NCCT PHLEBOTOMY TESTED EXAM
QUESTIONS WITH VERIFIED
ANSWERS
Which of the following is a phlebotomist required to do when preparing to aliquot a
specimen? (Select the three (3) correct answers.)
A. Match the labels on the tubes.
B. Invert the tubes 8 to 10 times before centrifuging.
C. Prepare under a bench top splash shield.
D. Pour the specimen directly into the aliquot container.
E. Use a disposable transfer pipette. - Answer-A. Match the labels on the tubes.
C. Prepare under a bench top splash shield.
E. Use a disposable transfer pipette.
A phlebotomist working in an outpatient setting has just received a set of guaiac smears
from a patient that must be processed. How should the phlebotomist process the
specimen? (Select the two (2) correct answers.)
A. Develop with 70% isopropyl alcohol.
B. Keep at room temperature.
C. Develop with hydrogen peroxide.
D. Keep chilled.
E. Develop with normal saline. - Answer-C. Develop with hydrogen peroxide.
B. Keep at room temperature.
While providing patient education on 24-hour urine collection for creatinine clearance, it
is imperative to tell the patient - Answer-to keep the specimen refrigerated at all times.
A phlebotomist collects citrate, EDTA, and oxalate tubes in that order. Which of the
following is the correct lab department for each tube? - Answer-Citrate to coagulation,
EDTA to hematology, and oxalate to chemistry.
A trough Dilantin (phenytoin) level is ordered to be collected at 12:30 PM. The
phlebotomist arrives at 12:20 PM to collect the specimen and notices the patient is
receiving an infusion of normal saline in the right arm and Dilantin in the left arm. Which
of the following is the appropriate course of action? - Answer-Verify the time of
collection with the patient's nurse or physician.
A blood sample is drawn using a butterfly with syringe and an SST tube. After waiting
20 minutes, the blood specimen is centrifuged. After being spun, the serum is colored
pink. This is most likely due to - Answer-The needle gauge being to small
,The best antiseptic for use in pediatric blood culture - Answer-chlorhexidine
When collecting a clean-catch urine specimen, the genital area is cleansed using -
Answer-castile soap wipes
A patient brings in a 24-hour urine jug and is handing it to you. What should you do
first? - Answer-Label the specimen
How do you collect blood for neonatal screening / a PKU sample? - Answer-Place
multiple blood drops to fill each circle
You collected a specimen for glucose testing using a capillary puncture. The nurse
asked you to redraw the glucose test, due to the initial results being questionable. What
should you do? - Answer-recollect the test using a capillary puncture
How do you instruct a patient on how to collect a sputum sample? - Answer-cough up
phlegm/sputum from deep in their chest
What does OSHA require employers to provide after a needle stick injury - Answer-
Provide immediate medical evaluation and schedule surveillance
Which device has the highest potential for a needlestick injury - Answer-butterfly winged
infusion set
Which of the following must be included when completing a phlebotomy related
exposure incident report - Answer-Type of device used to collect the specimen
While performing a venipuncture the patient has a seizure and the needle and
accidently sticks the phlebotomists gloved hand. The phlebotomist should clean the site
with - Answer-Antimicrobial soap and water for a minimum of 30sec
A phlebotomist fails to activate the needle guard after the draw which results in an
accidental needle stick. Which of the following should immediately be used to clean the
site - Answer-Soap and Water
The most important thing to do if a phlebotomist sustains a sharps injury is to - Answer-
File and incident report
After drawing a patient for an HIV HBV and HCV antibody test the phlebotomist
accidentally sticks his finger when discontinuing the venipuncture. What would the
phlebotomist do next - Answer-Wash the site with soap and water for a minimum of 30
sec
, Which of the following actions should the phlebotomist take first after coming into direct
contact with a patients blood via needle stick injury - Answer-Flush the area with water
and thoroughly wash it
The syringe method has been used to draw an oncology patient. In the process of
transferring the blood from the syringe to the evacuated tube, the tip of the tube pops off
and blood is splattered into the phlebotomists eyes. The first course of action is to flush
the eyes and then immediately - Answer-Report the incident to supervisor
While in the processing area, the phlebotomist accidently breaks a vacuum tube filled
with blood on the counter, spilling it on the patient requisition form and the laboratory
floor. What should the phlebotomist do next - Answer-Absorb spill using paper towels
then clean with approved chemicals
Steps in response to needle stick injury - Answer-wash with soap and water
alert supervisor
complete incident report
be examined by medical provider
Which of the following chemicals is most commonly used to disinfect work surfaces and
the bottom of the phlebotomy tray? - Answer-bleach
When mixing a 10% bleach disinfectant solution following OSHA guidelines the solution
ration 1:10 should be mixed by adding - Answer-90ml water 10ml bleach
An unbalanced centrifuge causes a specimen collection tube to break inside of the
device. The phlebotomist should - Answer-Disinfect the equipment
CDC guidelines require a blood glucose meter to be disinfected - Answer-Between
patient use
What should the phlebotomist use to disinfect equipment and facilities - Answer-bleach
What microorganism is commonly associated with a hospital acquired infection -
Answer-Methicillin resistant Staphylococcus aureus
Which of the following is the most common means of transmission of Hepatitis A -
Answer-Contact with fecal contaminated food/water
A phlebotomist in a doctors office needs to perform a venipuncture on a patient who has
been diagnosed with Severe Acute Respitory Syndrome. Which of the following is the
transmission based precaution the phlebotomist must take - Answer-Droplet
Which of the following measures is applicable when drawing blood on patients who
have not been identified as potentially infectious - Answer-Standard Precautions
QUESTIONS WITH VERIFIED
ANSWERS
Which of the following is a phlebotomist required to do when preparing to aliquot a
specimen? (Select the three (3) correct answers.)
A. Match the labels on the tubes.
B. Invert the tubes 8 to 10 times before centrifuging.
C. Prepare under a bench top splash shield.
D. Pour the specimen directly into the aliquot container.
E. Use a disposable transfer pipette. - Answer-A. Match the labels on the tubes.
C. Prepare under a bench top splash shield.
E. Use a disposable transfer pipette.
A phlebotomist working in an outpatient setting has just received a set of guaiac smears
from a patient that must be processed. How should the phlebotomist process the
specimen? (Select the two (2) correct answers.)
A. Develop with 70% isopropyl alcohol.
B. Keep at room temperature.
C. Develop with hydrogen peroxide.
D. Keep chilled.
E. Develop with normal saline. - Answer-C. Develop with hydrogen peroxide.
B. Keep at room temperature.
While providing patient education on 24-hour urine collection for creatinine clearance, it
is imperative to tell the patient - Answer-to keep the specimen refrigerated at all times.
A phlebotomist collects citrate, EDTA, and oxalate tubes in that order. Which of the
following is the correct lab department for each tube? - Answer-Citrate to coagulation,
EDTA to hematology, and oxalate to chemistry.
A trough Dilantin (phenytoin) level is ordered to be collected at 12:30 PM. The
phlebotomist arrives at 12:20 PM to collect the specimen and notices the patient is
receiving an infusion of normal saline in the right arm and Dilantin in the left arm. Which
of the following is the appropriate course of action? - Answer-Verify the time of
collection with the patient's nurse or physician.
A blood sample is drawn using a butterfly with syringe and an SST tube. After waiting
20 minutes, the blood specimen is centrifuged. After being spun, the serum is colored
pink. This is most likely due to - Answer-The needle gauge being to small
,The best antiseptic for use in pediatric blood culture - Answer-chlorhexidine
When collecting a clean-catch urine specimen, the genital area is cleansed using -
Answer-castile soap wipes
A patient brings in a 24-hour urine jug and is handing it to you. What should you do
first? - Answer-Label the specimen
How do you collect blood for neonatal screening / a PKU sample? - Answer-Place
multiple blood drops to fill each circle
You collected a specimen for glucose testing using a capillary puncture. The nurse
asked you to redraw the glucose test, due to the initial results being questionable. What
should you do? - Answer-recollect the test using a capillary puncture
How do you instruct a patient on how to collect a sputum sample? - Answer-cough up
phlegm/sputum from deep in their chest
What does OSHA require employers to provide after a needle stick injury - Answer-
Provide immediate medical evaluation and schedule surveillance
Which device has the highest potential for a needlestick injury - Answer-butterfly winged
infusion set
Which of the following must be included when completing a phlebotomy related
exposure incident report - Answer-Type of device used to collect the specimen
While performing a venipuncture the patient has a seizure and the needle and
accidently sticks the phlebotomists gloved hand. The phlebotomist should clean the site
with - Answer-Antimicrobial soap and water for a minimum of 30sec
A phlebotomist fails to activate the needle guard after the draw which results in an
accidental needle stick. Which of the following should immediately be used to clean the
site - Answer-Soap and Water
The most important thing to do if a phlebotomist sustains a sharps injury is to - Answer-
File and incident report
After drawing a patient for an HIV HBV and HCV antibody test the phlebotomist
accidentally sticks his finger when discontinuing the venipuncture. What would the
phlebotomist do next - Answer-Wash the site with soap and water for a minimum of 30
sec
, Which of the following actions should the phlebotomist take first after coming into direct
contact with a patients blood via needle stick injury - Answer-Flush the area with water
and thoroughly wash it
The syringe method has been used to draw an oncology patient. In the process of
transferring the blood from the syringe to the evacuated tube, the tip of the tube pops off
and blood is splattered into the phlebotomists eyes. The first course of action is to flush
the eyes and then immediately - Answer-Report the incident to supervisor
While in the processing area, the phlebotomist accidently breaks a vacuum tube filled
with blood on the counter, spilling it on the patient requisition form and the laboratory
floor. What should the phlebotomist do next - Answer-Absorb spill using paper towels
then clean with approved chemicals
Steps in response to needle stick injury - Answer-wash with soap and water
alert supervisor
complete incident report
be examined by medical provider
Which of the following chemicals is most commonly used to disinfect work surfaces and
the bottom of the phlebotomy tray? - Answer-bleach
When mixing a 10% bleach disinfectant solution following OSHA guidelines the solution
ration 1:10 should be mixed by adding - Answer-90ml water 10ml bleach
An unbalanced centrifuge causes a specimen collection tube to break inside of the
device. The phlebotomist should - Answer-Disinfect the equipment
CDC guidelines require a blood glucose meter to be disinfected - Answer-Between
patient use
What should the phlebotomist use to disinfect equipment and facilities - Answer-bleach
What microorganism is commonly associated with a hospital acquired infection -
Answer-Methicillin resistant Staphylococcus aureus
Which of the following is the most common means of transmission of Hepatitis A -
Answer-Contact with fecal contaminated food/water
A phlebotomist in a doctors office needs to perform a venipuncture on a patient who has
been diagnosed with Severe Acute Respitory Syndrome. Which of the following is the
transmission based precaution the phlebotomist must take - Answer-Droplet
Which of the following measures is applicable when drawing blood on patients who
have not been identified as potentially infectious - Answer-Standard Precautions
