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NHA Practice Flashcards

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1
Q

A phlebotomist is told to take procedural shortcuts to save time in collecting specimens during morning sweeps. She disagrees and chooses to follow the rules. Which professional characteristic is she exhibiting?

A

Integrity

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2
Q

Primum non nocere comes from the Hippocratic Oath and means:

A

first do no harm

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3
Q

While staying in a healthcare facility, one of the patient’s expectations as listed in The Patient Care Partnership brochure is the right to:

A

help with billing claims

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4
Q

This is an abbreviation for a healthcare provider that includes a number of associated medical facilities that furnish coordinated healthcare services from prebirth to death.

A

IDN

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5
Q

Which of the following factors is considered critical in understanding a diverse population’s healthcare needs?

A

Knowledge of their customs, Attitudes toward sneaking help, and Traditions related to healing.

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6
Q

You accidentally splash a bleach solution into your eyes while preparing it for cleaning purposes. What is the first thing to do?

A

Flush your eyes with water for a minimum of 15 minutes.

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7
Q

Healthcare workers are considered immune to a disease if they:

A

Have contracted the disease and recovered from it.

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8
Q

Which of the following is required by the Bloodborne Pathogens (BBP) Standard?

A

Wearing gloves when performing phlebotomy.

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9
Q

What is the proper order for putting on protective clothing?

A

Gown first, then mask, gloves last.

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10
Q

A specimen processor removes the stopper from a tube without barrier protection and feels a mist of specimen touch his eyes. What type of exposure occurs through eye contact?

A

Pemuscosal

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11
Q

These are the initials of the two organizations responsible for guidelines for isolation precautions in hospitals:

A

CDC and HIPAC.

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12
Q

Which of the following patients would require contact precautions pending a diagnosis?

A

A diapered patient with symptoms of infection with an enteric pathogen.

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13
Q

The free availability of personal protective equipment (PPE) for employee use in the medical laboratory is mandated by the:

A

OSHA Bloodborne Pathogens (BBP) Standard.

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14
Q

What laboratory document describes in detail the steps to follow for specimen collection?

A

Procedure Manual.

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15
Q

The “standard of care” in the practice of phlebotomy is influenced by which of the following organizations?

A

The Joint Commission and CAP.

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16
Q

A laboratory technician asked a phlebotomist to recollect a specimen on a patient. When the phlebotomist asked what was wrong with the specimen, the technician replied, “The specimen was OK, but the results were inconsistent.” How would the laboratory technician have decided that the results were questionable? The results did not:

A

Compare with previous results after delta check.

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17
Q

When the threshold value of a QA clinical indicator is exceeded and a problem is identified:

A

A corrective action plan is implemented.

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18
Q

A phlebotomist explains to an inpatient that he has come to collect a blood specimen. The patient extends his arm and pushes up his sleeve. This is an example of:

A

Implied consent.

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19
Q

Which of the following is an example of a QA indicator?

A

The contamination rate for BC’s will not exceed the national rate.

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20
Q

Which organization provides voluntary laboratory inspections and proficiency testing?

A

CAP.

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21
Q

The coagulation process is kept in check by:

A

Natural inhibitors.

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22
Q

Which blood cell increases in allergic reactions and pinworm infestations?

A

Eosinophil.

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23
Q

A reticulocyte count identifies immature:

A

Red blood cells.

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24
Q

The normal composition of blood is approximately:

A

55% plasma, 45% formed elements.

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25
A person's blood type is determined by the presence or absence of certain types of:
Antigens on the surfaces of the red blood cells.
26
On an electrocardiogram, which wave represents the activity of the ventricles?
QRS and T.
27
A whole-blood specimen has an abnormally large buffy coat. This is an indication that the patient has:
An elevated leukocyte or platelet count.
28
Which of the following would be considered a normal platelet count?
300,000/mm3.
29
On a blood smear made using Wright stain, the granules of eosinophils stain this color.
Orange-red.
30
Which of the following blood vessels carries oxygenated blood?
Pulmonary vein.
31
Normal plasma is a:
Clear or slightly hazy, pale yellow fluid that is 90% water.
32
Which of the following would be considered a normal erythrocyte count?
4.5 million/mm.
33
Which type of cell is sometimes called a macrophage?
Monocyte.
34
Mixing equipment from different manufacturers can result in:
an improper fit of the needle.
35
If a blood pressure cuff is used for venipuncture in place of a tourniquet, the pressure used must be:
below the patient's diastolic pressure.
36
A trace element specimen tube should be collected:
separately or by syringe.
37
Mixing additive tubes properly involves:
turning the rest 180° and back.
38
Which of the following are all anticoagulants that remove calcium from the specimen by forming insoluble calcium salts and therefore preventing coagulation?
Sodium citrate, EDTA, oxalate.
39
Which disinfectant is preferred by the HICPAC for use on surfaces and instruments?
EPA-registered sodium hypochlorite product.
40
After a blood spill, a disinfectant is applied and must have at least ____ minutes of contact time for cleanup to be effective.
10 minutes
41
It is important to fill oxalate tubes to the stated fill capacity because excess oxalate:
causes hemolysis of blood specimens.
42
The blood-to-additive ratio is most critical for a specimen collected in this tube.
Light-blue top.
43
The head space in an evacuated tube is:
a consistent amount of airspace left when a tube is filled properly.
44
Applying pressure on the gauze as the needle is removed can cause the:
skin to be split.
45
Proper needle disposal involves:
Disposing of the needle and tube holder in the sharps container as one unit.
46
Failure of the patient to follow required diet restrictions before specimen collection could lead to:
All of the choices are correct. Erroneous and meaningless test results. Misinterpreted test results by the physician. Compromised patient care and treatment.
47
When received by the laboratory, inpatient requisitions are typically sorted according to:
collection priority, date and time, and patient location.
48
Labeling of routine inpatient blood specimens should take place:
at the bedside immediately after collection.
49
When properly anchoring a vein, the:
thumb is 1 to 2 in. below the intended site and is pulling the skin toward the wrist.
50
In transferring blood from a syringe to evacuated tubes, which is the proper technique?
Use a specially designed engineering device called a syringe transfer device.
51
What is the best angle to use for needle insertion during routine venipuncture?
30 degrees or less.
52
Examples of timed tests include:
blood cultures, cardiac enzymes, and cortisol.
53
Which hormone is most affected by the presence of a fever?
Insulin
54
Which of the following analytes can remain elevated for 24 hours or more after exercise?
CK.
55
Which analyte has a higher reference range for males than for females?
Hematocrit
56
This blood component exhibits diurnal variation, with peak levels occurring in the morning.
Cortisol
57
Temperature and humidity control in a laboratory is important because it:
maintains the integrity of specimens.
58
Which of the following can result in microclot formation in a specimen collected in an anticoagulant microtube?
Overfilling the tube
59
During multisample capillary specimen collection, blood smears and EDTA specimens are obtained before other specimens to minimize:
Effects of platelet aggregation.
60
Strong repetitive pressure such as squeezing or milking a site during capillary specimen collection:
can hemolyze and contaminate specimens
61
You need to collect blood cultures, and green-, light-blue-, and purple-top tubes on an adult with difficult veins. Which of these can be collected by skin puncture?
Green top and purple top.
62
Correct newborn screening test collection or handling includes:
using one large drop to entirely fill a collection circle.
63
A differential test is unable to determine:
Packed cell volume.
64
Reference values for this test are higher for capillary specimens.
Glucose
65
Feather is a term used to describe the appearance of:
the thinnest area of a blood film.
66
Timing of collection is most critical for drugs with short half-lives, such as:
Gentamicin
67
This test is used to evaluate long-term effectiveness of diabetes therapy.
Hemoglobin A1c
68
Which of the following must remain consistent throughout an oral glucose tolerance test (OGTT)?
Blood specimen source.
69
The correct order in collecting a blood culture is:
select equipment, perform friction scrub, cleanse bottle tops, perform venipuncture.
70
Which one of the donor unit collection principles below is untrue?
The collection bag contains two additives EDTA and sodium fluoride.
71
An uncorrected imbalance of this analyte in a patient can quickly lead to death.
Potassium
72
An uncorrected imbalance of this analyte in a patient can quickly lead to death.
skin antisepsis
73
What does the laboratory use to identify a specimen throughout the testing process?
Accession number
74
A specimen must be transported at or near normal body temperature. Which of the following temperatures meets this requirement?
37 Celsius
75
Which statement describes proper centrifuge operation?
Balance specimens by placing tubes of equal volume and size opposite one another.
76
Repeated centrifugation of a specimen can:
Result in hemolysis. Deteriorate analytes Alter the test results.
77
You are the only phlebotomist in an outpatient drawing station. A physician orders a test with which you are not familiar. What is the appropriate action to take?
Refer to the user manual for instructions.
78
When using computer-generated specimen labels, what information must typically be added to the label after a specimen is collected?
Phlebotomist's initials
79
Some blood specimens require cooling to:
slow metabolic processes
80
Results for this test should be normal despite a delay in processing longer than 2 hours.
Pregnancy test
81
A separator gel prevents glycolysis:
after the specimen has been centrifuged.
82
Which one of the following describes proper aliquot preparation?
Immediately covering aliquot tubes after transferring the specimen.
83
How should a cryofbrinogen specimen be transported?
In a 37°C heat block
84
The first tube of cerebrospinal fluid (CSF) collected is typically used for:
chemistry studies
85
Which of the following types of ETS tubes are used for synovial fluid specimens?
EDTA, heparin, and nonadditive.
86
A breath specimen can be used to detect:
H. pylor!
87
What is the recommended procedure for collecting a 24-hour urine specimen?
Discard the first morning specimen, start timing, collect all urine for 24 hours including the next morning specimen.
88
Which of the following midstream urine collection steps are in the proper order?
Void into toilet: void into container void any remaining urine into toilet.
89
Semen analysis can be performed to:
evaluate fertility status
90
Which of the following can occur in urine specimens that are not processed in a timely fashion?
Breakdown of bilirubin, Decomposition of cells, Overgrowth of bacteria.
91
Which ABG specimen is most likely to be rejected for testing?
A specimen maintained at 37°C until tested.
92
Arterial blood gas specimens are collected in syringes rather than tubes because:
evacuated tube pressure can change results.
93
Positioning of the arm for radial ABG specimen collection includes:
extending the wrist approximately 30 degrees.
94
After performing arterial puncture, the phlebotomist should check the pulse:
distal to the puncture site.
95
If the patient has an elevated white blood cell count, the ABG specimen should be:
analyzed ASAP
96
Which of the following is proper procedure if the Allen test is negative?
Check for collateral circulation in the other arm.
97
Why is arterial blood better for blood gas determination than venous blood?
Composition of arterial blood is more consistent.
98
The blood gas parameter HCO measures the amount of:
bicarbonate circulating in the blood.

NHA Practice (1 decks)

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