NCCT Phlebotomy Exam Study Guide: Questions & Answers
The rubber sleeve at the end of a ETS venipuncture needle allows for
a) faster draw of the specimen
b) drawing a single tube
c) slower draw of the specimen
d) drawing mulitiple tubes - ANSWER:d) drawing mulitple tubes
When wearing the appropriate personal protective equipment for the particular task or duty, the
phlebotomist is exercising
a) universal precautions.
b) medical asepsis.
c) standard precautions.
d) work practice controls. - ANSWER:c) standard precautions
The phlebotomist is asked to draw blood on a non-responsive patient in an emergency department. This
draw would be conducted under
a) expressed consent.
b) implied consent.
c) informed consent.
d) refusal of consent. - ANSWER:c) implied consent
Which one of the following specimen types is primarily used to perform CLIA-waived point-of-care
testing for glucose?
a) serum
b) plasma
c) capillary blood
d) venous blood - ANSWER:c) capillary blood
The phlebotomist is drawing blood on an 88-year-old patient that has multiple skin tears. Which of the
following should be used to secure the 2 x 2 gauze sponge?
a) paper tape
b) adhesive tape
c) band aid
,d) Coban - ANSWER:d) Coban
Which of the following is an example of a pre-analytical error made at the time of collection?
delay in transporting
failing to mix tubes
incomplete requisition
waiting to centrifuge - ANSWER:failing to mix tubes
While performing a venipuncture in the antecubital space, the patient verbalizes an extreme amount of
pain and the blood in the collection tube is noted to be bright red. Which of the following sites is most
likely to have been inadvertently punctured?
brachial artery
basilic vein
cephalic vein
ulnar artery - ANSWER:brachial artery
A phlebotomist has orders to collect blood specimens from a patient who has IVs in his right forearm and
in the left antecubital area. Where should the phlebotomist collect a venous blood specimen?
the middle or ring finger of right hand
in the antecubital area of the right arm
above the IV in the left arm
distal to the IV in the left arm - ANSWER:distal to the IV in the left arm
Instead of obtaining consent from a patient who is mentally competent, the phlebotomist obtains
consent from a family member. This is a violation of
HIPAA.
The Patient's Bill of Rights.
CLIA Waived Testing.
The Stark Law. - ANSWER:The Patient's Bill of Rights
While performing a venipuncture to obtain a CBC and PTT, the phlebotomist punctures the skin,
advances the needle, inserts the tube, but does not see a blood return. The phlebotomist should next
adjust the bevel up.
release the tourniquet.
try another tube.
,advance the needle further. - ANSWER:try another tube
Which of the following is the proper way of collecting a blood culture with a winged infusion set on an
adult?
A discard tube should be drawn prior to collection.
Anaerobic must be drawn first.
Aerobic must be drawn first.
The maximum blood volume is 3-7ml. - ANSWER:Aerobic must be drawn first
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?
lateral fingertip
antecubital space
heel of the foot
superficial scalp vein - ANSWER:heel of the foot
A patient with an order for a blood draw presents with burns covering both arms. Which of the following
is the phlebotomist's best option for collecting the largest amount of blood for this patient?
microcollection container
capillary tube
filter paper (PKU) card
evacuated tube - ANSWER:microcollection container
Which of the following information is required information on a laboratory test requisition for a blood
specimen?
patient's social security number
source of the sample
diagnosis
name of the physician - ANSWER:name of the physician
A physician has ordered STAT hematology, chemistry, and coagulation tests on a patient. Which of the
following tubes are needed for these procedures? (Select the three (3) correct answers.)
lavender
gray
light blue
, green
yellow - ANSWER:lavendar, light blue, green
While giving a patient an injection, the patient jumped, causing the phlebotomist to get stuck on the
hand with a contaminated needle. After performing thorough hand washing, which of the following
should the phlebotomist do first?
Begin infectious disease prophylaxis.
Complete an exposure incident report.
Obtain patient consent for infectious disease testing.
Report the incident to a supervisor. - ANSWER:Report the incident to a supervisor
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?
iodine
70% isopropyl alcohol
benzalkonium chloride
chlorohexidine gluconate - ANSWER:benzalkonium chloride
The phlebotomist preps the median cubital vein for a venipuncture procedure. How should the
phlebotomist prep the patient's skin?
Use a circular motion, from the inside out.
Use a circular motion, from the outside in.
Wipe the area from top to bottom.
Wipe the area from bottom to top. - ANSWER:use a circular motion, from the inside out
Gray-topped sodium fluoride tubes should not be used to collect alanine aminotransferase (ALT) or
aspartate aminotransferase (AST) because the anticoagulant
destroys many enzymes.
increases lipemia.
prevents hemoconcentration.
causes hemolysis. - ANSWER:destroys many enzymes
When disposing of hazardous materials, the phlebotomist must adhere to the guidelines and standards
set forth by
OSHA.
CLIA.
The rubber sleeve at the end of a ETS venipuncture needle allows for
a) faster draw of the specimen
b) drawing a single tube
c) slower draw of the specimen
d) drawing mulitiple tubes - ANSWER:d) drawing mulitple tubes
When wearing the appropriate personal protective equipment for the particular task or duty, the
phlebotomist is exercising
a) universal precautions.
b) medical asepsis.
c) standard precautions.
d) work practice controls. - ANSWER:c) standard precautions
The phlebotomist is asked to draw blood on a non-responsive patient in an emergency department. This
draw would be conducted under
a) expressed consent.
b) implied consent.
c) informed consent.
d) refusal of consent. - ANSWER:c) implied consent
Which one of the following specimen types is primarily used to perform CLIA-waived point-of-care
testing for glucose?
a) serum
b) plasma
c) capillary blood
d) venous blood - ANSWER:c) capillary blood
The phlebotomist is drawing blood on an 88-year-old patient that has multiple skin tears. Which of the
following should be used to secure the 2 x 2 gauze sponge?
a) paper tape
b) adhesive tape
c) band aid
,d) Coban - ANSWER:d) Coban
Which of the following is an example of a pre-analytical error made at the time of collection?
delay in transporting
failing to mix tubes
incomplete requisition
waiting to centrifuge - ANSWER:failing to mix tubes
While performing a venipuncture in the antecubital space, the patient verbalizes an extreme amount of
pain and the blood in the collection tube is noted to be bright red. Which of the following sites is most
likely to have been inadvertently punctured?
brachial artery
basilic vein
cephalic vein
ulnar artery - ANSWER:brachial artery
A phlebotomist has orders to collect blood specimens from a patient who has IVs in his right forearm and
in the left antecubital area. Where should the phlebotomist collect a venous blood specimen?
the middle or ring finger of right hand
in the antecubital area of the right arm
above the IV in the left arm
distal to the IV in the left arm - ANSWER:distal to the IV in the left arm
Instead of obtaining consent from a patient who is mentally competent, the phlebotomist obtains
consent from a family member. This is a violation of
HIPAA.
The Patient's Bill of Rights.
CLIA Waived Testing.
The Stark Law. - ANSWER:The Patient's Bill of Rights
While performing a venipuncture to obtain a CBC and PTT, the phlebotomist punctures the skin,
advances the needle, inserts the tube, but does not see a blood return. The phlebotomist should next
adjust the bevel up.
release the tourniquet.
try another tube.
,advance the needle further. - ANSWER:try another tube
Which of the following is the proper way of collecting a blood culture with a winged infusion set on an
adult?
A discard tube should be drawn prior to collection.
Anaerobic must be drawn first.
Aerobic must be drawn first.
The maximum blood volume is 3-7ml. - ANSWER:Aerobic must be drawn first
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?
lateral fingertip
antecubital space
heel of the foot
superficial scalp vein - ANSWER:heel of the foot
A patient with an order for a blood draw presents with burns covering both arms. Which of the following
is the phlebotomist's best option for collecting the largest amount of blood for this patient?
microcollection container
capillary tube
filter paper (PKU) card
evacuated tube - ANSWER:microcollection container
Which of the following information is required information on a laboratory test requisition for a blood
specimen?
patient's social security number
source of the sample
diagnosis
name of the physician - ANSWER:name of the physician
A physician has ordered STAT hematology, chemistry, and coagulation tests on a patient. Which of the
following tubes are needed for these procedures? (Select the three (3) correct answers.)
lavender
gray
light blue
, green
yellow - ANSWER:lavendar, light blue, green
While giving a patient an injection, the patient jumped, causing the phlebotomist to get stuck on the
hand with a contaminated needle. After performing thorough hand washing, which of the following
should the phlebotomist do first?
Begin infectious disease prophylaxis.
Complete an exposure incident report.
Obtain patient consent for infectious disease testing.
Report the incident to a supervisor. - ANSWER:Report the incident to a supervisor
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?
iodine
70% isopropyl alcohol
benzalkonium chloride
chlorohexidine gluconate - ANSWER:benzalkonium chloride
The phlebotomist preps the median cubital vein for a venipuncture procedure. How should the
phlebotomist prep the patient's skin?
Use a circular motion, from the inside out.
Use a circular motion, from the outside in.
Wipe the area from top to bottom.
Wipe the area from bottom to top. - ANSWER:use a circular motion, from the inside out
Gray-topped sodium fluoride tubes should not be used to collect alanine aminotransferase (ALT) or
aspartate aminotransferase (AST) because the anticoagulant
destroys many enzymes.
increases lipemia.
prevents hemoconcentration.
causes hemolysis. - ANSWER:destroys many enzymes
When disposing of hazardous materials, the phlebotomist must adhere to the guidelines and standards
set forth by
OSHA.
CLIA.
