NHA CPT 024 Study Guide Questions

NHA CPT 2023/2 024 Study Guide Questions with Complete Solutions Safety and Compliance- A phlebotomy technician is preparing to perform a venipuncture for a patient who has pneumonia. Besides gloves, which of the following pieces of personal protective equipment should the technician wear?

• Gown
• N95 respirator
• Face mask
• Goggles - Correct Answer C. The technician should wear a face mask when performing a venipuncture

for a patient who has a condition that requires droplet precautions, such as pneumonia.Safety and Compliance- While collecting a blood specimen, a phlebotomy technician notices the glass collection tube is cracked. Which of the following actions should the technician take?

• Wrap the tube in a pair of gloves and place it in a trash can.
• Discard the tube in a biohazard bag.
• Label the tube and send it to the laboratory.
• Dispose of the tube in a sharps container. - Correct Answer D. The technician should discard broken

glass in a sharps container to reduce the risk of injury.Safety and Compliance- A phlebotomy technician is performing a glucometer reading in a young adult patient. The patient's parent is in the room and asks about the patient's glucose level. Which of the following actions should the technician take?

• Write down the results for the parent and the patient.
• Ask the parent to leave the room and tell the patient.
• Show the patient and parent the results in the patient and parent the results in the patient's

electronic health record. (EHR)

• Ask the patient for permission to disclose the results with the parent present. - Correct Answer D. The

technician should not give the results directly to the patient's parent. Because the patient is an adult, the technician should ask the patient for permission to disclose results. 1 / 4

Safety and Compliance- A phlebotomy technician is preparing to perform the third set of blood draws for a glucose tolerance test (GTT). The patient starts to cry and refuses to extend her arm for the draw.Which of the following statements should the technician make?

• "I will get in trouble if I don't perform the draw."
• "I promise the draw won't hurt."
• "May I come back in an hour to perform the draw?"
• "May I please perform the draw?" - Correct Answer D. The GTT is a timed test that requires multiple

blood draws performed at set intervals to adequately determine values and ranges. The technician should ask the patient for permission to perform the draw but should recognize the patient's right to refuse the procedure.Safety and Compliance- A phlebotomy technician is preparing to complete the glucose monitor quality control record. Which of the following information should the technician record in the quality control record?

• Daily patient test results
• Physician's NPI number
• Date of battery change
• Time that values were recorded - Correct Answer C. The technician should perform daily quality

control checks and record the results of these checks and any other maintenance in the quality control record.Safety and Compliance- A phlebotomy technician observes a glucometer reading of 250 mg/dL. A second test is performed and returns a reading within the expected reference range. Which of the following circumstances could have caused the first result to be inaccurate?

• Too much blood was used.
• The first drop of blood was used.
• Too little blood was used.
• The test strips were left open. - Correct Answer A. If too much blood is applied to a test strip, it can

cause false high glucose level readings. 2 / 4

Safety and Compliance- Which of the following solutions should a phlebotomy technician use to clean a cerebral spine specimen spill?

• Chlorine bleach
• Hydrogen peroxide
• Povidone-iodine
• Isopropyl alcohol - Correct Answer A. The technician should use a 1:10 solution of bleach and water to

clean a biohazard spill. Chlorine bleach is a disinfected and will kill all pathogens.Safety and Compliance- A phlebotomy technician experiences a needlestick injury while performing a venipuncture. Which of the following information should the technician include the online sharps injury log?

• The injured technician's name
• The recommended follow-up treatment
• The department where the injury occurred
• The patient's name - Correct Answer C. The technician should include the type and brand of the

device involved in the injury, the department where the injury occurred, and a brief explanation of how the injury occurred.Safety and Compliance- When testing a patient for streptococccal pharyngitis, a phlebotomy technician should implement which of the following types of transmission-based precautions?

• Contact
• Standard
• Airborne
• Droplet - Correct Answer D. The technician should use droplet precautions to prevent the

transmission of large-particle droplets, such as streptococcal phrayngitis.Which of the following actions should a phlebotomy technician take when performing a blood culture collections? 3 / 4

• Use 70% isopropyl alcohol to cleanse the site.
• Cleanse the site for no more than 10 seconds.
• Palpate the vein after cleansing the site.
• Remove the tourniquet after 2 min. - Correct Answer A. The technician should scrub the site with 70%

isopropyl alcohol. Refer to the study guide addendum on the NHA website for details on CLSI guidelines for cleansing a venipuncture site.Safety and Compliance- Which of the following is the current procedure for medical professionals performing CPR on an infant?

• 30 compressions, 3.8 cm (1.5 in) deep
• 30 compressions, 5.08 cm (2 in) deep
• 100 compressions, 5.08 cm (2 in) deep
• 100 compressions, 3.8 cm (1.5 in) deep - Correct Answer A. A medical professional who is performing

CPR on an infant should use two fingers to deliver 30 rapid compressions at a rate of 100 to 120 compressions per minute that are each 3.8 cm (1.5in) deep, followed by two rescue breaths.A phlebotomy technician collects a specimen in a micro collection container after two failed venipuncture attempts. For which of the following reasons should the technician write on the medical requisition form that the blood was collected in this manner?

• To alert the laboratory of a billing change.
• To alert the laboratory that future specimens must be collected in a microcollection container.
• To alert the laboratory of the presence of capillary blood
• To alert the laboratory of possible tissue fluid. - Correct Answer C. In order to obtain correct test

results, the laboratory should be notified as to weather the specimen is capillary or venous blood.While a phlebotomy technician is using a centrifuge, the device catches on fire. The technician should identify a centrifuge fire as which of the following classes of fire?

• Class A
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