NHA Phlebotomy Certification Quiz & Flashcards

Questions and Answers

What temperature should a semen sample be transported?

36-38 degrees C

Which of the following would result in a grossly hemolyzed specimen?

Failure to invert tube

Incorrect needle gauge (correct)

Applying tourniquet too close to the draw site

Incorrect order of draw

Which of the following is proper procedure after collecting an ammonia specimen?

Keep specimen warm

Protect from light

Keep specimen at body temp

Place specimen in icewater slurry (or a cup of ice) (correct)

The phlebotomist has a request to collect a CBC from a healthy 10-month-old. Which is appropriate?

Either heel Signup and view all the answers

A phlebotomist is preparing to draw blood from a patient in the hospital. The patient extends his arm and turns head away. What type of consent does this indicate?

Implied consent Signup and view all the answers

Why should a phlebotomist document the volume of blood drawn from a patient?

Iatrogenic anemia could be a result of too much taken Signup and view all the answers

What steps would a phlebotomist take when drawing blood on a patient with severe Down's syndrome?

Speak with the patient guardian before performing venipuncture to ensure the patient understands Signup and view all the answers

Which action is appropriate when labeling specimens?

Label specimens at the time of collection in front of the patient Signup and view all the answers

What should a phlebotomist do if there's no wristband on a patient before collecting blood?

Don't draw until nurse puts an armband on patient Signup and view all the answers

Which is an appropriate form of identification in an inpatient setting?

Verbal and wristband Signup and view all the answers

WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary collection?

Lavender and red Signup and view all the answers

Why was a blood specimen rejected by the lab with QNS as the reason?

The specimen was insufficient - not enough blood Signup and view all the answers

Which is the best method to prevent bleeding from venipuncture site after the needle is removed?

Apply pressure to prevent leakage of blood into the tissues Signup and view all the answers

What is the appropriate procedure for an improperly labeled specimen when received in the lab?

Lab rejects the mislabeled specimen Signup and view all the answers

What should a phlebotomist do if the patient begins to seize during a venipuncture?

Discontinue the draw Signup and view all the answers

Which specimen should be drawn first when receiving orders for an infant screening card, O2 levels, bilirubin, and DNA?

O2 levels Signup and view all the answers

What is the correct technique for needle insertion during venipuncture on an average weight patient?

Insert until a change in resistance Signup and view all the answers

Which is the best method to collect a blood specimen from an older adult patient with fragile veins?

Choose a syringe and butterfly assembly Signup and view all the answers

What is the term for the donation of a patient's own blood for an upcoming surgery?

Autologous donation Signup and view all the answers

Why is the order of draw for capillary collections different from venipuncture?

Increased risk of coagulation Signup and view all the answers

What should a phlebotomist do upon entering a patient's room for routine blood draw if a clergy member is with the patient?

Return later after drawing other patients Signup and view all the answers

What should a phlebotomist do if they notice a hematoma developing at the venipuncture site?

Release the tourniquet and stop the draw Signup and view all the answers

What should a phlebotomist tell a patient submitting a semen specimen?

As soon as you collect the specimen, keep it next to your body and bring it in right away. Signup and view all the answers

What condition is indicated by small red spots below the tourniquet?

Petechiae Signup and view all the answers

Why should the phlebotomist examine the antecubital veins of both arms?

The median cubital might be more accessible on one side than the other Signup and view all the answers

What is the appropriate cleanser to clean the meatus for a clean catch urine specimen?

Benzalkonium chloride Signup and view all the answers

When should the code on glucose cuvettes or strips be compared to the code on the glucose meter?

When the patient is tested Signup and view all the answers

Which tube is appropriate to use when collecting for a chemistry test that requires serum?

SST (the red gel tube) Signup and view all the answers

What should be done if a patient states they are a difficult draw and requests a skin puncture for a PTT test?

Use a syringe and transfer to a light blue tube Signup and view all the answers

According to industry standard, what is the needle insertion angle for the antecubital area?

15-30 degree angle Signup and view all the answers

What additive should be used for CBC?

EDTA (purple tube) Signup and view all the answers

Which specimen must be placed on ice within 30 minutes after collection?

Arterial Blood Gases Signup and view all the answers

What provides the best protection when drawing blood from a patient with active TB?

N-95 respirator mask Signup and view all the answers

If a patient becomes unresponsive during a blood draw, what should the phlebotomist do?

Check for breathing Signup and view all the answers

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

These areas are more susceptible to infection Signup and view all the answers

What is the importance of placing a specimen in a biohazard specimen bag outside the laboratory?

The biohazard bag prevents a possible exposure incident Signup and view all the answers

What should a student phlebotomist say during a proper introduction?

Hi, my name is Sally Smith. I am a student phlebotomist and I'm here to collect a blood specimen. Signup and view all the answers

When using the evacuated tube system (EVS), how should the needle be positioned?

Position the needle in the same direction as the vein at a 30-degree angle Signup and view all the answers

What is the additive for PT/PTT?

Sodium Citrate (Blue top) Signup and view all the answers

What bottles should be used for blood cultures ordered on an ICU patient?

Aerobic and anaerobic bottles Signup and view all the answers

What is required from a potential blood donor?

Complete medical history Signup and view all the answers

What should a phlebotomist do if they notice an empty breakfast plate at the bedside of a patient scheduled for a glucose tolerance test?

Ask the patient when he or she ate last Signup and view all the answers

Which vein should be attempted first for venipuncture?

Median cubital Signup and view all the answers

What should be the first action if a phlebotomist is stuck with a used needle?

Flush the area with running water Signup and view all the answers

What should be placed on collection tubes for correct specimen handling?

Date, time, and initials Signup and view all the answers

What should be done immediately after removing the needle from the arm?

Engage the safety device Signup and view all the answers

What can cause hemolysis?

Vigorously shaking the tube Signup and view all the answers

Why must a phlebotomist centrifuge a serum separator tube before shipment?

Cells must be separated from the serum Signup and view all the answers

What should be done to store a CBC collected at 1800 in a lab that closes at 1730?

2-10 degrees C (EDTA tubes may be processed at 12 hours if refrigerated) Signup and view all the answers

What test results can be affected if iodine is used to clean the site?

Potassium Signup and view all the answers

According to CLSI, what is collected first?

Blood cultures Signup and view all the answers

What is required for informed consent when dealing with a child?

Explain the procedure to the parent or legal guardian and obtain their informed consent for the child Signup and view all the answers

What distinguishes a criminal lawsuit from a civil lawsuit?

A criminal lawsuit is initiated by the government, a civil lawsuit is between private parties Signup and view all the answers

What is Assault in a medical context?

The threat of touching another person without his or her consent and with the intention of causing fear of harm Signup and view all the answers

What is Battery in medical terms?

Actual harmful touching of another person without his or her consent Signup and view all the answers

What is Libel?

False defamatory writing that is published Signup and view all the answers

What is a Sentinel Event?

An unanticipated death or permanent loss of function not related to a patient's illness or underlying condition Signup and view all the answers

What does PPE stand for?

Personal Protective Equipment Signup and view all the answers

How full should you fill the Sharps Container before using a new container?

¾ full Signup and view all the answers

What is the name of the multi-purpose fire extinguisher?

ABC Signup and view all the answers

What does the term 'aseptic techniques' refer to?

Techniques that provide a degree of cleanliness that prevents infection Signup and view all the answers

What is a nosocomial infection?

Both C and D Signup and view all the answers

When is hand hygiene performed?

All of the above Signup and view all the answers

Before entering an isolation room, what is the first thing the phlebotomist should do?

Read the posted instructions Signup and view all the answers

What does the acronym PASS stand for?

Pull pin, Aim nozzle, Squeeze handle, Sweep from side to side Signup and view all the answers

What does the acronym RACE stand for?

Rescue, Alarm, Contain, Exit Signup and view all the answers

Before placing a call on hold, what should a phlebotomist check?

To see if it is an emergency Signup and view all the answers

A competent professional demeanor is shown by:

All of the above Signup and view all the answers

Traditional duties of the phlebotomist include all of the following except:

Performance of tests on patient samples in the laboratory Signup and view all the answers

The two major areas of the clinical laboratory are:

Anatomical and Clinical Signup and view all the answers

What is the difference between plasma and serum?

Plasma contains fibrinogen Signup and view all the answers

Specimens collected in serum separator tubes are most frequently delivered to:

Chemistry Signup and view all the answers

To prevent blood from clotting, a specimen must be:

Both A and B Signup and view all the answers

Which of the following pairings is wrong?

Fasting and cloudy Signup and view all the answers

Study Notes

Phlebotomy Certification Exam Key Points

Semen samples should be transported at a temperature of 36-38 degrees Celsius.
Grossly hemolyzed specimens often arise from using an incorrect needle gauge.
Ammonia specimens must be placed in an ice water slurry immediately after collection.
For a healthy infant, a heel stick is the appropriate technique for a complete blood count (CBC).
Implied consent occurs when a patient extends their arm or turns their head away during the drawing process.
Documenting the volume of blood drawn helps prevent iatrogenic anemia.
It’s essential to communicate with the guardian of patients with severe cognitive challenges before performing a venipuncture.
In emergencies, blood can be drawn under implied consent if the patient is unconscious.
Specimens should be labeled immediately in the presence of the patient for accurate identification.
If a patient lacks a wristband, the phlebotomist should refrain from drawing blood until the band is provided.
Appropriate identification methods include verbal confirmation and wristbands in inpatient settings.
Lavender and red tubes are typically used for capillary collections of WBC, RBC, and electrolytes.
A laboratory may reject specimens noted as QNS (Quantity Not Sufficient) due to insufficient blood volume.
Applying pressure after needle removal is crucial to prevent internal bleeding from the venipuncture site.
Improperly labeled specimens will generally be rejected by the laboratory.
Discontinue a blood draw immediately if the patient begins to have a seizure.
O2 levels must be drawn first before other tests in infant screening procedures.
For average-weight patients, needles should be inserted at a 15-30 degree angle until a change in resistance is felt.
Fragile veins in older adults are best accessed using a syringe and butterfly assembly.
Autologous donation is the practice where patients donate their own blood for future surgical use.
The order of draw for capillary collections differs from venipuncture due to a heightened risk of coagulation.
If clergy members are present with a patient during a blood draw, reschedule for later to respect privacy.
If a hematoma is noticed during a draw, release the tourniquet and cease the draw.
Semen specimens must be kept at body temperature and delivered to the laboratory within 2 hours.
Petechiae indicate capillary damage due to the tourniquet.
Inspecting both arms is crucial as the median cubital vein may be more accessible on one side.
Benzalkonium chloride is the correct cleanser for preparing a clean catch urine sample.
Glucose cuvettes or strips should be coded during the patient testing session.
Serum collection for chemistry tests should utilize an SST (Serum Separator Tube).
When performing a PTT test, a syringe transfer to a light blue tube is advised if the patient struggles with draws.
Blood cultures are essential for ICU patients and typically utilize aerobic and anaerobic bottles.
Uphold safety protocols by keeping the sharps container filled to a maximum of ¾ capacity.
Aseptic techniques are critical to avoiding contamination from microorganisms during phlebotomy.
Nosocomial infections are those acquired by patients within a hospital setting.
Hand hygiene is essential before and after glove use to maintain infection control standards.
Before entering an isoalted room, it’s vital to read posted instructions first.
Fire safety procedures in the workplace are summarized in the acronym RACE: Rescue, Alarm, Contain, Exit.
A competent demeanor in phlebotomy includes neatness, courtesy, and cleanliness.
Plasma contains fibrinogen, while serum does not, as it results from a clotted specimen.
Serum separator tubes are predominantly processed in chemistry departments post-collection.
The Patient's Bill of Rights was initiated in 1973 by the American Hospital Association.
Informed consent necessitates detailed explanation and permission from the patient or their guardian.
Assault refers to the threat of unwanted physical contact, while battery concerns actual physical harm.
The Joint Commission is not a non-profit organization; it operates on a not-for-profit basis.

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Test your knowledge and prepare for the NHA Phlebotomy certification exam with these informative flashcards. Each flashcard covers important topics, procedures, and requirements crucial for a successful examination. Brush up on key details to ensure you are ready for your certification test.

NHA Phlebotomy Certification Exam Flashcards

Questions and Answers

What temperature should a semen sample be transported?

Which of the following would result in a grossly hemolyzed specimen?

Which of the following is proper procedure after collecting an ammonia specimen?

The phlebotomist has a request to collect a CBC from a healthy 10-month-old. Which is appropriate?

A phlebotomist is preparing to draw blood from a patient in the hospital. The patient extends his arm and turns head away. What type of consent does this indicate?

Why should a phlebotomist document the volume of blood drawn from a patient?

What steps would a phlebotomist take when drawing blood on a patient with severe Down's syndrome?

Which action is appropriate when labeling specimens?

What should a phlebotomist do if there's no wristband on a patient before collecting blood?

Which is an appropriate form of identification in an inpatient setting?

WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary collection?

Why was a blood specimen rejected by the lab with QNS as the reason?

Which is the best method to prevent bleeding from venipuncture site after the needle is removed?

What is the appropriate procedure for an improperly labeled specimen when received in the lab?

What should a phlebotomist do if the patient begins to seize during a venipuncture?

Which specimen should be drawn first when receiving orders for an infant screening card, O2 levels, bilirubin, and DNA?

What is the correct technique for needle insertion during venipuncture on an average weight patient?

Which is the best method to collect a blood specimen from an older adult patient with fragile veins?

What is the term for the donation of a patient's own blood for an upcoming surgery?

Why is the order of draw for capillary collections different from venipuncture?

What should a phlebotomist do upon entering a patient's room for routine blood draw if a clergy member is with the patient?

What should a phlebotomist do if they notice a hematoma developing at the venipuncture site?

What should a phlebotomist tell a patient submitting a semen specimen?

What condition is indicated by small red spots below the tourniquet?

Why should the phlebotomist examine the antecubital veins of both arms?

What is the appropriate cleanser to clean the meatus for a clean catch urine specimen?

When should the code on glucose cuvettes or strips be compared to the code on the glucose meter?

Which tube is appropriate to use when collecting for a chemistry test that requires serum?

What should be done if a patient states they are a difficult draw and requests a skin puncture for a PTT test?

According to industry standard, what is the needle insertion angle for the antecubital area?

What additive should be used for CBC?

Which specimen must be placed on ice within 30 minutes after collection?

What provides the best protection when drawing blood from a patient with active TB?

If a patient becomes unresponsive during a blood draw, what should the phlebotomist do?

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

What is the importance of placing a specimen in a biohazard specimen bag outside the laboratory?

What should a student phlebotomist say during a proper introduction?

When using the evacuated tube system (EVS), how should the needle be positioned?

What is the additive for PT/PTT?

What bottles should be used for blood cultures ordered on an ICU patient?

What is required from a potential blood donor?

What should a phlebotomist do if they notice an empty breakfast plate at the bedside of a patient scheduled for a glucose tolerance test?

Which vein should be attempted first for venipuncture?

What should be the first action if a phlebotomist is stuck with a used needle?

What should be placed on collection tubes for correct specimen handling?

What should be done immediately after removing the needle from the arm?

What can cause hemolysis?

Why must a phlebotomist centrifuge a serum separator tube before shipment?

What should be done to store a CBC collected at 1800 in a lab that closes at 1730?

What test results can be affected if iodine is used to clean the site?

According to CLSI, what is collected first?

What is required for informed consent when dealing with a child?

What distinguishes a criminal lawsuit from a civil lawsuit?

What is Assault in a medical context?

What is Battery in medical terms?

What is Libel?

What is a Sentinel Event?

What does PPE stand for?

How full should you fill the Sharps Container before using a new container?

What is the name of the multi-purpose fire extinguisher?

What does the term 'aseptic techniques' refer to?

What is a nosocomial infection?

When is hand hygiene performed?

Before entering an isolation room, what is the first thing the phlebotomist should do?

What does the acronym PASS stand for?

What does the acronym RACE stand for?

Before placing a call on hold, what should a phlebotomist check?

A competent professional demeanor is shown by:

Traditional duties of the phlebotomist include all of the following except:

The two major areas of the clinical laboratory are:

What is the difference between plasma and serum?

Specimens collected in serum separator tubes are most frequently delivered to:

To prevent blood from clotting, a specimen must be:

Which of the following pairings is wrong?

Study Notes

Phlebotomy Certification Exam Key Points

Studying That Suits You

Description