NHCO PHLEBOTOMY EXAM WITH
CORRECT ANSWERS
1. Which of the following is the best indication that a patient might be at
risk of syncope?
a. Involuntary movement
b. Lightheadedness and shallow breath
c. Small red spots appearing on skin
d. Paleness and sweating - ANSWER-d. Paleness and sweating
2. Why is it important for a phlebotomist to invert anticoagulant tubes?
a. To prevent a pH imbalance
b. To prevent hemolysis
c. To ensure proper mixing of blood and additive
d. To prevent hemoconcentration - ANSWER-c. To ensure proper
mixing of blood and additive
3. Which of the following protects a patient's information?
a. OSHA
b. HIPPA
c. The Joint Commission
d. AAHSA - ANSWER-b. HIPPA
4. Which of the following needle sizes is NOT used for laboratory assays
but for collection of donor units of blood?
a. 18-gauge
b. 23-gague
, c. 21-gague
d. 22-gague - ANSWER-a. 18-gauge
5. How many minutes within collection of a urine sample should the
phlebotomist take the temperature of the specimen?
a. Within 10 minutes
b. Within 45 minutes
c. Within 30 seconds
d. Within 4 minutes - ANSWER-d. Within 4 minutes
6. Quality control checklists ensure machines are inspected for
compliance at time intervals specific to the equipment and ________.
a. Clinical application
b. Chemical measurement
c. Expiration date
d. Stock rotation - ANSWER-a. Clinical application
7. Which of the following actions will most likely prevent a needle stick
injury?
a. Having a nurse or other healthcare team member dispose of
used needles for the phlebotomist
b. Replacing sharps containers when they have reached their fill
line
c. Recapping every needle prior to discarding it in the sharps
container
d. Wearing rubber gloves during venipuncture - ANSWER-b.
Replacing sharps containers when they have reached their fill
line
,8. Which of the following pieces of information need to be on a laboratory
requisition form before a phlebotomist should proceed with obtaining a
blood specimen?
a. The patient's status as an organ donor
b. A specimen identification code
c. A laboratory's CLIA number
d. The patient's emergency contact - ANSWER-b. A specimen
identification code
9. A patient is listening to a phlebotomist explain the venipuncture
process before initiating the blood draw. The patient communicates
their understanding but seems hesitant and confused. How should the
phlebotomist handle the situation?
a. The phlebotomist should surmise that the patient has heard
enough information and get ready to draw the patient's blood.
b. The phlebotomist should leave the room and ask for another
doctor or nurse to explain the procedure.
c. The phlebotomist should repeat the same explanation in a slower
voice.
d. The phlebotomist should find another way to phrase the
explanation and invite the patient to ask any clarifying questions.
- ANSWER-d. The phlebotomist should find another way to phrase
the explanation and invite the patient to ask any clarifying
questions.
10. The additive in a Pink Top Tube used in blood banking is which of
the following?
a. Sodium polyanethole sulfonate (SPS)
b. Sodium heparin
c. Potassium ethylenediaminetetraacetic acid (EDTA)
d. Acid citrate dextrose (ACD) - ANSWER-c. Potassium
ethylenediaminetetraacetic acid (EDTA)
, 11. If a patient verbally or physically refuses a venipuncture
procedure, the phlebotomist should do which of the following?
a. The phlebotomist should inform the patient that they will still be
reasonable to pay for the procedure.
b. The phlebotomist should re-explain the procedure in case the
patient did not understand.
c. The phlebotomist should inform the patient that they will need to
reschedule their appointment.
d. The phlebotomist should immediately report the refusal and
actions taken to their supervisor. - ANSWER-d. The phlebotomist
should immediately report the refusal and actions taken to their
supervisor.
12. What is the recommended allowance for a total volume of blood
drawn from a patient within a 24-hr period?
a. 0.05% - 1%
b. 1% - 5%
c. 5% - 7%
d. 10% - ANSWER-b. 1% - 5%
13. Which of the following is the proper way a phlebotomist should
dispose of a needle?
a. The phlebotomist should recap it with the original white lid with
the opposite hand and put it in a sharps container.
b. The phlebotomist should throw it, recapped, into a biohazard
bag.
c. The phlebotomist should put it into a sharps container, SAFETY
CAPPED, after withdrawing it from the patient's arm.
d. The phlebotomist should collect them in a cup for disposal at the
end of the day. - ANSWER-c. The phlebotomist should put it into a
CORRECT ANSWERS
1. Which of the following is the best indication that a patient might be at
risk of syncope?
a. Involuntary movement
b. Lightheadedness and shallow breath
c. Small red spots appearing on skin
d. Paleness and sweating - ANSWER-d. Paleness and sweating
2. Why is it important for a phlebotomist to invert anticoagulant tubes?
a. To prevent a pH imbalance
b. To prevent hemolysis
c. To ensure proper mixing of blood and additive
d. To prevent hemoconcentration - ANSWER-c. To ensure proper
mixing of blood and additive
3. Which of the following protects a patient's information?
a. OSHA
b. HIPPA
c. The Joint Commission
d. AAHSA - ANSWER-b. HIPPA
4. Which of the following needle sizes is NOT used for laboratory assays
but for collection of donor units of blood?
a. 18-gauge
b. 23-gague
, c. 21-gague
d. 22-gague - ANSWER-a. 18-gauge
5. How many minutes within collection of a urine sample should the
phlebotomist take the temperature of the specimen?
a. Within 10 minutes
b. Within 45 minutes
c. Within 30 seconds
d. Within 4 minutes - ANSWER-d. Within 4 minutes
6. Quality control checklists ensure machines are inspected for
compliance at time intervals specific to the equipment and ________.
a. Clinical application
b. Chemical measurement
c. Expiration date
d. Stock rotation - ANSWER-a. Clinical application
7. Which of the following actions will most likely prevent a needle stick
injury?
a. Having a nurse or other healthcare team member dispose of
used needles for the phlebotomist
b. Replacing sharps containers when they have reached their fill
line
c. Recapping every needle prior to discarding it in the sharps
container
d. Wearing rubber gloves during venipuncture - ANSWER-b.
Replacing sharps containers when they have reached their fill
line
,8. Which of the following pieces of information need to be on a laboratory
requisition form before a phlebotomist should proceed with obtaining a
blood specimen?
a. The patient's status as an organ donor
b. A specimen identification code
c. A laboratory's CLIA number
d. The patient's emergency contact - ANSWER-b. A specimen
identification code
9. A patient is listening to a phlebotomist explain the venipuncture
process before initiating the blood draw. The patient communicates
their understanding but seems hesitant and confused. How should the
phlebotomist handle the situation?
a. The phlebotomist should surmise that the patient has heard
enough information and get ready to draw the patient's blood.
b. The phlebotomist should leave the room and ask for another
doctor or nurse to explain the procedure.
c. The phlebotomist should repeat the same explanation in a slower
voice.
d. The phlebotomist should find another way to phrase the
explanation and invite the patient to ask any clarifying questions.
- ANSWER-d. The phlebotomist should find another way to phrase
the explanation and invite the patient to ask any clarifying
questions.
10. The additive in a Pink Top Tube used in blood banking is which of
the following?
a. Sodium polyanethole sulfonate (SPS)
b. Sodium heparin
c. Potassium ethylenediaminetetraacetic acid (EDTA)
d. Acid citrate dextrose (ACD) - ANSWER-c. Potassium
ethylenediaminetetraacetic acid (EDTA)
, 11. If a patient verbally or physically refuses a venipuncture
procedure, the phlebotomist should do which of the following?
a. The phlebotomist should inform the patient that they will still be
reasonable to pay for the procedure.
b. The phlebotomist should re-explain the procedure in case the
patient did not understand.
c. The phlebotomist should inform the patient that they will need to
reschedule their appointment.
d. The phlebotomist should immediately report the refusal and
actions taken to their supervisor. - ANSWER-d. The phlebotomist
should immediately report the refusal and actions taken to their
supervisor.
12. What is the recommended allowance for a total volume of blood
drawn from a patient within a 24-hr period?
a. 0.05% - 1%
b. 1% - 5%
c. 5% - 7%
d. 10% - ANSWER-b. 1% - 5%
13. Which of the following is the proper way a phlebotomist should
dispose of a needle?
a. The phlebotomist should recap it with the original white lid with
the opposite hand and put it in a sharps container.
b. The phlebotomist should throw it, recapped, into a biohazard
bag.
c. The phlebotomist should put it into a sharps container, SAFETY
CAPPED, after withdrawing it from the patient's arm.
d. The phlebotomist should collect them in a cup for disposal at the
end of the day. - ANSWER-c. The phlebotomist should put it into a