NPS Phlebotomy Exam Actual 2026/2027
Complete Exam-Style Questions | 100% Verified
Pass Guaranteed – A+ Graded
Content Area Overview
This actual examination reflects the comprehensive clinical and technical knowledge required for
success on the NPS Phlebotomy Certification Exam. It is designed to evaluate the candidate's
understanding of venipuncture and capillary puncture procedures, blood collection equipment and
additives, safety protocols, infection control, patient care, and laboratory operations. Questions are
structured to assess recall of key concepts, application of procedural knowledge to clinical scenarios,
and analysis of complex patient situations. This authentic question bank represents the real exams used
in the course and serves as a comprehensive resource for phlebotomy candidates, medical assistants,
and allied health professionals demonstrating mastery of phlebotomy content for the 2026/2027
academic year.
Section 1: Infection Control & Standard Precautions (8 Questions)
Q1. A phlebotomist enters a patient's room to draw blood. The patient has a known diagnosis of
hepatitis C. According to Standard Precautions, which action is most appropriate?
A. Wear a full gown, N95 respirator, and double gloves for all blood draws
B. Treat all blood and body fluids as potentially infectious, regardless of known diagnosis
C. Use only gloves since hepatitis C is not transmitted through blood
D. Draw the blood at the end of the shift to minimize exposure risk
B. Treat all blood and body fluids as potentially infectious, regardless of known diagnosis [CORRECT]
The best answer is B. This choice is correct because Standard Precautions require treating every
patient's blood and body fluids as potentially infectious—no exceptions based on diagnosis. This aligns
with NPS standards and CLSI guidelines, and it's the foundation of safe phlebotomy practice across all
settings.
Correct Answer: B
,Q2. During a blood draw, the phlebotomist accidentally drops a contaminated needle on the floor.
The needle is no longer attached to the holder. What is the correct first step?
A. Pick up the needle with gloved hands and place it in the sharps container
B. Use a mechanical device such as forceps or tongs to pick up the needle, then dispose of it in a
puncture-resistant sharps container
C. Leave the needle on the floor and call housekeeping to clean it up
D. Wipe the needle with alcohol before placing it in the sharps container
B. Use a mechanical device such as forceps or tongs to pick up the needle, then dispose of it in a
puncture-resistant sharps container [CORRECT]
The best answer is B. This choice is correct because you never pick up a contaminated sharp with your
bare hands or even gloved hands if you can avoid it—use a mechanical grabber instead. This matches
standard phlebotomy practice and OSHA safety standards for sharps handling.
Correct Answer: B
Q3. A phlebotomist is preparing to draw blood from a patient in isolation for MRSA. The nurse states
the patient has a draining wound on the arm. In what order should PPE be donned before entering the
room?
A. Gown, mask, gloves
B. Gloves, gown, mask
C. Mask, gown, gloves
D. Gown, gloves, mask
C. Mask, gown, gloves [CORRECT]
The best answer is C. This choice is correct because the standard PPE donning sequence is mask first (to
protect mucous membranes), then gown (to protect clothing and skin), then gloves last (since they go
over the gown cuffs). This aligns with NPS standards and CLSI guidelines for infection control.
Correct Answer: C
Q4. After completing a blood draw on a patient in contact isolation, the phlebotomist needs to
remove PPE. Which sequence is correct?
A. Remove gloves first, then gown, then mask last
B. Remove mask first, then gown, then gloves last
C. Remove gown first, then gloves, then mask last
D. Remove gloves and gown together, then mask last
, A. Remove gloves first, then gown, then mask last [CORRECT]
The best answer is A. This choice is correct because you always remove the most contaminated item
first (gloves), then the gown, and save the mask for last since it protects your face and you don't want to
touch your face with dirty hands. This matches standard phlebotomy practice and CDC isolation
precaution guidelines.
Correct Answer: A
Q5. A phlebotomist has just finished drawing blood and needs to perform hand hygiene. Which
technique is correct?
A. Apply soap, lather for 5 seconds, rinse with fingers pointed up, and dry with a paper towel
B. Apply soap, lather vigorously for at least 20 seconds, rinse with fingers pointed down, and dry with a
clean towel
C. Rinse hands first, then apply soap, lather for 10 seconds, and air dry
D. Use hand sanitizer only since gloves were worn during the draw
B. Apply soap, lather vigorously for at least 20 seconds, rinse with fingers pointed down, and dry with
a clean towel [CORRECT]
The best answer is B. This choice is correct because proper hand hygiene means lathering with soap for
a full 20 seconds, keeping fingers pointed down so water and germs run off rather than pooling at the
wrists, and drying completely. This aligns with NPS standards and CLSI guidelines for infection control.
Correct Answer: B
Q6. Which of the following is a required component of an OSHA Exposure Control Plan?
A. A list of all employees who have been exposed to bloodborne pathogens in the past year
B. Identification of job classifications with occupational exposure risk and the protective measures in
place
C. A mandatory vaccination record for every patient seen in the facility
D. Annual profit and loss statements for the laboratory
B. Identification of job classifications with occupational exposure risk and the protective measures in
place [CORRECT]
The best answer is B. This choice is correct because the OSHA Exposure Control Plan must specifically
identify which employees are at risk for occupational exposure and detail the protective measures
available to them. This matches standard phlebotomy practice and federal OSHA Bloodborne Pathogens
Standard requirements.
Complete Exam-Style Questions | 100% Verified
Pass Guaranteed – A+ Graded
Content Area Overview
This actual examination reflects the comprehensive clinical and technical knowledge required for
success on the NPS Phlebotomy Certification Exam. It is designed to evaluate the candidate's
understanding of venipuncture and capillary puncture procedures, blood collection equipment and
additives, safety protocols, infection control, patient care, and laboratory operations. Questions are
structured to assess recall of key concepts, application of procedural knowledge to clinical scenarios,
and analysis of complex patient situations. This authentic question bank represents the real exams used
in the course and serves as a comprehensive resource for phlebotomy candidates, medical assistants,
and allied health professionals demonstrating mastery of phlebotomy content for the 2026/2027
academic year.
Section 1: Infection Control & Standard Precautions (8 Questions)
Q1. A phlebotomist enters a patient's room to draw blood. The patient has a known diagnosis of
hepatitis C. According to Standard Precautions, which action is most appropriate?
A. Wear a full gown, N95 respirator, and double gloves for all blood draws
B. Treat all blood and body fluids as potentially infectious, regardless of known diagnosis
C. Use only gloves since hepatitis C is not transmitted through blood
D. Draw the blood at the end of the shift to minimize exposure risk
B. Treat all blood and body fluids as potentially infectious, regardless of known diagnosis [CORRECT]
The best answer is B. This choice is correct because Standard Precautions require treating every
patient's blood and body fluids as potentially infectious—no exceptions based on diagnosis. This aligns
with NPS standards and CLSI guidelines, and it's the foundation of safe phlebotomy practice across all
settings.
Correct Answer: B
,Q2. During a blood draw, the phlebotomist accidentally drops a contaminated needle on the floor.
The needle is no longer attached to the holder. What is the correct first step?
A. Pick up the needle with gloved hands and place it in the sharps container
B. Use a mechanical device such as forceps or tongs to pick up the needle, then dispose of it in a
puncture-resistant sharps container
C. Leave the needle on the floor and call housekeeping to clean it up
D. Wipe the needle with alcohol before placing it in the sharps container
B. Use a mechanical device such as forceps or tongs to pick up the needle, then dispose of it in a
puncture-resistant sharps container [CORRECT]
The best answer is B. This choice is correct because you never pick up a contaminated sharp with your
bare hands or even gloved hands if you can avoid it—use a mechanical grabber instead. This matches
standard phlebotomy practice and OSHA safety standards for sharps handling.
Correct Answer: B
Q3. A phlebotomist is preparing to draw blood from a patient in isolation for MRSA. The nurse states
the patient has a draining wound on the arm. In what order should PPE be donned before entering the
room?
A. Gown, mask, gloves
B. Gloves, gown, mask
C. Mask, gown, gloves
D. Gown, gloves, mask
C. Mask, gown, gloves [CORRECT]
The best answer is C. This choice is correct because the standard PPE donning sequence is mask first (to
protect mucous membranes), then gown (to protect clothing and skin), then gloves last (since they go
over the gown cuffs). This aligns with NPS standards and CLSI guidelines for infection control.
Correct Answer: C
Q4. After completing a blood draw on a patient in contact isolation, the phlebotomist needs to
remove PPE. Which sequence is correct?
A. Remove gloves first, then gown, then mask last
B. Remove mask first, then gown, then gloves last
C. Remove gown first, then gloves, then mask last
D. Remove gloves and gown together, then mask last
, A. Remove gloves first, then gown, then mask last [CORRECT]
The best answer is A. This choice is correct because you always remove the most contaminated item
first (gloves), then the gown, and save the mask for last since it protects your face and you don't want to
touch your face with dirty hands. This matches standard phlebotomy practice and CDC isolation
precaution guidelines.
Correct Answer: A
Q5. A phlebotomist has just finished drawing blood and needs to perform hand hygiene. Which
technique is correct?
A. Apply soap, lather for 5 seconds, rinse with fingers pointed up, and dry with a paper towel
B. Apply soap, lather vigorously for at least 20 seconds, rinse with fingers pointed down, and dry with a
clean towel
C. Rinse hands first, then apply soap, lather for 10 seconds, and air dry
D. Use hand sanitizer only since gloves were worn during the draw
B. Apply soap, lather vigorously for at least 20 seconds, rinse with fingers pointed down, and dry with
a clean towel [CORRECT]
The best answer is B. This choice is correct because proper hand hygiene means lathering with soap for
a full 20 seconds, keeping fingers pointed down so water and germs run off rather than pooling at the
wrists, and drying completely. This aligns with NPS standards and CLSI guidelines for infection control.
Correct Answer: B
Q6. Which of the following is a required component of an OSHA Exposure Control Plan?
A. A list of all employees who have been exposed to bloodborne pathogens in the past year
B. Identification of job classifications with occupational exposure risk and the protective measures in
place
C. A mandatory vaccination record for every patient seen in the facility
D. Annual profit and loss statements for the laboratory
B. Identification of job classifications with occupational exposure risk and the protective measures in
place [CORRECT]
The best answer is B. This choice is correct because the OSHA Exposure Control Plan must specifically
identify which employees are at risk for occupational exposure and detail the protective measures
available to them. This matches standard phlebotomy practice and federal OSHA Bloodborne Pathogens
Standard requirements.
