OHIO SCHOOL OF PHLEBOTOMY FINAL EXAM 2026/2027 |
131 Questions with 100% Correct Answers | Phlebotomy
Certification | Pass Guaranteed - A+ Graded
Program: Ohio School of Phlebotomy
Certification Alignment: NHA, ASCP, AMT, CLSI Standards
Total Questions: 131 | Passing Score: 70%
Cognitive Levels: 35% Recall / 50% Application / 15% Analysis
Safety, Infection Control & OSHA Compliance
20 questions covering bloodborne pathogens, PPE, sharps safety, and exposure
management
Q1: You're performing a venipuncture on a patient with unknown hepatitis status. During
the draw, the needle accidentally disengages from the holder and sticks your left thumb.
What is your immediate first action?
A. Finish the draw for the patient, then wash your hands
B. Immediately wash the area with soap and water, allow to bleed, and report to
supervisor
C. Apply a bandage and continue with next patient
D. Check the patient's chart for infectious disease status first
Correct Answer: B
,Rationale: Immediate washing with soap and water (not bleach or antiseptics) is the
critical first step for needlestick injuries, followed by reporting and evaluation. Option A
delays critical first aid. Option C ignores the exposure. Option D wastes time when
immediate washing is priority.
Q2: According to OSHA's Bloodborne Pathogens Standard (29 CFR 1910.1030), how
long must sharps injury logs be maintained?
A. 1 year from the date of injury
B. 5 years from the date of injury
C. 10 years from the date of injury
D. Permanently
Correct Answer: B
Rationale: OSHA requires sharps injury logs be maintained for 5 years from the date of
injury, documenting the type and brand of device involved. Option A is too short. Options
C and D exceed requirements.
Q3: You're cleaning a blood spill on the counter. What is the correct bleach solution
dilution for disinfecting the surface?
A. 1:100 (1 part bleach to 100 parts water)
B. 1:10 (1 part bleach to 10 parts water)
C. Full-strength bleach only
D. 1:1000 for bloodborne pathogens
Correct Answer: B
,Rationale: CDC recommends 1:10 dilution of household bleach (5.25-6.15% sodium
hypochlorite) for blood spills, providing 5000-6000 ppm available chlorine effective
against bloodborne pathogens. Option A is too dilute. Option C is unnecessarily strong
and corrosive. Option D is ineffective.
Q4: A phlebotomist has been exposed to blood through a needlestick. The source
patient's HIV status is unknown. When should post-exposure prophylaxis (PEP) for HIV
be initiated?
A. Within 2 hours, ideally as soon as possible
B. Within 24 hours
C. Within 72 hours, but sooner is better
D. Anytime within 1 week
Correct Answer: C
Rationale: HIV PEP should begin within 72 hours of exposure, though immediate
initiation is preferred for maximum effectiveness. Option A is ideal but not the outer
limit. Options B and D delay beyond effective window.
Q5: Which PPE is required when performing routine venipuncture on a patient with no
known infectious diseases?
A. Gloves only
B. Gloves, gown, and N95 respirator
C. Gloves and face shield
D. No PPE needed for healthy patients
, Correct Answer: A
Rationale: Standard precautions require gloves for all blood draws; additional PPE is
indicated by splash risk or specific isolation precautions. Option B is overkill for routine
draws. Option C is for splash risk. Option D violates standard precautions.
Q6: An engineered sharps injury protection (ESIP) device fails to activate during a draw.
What is the appropriate action?
A. Tape the needle cap back on and dispose in regular trash
B. Dispose in sharps container without recapping; report the device failure to supervisor
C. Try to fix the device and reuse it
D. Leave it on the counter for maintenance
Correct Answer: B
Rationale: Never recap or reuse needles; dispose immediately in sharps container and
report safety device failures for OSHA evaluation. Option A creates exposure risk.
Option C violates safety protocols. Option D endangers others.
Q7: How often must employers offer the hepatitis B vaccination to employees at risk for
occupational exposure?
A. Only upon hire if requested
B. Within 10 working days of initial assignment, at no cost
C. Annually to all employees
D. Only after a documented exposure
131 Questions with 100% Correct Answers | Phlebotomy
Certification | Pass Guaranteed - A+ Graded
Program: Ohio School of Phlebotomy
Certification Alignment: NHA, ASCP, AMT, CLSI Standards
Total Questions: 131 | Passing Score: 70%
Cognitive Levels: 35% Recall / 50% Application / 15% Analysis
Safety, Infection Control & OSHA Compliance
20 questions covering bloodborne pathogens, PPE, sharps safety, and exposure
management
Q1: You're performing a venipuncture on a patient with unknown hepatitis status. During
the draw, the needle accidentally disengages from the holder and sticks your left thumb.
What is your immediate first action?
A. Finish the draw for the patient, then wash your hands
B. Immediately wash the area with soap and water, allow to bleed, and report to
supervisor
C. Apply a bandage and continue with next patient
D. Check the patient's chart for infectious disease status first
Correct Answer: B
,Rationale: Immediate washing with soap and water (not bleach or antiseptics) is the
critical first step for needlestick injuries, followed by reporting and evaluation. Option A
delays critical first aid. Option C ignores the exposure. Option D wastes time when
immediate washing is priority.
Q2: According to OSHA's Bloodborne Pathogens Standard (29 CFR 1910.1030), how
long must sharps injury logs be maintained?
A. 1 year from the date of injury
B. 5 years from the date of injury
C. 10 years from the date of injury
D. Permanently
Correct Answer: B
Rationale: OSHA requires sharps injury logs be maintained for 5 years from the date of
injury, documenting the type and brand of device involved. Option A is too short. Options
C and D exceed requirements.
Q3: You're cleaning a blood spill on the counter. What is the correct bleach solution
dilution for disinfecting the surface?
A. 1:100 (1 part bleach to 100 parts water)
B. 1:10 (1 part bleach to 10 parts water)
C. Full-strength bleach only
D. 1:1000 for bloodborne pathogens
Correct Answer: B
,Rationale: CDC recommends 1:10 dilution of household bleach (5.25-6.15% sodium
hypochlorite) for blood spills, providing 5000-6000 ppm available chlorine effective
against bloodborne pathogens. Option A is too dilute. Option C is unnecessarily strong
and corrosive. Option D is ineffective.
Q4: A phlebotomist has been exposed to blood through a needlestick. The source
patient's HIV status is unknown. When should post-exposure prophylaxis (PEP) for HIV
be initiated?
A. Within 2 hours, ideally as soon as possible
B. Within 24 hours
C. Within 72 hours, but sooner is better
D. Anytime within 1 week
Correct Answer: C
Rationale: HIV PEP should begin within 72 hours of exposure, though immediate
initiation is preferred for maximum effectiveness. Option A is ideal but not the outer
limit. Options B and D delay beyond effective window.
Q5: Which PPE is required when performing routine venipuncture on a patient with no
known infectious diseases?
A. Gloves only
B. Gloves, gown, and N95 respirator
C. Gloves and face shield
D. No PPE needed for healthy patients
, Correct Answer: A
Rationale: Standard precautions require gloves for all blood draws; additional PPE is
indicated by splash risk or specific isolation precautions. Option B is overkill for routine
draws. Option C is for splash risk. Option D violates standard precautions.
Q6: An engineered sharps injury protection (ESIP) device fails to activate during a draw.
What is the appropriate action?
A. Tape the needle cap back on and dispose in regular trash
B. Dispose in sharps container without recapping; report the device failure to supervisor
C. Try to fix the device and reuse it
D. Leave it on the counter for maintenance
Correct Answer: B
Rationale: Never recap or reuse needles; dispose immediately in sharps container and
report safety device failures for OSHA evaluation. Option A creates exposure risk.
Option C violates safety protocols. Option D endangers others.
Q7: How often must employers offer the hepatitis B vaccination to employees at risk for
occupational exposure?
A. Only upon hire if requested
B. Within 10 working days of initial assignment, at no cost
C. Annually to all employees
D. Only after a documented exposure
