Which of the following actions should a phlebotomist take when performing venipuncture using the evacuated tube method?

Maintain a study pull on the syringe plunger

Which of the following actions should a phlebotomist exhibits proper handling while transporting a CBC?

Keeping the specimen at room temperature

What is the correct protocol for a phlebotomist who receives a phone call from a pt with a laboratory report?

Give the reports to the ordering provider to review and notify the patient

An emergency department provider orders a venipuncture on an unidentified and unconscious patient.

Label the blood specimen with the pt's bed number and attending provider

How can a phlebotomist distinguish whether a collection tube contains serum or plasma?

SST in the collection tube indicates plasma

Which of the following actions should a phlebotomist take when labeling specimens?

Include the requisition date and time

When drawing blood on a preschooler, phlebotomist should

Explain the procedure to the parent & child

Which instruction should the phlebotomist provide for a patient collecting a stool specimen at home for an ova test ?

Store the specimen at room temperature

In which position should the phlebotomist hold the lancet while performing a capillary puncture on a adult patient?

At a 30 degree angle to the pad of the middle finger

Which of the following actions by a phlebotomist during venipuncture can produce a hematoma?

Inserting the needle completely through the vein

After the phlebotomist removes the needle following a venipuncuture procedure, what actions should they take?

Apply the gauze and activate the safety cover

A phlebotomist should take which of the following actions with a patient who has a contact precautions sign on her door?

Don a gown prior to entering the patient's room & take it off when leaving

Which of the following is the first step a phlebotomist should take to prevent the spread of infection?

Washing hands with antimicrobial soap and water

Which of the following instruct should a phlebotomist provide to a pt who is collection a urine specimen for culture?

Clean the genital area prior to collection

Which of the following actions by a patient demonstrates implied consent for a procedure?

Extends an arm to the technician

A large spill has occured in a laboratory involving venous blood. Which of the following actions should the phlebo take?

Apply a liquid thickening agent on the top of the spill

Which of the following actions should a phlebotomist take when preparing a peripheral blood smear?

Place 1 mm drop of blood one-has inch from the edge of the slide

What instructions should a phlebotomist give a patient about collecting a stool sample?

"Urinate prior to the collection"

A phlebotomist should identify which of the following actions as an acceptable HIPAA practice?

Discussing patients information with an assisting coworker

When a SST is collected, which of the following actions should the phlebotomist take ensure optimal test results?

Invert the tube 5 to 8 times and then set 30 min prior to centrifugation

Which of the following actions should a phlebotomist takes to prevent impatient injury?

Raise lowered bedrails following procedures

Which of the following specimens has a phlebotomist appropriately prepare for transport?

A green-top tube for ammonia in an icy water mixture

When is it appropriate for a phlebotomist to label a specimen tube?

After collecting the specimen before leaving the room

Which of the following lancent positions should a phlebo use for a capillary blood collection on a healthy adult pt?

Prependicular to the fingerprint grooves

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NHA Phlebotomy Technician Certification Exam (CPT)

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Questions 100

Answers

1
Which of the following actions should a phlebotomist take when performing venipuncture using the evacuated tube method?
Keep the tube in a downward position
Palm roll each tube between each tube change
Maintain a study pull on the syringe plunger
Readjust the needle between each tube
2
Which of the following actions should a phlebotomist exhibits proper handling while transporting a CBC?
Wrapping the specimen in foil to protect it from light
Placing the specimen in an ice slurry
Keeping the specimen at room temperature
Placing the specimen on a heat block
3
What is the correct protocol for a phlebotomist who receives a phone call from a pt with a laboratory report?
Inform the patient to come to the office to discuss the results
Email the results to the patient
Share the results over the phone with the patient
Give the reports to the ordering provider to review and notify the patient
4
For an obese patient, which site is the easiest for a phlebotomist to find when performing venipuncture?
Blood cultures
Median cubital
Cephalic
Basillic
5
Which of the following is the appropriate way to correctly identify a newborn?
The newborn's DOB
The newborn's name brand
The mothers name and DOB
The idenification label on the newborn's bassinet
6
An emergency department provider orders a venipuncture on an unidentified and unconscious patient.
Leave the specimen label blank until the pt's name is confirmed
Use the name John or Jan Doe on the specimen, depending on gender
Label the blood specimen with the pt's bed number and attending provider
Place the temporary ID band assignment to the patient on the specimen
7
Which of the following specimens should a phlebotomist place in an ice slurry if there is a delay for processing?
Ammonia
Cold aggulinin
BUN
Glucose
8
How can a phlebotomist distinguish whether a collection tube contains serum or plasma?
SPS in the collection tube indicates plasma
EDTA in the collection tube indicate plasma
ACD in the collection tube indicates plasma
SST in the collection tube indicates plasma
9
A phlebotomist finds a patient who is unreponsive and not breathing?
Prone
Fowlers
Lay on the side
Supine
10
Which of the following actions should a phlebotomist take when labeling specimens?
Record the physicians unique NPI number
Label the tubes prior to collection
Include the requisition date and time
Ensure handwritting is legible
11
When drawing blood on a preschooler, phlebotomist should
Explain the procedure to the parent & child
Obtain thumb stick
Obtain heel stick
Not tell the child when the needle insertion is coming
12
Which instruction should the phlebotomist provide for a patient collecting a stool specimen at home for an ova test ?
Store the specimen at room temperature
Add a preservative to the specimen following collection
Include only stool that is free of urine in the specimen
Place the stool specimen on a guaiac card before submission
13
In which position should the phlebotomist hold the lancet while performing a capillary puncture on a adult patient?
At a 40 degree angle to the pad of the middle finger
None of the above
At a 30 degree angle to the pad of the middle finger
Across the finger print of the ring finger 3rd or 4th fingers only
14
When calculating total blood volume of a 2-day-old infant, which of the following should a phlebotomist consider?
Weight
Height
Head circumference
Apgar score
15
Which tube additive is appropriate for collecting a prothrombin time (PT) and PPT from a patient?
EDTA
Sodium fluoride
Sodium citrate
Heparin
16
Which of the following actions by a phlebotomist during venipuncture can produce a hematoma?
Inserting the needle completely through the vein
Instructing the patient to bend her elbow after the needle is removed
Using a 27 gauge needle during venipuncture
Removing the tourniquent prior to the needle withdraw
17
Which of the following is the desired antiseptic for the collection of a BAC venipuncture?
Hypochlorite solution
Isopropyl 70%
Ethylene oxide
Chlorhexidine
18
Which tube is best for a phlebotomist to use when collecting PT from a pt with a different vein?
Light blue
Light green
Lavender
Royal blue
19
After the phlebotomist removes the needle following a venipuncuture procedure, what actions should they take?
Invert the tube and process the specimen
Apply the gauze and activate the safety cover
Remove the tourniquet and wrap with a self-adherent wrap
Label the specimen and discard the needle
20
A phlebotomist should take which of the following actions with a patient who has a contact precautions sign on her door?
Don gloves after the patient's venipuncture site is evaluated and cleaned
Don a gown prior to entering the patient's room & take it off when leaving
Don a mask prior entering the patient's room and remove it when leaving
Don a face shield to enter the patient's room & remove it when leaving
21
Which of the following describes proper intersection technique for the evacuated tube method?
Bevel down at a 30 degree angle
Bevel up at a 30 degree angle
Bevel down at a 40 degree angle
Bevel up at a 40 degree angle
22
Which of the following guidelines should a phlebotomist follow when delivering printed laboratory results to a priovder?
HIPAA
CLIA
MSDS
OSHA
23
What should a phlebotomist place in an ice bath within 30 minutes of collection?
Cryogobulins
Blood cultures
Lactic acid
Cold aggulinins
24
During a venipuncture, if a patient starts losing consciousness, what condition is the patient experiencing?
Edema
Syncope
Hemolysis
Anabolism
25
Which of the following forms commonly accompanies a toxicology drug screen for legal purposes?
Chain of custody
Requisition
CMS 1500
Encounter
26
Which of the following is the first step a phlebotomist should take to prevent the spread of infection?
Sanitizing
1:10 water and bleach
Sodium hypochlorite
Washing hands with antimicrobial soap and water
27
What could rapid swelling near the venipuncture site indicate during blood collection?
Hemoglobin
Hemolysis
Hemoconcentration
Hematoma
28
Which of the following instruct should a phlebotomist provide to a pt who is collection a urine specimen for culture?
None of the above
Clean the genital area prior to collection
Discard the first urine sample prior to collection
Empty the bladder before defecating
29
Which of the following actions by a patient demonstrates implied consent for a procedure?
Extends an arm to the technician
Asks what test will be completed
Disrobing for a physical examination
Giving the patient adequate
30
A large spill has occured in a laboratory involving venous blood. Which of the following actions should the phlebo take?
Pour bleach on the spill and let it soak for 60 seconds
Apply a liquid thickening agent on the top of the spill
Evacuate the laboratory
Cover the spill until maintenance arrives
31
Which of the following actions should a phlebotomist take when preparing a peripheral blood smear?
Place 3mm drop of blood one-has inch from the edge of the slide
Ensure that the blood has a feathered edge
Place 2 mm drop of blood one-has inch from the edge of the slide
Place 1 mm drop of blood one-has inch from the edge of the slide
32
What instructions should a phlebotomist give a patient about collecting a stool sample?
"Urinate prior to the collection"
"Take a stool softener prior to collection"
"Retrieve the sample form the water following defecation"
"Fast for 12 hours prior to collection"
33
If a pt is on droplet precautions, the phlebo should recognize that which of the following is a means of transmission?
The patient's hand contact with surfaces
The patient's normal breathing
The patient sneezes
The patient's talking at a normal volume
34
Which of the following is an appropriate choice for cleaning a surface contaminated with blood or body fluids?
Soap and water
10% bleach soultion
Alcohol-based hand sanitizer
Vinegar and water
35
Which of the following tests has a fasting requirement?
EDTA
Complete blood count (CBC)
Glucose tests
HDL
36
Which of the following needles should a phlebotomist use for collecting units of blood for donation?
16 gauge
23 gauge
21 gauge
12 gauge
37
What complication can occur if a phlebotomist accidentally press on a patient puncture site during a capillary procedure
Hemoconcentration
Hemolysis
Hemostatis
Hemorrhoids
38
A phlebotomist needs to choose the appropriate needle for venipuncture on a five-year-old patient?
16 gauge
18 gauge
23 gauge
27 gauge
39
A phlebotomist should identify which of the following actions as an acceptable HIPAA practice?
Leaving a patient's record on a counter top while assisting
Discussing patients information with an assisting coworker
Discarding patient contact information in the trash
When introducing a new coworker who needs to report a stat laboratory value
40
When a SST is collected, which of the following actions should the phlebotomist take ensure optimal test results?
Invert the tube 10 to 15 times and then set 30 min prior to centrifugation
Invert the tube 1 to 3 times and set for 1 hour prior to centrifugation
Invert the tube 8 to 10 times and then set for 2 hours prior to centrifuge
Invert the tube 5 to 8 times and then set 30 min prior to centrifugation
41
Which of the following actions should a phlebotomist take first when a pt refuses a collection procedure?
Notify the provider
None of above
Immediately report the refusal and actions taken to their supervisor
Ignore the patient refusal and do the procedure
42
Which of the following is caused by excessive shaking of a tube?
Hemostasis
Hemoconcentration
Hemolysis
Hemophillia
43
Which of the following info should the physicians office provide to a phlebotomist for laboratory specimen collection?
Laboratory accession number
Laboratory requisition form
Physician's encounter form
Physician's NPI number
44
Which of the following organizations requlates laboratory chemical hazards and exposures?
OSHA
DEA
FDA
CLIA
45
Which of the following actions should a phlebotomist takes to prevent impatient injury?
Fully extended in a downward position
Fully extended in a upward position
Raise upperd bedrails following procedures
Raise lowered bedrails following procedures
46
Which of the following specimens has a phlebotomist appropriately prepare for transport?
Tiger top for bilirubin shipped in clear bag
A green-top tube for ammonia in an icy water mixture
Red top tube shipped after clotting for 15 min and centrifuged
Gray top tube shipped in hot water mixture
47
Which of the following components are part of the complete blood count assay?
Hemoglobin
Hematocrit
CBC
Hemolysis
48
When is it appropriate for a phlebotomist to label a specimen tube?
As the specimen is collected
Prior to entering the room to collect the specimen
After collecting the specimen before leaving the room
In the laboratory after collecting the specimen
49
Which of the following lancent positions should a phlebo use for a capillary blood collection on a healthy adult pt?
The lancet should penetrate greater than 3mm
Prependicular to the fingerprint grooves
The lancet should penetrate less than 1mm
Parallel to the nail bed
50
Which of the following should a phlebotomist anticipate for a patient who has been taking warfarin?
Decreased the bleeding time
Increased the bleeding time
Decreased and Increased the bleeding time
Increased and Decreased the bleeding time
51
Which of the following is a method used for preventing nosocomial infections?
Appropriate draping
Handwashing between pt's is main key to stopping the spread of infection
Using antimicrobial sanitizers
Proper glove use
52
Which of the following is the most common site for a finger puncture on an adult?
Distal segment of the middle finger
End segment of either of the thumbs
Proximal phalanx of the ring finger
Medial segment of the index finger
53
Which of the following actions can result in a violation of patient privacy?
Leaving copies of patient info lying in a nonseculeded area on a desk
Leaving a computer screen with patient information in view of a visitor
Discussing laboratory results with patient's partner
Opening elctronic health record of patient you are not assigned to care for
54
What complication can arise if a phlebo removes the needle from a pt's arm before removing the tourniquet during a vein?
Hemoconcentration
Hematoma
Hemolysis
Petechia
55
What should the phlebotomist do to ensure the best test result when collecting a serum separation tube (SST)?
Invert the tube 5-8 time after collection to mix the blood with additives
The sample is positioned upright and clotted for at least 30 min
Invert the tube 2-3 time after collection
Invert the tube 4-6 time after collection
56
Which of the following is the vein of choice for a venipuncture procedure?
All of above
Median cubital
Cephalic
Antecubital area
57
Which of the following terms refers to a small hemorrhagic spots on the skin?
Petechiae
Hemolysis
Thrombin
Sodium citrate
58
When performing infant PKU testing, a phlebo should process a specimen by adhering to which of the following protocols?
Hold vertically
Place in sunlight
Air dry for 1 hr
Saturate blotter circles
59
After confirming pt's identity, proceed with necessary actions for a 3 hr glucose tolerance test at the outpatient lab?
Provide the patient with a high-sugar meal before the test
Confirm the pt's fasting for proper length time
Perform the test without verifying the patient's identity
Begin the test without checking the fasting status
60
When using this language, the phlebotomist language is liable for which of the following?
Battery
Assault
Invasion of privacy
False imprionment
61
During a blood donation phlebotomy, the phlebotomist must inform the patient about which factors?
Fasting recommendations
Rights to ask questions about the procedure
Type of needle used for collection
the facilities legal liability
62
A chemical spill in the lab. To which of the following should the phlebo refer for direction to clean up the spill?
OSHA
MSDS
CDC
CLIA
63
Which of the following whether a child should have his capillary collection by the heel stick or finger stick method ?
Patient tolerance
Patient's preference
Most accessible body part
Age and development
64
Which of the folllowing accommodation should a phlebotomist make to increase a patient's comfort for venipuncture?
Place a patient in a prone position
Place a patient in a suspine position
Place a patient in a right lateral recumbent
Place a patient in a fowlers position
65
A phlebotomist is using a butterfly needle to perform venipuncture on a dorsal hand vein. Which of the following action?
Insert the needle at 30 degree angle to the skin
Instruct the patient to pump her fist before needle insertion
Insert the needle at 45 degree angle to the skin
Instruct the patient to pump her fist after needle insertion
66
Which of the following tubes additves promotes clot formation?
Heparin
Citrate
Oxalate
Silicia
67
After collecting a bilrubin test, which of the following step must be taken post venipucture to ensure an accurate test?
Apply pressure to the site for five minutes
Centrifuge the sample immediately
Specimen should be kept away from direct light
Add an anticoagulant to the tube
68
Which of the following needle gauge ranges should a phlebotomist select when performing a venipuncture for blood donor?
23 to 25 guage
26 to 28 gauge
16 to 18 gauge
20 to 22 gauge
69
Which of the following is caused by excessive shaking of a tube?
Hemoconcentration
Hemophillia
Hemostasis
Hemolysis
70
Which of the following samples should a phlebotomist present to the laboratory first for processing?
A stat potassium level from a patient in the emergency room
STAT electrolytes in the ER
Blood cultures
To alert the labortory of the presence of capillary blood
71
A phlebotomist sharing login password with an employee breaches patient confidentiality, so who regulates this?
HIPPA
OSHA
FDA
CLIA
72
Which of the following refers to the process of cleaning up a blood specimen spill on a counter?
Bleaching
Sterilization
Sanitization
Disinfection
73
A phlebotomist should know that the CLSI recommends a maximum penetration depth for an infant pt heel stick?
3.5mm
3.0mm
2.5mm
2.0mm
74
Which of the following staff members should distrubute pt results to an ordering provider?
Phlebotomist who received the specimen
Certified nursing assistant
Laboratory personnel testing the specimen
Change nurse
75
Which of the following types is a phlebotomist allowed to perform according to CLIA regulations?
Generic molecular
Occult blood detection
Flow optometry
Electroscopes
76
Which of the following blood glucose monitiors will need to have QC measurement daily?
All blood glucose monitors in use
None of the blood glucose monitors
Blood glucose monitors in use from the old medical office only
Blood glucose monitors in use from the new office only
77
Which of the following tests is performed to identify bacetermia?
Cold agglutinin
Hemostasis
Hemolysis
Blood culture
78
A phlebotomist is performing a multi-specimen collection using the syringe method. Which of the following error tube?
Additive reflux
Hemolysis
Hemoconcentation
Carryover
79
To ensure pt comfort, the phlebotomist should adopt strategies to alleviate anxiety. What actions should phlebo take?
Ask the patient to look directly at the needle during the draw
Instruct the patient to lie supine during the procedure
Use a large needle to minimize the number of needlesticks
Begin the procedure to look directly at the needle during the draw
80
A patient has an infection accompanied by inflammation and tissue distruction. An ESR has been ordered. What color tube?
Red
Lavender
Light green
Light blue
81
Which of the following actions should a phlebotomist take when handling a vitamin B6 specimen?
Centrifuge the specimen for 30 min
Delay the transport for 48 hrs
Place the specimen on ice
Wrap the tube in foil
82
Which of the following is the general concept behind standard precautions?
Assumption that all body fluids are infected with Blood Borne Pathogens
Hand hygiene before and after all patient contact
A risk assessment and make use of common sense pracitices and PPE use
The use of personal protective equipment
83
Which of the following is the best site of PKU collection on an infant?
The central area of the fingertip
The medial or lateral areas of the heel
The medial or lateral area of the fingertip
The central area of the heel
84
Perform venipuncture on a patient with right-sided mastectomy. Identify the correct site for collection?
Left antibutial
The site of the mastectomy
Right antibutial
Either the left or right side of the body
85
Which of the following describes the process of obtaining implied conesent for veinpuncture?
The phlebo explains the procedure & the pt confirms understanding & no Qs
The phlebo explains procedure & the pt doesn't confirm & not understanding
The phlebotomist explains the procedure and the pt refuses the procedure
None above
86
Which of the following is the correct order of draw by tube?
Yellow, light blue, red, green, lavender and gray
Light blue, yellow, gray, red, green and lavender
Yellow, light blue, green, red, lavender and gray
Light blue, lavender, red, gray, green and yellow
87
Which of the following is the proper way to select a vein for venipuncture?
Visually assess the patient's vein
Ask the patient for her vein preference
Palpate for veins while the pateint clenches her fist
Palpate for veins using the tourniquet
88
A patient is scheduled for a CBC and prothrobin time (PT). Which of the following is the correct order of the draw?
Lavender and Gold
Gray and Lavender
Light blue and Lavender
Lavender and Red
89
What questions should the phlebotomist ask before drawing blood for theraputic drug monitoring?
Are you fasting
When was your last meal and fluids
None of the above
When was your last dose of lithium
90
What piece of PPE must the phlebo wear besides gloves when drawing the sample. While a pt is on droplet precaution?
Mask
Hairnet
Face shield
Goggles
91
Which of the following actions by a phlebotomist is a HIPAA violation?
Discussing a patient's medical history with another healthcare provider
Keeping patient records secure and confidential
Checking the patient's ID before drawing blood
Sharing a patient's lab results with their primary care physician
92
A phlebo should identify that a blood spot collection for inborn errors of metabolism requires which of the following?
The specimen must be completely dried before the test can be processed
The circles on the filter paper are at least half filled
First drop of blood immediately following the puncture should be included
The newborn must be at least 3 days old
93
What transmission based precautions should a phlebotomist follow when collecting samples from a patient with Clostridium
Droplet
Airborne
Contact
Reverse isolation
94
The patient is experiencing a burning sensation that starts in their arm during a veinpuncture procedure?
Inadequate tourniquet pressure
Nerve injury
Arterial puncture
Poor pain tolerance
95
Which of the following actions should a phlebotomist taking after collecting blood into a serum separation tube?
Shake the tube vigorously five to eight times
Roll the tube five to ten times
Invent the tube five to eight times
Invert the tube three to four times
96
The laboratory will undergo a regular inspection, with a specific focus on the maintenance logs of the equipment?
Electrical safety
Mechanical safety
Chemical safety
Radiation safety
97
Which of the following describes the appropriate method for inverting tubes to prevent clotting?
Switching the tubes from hand to hand 4-8 times after collection
Shaking the collected tubes 4 to 8 times after collection
Rolling the tubes between the palms of the hands 4-8 times after collection
Moving tubes in a figure-eight motion 4-8 times after collection
98
Which of the following governing bodies mandates the use of safety features on the needles and the immediate diposal?
HIPPA
CLIA
OSHA
CDC
99
After anchoring the vein, which of the following actions should the phlebotomist take next?
Perform the procedure
Reapply the tourniquet
Examine the needle
Clean the site
100
A phlebotomist should use a blood transfer device with which of the following methods of blood collection?
Capillary puncture
Winged infusion
Syringe
Evacuated tube system

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