*NURSING > QUESTIONS & ANSWERS > NHA Phlebotomy practice test (Answered) 2022/2023 | Already Passed (All)

NHA Phlebotomy practice test (Answered) 2022/2023 | Already Passed

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First piece of PPE that should be removed - ANSWER-GLOVES Which of the following should be collected first when taking a dermal sample? - ANSWER-Lavender Top How long after a patient has taken a... n oral medication should blood be drawn for peak level of the medication? - ANSWER-2 hours What should be done if vein collapsed half way through collecting blood from a patient for donation? - ANSWER-use a new collection bag to draw a new unit of blood If a patient has a right side mastectomy ..... - ANSWER-use median cubital in the left arm If the site is sore where the tourniquet will placed - ANSWER-place it over the patients sleeve If veins are not apparent after placing tourniquet - ANSWER-have the patient dangle their arms for 1-2 min Red spots after placing a tourniquet is - ANSWER-Petechiae anticoagulant tube used to collect sample for a PT/PTT test. - ANSWER-sodium citrate to collect a sample for a PT/PTT test. (light blue) Identifier for specimen used while in a lab - ANSWER-The accession number identifies a specimen as long as it remains in the laboratory. when collecting for an erythrocyte sedimentation rate test. - ANSWER-use lavender- colored top Who should be asked to check if patient's vancomycin dose schedule is accurate for an accurate peak level collection - ANSWER-ask the attending nurse if the patient's vancomycin dose schedule is accurate prior to collection Instructions that should be given to collect sputum - ANSWER-instruct the patient to breathe deeply and then cough up a specimen into the container. First step that should be done when collecting blood - ANSWER-check tests requisition form PPE removal order - ANSWER-gloves, goggles, gown, then mask When applying a tourniquet - ANSWER-tuck a section of a free end of the tourniquet under the circumferential portion next to the patient's skin peripheral blood smear from a patients capillary blood - ANSWER-use the second drop of blood that emerges from the puncture to ensure accurate results when collecting a specimen for a CBC. - ANSWER-The technician should use a collection tube that contains EDTA Why should serum be centrifuged before being transported - ANSWER-cells must be separated What should be used for patients serum test - ANSWER-collection tube that has the additive thrombin when working with patients who have active tuberculosis - ANSWER-wear an N95 respirator Tube that should be use for thyroid studies - ANSWER-a collection tube that has a speckled top when collecting a specimen for thyroid studies (T3, T4, and thyroid- stimulating hormone). when collecting a specimen for a lactic acid test - ANSWER-a collection tube that has a gray-colored top when collecting a specimen for a potassium test - ANSWER-a collection tube that has a green-colored top when collecting a specimen for a coagulation study - ANSWER-a collection tube that has a light blue-colored top when entering the room to collect a blood specimen - ANSWER-communicate her name and department affiliation to the patient Where should ammonia specimen be placed after collection - ANSWER-in an ice-water slurry how should cold agglutinin specimen be kept after collection - ANSWER-warmed how should bilirubin specimen be kept after collection - ANSWER-away from light how should semen specimen be kept after collection - ANSWER-kept at body temp The technician should ensure patient confidentiality by - ANSWER-clearing phone numbers and email addresses from office equipment, such as fax machines and copiers. technician should follow contact precautions when interacting with a patient who has scabies - ANSWER-wearing gloves and a gown. even if results are ready - ANSWER-instruct the patient to contact the provider to obtain the laboratory results. in an inpatient setting. - ANSWER-use a verbal confirmation of the patient's identity and the patient's wristband to identify a patient prior to performing the venipuncture - ANSWER-check the requisition form for duplicate test orders, discrepancies, and missing information for a urine culture and sensitivity test - ANSWER-obtain a clean-catch midstream collection which is photosensitive - ANSWER-vitamin B6 Povidone-iodine is contraindicated for - ANSWER-potassium tests The technician should rinse the affected area for a minimum of - ANSWER-15 minutes Chain of custody guidelines apply to - ANSWER-drug screenings, forensic studies, blood alcohol tests, and paternity testing. if a hematoma forms... - ANSWER-immediately remove the tourniquet and needle, and apply pressure to the site for 2 minutes tube used for chromosome analysis - ANSWER-use a collection tube that contains the additive heparin for microbiology culture specimens - ANSWER-use the anticoagulant sodium polyanethol sulfonate tube (yellow) after a receiving a needlestick injury is to decontaminate the puncture site by - ANSWER-washing it with soap and water for 30 seconds. immediately report this findings of which levels of cholesterol to the provider - ANSWER-300 mg/dL should place the specimens to avoid spills during transportation - ANSWER-in a lockable container The first action the technician should take when the patient reports feeling dizzy and lightheaded is to - ANSWER-remove the tourniquet and needle Veins have a tendency to roll away from the needle - ANSWER-hold the vein in place to help anchor it and prepare it for the puncture 2.5 to 5 cm with thumb protect the skin from infections that can be transmitted by contact (cutaneous diphtheria) - ANSWER-wear a gown post-examination phase of the CLSI clinical laboratory workflow pathway - ANSWER- Entering critical laboratory data pre-examination phase of the CLSI clinical laboratory workflow pathway - ANSWER- post-puncture care examination phase of the CLSI clinical laboratory workflow pathway - ANSWER- Reviewing and verifying results pre-examination phase of the CLSI clinical laboratory workflow pathway - ANSWER- Processing the specimen collection for trough level of medication in the patient's blood - ANSWER-collect the specimen no more than 15 min prior to administration of the next dose of medication to collect a blood specimen from the small vein of an older adult - ANSWER-use a small needle to collect specimens from infants who are under 1 year of age - ANSWER-use a heelstick OSHA requires employers to offer the - ANSWER-hepatitis B vaccine to at risk employees within 10 days of hire at no cost to the employee When washing hands be sure to - ANSWER-form a lather by rubbing her hands together for at least 15 seconds, covering all surfaces of her hands and fingers with soap Standard precautions require the technician to transport specimens in hot weather - ANSWER-an enclosed container with ice packs and a biohazard label The technician should immediately notify the patient's provider that the patient has a fasting blood glucose of - ANSWER-130 mg/dL, which is above the expected reference range of 70 to 110 mg/dL. to disinfect items that are contaminated by blood - ANSWER-use a 1:10 dilution of sodium hypochlorite, or chlorine bleach with water to collect specimen from older adults with easy to collapse vein use a - ANSWER- syringe and butterfly assembly and transfer to an ets tube when obtaining a blood culture specimen - ANSWER-- withdraw the blood into a sterile safety syringe after obtaining it - collect 20 mL total (put 10 mL anaerobic bottle first then put 10 mL in aerobic bottle) a patient has a right side mastectomy and an IV on the left arm, where should blood be drawn? - ANSWER-draw blood from a site below the IV an alternative antiseptic solution for patients who have allergies to alcohol or latex - ANSWER-chlorhexidine When removing gloves, the technician should - ANSWER-turn the first glove inside out during removal to decrease chances of contact with blood to eliminate the source of the electrical shock from a coworker getting shocked - ANSWER-immediately shut off the instrument a patient who has just engaged in strenuous physical activity prior to blood collection - ANSWER-the patient rest for 15 to 30 min before performing the venipuncture which specimen should be placed in an ice bath within 30 minutes of collection - ANSWER-ABG specimen draw a maximum volume of mL at one time from a newborn who weighs 3 kg - ANSWER-3 mL kg x 100= ??? ???/100 = volume in mL The technician should identify that semen samples should be stored and transported at - ANSWER-36 to 37° C (98.6° F) Order of Draw for Capillary Specimens and venipuncture is different because - ANSWER-an increased rate of coagulation during capillary collections to avoid hemolysis - ANSWER-allow alcohol to dry completely before venipuncture to access difficult veins in the patient's hand - ANSWER-use a hand immobilizer The technician should immediately report troponin levels finding to the provider - ANSWER-of 0.3 ng/mL (expected reference range of 0 to 0.2 ng/mL) technician should collect a capillary specimen if - ANSWER-veins are inaccessible due to IVs, scarring, or burns Tube that should be used for routine chemistry test that requires serum - ANSWER-SST tube The technician should wear a when collecting a blood specimen from a patient who has pneumonia, - ANSWER-mask By extending his arm to the technician - ANSWER-the patient is giving implied consent A health hazard is signified by the color in the NFPA 704 Marking System - ANSWER-blue A fire hazard is signified by the color in the NFPA 704 Marking System - ANSWER-red What should be done to specimens before leaving a patients room - ANSWER-Mark each specimen with date time and initials How often should quality test on glucometer be performed in the laboratory - ANSWER- everyday that it is used venipuncture collection site in order - ANSWER-- Median Cubital - Distal Cephalic When collecting blood - ANSWER-gloves should be worn What should be verified for premployment drug test - ANSWER-45 mL of urine ( 30 mL in one bottle and 15 mL in another) When reviewing requisition form verify that - ANSWER-it contains specimen ID code and patients ID When collection capillary blood drops on filter paper - ANSWER-apply blood to printed side of filter How should the warming technique be use of a patients arm - ANSWER-place warm towel in a plastic bag which indicates implied consent - ANSWER-rolling of the sleeve sharp painful and tangling sensation down arm and into hand - ANSWER-nerve injury WBC ranges between - ANSWER-4.4 to 11/mm3 quality control of CLIA-waived glucose for point of care test performed - ANSWER-once new kit is opened [Show More]

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