NCCT Phlebotomy Practice Exam 2022 With Complete Solution

NCCT Phlebotomy Practice Exam 2022 1. 1. A phlebotomist has received a requisition for a blood draw on a patient with a coagulation disorder. The phlebotomist should be sure to: a.) collect the specimen from the hand to avoid a hematoma b.) use a blood pressure cuff to apply consistent pressure c.) hold pressure on the draw site until bleeding has stopped d.) call the doctor to confirm the collection site c. hold pressure on the draw site until bleeding has stopped 2. 2. When a phlebotomist enters a patient's room to collect a STAT blood sample, a sign above the bed states that all collections should be from the patient's central port. Which of the following should the phlebotomist do NEXT? a. proceed with sample collection from the central port and alert the nurse when finished. b. exit the patient's room, and proceed directly to the next patient on the collection list. c. identify the patient and ask for confirmation that the sign is accurate before proceeding with the collection. d. communicate with the test order to the nursing staff and wait for one of them to collect the sample d. communicate with the test order to the nursing staff and wait for one of them to collect the sample 3. 3. Which of the following actions should the phlebotomist take when disposing of a needle following a venipuncture? a. push the needle guard over the needle until it clicks and then place in a biohazard bag b. recap the needle and place it immediately in a sharps container c. recap the needle and place it on the blood collection tray d. place the needle with safety device activated immediately in a sharps container. d. place the needle with safety device activated immediately in a sharps container 4. 4. Which of the following is the correct method for transferring blood from a syringe into evacuated tubes? a. remove the hypodermic needle from the syringe and transfer the blood into capped evacuated tubes by pushing on the syringe plunger b. uncap the evacuated tubes, place them into a tube rack and transfer the blood from the syringe through the hypodermic needle c. uncap the evacuated tubes, place them into a tube rack and transfer blood from the syringe using a syringe transfer device d. remove the hypodermic needle from the syringe after activating the safety device and transfer the blood into a capped evacuated tubes using a syringe transfer device d. remove the hypodermic needle from the syringe after activating the safety device and transfer the blood into capped evacuated tubes using a syringe transfer device 5. 5. Which of the following precautions should be used for a patient with pulmonary TB? a. standard and droplet b. contact and airborne c. airborne and standard d. droplet and contact c. airborne and standard 6. 6. Which of the following is an example of a pre-analytical error made at the time of collection? a. failing to mix tubes b. incomplete requisition c. waiting to centrifuge d. delay in transporting a. failing to mix tubes 7. 7. At which of the following times should a test tube be labeled with the patient's identification? a. after leaving the patient's room b. while the patient's room, before drawing the blood c. before entering the patient's room d. while in the patient's room, after drawing the blood d. while in the patient's room, after drawing the blood 8. 8. Which of the following is an example of negative nonverbal communication? a. folding the arms across the chest b. maintaining eye contact c. taking notes d. nodding the head a. folding the arms across the chest 9. 9. The phlebotomist applies the tourniquet, but then has trouble relocating the vein after several minutes of palpation. Which of the following is an expected outcome in these test results? a. fibrinolysis from hemodilution b. falsely elevated K levels from tissue damage c. falsely increased platelets from clotting d. falsely decreased iron levels from hemolysis b. falsely elevated K levels from tissue damage 10. 10. Which of the following statements by a new phlebotomist indicates the need for further education on standard precautions? a. "I will wear a gown, gloves, and mask for inpatient collections" b. "Sharps containers should be replaced when 2/3 full" c. "I will perform hand hygiene after removing gloves" d. "Antimicrobial wipes may be used for cleaning a collection area at the end of a shift." a. "I will wear a gown, gloves, and mask for inpatient collections" 11. 11. The Needlestick Safety and Prevention Act exists to protect healthcare workers from accidental exposure to: a. blood borne pathogens b. carcinogens c. biologic toxins d. hazardous chemicals a. blood borne pathogens 12. 12. Which of the following is the reason for wiping off the FIRST drop of blood from the patient's finger with gauze when performing a capillary puncture? a. the first drop of blood may contain traces of tissue a. the first drop of blood may contain traces of tissue fluids fluids b. the first drop may be contaminated by the lancet c. the first drop of blood contains too much oxygen 13. 13. Which of the following is the maximum amount of time a phlebotomist can leave a tourniquet secured in place prior to venous access? a. two minutes b. three minutes c. one minute d. thirty seconds c. one minute 14. 14. The physician orders a hemoglobin level to be checked on a 2-month-old patient. Which of the following sites should the phlebotomist use to obtain the specimen? a. superficial scalp vein b. lateral fingertip c. heel of the foot d. antecubital space c. heel of the foot 15. 15. When performing a venipuncture, the phlebotomist is stuck with a bloody needle upon withdrawal from the patient. What is the FIRST thing the phlebotomist should do? a. wash the exposed area with soap and water b. report to a supervisor c. document the incident d. seek immediate medical attention a. wash the exposed area with soap and water 16. 16. A patient has an order for a routine 24-hour urine, with no other special instructions. During the patient education process, the phlebotomist must tell the patient that the process must begin: a. with an empty bladder and end with a full bladder b. and end with a full bladder c. and end with an empty bladder d. with a full bladder and end with an empty bladder c. and end with an empty bladder 17. 17. A phlebotomist collects a cryofibrinogen specimen, places the specimen in a biohazard specimen bag, then onto slurry of ice and water and transports it to the lab in a timely manner. In this case the phlebotomist: a. performed proper specimen handling b. should have protected the specimen from light c. should have kept the specimen at 37 degrees C. d. should have aliquoted the specimen before transport c. should have kept the specimen at 37 degrees C. 18. 18. Which of the following tube and additive combinations should be used for a PT/INR test? a. light blue, sodium citrate b. light blue, sodium heparin c. gray, sodium citrate d. gray, sodium heparin a. light blue, sodium citrate 19. 19. Which of the following is a site preparation solution required for collecting blood cultures and blood alcohol levels? a. povidone-iodine b. isopropyl alcohol c. soap and water d. hydrogen peroxide a. povidone-iodine 20. 20. After selecting the appropriate location to collect a blood ample, how many inches above that location should the phlebotomist tie the tourniquet? a. more than 6 inches b. 1 to 2 inches c. 3 to 4 inches d. 5 to 6 inches c. 3 to 4 inches 21. 21. The phlebotomist notes the patient's arm is scarred in the lateral aspect of the antecubital fossa, and the other arm is not available. The phlebotomist decides to use a more medial site in the fossa over the basilic vein. Which of the following makes this a c. increased risk of arterial involvement e. increased risk of nerve damage poor choice? (Select the two (2) correct answers.) - a. increased risk of an unsuccessful draw - b. increased risk of hemolysis - c. increased risk of arterial involvement - d. increased risk of specimen rejection - e. increased risk of nerve damage 22. 22. A phlebotomist is using an evacuated tube holder and multi-sample needle to collect a CBC, PT, and BUN. The correct order of draw for this collection is: a. green, lavender, light blue b. green, light blue, lavender c. light blue, green, lavender d. lavender, light blue, green c. light blue, green, lavender 23. 23. Which of the following regulations set the minimum standards for medical laboratory practice and quality? a. DEA b. HIPPA c. CLIA d. OSHA c. CLIA 24. 24. Which of the following equipment is MOST appropriate for drawing a CBC from a 5-year-old patient? a. 23g vacutainer and a light blue tube b. 25g vacutainer and a light blue tube c. 23g vacutainer and a lavender top tube d. 25g vacutainer and a lavender top tube c. 23g vacutainer and a lavender top tube 25. 25. A phlebotomist must collect a specimen for a blood alcohol test on a patient who is allergic to shell fish. Which of the following antiseptics should the phlebotomist use? a. benzalkonium chloride b. iodine c. chlorohexidine gluconate d. 70% isopropyl alcohol a. benzalkonium chloride 26. 26. Which of the following QC measures are within the phlebotomist's scope of practice? (Select the three (3) correct answers.) -a. performing calibration on the chemistry analyzer -b. monitoring temperatures of specimen refrigerators -c. checking the expiration dates of venipuncture supplies -d. daily maintenance on the laboratory hematology instruments e. perform daily glucose meter control checks b. monitoring temperatures of specimen refrigerators c. checking the expiration dates of venipuncture supplies e. perform daily glucose control checks 27. 27. The proper technique to anchor a vein is to use the non-dominant thumb: a. to pull the skin towards the wrist b. and forefinger to apply direct downward pressure above and below the site c. to apply direct and downward pressure d. and forefinger to stretch the skin above and below the site a. to pull the skin toward the wrist. 28. 28. Which of the following is a requirement for a healthcare facility to be in compliance with OSHA? a. payment of annual due b. annual employee safety training c. annual inspections conducted by OSHA d. current certificate of compliance on file b. annual employee safety training 29. 29. Which of the following POC laboratory tests is within the CLIA defined scope of practice for a phlebotomist? a. strep test and urine reagent strip b. urine dip and cell differential c. cell differential and urine sediment d. strep test and urine sediment a. strep test and urine reagent strip 30. 30. yes yes 31. 31. An older adult patient arrives to have blood drawn. While assessing the arms for venipuncture, the phlec. draw blood from the hand using botomist notices scar tissue in the antecubital areas and is unable to palpate a vein. Which of the following is an appropriate alternative course of action? a. use a larger gauge needle to penetrate through the scar tissue b. draw blood from the hand using an evacuated tube system c. draw blood from the hand using a winged infusion set d. perform a capillary puncture on the lateral thumb. a winged infusion set 32. 32. When inserting a needle during venipuncture, the bevel should be in which of the following positions in relation to the vein? a. down b. up c. left d. right b. up 33. 33. While performing a venipuncture, the phlebotomist removes the filled tubes, but forget to remove the tourniquet prior to needle withdrawal. Which of the following is MOST likely result? a. hematoma b. syncope c. hemolyzed specimen d. hemoconcentrated specimen a. hematoma 34. 34. Which of the following veins would generally be acceptable for routine blood collection by the phlebotomist? a. cephalic b. femoral c. subclavian d. dorsalis pedis a. cephalic 35. 35. The patient on hemodialysis with a left AV shunt has undergone a right sided mastectomy and has an order for a STAT glucose. After consulting with c. left ring finger the physician the phlebotomist is told to perform a capillary draw. Which of the following sites should the phlebotomist? a. left thumb b. right middle finger c. left ring finger d. right little finger