NCHO: Practice Phlebotomy Exam
UPDATED ACTUAL Exam Questions and
CORRECT Answers
D. Paleness and sweating - CORRECT ANSWER - 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
C. To ensure proper mixing of blood and additive - CORRECT ANSWER - 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
B. HIPAA - CORRECT ANSWER - 3. Which of the following protects a patient's
information?
A. OSHA
B. HIPAA
C. The Joint Commission
D. AAHSA
A. 18-gauge - CORRECT ANSWER - 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-gauge
,C. 21-gauge
D. 22-gauge
D. Within 4 minutes - CORRECT ANSWER - 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
A. Clinical application - CORRECT ANSWER - 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
B. Replacing sharps containers when they have reached their fill line - CORRECT
ANSWER - 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
B. A specimen identiciation code - CORRECT ANSWER - 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
D. The plebotomist should find another way to phrase the explanation and invite the patient to
ask any clarifying questions - CORRECT ANSWER - 9. A patient is listening to a
phlebotomy 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
C. Potassium ethylenediaminetetraacetic acid (EDTA) - CORRECT ANSWER - 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)
D. The plebotomist should immediately report the refusal and actions taken to their supervisor -
CORRECT ANSWER - 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 responsible 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 plebotomist should immediately report the refusal and actions taken to their supervisor
UPDATED ACTUAL Exam Questions and
CORRECT Answers
D. Paleness and sweating - CORRECT ANSWER - 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
C. To ensure proper mixing of blood and additive - CORRECT ANSWER - 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
B. HIPAA - CORRECT ANSWER - 3. Which of the following protects a patient's
information?
A. OSHA
B. HIPAA
C. The Joint Commission
D. AAHSA
A. 18-gauge - CORRECT ANSWER - 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-gauge
,C. 21-gauge
D. 22-gauge
D. Within 4 minutes - CORRECT ANSWER - 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
A. Clinical application - CORRECT ANSWER - 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
B. Replacing sharps containers when they have reached their fill line - CORRECT
ANSWER - 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
B. A specimen identiciation code - CORRECT ANSWER - 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
D. The plebotomist should find another way to phrase the explanation and invite the patient to
ask any clarifying questions - CORRECT ANSWER - 9. A patient is listening to a
phlebotomy 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
C. Potassium ethylenediaminetetraacetic acid (EDTA) - CORRECT ANSWER - 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)
D. The plebotomist should immediately report the refusal and actions taken to their supervisor -
CORRECT ANSWER - 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 responsible 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 plebotomist should immediately report the refusal and actions taken to their supervisor
