NCCT PHLEBOTOMY LATEST EXAM QUESTIONS AND
ANSWERS
A phlebotomist inserts a needle into a patient's vein and notices there is no blood
flow into the tube. The needle is positioned against the wall of the vein. How
should the phlebotomist proceed?
A. Retract the needle slightly, remove the tube, and insert needle deeper,
B. Relax the needle's angle slightly, and insert new tube,
C. Withdraw the needle completely, and begin procedure again from the
beginning,
D. Insert the needle deeper in the opposite direction, and insert new tube
B. Relax the needle's angle slightly, and insert new tube
After a patient's skin is punctured to obtain a blood glucose level, what should be
the phlebotomist's next step?
A. Use the first drop of visible blood, and place it onto the test strip.,
B. Use an alcohol pad to wipe away the first drop.,
C. Use a sterile gauze pad to remove the first drop.,
D. Squeeze the fingertip, and place the large blood drop onto the test strip.
C. Use a sterile gauze pad to remove the first drop.
When performing a venipuncture, sudden swelling is observed at the insertion
site. Which of the following actions should the medical assistant take?
A. Continue obtaining the blood sample. This is a localized reaction to the
venipuncture.,
,B. Release the tourniquet, remove the needle, and immediately apply pressure at
the site.,
C. Apply firm pressure above the area of swelling to direct the blood flow into the
collection device.,
D. Leave the tourniquet in place, immediately remove the needle, and apply
pressure at the site.
B. Release the tourniquet, remove the needle, and immediately apply pressure at the
site.
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?
A. brachial artery,
B. basilic vein,
C. cephalic vein,
D. ulnar artery
A. brachial artery
While performing a venipuncture using an evacuated tube, a small amount of
blood enters the tube and then stops. Which of the following conditions is likely
to lead to this?
A. collapsing vein,
B. hematoma,
, C. rolling vein,
D. sclerosed vein
A. collapsing vein
When performing venipuncture on a patient with a left mastectomy, which site
should the medical assistant use?
A. back of left hand,
B. right antecubital fossa,
C. right saphenous vein,
D. left basilic vein
B. right antecubital fossa
During a venipuncture the patient has excessive bleeding and then states she
forgot to mention her anticoagulant (Coumadin) therapy. Which of the following
should the medical assistant do?
A. Immediately apply a pressure bandage.,
B. Ask the patient to hold pressure on the site and then look for a physician.,
C. Hold pressure on the site for a minimum of five full minutes until bleeding
stops.,
D. Hold pressure on the site until the bleeding begins to stop and apply a
bandage.
C. Hold pressure on the site for a minimum of five full minutes until bleeding stops.
ANSWERS
A phlebotomist inserts a needle into a patient's vein and notices there is no blood
flow into the tube. The needle is positioned against the wall of the vein. How
should the phlebotomist proceed?
A. Retract the needle slightly, remove the tube, and insert needle deeper,
B. Relax the needle's angle slightly, and insert new tube,
C. Withdraw the needle completely, and begin procedure again from the
beginning,
D. Insert the needle deeper in the opposite direction, and insert new tube
B. Relax the needle's angle slightly, and insert new tube
After a patient's skin is punctured to obtain a blood glucose level, what should be
the phlebotomist's next step?
A. Use the first drop of visible blood, and place it onto the test strip.,
B. Use an alcohol pad to wipe away the first drop.,
C. Use a sterile gauze pad to remove the first drop.,
D. Squeeze the fingertip, and place the large blood drop onto the test strip.
C. Use a sterile gauze pad to remove the first drop.
When performing a venipuncture, sudden swelling is observed at the insertion
site. Which of the following actions should the medical assistant take?
A. Continue obtaining the blood sample. This is a localized reaction to the
venipuncture.,
,B. Release the tourniquet, remove the needle, and immediately apply pressure at
the site.,
C. Apply firm pressure above the area of swelling to direct the blood flow into the
collection device.,
D. Leave the tourniquet in place, immediately remove the needle, and apply
pressure at the site.
B. Release the tourniquet, remove the needle, and immediately apply pressure at the
site.
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?
A. brachial artery,
B. basilic vein,
C. cephalic vein,
D. ulnar artery
A. brachial artery
While performing a venipuncture using an evacuated tube, a small amount of
blood enters the tube and then stops. Which of the following conditions is likely
to lead to this?
A. collapsing vein,
B. hematoma,
, C. rolling vein,
D. sclerosed vein
A. collapsing vein
When performing venipuncture on a patient with a left mastectomy, which site
should the medical assistant use?
A. back of left hand,
B. right antecubital fossa,
C. right saphenous vein,
D. left basilic vein
B. right antecubital fossa
During a venipuncture the patient has excessive bleeding and then states she
forgot to mention her anticoagulant (Coumadin) therapy. Which of the following
should the medical assistant do?
A. Immediately apply a pressure bandage.,
B. Ask the patient to hold pressure on the site and then look for a physician.,
C. Hold pressure on the site for a minimum of five full minutes until bleeding
stops.,
D. Hold pressure on the site until the bleeding begins to stop and apply a
bandage.
C. Hold pressure on the site for a minimum of five full minutes until bleeding stops.
