liquid controls" "Which of the following tests is the most common point-of-care test performed at home and in medical
facilities? - CORRECT ANSWER glucose"
"A phlebotomy technician is instructing a patient about how to collect a fecal occult specimen. Which of
the following instructions should the technician include? - CORRECT ANSWER Avoid taking ibuprofen"
"Before collecting blood from a patient in an inpatient setting, a phlebotomy technician notices that the patient does not have a wristband on his wrist, but there is one attached to the patient's IV stand. Which
of the following actions should the technician take? - CORRECT ANSWER Hold the draw until the nurse
has attached a wristband to the patient" "A phlebotomy technician is preparing to store a blood specimen. At which of the following
temperatures should the technician store the specimen? - CORRECT ANSWER 2 to 8 C (35.6 to 46.4 F)"
"While a phlebotomy technician is performing a blood collection, several drops of blood land on the
drawing chair. Which of the following solutions should the technician use to remove the blood? -
CORRECT ANSWER 1:10 bleach"
"A phlebotomy technician performs a point-of-care glucose test for a patient in an outpatient setting.
The result is in the critical value range. Which of the following actions should the technician take? -
CORRECT ANSWER Report the result to the patient's provider"
"A phlebotomy technician collects multiple specimens from a premature infant. Which of the following
is a possible result of the procedure? - CORRECT ANSWER Iatrogenic anemia"
"A phlebotomy technician is instructing a patient about proper semen specimen collection for
determination of fertility potential. Which of the following instructions should the technician include? -
CORRECT ANSWER Protect the specimen from exposure to bright light"
"Which of the following is the best method for a phlebotomy technician to collect a blood specimen
from an older adult patient who has fragile, easy-to-collapse veins? - CORRECT ANSWER Choose a
syringe and butterfly assembly and transfer to an ETS tube" "A phlebotomy technician is performing a total cholesterol point-of-care test for a patient. Which of the
following findings should the technician immediately report to the provider? - CORRECT ANSWER 300
mg/dL"
"A phlebotomy technician is obtaining a blood specimen from a patient. The patient reports experiencing a sharp, painful, and tingling sensation going down her arm and into her hand. The
technician should recognize that which of the following complications of venipuncture is occurring? -
CORRECT ANSWER nerve injury"
"A phlebotomy technician is collecting blood from a patient for donation. The collection bag only fills halfway, and the vein collapses.
Which of the following actions should the technician take? - CORRECT ANSWER Use a new collection
bag to draw a new unit of blood" "A phlebotomy technician is teaching a patient about collecting a sputum specimen at home. Which of
the following instructions should the technician include? - CORRECT ANSWER Spit thick secretions into
the container after coughing deeply" "A phlebotomy technician is preparing to use an evacuated tube system to obtain a venous blood specimen from a patient. The tourniquet is ir place and the technician has cleansed the puncture site.
Which of the following procedural steps should the technician perform next? - CORRECT ANSWER
Uncap the needle and inspect it." "A phlebotomy technician is performing a venipuncture for a patient. The patient suddenly reports "feeling faint." After removing the tourniquet and the needle, which of the following actions should the
technician take next? - CORRECT ANSWER Have the patient put her head between her legs"
"A phlebotomy technician is working with a patient who has a Mycobacterium tuberculosis infection.
Which of the following transmission precautions should the technician use for this patient? - CORRECT
ANSWER airborne precautions"
"A phlebotomy technician is instructing a patient about how to collect a 24-hr urine specimen. Which of
the following instructions should the technician include? - CORRECT ANSWER Discard the first void of
the morning" "A patient asks a phlebotomy technician to use her finger for blood work. In which of the following
situations can the technician collect blood from the patient's finger? - CORRECT ANSWER The ordered
test can be performed on a capillary specimen"
