NHA Study guide 2023
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.
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