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NHA Phlebotomy Certification Exam – Qs And As
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NHA Phlebotomy Certification Exam – Qs And As1. What temperature should a semen sample be transported? Correct Ans
- 36-38 degrees C
2. 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 Ans - b. Incorrect needle gauge
3. 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 Ans - d.
Place specimen in icewater slurry (or a cup of ice)
4. The phlebotomist has a request to collect a CBC from a healthy 10 month
old. Which is appropriate? Correct Ans - a. Either heel
5. 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 Ans - a. Implied consent
6. Why should phlebotomist document volume of blood drawn from a patient?
Correct Ans - a. Iatrogenic anemia could be a result fo too much taken
7. A phlebotomist has a requisition to draw blood on a patient with severe
Down's syndrome. What steps would you take? Correct Ans - a. Speak
with the patient guardian before performing venipuncture to enmsure the
patient understands
8. A 69 year old unconscious patient is brought ot the ER. Several blood tests
are ordered. The phlebotomist collects blood under Correct Ans - a.
Implied consent
,9. Which of the following actions is appropriate when labeling specimens?
Correct Ans - a. Label specimens at the time of collection in front of the
patient
10. 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 Ans - a. Don't draw until nurse puts an armband on patient
11. Which is appropriate form of identification in inpatient setting?
Correct Ans - a. Verbal and wrist band
12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary?
Correct Ans - a. Lavender and red
13. A blood specimen is rejected by lab with QNS as the reason? Why?
Correct Ans - a. The specimen was insufficient-not enough blood
14. Which of the following is best method to prevent internal or external
bleeding from venipuncture site after needle is removed? Correct Ans -
a. Apply pressure to prevent leakage of blood into the tissues
15. 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 Ans - a. Lab rejects the mislabeled
specimen
16. Phlebotomist is performing venipuncture and patient begins to seize.
What is correct action? Correct Ans - a. Discontinue the draw
17. Phlebotomist receives orders to draw an infant screening card, O2 levels,
bilirubin, and DNA. Which is to be drawn first? Correct Ans - a. O2
levels
18. When performing a venipuncture on a patient of average weight, which is
the correct technique for needle insertion? Correct Ans - a. Insert until
a change in resistance
,19. Which is the best method to collect a blood specimen from an older adult
patient who has fragile, easy to collapse veins? Correct Ans - a. Choose
a syringe and butterfly assembly
20. Which of the following is the term for donation of a patient's own blood for
an upcoming surgery? Correct Ans - a. Autologous donation
21. The order of draw for capillary collections is different than venipuncture
because Correct Ans - a. Increased risk of coagulation (remember
platelets start to form)
22. Upon entering a patient's room for routine blood draw, phlebotomist
notices clergy member is with the patient. What should you do? Correct
Ans - a. Return later after drawing other patients
23. A phlebotomist notices a hematoma developing at the site of venipuncture.
The phlebotomist should Correct Ans - a. Release the tourniquet and
stop the draw
24. Know ORDER of DRAW!! Correct Ans -
25. A phlebotomist working in an infertility clinic and the patient is to submit
a semen specimen. The phlebotomist would tell the patient: Correct Ans -
a. As soon as you collect the specimen, keep it next to your body and bring it in
right away. (the reason is it needs to stay at body temp and delivered in lab
within 2 hours)
26. After placing tourniquet on a patients arm, the phlebotomist notices small
red spots below the tourniquet. Correct Ans - a. Petechiae
27. The phlebotomist should examine the antecubital veins of both arms
because: Correct Ans - a. The median cubital might be more accessible
on one side than the other
28. What is the appropriate cleanser to clean the meatus for a clean catch
urine specimen? Correct Ans - a. Benzalkonium chloride
29. When should the code on glucose cuvettes or strips be compared to the
code on the glucose meter? Correct Ans - a. When the patient is tested
, 30. Which of the following is appropriate to use when collecting for a
chemistry test that requires serum? Correct Ans - a. SST (this is the
red gel tube)
31. A patient state she is a difficult draw and requests a skin puncture. The
test is a PTT. Which should you do? Correct Ans - a. Use a syringe and
transfer to a light blue tube
32. Industry standard states needle insertion in the antecubital area should
be: Correct Ans - a. 15-30 degree angle
33. Tubes with which additive should be used for CBC? Correct Ans - a.
EDTA (purple tube)
34. When preparing for transport, which specimen must be placed on ice
within 30 minutes after collection? Correct Ans - a. Arterial Blood
Gases
35. Which provides the phlebotomist the best protection when drawing blood
from a patient with active TB? Correct Ans - a. N-95 respirator mask
36. During a draw, the patient becomes unresponsive. What should you do?
Correct Ans - a. Check for breathing
37. Why should a phlebotomist avoid drawing blood from a leg or foot of a
diabetic patient? Correct Ans - a. These areas are more susceptible to
infection
38. Why is it important to place a specimen in a biohazard specimen bag
outside the laboratory? Correct Ans - a. The biohazard bag prevents a
possible exposure incident
39. As a student. Proper introduction Correct Ans - a. Hi, my name is
Sally Smith. I am a student phlebotomist and I'm here to collect blood
specimen
40. When using evacuated tube system (EVS). Correct Ans - a. Position
the needle in the same direction as the vein at 30 degree angle
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