What can be used as paitent identification for inpaitents?

Intact attached ID bracelet, Drivers liscense, All them are correct, Verbal paitent ID

The paitents name is spelled differently on the wristband than on the requisition form, what do?

Verify the information with your supervisor or attending nurse

What do these tests have in common: Biliruben, Vitamin (A, B6, B12), and Folate

They are affected by light exposure

What is the best way to apply antiseptic agents to the site?

use friction in a back and forth motion

What should you NOT do after disinfecting the venipuncture site?

Wipe the skin dry with a cotton ball

What should you do if the paitent says they feel a sharp pain down their arm?

Remove tourniquet and needle asap

What is a characteristic of pediactric paitents that may make venipuncture challenging?

They have lower blood volume than adults

What can occur if you combine two partially filled tubes with the same additive?

The blood to additive ratio will be affected, Inaccurate test results, Both are correct

You can only draw from the IV if you

Have a nurse or doctors permission

What can lead to a change in blood-to-additive ratio?

Under filling tubes, Both, Overfilling tubes

How should the blood culture be taken if a patient has an unexplained fever?

2-3 blood culture samples must be taken simutaneously via two seperate poke

What happens if you have collected a STAT specimen but forget to label it with the paitent ID number?

The lab will reject the specimen

What can cause the rejection of a blood sample?

All are correct, Improper speciemen, Incomplete chain of custody, Not enough quantity

What is the characteristic of geriatric paitents that may make venipunture challenging?

The veins move more quickly if not anchored well enough

What do the following tests have in common: Molecular diagnostic specimens, drug screening, and blood alcohol specimens?

They are used for forensic studies

What is the first thing you must do if you struggle to see a vein?

Palpate or massage from the paitents wrist up to the elbow

What is the most common cause of blood culture contamination?

Not preparing the selected venipuncture site properly

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NHA Phlebotomy Exam 2022-2023

100 termsStudBud Administration18 plays

Practice test 2, 100 questions

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Questions 100

Answers

1
When collecting a sample to determine blood alcohol levels, what color tube should be used?
Yellow
Blue
Gray
Red
2
What can be used as paitent identification for inpaitents?
Intact attached ID bracelet
Drivers liscense
All them are correct
Verbal paitent ID
3
The paitents name is spelled differently on the wristband than on the requisition form, what do?
Any of the above
Ask the paitent to correct the form
Verify the information with your supervisor or attending nurse
ingore it
4
What does the word Phlebotomy mean?
red, blood
blood, droplet
droplet, vein
Vein, cut
5
What do these tests have in common: Biliruben, Vitamin (A, B6, B12), and Folate
require serum seperation
They are affected by light exposure
All of them are used to diagnose diabetes
they are affected by heat
6
What is the name for the daily fluctuations in body hormonal levels and chemistry?
Diurnal Variations
Homeostatic fluctuation
Hormonal fluctuations
Hormonal Variation
7
What is the best way to apply antiseptic agents to the site?
press down and sueeze
use friction in a back and forth motion
Use a circular motion
dab just a bit on the site
8
What is a venesection?
Artery
Another word for Phlebotomy
Venous circulation
blood vessel
9
What should you NOT do after disinfecting the venipuncture site?
Allow the antiseptic to dry
Choose another site
Disinfect it again
Wipe the skin dry with a cotton ball
10
Cleanliness and personal hygine are important for:
Precision and accuracy
Personal liability
Timeliness of test results
Personal and paitent safety
11
Durring which phase is a blood specimen tested?
Preanalytical
Reporting
Analytical
Postanalytical
12
What must you do to find the right vein?
always palpate the site first
guess based on general anatomy
insert the needle and search
use your sight
13
What is the recommended blood-to-anticoagulation ratio of the tube?
3:7
9:1
2:8
5:5
14
What makes some veins harder to find or more collapsable?
Dehydration
Not exercising
Low blood Sugar
Overeating
15
What should you do if the paitent says they feel a sharp pain down their arm?
Ask if they feel any other symptoms
Its normal, continue
Remove tourniquet and needle asap
Remove needle, keep tourniquet
16
How should consent be obtained in emergency blood collections?
Ask a family friend or familys consent in the paitents place
Paitent consent is assumed
Ask the physician for permission
Do not act with patient consent
17
How much blood should be flushed or discarded for coagulation tests?
5ml
10ml
15ml
20ml
18
What is a characteristic of pediactric paitents that may make venipuncture challenging?
They have lower blood volume than adults
They have different concentrations of hormones
None of the above
They have a higher heart rate than adults
19
What can occur if you combine two partially filled tubes with the same additive?
The blood to additive ratio will be affected
Inaccurate test results
Neither are correct
Both are correct
20
You can only draw from the IV if you
Have a nurse or doctors permission
If the patient is conscious
If the patient is a diabetic
Anytime
21
What is a complication caused by blood leaking into the tissues?
Edema
Fistula
Arterial Puncture
Hematoma
22
In what phase of lab testing is disinfecting the selected site before venipuncture a part of?
Analytical
Preanalytical
reporting
Postanalytical
23
When should a paitent begin the collection of their 24-hour urine collection?
At the second void of the day
right before dinner
First thing in the morning
after lunch
24
What can lead to a change in blood-to-additive ratio?
Under filling tubes
Both
Overfilling tubes
Neither
25
Which organization gives out phlebotomy certifications?
National institues of health
Health and human services
None of these
Center for Disease control
26
How many times should you invert Lavender EDTA?
3-4
4-6
5
8-10
27
During what phase does centrifugation start?
Preanalytical
reporting
Postanalytical
Analytical
28
High stress can cause the blood sample to have
High Lactate dehydrogenase
High aspertate aminotransferase
High adrenal hormone value
high palete count
29
What can happen if you do not allow the alcohol to dry completely after disinfecting the venipuncture site?
Nothing
Hemolysis
Hematoma
Hemoconcentration
30
What is it called when you assign a unique number for paitent Identification?
Identification
Accessioning
Anastomosis
Labeling
31
Which if the following options is one way phlebotomists uphold their ethical obligations?
maintaining a healthy lifestyle
ability to look at blood without fainting
Good posture
respect for paitents privacy
32
This feature is a sheild that covers the needle and retracts the needle back into the needle cap.
Covering cap
needle defense mechanism
Re-sheathing device
Sheilding mechanism
33
Implied consent to draw blood from a paitent can be obtained by which action?
The paitent extends their arm
The paitent signs a consent form
All the above
the paitent verifies their identity
34
How should the blood culture be taken if a patient has an unexplained fever?
Collect two sets of cultures by seperate venipunctures immediately
4 blood culture sets must be taken during the first 1-2 hours of evaluation
2-3 blood culture samples must be taken simutaneously via two seperate poke
Just one blood culture sample, followed by another 24 hours later
35
The paitent becomes pale and diaphoretic during venipuncture, what is going on?
The paitent is going through shock
The paitent has syncope
The paitent is diabetic
The paitent has a latex allergy
36
The results show false high potassium, indicating
Hemoconcentration
nerve damage
Hemopotassium
Hemolysis
37
Potassium EDTA binds to what element in the blood?
all the above
magnesium
iron
calcium
38
What happens if you have collected a STAT specimen but forget to label it with the paitent ID number?
Nothing happens
It will take longer to process
The lab will process the specimen as usual
The lab will reject the specimen
39
What bandages are recommended for most venipuntures?
None
Tape
Gauze
Latex
40
What does NOT have a risk of hemolysis?
Using a huge needle
Shaking the tubes vigorously
Using a needle thats too small
not letting the antiseptic dry first
41
How many times should you invert green tube tops?(PST)
3-4
5
4-6
8-10
42
What can cause the rejection of a blood sample?
All are correct
Improper speciemen
Incomplete chain of custody
Not enough quantity
43
What is the characteristic of geriatric paitents that may make venipunture challenging?
The skin may bruise easily
they are more likely to experience fainting
The veins move more quickly if not anchored well enough
They might get tired quicky
44
What do the following tests have in common: Molecular diagnostic specimens, drug screening, and blood alcohol specimens?
They are relevant to neurological diseases
They are used for forensic studies
They are affected by heat
All are done only for sports players and athletes
45
What is the nerve most susceptible to injury during venipuncture?
Radial
Ulnar
musculocutaneous
Median
46
What is the first thing you must do if you struggle to see a vein?
pat the vein site with a damp cloth
Palpate or massage from the paitents wrist up to the elbow
lower the arm to make the vein more visiable
Use a touniquet to make the vein more visable
47
What is the most common cause of blood culture contamination?
Not preparing the selected venipuncture site properly
All are correct
Improper sample storage
Improper transportation of sample
48
What can probing or too much needle repositioning within the vein do?
all are correct
Inaccurate test results
Contamination with interstitial fluid
Hemolysis
49
What if the patient does not regain consiousness?
Use ammonia inhalants
Keep waiting
Slap the patient
call nurse or physcian
50
How many times should you mix tubes wiht an anticoagulant additive?
Once
eight times
twice
four times
51
How many liters of blood does the average adult human body have?
10
2
3
5
52
What two things can help dilate veins and make them easier to find?
Drinking water
Heat and exercise
Sugar and drinking water
Heat and cold
53
Which of the following additive should be used for a CBC test?
Heparin
Potassium oxalate
EDTA
Sodium fluoride
54
A timed specimen is used to measure how the bodies metabolization of a substance, monitor anticoagulant therapy and ___.
ensure quality of blood specimen
check if the paitent was fasting or not
monitor changes in a paitents condition
monitor a paitents stress levels
55
What information is needed for the requisition form?
Paitent billing information and test status
paitents full name
paitents insurance company
test status
56
What should you do if a patients artery is accidentally punctured?
Call a doctor or nurse
Remove the needle and apply firm pressure for 15 minutes
Nothing
keep the needle inserted and remove the tourniquet
57
Which of the following is not one of the three primary goals of the paitents bill of rights?
address paitent problems
Promise afforable care
Encourage paitents to take an active role in their health
Ensure fairness and equality of the healthcare system
58
What is another name for thrombocyte?
White blood cell
Platelet
Plasma
Thrombus
59
An emergency lab test request occurs in which phase of lab testing?
reporting
Analytical
Postanalytical
Preanalytical
60
For how long do gray tubes for glucose preserve blood specimens?
30o minutes
2 hours
24 hours
12 hours
61
How must you anchor a vein?
Place your thumb on the side of the vein and push down
increase pressure at the tip of the needle
place the thumb of the nondominant hand below the vein and stretch the skin
All of them are correct
62
The only time you should get consent from anyone else is...
From any family member
From a parent/Gaurdian if the paitent is a minor
From any friend of the paitent
never
63
When a patients lab test must be redone for emergency reasons, what is necessary is there is a missing/wrong label?
Another requisition
Emergency release form
Nothing
Calling the ordering physician
64
What should yo use to transfer a blood sample from a syringe to a vacutainer tube?
Blood transfer device
Keep it in the syringe until you get to the lab
Use the syringe to force blood into tube
Never transfer blood between devices
65
What color are the blood culture tube caps?
Green and Gold
Blue and Purple
Grey and Pink
Gold and Lavender
66
What do you add to a sample if it needs to be diluted?
Anticoagulant
preservative
Diluent
All of the above
67
What is a slowly preformed blood draws called?
Traumatic venipunture
Incorrect blood draw
slow venipunture
Intraversion venipuncture
68
What is a common complication in capillary sampling?
Scarring
All are correct
Hitting a nerve
Vein collapsing
69
Massaging the site of a capillary blood collection can lead to
Low blood count
High iron levels
Shortness of breath
Hemolysis
70
How must you approach drawing blood from a pediactric paitent?
you must finish quickly and let the paitent rest
you must monitor and doccument the amount of blood drawn
You must act that as with an adult
there are no special considerations
71
What is the most common vein selected for venipunture?
foot vein
Hand vein
Bassilic inner arm vein
Cephalic and median cubital veins
72
What tubes are used for serum tubes with gel seperator?
Red and Gold Cap
Lt blue cap
Royal Blue cap
Green cap
73
Where should you select the site if drawing from the same arm as the IV?
Above the IV
Take the IV out and use that site
use wrist veins
below the IV
74
What if it takes longer than one minute to find the vein?
Leave the tourniquet on and use a warm wash cloth to the site
Remove the tourniquet, wait two minutes, put it back on and try again
Keep going until you find the vein
Try another site
75
What type of reaction can lead to fainting or hypotension?
Hypersensitive reaction
Vasovagal Reaction
Hemostatic reaction
Polycythemic reaction
76
What should you doccument in the case of venipunture on the same arm as the IV?
doccument type of solution used
doccument site selection
Doccument the draw was distal to the IV and type of solution
Doccument that it was drawn above the IV
77
What is the first course of action if a paitent has an IV?
Use the other arm
Consult nurse/doctor
Draw blood from IV
Use the femoral vein on leg
78
Which of the following duties is outside the scope of a phlebotomists practice?
Collecting a tissue sample
Labeling samples correctly
drawing blood using the appropriate equipment
Identifying paitents properly
79
Paitents can not take consent back once they have given it
True
False
80
What additive do light blue topped tubes have?
Sodium Citrate
none
Sodium fluoride
Potassium oxalate
81
What should you say to a patient to know if they have ever fainted before during a blood draw?
"have you ever felt sick during a blood draw?"
"Have you ever experienced difficulty in previous blood draws?"
"Have you ever lost consiousness during a blood draw?"
"Have you ever fainted before?"
82
What is the first thing to do when collecting blood using a central venous access device?
disinfect the site three times
use a lavender tube
Disinfect the collections of blood
Discard 5ml of blood
83
How long should a tourniquet remain on the paitent?
3 minutes
60 seconds
120 seconds
90 seconds
84
If a paitent has an IV in both arms, how long before venipuncture should the nurse turn both IV's off?
2-15 minutes
Neither should be turned off
30 minutes
24 hours
85
What do you do if you have attempted blood draw trice without success?
Call for a more experienced phlebotomist or nurse
call the attending physician
Try again
wait five minutes
86
If a patient faints, how long should you stay with them?
Theres no need
15 minutes
5 minutes
30 minutes
87
What should you do during venipuncture if the paitent has many severe burns?
Avoid the burn areas
use a syringe
use a winged needle
avoid a tourniquet
88
What is medical malpractice?
When you do not preform the venipuncture properly
When you administer the wrong type of lab test
When you cause a viral pathogen transmission by mishandling blood specimens
When you continue with treatment without obtaining consent
89
How many times should you invert gold top tubes?(SST)
5
3-4
8-10
4-6
90
Why do newbrons need more blood?
They come out of the womb with a natural loss in blood
They have a lower amount of antigens compaired to antibodies
They are physically unable to create blood as quickly as adults do
They have a higher ratio of red blood cells to plasma than adults do
91
A failure to fast when ordered can impact a blood sample in the following ways?
a false increase in analytes
Increasing stress hormones
increasing enzymes such as creatine and fatty acids
Increasing its turbidity
92
What do these tests have in common:Ammonia, Lactic acid, acetone, PTH, Homocysteine, ABG
Nothing
They must be chilled after collection
analytes
They all test for hormonal condidtions
93
A phlebotomist is about to preform a neonatal screening, which of the following is the optimal time to take the test?
between 24 and 72 hours after birth
between 12 and 18 hours after birth
immediately after birth
6 hours after birth
94
What should you do when conducting a second venipuncture?
use the same tube
Always use a new tube when conducting a second blood draw
use a partially filled tube
FIll a new tube and pour it into the first tube
95
The term "Right to Know" refers to:
Not revealing paitent information outside of the hospital
The facilities supervisors right to know health information of employees
The paitents right to know about the medical treatments and proceedures
The phlebotomists responsitbitlity to understand lab results
96
What test is used to screen diabetes?
blood glucose profile
Basic metaoblic pannel
2 hour postprandial specimens
Hmoglobin test
97
How many times should you invert blue top tubes?(Sodium citrate)
4-6 times
3-4 times
5 times
8-10 times
98
What is informed consent?
Written documentation of a physician's consent
Clear consent from a paitent, hearing a detailed explanation from the phleb
Verbal consent from a paitent after reading a pamphlet about the service
Written documentation of a paitents consent
99
To deliver quality paitent care, which actions should be avoided?
too many punctures
asking the paitent for more details about their medical condition
All the above
too many blood draw attempts
100
What tests can be innacurate if the paitent was not fasting?
glucose
iron
chloesterol
all of the above

NHA Phlebotomy Exam 2022-2023 Flashcards | StudBud