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Phlebotomy Procedures and Best Practices, Exams of Nursing

Norfolk State University (NSU)Nursing

A comprehensive overview of phlebotomy procedures and best practices for healthcare professionals. It covers a wide range of topics, including proper specimen collection techniques, handling of blood samples, patient safety, and regulatory compliance. Structured as a series of questions and answers, addressing common scenarios and challenges encountered in the phlebotomy field. It serves as a valuable reference for phlebotomists, nurses, and other healthcare providers involved in the blood collection process. The detailed information and step-by-step guidance presented in this document can help ensure accurate and safe blood draws, minimize patient discomfort, and maintain the integrity of collected samples. By studying this document, healthcare professionals can enhance their phlebotomy skills, improve patient outcomes, and contribute to the overall quality of healthcare delivery.

Typology: Exams

2023/2024

Available from 10/17/2024

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tizian-kylan 🇺🇸

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NHA Phlebotomy Exam Practice Questions
and Verified Answers (2024 / 2025 Update)
1. 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?
✓ Answer: Gown
2. A phlebotomy technician is preparing a patient for a routine venipuncture. Which of the
following antiseptic solutions should the technician use?
✓ Answer: Isopropyl alcohol
3. Which of the following collection tubes should a phlebotomy use when collecting for a
routine chemistry test that requires serum?
✓ Answer: SST
4. A phlebotomy tech is updating a quality control record while performing daily point-of-
care tests. Which of the following information should the technician include?
✓ Answer: Expiration date
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NHA Phlebotomy Exam Practice Questions

and Verified Answers (202 4 / 2025 Update)

  1. 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? ✓ Answer: Gown
  2. A phlebotomy technician is preparing a patient for a routine venipuncture. Which of the following antiseptic solutions should the technician use? ✓ Answer: Isopropyl alcohol
  3. Which of the following collection tubes should a phlebotomy use when collecting for a routine chemistry test that requires serum? ✓ Answer: SST
  4. A phlebotomy tech is updating a quality control record while performing daily point-of- care tests. Which of the following information should the technician include? ✓ Answer: Expiration date
  1. While a phlebotomy technician is performing a blood collection, several drops of blood land on the drawing chair. Which of the color wing solutions should the technician use to remove blood? ✓ Answer: 1:10 bleach
  2. A patient states that he is a "difficult draw" and requests a skin puncture. The test ordered is a PTT. Which of the following should a phlebotomy technician perform? ✓ Answer: A syringe draw transferred into a light blue vacuum tube
  3. 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? ✓ Answer: Report the result to the patient's provider
  4. A phlebotomy technician should identify that HIPAA protects which of the following rights as part of the Patient Care Partnership? ✓ Answer: Privacy
  5. After placing a tourniquet on a patient's arm, a phlebotmy technician notices small red spots below the tourniquet. Which of the following terms describes these spots? ✓ Answer: Petechiae

✓ Answer: Personal

  1. A phlebotomy technician is preparing to dispose of contaminated sharps. According to OSHA standards, which of the following actions should the technician take? ✓ Answer: Replace the sharps container when it is two-thirds full
  2. Which of the following actions is a phlebotomy technician required to take before leaving a patient's room? ✓ Answer: Initial and mark the date and time on each tube drawn
  3. A phlebotomy technician is removing his gloves after a venipuncture procedure. Which of the following actions should the technician take? ✓ Answer: Remove the first glove so that it turns inside out during removal
  4. A phlebotomy technician is educating a patient about the at-home collection of a semen specimen. Which of the following statements by the patient i sit san understanding of the procedure? ✓ Answer: "I will collect the specimen in a sterile container and return it to the lab within 1 hour"
  1. A phlebotomy technician is collecting a blood specimen from a patient. Which of the following techniques should the technician use to anchor the vein just before inserting the needle? ✓ Answer: Use the thumb to anchor the vein 5 cm (2 in.) below the puncture site
  2. 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? ✓ Answer: Blue
  3. A phlebotomy technician is preparing a peripheral blood smear from a patient's capillary blood. Which of the following actions should the technician take? ✓ Answer: Use the second drop of blood that emerges from the puncture
  4. A phlebotomy technician has requested to collect a routine CBC from a healthy 10- month-old infant. Which of the following collection sites should the technician select? ✓ Answer: Either heel
  5. 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? ✓ Answer: 1.8/mm^

✓ Answer: Discontinue the draw

  1. A phlebotomy technician is preparing to perform a venipuncture on a patient who states, "I faint at the sight of blood." Which of the following positions is optimal for the patient's safety during the procedure? ✓ Answer: Lying in a recliner position
  2. A phlebotomy technician is transporting blood specimens to a laboratory. Which of the following actions should the technician take? ✓ Answer: Place the specimens in a lockable container
  3. A phlebotomy technician is preparing to collect a blood specimen from a small vein of an older patient. Which of the following actions should the technician take to keep the vein from collapsing? ✓ Answer: Use a small needle for the draw
  4. After verifying a patient's identity, a phlebotmy technician sees that the patients laboratory results are ready. Which of the following actions should the technician take? ✓ Answer: Inform the patient to contact the ordering provider to obtain the results
  1. Which of the following tubes should a phlebotomy technician collect first when obtaining dermal samples? ✓ Answer: Lavender top
  2. 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? ✓ Answer: Choose a syringe and butterfly assembly and transfer to an ETS tube
  3. 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? ✓ Answer: 2 hr after administration
  4. A phlebotomy technician has a requisition form to perform a chromosome analysis for a patient. The technician should select a collection tube that contains which of the following additives? ✓ Answer: Heparin
  5. A phlebotomy technician is preparing to draw blood from a patient who has scabies. Which of the following pieces of personal protective equipment should the technician use?

in some running time today." Which of the following precautionary actions should the technician take? ✓ Answer: Have the patient rest comfortably for at least 15 minutes before the venipuncture

  1. A phlebotomy technician is preparing several specimens for transport to the facility's laboratory. Which of the following specimens should the technician protect from bright light by placing it in an amber/brown biohazard bag for transport ✓ Answer: Vitamin B
  2. A phlebotomy technician is collecting a blood specimen from a patient to measure the trough level of medication. The technician should collect the specimen at which of the following times? ✓ Answer: Within 15 min before the patient receives next dose of medication
  3. 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? ✓ Answer: use a new collection bag to draw a new unit of blood
  4. A phlebotomy technician sees a coworker receive a major electrical shock from an instrument. Which of the following actions should the technician take first?

✓ Answer: shut off power to the instrument

  1. A phlebotomy technician is washing her hands at the beginning of her shift. Which of the following actions should the technician take? ✓ Answer: use enough soap to form a lather
  2. 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? ✓ Answer: "You will feel a small prick"
  3. 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? ✓ Answer: Push the first collection tube gently into the holder
  4. A phlebotomy technician is obtaining a blood culture specimen from an adult patient. Which of the following actions should the technician take? ✓ Answer: withdraw the blood into a sterile safety syringe
  1. 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? ✓ Answer: Thrombin
  2. A phlebotomy technician should comply with HIPAA to protect which of the following? ✓ Answer: patients' information
  3. Prior to transport, which of the following specimens should a phlebotomy technician place in an ice bath within 30 minutes after collection? ✓ Answer: Arterial blood gas
  4. A phlebotomy technician is following the Clinical and Laboratory Standards Institutes (CLSI) clinical laboratory workflow pathway. As part of the post examination phase of this process, which of the following actions should the technician take? ✓ Answer: Enter critical laboratory data
  5. For which of the following tests should a phlebotomy technician follow chain of custody guidelines?

✓ Answer: Blood alcohol

  1. Which of the following regulations ensures that a phlebotomy technician is proficient to perform job duties and responsibilities? ✓ Answer: CLIA
  2. For which of the following reasons should a phlebotomy technician document the total volume of blood drawn from a patient? ✓ Answer: To determine if the patient is at risk for developing iatrogenic anemia
  3. Which of the following actions by a phlebotomy technician can result in a grossly hemolysis specimen ✓ Answer: Using an incorrect needle gauge
  4. A phlebotomy technician must comply with which of the following OSHA requirements when performing a venipuncture? ✓ Answer: Wear gloves when contact with blood is anticipated
  5. A phlebotomy technician is performing a capillary heel stick to obtain blood for testing a newborns bilirubin level. Which of the following actions should the technician take?

✓ Answer: Drug screenings, forensic studies, blood alcohol tests, and paternity testing

  1. A phlebotomy technician should ensure that which of the following specimens is protected from light? ✓ Answer: Bilirubin
  2. A phlebotomy technician is preparing to store a blood specimen. At which of the following temperatures should the technician store the specimen? ✓ Answer: 2° to 8° C
  3. A phlebotomy technician is working with a patient who has mycobacterium tuberculosis. Whic of the following transmission precautions should the technician use for this patient? ✓ Answer: Airborne Precautions
  4. A phlebotomy technician is processing a semen specimen. Which of the following actions should the technician take? ✓ Answer: Deliver specimen to laboratory within 2 hrs.
  5. A phlebotomy technician in an outpatient facility finds a patient who is in shock and bleeding profusely from his leg. Which of the following actions should the technician take first?

✓ Answer: Apply direct pressure to the wound.

  1. A phlebotomy technician is selecting a site for a blood draw from a high patient. From which of the following veins should the technician attempt to draw first? ✓ Answer: Median Cubital
  2. 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? ✓ Answer: Perform a set of liquid controls to make sure glucometer is working correctly.
  3. Before collecting boood from a patient in an inpatient setting, a phlebotomy technician notices 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? ✓ Answer: Hold the draw until the nurse has attached a wristband to the patient.
  4. A phlebotomy technician is preparing to perform a blood draw on a patient who has a left sided mastectomy and has an IV on her right side. In which of the following locations should the technician perform the draw? ✓ Answer: Below the IV

✓ Answer: The patient's full name and date of birth

  1. How frequently should a phlebotomy technician perform a quality control test on a glucometer in the laboratory? ✓ Answer: Everyday the meter is used
  2. A phlebotomy technician is preparing to collect a patients troop in T level. Which of the filling troponin T levels should the technician immediately report to the provider? ✓ Answer: 0.3 ng/mL
  3. For which of the following conditions does emergency first aid treatment include maintaining an open airway, controlling bleeding, and keeping the patient warm until help arrives? ✓ Answer: Shock
  4. 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? ✓ Answer: Speckled (tiger)
  5. Which of the following information should a phlebotomy technician document when adhering to chain of custody guidelines

✓ Answer: Identity of everyone who had possession of the specimens

  1. A phlebotomy technician should select a tube that has which of the following anticoagulants to collect a sample for a PT/PTT test? ✓ Answer: Sodium Citrate
  2. A phlebotomy technician is preparing to perform a venipuncture on a patient. Which of the following types of consent is the patient providing when she extends her arm to begin the procedure? ✓ Answer: Implied consent
  3. A phlebotomy technician has a requisition form for a series of tests on a patients serum. The technician should select a collection tube that contains which of the following additives? ✓ Answer: Thrombin
  4. A phlebotomy technician is preparing to draw a blood sample from a patient for a glucose tolerance test (GTT) and notices an empty breakfast plate on a beside table. Which of the following actions should the technician take? ✓ Answer: Ask the patient when he last ate or drank