Questions & Detailed Explanations
Description:
Prepare for your MLT/MLS certification with our targeted 2026 practice exam featuring
authentic ASCP-style questions across clinical chemistry, hematology, microbiology, and
immunology. This comprehensive test bank includes 35 carefully crafted scenarios with
detailed explanations that reinforce key concepts and test-taking strategies. Updated to
reflect current guidelines and common board exam challenges, our practice test helps you
identify knowledge gaps while building confidence in tackling difficult topics. Whether you're
preparing for the ASCP, AMT, or other clinical lab technician certifications, this resource
provides the realistic practice you need to succeed.
Master your exam readiness - Download your free high-yield practice test now!
, Free MLT Practice Exam 2026 with Answers & Explanations
1. When quantifying bacterial growth from a urine culture that was inoculated using a calibrated
0.001 mL loop, what multiplication factor is applied to the colony count observed on the agar
plate?
a. 1
b. 100
c. 1000
d. 2000
Answer: c. 1000
Explanation: The loop delivers 0.001 mL, which is 1/1000 of a milliliter. To determine the
number of colony-forming units per milliliter (CFU/mL), the observed colony count must be
multiplied by 1000 to standardize the result to a 1 mL volume.
2. A peripheral blood smear review identifies 12 nucleated red blood cells for every 100 white
blood cells. Which automated analyzer histogram pattern is associated with this finding?
a. The granulocyte curve fails to descend to the baseline on the WBC histogram.
b. A left shift is observed in the red blood cell population on the RBC histogram.
c. The lymphocyte cluster does not start at the baseline on the WBC histogram.
d. A right shift is seen in the platelet population on the platelet histogram.
Answer: c. The lymphocyte cluster does not start at the baseline on the WBC histogram.
Explanation: Nucleated red blood cells (NRBCs) are similar in size to lymphocytes. On a WBC
histogram, they can cause the lymphocyte population to appear elevated and not begin at the
baseline because the analyzer mistakenly counts them as white cells.
3. What is the primary purpose of placing a specimen intended for anaerobic culture into an
anaerobic transport system or holding jar?
a. To reduce oxygen exposure
b. To promote spore germination
c. To accelerate bacterial replication
d. To shield from ultraviolet radiation
Answer: a. To reduce oxygen exposure
Explanation: Anaerobic bacteria cannot survive in the presence of oxygen. The holding jar