NHA Review Flashcards
collect putum for specimen from patient?
The technician should instruct the patient to breathe deeply and cough up into a container
To prevent hospital acquired infections, the technician should use 1:10 dilution of what substance and water
Sodium Hypochlorite or Chlorine bleach
What would be implied consent for venipuncture
patient rolls up his shirtsleeve or holds out his arm
What additive should the technician select is used when collecting a CBC
EDTA (lavender)
What test results are affected when a technician uses providine iodine to cleanse for a dermal puncture?
Potassium (false elevation of potassium)
A technician should collect a semen sample at which temperature?
36 to 38 degrees C
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?
implied consent
Transporting blood specimens to a lab, the technician should?
Place the specimen in a lockable container to avoid spills
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?
1 to 2 hours following an oral administration
Preparing to obtain blood for a thyroid study. Which tube should the technician use?
Speckled Tube
Collecting capillary blood drops on a filter paper card to screen a newborn for PK. How should
The technician should only apply blood to the printed side of the filter paper
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?
1.8mm because this is out of the range of 4.4 to 11mm
Peripheral blood smear from a patients capillary blood. Which action should the patient take?
Use the second drop of blood that emerges from the puncture site
collecting from fragile, easy to collapse veins
Choose a syringe and a butterfly assembly ans transfer to ETS tube.
How often should you perform a QC on a glucometer
Every day the meter is used.
following the CLSI workflow pathway. As part of the post examination phase of this process, which action should the technician take?
Enter critical lab data
Which tube should be collected first when collecting dermal samples?
Lavender because it minimizes platelet clumping and microclot formation
Which side should the phlebotomist select to draw blood when the patient has had a right-sided mastectomy?
Median cubital vein of the left arm
Why should a technician centrifuge a serum specimen before transport to an outside lab?
Cells must be separated from the serum. If not the cells continue to metabolize in the serum
What is the technician required to take before leaving the patient’s room?
Mark each specimen with the date and her initials before leaving the room
National Fire Protection Association (NFPA) 704 Marking
BLUE
Collecting a CBC from a child under the age of one should be collected from where?
Either heel (causes less trauma)
Total cholesterol point of care test that is out of range and the provider should be alerted.
300mg/dl above the reference range of 140-200mg/dl
Trough level
Lowest concentration of (medication) in the blood
OSHA requires which vaccine to all employers free of charge?
HEP B
Identifier for a specimen as long as it stays in the lab?
Accession Number
Procedure for collecting a semen specimen
The patient will collect the specimen in a sterile container, keep the specimen warm and return to the lab within 1 hour
Chemical splash to the forearm, What is the min amount of time that the affected area should be washed?
15 MINs
The order of draw for capillary blood is different from venipuncture because
Due to an increased rate of coagulation. Thromboplastin is released when the skin is punctured, causing blood to clot more quickly.
Collecting blood for a donation and the vein collapses, what should you do?
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.
What precaution should be taken to prevent hemolysis?
Allow the alcohol to dry before
What action is taking when collecting an ammonia specimen?
Ice-water slurry. This slows down the metabolic process and protects the analytes
When should the phlebotomist perform external liquid controls on a CLIA waived glucose POC test
When new lot number and kit is opened
What Tropinin T level will be reported to the provider?
0.3 ng/ml which is out of reference range of 0 to .2ng/ml
How do you locate the vein using a warming technique?
encase the warm towel in a plastic bag to maintain the temp and to keep the patients skin dry.
Which specimen should be places in an ice bath within 30 mins after collection?
ABG’s
Chromosome analysis is for a collection to that contains which additive?
Heprin (green tube)
To determine a patient’s sodium level, which collection tube should be selected?
Heprin (green) this aids in determining sodium levels
Hematoma develops during blood draw, what should the technician do?
release the tourniquet and stop the draw to prevent the hematoma from getting larger and excessive bruising.
A specimen that should be protected from bright light by placing it in a amber/brown bio hazard bag for transport?
Vitamin B6
Urine specimen collected for a pre-employment drug test. What action should be taken?
Verify the specimen contains atleast 45ml of urine
First Step in the blood collection procedure..
Test the requisition to ensure the provider has ordered the test
Collecting for a routine chemistry test that requires serum
SST (the thixotropic gel changes the viscosity and moves between the serum and the cells.)
Obtaining a blood culture from an adult patient the technician should use a …
sterile safety syringe
Collection of donor units of bood
use a 18 guage
After applying a tourniquet, no apparent vein to be used for collection, What should the technician do?
Have the patient dangle her arm 1 to 2 min for veins to fills to capacity with blood
