NCCT Phlebotomy Certification Practice Exam
2026-2027 / Phlebotomy Technician NCCT
Certification Exam Prep 2026-2027 with 160+
Practice Questions and Correct Answers
Which of the following statements by a new phlebotomist indicates the need for
further education on standard precautions?
A. "I will wear a gown, gloves, and mask for inpatient collections."
B. "I will perform hand hygiene after removing gloves."
C. "Sharps containers should be replaced when 2/3 full."
D. "Antimicrobial wipes may be used for cleaning a collection area at the end of a
shift." - ANSWER-"I will wear a gown, gloves, and mask for inpatient
collections."
Which of the following steps is completed FIRST in performing venipuncture?
A. Apply the tourniquet
B. Cleanse site with an alcohol wipe
C. Identify the patient
D. Arrange tubes in order of draw - ANSWER-Identify the patient
Before drawing a patient, the phlebotomist notices a droplet of dried blood on the
arm of the phlebotomy chair. Which of the following should the phlebotomist do?
1
,A. Use a gloved hand to scrape up the blood, clean with disinfectant, then absorb
with paper towel.
B. Use an alcohol pad to wipe the dried droplet of blood, then dry with paper
towel.
C. Moisten the droplet with water, clean with anti-microbial soap, then dry with
paper towel.
D. Use disinfectant to moisten the droplet, absorb with paper towel, then clean
with disinfectant. - ANSWER-Use disinfectant to moisten the droplet, absorb with
paper towel, then clean with disinfectant
Which of the following conditions may occur if a tourniquet is left in place on a
patient's extremity for longer than 60 seconds?
A. Hemoconcentration
B. Venous insufficiency
C. Fibrinolysis
D. Hemangioma - ANSWER-Hemoconcentration
In the middle of a blood draw the patient experiences a seizure. Which of the
following should the phlebotomist do after removing the tourniquet and
withdrawing the needle? (Select the two (2) correct answers.)
A. Call for help.
B. Place gauze in the patient's mouth.
C. Protect the patient's head and lower her to the floor.
D. Place the patient in Trendelenburg position.
E. Observe the patient in the chair for at least 45 minutes after the seizure. -
ANSWER-Call for help
2
,Protect the patient's head and lower her to the floor.
A phlebotomist working in a hospital is collecting blood from a patient with very
small, difficult veins. Three tubes of blood need to be collected. The blue and
green tubes fill easily and completely, but the lavender tube fills incompletely.
Changing the lavender tube using the same draw also results in an incomplete
specimen. Which of the following should the phlebotomist do NEXT?
A. Re-position the needle and recollect the lavender tube.
B. Re-draw the patient using a different site and obtain all three tubes.
C. Submit the samples as drawn.
D. Resubmit the draw order for the next round of draws - ANSWER-Re-position
the needle and recollect the lavender tube.
A phlebotomist puts evacuated tubes filled with blood in plastic transport bags and
places them in the physician office lock box for the reference lab courier who will
pick them up in 1-2 hours. The lock box is outside and the temperatures are below
freezing. How will freezing affect the test results?
A. Elevated hematocrit
B. Decreased red blood cell count
C. Elevated hemoglobin
D. Decreased calcium - ANSWER-Decreased red blood cell count
Which of the following is the correct order of PPE removal prior to leaving the
exam room of a patient who is in contact-droplet isolation?
A. Gloves, gown, mask
3
, B. Gown, gloves, mask
C. Gown, mask, gloves
D. Gloves, mask, gown - ANSWER-Gown, gloves, mask
For which of the following patients is the use of an adhesive bandage
contraindicated?
A. Adult with hemophilia
B. Immunocompromised child
C. Adolescent with sickle cell anemia
D. Newborn with hyperbilirubinemia - ANSWER-Newborn with
hyperbilirubinemia
The person collecting a blood sample from a newborn with hyperbilirubinemia
would not use an adhesive bandage post-stick. Bleeding would be stopped by
direct pressure and no bandage would be utilized. It is not recommended to use a
bandage on children under two years of age because it could introduce a choking
hazard if the child works the bandage loose.
When performing venipuncture on a patient with a left mastectomy, which of the
following sites should the phlebotomist use?
A. Back of left hand
B. Right antecubital fossa
C. Right saphenous vein
D. Left basilic vein - ANSWER-Right antecubital fossa
4
2026-2027 / Phlebotomy Technician NCCT
Certification Exam Prep 2026-2027 with 160+
Practice Questions and Correct Answers
Which of the following statements by a new phlebotomist indicates the need for
further education on standard precautions?
A. "I will wear a gown, gloves, and mask for inpatient collections."
B. "I will perform hand hygiene after removing gloves."
C. "Sharps containers should be replaced when 2/3 full."
D. "Antimicrobial wipes may be used for cleaning a collection area at the end of a
shift." - ANSWER-"I will wear a gown, gloves, and mask for inpatient
collections."
Which of the following steps is completed FIRST in performing venipuncture?
A. Apply the tourniquet
B. Cleanse site with an alcohol wipe
C. Identify the patient
D. Arrange tubes in order of draw - ANSWER-Identify the patient
Before drawing a patient, the phlebotomist notices a droplet of dried blood on the
arm of the phlebotomy chair. Which of the following should the phlebotomist do?
1
,A. Use a gloved hand to scrape up the blood, clean with disinfectant, then absorb
with paper towel.
B. Use an alcohol pad to wipe the dried droplet of blood, then dry with paper
towel.
C. Moisten the droplet with water, clean with anti-microbial soap, then dry with
paper towel.
D. Use disinfectant to moisten the droplet, absorb with paper towel, then clean
with disinfectant. - ANSWER-Use disinfectant to moisten the droplet, absorb with
paper towel, then clean with disinfectant
Which of the following conditions may occur if a tourniquet is left in place on a
patient's extremity for longer than 60 seconds?
A. Hemoconcentration
B. Venous insufficiency
C. Fibrinolysis
D. Hemangioma - ANSWER-Hemoconcentration
In the middle of a blood draw the patient experiences a seizure. Which of the
following should the phlebotomist do after removing the tourniquet and
withdrawing the needle? (Select the two (2) correct answers.)
A. Call for help.
B. Place gauze in the patient's mouth.
C. Protect the patient's head and lower her to the floor.
D. Place the patient in Trendelenburg position.
E. Observe the patient in the chair for at least 45 minutes after the seizure. -
ANSWER-Call for help
2
,Protect the patient's head and lower her to the floor.
A phlebotomist working in a hospital is collecting blood from a patient with very
small, difficult veins. Three tubes of blood need to be collected. The blue and
green tubes fill easily and completely, but the lavender tube fills incompletely.
Changing the lavender tube using the same draw also results in an incomplete
specimen. Which of the following should the phlebotomist do NEXT?
A. Re-position the needle and recollect the lavender tube.
B. Re-draw the patient using a different site and obtain all three tubes.
C. Submit the samples as drawn.
D. Resubmit the draw order for the next round of draws - ANSWER-Re-position
the needle and recollect the lavender tube.
A phlebotomist puts evacuated tubes filled with blood in plastic transport bags and
places them in the physician office lock box for the reference lab courier who will
pick them up in 1-2 hours. The lock box is outside and the temperatures are below
freezing. How will freezing affect the test results?
A. Elevated hematocrit
B. Decreased red blood cell count
C. Elevated hemoglobin
D. Decreased calcium - ANSWER-Decreased red blood cell count
Which of the following is the correct order of PPE removal prior to leaving the
exam room of a patient who is in contact-droplet isolation?
A. Gloves, gown, mask
3
, B. Gown, gloves, mask
C. Gown, mask, gloves
D. Gloves, mask, gown - ANSWER-Gown, gloves, mask
For which of the following patients is the use of an adhesive bandage
contraindicated?
A. Adult with hemophilia
B. Immunocompromised child
C. Adolescent with sickle cell anemia
D. Newborn with hyperbilirubinemia - ANSWER-Newborn with
hyperbilirubinemia
The person collecting a blood sample from a newborn with hyperbilirubinemia
would not use an adhesive bandage post-stick. Bleeding would be stopped by
direct pressure and no bandage would be utilized. It is not recommended to use a
bandage on children under two years of age because it could introduce a choking
hazard if the child works the bandage loose.
When performing venipuncture on a patient with a left mastectomy, which of the
following sites should the phlebotomist use?
A. Back of left hand
B. Right antecubital fossa
C. Right saphenous vein
D. Left basilic vein - ANSWER-Right antecubital fossa
4
