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| Section | Objectives |
|---|---|
| Specimen Processing and Handling | - Common errors and rejection criteria - Specimen transport and storage - Quality assurance procedures |
| Safety and Compliance | - Infection control and standard precautions - HIPAA and patient confidentiality - OSHA regulations and patient safety |
| Routine Blood Collections | - Venipuncture procedures - Equipment selection and use - Order of draw |
| Special Collections | - Non-routine specimen collection methods - Pediatric and geriatric considerations - Capillary puncture (fingerstick/heel stick) |
| Patient Preparation | - Specimen labeling procedures - Patient identification and communication - Site selection and preparation |
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NEW QUESTION # 119
A phlebotomist enters a patient's room and finds the patient motionless and cyanotic. Which of the following actions should the phlebotomist take?
Answer: A
Explanation:
The first action is to assess responsiveness by speaking loudly and directly to the patient, such as asking whether they are okay. A motionless, cyanotic patient may be in respiratory or cardiac arrest, but the phlebotomist must follow the emergency response sequence rather than jumping to airway maneuvers, rescue breaths, or AED use before confirming responsiveness and activating help according to facility protocol. The head-tilt/chin-lift maneuver is an airway-opening step, but it follows initial responsiveness assessment and emergency activation. Rescue breaths are not the first step and are performed only within the appropriate CPR sequence and training level. Applying an AED is appropriate when cardiac arrest is suspected and the emergency response process has been initiated, but the first immediate action from the options is responsiveness assessment. NHA CPT safety content includes recognizing emergencies, initiating first aid, responding to codes, and CPR-related guidelines. Reference topics: Safety and Compliance; emergency recognition; CPR sequence; first aid response.
NEW QUESTION # 120
Which of the following specimens is commonly collected using filter paper?
Answer: D
Explanation:
Newborn screening specimens are commonly collected using filter paper. These specimens are obtained by heel puncture and applied to designated circles on approved filter paper cards. The blood must soak through completely from one side, filling each circle properly without layering multiple drops. Blood cultures are collected in aerobic and anaerobic culture bottles, not filter paper. Coagulation studies require light-blue citrate tubes filled to the correct blood-to-additive ratio. Crossmatch specimens are collected in tubes specified by the transfusion service, with strict patient identification and labeling requirements. Filter-paper collection has its own technical risks: insufficient saturation, layering, contamination, touching the collection area, failure to dry completely, and improper transport can all make the specimen unsatisfactory. The phlebotomist must warm the heel if needed, use an approved puncture site, avoid excessive squeezing, and allow the card to dry horizontally away from direct heat or sunlight. Reference topics: Special Collections; newborn screening; PKU/metabolic screening; filter-paper collection; infant heel puncture.
NEW QUESTION # 121
Which of the following angles should a phlebotomist use when inserting a butterfly needle into a patient's dorsal hand veins?
Answer: B
Explanation:
A butterfly needle inserted into dorsal hand veins should be introduced at a shallow angle, and from the options provided, 10° is the best answer. Hand veins are usually superficial, smaller, and more mobile than antecubital veins, so a steep angle increases the risk of passing through the vein, causing infiltration, hematoma formation, pain, or failed collection. A winged infusion set gives better control for fragile or difficult veins, but the phlebotomist must still anchor the vein, insert bevel up, and keep the angle low. A 25° or 30° angle is more consistent with routine antecubital venipuncture rather than shallow hand-vein access. A 45° angle is excessive for venous collection and creates unnecessary tissue trauma. The NHA CPT test plan places this under routine blood collection skills, including equipment selection, winged collection sets, hand vascular anatomy, site selection, and angle of needle insertion and withdrawal. Reference topics: Routine Blood Collections; winged collection set; hand veins; angle of needle insertion.
NEW QUESTION # 122
Which of the following actions should a phlebotomist take after receiving a critical value?
Answer: D
Explanation:
A critical value must be reported to the provider directly and promptly according to facility policy. Critical values represent results that may indicate an immediate threat to the patient's health, so delayed communication can create patient-safety risk. The phlebotomist should follow the organization's read-back, documentation, escalation, and notification procedure, especially when the result comes from point-of-care or waived testing performed by the phlebotomist. Waiting until all collections are completed is unsafe because critical values require timely clinical action. Asking a colleague to repeat the testing is not the correct first response unless the facility's procedure specifically requires confirmatory testing and the phlebotomist is authorized to perform it. Recording the value in the chart for later nurse review is also insufficient because it does not ensure immediate provider notification. Critical value handling is part of specimen processing, communication, patient safety, and point-of-care testing responsibility. NHA CPT competencies include reporting abnormal or critical results, communicating with clinical personnel, documenting results, and following testing protocols. Reference topics: Processing Specimens; Special Collections; point-of-care testing; critical value reporting.
NEW QUESTION # 123
Which of the following types of medication is an indication for an INR draw?
Answer: A
NEW QUESTION # 124
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