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Phlebotomy > NHA Review > Flashcards

NHA Review Flashcards

1
Q

collect putum for specimen from patient?

A

The technician should instruct the patient to breathe deeply and cough up into a container

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2
Q

To prevent hospital acquired infections, the technician should use 1:10 dilution of what substance and water

A

Sodium Hypochlorite or Chlorine bleach

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3
Q

What would be implied consent for venipuncture

A

patient rolls up his shirtsleeve or holds out his arm

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4
Q

What additive should the technician select is used when collecting a CBC

A

EDTA (lavender)

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5
Q

What test results are affected when a technician uses providine iodine to cleanse for a dermal puncture?

A

Potassium (false elevation of potassium)

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6
Q

A technician should collect a semen sample at which temperature?

A

36 to 38 degrees C

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7
Q

Technician prepraing to draw blood in a inpatient setting, The patient extending his arm and turning away is an example of which type of consent?

A

implied consent

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8
Q

Transporting blood specimens to a lab, the technician should?

A

Place the specimen in a lockable container to avoid spills

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9
Q

Technician preparing to draw a peak level specimen for a medication administered orally. After verifying how long ago the patient took the medication, how long should the technician wait before attempting the draw?

A

1 to 2 hours following an oral administration

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10
Q

Preparing to obtain blood for a thyroid study. Which tube should the technician use?

A

Speckled Tube

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11
Q

Collecting capillary blood drops on a filter paper card to screen a newborn for PK. How should

A

The technician should only apply blood to the printed side of the filter paper

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12
Q

Point of care test system is being used to determine the WBC of the patient. Which of the following results should the technician notify the provider?

A

1.8mm because this is out of the range of 4.4 to 11mm

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13
Q

Peripheral blood smear from a patients capillary blood. Which action should the patient take?

A

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

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14
Q

collecting from fragile, easy to collapse veins

A

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

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15
Q

How often should you perform a QC on a glucometer

A

Every day the meter is used.

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16
Q

following the CLSI workflow pathway. As part of the post examination phase of this process, which action should the technician take?

A

Enter critical lab data

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17
Q

Which tube should be collected first when collecting dermal samples?

A

Lavender because it minimizes platelet clumping and microclot formation

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18
Q

Which side should the phlebotomist select to draw blood when the patient has had a right-sided mastectomy?

A

Median cubital vein of the left arm

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19
Q

Why should a technician centrifuge a serum specimen before transport to an outside lab?

A

Cells must be separated from the serum. If not the cells continue to metabolize in the serum

20
Q

What is the technician required to take before leaving the patient’s room?

A

Mark each specimen with the date and her initials before leaving the room

21
Q

National Fire Protection Association (NFPA) 704 Marking

A

BLUE

22
Q

Collecting a CBC from a child under the age of one should be collected from where?

A

Either heel (causes less trauma)

23
Q

Total cholesterol point of care test that is out of range and the provider should be alerted.

A

300mg/dl above the reference range of 140-200mg/dl

24
Q

Trough level

A

Lowest concentration of (medication) in the blood

25
Q

OSHA requires which vaccine to all employers free of charge?

A

HEP B

26
Q

Identifier for a specimen as long as it stays in the lab?

A

Accession Number

27
Q

Procedure for collecting a semen specimen

A

The patient will collect the specimen in a sterile container, keep the specimen warm and return to the lab within 1 hour

28
Q

Chemical splash to the forearm, What is the min amount of time that the affected area should be washed?

A

15 MINs

29
Q

The order of draw for capillary blood is different from venipuncture because

A

Due to an increased rate of coagulation. Thromboplastin is released when the skin is punctured, causing blood to clot more quickly.

30
Q

Collecting blood for a donation and the vein collapses, what should you do?

A

Use a new collection bag to draw a new unit of blood. The technician should do this because the collection bag has a specific amount of citrate phosphate dextrose to prevent coagulation.

31
Q

What precaution should be taken to prevent hemolysis?

A

Allow the alcohol to dry before

32
Q

What action is taking when collecting an ammonia specimen?

A

Ice-water slurry. This slows down the metabolic process and protects the analytes

33
Q

When should the phlebotomist perform external liquid controls on a CLIA waived glucose POC test

A

When new lot number and kit is opened

34
Q

What Tropinin T level will be reported to the provider?

A

0.3 ng/ml which is out of reference range of 0 to .2ng/ml

35
Q

How do you locate the vein using a warming technique?

A

encase the warm towel in a plastic bag to maintain the temp and to keep the patients skin dry.

36
Q

Which specimen should be places in an ice bath within 30 mins after collection?

A

ABG’s

37
Q

Chromosome analysis is for a collection to that contains which additive?

A

Heprin (green tube)

38
Q

To determine a patient’s sodium level, which collection tube should be selected?

A

Heprin (green) this aids in determining sodium levels

39
Q

Hematoma develops during blood draw, what should the technician do?

A

release the tourniquet and stop the draw to prevent the hematoma from getting larger and excessive bruising.

40
Q

A specimen that should be protected from bright light by placing it in a amber/brown bio hazard bag for transport?

A

Vitamin B6

41
Q

Urine specimen collected for a pre-employment drug test. What action should be taken?

A

Verify the specimen contains atleast 45ml of urine

42
Q

First Step in the blood collection procedure..

A

Test the requisition to ensure the provider has ordered the test

43
Q

Collecting for a routine chemistry test that requires serum

A

SST (the thixotropic gel changes the viscosity and moves between the serum and the cells.)

44
Q

Obtaining a blood culture from an adult patient the technician should use a …

A

sterile safety syringe

45
Q

Collection of donor units of bood

A

use a 18 guage

46
Q

After applying a tourniquet, no apparent vein to be used for collection, What should the technician do?

A

Have the patient dangle her arm 1 to 2 min for veins to fills to capacity with blood

Phlebotomy (1 decks)

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