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Worksheets

NHA Test Practice

Total questions: 125

Worksheet time: 2hrs 5mins

Name
Class
Date
1.

Which of the following test results are affected when a phlebotomy technician uses povidone-iodine to cleanse a site for a dermal puncture?

a)

Glucose

b)

Blood urea nitrogen

c)

Potassium

d)

Coagulation studies

2.

A phlebotomy technician is preparing to dispose of contaminated sharps. According to OSHA standards, which of the following actions should the technician take?

a)

Replace the sharps container when it is two-thirds full.

b)

Discard covered lancets into a metal trash receptacle.

c)

Recap needles before placing them into the sharps container.

d)

Disassemble the evacuated tube system prior to dropping it into the sharps container.

3.

A phlebotomy technician is preparing a peripheral blood smear from a patient's capillary blood. Which of the following actions should the technician take?

a)

Select the patient's index finger for the capillary blood draw.

b)

Use the second drop of blood that emerges from the puncture.

c)

Position the puncture device so it cuts along the lines of the fingerprint.

d)

Touch the slide to the blood at least 3.8 cm (1.5 in) from the end of the slide.

4.

A phlebotomy technician is removing his gloves after a venipuncture procedure. Which of the following actions should the technician take?

a)

Grasp the tips of the fingers of one glove with the other gloved hand.

b)

Remove the first glove so that it turns inside out during removal.

c)

Discard the first glove before removing the second glove.

d)

Turn the gloves right side out before discarding them.

5.

A phlebotomy technician is preparing to perform a fingerstick for a patient. Which of the following actions should the technician take first?

a)

Cleanse the site with an antiseptic wipe.

b)

Position the blade of the lancet across the lines of the fingertip.

c)

Confirm the identity of the patient.

d)

Select the appropriate part of the third or fourth finger.

6.

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?

a)

EDTA

b)

Sodium polyanethol sulfonate

c)

Gel serum separator

d)

None above

7.

Which of the following is a potential consequence of a phlebotomy technician mislabeling a blood bank specimen?

a)

A HIPAA violation

b)

A medical transcription error

c)

A pharmaceutical reaction

d)

A transfusion reaction

8.

For which of the following procedures should a phlebotomy technician follow chain of custody guidelines?

a)

Digoxin level testing

b)

Paternity testing

c)

Lead level testing

d)

Blood culture testing

9.

After exiting a patient's room, which of the following is the last piece of personal protective equipment (PPE) a phlebotomy technician should remove?

a)

Gown

b)

Gloves

c)

Mask

d)

Protective eyewear

10.

Which of the following actions should a phlebotomy technician take to prevent bleeding from a venipuncture site after the needle is removed?

a)

Apply a hot pack to the site if swelling or discoloration occurs.

b)

Apply pressure to prevent leakage of blood into the tissues.

c)

Have the patient bend the arm at the elbow to reduce bleeding.

d)

None above

11.

A phlebotomy technician is washing her hands at the beginning of her shift. Which of the following actions should the technician take?

a)

Turn the faucet off with her wet hand

b)

Use enough soap to form a lather

c)

Rub hands together for at least 5 seconds

d)

None above

12.

A phlebotomy technician must comply with which of the following OSHA requirements when performing a venipuncture?

a)

Wear safety glasses if splashes, spray, splatter, or droplets of blood might be generated.

b)

Recap contaminated venipuncture devices to reduce exposure incidents.

c)

Wear gloves when contact with blood is anticipated.

d)

None above

13.

Which of the following tasks is within a phlebotomy technician's scope of practice?

a)

Sharing new laboratory results with a patient

b)

Providing instructions to patients for specimen collection

c)

Discharging an inpatient following a blood collection

d)

Sharing new laboratory results with a patient

14.

After verifying a patient's identity, a phlebotomy technician sees that the patient's laboratory results are ready. Which of the following actions should the technician take?

a)

Inform the patient to contact the ordering provider to obtain the results.

b)

Have a nyrse interpret the results for the patient.

c)

Explain the results to the patient in a private exam room.

d)

Have a laboratory manager discuss the results with the patient.

15.

A phlebotomy technician should comply with HIPAA to protect which of the following?

a)

Patients' consent

b)

Patients' information

c)

Patients' compliance

d)

Patients' standards

16.

A phlebotomy technician should select a tube that has which of the following anticoagulants to collect a sample for a PT/PTT test?

a)

EDTA

b)

Potassium oxalate

c)

Sodium citrate

d)

Heparin

17.

A phlebotomy technician is introducing herself to a patient and explaining the venipuncture procedure. In which of the following comfort zones is the technician working?

a)

Personal

b)

Social

c)

Public

d)

Intimate

18.

A phlebotomy technician should identify that HIPAA protects which of the following rights as part of the Patient Care Partnership?

a)

A clean care environment

b)

Worker safety

c)

Privacy

d)

Quality testing standards

19.

A phlebotomy technician is updating a quality control record while performing daily point-of-care tests. Which of the following information should the technician include?

a)

Patient’s name

b)

Ordering provider

c)

Expiration date

d)

Diagnosis code

20.

A phlebotomy technician is preparing to store a blood specimen. At which of the following temperatures should the technician store the specimen?

a)

37° to 39° C (98.6° to 102.2° F)

b)

2° to 8° C (35.6° to 46.4° F)

c)

15° to 30° C (59° to 86° F)

d)

20° to -10° C (-4° to 14° F)

21.

A phlebotomy technician is using an evacuated needle holder and blood collection tubes to collect blood from a patient. Which of the following actions should the technician take?

a)

Position the needle at a 45° angle to the skin

b)

Palpate below the puncture site if blood flow is not established.

c)

Push the first collection tube gently into the holder.

d)

Insert the needle with the bevel side facing downward.

22.

A phlebotomy technician is disposing of used supplies when he accidentally receives a needlestick injury. According to OSHA guidelines, which of the following actions should the technician take first?

a)

Go to a medical facility for evaluation.

b)

Wash the puncture site with soap and water.

c)

Seek out counseling about the incident.

d)

None above

23.

A phlebotomy technician is preparing to draw blood from a patient in an inpatient setting. The patient extends his arm and turns his head away. This action by the patient is an example of which of the following types of consent?

a)

Refusal of consent

b)

Informed consent

c)

Implied consent

d)

Expressed consent

24.

When should a phlebotomy technician perform external liquid controls for quality control on a CLIA-waived glucose point-of-care test?

a)

With every patient

b)

When a new lot number or kit is opened

c)

Every week the test performed

d)

When a different technician performs the test

25.

A phlebotomy technician collects multiple specimens from a premature infant. Which of the following is a possible result of the procedure?

a)

Pernicious anemia

b)

Latrogenic anemia

c)

Aplastic anemia

d)

Microcytic anemia

26.

A phlebotomy technician uses sterile technique and demonstrates proper hygiene. Which of the following professional characteristics is the technician displaying?

a)

Attention to cleanliness

b)

Sincerity and compassion

c)

Working well with team members

d)

Respect for patients' dignity

27.

A phlebotomy technician is processing a semen specimen. Which of the following actions should the technician take?

a)

Pour the specimen into a clean condom for transport.

b)

Deliver the specimen to the laboratory within 2 hr.

c)

Transport the specimen at room temperature.

d)

Refrigerate the specimen.

28.

After a phlebotomy technician performs a heel puncture for neonatal screening, which of the following is the correct procedure for collecting the blood?

a)

Smear the blood on the circle.

b)

Apply multiple drops of blood on each circle.

c)

Saturate each circle with one drop of blood.

d)

Touch the heel to the center of the circle.

29.

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

a)

Place a drop of blood the size of a dime on the center of the slide.

b)

Place a drop of blood the size of a dime a half-inch from the edge of the slide.

c)

Place a 1 mm drop of blood on the center of the slide.

d)

Place a 1 mm drop of blood one-half inch from the edge of the slide.

30.

A phlebotomy technician is preparing to perform a lactic acid test. Which of the following actions should the technician take?

a)

Protect the specimen from cold.

b)

Collect the specimen in a royal blue-topped tube.

c)

Collect the specimen in a gray-topped tube.

d)

Protect the specimen from light.

31.

A phlebotomy technician is performing a venipuncture for a patient who begins to seize. Which of the following actions should the technician take?

a)

Place the patient in the prone position.

b)

Discontinue the draw

c)

Restrain the patient

d)

Insert a tongue depressor into the patient's mouth.

32.

A phlebotomy technician is preparing to draw blood from a patient's arm and observes a sore at the site where the tourniquet is to be placed. Which of the following actions should the technician take?

a)

Keep the tourniquet on the patient's arm for 2 min.

b)

Use a slip tourniquet.

c)

Tie the tourniquet over the patient's sleeve.

d)

Position the tourniquet distal to the antecubital area.

33.

Which of the following tubes should a phlebotomy technician collect first when obtaining dermal samples?

a)

Lavender top

b)

Green top

c)

Red top

d)

Light blue top

34.

A phlebotomy technician is verifying a patient's identity before performing a venipunctute procedure. Which of the following information should the technician request from the patient?

a)

The patient's full name and date of birth

b)

The name of the patient's provider

c)

The patient's room and bed number

d)

The patient's city and state of birth

35.

Prior to transport, which of the following specimens should a phlebotomy technician place in an ice bath within 30 min after collection?

a)

Cold agglutinin

b)

Cryoglobulin

c)

Arterial blood gas

d)

Blood culture

36.

A phlebotomy technician is preparing several specimens for transport to the facility's laboratory. Which of the following specimens should the technician protect from bright light by placing it in an amber/brown biohazard bag for transport?

a)

Lactic acid

b)

Vitamin B6

c)

Blood gas

d)

Ammonia

37.

A phlebotomy technician is using the syringe method to obtain a blood culture specimen from an adult patient. Which of the following actions should the technician take?

a)

Scrub the insertion site with isopropyl alcohol for 30 seconds.

b)

Withdraw the blood into a sterile safety syringe.

c)

Collect a total of 10 mL of blood from the patient.

d)

Transfer blood to the anaerobic culture bottle first.

38.

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?

a)

Mark the collection bag as half full:

b)

Use a new collection bag to draw a new unit of blood.

c)

Continue filling the collection bag from an alternate site.

d)

Combine two separate collection bags to make a whole.

39.

A phlebotomy technician is applying a tourniquet prior to collecting a blood specimen from a patient. Which of the following actions should the technician take?

a)

Place the tourniquet 5 cm (2 in) above the antecubital space.

b)

Tuck a partial loop of tourniquet underneath the tourniquet.

c)

Allow space for two fingers beneath the tourniquet.

d)

Release the tourniquet after the blood tube is full.

40.

Which of the following sources for patient identification should a phlebotomy technician use in an inpatient setting?

a)

Verbal and wristband

b)

Medical chart and nurse

c)

Family member and driver's license

d)

Spiritual advisor and provider

41.

According to OSHA standards, which of the following vaccines must employers offer to their phlebotomists at no cost?

a)

Hepatitis B

b)

Hepatitis C

c)

Hepatitis D

d)

Hepatitis E

42.

A phlebotomy technician uses alcohol to cleanse a venipuncture site. Before performing the venipuncture, the technician should allow the site to dry for which of the following reasons?

a)

Alcohol requires time for antiseptie action to take effect.

b)

Alcohol destroys white blood cells.

c)

Alcohol compromises the additives in the tubes.

d)

Alcohol dilutes the blood specimen.

43.

A phlebotomy technician is preparing to draw blood from a patient who states that this is his first blood draw. Which of the following actions should the technician take?

a)

Explain the reason the test was ordered.

b)

Inform the patient of possible complications of the procedure.

c)

Show the patient the gauge of the needle.

d)

Describe the procedure to the patient.

44.

A phlebotomy technician should identify that which of the following colors signifies a health hazard in the National Fire Protection Association (NFPA) 704 Marking System?

a)

Red

b)

White

c)

Yellow

d)

Blue

45.

A phlebotomy technician is collecting a blood specimen from a patient. To avoid hemolysis, which of the following precautions should the technician take?

a)

Leave the tourniquet in place for 90 seconds.

b)

Ensure the alcohol at the insertion site has dried.

c)

Shake the tube after filling it with the patient's blood.

d)

Readjust the needle after insertion.

46.

When collecting a routine blood sample, which of the following veins should a phlebotomy technician attempt to draw from first?

a)

Radial

b)

Ulnar

c)

Distal cephalic

d)

Median cubical

47.

Which of the following collection tubes should a phlebotomy technician use when collecting for a routine chemistry test that requires serum?

a)

SST

b)

EDTA

c)

PST

d)

SPS

48.

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?

a)

Use the thumb to anchor the vein 5 cm (2 in) below the puncture site.

b)

Attach a 5 cm (2 in) piece of hypoallergenic tape 7.5 cm (3 in) below the puncture site to anchor the vein.

c)

Anchor the vein 7.5 to 10 cm (3 to 4 in) above the puncture site.

d)

Apply a flat tourniquet snugly 2.5 cm (1 in) below the puncture site to anchor the vein.

49.

A phlebotomy technician is preparing to obtain a blood specimen from a patient for thyroid studies. The technician should select a collection tube that has a top with which of the following colors?

a)

Speckled

b)

Gray

c)

Green

d)

Light blue

50.

How frequently should a phlebotomy technician perform a quality control test on a glucometer in the laboratory?

a)

Every month the meter is used

b)

Every week the meter is used

c)

Every day the meter is used

d)

Every 6 months the meter is used

51.

A phlebotomy technician is preparing to collect a blood specimen from a patient who signed a general informed consent form upon admission to the facility. Which of the following actions by the patient indicates implied consent for the venipuncture?

a)

Rolling up his shirtsleeve

b)

Asking about the technician's experience

c)

expressing apprehension about the procedurel

d)

Saying he needs to make sure his provider wants these tests

52.

A phlebotomy technician is preparing to obtain a blood specimen to determine a patient's sodium level. The technician should select a collection tube that has a top with which of the following colors?

a)

Lavender

b)

Gray

c)

Green

d)

Yellow

53.

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?

a)

Goggles

b)

Gown

c)

Mask

d)

N95 respirator

54.

For which of the following reasons should a phlebotomy technician centrifuge a serum specimen before transport to an outside reference

laboratory?

a)

Cells must be separated from the serum

b)

Cells will hemolyzel

c)

Platelets must be separated from the serum.

d)

White blood cell levels will be elevated.

55.

A phlebotomy technician has a requisition form to perform a chromosome analysis for a patient. The technician should select a collection tube that contains which of the following additives?

a)

Sodium polyanethol sulfonate

b)

Thrombin

c)

Sodium citrate

d)

Heparin

56.

A phlebotomy technician is preparing to enter a patient's room to collect a blood specimen. Which of the following actions should the technician plan to take?

a)

Knock firmly on the patient's door.

b)

Speak in a loud tone when addressing the patient.

c)

Communicate name and department affiliation to the patient.

d)

Place the specimen collection tray on the patient's bed.

57.

A phlebotomy technician is preparing a patient for a routine venipuncture. Which of the following antiseptic solutions should the technician use?

a)

Povidone-iodine

b)

Hypochlorite solution

c)

Chloramine

d)

Isopropyl alcohol

58.

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?

a)

1.8/mm3

b)

4.6/mm3

c)

7.4/mm3

d)

10.8/mm3

59.

A phlebotomy technician 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?

a)

Mask

b)

Gown

c)

Goggles

d)

N95 respirator

60.

A phlebotomy technician is preparing to draw a peak level for a medication that was administered orally to a patient. After verifying when the patient received the medication, how long should the technician wait prior to attempting the draw?

a)

30 min after administration

b)

2 hr after administration

c)

15 min after administration

d)

4 hr after administration

61.

A phlebotomy technician is drawing a patient's blood when the patient states that she is becoming dizzy and light-headed. Which of the following actions should the technician take first?

a)

Place the patient's head between her legs.

b)

Remove the tourniquet and needle.

c)

Call other medical personnel for help.

d)

Instruct the patient to breathe deeply.

62.

For which of the following reasons should a phlebotomy technician examine the antecubital areas in both of a patient's arms?

a)

The median cubital vein could be more accessible on one side than the other.

b)

The median cubital vein on the dominant arm tends to be anchored better.

c)

The median cubital vein in the nondominant arm tends to be inaccessible.

d)

The median cubital vein could bruise more easily on one side than the other.

63.

A phlebotomy technician is performing a total cholesterol point-of-care test for a patient. Which of the following findings should the technician immediately report to the provider?

a)

300 mg/dL

b)

200 mg/dL.

c)

180 mg/dL

d)

140 mg/dL

64.

A phlebotomy technician receives a chemical splash to his forearm. After removing his contaminated clothing, which of the following is the minimum amount of time the technician should rinse the affected area?

a)

3 min

b)

5 min

c)

10 min

d)

15 min

65.

A phlebotomy technician should identify that the order of draw for capillary collections is different from venipuncture for which of the following reasons?

a)

The risk of hemoconcentration

b)

An increased rate of coagulation

c)

Smaller size of specimens

d)

Additive cross-contamination

66.

A phlebotomy technician observes a hematoma developing at the site of a venous blood draw. Which of the following actions should the technician take?

a)

Observe the site to see if the hematoma worsens.

b)

Ask the patient to apply pressure to the area.

c)

Release the tourniquet and stop the draw.

d)

Call for a nurse to assess the patient's condition.

67.

A phlebotomy technician is planning to collect a sputum specimen from a patient. Which of the following instructions should the technician give the patient?

a)

"Rinse your mouth with mouthwash before we collect the specimen."

b)

"Gargle some water before we collect the specimen."

c)

"Leave your dentures in during specimen collection."

d)

"Breathe deeply and then cough up a specimen into the container."

68.

A phlebotomy technician sees a coworker receive a major electrical shock from an instrument. Which of the following actions should the technician take first?

a)

Call 911

b)

Notify the shift supervisor.

c)

Remove the coworker from contact with the instrument.

d)

Shut off power to the instrument.

69.

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?

a)

Use a small needle for the draw.

b)

Use a large evacuated tube for the draw.

c)

Pull the syringe's plunger back quickly.

d)

Probe the vein with the needle.

70.

A phlebotomy technician should select a tube that has which of the following additives when collecting a blood specimen for a CBC?

a)

SST

b)

EDTA

c)

Lithium heparin

d)

Sodium citrate

71.

A phlebotomy technician is preparing to perform a venipuncture for a 2-year-old child. The child asks if the blood draw will hurt. Which of the following statements should the technician make?

a)

"This will not hurt at all."

b)

"This will go quickly."

c)

"You will feel a small prick."

d)

"You have no reason to worry."

72.

A phlebotomy technician is collecting a urine specimen from a patient for a pre-employment drug test. Which of the following actions should the technician take?

a)

Ensure the specimen is within a temperature range of 21.1° to 26.6° C (69.9° to 79.8° F).

b)

Take the temperature of the specimen within 8 min of collection.

c)

Instruct the patient to flush the toilet after filling the collection container.

d)

Verify that the specimen contains at least 45 mL of urine.

73.

A phlebotomy technician is performing a venipuncture using a winged infusion set. The red-topped tube fills, but the light blue-topped tube slows and does not fill completely. Which of the following actions should the technician take?

a)

Tell the patient that another venipuncture will need to be performed.

b)

Write "insufficient quantity" on the requisition form.

c)

Submit the partially filled light blue-topped tube to the laboratory.

d)

Insert a new light blue-topped tube to see if it will fill.

74.

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?

a)

Offer the patient a high-carbohydrate snack before the venipuncture.

b)

Place the patient in a reclining position for the venipuncture.

c)

Have the patient rest comfortably for at least 15 min before the venipuncture.

d)

Reschedule the venipuncture for another day.

75.

A phlebotomy technician has collected a blood specimen from a patient who is in an isolation room. Which of the following pieces of personal protective equipment (PPE) should the technician remove first?

a)

Gown

b)

Gloves

c)

Mask

d)

Goggles

76.

A phlebotomy technician is preparing to obtain a blood specimen from a patient in an outpatient setting. Using standard precautions, which of the following pieces of personal protective equipment should the technician wear?

a)

Goggles

b)

Gloves

c)

Mask

d)

Gown

77.

A provider has ordered a urine culture and sensitivity test. Which of the following types of urine collection should a phlebotomy technician obtain?

a)

Random

b)

Timed urine collection

c)

First morning

d)

Clean-catch midstream

78.

A phlebotomy technician is preparing to draw blood from a patient who has scabies. Which of the following pieces of personal protection equipment should the technician use?

a)

Goggles

b)

N95 respirator

c)

Gown

d)

Face shield

79.

A phlebotomy technician is preparing to collect a blood specimen from the antecubital site of a patient. Which of the following devices can be used to help stabilize the arm for the collection?

a)

Supply clamp

b)

Hand immobilizer

c)

Phlebotomy wedge

d)

Hand brace

80.

To prevent hospital-acquired infections, a phlebotomy technician should clean items that have been contaminated by blood with a 1:10 dilution of which of the following substances and water?

a)

Hydrogen peroxide

b)

Isopropyl alcohol

c)

Sodium hypochlorite

d)

Benzalkonium chloride

81.

A phlebotomy technician has a mild sensitivity to latex. According to the National Institute for Occupational Safety and Health (NIOSH), which of the following actions should the technician take?

a)

Scrub hands with detergent after wearing latex gloves.

b)

Use gloves with powder inside of them.

c)

Apply oil-based hand creams before putting on latex gloves.

d)

Wear nitrile gloves instead of latex gloves.

82.

A phlebotomy technician is collecting a 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?

a)

Within 15 min before the patient receives the next dose of medication

b)

Less than 15 min after the patient receives a dose of the medication

c)

At least 2 hr after the patient receives a dose of the medication

d)

Approximately halfway between two doses of the medication

83.

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?

a)

Process the specimen.

b)

Review and verify results.

c)

Provide post-puncture care.

d)

Enter critical laboratory data.

84.

A phlebotomy technician is selecting a site to collect a blood specimen from a patient. After applying a tourniquet, the technician sees no apparent vein to use for the venipuncture. Which of the following actions should the technician take?

a)

Apply and inflate a blood pressure cuff to 60 mm Hg.

b)

Puncture the area where the patient's vein should be located.

c)

Tap the area repeatedly until a vein appears.

d)

Have the patient dangle her arm for 1 to 2 min.

85.

Which of the following actions is a phlebotomy technician required to take before leaving a patient's room?

a)

Ask the patient for feedback.

b)

Alert the nurse that she is leaving.

c)

Initial and mark the date and time on each tube drawn.

d)

Initial and mark the date and time on the requisition form.

86.

A phlebotomy technician is preparing to collect a vancomycin peak level for a patient in an inpatient setting. Which of the following actions should the technician take prior to collecting the blood specimen?

a)

Ask the patient when he received his last dose of vancomycin.

b)

Ask the attending nurse if the patient's vancomycin dose schedule is accurate.

c)

Ask the pharmacist when the next dose of vancomycin is scheduled for the patient.

d)

Ask the provider if the patient has received his dose of vancomycin.

87.

A phlebotomy technician has a requisition form for a series of tests on a patient's serum. The technician should select a collection tube that contains which of the following additives?

a)

Sodium fluoride

b)

Thrombin

c)

Sodium citrate

d)

Heparin

88.

A phlebotomy technician is obtaining a blood specimen from a patient. The patient reports experiencing a sharp, painful, and tingling sensation going down her arm and into her hand. The technician should recognize that which of the following complications of venipuncture is occurring?

a)

Nerve injury

b)

Petechiae

c)

Hematoma

d)

Hemoconcentration

89.

A phlebotomy technician is transporting blood specimens to a laboratory. Which of the following actions should the technician take?

a)

Place the specimens in a specimen collection tray.

b)

Place the specimens in the trunk of a car.

c)

Place the specimens in a lockable container.

d)

Place the specimens near an air-conditioning vent in a car.

90.

A phlebotomy technician is preparing to perform a blood draw on a patient who had a left-sided mastectomy and has an IV on her right side. In which of the following locations should the technician perform the draw?

a)

Left median cubital vein

b)

Above the IV

c)

Left dorsal vein

d)

Below the IV

91.

After placing a tourniquet on a patient's arm, a phlebotomy technician notices small red spots below the tourniquet. Which of the following terms describes these spots?

a)

Hemoconcentration

b)

Edema

c)

Urticaria

d)

Petechiae

92.

A phlebotomy technician is assembling the equipment he will need for collecting donor units of blood. Which of the following needle sizes should the technician select?

a)

23-gauge

b)

22-gauge

c)

21-gauge

d)

18-gauge

93.

According to standard precautions, a phlebotomy technician should take which of the following actions when shipping specimens to a reference laboratory in hot weather?

a)

Place the specimens in a box with bubble wrap and a biohazard label.

b)

Place the specimens in a box with cold packs and a biohazard label

c)

Place the specimens in a padded envelope with cold packs and a biohazard label.

d)

Place the specimens in a padded envelope with bubble wrap and a biohazard label.

94.

A phlebotomy technician is preparing to perform a venipuncture on a patient who states, "I faint at the sight of blood." Which of the following positions is optimal for the patient's safety during the procedure?

a)

Lying in a reclined position

b)

Standing against the wall

c)

Sitting upright in a chair

d)

Leaning on a stool

95.

A phlebotomy technician is educating a patient about the at-home collection of a semen specimen. Which of the following statements by the patient indicates an understanding of the procedure?

a)

"I will collect the specimen in a sterile container and refrigerate."

b)

"I will collect the specimen in a sterile container and return it to the lab within 1 hour."

c)

"I will collect the specimen in a clean condom and return in 3 hours."

d)

"I will abstain from ejaculation for 12 hours prior to the test.".

96.

A phlebotomy technician should transport a semen sample at which of the following temperatures?

a)

20° to -10° C

b)

21° to 23° C

c)

25° to 30° C

d)

36° to 38° C

97.

Which of the following actions should a phlebotomy technician take to locate a vein using the warming technique?

a)

Heat a clean towel to 45° C (113° F)

b)

Wrap the warm towel around the site for 1 to 2 min.

c)

Encase the warm towel in a plastic bag.

d)

Ask the patient to rinse her hands in warm water for 2 min.

98.

A phlebotomy technician is collecting capillary blood drops on a filter paper card to screen a newborn for phenylketonuria. Which of the following actions should the technician take?

a)

Apply blood to the printed side of the filter paper.

b)

Add a second drop of blood if a circle is not full.

c)

Touch the puncture site to the filter paper.

d)

Allow the blood spots to dry for a minimum of 2 hr.

99.

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?

a)

Implied consent

b)

Informed consent

c)

Expressed consent

d)

Explicit consent

100.

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?

a)

Double gloves

b)

N95 respirator

c)

Surgical mask

d)

Shoe cover

101.

A phlebotomy technician should identify that which of the following is the first step in the blood collection procedure?

a)

Test requisition

b)

Preparing equipment

c)

Test accession

d)

Accession code

102.

A phlebotomy technician has a request to collect a routine CBC from a healthy 10-month-old infant. Which of the following collection sites should the technician select?

a)

Third finger of either hand

b)

Median antecubital vein

c)

Cephalic vein

d)

Either heel

103.

A phlebotomy technician is reviewing a laboratory test requisition form before obtaining blood specimens from a patient. Which of the following actions should the technician take prior to performing the venipuncture?

a)

Ensure the requisition form includes an accession number.

b)

Review the patient's medication record.

c)

Check the provider's availability.

d)

Check the requisition form for duplicate test orders.

104.

A phlebotomy technician should identify that which of the following is an identifier for a specimen as long as it remains in the laboratory?

a)

ICD-10 codes

b)

Accession number

c)

CPT code

d)

Medical record number

105.

A phlebotomy technician is using a glucose monitor for point-of-care testing of a patient who has been fasting for 12 hr. For which of the following results should the technician immediately notify the provider?

a)

70 mg/dL

b)

90 mg/dL

c)

110 mg/dL

d)

130 mg/dL

106.

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?

a)

Chlorhexidine

b)

Iodophor

c)

Tincture of iodine

d)

Hydrogen peroxide

107.

Which of the following actions should a phlebotomy technician take after collecting an ammonia specimen?

a)

Protect the specimen tube from light.

b)

Keep the specimen tube warm.

c)

Keep the specimen at body temperature.

d)

Place the specimen tube in an ice-water slurry.

108.

A phlebotomy technician is preparing to collect a patient's troponin T level. Which of the following troponin T levels should the technician immediately report to the provider?

a)

0.3 ng/mL

b)

0.2 ng/mL

c)

0.03 ng/mL

d)

0.02 ng/mL

109.

A phlebotomy technician is collecting a blood sample from a newborn who weighs 3 kg (6.6 lb). Which of the following amounts is the maximum volume of blood the technician can draw from this newborn at one time if the maximum allowable volume is 1%?

a)

1.5 mL

b)

3 mL

c)

4 mL

d)

6 mL

110.

A phlebotomy technician should use a capillary collection instead of a venipuncture in which of the following situations?

a)

A patient's veins are inaccessible.

b)

A patient prefers capillary collection.

c)

The technician is collecting blood cultures.

d)

The technician is conducting erythrocyte sedimentation rate (ESR) tests

111.

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)

The patient's next of kin

b)

Emergency contact information

c)

The patient's previous medications

d)

A specimen identification code

112.

Which of the following actions should a phlebotomy technician take to maintain compliance with HIPAA?

a)

Discard test results into the office trash can.

b)

Leave patient information next to the printer,

c)

Clear phone numbers from the fax machine.

d)

Share passwords with other facility staff.

113.

A phlebotomy technician is preparing to collect a blood specimen from a patient who had a right-sided mastectomy. Which of the following sites should the technician select?

a)

Medial cubital vein in the right arm

b)

Medial cubital vein in the left arm

c)

Underside of the right wrist

d)

Underside of the left wrist

114.

A phlebotomy technician is preparing to obtain a blood specimen from a patient for an erythrocyte sedimentation rate test. The technician should select a collection tube that has a top with which of the following colors?

a)

Red

b)

Light green

c)

Lavender

d)

Royal blue

115.

Which of the following is the best method for a phlebotomy technician to collect a blood specimen from an older adult patient who has fragile, easy-to-collapse veins?

a)

Choose a butterfly assembly using'a regular ETS tube.

b)

Choose a butterfly assembly and use a pediatric tube.

c)

Choose a syringe and butterfly assembly and transfer to an ETS tube.

d)

Choose a pediatric tube assembly and a regular ETS tube,

116.

For which of the following conditions does emergency first aid treatment include maintaining an open airway, controlling bleeding, and keeping the patient warm until help arrives?

a)

Syncope

b)

Convulsions

c)

Vomiting

d)

Shock

117.

A phlebotomy technician is working with a patient who has a Mycobacterium tuberculosis infection. Which of the following transmission precautions should the technician use for this patient?

a)

Droplet precautions

b)

Airborne precautions

c)

Radiation precautions

d)

Contact precautions

118.

A phlebotomy technician is preparing to draw a blood specimen from a patient who has a Clostridium difficile infection. Which of the following precautions should the technician follow?

a)

Airborne precautions

b)

Contact precautions

c)

Droplet precautions

d)

Radiation precautions

119.

A phlebotomy technician is exposed to blood via a needlestick injury. Within how many hours should the technician initiate postexposure prophylaxis (PEP)?

a)

24 hr

b)

36 hr

c)

48 hr

d)

72 hr

120.

A phlebotomy technician is processing a semen specimen. Which of the following actions should the technician take?

a)

Refrigerate the specimen.

b)

Transport the specimen at room temperature.

c)

Pour the specimen into a clean condom for transport.

d)

Deliver the specimen to the laboratory within 2 hr.

121.

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?

a)

Hydrogen peroxide

b)

Mild antiseptic soap

c)

Povidone-iodine

d)

Isopropyl alcohol

122.

For which of the following reasons should a phlebotomy technician avoid drawing blood from the leg or foot of a patient who has diabetes?

a)

Veins in these areas are smailer.

b)

These areas are more susceptibie to infection.

c)

Blood draws from these areas are more likely to cause petechiaes

d)

The volume from the draw in this area is too low for testing.

123.

A technician should identify that which of the following is one of the Joint Commission's 2016 National Patient Safety Goals?

a)

Identify the appropriate venipuncture site.

b)

Identify patients correctly.

c)

Identify the correct collection tubes for ordered assays.

d)

Identify the appropriate needle gauges.

124.

A phlebotomy technician is explaining the venipuncture process to an adult patient. The patient nods frequently but appears confused. Which of the following actions should the technician take?

a)

Ask a family member of the patient to confirm if the patient understands.

b)

Assume that the patient understands, and proceed with the procedure.

c)

Rephrase the information for the patient.

d)

Repeat the information in a louder voice.

125.

For which of the following reasons should a phlebotomy technician document the total volume of blood drawn from a patient?

a)

To provide documentation for the patient's personal records

b)

To ensure a sufficient amount is drawn for laboratory tests

c)

To determine if the patient is at risk for developing iatrogenic anemia

d)

To obtain a reference for future blood draws