NEW
Font size
WorksheetsTest B questions NHA
Total questions: 50
Worksheet time: 25mins
A phlebotomy technician is collecting blood specimen from a patient to measure the trough level of a medication. The technician should collect the specimen at which of the following times?
Approximately halfway between two doses of the medication
Less than 15 mins after the patient receives a dose of the medication
At least 2 hrs after the patient receives a dose of medication
Within 15 min before the patient receives the next dose of medication
A phlebotomy technician enters a patient’s room to perform a venipuncture and notices that the patient is sleeping. Which of the following actions should the technician take?
Write “unable to collect” on the requisition form
Wake the patient before the collection
Perform the blood draw
Return later in the day
A phlebotomy technician is performing a venipuncture on a patient who recently had a mastectomy on her right side. The technician should draw blood from which of the following locations?
Right arm
Left index fingeLeft index finger
Left arm
Right index finger
A phlebotomy technician is collecting blood from a patient for donation. The collection bag only fills halfway, and the vein collapses. Which of the following actions should the technician take?
Continue filling the collection bag from an alternate site
Mark the collection bag as half full
Combine two separate collection bags to make a whole
Use a new collection bag to draw a new unit of blood
A phlebotomy technician must comply with which of the following OSHA requirements when performing a venipuncture?
Wear gloves when contact with blood is anticipated
Report a blood exposure incident to the supervisor within 48 to 72 hrs
Recap contaminated venipuncture devices to reduce exposure incidents
Wear safety glasses if splashes, spray, splatter, or droplets of blood might be generated
A phlebotomy technician is collecting a venipuncture blood specimen from a patient for a blood assay. The technician should fill which of the following tubes first?
Lavenderer-topped tube
Yellow-topped tube
Light blue-topped tube
Green-topped tube
Which of the following actions should a phlebotomy technician take after collecting an ammonia specimen?
Place the specimen tube in an ice-water slurry
Protect the specimen tube from light
Keep the specimen at body temperature
Keep the specimen tube warm
Which of the following tests should a phlebotomy technician follow chain of custody guidelines?
Troponin
Lithium
Blood alcohol
Prothrombin
A phlebotomy technician is collecting a blood specimen from an adolescent patient who weighs 42.6 kg (94 lb). Which of the following amounts is appropriate to collect if the maximum allowable volume of blood is 1%?
40mL
70mL
60mL
100mL
A phlebotomy technician is collecting a blood specimen from a patient. Which of the following techniques should the technician use to anchor the vein just before inserting the needle?
Anchor the vein 7.5 to 10 cm (3 to 4 in) above the puncture site
Use the thumb to anchor the vein 5 cm (2 in) below the puncture site
Apply a flat tourniquet snugly 2.5 cm (1 in) below the puncture site to anchor the vein
Attach a 5 cm (2 in) piece of hypoallergenic tape 7.5 cm (3 in) below the puncture site to anchor the vein
Which of the following time periods should a phlebotomy technician collect a newborn blood-spot test screening card?
Within 96 hr
Within 5 days
Within 72 weeks
Within 72 hr
A phlebotomy technician is collecting a blood specimen from a patient. Which of the following techniques should the technician use to anchor the vein just before inserting the needle?
Anchor the vein 7.5 to 10 cm (3 to 4 in) above the puncture site
Use the thumb to anchor the vein 5 cm (2in) below the puncture site
Apply a flat tourniquet snugly 2.5 cm (1 in) below the puncture site to anchor the vein
Attach a 5 cm (2in) piece of hypoallergenic tape 7.5 cm (3 in) below the puncture site to anchor the vein
For which of the following procedures should a phlebotomy technician follow chain of custody guidelines?
Paternity testing
Digoxin level testing
Lead level testingLead level testing
Blood culture testing
Which of the following personal protective equipment provides a phlebotomy technician with the best protection when drawing blood from a patient who has active tuberculosis?
Surgical mask
Shoe covers
N95 respirator
Double gloves
A phlebotomy technician is collecting a unit of blood from a donor. Which of the following actions should the technician take?
Have the donor pump his fist prior to the venipuncture
Instruct the donor to open and close his hand gently throughout the collection
Place the donor in an upright position
Insert the needle while retracting the skin above the insertion site
A phlebotomy technician should comply with HIPAA to protect which of the following?
Patients’ information
Patients’ compliance
Patients’ standards
Patients’ consent
Which of the following actions should a phlebotomy technician take when performing a venipuncture using an evacuated tube system?
Position the needle at a 15 degree angle near the vein and with the bevel down
Position the needle at a 15 degree angle near the vein and with the bevel up
Position the needle at a 30 degree angle in the same direction as the vein and
Position the needle at a 30 degree angle in the same direction as the vein and with the bevel up
A phlebotomy technician in an outpatient setting is identifying a patient before performing a venipuncture procedure. To confirm the patient’s identity, which of the following questions should the technician ask?
“Is your name John C. Chapman?”
“Are you Mr. Chapman?”
“Would you please state and spell your full name and provide your date of birth?”
“Is this your name on the requisition?”
A phlebotomy technician should verify that which of the following is an identifier for a specimen as long as it remains in the laboratory
Accession number
Medical record number
ICD-10 codes
CPT code
A phlebotomy technician is interviewing a patient before performing a venipuncture. During the interview, the patient states that he lives nearby and ran to the facility to “get in some running time today.” Which of the following precautionary actions should the technician take?
Place the patient in a reclining position for the venipuncture
Reschedule the venipuncture for another day
Have the patient rest comfortably for at least 15 mins before the venipuncture
Offer the patient a high-carbohydrate snack before the venipuncture
An unconscious patient is brought to the emergency department, and several blood tests are ordered. A phlebotomy technician should collect the patient’s blood because he has received which of the following types of consent?
Expressed consent
Explicit consent
Informed consent
Implied consent
A phlebotomy technician is obtaining a blood specimen from a patient. The technician notices swelling and a large hematoma forming at the puncture site. Which of the following actions should the technician take?
Apply a warm compress to the site
Remove the tourniquet and needle
Apply pressure to the site for no longer than 1 min
Ask the patient to bend his arm at the elbow
A phlebotomy technician is removing his gloves after a venipuncture procedure. Which of the following actions should the technician take?
Remove the first glove so that it turns inside out during remova
Grasp the tips of the fingers of one glove with the other gloved hand
Turn the gloves right side out before discarding them
Discard the first glove before removing the second glove
When collecting a routine blood sample, which of the following veins should a phlebotomy technician attempt to draw first?
Radial
Ulnar
Distal cephalic
Median cubital
A phlebotomy technician is following the Clinical and Laboratory Standards Institute’s (CLSI) clinical laboratory workflow pathway. As part of the postexamination phase of this process, which of the following actions should the technician take?
Review and verify results
Enter critical laboratory data
Provide post-puncture care.
Process the specimen
A phlebotomy technician is preparing to collect a blood specimen from the hand of a patient whose veins are difficult to access. Which of the following devices should the technician use?
Hand brace
Supply clamp
Phlebotomy wedge
Hand immobilizer
Which of the following actions should a phlebotomy technician take to prevent bleeding from a venipuncture site after the needle is removed?
Apply a cotton ball to the site
Apply pressure to prevent leakage of blood into the tissues
Have the patient bend the arm at the elbow to reduce bleeding
Apply a hot pack to the site if swelling or discoloration occurs
A phlebotomy technician should invert anticoagulant tubes to prevent which of the following complications?
Hemoconcentration
Ph imbalance
Hemolysis
Specific gravity imbalance
Which of the following actions should a phlebotomy technician take when labeling specimens?
Labeling specimens at the time of collection and in the presences of the patient
Keeping the specimens in the tray and labeling them in the laboratory
Specifying the patient’s room number, last name, and date of birth on the label
Writing the technician’s initials and time on the label prior to collection
A phlebotomy technician is preparing to collect a blood specimen from a patient who is allergic to alcohol. Which of the following antiseptic solutions should the technician use to prepare the insertion site?
Iodophor
Tincture of iodine
Hydrogen peroxide
Chlorhexidine
For which of the following reasons should a phlebotomy technician document the total volume of blood drawn from a patient?
To ensure a sufficient amount is drawn for laboratory test
To determine if the patient is at risk for developing iatrogenic anemia
To provide documentation for the patient’s personal records
To obtain a reference for future blood draws
During a routine venipuncture, a phlebotomy technician notices that a patient is becoming pale and diaphoretic. The technician should identify that the patient is at risk for which of the following conditions?
Syncope
Nausea
Seizure
Petechiae
A phlebotomy technician is preparing to collect a blood specimen from a small vein of an older adult patient. Which of the following actions should the technician take to keep the vein from collapsing?
Pull the syringe’s plunger back quickly
Use a small needle for the draw
Probe the vein with the needle
Use a large evacuated tube for the draw
A phlebotomy technician should identify that which of the following phrases is represented by the abbreviation “SD”?
Standard decision
Standard development
Standard deviation
Standard determination
A phlebotomy technician should identify that which of the following series of venipuncture steps is in the appropriate order?
Assess the site, cleanse the site, and insert the needle
Insert the needle, place the tourniquet and label the tube
Draw the specimen, remove the needle, and remove the tourniquet
Identify the patient, cleanse the site, and assess the site
During a veinpuncture, a patient reports a sharp pain radiating down his arm. Which of the following actions should the phlebotomy technician take?
Continue the draw and monitor the patient’s pain
Reposition the patient and change the needle angle
Pull back on the needle and continue to draw
Release the tourniquet and remove the needle
How often should a phlebotomy technician run quality control tests on point-of-care testing instruments?
Every 6 months
Bimonthly
Daily
Every 2 years
A phlebotomy technician is using a point-of-care test system to determine a patient’s WBC count. For which of the following results should the technician immediately notify the provider?
1.8 mm3
7.4 mm3
4.6 mm3
10.8 mm3
A phlebotomy technician is collecting a blood specimen from a patient who has pneumonia. Besides gloves, which of the following pieces of personal protective equipment should the technician wear?
N95 respirator
Goggles
Mask
Gown
According to OSHA standards, which of the following vaccines must employers offer to their phlebotomist at no cost?
Hepatitis B
Hepatitis C
Hepatitis E
Hepatitis D
Prior to transport, which of the following specimens should a phlebotomy technician place in an ice bath within 30 mins after collection?
Cryoglobulin
Cold agglutinin
Blood culture
Arterial blood gas
A phlebotomy technician is reviewing a laboratory requisition before obtaining blood specimens from a patient. The technician should verify that the requisition includes which of the following information?
A specimen identification code
Emergency contact informaiton
The patient’s previous medications
The patient’s next of kin
A phlebotomy technician is performing a total cholesterol point-of-care test for a patient. For which of the following results should the technician immediately notify the provider?
200 mg/dL
140 mg/dL
300 mg/dL
180 mg/dL
A phlebotomy technician should identify that which of the following tube selections indicates the correct order of draw for a venipuncture?
Gray, green, lavender
Green, lavender, gray
Lavender, green, gray
Green, gray, lavender
A phlebotomy tech is collecting a blood specimen from a patient who has cutaneous diphtheria. Besides gloves, which of the following pieces of personal protective equipment should the technician wear?
Goggles
Mask
Gown
N95 respirator
When should a phlebotomy technician perform external liquid controls for quality control on a CLIA-waived glucose point-of-care test?
When a different technician performs the test
Every week the test is performed
With every patient
When a new lot number or kit is opened
A phlebotomy technician is collecting a blood specimen from a patient for blood cultures. Which of the following additives do the blood collection tubes require?
EDTA
Sodium polyanethol sulfonate
Sodium heparin
Gel serum separator
A phlebotomy technician should identify that which of the following is the total blood volume of an infant who weighs 3.3 kg (7.3 lb)?
240 to 330mL
350 to 390mL
405 to 450mL
125 to 230mL
A phlebotomy technician is instructing a patient how to collect a clean-catch urine specimen. Which of the following cleansers should the technician instruct the patient to use when cleansing around her urinary meatus?
Povidone-iodine
Isopropyl alcohol
Hydrogen peroxide
Mild antiseptic soap
A phlebotomy technician is preparing to collect a blood specimen from a patient for a coagulation study. The patient states, “I faint every time I get my blood drawn.” Which of the following statements should the technician make?
“Tell me if you feel like you’re going to faint, and I will give you smelling salts.”
“This procedure will be over before you know it.”
“I will perform the draw while you are lying down.”
“Don’t worry. I am well trained and you won’t faint with me.”
