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NAH Phlebotomy Exam Practice Test 2020-2021 Flashcards | StudBud
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NAH Phlebotomy Exam Practice Test 2020-2021
NAH Phlebotomy Exam Practice Test 2020-2021
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1
what disinfectant should be used to clean healthcare-related surfaces and equipment
diluted Lysol
sodium hypochlorite
sodium hydroxide
2:1 vinegar and distilled water solution
2
When a postprandial test done
2 hours after eating a meal
2 hours before eating
1 hour after waking
2 hours after exercise
3
Which f the following is TRUE about collecting an oral hormone specimin
it should be refrigerated or frozen if not processed within 24 hours
it is always done in a clinical setting
it needs to be collected within 30 minutes of waking
it's frequently done for men with low albumin levels
4
What of the following should a patient NOT do before a sputum culture
Use antibacterial mouthwash
ware restrictive clothing
Take an antihistamine
use antibacterial hand soap
5
A standard blood sample must be tested or centrifuged within
12 hours
4 hours
2 hours
1 hour
6
Blood specimens are transported in
Biohazard bags
A gloved hand
Any leakproof bag or box
Any of the above
7
When performing phlebotomy on a patient when dementia, which of the following is NOT appropriate behavior
Using simple, short statements
Talking quickly through their introductions to the patient
Being calm and understanding of the patient is agitated or confused
Allowing extra time for the patient to respond
8
Which of the following arteries carries deoxygenated blood
Aorta
Pulmonary Artery
Radial Artery
Femoral Artery
9
What is a requisition order
the lab supply list
a phlebotomist list of specimens collections for the day
the order in which specimens needed to be collected
A doctor's written instructions
10
The common cold, influenza, and HIV are caused by which type of infectious agents
helminth
Bacteria
virus
protozoa
11
What is the difference between plasma and serum
plasma contains clotting factors and serum doesn't
plasma can be collected anytime and serum is collected after fasting
Plasma is collected by venipuncture and serum is collected by skin puncture
plasma has been centrifuged and serum has not been processed
12
How long should a venipuncture site be allowed to air dry after being cleaned
1 minute
15 seconds
30 seconds
2 minutes
13
How should a phlebotomist label an unconscious patient brought into the ER
using temporary name number assigned to the patient
Look in the patient's wallet for ID
Do not draw samples until the patient is awake and can confirm their ID
label the sample with the room number and mental status of the patient
14
Prothrombin Time (PT) is used to assess
Kindley Function
coagulation
Electrolytes levles
Liver Function
15
Which of the following minor patients is NOT able to give informed consent
an emancipated minor
17-year-old seeking treatment or std
a 12- year old with a broken arm
A pregnant minor
16
What is the first step for a patient when collecting a clean-catch specimen
void the first half of the urine into the toilet
Wash their hands
put gloves on
clean the urinary meatus
17
During venipuncture, the tourniquet should be right enough to occlude ____ flow bit not ___ flow
Arterial; venous
Capillary; venous
Venous; capillary
venous; arterial
18
Which of the following are symptoms of shcok
Increased urine output and shortness of breath
high blood pressure and warm skin
Low blood pressure and clammy skin
nausea and vomiting with pain in the abdomen
19
What is required for handling a pre-employment drug screen
Documenting the specimen's chain of custody
Outlining the test that needs to be conducted
Ensuring a legal transfer of the specimen
Assigning the test to a specific employee
20
Which of the following is a step in labeling specimens
placing the label on the body of the container, not the cap
Returning the sample to central processing to label
Having the patient inspect the specimen container
Trying the requisition order to the specimen container
21
Which statement concerning informing consent is FALSE
A pregnant minor may give informed consent
A married minor may give informed consent
An 18 years of age adult or older may give informed consent
Persons 17 years of age or younger may not give informed consent
22
When during venipuncture should the tourniquet be removed
One blood flow has been established
after 10 seconds
When the draw is complete
before the needle insertion
23
A blood sample is drawn into a purple-topped evacuated tube with EDTA, what is a sample used
Glucose (GLC)
Potassium levels (K)
Compleat blood count (CBC)
Basic metabolic panel (BMP)
24
why should the ends of the tourniquet be pointed away from the venipuncture
to occlude arteries flow
to prevent the tourniquet from coming loose
to prevent the veins from rolling
to avoid contaminating the skin at the blood draw site
25
Pregnancy can be confirmed by testing for
C-reactive protein (CRP)
Thyroid-stimulating hormone (TSH)
Human chorionic gonadotropin (HCG)
Cold agglititins
26
When should therapeutic drug monitoring through levels be collected
immediately before the drug is administered
1 hour after drug is administered
immediately after the drug is admitted
2 hours after the drug is administers
27
Which of the following is an acceptable IV site
A vain used for an IV 3 days ago
Bruised tissue
Burned hand tissue
an arm with lymphedema
28
When performing a heel stick on an infinite, the first drop of blood should be
placed in newborn screening paper
Collected in a microtube
wiped away
stored in case additional blood is needed
29
A phlebotomist check the refrigerator in which specimens are stored, the temp is 42F (5.5C) what's the first step
No action is needed
Lable the tubes with the current temp of the refrigerator
Move the specimens to another refrigerator
Inform their supervisor
30
Platelets are essential for
Coagulation
Destroying pathogens
Oxygen delivery
Fighting infection
31
What is a liquid part of blood called
saline
plasma
Serum
interstitial fluid
32
Rh immune globin is given to pregnant patients to prevent
Seizures
Infection
Congenital heart defects
hemolytic disease of the newborn
33
A patient at a clinic becomes angry about how long the wait is drawn is. how should be the phlebotomist react
Attempt to reason with the patient
Speak loudly over the patient
Remain calm and use a normal voice
Call security
34
Gastric fluid is obtained from what part of the body
Stomach
Bladder
Colon
Mouth
35
The set of standardized five-digit codes used to ID medical, surgical, or diagnostics services called
International classification of diseases
Diagnosis-Related Groups
Current Procedural Terminology
Healthcare Common Procedure Coding Systems
36
A phlebotomist is questioning a patient through an interpreter, who should the questions be directed to
The patient's family
The physician
The patient
The interpreter
37
What is specific to how a stat specimen is processed
it is processed immediately, before any routine tets
it is processed at the patient's bedside
it can only be processed by certified lab personnel
it is processed at room temp
38
What happens during accessioning
NUmbers are assigned to specimens for tracking purposes
The specimens are labeled with the [atient's name
Samples are balanced in a centrifuge
The order is given to staff to complete
39
Which of the following types of blood has the highest oxygen level
hemolyzed
clotted
arterial
venous
40
What test is used to diagnose a "Helibobator pylori" infection
Sputum culture
C-urea breath test
Lumbar puncture
Breathalyzer
41
A patient rolls up their sleeve and presents their arm for a blood draw, This is an example of which consent
Informed consent
Indirect Consent
Expressed consent
Implied consent
42
Which of the following is a sign a specimen has been hemolyzed
The stopper on the tube has come loose
The tube is cracked
The sample has cast in it
The serum is pink after configuration
43
A risk of drawing blood from the median cubital vein possible damage to the
Median nerve
Brachial Artery
Radial Artery
Lateral cutaneous nerve
44
How many identifiers must the phlebotomist require to confirm a patients ID
3
4
1
2
45
A lab has a set of samples that include ASAP, Fasting, Timed, and routine specimens. What one comes first
ASAP
Timed
Fasting
Routine
46
The most common equipment used for pediatric phlebotomy is
a 23-gauge syringe
a 23-gauge butterfly
an 18-gauge syringe
a 21-gauge ETS
47
What is a reason to reject a sample of cerebrospinal fluid
it is in hematology tube
it was kept at room temp
it was collected 24 hours ago
it contains a clear fluid
48
While verifying a patients ID the phlebotomist sees date of birth on the patients wristband is incorect, what's next
proceed after the patient verbally states their correct information
do not proceed until the discrepancy is corrected
Cross it out and with a marker and fix it
Alert a nurse and have them note the error in the patient's chart
49
Which of the following statement is correct terms how to REMOVE PPE
When removing PPE, gloves are removed last
Wh putting on PPE, gloves are out on before mask
When putting on PPE, the gown is put on last
When removing PPE, the mask is removed before the gown
50
For patients with an M pattern in the antecubital fossa, what is the preferred vein for phlebotomy
Basilic
Median Cubital
Median
Cephalic
51
Which of the following types of cells carries hemoglobin in the blood
white blood cell
platelet
red blood cell
T cell
52
What is the term for the set amount a patient must pay out of pocket before their insurance company will pay
Co-pay
Coinsurance
Deductible
Premium
53
The phlebotomist has finished drawing blood and notes that the sharps container is full
Place the syringe on top of the container so it won't roll-off
Push the syringe into the container as well as it will fit
Put the syringe in your pocket and dispose later
Exchange full container for a new one
54
The maximum amount of blood that can be safely drawn from a pediatric patient is primarily based on their
Oxygen saturation
Pain tolerance
Weight
Diet
55
What is included in the comprehensive metabolic panel (CMP), but is NOT included in the (BMP)
Glucose level tests
Electrolytes level test
Kidney function tests
Liver function tests
56
Which of the following test blood for the average size of RBC's
mean corpuscular volume (MCV)
mean corpuscular hemoglobin (MCH)
erythrocyte count
hematocrit
57
Which of the following structures begins the heartbeat by starting an electrical impulse in the right atrium
Sinoatrial (SA) node
Mitral valve
Atrioventricular (AV) node
bundle of His
58
Which of the following should NOT be used to confirm a patients ID
Social Security Number
Date of Birth
Medical Record Number
Room Number
59
A patient is having a panic attack and hyperventilating, how should the phlebotomist collect a specimen
Have the patient recount a positive childhood memory
tell the patient to take deep breaths
ask the patient to ID the source of their anxiety
Give the patient a glass of water
60
Where is serous fluid found
in the colon
in bone marrow
in the pericardial cavity
In the subarachnoid space
61
the procedure used to collect amniotic fluid is called
an angioscopy
a catheterization
an amniotomy
an amniocentesis
62
A dipstick can be used in urinalysis to test for all the following except
Glucose
pH levels
Red blood cells
Parasites
63
The maximum depth for an infant heel stick is
1 cm
2 mm
2 cm
1 mm
64
Which of the following is NOT a correct step during a newborn screening
touching the filter to the blood until the entire circle is filled
Adding a second drop if the circle on the filter paper is incomplete
pressing the filter paper to heel to fill the circle
laying the filter paper flat to dry
65
What is important to do when communicating with an anxious or angry patient
provide patient education
tell them you will come back when they calm down
stay calm and speak clearly, using short simple sentences
call security
66
Blood drawn from a fingertip is taken from which type of blood vessel
arteriole
capillary
artery
vein
67
How is a light-sensitive sample stored for transport
in a UV box
in black tubes
in a second specimen cup
in amber tubes
68
A patient has bagel and is about to have a lipid panel drawn, what should the Phlebotomist do
Proceed with the draw
Take note the patient isn't fasting, no further communication with Dr.
Draw the discard tube before the lipid panel
alert patients provider, to see patient's specimen needs to rescheduled
69
When attempting phlebotomy on the arm, how far above should the tourniquet be above the site
0-1 inches
2-4 inches
7-10 inches
5-7 inches
70
Which of the following veins is NOT found in the antecubital area
Median Cubital
Subclavian
Basilic
Cephalic
71
Which blood level is NOT elevated by hemolysis
ammonia
red blood cells
iron
potassium
72
What is the phlebotomist's responsibility during bone marrow collection
clean the area where the needle will be inserted
mark the insertion site
preform a needlestick into the center of a large bone
place the aspirated material onto a slide with fixative
73
what is the needle insertion angle for drawing blood from a superficial hand vein
45 degrees
90 degrees
10 degrees
20 degrees
74
Why should the first evacuated tube is drawn from a winged infusion system be discarded
Heparin in the tubing will contaminate the evacuated tube
Air in the tubing will cause the evacuated tube to underfill
The flow of blood into the first tube hemolyzes the sample
Antiseptic used to clean puncture site, it will contaminate the first tube
75
Which of the following pediatric restraints is NOT age-appropriate
a 4-year-old in the parent's lap, facing the parent in a bear hug
a 1-month-old swaddled with one arm out of the blanket
a 14-year-old sitting in a phlebotomy chair with the parent present
a 2-year-old sitting in a chair, with the parent in the room
76
A localized dilation or bulging in the wall of a blood vessel is also known as
a blood clot
an embolism
a hemorrhoid
an aneurysm
77
Which of the following is NOT required for the transportation of a specimen to an offsite lab
A leakproof container stored on the floor of a vertical
Protection for the specimens from heat and light
A specialized driver's license for transporting biological materials
A vehicle that is used for transportation specimens only
78
Which of the following techniques is NOT recommended when performing a heal puncture for an infant
fanning or blowing on the skin to quicken drying after cleaning
warming the heel first
positioning the infant's foot lower than it's body
Puncturing the side of the heel
79
What are casts
preservatives added to a specimen cup
Metabolized drug particles in urine
Cylindrical structures
Bacteria in urine
80
what is used to obtain a urine sample from an infant
toilet hat
Urinary collection bag
Urinary catheter
Commode
81
Which of the following is the correct way a phlebotomist should introduce themselves
"HI, I'm here to draw tour blood"
"Hi. I'm the phlebotomist here to draw your blood tests"
"Hi. My name is Jain, I'm the phlebotomist who will be drawing your blood"
"Hi, My name is jain, I'm here to draw your labs "
82
Gas exchange occurs in which type of blood vessel
Capillary
Arteriole
Venule
Vain
83
A crossmatch tests checks for
The average blood glucose levels over the past 3 months
The pressure of bacteria in the blood
The type of antibiotics that will treat a patient's infection
The compatibility of donor blood with recipients blood
84
What does a breathalyzer machine test for
Blood Alcohol levels
Blood in mouth
Acid reflex
Bacteria in the respiratory tract
85
What is a reason to avoid aggressively squeezing on a heel stick
it can cause jaundice
it forces tissue fluid into the sample
it can be painful to the patient
it can cause the cells to hemolyze
86
Contact with which of the following substances does NOT require the use of standard precautions
Vomit
Urine
Sweat
Blood
87
The most common site of phlebotomy is the
Antecubital Fossa
Popliteal fossa
Inguinal Area
Axilla
88
What percussions much a phlebotomist take to take blood pressure on an HIV positive patient
Using contact productions
Waring a gown
Washing hands
Waring gloves
89
Which of the following sites is acceptable for a skin puncture for an adult
the pad of the ring finger
the pad of the index finger
the back of the head
the antecubital fossa
90
A person with blood type O has which of the following plasma antibodies
Anti-A
Anti-B
Neither Anti-A or ANti-B
Both Anti-A and Anti-B
91
What color is the top of the tubes used for blood bank specimens
Purple
Black
Red
Pink
92
Under CLIA, what term is used for someone who is low risk for incorrect results that may be performed on anyone
moderate-complexity tests
Elementary tests
high-complexity tests
waived tests
93
A topical anesthetic can be applied prior to venipuncture beginning at what age
1 month
24 months
6 months
12 months
94
Geriatric vascular change results in all the following EXCEPT
Decreased risk of hypertension
decreased blood flow from the impaired peripheral circulation
Loss of elasticity of vessels
narrowing of blood vessels
95
What is not exceptional for identifying a nonverbal mentally impaired patient
Ask the patient to signal their verification
Verify the patient's name and date with a guardian who is sitting bedside
Verify the patient's name and date of birth with the nurse
verify the patient's name and date with the physician
96
Which of the following is an example of transmission and infectious agent through direct contact
inhaling droplets from sneezing of an infected person
kissing an infection person
standing to around a infected person
eating contaminated food
97
Which type of waste is NOT matched with its corrected disposal container
Gauze with small amount of blood; regular trash
Feces; toilet
line heavily soiled by blood; dirty linen receptacle
Capillary tubes; sharps containers
98
"Basal State" refers to the body's metabolic state
After fasting for 12 Hours
Immediately after glucose ingestion
2 hours after a meal
While asleep
99
Which of the following is NOT evaluated information
Erythrocytes sedimentation rate (ESR)
White blood cell count (WBC)
International normalized ratio (INR)
C-reactive protein (CRP)
100
Which type of urine specimens is used specifically for diabetic screening
Random
2-hour postprandial
24-hours
Clean-catch midstream
