NHA PHLEBOTOMY EXAM # 1

100問 • 3年前

Gloria Herrera

通報

問題一覧

#1-While transferring serum into an isolator tube, some blood splash into your eyes. What must you do?

Rinse your eyes with water for 15 minutes.

#2-You are conducting a streptococcal pharyngitis test on a patient. What transmission-based precaution shou; you take?

Droplet

#3-You observe a glucometer reading of 250 mL/dL. You get a reading in the average range when you do a second test. What may have caused the first result?

You used too much blood.

#4-You are to perform a glucometer reading for a young adult while the patient's parent is in the room. The parent asks what the patient's glucose level is. What should you do?

Ask the patient for permission to provide the results to the parent.

#5-You are about to collect a blood sample when you find a cracked glass collection tube. What must you do?

Dispose of the tube in a sharps container.

#6-What information must be included when filling out a glucose monitor quality control record?

The date that battery is changed

#7-Other than gloves, what PPE should you wear when performing veni-puncture for a patient with pneumonia?

Face mask

#8-After completing a venipuncture in an isolation room, what personal protective equipment should you remove first?

Gloves

#9-If you receive a needlestick injury, for what bloodborne pathogen are you at most significant risk?

Hepatitis B virus (HBV)

#10-What ofthe following actions must you do when collecting a blood culture?

Rub the site with isopropyl alcohol for 30 seconds

#11-What solution should be used to clean a spill of cerebral spinal fluid?

Chlorine-bleach

#12-After receiving a needlestick injury, what information must you input in the online sharps injury log?

The department where the injury happened

#13-What antiseptic should you use during a blood alcohol test?

Chlorhexidine gluconate

#14-At a minimum, what personal protective equipment do you need to prepare to aliquot a blood specimen?

Face shield and gloves

#15-A centrifuge catches on fire. In what class of fire should this situation be identified?

Class C

#16-When collecting a sample for cholesterol, troponin, and HDL, blood re-sults, in which department should these tests be processed?

Chemistry

#17-You collect a blood collection in a micro collection container after two failed venipuncture attempts. Why should you write on the medical reg-uisition form that you collected the blood in such a manner?

To alert the lab of the presence of capillary blood

#18-What is the correct way to perform CPR on an infant as a medical professional?

30 compressions, 5.08 cm (2 in) deep

#19-A patient has a wound infected edithtupesomingtellin restaur A patient taus aurous), You are tasked with rpitnerie versipuncture it. this patient. What must you do once you complete the procedure?

Dispose of gloves upon leaving the room

#20-You are about to perform the third set of blood draws for a glucose tot crance test (GT'T) when the patient starts to cry and does not want to extend her arm. What is the best thing to say?

"May I come back in an hour to perform the draw?"

#21-Which of the following statements regarding standard precautions for infection control is false?

Use both hands to recap needles

#22-Antisepsis is a technique that is used on which of the following?

Skin

#23-How often should latex gloves be changed?

Between patient contacts

#24-Once you have stopped excesswve bleeding, what should you apply over the site?

Pressure bandage

#25-The patient may leave when the bleeding has stopped completely and there are no signs of__________or other complications.?

Syncope

#26-What is the difference between syncope and hypovolemic shock?

Fainting may be caused by pain or emotions

#27-You are performing venipuncture, and a hemorrhage occurs in a limb. What must you do?

Elevate the extremity and continue applying pressure until more modical assistance arrives

#28-How long should you scrub hands when washing according to CDC?

30 seconds

#29-Where should you dispose of all contaminated material?

A biohazard bag

#30-What is the best way to prevent infection and transmission?

Handwashing

#31-When disinfecting a venipuncture site, why should you not use cotton ball?

Cotton balls leave behind small fibers

#32-Alcohol that has not fully dried on the venipuncture site can lead to____________

Hemolysis of the specimen

#33-What is alcohol's purpose in bacterial testing?

Remove oil

#34-What is the purpose of povidone-iodine in bacterial testing?

Kill bacteria

#35-What should you use at the venipuncture site if the patient is allergic to alcohol?

Chlorhexidine gluconate

#36-What form must you and the patient sign to permit blood tests to determine exposure?

HIV

#37-What is required following accidental exposure to body fluids?

Documentation of the accidental exposure

#38-What is the first priority after accidental exposure?

First aid

#39-What is the term for the following equipment: gloves, masks, gowns, face shields, and goggles?

Personal Protective Equipment

#40-What PPE should be worn for venipuncture?

Gloves

#41-When should you wash your hands?

Before and after contact with every patient

#42-What should be done if your gloves are punctured or torn?

Replace the gloves

#43-Where should you dispose of used needles and lancets?

Sharps container

#44-According to the Bloodborne Pathogen Standard, what two guidelines must all at-risk employees adhere to?

Personal protective equipment and HBV immunization

#45-What organization establishes regulations for phlebotomists to work as effectively and safely as possible?

OSHA

#46-What guidelines protect healthcare professionals from exposure to body fluids, prevent exposure, and train for handling situations of body fluid exposure?

Bloodborne Pathogen Standard

#47-All phlebotomists and healthcare professionals must deem body fluids as..

Potentially infectious

#48-What information must the sharps injury log include?

Date, time, type of sharps used, staff or patient involved (without names), location, description

#49-In the case of a splash risk, what can you use instead of a full-face shield?

Goggles and face mask

#50-What independent, non-governmental, nonprofit organization accredits and certifies healthcare facilities to focus on the continual importance of quality of care and patient safety?

The Joint Commission (TIC)

#51-What organization established the proper order of draw for venipuncture?

Clinical and Laboratory Standards Institute (CLSI)

#52-What should you first use to disinfect a needlestick injury?

Soap and water

#53-Starting a procedure without consent is considered:

Assault

#54-What should you do if a patient refuses care?

Notify a nurse and the ordering physician

#55-How should you obtain patient identification from a conscious patient prior to venipuncture?

Ask the patient, "What is your name?"

#56-How often should laboratory equipment be cleaned?

Several times a day

#57-What lab test is the least complicated to perform, with results that are as accurate as possible and a low risk of error?

CLIA-waived tests

#58-What is not considered a sharp?

Glucometer

#59-What are the three types of transmission included in transmission-based precautions?

Contact, droplet, airborne

#60-What types of transmission do mumps, rubella, meningitis, diphtheria, and influenza fall under?

Droplet

#61-What types of transmission do tuberculosis, rubeola (measles), and varicella (chickenpox) fall under?

Airborne

#62-What type of precaution is required for scabies and wound/skin infections?

Contact

#63-What PPE should you use for contact-based transmissions?

Gloves and gown

#64-What PPE should you use for droplet-based transmissions?

Mask

#65-What PPE should you use for airborne-based transmissions?

N9S mask

#66-When performing CPR, what results in a higher survival rate?

Faster compressions

#67-What is the adult compression rate during CPR?

100-12o compressions per minute

#68-Before administering CPR in an emergency, what should you do first?

Call 911

#69-When can you use hand sanitizer instead of handwashing?

When hands are not visibly soiled

#70-What PPE gear should you use when dealing with and processing blood samples and specimen containers (i.e., vacuum tubes, urine collections), like loading and unloading the centrifuge and carrying out diagnostic tests?

Gown

#71-What items are disposed of in a biohazard bag?

Used glucose test strips

#72-What is the normal range for glucose levels?

60-180

#73-On what document should you record equipment maintenance and quality control testing?

Equipment Log

#74-What happens if the centrifuge is not balanced?

It vibrates more than usual, with more noise

#75-How should glucometers be cleaned after each use?

Wiped with an alcohol wipe

#76-When obtaining patient identification, which of the following information do you need?

Picture ID, full name, date of birth

#77-When drawing blood from a patient admitted for cardiac symptoms, what action should you take when drawing blood?

Collect the patient's blood

#78-Which information is required on the requisition form for an outpatient blood collection?

Patient's billing information and test status

#79-A patient has a history of syncope in previous blood collections. What should you do to avoid this happening?

Place the patient in a supine position

#80-What should the patient do before their blood is taken for a choles- terol test?

Sit for about 5 minutes before test

#81-What should you use when taking a sample for a coagulation test from a three-year-old patient?

Winged safety butterfly

#82-What should you do if an inpatient has an IV in both arms?

Ask the nurse to turn off IVs for two minutes

#83-In what position should a patient's arm be during venipuncture?

Extended fully downward

#84-A blood sample of a patient who ate a fatty meal before blood collection is processing. What should you expect to find about the specimen after centrifugation?

The specimen is lipemic.

#85-Before blood collection, a patient tells you he is taking warfarin (anticong-ulant meds). What type of test will be affected by this medication?

PT/INR

#86-You are taking a patient's blood sample to check for lithium level after a dose of medication. At which level should you collect the sample?

Peak

#87-How should you answer if a patient asks you why his blood is to be collected?

You should ask your provider about the test.

#88-When collecting a urine sample for a culture and sensitivity test, how should you direct your patient to do so?

"You must collect a midstream clean catch specimen.

#89-What information should you provide to the patient about the venipunc ture procedure?

"I will swab the area twice to ensure it is sterile

#90-What should you do when preparing to collect blood samples to track a patient's medication levels?

Ask the nurse when the medication was last administered

#91-What type of urine sample should a patient collect for a pregnancy test?

First-morning void

#92-How should you interact with a patient wearing hearing aids to ensure he understands the procedure?

"Would you like me to repeat the directions?"

#93-How should you check an ID if a patient is unconscious?

Use the ID bracelet only if attached to the wrist

#94-What makes an ID bracelet an acceptable form of ID?

Worn around patient's wrist only

#95-When can you ask the family to identify the patient?

When the patient is alert but unable to communicate

#96-What is a requisition form?

Identification form with last name, birth date, and other information

#97-All patients are subject to protection under the__________?

Patient's Bill of Rights

#98-The patient does not have the right to__?

Access the health information of family members

#99-What is explicit consent required for?

Only larger, invasive treatments

100

#100-What should a requisition form include?

Patient's full name, sex, birth date, ID number, lab test ordered by the patient's doctor, the full name of the doctor, date and time of the lab test, and your initials as the phlebotomist

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問題一覧

#1-While transferring serum into an isolator tube, some blood splash into your eyes. What must you do?

Rinse your eyes with water for 15 minutes.

#2-You are conducting a streptococcal pharyngitis test on a patient. What transmission-based precaution shou; you take?

Droplet

#3-You observe a glucometer reading of 250 mL/dL. You get a reading in the average range when you do a second test. What may have caused the first result?

You used too much blood.

#4-You are to perform a glucometer reading for a young adult while the patient's parent is in the room. The parent asks what the patient's glucose level is. What should you do?

Ask the patient for permission to provide the results to the parent.

#5-You are about to collect a blood sample when you find a cracked glass collection tube. What must you do?

Dispose of the tube in a sharps container.

#6-What information must be included when filling out a glucose monitor quality control record?

The date that battery is changed

#7-Other than gloves, what PPE should you wear when performing veni-puncture for a patient with pneumonia?

Face mask

#8-After completing a venipuncture in an isolation room, what personal protective equipment should you remove first?

Gloves

#9-If you receive a needlestick injury, for what bloodborne pathogen are you at most significant risk?

Hepatitis B virus (HBV)

#10-What ofthe following actions must you do when collecting a blood culture?

Rub the site with isopropyl alcohol for 30 seconds

#11-What solution should be used to clean a spill of cerebral spinal fluid?

Chlorine-bleach

#12-After receiving a needlestick injury, what information must you input in the online sharps injury log?

The department where the injury happened

#13-What antiseptic should you use during a blood alcohol test?

Chlorhexidine gluconate

#14-At a minimum, what personal protective equipment do you need to prepare to aliquot a blood specimen?

Face shield and gloves

#15-A centrifuge catches on fire. In what class of fire should this situation be identified?

Class C

#16-When collecting a sample for cholesterol, troponin, and HDL, blood re-sults, in which department should these tests be processed?

Chemistry

To alert the lab of the presence of capillary blood

#18-What is the correct way to perform CPR on an infant as a medical professional?

30 compressions, 5.08 cm (2 in) deep

Dispose of gloves upon leaving the room

#20-You are about to perform the third set of blood draws for a glucose tot crance test (GT'T) when the patient starts to cry and does not want to extend her arm. What is the best thing to say?

"May I come back in an hour to perform the draw?"

#21-Which of the following statements regarding standard precautions for infection control is false?

Use both hands to recap needles

#22-Antisepsis is a technique that is used on which of the following?

Skin

#23-How often should latex gloves be changed?

Between patient contacts

#24-Once you have stopped excesswve bleeding, what should you apply over the site?

Pressure bandage

#25-The patient may leave when the bleeding has stopped completely and there are no signs of__________or other complications.?

Syncope

#26-What is the difference between syncope and hypovolemic shock?

Fainting may be caused by pain or emotions

#27-You are performing venipuncture, and a hemorrhage occurs in a limb. What must you do?

Elevate the extremity and continue applying pressure until more modical assistance arrives

#28-How long should you scrub hands when washing according to CDC?

30 seconds

#29-Where should you dispose of all contaminated material?

A biohazard bag

#30-What is the best way to prevent infection and transmission?

Handwashing

#31-When disinfecting a venipuncture site, why should you not use cotton ball?

Cotton balls leave behind small fibers

#32-Alcohol that has not fully dried on the venipuncture site can lead to____________

Hemolysis of the specimen

#33-What is alcohol's purpose in bacterial testing?

Remove oil

#34-What is the purpose of povidone-iodine in bacterial testing?

Kill bacteria

#35-What should you use at the venipuncture site if the patient is allergic to alcohol?

Chlorhexidine gluconate

#36-What form must you and the patient sign to permit blood tests to determine exposure?

HIV

#37-What is required following accidental exposure to body fluids?

Documentation of the accidental exposure

#38-What is the first priority after accidental exposure?

First aid

#39-What is the term for the following equipment: gloves, masks, gowns, face shields, and goggles?

Personal Protective Equipment

#40-What PPE should be worn for venipuncture?

Gloves

#41-When should you wash your hands?

Before and after contact with every patient

#42-What should be done if your gloves are punctured or torn?

Replace the gloves

#43-Where should you dispose of used needles and lancets?

Sharps container

#44-According to the Bloodborne Pathogen Standard, what two guidelines must all at-risk employees adhere to?

Personal protective equipment and HBV immunization

#45-What organization establishes regulations for phlebotomists to work as effectively and safely as possible?

OSHA

#46-What guidelines protect healthcare professionals from exposure to body fluids, prevent exposure, and train for handling situations of body fluid exposure?

Bloodborne Pathogen Standard

#47-All phlebotomists and healthcare professionals must deem body fluids as..

Potentially infectious

#48-What information must the sharps injury log include?

Date, time, type of sharps used, staff or patient involved (without names), location, description

#49-In the case of a splash risk, what can you use instead of a full-face shield?

Goggles and face mask

#50-What independent, non-governmental, nonprofit organization accredits and certifies healthcare facilities to focus on the continual importance of quality of care and patient safety?

The Joint Commission (TIC)

#51-What organization established the proper order of draw for venipuncture?

Clinical and Laboratory Standards Institute (CLSI)

#52-What should you first use to disinfect a needlestick injury?

Soap and water

#53-Starting a procedure without consent is considered:

Assault

#54-What should you do if a patient refuses care?

Notify a nurse and the ordering physician

#55-How should you obtain patient identification from a conscious patient prior to venipuncture?

Ask the patient, "What is your name?"

#56-How often should laboratory equipment be cleaned?

Several times a day

#57-What lab test is the least complicated to perform, with results that are as accurate as possible and a low risk of error?

CLIA-waived tests

#58-What is not considered a sharp?

Glucometer

#59-What are the three types of transmission included in transmission-based precautions?

Contact, droplet, airborne

#60-What types of transmission do mumps, rubella, meningitis, diphtheria, and influenza fall under?

Droplet

#61-What types of transmission do tuberculosis, rubeola (measles), and varicella (chickenpox) fall under?

Airborne

#62-What type of precaution is required for scabies and wound/skin infections?

Contact

#63-What PPE should you use for contact-based transmissions?

Gloves and gown

#64-What PPE should you use for droplet-based transmissions?

Mask

#65-What PPE should you use for airborne-based transmissions?

N9S mask

#66-When performing CPR, what results in a higher survival rate?

Faster compressions

#67-What is the adult compression rate during CPR?

100-12o compressions per minute

#68-Before administering CPR in an emergency, what should you do first?

Call 911

#69-When can you use hand sanitizer instead of handwashing?

When hands are not visibly soiled

Gown

#71-What items are disposed of in a biohazard bag?

Used glucose test strips

#72-What is the normal range for glucose levels?

60-180

#73-On what document should you record equipment maintenance and quality control testing?

Equipment Log

#74-What happens if the centrifuge is not balanced?

It vibrates more than usual, with more noise

#75-How should glucometers be cleaned after each use?

Wiped with an alcohol wipe

#76-When obtaining patient identification, which of the following information do you need?

Picture ID, full name, date of birth

#77-When drawing blood from a patient admitted for cardiac symptoms, what action should you take when drawing blood?

Collect the patient's blood

#78-Which information is required on the requisition form for an outpatient blood collection?

Patient's billing information and test status

#79-A patient has a history of syncope in previous blood collections. What should you do to avoid this happening?

Place the patient in a supine position

#80-What should the patient do before their blood is taken for a choles- terol test?

Sit for about 5 minutes before test

#81-What should you use when taking a sample for a coagulation test from a three-year-old patient?

Winged safety butterfly

#82-What should you do if an inpatient has an IV in both arms?

Ask the nurse to turn off IVs for two minutes

#83-In what position should a patient's arm be during venipuncture?

Extended fully downward

#84-A blood sample of a patient who ate a fatty meal before blood collection is processing. What should you expect to find about the specimen after centrifugation?

The specimen is lipemic.

#85-Before blood collection, a patient tells you he is taking warfarin (anticong-ulant meds). What type of test will be affected by this medication?

PT/INR

#86-You are taking a patient's blood sample to check for lithium level after a dose of medication. At which level should you collect the sample?

Peak

#87-How should you answer if a patient asks you why his blood is to be collected?

You should ask your provider about the test.

#88-When collecting a urine sample for a culture and sensitivity test, how should you direct your patient to do so?

"You must collect a midstream clean catch specimen.

#89-What information should you provide to the patient about the venipunc ture procedure?

"I will swab the area twice to ensure it is sterile

#90-What should you do when preparing to collect blood samples to track a patient's medication levels?

Ask the nurse when the medication was last administered

#91-What type of urine sample should a patient collect for a pregnancy test?

First-morning void

#92-How should you interact with a patient wearing hearing aids to ensure he understands the procedure?

"Would you like me to repeat the directions?"

#93-How should you check an ID if a patient is unconscious?

Use the ID bracelet only if attached to the wrist

#94-What makes an ID bracelet an acceptable form of ID?

Worn around patient's wrist only

#95-When can you ask the family to identify the patient?

When the patient is alert but unable to communicate

#96-What is a requisition form?

Identification form with last name, birth date, and other information

#97-All patients are subject to protection under the__________?

Patient's Bill of Rights

#98-The patient does not have the right to__?

Access the health information of family members

#99-What is explicit consent required for?

Only larger, invasive treatments

100

#100-What should a requisition form include?

Patient's full name, sex, birth date, ID number, lab test ordered by the patient's doctor, the full name of the doctor, date and time of the lab test, and your initials as the phlebotomist