PHLEBOTOMY NCCT PRACTICE QUESTIONS And Accurate Answers Rated A+ updated 2022/2023.

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PHLEBOTOMY NCCT PRACTICE QUESTIONS And Accurate Answers. Rated A+ updated 2022/2023. Which of the following POC laboratory tests is within the CLIA defined scope of practice for a phlebotomist? - ... Correct Ans-Strep test and urine dip The phlebotomist is performing a venipuncture on an apprehensive school age child. Which of the following approaches should the phlebotomist use to calm the child? - Correct Ans-Explain the procedure and reassure the child that the parent can stay with her Which task should a phlebotomist complete prior to daily use of a POC instrument? - Correct AnsPerform QC on the instrument A patient brings in written lab test results, including a mix of POC and higher complexity tests, and asks the phlebotomist for help with interpretation. Which of the following should the phlebotomist do? - Correct Ans-Refer the patient to the physician for interpretation of all results Which of the following is outside the scope of practice for a phlebotomist? - Correct Ans-performing CLIA moderate complexity tests Which of the following specimens require the phlebotomist to follow chain-of-custody documentation procedures? (2 answers) - Correct Ans-- blood control - drug testing Which of the following QC measures are within the phlebotomist's scope of practice? (3 answers) - Correct Ans-- checking the expiration dates of venipuncture supplies - monitoring temperatures of specimen refrigerators - routine cleaning of surfaces where specimens are processed At which of the following times should a test tube be labeled with the patient's identification? - Correct Ans-while in the patient's room, after drawing blood Instead of containing consent from a patent who is mentally competent, the phlebotomist obtains consent from a family member. This is a violation of - Correct Ans-The Patient's Bill of Rights The phlebotomist is asked to draw blood on a non-responsive patient in an emergency department. This draw would be conducted under - Correct Ans-implied consent A patient presents to have a diagnostic HIV test drawn. Which of the following forms of consent must the phlebotomist obtain prior to venipuncture? - Correct Ans-informed A 19-year-old patient offers her arm to the phlebotomist when she comes in with a venipuncture tray. This is an example of - Correct Ans-implied consent Which of the following is a CLIA waived test that can be performed by the phlebotomist? - Correct Anschemical urinalysis Commitment to privacy, continuity of care, advance directives, and the authority to refuse treatment are granted according to which of the following? - Correct Ans-The Patient's Bill of Rights While giving a patient an injection, the patient jumped, causing the phlebotomist to get stuck on the hand with a contaminated needle. After performing thorough hand washing, which of the following should the phlebotomist do first? - Correct Ans-Complete an exposure incident report A phlebotomist has active symptoms of the common cold. Under which conditions may he perform venipuncture? - Correct Ans-The phlebotomist may perform venipuncture provided he is wearing a mask and afebrile Which of the following statements by a new phlebotomist indicates the need for further education on standard precautions? - Correct Ans-"I will wear a gown, gloves, and mask for inpatient collections " An immunization is currently available for prevention of which of the following blood borne diseases? - Correct Ans-Hepatitis B Which of the following is the minimum PPE requirement when drawing lab work on a patient with suspected HIV? - Correct Ans-gloves only Which of the following best describes the proper way to clean up a broken glass tube? - Correct Ans-Use a broom and dust pan to sweep up the glass and fragments and place in a sharps container The phlebotomist arrives at an inpatient room to collect a blood sample. There is an isolation cart located outside the room. The phlebotomist washes her hands and puts on the following personal protective equipment: gown, gloves, and mask. Which of the following types of precautions are being used for this patient? - Correct Ans-Contact Airborne The phlebotomist is preparing to remove her gloves after a venipuncture and notices blood on the gloves. Where should the phlebotomist dispose of her gloves? - Correct Ans-a biohazard waste container If a phlebotomist has questions about disposing of outdated hazardous chemicals, where should she look to find this information? - Correct Ans-MSDS A patient notices this symbol on a container on the room and asks what it means. the phlebotomist should tell the patient the symbol means - Correct Ans-biohazard material present Keeping contaminated equipment and supplies away from the phlebotomist's clothing to prevent pathogen transmission to the next patient is an example of which of the following? - Correct Ansmedical asepsis Which of the following is a requirement for a healthcare facility to be in compliance with OSHA? - Correct Ans-annual employee safety training Which of the following tube and addictive combinations should be used for a PT/INR test? - Correct Anslight blue, sodium citrate For which of the following tubes must the phlebotomist prep the site with povidone iodine or chlorhexidine? - Correct Ans-A yellow tube with SPS The phlebotomist is drawing plain red, purple, green, and blue top tubes. Upon completion of the blood draw the phlebotomist noticed that he missed an order requiring an SST. The phlebotomist should share the - Correct Ans-red A phlebotomist has received a requisition to collect specimen for a Bilirubin from a premature newborn patient. Which of the following is the best device for this collection? - Correct Ans-1.00 mm lancet Using the guidelines for any method of venipuncture, after confirming patient identity which go the following actions should the phlebotomist perform first? - Correct Ans-Review the requirements for collecting and handling the blood specimens as ordered by the physician The phlebotomist is instructed to perform a capillary stick for a newborn screening. Which of the following collection devices should the phlebotomist use? - Correct Ans-heel stick lancet The physician has ordered a prothrombin time (PT) and complete (CBC) for an adult patient with a diagnosis of thrombophlebitis. The phlebotomist should collect the evacuated tubes in which of the following orders? - Correct Ans-blue, lavender The phlebotomist applies pressure to the venipuncture site using gauze. After two minutes he observes that bleeding has not stopped. The next appropriate action would be to - Correct Ans-elevate the arm while applying pressure A patient on coumadin therapy is at the lab for their weekly coagulation test. Which of the following tubes should be the phlebotomist collect for this tube? - Correct Ans-light blue top A physician has ordered STAT bloodworm for a patient. The physician ordered hematology tests and chemistry and coagulation panels. Which of the following tubes are needed for this procedure? (3 answers) - Correct Ans-- lavender - light blue - red A CMP is ordered for an older patient whose veins continue to collapse despite drinking water. Which of the following is the best collection method for this patient? - Correct Ans-23-gauge butterfly needle When inspecting a patients arm before performing a venipuncture, the most desirable site appears to be the back of the hand. Which of the following venipuncture methods is most appropriate in this situation? - Correct Ans-butterfly needle Which of the following actions should the phlebotomist take to make a vein more prominent when attempting to select a venipuncture site? - Correct Ans-Apply a warm compress to the area for 5 minutes Which of the following actions should the phlebotomist take to decrease the potential for hemolysis of a blood specimen in an EDTA tube? - Correct Ans-Gently invert the tube after collecting the specimen For which of the following patients is the use of an adhesive bandage contraindicated? - Correct Ansnewborn with hyperbillirubinemia Gray-topped sodium fluoride tubes should not be used to collect alanine aminotransferase (ALT) or aspartate aminotransferase (AST) because the anticoagulant - Correct Ans-destroys many enzymes A 2-week-old infant has been brought in the lab for a repeat PKU/neonatal screening. Which of the following collection procedures is appropriate to collect the specimens? - Correct Ans-capillary using heel puncture lancet A phlebotomist working in a hospital is collecting blood from a patient with very small, difficult veins. Three tubes of blood need to be collected. The blue and green tubes fill easily and completely, but the lavender fills incompletely. Changing the lavender tube using the same draw also results in an incomplete specimen. Which of the following should the phlebotomist do next? - Correct Ans-Reposition the needle and recollect the lavender tube The phlebotomist is collecting a capillary sample from an infant. Following the collection, the phlebotomist holds firm pressure on the set until bleeding has stopped. How should the phlebotomist proceed? - Correct Ans-Do not bandage During palpation of a large vessel in the forearm, the phlebotomist detects a vibration sensation. The phlebotomist should then - Correct Ans-use a lower angle of penetration with a butterfly The phlebotomist notes the patients arm is scared in the lateral aspect of the antecubital fossa, and the other arm is not available. The phlebotomist decides to use more medial site n the fossa over the basilica vein. Which of the following make this a poor choice? (2 answers) - Correct Ans-- increased risk of nerve - increased risk of arterial involvement After a phlebotomy draw, the phlebotomist realizes that the tourniquet was on for an extensive length of time. Which of the following is the most likely resulting complication? - Correct Anshemoconcentration Which of the following sites should the phlebotomist use for newborn screening blood collection? - Correct Ans-plantar surface of the heel A patient with an order for a blood draw presents with burns covering both arms. Which of the following is the phlebotomist's best option for collecting the largest amount of blood for this patient? - Correct Ans-capillary tube When performing venipuncture on a patient with a left mastectomy, which of the following sites should the phlebotomist use? - Correct Ans-right antecubital fossa Which of the following steps is completed in perfuming venipuncture? - Correct Ans-identify the patient The phlebotomist is educating the patient on fasting diet requirements prior to a glucose tolerance test. Which of the following is the minimum frame the patient must remain fasting before the start of the test? - Correct Ans-8-12 hours Which of the following information is contraindicated for patient identification at the time of draw? - Correct Ans-insurance number Which of the following veins would generally be acceptable for routine blood collection by the phlebotomist? - Correct Ans-cephalic When performing a capillary puncture on an infant, which of the following is the preferred site? - Correct Ans-plantar surface of the heel Which of the following is a site o preparation solution required for collecting blood cultures and blood alcohol levels? - Correct Ans-povidone-iodine Which of the following statements represents correct patient identification for a phlebotomist in an outpatient setting? - Correct Ans-"May I have your name please?" Which of the following is an appropriate draw site for an adult patient with a central line? - Correct Ansdorsal side of the hand The phlebotomist received a requisition for blood test on a 70-year-old female patient with diabetes and a mastectomy of the left breast. Upon entering the room the phlebotomist notices a PICC line in the patient's right arm. For this specimen collection, the phlebotomist should - Correct Ans-refer the draw to the nurse The patient on hemodialysis with a left AV shunt has undergone a right sided mastectomy and has an order for a STAT glucose. After consulting with the physician the phlebotomist is told to perform a capillary draw. Which of the following sites should the phlebotomist use? - Correct Ans-right middle finger Capillary blood specimens are most likely to be successfully collected from patient that - Correct Ans-are extremely obese The phlebotomist applies the tourniquet, but then has trouble relocating the vein after several minutes of palpation. Which of the following is an expected outcome in these test results? - Correct Ans-low hematocrit from hemoconcentration The phlebotomist has a requisition for chemistry and coagulation testing. Which of the following is this the correct tube selection and order of draw? - Correct Ans-light blue, SST On the initial attempt the phlebotomist went through the vein, but was able to pull back on the needle and successfully collect the specimen. Which of the following should the phlebotomist do next? - Correct Ans-Explain to the patient that a bruise may be likely, but it should be gone within a few days The phlebotomist has collected an ammonia level. Which is the following should be done regarding transport of the specimen? - Correct Ans-Immerse the specimen in an ice and water slurry The phlebotomist needs to draw a blood culture, sedimentation rate, PTT, and a glucose test. Which of the following is the correct order of draw? - Correct Ans-yellow, light blue, lavender, gray A phlebotomist has complete a draw on a patient. After the blood is drawn the patient informed the phlebotomist that he tends to bleed longer. Which of the following is the next source of action the phlebotomist should take? - Correct Ans-Confirm hemostasis and apply gauze with a pressure wrap Which of the following should the phlebotomist do when collecting blood via finger stick? - Correct AnsPosition the lancet across the fingerprint lines The phlebotomist is asked to draw blood from a patient with an IV in the right arm whose left arm is inaccessible. The phlebotomist may draw without a physician's approval from the - Correct Ans-right arm distal to the IV site A phlebotomist is asked to collect a CBC, PT, electrolytes and BUN. The correct order of draw for this collection is - Correct Ans-lavender, light blue, green A phlebotomist has received a requisition to draw a blood bilirubin on a infant with jaundice. The phlebotomist should - Correct Ans-protect the specimen from light A phlebotomist received an order to collect a cold agglutinin specimen. The phlebotomist should - Correct Ans-maintain the specimen at 37 degrees celcius An older adult patient arrives to have blood drawn. While assessing the arms for venipuncture, the phlebotomist notices scar tissue in the anticubital areas and is unable to palpate a vein. Which of the following is an appropriate alternative course of action? - Correct Ans-Draw blood from the hand using a winged infusion set While performing a venipuncture, immediately before removing the needle, the phlebotomist should - Correct Ans-release the tourniquet The phlebotomist has an order to collect a complete blood count with differential, partial thromboplastin time, basic metabolic panel, and blood cultures. Place the collection tubes in the correct order of draw. - Correct Ans-- red > blood culture - lavender > light blue - blood culture bottles > red - light blue > lavender An infant is brought to the clinic for CBC. After performing a heel stick, not enough blood is collected to perform the test. Which of the following actions should the phlebotomist take? - Correct Ans-Apply a warm compress When inserting a needle during venipuncture the bevel should be in which of the following positions in relation to the vein? - Correct Ans-up Forceful shaking of blood in an evacuated collection tube will cause which of the following complications? - Correct Ans-hemolysis The physician orders the following blood work to evaluate a patient for sepsis: CBC, Blood Culture, and BMP. When using the evacuated tube method for venipuncture, in which of the following orders should the tubes be drawn? - Correct Ans-blood culture, red top, lavender top A patient shared with the phlebotomist the last time he was in the clinic to have his blood drawn, he "became very dizzy and felt like the room was spinning". Which of the following actions should the phlebotomist take? - Correct Ans-Encourage the patient to lie down during the venipuncture When performing a capillary puncture on an infant, which of the following is the reason for using the lateral heel instead of a finger? - Correct Ans-The small amount of tissue between the skin and bone in the finger makes an injury to the bone likely When a complete metabolic serum profile (CMP) and complete blood count (CBC) are ordered at the same time, why would the CMP be drawn first? - Correct Ans-Tubes without additives should be drawn before tubes with additives Which of the following statements best describe the reasons antecubital veins are most desirable to use when performing venipuncture? - Correct Ans-The tissue surrounding these veins is less sensitive, making the procedure less painful Which of the following evacuated tubes should the phlebotomist draw first? - Correct Ans-light blue top Capillary blood specimen collection is contraindicated in patients that - Correct Ans-have edema of the hands and feet Which of the following is the reason blood cultures are typically drawn first? - Correct Ans-They can be easily be contaminated After performing a venipuncture on a patient the phlebotomist notices the patient is bending his elbow to hold the gauze in place. This action is contraindicated because bending the elbow is likely - Correct Ans-create a hemotoma While performing a capillary stick on a six-month-old infant's heel, the lancet should be no longer than - Correct Ans-2.0 mm Which of the following is the maximum time the phlebotomist should leave a tourniquet secures in place on a patient's arm when performing a venipuncture - Correct Ans-one minute Venipuncture should be avoided on an arm with - Correct Ans-an elbow splint Which of the following must be included on a specimen label once it has been filled with blood? - Correct Ans-collectors identification Which of the following techniques should the phlebotomist use when collecting a blood specimen from a geriatric patient? - Correct Ans-pulling the skin taunt and firmly anchor the vein Which of the following is the reason for wiping off the first drop of blood from the patients finger with gauze when performing a capillary puncture? - Correct Ans-The first drop of blood may contain traces of tissue fluids Which of the following should the phlebotomist do after drawing a blood from a patient on anticoagulant therapy? (3 answers) - Correct Ans-- Hold pressure and elevate the patients arm - Wait for bleeding to stop - Apply a pressure dressing over the site In the middle of a blood draw the patient experiences a seizure. Which of the following should the phlebotomist do after removing the tourniquet and withdrawing the needle? (2 answers) - Correct Ans-- Call for help - Protect the patient's head and lower her to the floor During a blood draw, a patient begins complaining of discomfort and tingling, at which time the phlebotomist notices bruising and discoloration at the site. How should the phlebotomist proceed? - Correct Ans-Release the tourniquet, withdraw the needle, and apply pressure During the transport of blood specimens the blood begins to freeze. How will this affect the test results? - Correct Ans-decreased red blood cell count While performing a venipuncture, the phlebotomist removes the filled tubesX but forgets to removed the tourniquet prior to needle withdrawal. Which of the following is the most likely result? - Correct Ans-hematoma The patient reports feeling faint, and slumps forward during a venipuncture. After calling for assistance, which of the following actions should the phlebotomist take next? - Correct Ans-remove the needle When performing venipuncture, sudden swelling is observed at the insertion site. Which of the following actions should the phlebotomist take? - Correct Ans-Release the tourniquet, removed the needle, and immediately apply pressure at the site Which of the following is an appropriate alternative to using a rubber tourniquet when attempting a venipuncture on a known patient who is difficult to obtain a sample from? - Correct Ans-blood pressure cuff While performing a venipuncture in the antecubital space, the patient verbalizes an extreme amount of pain and the blood in the collection tube is noted to be bright red. Which of the following sites is most likely to have been inadvertently punctured? - Correct Ans-brachial artery After centrifuging a blood specimen, the phlebotomist notes the serum has a reddish appearance. Which of the following has occurred? - Correct Ans-The specimen is hemolyzed While obtaining blood during a venipuncture, the patient faints. Which of the following actions should the phlebotomist take initially? - Correct Ans-Discontinue the venipuncture and call for help Which of the following actions is an example of compliance with Quality Control (QC) guidelines for phlebotomy? - Correct Ans-Check controls on urinalysis dipsticks daily Which of the following forms is the phlebotomist responsible for having the patient sign when a specimen is being collected for substance abuse screening for employment? - Correct Ans-chain-ofcustody Which of the following regulations set the minimum standards for medical laboratory practice and quality? - Correct Ans-CLIA Which of the following actions should the phlebotomist take when disposing of a needle following a venipuncture? - Correct Ans-place the needle with safety device activated immediately in a sharps container What does the color of an ev [Show More]

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