NHA Study guide 2023 complete exam update
What test results are affected when Povidone iodine is used to cleanse the site
for a dermal puncture?
Potassium (Povidone-iodine is contraindicated for potassium tests because it can cause
a false elevation of potassium in a specimen
What actions should a phlebotomy Technician take to locate a vein using the
warming technique?
Encase the warm towel in a plastic bag
A Phlebotomy technician is applying a tourniquet prior to collecting a blood
specimen from a patient. What actions should the Technician take?
Tuck a partial loop of the tourniquet under the tourniquet
A Phlebotomy technician has collected a blood specimen from a patient who is in
Ann isolation room. What pieces of PPE should the Technician remove first?
Gloves ( To prevent cross-contamination)
A Phlebotomy technician should transport a semen sample at what temperature?
36 to 38 C (98.6 F)
For what reason should a Phlebotomy Technician examine the anticubital areas
in both of a patient's arm?
The medial cubital vein could be more accessible one one side then the other
A Phlebotomy technician is preparing to dispose of contaminated sharps.
According to OSHA what actions should the Technician take?
Replace the sharps container when it is two-thirds full
A Phlebotomy technician is educating a patient about the at home collection of a
semen specimen. What statement by the patient indicates Ann understanding of
the procedure?
"I will collect the specimen in a sterile container and return it to the lab within 1 hour
A Phlebotomy technician is using a point of care test system to determine a
patient's WBC. For what result should the Technician immediately notify the
provider?
1.8/mm3 (because the finding is outside the expected reference of 4.4 to 11/mm3 for
white blood cells
A Phlebotomy technician is selecting a site to collect a blood specimen from a
patient. After applying a tourniquet, seen no apparent veins to use for the
venipuncture. What actions should the Technician take?
Have the patient dangle her arm for 1 to 2 mins
What actions should a phlebotomy Technician take to maintain compliance with
HIPA?
Clear number from fax machine.
A phlebotomy Technician ic collecting a blood specimen from a patient to
measure the trough level of a medication. The Technician should collect the
specimen at what time?
Within 15 min before the patient receives the next dose of medication. (The Technician
should collect no more than 15 min prior to administration of the next dose of
medication. The trough level is the lowest conncentration innn the patient's blood
, What tubes should a phlebotomy Technician collect first when obtaining dermal
samples?
Lavender tube (The Technician should collect the dermal sample using a lavender
topped tube first because this tube minimizes platelet clumping and micro clot
formation)
What is the best method for a Phlebotomy Technician to collect blood specimen
from an older adult patient who has fragile, easy to collapse veins?
Choose a syringe and butterfly assembly and transfer to an ETS tube (The Technician
should identify that the syringe minimizes pressure on fragile veins and helps prevent
collapsing
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?
2 hr after administering (The Technician should collect a peak level 1-2 hrs following
Ann oral administration to ensure that the medication is not at a toxic level
A phlebotomy technician has a requisition form to perform a chromosome
analysis for a patient. The Technician should select a collection tube that
contains what following additive?
Heparin (It is an anticoagulant that produces a plasma specimen for chromosome
analysis)
A provider has ordered a urine culture and sensitivity test. What type of urine
collection should a phlebotomy Technician obtain?
Clean catch midstream (This type of collection is preferred because it reduces bacteria
for testing)
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 what colors?
Green (This tube has heparin as an additive, which aids in determining sodium levels.)
A phlebotomy technician is collecting capillary blood drops on a filter paper card
to screen a newborn for phenylketonuria. What actions should the Technician
take?
Apply blood to the printed side of the filter paper.
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". What precautions should the
Technician take?
Have the patient rest comfortably for at least 15 min before the venipuncture.
A Phlebotomy technician is preparing several specimens for transport to the
facilities laboratory. What specimens should the Technician protect from bright
light by placing it in Ann amber/brown biohazard bag for transport?
Vitamine B6
A Phlebotomy technician is collecting blood from a patient for donation. The
collection bag only fills halfway, and the veins collapses. What actions should the
Technician take?
Use a new collection bag to draw a new unit of blood (The bag has a specific amount of
the additive citrate phosphate dextrose to prevent coagulation)
What test results are affected when Povidone iodine is used to cleanse the site
for a dermal puncture?
Potassium (Povidone-iodine is contraindicated for potassium tests because it can cause
a false elevation of potassium in a specimen
What actions should a phlebotomy Technician take to locate a vein using the
warming technique?
Encase the warm towel in a plastic bag
A Phlebotomy technician is applying a tourniquet prior to collecting a blood
specimen from a patient. What actions should the Technician take?
Tuck a partial loop of the tourniquet under the tourniquet
A Phlebotomy technician has collected a blood specimen from a patient who is in
Ann isolation room. What pieces of PPE should the Technician remove first?
Gloves ( To prevent cross-contamination)
A Phlebotomy technician should transport a semen sample at what temperature?
36 to 38 C (98.6 F)
For what reason should a Phlebotomy Technician examine the anticubital areas
in both of a patient's arm?
The medial cubital vein could be more accessible one one side then the other
A Phlebotomy technician is preparing to dispose of contaminated sharps.
According to OSHA what actions should the Technician take?
Replace the sharps container when it is two-thirds full
A Phlebotomy technician is educating a patient about the at home collection of a
semen specimen. What statement by the patient indicates Ann understanding of
the procedure?
"I will collect the specimen in a sterile container and return it to the lab within 1 hour
A Phlebotomy technician is using a point of care test system to determine a
patient's WBC. For what result should the Technician immediately notify the
provider?
1.8/mm3 (because the finding is outside the expected reference of 4.4 to 11/mm3 for
white blood cells
A Phlebotomy technician is selecting a site to collect a blood specimen from a
patient. After applying a tourniquet, seen no apparent veins to use for the
venipuncture. What actions should the Technician take?
Have the patient dangle her arm for 1 to 2 mins
What actions should a phlebotomy Technician take to maintain compliance with
HIPA?
Clear number from fax machine.
A phlebotomy Technician ic collecting a blood specimen from a patient to
measure the trough level of a medication. The Technician should collect the
specimen at what time?
Within 15 min before the patient receives the next dose of medication. (The Technician
should collect no more than 15 min prior to administration of the next dose of
medication. The trough level is the lowest conncentration innn the patient's blood
, What tubes should a phlebotomy Technician collect first when obtaining dermal
samples?
Lavender tube (The Technician should collect the dermal sample using a lavender
topped tube first because this tube minimizes platelet clumping and micro clot
formation)
What is the best method for a Phlebotomy Technician to collect blood specimen
from an older adult patient who has fragile, easy to collapse veins?
Choose a syringe and butterfly assembly and transfer to an ETS tube (The Technician
should identify that the syringe minimizes pressure on fragile veins and helps prevent
collapsing
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?
2 hr after administering (The Technician should collect a peak level 1-2 hrs following
Ann oral administration to ensure that the medication is not at a toxic level
A phlebotomy technician has a requisition form to perform a chromosome
analysis for a patient. The Technician should select a collection tube that
contains what following additive?
Heparin (It is an anticoagulant that produces a plasma specimen for chromosome
analysis)
A provider has ordered a urine culture and sensitivity test. What type of urine
collection should a phlebotomy Technician obtain?
Clean catch midstream (This type of collection is preferred because it reduces bacteria
for testing)
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 what colors?
Green (This tube has heparin as an additive, which aids in determining sodium levels.)
A phlebotomy technician is collecting capillary blood drops on a filter paper card
to screen a newborn for phenylketonuria. What actions should the Technician
take?
Apply blood to the printed side of the filter paper.
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". What precautions should the
Technician take?
Have the patient rest comfortably for at least 15 min before the venipuncture.
A Phlebotomy technician is preparing several specimens for transport to the
facilities laboratory. What specimens should the Technician protect from bright
light by placing it in Ann amber/brown biohazard bag for transport?
Vitamine B6
A Phlebotomy technician is collecting blood from a patient for donation. The
collection bag only fills halfway, and the veins collapses. What actions should the
Technician take?
Use a new collection bag to draw a new unit of blood (The bag has a specific amount of
the additive citrate phosphate dextrose to prevent coagulation)
