NHA Phlebotomy Practice

Troponin T levels

0-0.2 ng/ml

Cholesterol Reference Range

140 to 200 mg/dL

A phlebotomist is preparing to store a blood specimen. At what temperature should the technician store the specimen?

2-8 C (35.6-46.4 F)

WBC Reference Range

4.4 to 11/mm3

Glucose Range

70 to 110 mg/dL.

Fire Hazard color

A fire hazard is signified by the color red in the NFPA 704 Marking System.

Health Hazard color

A health hazard is signified by the color blue in the NFPA 704 Marking System.

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

According to OSHA standards, the technician should replace the sharps container when it is two-thirds full.

First aid treatment for vomiting

Apply a cold compress to the patient's head, instruct the patient to breathe deeply, and offer a washcloth or tissues

Fecal occult specimen collection

Avoid taking ibuprofen, collect for 3 days, consume a high-fiber diet, keep the cards at room temperature

Cause of Pernicious Anemia

B12 deficiency

Cause of Aplastic Anemia

Bone marrow abnormalities

First aid treatment for convulsions

Call for help and assist the patient to lie down

First aid treatment for syncope

Call for help, lower the patient's head between their legs, and if possible, assist the patient to lie down

First aid treatment for shock

Call for help, maintain an open airway, control bleeding, and keep the patient warm

A provider has ordered a urine culture and sensitivity test. What type of urine collection should a phlebotomy technician obtain?

Clean-catch midstream

Clostridium difficile

Contact precautions

For an older adult who has difficult to access veins, a phlebotomy technician should select which of the following veins to perform a venipuncture?

Dorsal Veins. The technician should select the veins on the back of the patient's hand because they might be the only accessible site if the patient is an older adult who has difficult-to-access veins.

Additive for CBC

EDTA

Additive used for CBC

EDTA

Lavender Tube Additive

EDTA

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

Every day the meter is used

Order of PPE removal

Gloves, goggles, gown, mask

Tube for potassium test

Green

Tube used for sodium levels

Green

Tube for sodium level tests

Green (Heparin)

Tube for lactic acid test

Grey

Cause of Microcytic Anemia

Hemoglobin Abnormalities (Iron Deficiency)

Additive used for a chromosome analysis

Heparin

Green Tube Additive

Heparin

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 she has received what type of consent?

Implied Consent

Instability color

Instability is signified by the color yellow in the NFPA 704 Marking System.

Tube for erythrocyte sedimentation rate test

Lavender

Which tube is first for dermal punctures?

Lavender

Tube for creatine kinase test

Light Green

why should a phlebotomist avoid drawing blood from the leg or foot of a diabetic patient?

Patients who have diabetes are more susceptible to infection in the feet and legs due to having a slowed ability to heal. The technician should consult the patient's provider before drawing a specimen from the lower extremities.

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?

Personal

Conditions that require droplet precautions

Pneumonia, scarlet fever, meningitis, and rubella

What test results are affected when Povidone iodine is used to cleanse the site for a dermal puncture?

Potassium

Tube for drug level test

Red

What tube comes last in a dermal order of draw?

Red

Tube for heavy metal test

Royal Blue

Conditions that require contact precautions

Scabies and herpes simplex

Additive used for a PT/PTT test

Sodium Citrate

Tube for thyroid studies

Speckled

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

Technicians should use at least two forms of identification to identify patients correctly. The Joint Commission's National Patient Safety Goals help health care facilities address areas of concern regarding patient safety. The 2016 goals include identifying patients correctly, improving staff communication, using medicines safely, using alarms safely, preventing infections, identifying patient safety risks, and preventing mistakes in surgery.

A phlebotomy technician is collecting a blood specimen from an adolescent patient who weighs 42.6 kg (94 lbs). What amount of blood is acceptable to collect if the maximum allowable volume of blood is 1%?

The technician can draw a maximum volume of 42.6 mL within 24 hr from a patient who weighs 42.6 kg (94 lb).

Alternative to alcohol for patients allergic to alcohol

The technician should apply chlorhexidine to the insertion site. Chlorhexidine is an alternative antiseptic solution for patients who have allergies to alcohol or latex.

Best technique to use on the arm when applying an antiseptic solution

The technician should apply the antiseptic solution using back and forth strokes because this motion is effective in decontaminating the site.

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?

The technician should ask the attending nurse if the patient's vancomycin dose schedule is accurate prior to collection. This action ensures an accurate peak level for therapeutic medication monitoring.

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?

The technician should communicate her name and department affiliation to the patient when entering the room to collect a blood specimen

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

The technician should encase the warm towel in a plastic bag to maintain the towel's temperature and to keep the patient's skin dry. The technician should ask the patient to rinse her hands in warm water for 1 min to enhance the visibility of the veins. More than 1 min of hand washing in warm water can affect the temperature and quality of the blood being drawn. The technician should wrap the warm towel around the site for 3 to 5 min. The technician should heat a clean towel to 42° C (107.6° F).

A phlebotomy technician is collecting a urine specimen from a patient for a pre-employment drug screening. Which of the following should indicate to the technician that tampering has possibly occured?

The technician should identify that a specimen temperature of 30° C (86° F) is below the expected range of 32° to 38° C (90° to 100° F) and indicates possible tampering. Creatinine levels below 20 mg/dL can indicate tampering. A specific gravity of less than 1.003 or greater than 1.025 can indicate tampering.

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

The technician should immediately shut off the instrument to eliminate the source of the electrical shock.

How many times should a technician invert a lavender topped tube?

The technician should invert the lavender-topped tube eight to ten times to ensure adequate mixing of the additive and the blood.

What is a phlebotomist required to obtain from a potential blood donor?

The technician should obtain the patient's complete medical history before the patient may donate blood.

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

The technician should place a 1 mm drop of blood one-half inch from the edge of the slide.

Ammonia specimen specific procedure

The technician should place the specimen tube in an ice-water slurry. Chilling the specimen slows down metabolic processes and protects the analytes.

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?

The technician should rinse the affected area for a minimum of 15 min after the contaminated clothing has been removed.

Which of the following actions should a phlebotomy technician take when reporting laboratory results?

The technician should send the laboratory results to the ordering provider.

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?

The technician should verify that the specimen contains at least 45 mL of urine. This amount allows for 30 mL to be put in one specimen bottle and 15 mL to be put in another bottle. The technician should ensure that the specimen is within a temperature range of 32° to 38° C (90° to 100° F). The technician should take the temperature of the specimen within 4 min of collection to ensure the urine is within the expected temperature range and tampering has not occurred. To prevent tampering, the technician should instruct the patient not to flush the toilet after filling the collection container.

Accelerates clotting for serum specimens

Thrombin

Additive used for serum specimens

Thrombin

Cause of Iatrogenic Anemia

Too much blood loss in a short amount of time

Conditions that require airborne precautions

Tuberculosis, Measles, and Varicella

PTT test

Use light blue tube, no capillary draws

Protect from bright light

Vitamin B6

A phlebotomist is 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 minutes before the patient receives the next dose of medication.

Semen transport

Within 2 hours, at body temperature, in a sterile container not a condom, do not expose to light

EDTA, PST, SPS

Yield plasma not serum

Tube for coagulation studies

light blue

Grey Tube Additive

potassium oxalate

SST

serum separator tube