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WorksheetsNHA Practice Test 2
Total questions: 101
Worksheet time: 51mins
Name
Class
Date
1.
1. A phlebotomy technician is preparing to perform a venipuncture for a patient who has pneumonia. Besides gloves, which of the following pieces of personal protective equipment should the technician wear?
a)
a. Gown.
b)
b. N95 respirator
c)
c. Face mask
d)
d. Goggles
2.
2. While collecting a blood specimen, a phlebotomy technician notices the glass collection tube is cracked. Which of the following actions should the technician take?
a)
a. Wrap the tube in a pair of gloves and place it in a trash can.
b)
b. Discard the tube and sent it to the laboratory.
c)
c. Label the tube and send it to the laboratory.
d)
d. Dispose of the tube in a sharps container.
3.
3. A phlebotomy technician is performing a glucometer reading for a young adult patient. The patient's parent is in the room and asks about the patient's glucose level. Which of the following actions should the technician take?
a)
a. Write down the results for the parent and the patient.
b)
b. Ask the parent to leave the room and tell the patient.
c)
c. Show the patient and parent the results in the patient's electronic health record (EHR).
d)
d. Ask the patient for permission to disclose the results with the parent present.
4.
4. A phlebotomy technician is preparing to perform the third set of blood draws for a glucose tolerance test (GTT). The patient starts to cry and refuses to extend her arm for the draw. Which of the following statements should the technician make?
a)
a. "I will get in trouble if I don't perform the draw."
b)
b. "I promise the draw won't hurt."
c)
c. "May I come back in an hour to perform the draw?"
d)
d. "May I please perform the draw?"
5.
5. A phlebotomy technician is preparing to complete the glucose monitor quality control record. Which of the following information should the technician record in the quality control record?
a)
a. Daily patient test results
b)
b. Physician's NPI number
c)
c. Date of battery change
d)
d. Time that values were recorded
6.
6. A phlebotomy technician observes a glucometer reading of 250 mg/dL. A second test is performed and returns a reading within the expected reference range. Which of the following circumstances could have caused the first result to be inaccurate?
a)
a. Too much blood was used.
b)
b. The first drop of blood was used.
c)
c. Too little blood was used.
d)
d. The test strips were left open.
7.
7. Which of the following solutions should a phlebotomy technician use to clean a cerebral spinal specimen spill?
a)
a. Chlorine bleach
b)
b. Hydrogen peroxide
c)
c. Povidone-iodine
d)
d. Isopropyl alcohol
8.
8. A phlebotomy technician experiences a needlestick injury while performing a venipuncture. Which of the following information should the technician include in the online sharps injury log?
a)
a. The injured technician's name
b)
b. The recommended follow-up treatment
c)
c. The department where the injury occurred
d)
d. The patient's name
9.
9. When testing a patient for streptococcal pharyngitis, a phlebotomy technician should implement which of the following types of transmission-based precautions?
a)
a. Contact
b)
b. Standard
c)
c. Airborne
d)
d. Droplet
10.
10. Which of the following actions should a phlebotomy technician take when performing a blood culture collection?
a)
a. Use 70% isopropyl alcohol to cleanse the site.
b)
b. Cleanse the site for no more than 10 seconds.
c)
c. Palpate the vein after cleansing the site.
d)
d. Remove the tourniquet after 2 minutes.
11.
11. Which of the following is the current procedure for medical professionals performing CPR on an infant?
a)
30 compressions, 3.8 cm (1.5 in) deep
b)
30 compressions, 5.08 cm (2 in) deep
c)
100 compressions, 5.08 cm (2 in) deep
d)
100 compressions, 3.8 cm (1.5 in) deep
12.
12. A phlebotomy technician collects a specimen in a microcollection container after two failed venipuncture attempts. For which of the following reasons should the technician write on the medical requisition form that the blood was collected in this manner?
a)
a. To alert the laboratory of a billing change
b)
b. To alert the laboratory that future specimens must be collected in a microcollection container.
c)
c. To alert the laboratory of the presence of capillary blood
d)
d. To alert the laboratory of possible tissue fluid
13.
13. While a phlebotomy technician is using a centrifuge, the device catches on fire. The technician should identify a centrifuge fire as which of the following classes of fire?
a)
a. Class A
b)
b. Class B
c)
c. Class C
d)
d. Class D
14.
14. A phlebotomy technician finishes performing a blood draw in an isolation room. Which of the following pieces of personal protective equipment should the technician remove first?
a)
a. Mask
b)
b. Gown
c)
c. Goggles
d)
d. Gloves
15.
15. A phlebotomy technician is preparing to aliquot a blood specimen. Which of the following pieces of personal protective equipment are the minimum requirements for the technician to wear?
a)
a. Face shield and gown
b)
b. Goggles and mask
c)
c. Mask and gloves
d)
d. Face shield and gloves
16.
16. A phlebotomy technician experiences a needlestick injury while performing a draw. The technician is at greatest risk of exposure to which of the following bloodborne pathogens?
a)
a. Hepatitis A virus (HAV)
b)
b. Hepatitis C virus (HCV)
c)
c. Hepatitis B virus (HBV)
d)
d. Human immunodeficiency virus (HIV)
17.
17. A phlebotomy technician receives a splash of blood to the eyes while transferring serum into an isolator tube. Which of the following actions should the technician take first?
a)
a. Notify his immediate supervisor.
b)
b. Rinse his eyes with water.
c)
c. Disinfect his contact lenses with saline.
d)
d. Report to a health care provider.
18.
18. A phlebotomy technician is collecting a sample for cholesterol, troponin, and HDL blood results. Which of the following departments is responsible for processing these tests?
a)
a. Hematology
b)
b. Microbiology
c)
c. Chemistry
d)
d. Pathology
19.
19. A phlebotomy technician is performing a blood alcohol test. Which of the following antiseptics should the technician use?
a)
a. Tincture of iodine
b)
b. Ethanol
c)
c. Chlorhexidine gluconate
d)
d. Isopropyl alcohol
20.
20. A phlebotomy technician is performing a venipuncture on a patient who has a wound infected with methicillin-resistant Staphylococcus Aureus (MRSA) and has been placed in isolation. Which of the following actions should the technician take once the procedure is complete?
a)
a. Remove shoe covers after leaving the room.
b)
b. Dispose of gloves after leaving the room.
c)
c. Dispose of gown before leaving the room.
d)
d. Clean the gown before leaving the room.
21.
1. Which of the following types of urine specimen should a phlebotomy technician instruct a patient to collect for a pregnancy test?
a)
a. First-morning
b)
b. Timed
c)
c. Random
d)
d. Suprapubic
22.
2. A phlebotomy technician is explaining a phlebotomy procedure to a patient who wears hearing aids. The patient seems distracted. Which of the following questions should the technician ask to ensure the patient understands the procedure?
a)
a. "Did you hear what I said?"
b)
b. "Do you understand what you need to do?"
c)
c. "Would you like me to repeat the directions?"
d)
d. "Do you need me to talk slower?"
23.
3. A phlebotomy technician should identify that which of the following information is required for positive identification of a patient in an outpatient facility?
a)
a. Attached ID band, full name, accession number
b)
b. Picture ID, full name, date of birth
c)
c. Accession number, full name, date of birth
d)
d. Medical requisition number, full name, date of draw
24.
4. A phlebotomy technician enters a patient's room to perform a blood draw and notices that the patient's identification band is sitting on the bedside table. The patient states, "I hate wearing it, so I took it off." Which of the following responses should the technician make?
a)
a. "I will ask the nurse to replace the identification band."
b)
b. "Please show me your driver's license."
c)
c. "I will proceed with the blood draw."
d)
d. "I will ask your roommate to verify your identification."
25.
5. A phlebotomy technician is seeking consent to perform venipuncture on an older adult patient who has been accompanied to the facility by a younger adult. Which of the following actions should the technician take?
a)
a. Speak to the patient in a loud voice.
b)
b. Give the consent form to the adult accompanying the patient.
c)
c. Speak to the patient in a normal tone.
d)
d. Stand close to the patient while speaking.
26.
6. A phlebotomy technician is preparing to draw blood from a patient who has been admitted for life-threatening cardiac symptoms. Which of the following actions should the technician take?
a)
a. Ask the patient to sign a consent form.
b)
b. Ask for consent from a family member.
c)
c. Proceed with collecting the patient's blood.
d)
d. Proceed after verbal consent has been given.
27.
7. A phlebotomy technician is collecting a specimen to test a patient's lithium level following a recent dose of medication. Which of the following levels should the technician collect?
a)
a. Peak
b)
b. Trough
c)
c. Fasting
d)
d. Random
28.
8. A phlebotomy technician is preparing to perform a blood collection in an outpatient setting. Which of the following information is required on the requisition form?
a)
a. Patient medical record number and bed number
b)
b. Provider's name and provider's license number
c)
c. Patient's driver license number and provider's DEA number
d)
d. Patient's billing information and test status
29.
9. A phlebotomy technician is preparing to collect specimens to determine a patient's peak and trough levels. Which of the following actions should the technician take?
a)
a. Ask the patient when he received the medication.
b)
b. Perform the draw at the time assigned on the requisition form.
c)
c. Ask the nurse when the medication was administered.
d)
d. Perform the draw as soon as possible after breakfast.
30.
10. A phlebotomy technician is processing the blood sample of a patient who ate a meal of meat and cheese prior to the draw. Following centrifugation of the sample, which of the following findings should the technician expect?
a)
a. The specimen is lipemic.
b)
b. The specimen is hemolyzed.
c)
c. The specimen has a buffy coat.
d)
d. The specimen does not coagulate.
31.
11. A phlebotomy technician is preparing to draw a patient's blood when the patient informs him that she is taking warfarin. The technician should identify that the results of which of the following tests is affected by this medication?
a)
a. PT/INR
b)
b. HDL
c)
c. Thyroid-stimulating hormone (TSH)
d)
d. LDL
32.
12. A phlebotomy technician is preparing to collect blood from a patient who has experienced syncope during previous draws. Which of the following actions should the technician take?
a)
a. Draw from the patient's hand.
b)
b. Place the patient in a supine position.
c)
c. Place the patient in a prone position.
d)
d. Perform capillary draws.
33.
13. A patient asks a phlebotomy technician why his blood is being drawn. Which of the following responses should the technician make?
a)
a. "The test is critical to determining your diagnosis."
b)
b. "You should ask your provider about the test."
c)
c. "Your provider has ordered cardiac enzymes and digoxin levels."
d)
d. "Your provider has ordered these tests in order to rule out cancer."
34.
14. A phlebotomy technician is informing a patient about the procedure for collecting a blood culture. Which of the following information should the technician include?
a)
a. "I will swab the area twice to make sure it is sterile."
b)
b. "I am going to use an evacuated tube system to perform the draw."
c)
c. "I am going to wait 15 seconds to let the antiseptic dry before I draw your blood."
d)
d. "I will leave the tourniquet on longer, so we can collect enough blood for testing."
35.
15. A phlebotomy technician is preparing to collect a blood sample from a patient for a cholesterol test. Which of the following statements should the technician make?
a)
a. "Please sit for at least 5 minutes before the test."
b)
b. "Please take any prescribed medication after the test."
c)
c. "Avoid eating red meat the day before the test."
d)
d. "Avoid any caffeine on the day of the test."
36.
16. A phlebotomy technician is positioning a patient for a venipuncture. To prevent reflux or backflow, the technician should instruct the patient to move her arm into which of the following positions?
a)
a. Fully extended in a downward position
b)
b. Elbow bent at a 90° angle
c)
c. Hyper-extended at the elbow
d)
d. Slightly bent in an outward position
37.
17. A phlebotomy technician is preparing to collect a specimen from a 3-year-old patient to perform a coagulation test. Which of the following collection methods should the technician use?
a)
a. Finger stick
b)
b. Heel stick
c)
c. Winged safety butterfly
d)
d. Evacuated tube system
38.
18. A phlebotomy technician is performing a venipuncture on a patient who currently has an IV in both arms. Which of the following actions should the technician take?
a)
a. Ask the nurse to turn the IVs off for 1 minute.
b)
b. Apply the tourniquet above the IV site.
c)
c. Ask the nurse to turn the IVs off for 2 minutes.
d)
d. Ask the nurse to remove one of the IVs.
39.
19. A phlebotomy technician is educating a patient about a 24-hr urine collection. Which of the following instructions should the technician give to the patient?
a)
a. "Avoid mixing or inverting the container after collecting the specimen."
b)
b. "Start collecting at the second void of the day."
c)
c. "Reduce fluid intake during the 24-hour time frame."
d)
d. "Store the specimen at room temperature."
40.
20. A phlebotomy technician is instructing a patient on how to collect a urine specimen for a culture and sensitivity test. Which of the following statements should the technician include?
a)
a. "You will need to collect a midstream clean-catch specimen."
b)
b. "You will need to collect your first void of the morning."
c)
c. "You will need to collect the specimen after a 12-hour fast."
d)
d. "You will need to collect the specimen 2 hours after eating."
41.
1.A phlebotomy technician is performing a hand venipuncture on a 25-year-old patient who has small veins that are difficult to access. Which of the following equipment should the technician use to perform the procedure?
a)
a. 21-gauge ETS eclipse needle
b)
b. 25-gauge ETS eclipse needle
c)
c. 23-gauge winged collection set
d)
d. 23-gauge syringe collection set
42.
2. A phlebotomy technician is preparing equipment for a blood draw. The technician notices that one of the tubes on the tray is expired. Which of the following actions should the technician take to ensure accurate test results?
a)
a. Use a new tube from the front of the shelf.
b)
b. Use a tube from the back of the shelf.
c)
c. Use the expired tube regardless of the date.
d)
d. Use the tube within 5 days of expiration.
43.
3. A phlebotomy technician is performing a venipuncture for a potassium test, CBC, and glucose test. The technician has left the tourniquet tied on the patient for 3 minutes. Which of the following outcomes should the technician expect?
a)
a. High potassium level
b)
b. Low iron level
c)
c. High CBC level
d)
d. Low potassium level
44.
4. A phlebotomy technician is performing a blood collection for a patient who has edema in her right arm. Which of the following locations should the technician identify as the best vein choice for venipuncture?
a)
a. Right side median cubital
b)
b. Right side median cephalic
c)
c. Left side basilic
d)
d. Left side dorsal hand
45.
5. A phlebotomy technician is using povidone-iodine during a capillary specimen collection. Which of the following outcomes should the technician expect?
a)
a. Increased potassium level
b)
b. Decreased potassium level
c)
c. Increased glucose levels
d)
d. Decreased glucose levels
46.
6. A phlebotomy technician is drawing blood through a hematoma. Which of the following errors should the technician expect to see in the specimen?
a)
a. Hemolysis
b)
b. Increased potassium
c)
c. Decreased electrolytes
d)
d. Increased epithelial tissue
47.
7.A phlebotomy technician is performing a venipuncture for a bilirubin test, a cold agglutinin titer, a CBC, and a PTT test. Which of the following tubes should the technician use?
a)
One light blue, two serum tops, and one lavender tube
b)
One serum top, two purple, and one light blue tube
c)
Two gray, one light yellow SPS, and one dark blue tube
d)
One gray, two light yellow SPS, and one dark blue tube
48.
8. A patient sits down for a venipuncture in an outpatient setting, rolls up her sleeve, and extends her arm. The patient turns her head away from the phlebotomy technician and says, “I don’t want my blood drawn.” Which of the following responses should the technician make to the patient?
a)
“I am going to start the draw now.”
b)
“May I draw your blood?”
c)
“Do you want me to get the nurse?”
d)
“I will get another phlebotomist.”
49.
9. A patient sits down for a venipuncture in an outpatient setting, rolls up her sleeve, and extends her arm. The patient turns her head away from the phlebotomy technician and says, "I don't want my blood drawn." Which of the following responses should the technician make to the patient?
a)
a. "I am going to start the draw now."
b)
b. "May I draw your blood?"
c)
c. "Do you want me to get the nurse?"
d)
d. "I will get another phlebotomist."
50.
9. A phlebotomy technician is performing a venipuncture on a deep median cubital vein. Which of the following methods of withdrawal should the technician use?
a)
a. Withdraw with the bevel up at a 25 to 30° angle.
b)
b. Withdraw with the bevel down at a 10° to 15° angle.
c)
c. Withdraw with the bevel up at a 10° to 15° angle.
d)
d. Withdraw with the bevel down at a 25⁰ to 30° angle.
51.
10. A phlebotomy technician is performing a dorsal venipuncture with the needle at a 15⸰ angle, resulting in slow blood flow and the development of a hematoma. Which of the following should the technician identify as the cause of the hematoma?
a)
a. Needle completely through the vein
b)
b. Needle at too shallow of an angle
c)
c. Needle bevel opening in the vein
d)
d. Needle beside the vein
52.
11. A phlebotomy technician is preparing to perform a venipuncture test for coagulation, WBC, pregnancy, and random glucose. Which of the following tubes should the technician choose?
a)
a. Sodium citrate, SST, and EDTA
b)
b. Sodium citrate, EDTA, and SST
c)
c. SPS, ACD, and sodium heparin
d)
d. SPS, ACD, and sodium citrate
53.
12. A phlebotomy technician is performing a dermal puncture for an adult patient. Which of the following locations should the technician use for this procedure?
a)
a. The side of central of the index finger
b)
b. The side of central of the ring finger
c)
c. On the tip of the ring finger
d)
d. On the tip of the index finger
54.
13. A phlebotomy technician is performing a capillary collection for CBC, FSH, and electrolyte tests. Which of the following is the proper collection order?
a)
a. Lavender microcollection container, green microcollection container, then red microcollection container
b)
b. Lavender microcollection container, red microcollection container, then green microcollection container
c)
c. Red microcollection container, lavender microcollection container, then green microcollection container
d)
d. Red microcollection container, green microcollection container, then lavender microcollection container
55.
14. A phlebotomy technician has three bar-coded labels but has filled four tubes. The technician needs to create one more label for evacuated tubes. Which of the following information should the technician include on the label?
a)
a. Patient's name, room number, and date of collection
b)
b. Patient's date of birth, accession number, and time of collection
c)
c. Technician's initials, date, and time of collection
d)
d. Technician's initials, provider's name, and patient's date of birth
56.
15. A phlebotomy technician accidentally punctures a patient's artery during a venipuncture procedure. Which of the following actions should the technician take?
a)
a. Instruct the patient to bend the arm at the elbow.
b)
b. Apply pressure on the site for at least 5 minutes.
c)
c. Apply self-adherent tape with a cotton ball.
d)
d. Instruct the patient to hold the arm below the heart.
57.
16.A phlebotomy technician is preparing to perform a CBC for a 7-month-old infant. Which of the following equipment will the technician need?
a)
a. Butterfly with a 21-gauge needle and an EDTA evacuated tube
b)
b. ETS system with a 25-gauge needle and a SST evacuated tube
c)
c. Lancet with a 2 mm depth and an EDTA microcollection container
d)
d. Syringe with a 21-gauge needle and a SST evacuated tube
58.
17. A phlebotomy technician is performing a venipuncture for a lipid profile, WBC, and a clotting time test. Which of the following is the correct draw order?
a)
a. Light blue, SST, lavender
b)
b. Purple, grey, light blue
c)
c. Serum, green, light yellow ACD
d)
d. Green, light yellow ACD, serum
59.
18 A phlebotomy technician is performing venipuncture on a patient. When the technician inserts the needle, the vein collapses. Which of the following is a possible cause?
a)
a. Applying the tourniquet too tightly
b)
b. Inserting a smaller evacuated tube
c)
c. Applying the blood pressure cuff to 30 mm Hg
d)
d. Using a 25-gauge needle and syringe
60.
19. A phlebotomy technician is preparing to collect a variety of blood specimens. Which of the following specimens should the technician collect first?
a)
a. Blood culture
b)
b. Cholesterol
c)
c. Complete blood count (CBC)
d)
d. Basic metabolic panel (BMP)
61.
1. A phlebotomy technician is preparing to process a WBC differential test, testosterone test, and a glucose test. Which of the following actions should the technician take to process these tests?
a)
a. Prepare a slide from a lavender-topped tube and centrifuge a red-topped tube and a gray-topped tube
b)
b. Prepare a slide from a gray-topped tube and centrifuge a light-blue topped tube and a red-topped tube.
c)
c. Prepare a slide from a red-topped tube and centrifuge a gray-topped tube and lavender-topped tube
d)
d. Prepare a slide from a light-blue-topped tube and centrifuge a lavender-topped tube and a red-topped tube.
62.
2. A phlebotomy technician is preparing a peripheral blood slide from a capillary puncture. Which of the following actions should the technician take?
a)
a. Pipette the blood onto the center of the slide
b)
b.Pipette the blood 2.5 cm (1 in) from the end of the slide
c)
c.Touch the slide to the first drop of blood
d)
d.Touch the slide to the second drop of blood
63.
3. A phlebotomy technician is using a syringe method to collect a blood cultures set, a PTT, and a CBC test. Which of the following should the technician identify as the proper order of the draw?
a)
a. Aerobic bottle, anaerobic bottle, EDTA, light-blue-topped tube
b)
b. Anaerobic bottle, aerobic bottle, light-blue-topped tube, EDTA
c)
c. EDTA, light-blue-topped tube, aerobic bottle, anaerobic bottle
d)
d. EDTA, light-blue-topped tube, anaerobic bottle, aerobic bottle
64.
4. A phlebotomy technician is performing two sets of blood cultures for a patient. Which of the following actions should the technician take?
a)
a. Collect both sets from the same site after waiting about 4 hours
b)
b. Collect one set from the antecubital region and one set from the ventral part of the patient's hand.
c)
c. Collect one set from the patient's left arm and one set from a different site on the same arm.
d)
d. Collect one set from the capillary region and one set from the antecubital region.
65.
5. A phlebotomy technician is collecting a peripheral blood smear from a patient. The technician should identify that this collection technique is used for which of the following tests?
a)
a. WBC differential test
b)
b. Sedimentation rate (ESR) test
c)
c. Blood culture
d)
d. Arterial blood gas (ABG) test
66.
6. A phlebotomy technician receives a forensic specimen. The technician should verify that which of the following specimen information matches the requisition form?
a)
a. County clerk number
b)
b. Statute of limitations
c)
c. Attorney's name
d)
d. Case number
67.
7. A phlebotomy technician is collecting capillary blood from a patient for neonatal screening. Which of the following actions should the technician take to complete the newborn screening card?
a)
a. Touch the paper to a drop of blood and saturate each circle of the card.
b)
b. Smear the blood onto the printed circles of the card.
c)
c. Layer several drops on the printed and non-printed side of the card
d)
d. Place multiple small drops on each circle of the card.
68.
8. A phlebotomy technician is preparing to perform a neonatal screening test. The technician should identify that which of the following is the optimal time to perform the test?
a)
a. Immediately after birth
b)
b. Between 24 and 72 hours after birth
c)
c. Between 12 and 18 hours after birth
d)
d. 6 hours after birth
69.
9. A phlebotomy technician is screening potential blood donors. The technician should identify that which of the following patients is able to donate blood?
a)
A 15-year-old patient who weighs 61.2kg (135lbs)
b)
A 67-year-old patient who weighs 44.4kg (98lbs)
c)
A 65-year-old patient who weighs 54.4kg (120lbs)
d)
A 20-year-old patient who weighs 47.6kg (105lb)
70.
10. A phlebotomy technician should identify that a patient who has which of the following blood types is a universal recipient?
a)
a. AB
b)
b. O
c)
c. A
d)
d. B
71.
11. A phlebotomy technician is caring for a
4 lines
72.
10. A phlebotomy technician is caring for a 3-year-old child who weighs 15.9kg (35 lbs) during a 1-month hospital stay. The technician should identify that which of the following blood collection amounts is within total volume guidelines for this patient?
a)
a. 165 ml
b)
b. 95 ml
c)
c. 185 ml
d)
d. 200 ml
73.
12. A phlebotomy technician is collecting a blood culture from an infant who weighs 3 kg (6.6 lbs). The technician should identify that which of the following is the total blood volume for this infant?
a)
a. 100-190 ml
b)
b. 60-150 ml
c)
c. 240-330 ml
d)
d. 150-240 ml
74.
13. A phlebotomy technician is instructing a patient about how to perform a pregnancy test. Which of the following statements should the technician include?
a)
a. "Collect your first urine specimen of the morning."
b)
b. "Collect your urine specimen after fasting for 8 hours."
c)
c. "Collect your last urine specimen of the day."
d)
d. "Collect your urine specimen after a full meal."
75.
14. A phlebotomy technician is instructing a patient about how to collect a sputum specimen. Which of the following statements should the technician make?
a)
a. "You should provide the specimen in the morning before eating or drinking."
b)
b. "You should provide the specimen in the morning after eating or drinking."
c)
c. "You should provide the specimen in the evening before eating dinner."
d)
d. "You should provide the specimen in the evening after eating dinner."
76.
15. Which of the following additives should a phlebotomy technician use when performing a peripheral blood smear for a WBC count?
a)
a. EDTA
b)
b. Sodium fluoride
c)
c. Sodium citrate
d)
d. Heparin
77.
16. A phlebotomy technician is preparing to perform blood collection for blood cultures, PTT, and testosterone levels. In which of the following orders should the technician collect these samples?
a)
a. Yellow-topped tube, blue-topped tube, red-topped tube
b)
b. Yellow-topped tube, red-topped tube, blue-topped tube
c)
c. Blue-topped tube, red-topped tube, yellow-topped tube
d)
d. Blue-topped tube, yellow-topped tube, red-topped tube
78.
17. A phlebotomy technician should recognize that which of the following blood types is compatible with type O blood?
a)
a. Type O
b)
b. Type A
c)
c. Type AB
d)
d. Type B
79.
18. A phlebotomy technician is instructing a patient about how to collect a fecal specimen at home. Which of the following instructions should the technician include?
a)
a. "Refrigerate the fecal sample after collection."
b)
b. "Do not mix urine with the fecal sample."
c)
c. "Avoid washing the outside of the container following collection."
d)
d. "Scoop the fecal sample from the toilet into the container."
80.
19. A phlebotomy technician is performing a brief physical examination on a prospective blood donor. Which of the following measurements would indicate the donor's eligibility to donate blood?
a)
a. Pulse rate 40/min
b)
b. Diastolic blood pressure 110mm Hg
c)
c. Temperature
d)
d. Hematocrit level 42%
81.
20. A phlebotomy technician has collected a neonatal screening card. Which of the following actions should the technician take to properly dry the blood spot collection card?
a)
a. Place the card in direct sunlight
b)
b. Allow the card to dry for 1 hour
c)
c. Place the card on a flat, dry surface
d)
d. Stack cards on a drying rack
82.
1. A phlebotomy technician is preparing to load two tubes into a centrifuge. Which of the following actions should the technician take?
a)
a. Place tubes of unequal volume adjacent to each other.
b)
b.Place tubes of equal volume adjacent to each other.
c)
c. Place tubes of unequal volume across from each other.
d)
d. Place tubes of equal volume across from each other.
83.
2. A phlebotomy technician is preparing serum samples for centrifugation. How many minutes should the technician allow the serum samples to stand before loading them into the centrifuge?
a)
a. 10 minutes
b)
b. 15 minutes
c)
c. 25 minutes
d)
d. 30 minutes
84.
3. A phlebotomy technician is preparing to draw a blood specimen that must be protected from light. Which of the following laboratory tests will be performed on this specimen?
a)
a. CBC
b)
b. Bilirubin
c)
c. BMP
d)
d. Potassium
85.
4. A phlebotomy technician working in a laboratory has received six filled evacuated tubes, one of which is missing a label. Which of the following actions should the technician take?
a)
a. Print a barcoded label for the unlabeled specimen.
b)
b. Process the unlabeled specimen as it was received.
c)
c. Recollect the unlabeled specimen.
d)
d. Hand-write a label for the unlabeled specimen.
86.
5. Which of the following actions should a phlebotomy technician take when collecting a urine specimen for drug testing?
a)
a. Assume implied consent from the patient.
b)
b. Implement sterile technique to obtain the specimen.
c)
c. Use the patient's social security card for identification.
d)
d. Seal the specimen in a tamper-evident container.
87.
6. A phlebotomy technician is preparing to obtain a forensic specimen to determine a patient's blood alcohol level. Which of the following information should the technician include on the chain of custody form?
a)
a. Date and time specimen collection
b)
b. Method and date of specimen collection
c)
c. Witness name and signature
d)
d. Attorney's name and signature
88.
7. A phlebotomy technician has received a urine drug test specimen with a thermometer reading of 29.4℃ (85℉). Which of the following actions should the technician take?
a)
Require the patient to provide a blood sample.
b)
Have the patient provide another urine specimen under observation.
c)
Accept the specimen for processing.
d)
Ask the patient if the specimen was altered.
89.
8. A phlebotomy technician has released a specimen to a courier who is transporting it to a laboratory. Which of the following statements should the courier use to instruct the medical specimen accessioner on how to complete the chain of custody form?
a)
a. "Make sure to check for ID."
b)
b. "Write your name on the form."
c)
c. "Keep two copies of the form."
d)
d. "List your phone number."
90.
9. A female patient is being referred to a reproductive specialist. Which of the following blood tests would a phlebotomy technician release to the referring personnel?
a)
a. LDL and HDL
b)
b. CRP and BNP
c)
c. FSH and LH
d)
d. PSA and CBC
91.
10. A phlebotomy technician calls a medical assistant to inquire about a laboratory requisition. Which of the following information is required on a laboratory requisition?
a)
a. Patient's blood type
b)
b. Method of collection
c)
c. Specimen accession number
d)
d. Patient identification number
92.
11. A phlebotomy technician is accessing the laboratory information system prior to collecting a specimen. Which of the following actions should the technician take?
a)
a. Upload the orders.
b)
b. Print the specimen label.
c)
c. Draw the specimen.
d)
d. Scan the barcode.
93.
12. A phlebotomy technician is accessing the laboratory information system. The technician should identify that which of the following information can be found in the system?
a)
a. Vein preference
b)
b. Tubes to collect
c)
c. Transportation method
d)
d. Previous laboratory results
94.
13. Which of the following information should the phlebotomy technician use to access a patient's medical records in the laboratory information system?
a)
a. Laboratory test number
b)
b. Medical requisition number
c)
c. Patient identification number
d)
d. Provider telephone number
95.
14. A phlebotomy technician is performing a point-of-care glucose test for a patient and receives a glucometer reading of 46mg/dL. Which of the following findings should the phlebotomist expect the patient to exhibit?
a)
a. Slow heartbeat
b)
b. Rapid heartbeat
c)
c. Rapid breathing
d)
d. Slow breathing
96.
15. A phlebotomy technician is performing a point-of-care hemoglobin test for a patient. Which of the following values should the technician report to the provider?
a)
9.2 g/dL
b)
12.5 g/dL
c)
16.8 g/dL
d)
18.0 g/dL
97.
16. A phlebotomy technician is performing a point-of-care total cholesterol test for a patient. Which of the following values should the technician report to the provider?
a)
a. 250 mg/dL
b)
b. 200 mg/dL
c)
c. 175 mg/dL
d)
d. 140 mg/dL
98.
17. A phlebotomist technician notices that the volume of blood required to fill the tests ordered by a patient's endocrinologist exceeds the recommended draw amount for the day. Which of the following actions should the technician take?
a)
a. Contact the laboratory supervisor.
b)
b. Contact the patient's nurse.
c)
c. Contact the patient's endocrinologist.
d)
d. Contact the patient's unit secretary.
99.
18. A phlebotomy technician has just received several blood test results from different patients. Which of the following results should the technician distribute first?
a)
a. ASAP cardiac enzymes drawn in ER
b)
b. 2-hr GTT glucose drawn in ICU
c)
c. Stat CBC drawn in surgery
d)
d. Blood culture drawn in ER
100.
19. A phlebotomy technician should refrigerate which of the following specimens before transportation?
a)
a. Lactic acid.
b)
b. Cryofibrinogen
c)
c. Bilirubin
d)
d. Cold agglutinins
101.
20. A phlebotomy technician is transporting a cryoglobulin specimen to the laboratory. The technician should keep the specimen at which of the following temperatures?
a)
37℃ (98.6℉)
b)
0℃ (32℉)
c)
21℃ (69.8℉)
d)
4℃ (39.2℉)
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