NWCA Phlebotomy Exam Review
When performing a capillary draw collection, which of the following steps should the
phlebotomist take after selecting the site?
A. Squeeze the patients finger.
B. Secure the patients hand.
C. Cleanse the site with anti-septic.
D. Label the specimen. - correct answer C. Cleanse the site with anti-septic.
A phlebotomist is preparing to draw blood from an infant to calculate the blood volume that
can be drawn, which of the following types of patient information must the phlebotomist have?
A. Weight
B. Height.
C. Blood type.
D. Birth date. - correct answer A. Weight
According to CLSI, the standard depth of a dermal puncture for an infant is ___.
A. 0.30 MM.
B. 3MM.
C. 2MM.
D. 0.20 MM. - correct answer C. 2MM.
When a phlebotomy technician is introducing themselves after entering a patient's room, which
of the following tones a voice should the technician use?
A. Quiet and professional.
B. Loud and authoritative.
C. Assertive and humorous.
D. Commanding and confident. - correct answer A. Quiet and professional.
Which of the following is a common complication, when using a needle that is too small?
,A. Hemodialysis.
B. Collapsed vein.
C. Hemoconcentration.
D. Hemolysis - correct answer D. Hemolysis.
Which of the following forms commonly accompanies a toxicology drug screen for legal
purposes?
A. Requisition.
B. Chain of custody.
C. CMS 1500.
D. Encounter. - correct answer B. Chain of custody.
A phlebotomist should identify, which of the following is the best site for phenylketonuria
collection on an infant?
A. The central area of the heel.
B. The medial and lateral areas of the heel.
C. The central area of the fingertip.
D. The medial or lateral area of the fingertip. - correct answer B. The medial and lateral area of
the heel.
Which of the following is an appropriate choice for cleaning a surface contaminated with blood
or body fluids?
A. Povidone-iodine
B. 70% isopropyl alcohol.
C. Boiling water.
D. 10% bleach solution. - correct answer D. 10% bleach solution.
When should the phlebotomist label the collection tubes?
,A. Before collection.
B. Immediately after verifying patient identification.
C. Before hand washing.
D. Immediately after collection. - correct answer D. Immediately after collection.
A phlebotomist is preparing to obtain an inpatient specimen from a patient which of the
following locations is the proper place for the phlebotomist to place the tourniquet?
A. On top of a patient burn wound.
B. Over the patient's gown sleeve.
C. Above the patient's IV site.
D. Over the patients weeping rash. - correct answer B. Over the patient's gown sleeve.
A phlebotomist is asked to verify the temperature of a urine specimen for chain of custody
procedure, which of the following temperatures is an acceptable measurement for this
specimen?
A. 26.7 C (80 F).
B. 22.2 C (72 F).
C. 35C (95 F).
D. 38.3 C (101 F). - correct answer C. 35 C (95F).
Which of the following is the minimum required number of a unique patient identifiers a
phlebotomist should use prior to a blood draw?
A. One.
B. Two.
C. Three.
D. Four. - correct answer B. Two.
Which of the following is the first step a phlebotomist you take to prevent the spread of
infection?
, A. Decontaminating the equipment before use.
B. Washing hands with antimicrobial soap and water.
C. Wearing gloves for any patient contact.
D. Applying antiseptic to the puncture site prior to Veni puncture. - correct answer B. Washing
hands with antimicrobial soap and water.
A phlebotomist should report a critical value for point of care testing to which of the following?
A. Office manager.
B. Physician.
C. Insurance company.
D. Patient. - correct answer B. Physician.
Which of the following actions by a phlebotomist can be the source of a preanalytical error
when collecting a blood specimen?
A. Under filling the tube.
B. Inverting the tube after collection.
C. Tying a tourniquet loosely.
D. Using an 18 gauge needle - correct answer A. Under filling the tube.
A phlebotomist collects an evacuated tube sample with an outdated tube, which of the
following might results from using this tube?
A. Rejection of specimen
B. Allergic reaction from patient.
C. Contamination of sample.
D. Inadequate clotting a puncture site. - correct answer A. Rejection of specimen.
If a phlebotomists hand are visibly soiled with blood or body fluids, which of the following
decontamination agents should the phlebotomist used to clean them?
When performing a capillary draw collection, which of the following steps should the
phlebotomist take after selecting the site?
A. Squeeze the patients finger.
B. Secure the patients hand.
C. Cleanse the site with anti-septic.
D. Label the specimen. - correct answer C. Cleanse the site with anti-septic.
A phlebotomist is preparing to draw blood from an infant to calculate the blood volume that
can be drawn, which of the following types of patient information must the phlebotomist have?
A. Weight
B. Height.
C. Blood type.
D. Birth date. - correct answer A. Weight
According to CLSI, the standard depth of a dermal puncture for an infant is ___.
A. 0.30 MM.
B. 3MM.
C. 2MM.
D. 0.20 MM. - correct answer C. 2MM.
When a phlebotomy technician is introducing themselves after entering a patient's room, which
of the following tones a voice should the technician use?
A. Quiet and professional.
B. Loud and authoritative.
C. Assertive and humorous.
D. Commanding and confident. - correct answer A. Quiet and professional.
Which of the following is a common complication, when using a needle that is too small?
,A. Hemodialysis.
B. Collapsed vein.
C. Hemoconcentration.
D. Hemolysis - correct answer D. Hemolysis.
Which of the following forms commonly accompanies a toxicology drug screen for legal
purposes?
A. Requisition.
B. Chain of custody.
C. CMS 1500.
D. Encounter. - correct answer B. Chain of custody.
A phlebotomist should identify, which of the following is the best site for phenylketonuria
collection on an infant?
A. The central area of the heel.
B. The medial and lateral areas of the heel.
C. The central area of the fingertip.
D. The medial or lateral area of the fingertip. - correct answer B. The medial and lateral area of
the heel.
Which of the following is an appropriate choice for cleaning a surface contaminated with blood
or body fluids?
A. Povidone-iodine
B. 70% isopropyl alcohol.
C. Boiling water.
D. 10% bleach solution. - correct answer D. 10% bleach solution.
When should the phlebotomist label the collection tubes?
,A. Before collection.
B. Immediately after verifying patient identification.
C. Before hand washing.
D. Immediately after collection. - correct answer D. Immediately after collection.
A phlebotomist is preparing to obtain an inpatient specimen from a patient which of the
following locations is the proper place for the phlebotomist to place the tourniquet?
A. On top of a patient burn wound.
B. Over the patient's gown sleeve.
C. Above the patient's IV site.
D. Over the patients weeping rash. - correct answer B. Over the patient's gown sleeve.
A phlebotomist is asked to verify the temperature of a urine specimen for chain of custody
procedure, which of the following temperatures is an acceptable measurement for this
specimen?
A. 26.7 C (80 F).
B. 22.2 C (72 F).
C. 35C (95 F).
D. 38.3 C (101 F). - correct answer C. 35 C (95F).
Which of the following is the minimum required number of a unique patient identifiers a
phlebotomist should use prior to a blood draw?
A. One.
B. Two.
C. Three.
D. Four. - correct answer B. Two.
Which of the following is the first step a phlebotomist you take to prevent the spread of
infection?
, A. Decontaminating the equipment before use.
B. Washing hands with antimicrobial soap and water.
C. Wearing gloves for any patient contact.
D. Applying antiseptic to the puncture site prior to Veni puncture. - correct answer B. Washing
hands with antimicrobial soap and water.
A phlebotomist should report a critical value for point of care testing to which of the following?
A. Office manager.
B. Physician.
C. Insurance company.
D. Patient. - correct answer B. Physician.
Which of the following actions by a phlebotomist can be the source of a preanalytical error
when collecting a blood specimen?
A. Under filling the tube.
B. Inverting the tube after collection.
C. Tying a tourniquet loosely.
D. Using an 18 gauge needle - correct answer A. Under filling the tube.
A phlebotomist collects an evacuated tube sample with an outdated tube, which of the
following might results from using this tube?
A. Rejection of specimen
B. Allergic reaction from patient.
C. Contamination of sample.
D. Inadequate clotting a puncture site. - correct answer A. Rejection of specimen.
If a phlebotomists hand are visibly soiled with blood or body fluids, which of the following
decontamination agents should the phlebotomist used to clean them?
