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NHA PHLEBOTOMY CERTIFICATION// NHA
PHLEBOTOMY CERTIFICATION REAL EXAM AND STUDY
GUIDE 200+ QUESTIONS AND CORRECT
ANSWERS//ALREADY GRADED A+
- What temperature should a semen sample be transported? - CORRECT ANSWER- 36 - 38 degrees C
- Which of the following would result in a grossly hemolyzed specimen? a. Incorrect order of draw b. Incorrect needle gauge c. Applying tourniquet too close to the draw site d. Failure to invert tube - CORRECT ANSWER-b. Incorrect needle gauge
- Which of the following is proper procedure after collecting ammonia specimen? a. Protect from light b. Keep specimen warm c. Keep specimen at body temp d. Place specimen in icewater slurry (or a cup of ice) - CORRECT ANSWER-d. Place specimen in icewater slurry (or a cup of ice)
- The phlebotomist has a request to collect a CBC from a healthy 10 month old. Which is appropriate? - CORRECT ANSWER-a. Either heel
- A phlebotomist is preparing to draw blood from a patient in hospital/ The patient extends his arm and turns head away. Which consent does this indicate? - CORRECT ANSWER-a. Implied consent
- Why should phlebotomist document volume of blood drawn from a patient? - CORRECT ANSWER-a. Iatrogenic anemia could be a result fo too much taken
- A phlebotomist has a requisition to draw blood on a patient with severe Down's syndrome. What steps would you take? - CORRECT ANSWER-a. Speak with the patient guardian before performing venipuncture to enmsure the patient understands
- A 69 year old unconscious patient is brought ot the ER. Several blood tests are ordered. The phlebotomist collects blood under - CORRECT ANSWER-a. Implied consent
- Which of the following actions is appropriate when labeling specimens? - CORRECT ANSWER-a. Label specimens at the time of collection in front of the patient
- Before collecting blood on an inpatient, the phlebotomist notices there's no wristband on wrist. There is one on the IV pole. What do you do? - CORRECT ANSWER-a. Don't draw until nurse puts an armband on patient
- Which is appropriate form of identification in inpatient setting? - CORRECT ANSWER-a. Verbal and wrist band
- WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary? - CORRECT ANSWER-a. Lavender and red
- A blood specimen is rejected by lab with QNS as the reason? Why? - CORRECT ANSWER-a. The specimen was insufficient-not enough blood
- Which of the following is best method to prevent internal or external bleeding from venipuncture site after needle is removed? - CORRECT ANSWER-a. Apply pressure to prevent leakage of blood into the tissues
- A physician orders a STAT but phlebotomist forgets to fill out patient ID number. What is appropriate procedure for an improperly labeled specimen when received in lab? - CORRECT ANSWER-a. Lab rejects the mislabeled specimen
- Phlebotomist is performing venipuncture and patient begins to seize. What is correct action? - CORRECT ANSWER-a. Discontinue the draw
- What is the appropriate cleanser to clean the meatus for a clean catch urine specimen? - CORRECT ANSWER-a. Benzalkonium chloride
- When should the code on glucose cuvettes or strips be compared to the code on the glucose meter?
- CORRECT ANSWER-a. When the patient is tested
- Which of the following is appropriate to use when collecting for a chemistry test that requires serum? - CORRECT ANSWER-a. SST (this is the red gel tube)
- A patient state she is a difficult draw and requests a skin puncture. The test is a PTT. Which should you do? - CORRECT ANSWER-a. Use a syringe and transfer to a light blue tube
- Industry standard states needle insertion in the antecubital area should be: - CORRECT ANSWER-a. 15 - 30 degree angle
- Tubes with which additive should be used for CBC? - CORRECT ANSWER-a. EDTA (purple tube)
- When preparing for transport, which specimen must be placed on ice within 30 minutes after collection? - CORRECT ANSWER-a. Arterial Blood Gases
- Which provides the phlebotomist the best protection when drawing blood from a patient with active TB? - CORRECT ANSWER-a. N-95 respirator mask
- During a draw, the patient becomes unresponsive. What should you do? - CORRECT ANSWER-a. Check for breathing
- Why should a phlebotomist avoid drawing blood from a leg or foot of a diabetic patient? - CORRECT ANSWER-a. These areas are more susceptible to infection
- Why is it important to place a specimen in a biohazard specimen bag outside the laboratory? - CORRECT ANSWER-a. The biohazard bag prevents a possible exposure incident
- As a student. Proper introduction - CORRECT ANSWER-a. Hi, my name is Sally Smith. I am a student phlebotomist and I'm here to collect blood specimen
- When using evacuated tube system (EVS). - CORRECT ANSWER-a. Position the needle in the same direction as the vein at 30 degree angle
- What is additive for a PT/PTT? - CORRECT ANSWER-a. Sodium Citrate (Blue top)
- Blood cultures have been ordered on ICU patient. You would use: - CORRECT ANSWER-a. Aerobic and anaerobic bottles
- A phlebotomist is required to obtain what from a potential donor? - CORRECT ANSWER-a. Complete medical history
- Phlebotomist needs to draw a glucose tolerance test on a patient and notices an empty breakfast plate at bedside. What should you do? - CORRECT ANSWER-a. Ask the patient when he or she ate last
- Which vein should you attempt first? - CORRECT ANSWER-a. Median cubital
- If a phlebotomist is stuck with a used needle, first action is: - CORRECT ANSWER-a. Flush the area with running water
- correct specimen handling, what should you put on collection tubes? - CORRECT ANSWER-Before leaving a patient room, make sure the date, time and initials are on the tubes.
- When removing the needle from the arm, engage the safety device immediately - CORRECT ANSWER-
- What can cause hemolysis? - CORRECT ANSWER-a. Vigorously shaking the tube
- Cleanse in an outward spiral - CORRECT ANSWER-
- What would you use for a hand draw? - CORRECT ANSWER-a. Butterfly or winged infusion set
- Invert anticoagulant tubes to :prevent coagulation - CORRECT ANSWER- Name the 3 types of blood samples - CORRECT ANSWER-whole blood/ plasma/ serum What two States require licensure - CORRECT ANSWER-Louisiana & California When the Phlebotomist collects blood, in which of the patient's zones of interpersonal space is he/she operating? - CORRECT ANSWER-The patient's Intimate Zone or Space Define Phlebotomy - CORRECT ANSWER-An incision into the vein What is the meaning of these acronyms: ASPT, ASCP, and NHA? - CORRECT ANSWER-ASPT = American Society of Phlebotomy Technicians ASCP = American Society for Clinical Pathology NHA = National Healthcareer Association Define Reference Laboratory: - CORRECT ANSWER-A reference laboratory is one that specializes in one test or one group of tests, or where more unusual or obscure tests are performed. . Number the following items to reflect the correct blood flow through the heart and lungs: 1_ Vena Cave (superior/inferior) 7_ Lungs 5_ Pulmonary Valve 6_ Pulmonary Artery 13_ Aorta 9_ Left Atrium 2_ Right Atrium 8_ Pulmonary Veins 4_ Right Ventricle 11_ Left Ventricle
3_ Tricuspid Valve 12_ Aortic Valve 10_ Mitral Valve (aka, Bi-Cuspid) - CORRECT ANSWER- To whom does the phlebotomist report? - CORRECT ANSWER-A technical phlebotomy supervisor What two government agencies administer CLIA? - CORRECT ANSWER-Center for Medicare/Medicaid Services (CMS)__ FDA
. Is the Joint Commission a non-profit organization? - CORRECT ANSWER-No, it's a not for profit organization In what year and by what organization was The Patient's Bill of Rights initiated? - CORRECT ANSWER- 1973 by the American Hospital Association. . What is Informed Consent? - CORRECT ANSWER-When you explain the procedure to the patient and they give you verbal or written permission to proceed. What is Implied Consent? - CORRECT ANSWER-When you explain the procedure to the patient and they make a gesture that implies their permission to proceed, such as extending their arm, rolling up their sleeve or nodding their head. What is required to obtain Informed Consent for a child? - CORRECT ANSWER-You explain the procedure to the parent or legal guardian and obtain their informed consent for the child. What is the difference between a Criminal Lawsuit and a Civil Lawsuit? - CORRECT ANSWER-A criminal lawsuit is initiated by the government, a civil lawsuit is between private parties. What is Assault? - CORRECT ANSWER-The threat of touching another person without his or her consent and with the intention of causing fear of harm
a. When gloves are visibly soiled. b. Before putting on gloves c. After removing gloves d. All of the above e. Both a and b - CORRECT ANSWER-d. All of the above a. When gloves are visibly soiled. b. Before putting on gloves c. After removing gloves Before entering an isolation room, what is the first thing the phlebotomist should do? a. Wash hands b. Put on a gown, mask and gloves c. Read the posted instructions d. Obtain permission - CORRECT ANSWER-c. Read the posted instructions What does the acronym PASS describe and stand for? - CORRECT ANSWER-It describes the use of a fire extinguisher and stands for: Pull pin, Aim nozzle, Squeeze handle, Sweep from side to side. What does the acronym RACE stand for? - CORRECT ANSWER-It stands for what a healthcare worker should do if a fire or explosion occurs in the workplace: Rescue, Alarm, Contain, Exit
. Before placing a call on hold, a phlebotomist should: a. record the caller's name. b. check to see if it is an emergency. c. transfer the call to the phlebotomy supervisor. d. tell the caller his or her name. - CORRECT ANSWER-b. check to see if it is an emergency. A competent professional demeanor is shown by:
a. neatness and cleanliness. b. courtesy and cheerfulness. c. pleasantness. d. all of the above. - CORRECT ANSWER-d. all of the above. Traditional duties of the phlebotomist include all of the following except: a. correct labeling of all specimens with the required information. b. selection of the appropriate specimen containers for the specified tests. c. performance of tests on patient samples in the laboratory. d. collection of the appropriate amount of blood by venipuncture or dermal puncture. - CORRECT ANSWER-c. performance of tests on patient samples in the laboratory
. The two major areas of the clinical laboratory are: a. chemistry and hematology. b. cytology and histology. c. anatomical and clinical. d. urinalysis and microbiology. - CORRECT ANSWER-c. anatomical and clinical. The difference between plasma and serum is that: a. serum contains fibrinogen. b. serum is obtained from a non-clotted specimen. c. plasma is obtained from a clotted specimen. d. plasma contains fibrinogen. - CORRECT ANSWER-d. plasma contains fibrinogen. Specimens collected in serum separator tubes are most frequently delivered to: a. blood bank. b. serology. c. hematology. d. chemistry - CORRECT ANSWER-d. chemistry.
b. chemistry. c. urinalysis. d. histology. - CORRECT ANSWER-a. coagulation.
. Which test would a physician order on a patient with a suspected infection? a. Glucose b. Complete blood count (CBC) c. Cholesterol d. Antinuclear antibody (ANA) - CORRECT ANSWER-b. Complete blood count (CBC) An anemia would be detected by a: a. glucose test. b. blood culture. c. urinalysis. d. complete blood count. - CORRECT ANSWER-d. complete blood count. . An agency that assures quality care by hospitals is the: a. Joint Commission. b. Centers for Disease Control and Prevention. c. Occupational Safety and Health Administration. d. College of American Pathologists. - CORRECT ANSWER-a. Joint Commission. . The most serious error a phlebotomist can make is: a. causing a hematoma. b. failure to correctly identify a patient. c. drawing a specimen in the wrong tube. d. collecting a hemolyzed dermal puncture specimen. - CORRECT ANSWER-b. failure to correctly identify a patient.
. A puncture device with a broken seal should not be used because: a. it is no longer sterile. b. the needle may contain a barb. c. there may be a manufacturing defect. d. the color coding will not match the size. - CORRECT ANSWER-a. it is no longer sterile. Using an evacuated tube after its expiration date can result in all of the following except: a. a short draw. b. a clotted specimen. c. a lipemic specimen. d. a contaminated specimen - CORRECT ANSWER-a. a short draw. The Patient's Bill of Rights guarantees the patient all of the following except: a. a private room. b. informed consent. c. confidentiality. d. treatment refusal. - CORRECT ANSWER-a. a private room. To complete the chain of infection, all of the following are required except a: a. source. b. contaminated surface. c. mode of transmission. d. host. - CORRECT ANSWER-b. contaminated surface. An infection contracted by a patient while in the hospital is termed: a. antibiotic-resistant. b. staphylococcal. c. nosocomial. d. unfortunate - CORRECT ANSWER-c. nosocomial.
c. labeling of hazardous material. d. the presence of radioactive material - CORRECT ANSWER-b. operation of a fire extinguisher. Alcohol-based hand sanitizers may be used as a substitute for handwashing: a. only in a blood donation center. b. only in certain patient care areas such as oncology or obstetrics and gynecology. c. at any time. d. when the hands are not visibly contaminated with blood or other body fluid. - CORRECT ANSWER-d. when the hands are not visibly contaminated with blood or other body fluid The prefix that means decreased is: a. hypo- b. hyper- c. hetero- d. haplo- - CORRECT ANSWER-a. hypo- Which of the following abbreviations on a patient's chart, test requisition, or bedside notice would be most important if a patient asked a phlebotomist for a drink of water? a. TPR b. PRN c. OP d. NPO - CORRECT ANSWER-d. NPO The ability to keep body systems functioning in a steady state is called: a. coagulation. b. articulation. c. metabolism. d. homeostasis. - CORRECT ANSWER-d. homeostasis.
The layer of skin that contains the blood vessels is the: a. epidermis. b. dermis. c. keratinized epithelium. d. root shaft. - CORRECT ANSWER-b. dermis. The artery of choice for measuring the pulse rate in an adult is the: a. carotid. b. radial. c. brachial. d. temporal. - CORRECT ANSWER-b. radial. The blood vessels that carry deoxygenated blood to the heart are: a. arteries. b. alveoli. c. capillaries. d. veins. - CORRECT ANSWER-d. veins. All of the following are formed elements found in the blood except: a. erythrocytes. b. platelets. c. macrophages. d. leukocytes. - CORRECT ANSWER-c. macrophages
. The primary role of the thrombocyte is to: a. transport nutrients. b. promote blood clotting. c. phagocytize bacteria. d. produce antibodies. - CORRECT ANSWER-b. promote blood clotting.
c. need to invert the tube. d. presence of an anticoagulant. - CORRECT ANSWER-c. need to invert the tube.
. Which of the following tubes must always be completely filled? a. Gray b. Light blue c. Red d. Pink - CORRECT ANSWER-b. Light blue The ratio of blood to anticoagulant in a light blue stopper tube is: a. 2:l b. 5:l c. 9:l d. 10:1 - CORRECT ANSWER-c. 9:l Most anticoagulants in blood collection tubes prevent clotting by: a. binding calcium. b. acting as an antithrombin agent. c. binding fibrinogen. d. releasing heparin. - CORRECT ANSWER-a. binding calcium. Which of the following is the most acceptable order of tube draw? a. Yellow, red glass, and light blue b. Lavender, red plastic, and yellow c. Red plastic, light blue, and lavender d. Yellow, green, and light blue - CORRECT ANSWER-a. Yellow, red glass, and light blue Failing to adequately invert a lavender stopper tube after collection will: a. cause hemolysis.
b. falsely elevate calcium results. c. destroy coagulation factors. d. produce a clotted specimen. - CORRECT ANSWER-d. produce a clotted specimen
. The presence of a clot is acceptable in: a. red stopper tubes. b. lavender stopper tubes. c. green stopper tubes. d. light blue stopper tubes. - CORRECT ANSWER-a. red stopper tubes. . Which of the following needles has the largest diameter? a. 16 gauge b. 18 gauge c. 20 gauge d. 22 gauge - CORRECT ANSWER-a. 16 gauge Collecting a large evacuated tube using a 23-gauge needle: a. is recommended for geriatric patients. b. is required for certain automated tests. c. may cause a hemolyzed sample. d. may cause a loss of vacuum in the tube. - CORRECT ANSWER-c. may cause a hemolyzed sample. Forcing blood from a syringe into an evacuated tube: a. prevents the blood from clotting. b. can only be done when using a small syringe. c. may hemolyze the specimen. d. is required when using a transfer device. - CORRECT ANSWER-c. may hemolyze the specimen The needle holder that is part of the evacuated tube collection system is:
