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WorksheetsPHLEBOTOMY NHA EXAM
Total questions: 114
Worksheet time: 57mins
A non-blood specimen that is delivered to the lab should have which of the following information included?
specimen source
specimen color
specimen temperature
specimen clarity
When preforming a blood smear, which of the following actions should a phlebotomist take to ensure a quality result?
Hold the slides at 30 degrees to each other when preforming the smear.
Allow the blood drop to clot slightly prior to preforming the smear.
Hold the two slides at 90 degrees to each other when preforming the smear.
Allow the blood drop to clot completely prior to preforming the smear.
A patient has bilateral scarring on their forearms from past burn injuries and needs a venipuncture procedure. Which of following veins should the phlebotomist use for the venipuncture draw?
medial cubital
dorsal hand
axillary
basilic
A phlebotomist is collecting a lactic acid sample that be transported to an outside laboratory. Which of the following actions should the phlebotomist take when handling the specimen?
a. Freeze the sample
freeze the sample
protect the sample from light
chill the sample
Transport sample at 37 degrees C (98.6 degrees F)
A phlebotomist should administer CPR to which of the following patients?
a patient who is lethargic
a patient who is short of breathe
a patient who is pulseless
a patient who has chest pains
By wearing a face shield when coming in contact with body fluids, a phlebotomist is preventing exposure to which of the following modes of transmission?
vector
permucosal
fomite
percutaneous
Which of the following actions should a phlebotomist take next for an adult capillary puncture after sanitizing and puncturing the site?
collect the specimen with the capillary tube inverted at a 30 degree angle.
wait for 30 seconds until the site has produced enough lood to collect
wipe away the first drop of blood
firmly squeeze the site until the desired tube is filled
A phlebotomist has a prescription to collect a peak cortisol level. At which of the following times of day should the phlebotomist obtain the sample?
19:00
03:00
12:00
08:00
Which of the following is a requirement for a serum cholesterol level?
Medication taken 12 hours ago
NPO for 6 hours
low fat diet for two weeks
fasting for 12 hours
Which of the following is an appropriate action for a phlebotomist to take if a patient begins to convulse during a phlebotomy procedure?
terminate the draw
offer the patient glucose
try to hold the patient still
put the patient in a prone position
Which of the following information is a phlebotomist required to document during urine collection for federal Department of Transportation drug testing?
color of urine collected
temperature of urine collected
concentration of urine collected
total volume of urine collected
A phlebotomist releases the tourniquet as the last tube of blood is being collected. which of the following actions should the phlebotomist preform next?
withdraw the needle
activate the safety device
apply pressure
remove the tube
When preforming a 3-hr glucose tolerance test, a phlebotomist should verify the patient has fasted for which of the following required lengths of time?
4 to 6 hours
8 to 12 hours
1 to 3 hours
14 to 16 hours
A phlebotomist is preparing to draw blood from a patient for therapeutic drug monitoring. Which of the following questions should the phlebotomist ask?
"For how long have you been fasting?"
"When was your last dose of lithium?"
"When did you have your last alcoholic beverage?"
"Have you finished drinking the glucose solution?"
Which of the following conditions presents as multiple small red dots on a patient?
Hemolysis
Hematoma
Petechiae
Ecchymosis
Which of the following anticoagulants is found in a lavender topped blood collection vacuum tube?
Sodium Citrate
EDTA
Sodium Heparin
Lithium Heparin
Which of the following blood samples should the phlebotomist recognize as needling to be protected from the light?
Lactic acid
Beta-carotene
Cold Agglutinins
Ammonia
To qualify for blood donation, a patient must have a minimum level of 12.5 g/dL for which of the following?
RBC
Hemoglobin
Platelet count
WBC
A phlebotomist should explain to a male patient that which of the following fluids is used for fertility testing?
seminal
amniotic
synovial
peritoneal
Which of the following forms commonly accompanies a toxicology drug screen for legal purposes?
CMS 1500
Chain of custody
Requisition
Encounter
Which of the following complications is associated with a dermal puncture?
osteomyelitis
osteoporosis
osteoarthritis
osteosarcoma
The results from which of the following tests are an example of point of care testing?
a positive HIV test
a positive hepatitis test
an elevated sweat chloride test
an elevated blood glucose test
An emergency department provider orders a venipuncture on an unidentified and unconscious patient. Which of the following actions should the phlebotomist take when labeling the blood specimen?
place the temporary ID number assigned to the patient on the specimen
label the blood specimen with the patients bed number and attending physician
use the name John or Jane Doe on the specimen, depending on the gender
leave the specimen label blank until the patient's name is confirmed
Which of the following actions should a phlebotomist take first after removing the needle from a patients arm?
activate the needle safety device
label the collection tubes
dispose of the tube holder and needle
invert the tubes gently
Which of the following is an appropriate technique when preparing a site for venipuncture after applying antiseptic?
allow to air dry
wave hands over site
wipe with clean gauze
blow on site
A report lab results is required to have which of the following information?
phlebotomist's initials
date of specimen collection
patient diagnosis
values of previous tests
A phlebotomist is scheduled to preform venipuncture on a patient who had a right sided mastectomy and has a cast on the left arm. The phlebotomist should receive approval to use the right arm for a venipuncture procedure from which of the following?
patient's provider
patient's nurse
patient's spouse
patient
A phlebotomist is working with an administrative assistant to schedule an appointment for a patient who requires a postprandial glucose test. At which of the following times should the phlebotomist ensure this patient's appointment is scheduled?
upon waking up after fasting
2 hours after eating a meal
immediately after exercising
30 minutes before bedtime
Which of the following information is required for proper outpatient identification?
patient's social security number and date of order
patient's name and date of birth
physician's name and tests ordered
patient's age and gender
Which of the following is the correct angle of insertion when preforming venipuncture using the evacuated tube method?
75 degrees
30 degrees
90 degrees
50 degrees
A phlebotomist is preforming a venipuncture on a patient who is allergic to alcohol. Which of the following is an appropriate antiseptic to use in place of alcohol?
antiseptic foam
saline
sterile water
chlorhexidine
Which of the following lancet positions should a phlebotomist use for a capillary blood collection on a healthy adult patient?
parallel to the nail bed
perpendicular to the fingertip grooves
along the lateral portion of the first digit
along the medial portion of the fifth digit
When using a butterfly needle for venipuncture on dorsal hand veins, which of the following actions should the phlebotomist take?
instruct the patient to hold the collection tube
Hold the needle by the wings of the butterfly
apply the tourniquet at the antecubital area
Position the needle at a 45 degree angle to the skin
For an inpatient, in addition to the patient's complete name, date of birth, and medical record number, which of the following pieces of information should be included in the physician's requisition form?
patient's diagnosis and health status
type of treatment to be preformed
patient's lab results
type of tests to be preformed
A phlebotomist is preforming a venipuncture when a patient begins to lose consciousness. The phlebotomist should recognize that the patient is experiencing which of the following?
anabolism
syncope
edema
hemolysis
According to Joint Commission, which of the following should a phlebotomist use as a unique identifier when establishing correct inpatient identification?
Patient's room number
patient's inpatient chart demographics
patient's verbal confirmation
patient's bed label
A blood glucose meter was checked during the previous morning for erros. At which of the following times should the quality control of the meter be checked?
After the first use
Seven days after the last check
Before use
The end of the business day
When preforming a capillary draw collection, which of the following steps should the phlebotomist take after selecting the site?
squeeze the patient's finger
secure the patient's hand
cleanse the site with antiseptic
label the specimen
A phlebotomist is preparing a container for a 24-hr urine collection when a chemical splash occurs. The phlebotomist should find information about this chemical from which of the following sources?
centers of disease control
safety data sheet
current procedural terminology
occupational safety and health administration
The clinical laboratory standards institute recommends a heel lancet's penetration to be less than 2mm (0.03in) to prevent which of the following conditions?
pain
bone penetration
tissue fluid contamination
excessive bleeding
A phlebotomist is explaining the venipuncture procedures to a patient who is seated. in which of the following positions should the phlebotomist instruct the patient to place their arm?
distal portion of the arm in a downward position
next to the patient while in a prone position
fingers oriented laterally
wrist positioned with dorsal side upward
A phlebotomist is preparing to preform venipuncture on a patient who has tuberculosis. Which of the following pieces of personal protective equipment should the phlebotomist wear?
N95 respirator
nasal cannula
sterile gloves
surgical cap
Which of the following methods should a phlebotomist use to invert the tubes to prevent clotting?
passing the tubes from hand to hand 4 to 8 times after collection
moving the tubes in a figure 8 motion 4 to 8 times after collection
rolling the tubes between the palms of the hands 4 to 8 times after collection
shaking the tubes 4 to 8 times after collection
which of the following is a proper way to select a vein for venipuncture?
ask the patient for her vein preference
palpate for veins while using the patient clenches her fist
palpate for veins using a tourniquet
visually assess the patient's veins
Which of the following actions by a phlebotomist is consistent with isolation room procedures for a patient who is on contact precautions?
Applies a fenestrated drape on the patient
Wears shoe covers while in the room
Wears a N95 respirator while in the room
Puts on a gown prior to other personal protective equipment
A phlebotomist should identify which of the following actions as an acceptable HIPPA practice?
Discarding a patient contact information in the trash
Discussing patient information with an assisting coworker
Leaving a patient's record on a countertop while assisting other patients
Sharing passwords with a new coworker who has a stat lab value to report
Which of the following is caused by excessive shaking of a tube?
hemolysis
hemoconcentration
hemophilia
hemostasis
A laboratory is scheduled for a routine annual inspection with the primary focus on equipment maintenance logs. Which of the following areas will be the focus on the inspection?
Electrical safety
chemical safety
radiation safety
mechanical safety
Failure to demonstrate proper care that results in a injury to another person is an example of?
fruad
battery
negligence
assault
Which of the following cleansing agents should a phlebotomist use when collecting a sample for a blood alcohol concentration?
5.25% sodium hypochlorite
hand sanitizer
soap and water
70% isopropyl alcohol
Which of the following should a phlebotomist recognize as being a component of CLSI?
chain of custody measures
personal protection measures
workplace safety measures
quality efficiency measures
Which of the following is the first step a phlebotomist should take to prevent the spread of infection?
wearing gloves for any patient contact
washing hands with antimicrobial soap and water
decontaminating the equipment before use
applying antiseptic to the puncture sites prior to venipuncture
an adult patient gives implied consent to a phlebotomist when which of the following occurs?
when the patient signs a document of agreement for a research study
when the patient signs a release for their lab results
when the patient's family member nods for the phlebotomist to proceed
when the patient offers their arm to the phlebotomist
Which of the following information should a phlebotomist document during a glucose tolerance test?
amount of water ingested during the procedure
time the glucose load was complete
flavor of the glucose solution
volume of blood obtained during the procedure
A phlebotomist has collected a stool sample that requires immediate processing at an outside reference lab. Which of the following nonlaboratory personnel should the phlebotomist contact about transferring the specimen?
commercial courier
provider
U.S. postal service
nurse
Which of the following tubes is required for a phlebotomist to use when collecting a microbiological blood specimen?
serum separator tube
sodium citrate additive tube
photosensitive tube
culture media tube
Point of care test regulations require quality control to?
ensure accuracy of test results
evaluate the productivity of test instruments
monitor use of test instrumentation
determine a waived test classification
A phlebotomist has entered incorrect information in a patient's paper chart after a venipuncture procedure. which of the following actions should the phlebotomist take to correct the error?
notify the provider about the error
erase the error and enter connect information
ask an administrator to erase the error and input the correct information
strike a line through the error and initial
A phlebotomist should expect to collect a blood culture from which of the following patients?
a patient who regrets headaches
a patient who has a fever of unknown origin
a patient who has come for a routine physical exam
a patient who has a skin rash
Which of the following information should be included in the chain of custody following a blood alcohol testing procedure? (pick two)
the condition of the specimen every hour
the timeline of the individual prior to specimen collection
the identity of each person who handles the specimen
the physical and mental status of each individual before and after specimen collection
A phlebotomist is obtaining a venipuncture specimen and has decided to use the vein which lies on the outer edge of the arm. Which of the following veins has the phlebotomist selected?
median cubital
basilic
cephalic
dorsal
Which of the following signs of shock should the phlebotomist recognize in a patient during venipuncture?
The patient has rapid, deep respirations
The patient has pale, cold, clammy, and diaphoretic skin
The patient report feeling hot and faint
A hematoma begins to form at the venipuncture site.
According to CLSI standard, a phlebotomist must attempt to locate which of the following veins on both arms before considering other veins?
basilic vein
veins on the underside of the wrist
medial cubital vein
cephalic vein
A patient is scheduled for a CBC and prothrombin time (PT). Which of the following is the correct order of draw?
lavender tube, gold tube
light blue tube, lavender tube
grey tube, lavender tube
lavender tube, red tube
What should the phlebotomist label the collection tubes?
immediately after verifying patient identification
before hand-washing
before collection
immediately after collection
A phlebotomist has duplicate orders for a patient. How should the order be verified?
Call the provider to confirm the test requisition for the patient
Draw both orders and discard the incorrect specimen after the order has been clarified
confirm with the patient what laboratory work the provider prescribed
Determine which requisition matches with the patient's previous test requisitions
The OSHA requirement for Safety Data Sheets falls under which of the following safety categories?
Chemical
Ergonomic
Mechanical
Biohazard
A phlebotomist should avoid using a site with burned skin during venipuncture for which of the following reasons?
inaccuracy of lab results
damages to skin elasticity
increasing risk of infection
precipitates vein sclerosis
Which of the following would be the appropriate action for a phlebotomist to take after failing to find a hospital band on either wrist of a hospitalized patient?
check the name of the door of the hospital room
state the patient's full name
check for id label on equipment at the bedside
check the ankles for an id band
A phlebotomist should identify that which of the following over-the -counter products taken by a patient can affect a liver function panel?
zinc
melatonin
ibuprofen
acetaminophen
Which of the following actions is appropriate when transporting a specimen for ABG analysis?
collecting the specimen in an SST
placing the specimen in ice
inserting the specimen in a light-resistant package
collecting the specimen in sodium citrate
When entering a patient's room, a phlebotomist should begin by doing which of the following?
Asking the registered nurse or attending health care provider for the patient's name
introducing herself and explaining to procedure to the patient
washing her hands
preparing the tubes and needles for procedure
which of the following tests is preformed to identify bacteremia?
peripheral blood smear
lactic acid
blood culture
glucose tolerance test
A phlebotomist is concerned about contracting HIV during venipuncture. Which of the following precautions should the phlebotomist take prior to venipuncture?
contact
airborne
droplet
standard
Which of the following color top tubes will the phlebotomist need to preform an AIC, CBC, hepatic panel, and a comprehensive metabolic panel?
gold and lavender
green and gray
yellow and blue
red and black
A phlebotomist enters a patient's room and observes the patient to be motionless and cyanotic. Which of the following actions should the phlebotomist take first?
preform head/tilt chin/lift maneuver
look, listen, and feel for breathing movements
administer two rescue breaths
ask the patient if they are okay in a loud voice
While a phlebotomist is inserting a needle, the patient complains of a sharp pain radiating down his arm. The appropriate course of action would be to?
reposition the patients arm until the pain has subsided, release the tourniquet, and remove the needle
release the tourniquet and continue to draw while monitoring the patients pain
pull back on the needle, confirm the pain has subsided, and continue the draw
release the tourniquet, remove the needle, and apply pressure over the collection site
Which of the following blood collection methods uses interchangeable collection tubes that allows a phlebotomist to draw several blood specimens at once?
winged infusion and syringe system
evacuated tube system
hypodermic needle and syringe system
lancet capillary system
A phlebotomist reports a stat result to a provider by verbal report. the phlebotomist should follow this with documentation that contains which of the following?
name of the provider contacted
provider's phone number
patient's insurance information
room number of patient
At the completion of a routine venipuncture, a phlebotomist incurs a needlestick to her finger. What information should she include on the required post-accident form for this situation?
The number and color of tubes collected
The employee's primary care provider information
The type of blood collection device used
The proof of biohazard container fill line adherence
Which of the following sites is appropriate to prepare for dermal specimen collection on a toddler?
non-dominant dorsal hand
dominant lateral plantar heel
dominant antecubital space
non-dominant third finger
Which of the following needles should a phlebotomist use for a venipuncture using a winged infusion set and a 5 mL syringe?
25- gauge
23- gauge
18- gauge
27- gauge
Which of the following tube additives promotes clot formation?
citrate
heparin
silica
oxalate
Which of the following urine collection methods helps determine if a patient has a UTI?
first morning
midstream
random
24-hour
A phlebotomist is applying a tourniquet for a venipuncture to an adult patient. the phlebotomist should place the tourniquet at which of the following distances above the venipuncture site?
5 to 6 inches
3 to 4 inches
8 to 12 inches
1 to 2 inches
A phlebotomist touches a patient's arm and begins to preform venipuncture before obtaining consent from the patient. which of the following torts has the phlebotomist committed?
Fraud
Invasion of privacy
Libel
Battery
which of the following information should a phlebotomist document for a blood culture collection?
informed consent document
type of culture media
blood collection technique
site of collection
A phlebotomist is processing a urine specimen in the laboratory. Which of the following personal protective equipment is required to maintain safety regulations in the laboratory?
shoe covers
face shield
surgical gloves
hairnet
How many times should an EDTA tube be inverted after blood collection?
2 to 4
5 to 7
1 to 3
8 to 10
A phlebotomist should identify which of the following as the best site for phenylketonuria collection on an infant?
the central area of the heel
the medial or lateral areas of the heel
the medial or lateral areas of the fingertips
the central area of the fingertips
Which of the following conditions results from exceeding the maximum blood volume parameter during blood collection?
pernicious anemia
hemolytic anemia
sideroblastic anemia
iatrogenic anemia
Which of the following nonverbal factors can have a positive impact when phlebotomists introduce themselves to patients?
keep arms crossed while talking to a patient
take a position facing the patient
remain standing when a patient is sitting
avoid direct eye contact with a patient
A phlebotomist has washed their hands in preparation for a routine venipuncture. Which of the following actions should the phlebotomist take to dry their hands?
Dry hands with clean disposable towel
Dry hands with the sanitizing hand gel
Dry hands with a sterile towel
Dry hands with air
A phlebotomist 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 must be at least half filled
the newborn must be at least 3 days old
the first drop of blood immediately following the puncture must be included
A phlebotomist is asked to verify the temperature of a urine specimen for a chain of custody procedure. Which of the following temperatures is an acceptable measurement for this specimen?
26.7 degrees C (80 degrees F)
22.2 degrees C ( 72 degrees F)
38.3 degrees C (101 degrees F)
35 degrees C (95 degrees F)
In which of the following locations should a phlebotomist directly dispose of a contaminated microscope slide?
specimen bag
medical waste container
biohazard bag
red sharps container
When labeling a non-blood specimen, why is it important to place the label on the container and not the lid?
the lid will become contaminated by the non-blood specimen
the label is more susceptible to contamination if it is on the lid
the label for the non-blood specimen is easier to read on the container
once the lid is removed in the lab, the specimen is unlabeled
Which of the following organizations mandates a written exposure control plan?
Centers of Medicare and Medicaid Services (CMS)
Occupational Safety and Health Administration (OSHA)
Clinical Laboratory Improvement Amendments (CLIA)
Centers of Disease Control and Prevention (CDC)
Which of the following pieces of information on a requisition form is critical to patient identification?
physician's name
emergency contract
blood type
date of birth
A phlebotomist should use a chlorhexidine gluconate swab for which of the following types of collection?
sputum culture
fecal culture
urine culture
blood culture
A phlebotomist has a requisition form requesting a prothrombin tie (PT)and a PTT be collected from a patient. Which of the following tube additives is correct for the draw?
EDTA
Thrombin
Lithium Heparin
Sodium Citrate
A phlebotomist has just confirmed critical values on a laboratory test. Which of the following actions should the phlebotomist take when the physician's office is already closed?
call the physician's office the next business day
leave a message at the physician's office number
fax the results to the physician's office with a stat fax cover
contact the physician by paging or calling right away
A phlebotomist is preparing to preform a venipuncture for a patient. Which of the following actions should the phlebotomist take first?
position the patient and label the collection tubes
assemble the equipment and check for latex sensitivity
sanitize the hands and explain the procedure
identify the patient and verify dietary restrictions
Utilizing tubes that have expired may result in which of the following?
elevation of the red blood cell count
hemoconcentration
loss of vacuum
hemolysis
A large spill has occurred in the laboratory involving venous blood. which of the following actions should the phlebotomist take?
evacuate the lab
pour bleach on the spill and let it soak for 60 seconds
apply a liquid thickening agent on top of the spill
cover the spill until maintenance arrives
How should a phlebotomist instruct a female patient to collect a urine specimen for culture testing?
do not touch the inside of the container, clean the urinary meatus from front to back, and then collect the specimen
do not touch the inside of the container, clean the urinary meatus from back to front, begin voiding in toilet, and then collect the specimen
do not touch the inside of the container, clean the urinary meatus from front to back, begin voiding in toilet, and then collect the specimen
do not touch the inside of the container, clean the urinary meatus from back to front, and then collect the specimen
A phlebotomist is required to use the sharps container to dispose of which of the following items after preforming a capillary collection?
used gauze
microtainer tube
lancet
alcohol wipe
Which of the following governing bodies mandates the use of safety features and the immediate disposal as one unit in a biohazard container after use?
CDC
OSHA
CLIA
HIPPA
Which of the following blood specimen tests are photosensitive and should be protected from light during handling and transportation?
ammonia
pyruvate
gastrin
bilirubin
Hemoconcentration of a venous blood sample is most often caused when?
the tourniquet is in place for more than 2 min
the specimen is not refrigerated within 30 min
the needle is removed before the tourniquet
the site is prepped with povidone iodine
Which of the following is used to stabilize a patient's arm during a venipuncture?
A phlebotomy cart
A blood pressure cuff
A phlebotomy wedge
Arm restraints
which of the following orders of draw should the phlebotomist use for capillary collection?
sodium heparin, EDTA, non-additive
sodium heparin, non-additive, EDTA
EDTA, non-additive, sodium heparin
EDTA, sodium heparin, non-additive
which of the following actions should an employee take first in the event of a needlestick exposure?
wash the injury with soap and water
provide consent for an HIV test
complete an incident report
report the incident to a supervisor
A phlebotomist is collecting a urine drug screen from a Department of Transportation employee. The phlebotomist should take the specimen temperature at which of the following times following collection?
after 30 minutes
at 15 minutes
before 4 minutes
at 5 minutes
