NCCT Phlebotomy Practice Test
A phlebotomist has received a requisition to draw a a
bilirubin on an infant with jaundice. The phlebotomist
should...
a. protect the specimens from light
b. invert the specimen immediately
c. transport the specimen on ice
d. draw a waste tube
Gray-topped sodium fluoride tubes should not be used a
to collect alanine aminotransferase (ALT) or aspartate
aminotransferase (AST) because the anticoagulant...
a. destroys many enzymes
b. increases lipemia
c. prevents hemoconcentration
d. causes hemolysis
Which of the following actions should the phlebotomist c
take when disposing of a needle following a
venipuncture?
a. recap the needle and place it immediately in a sharp
container
b. push the needle guard over the needle until it clicks
and then place in a biohazard bag
c. place the needle with safety device activated
immediately in a sharps container
d. recap the needle and place it on the blood
collection tray
The phlebotomist applies the tourniquet, but then has a
trouble relocating the vein several minutes of palpation.
Which of the following is an expected outcome in these
test results?
a. falsely elevated K levels from tissue damage
b. fibrinolysis from hemodilution
c. falsely decreased iron levels from hemolysis
d. falsely increased platelets from clotting
Forceful shaking of blood in an evacuated collection c
tube will cause which of the following complications?
a. hemostasis
b. hemoconcentration
c. hemolysis
d. contamination
, NCCT Phlebotomy Practice Test
Instead of obtaining consent from a patient who is b
mentally competent, the phlebotomist obtains from a
family member. This is a violation of...
a. HIPAA
b. The Patient's Bill of Rights
c. CLIA Waived Testing
d. The Stark Law
The physician has ordered a prothrombin time (PT) and c
complete blood count (CBC) for an adult patient with a
diagnosis of thrombophlebitis. The phlebotomist should
collect the evacuated tubes in which of the following
orders?
a. lavender, light blue
b. light blue, red
c. light blue, lavender
d. red, light blue
If a patient has measles, which of the following is a b
required additional precaution?
a. surgical mask
b. N95 respirator
c. fluid resistant apron
d. double gloves
Which of the following specimens require the b, d
phlebotomist to follow chain-of-custody
documentation procedures? (two answers)
a. neonatal screening
b. blood alcohol
c. therapeutic drug monitoring
d. drug testing
e. maternal screening
For which of the following patients is the use of an d
adhesive bandage contraindicated?
a. adult with hemophilia
b. immunocompromised child
c. adolescent with sickle cell anemia
d. newborn with hyperbilirubinemia
When performing venipuncture on a patient with a left b
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 basilica vein
, NCCT Phlebotomy Practice Test
The phlebotomist has collected an ammonia level. d
Which of the following should be done regarding
transport of the specimen?
a. maintain the specimen at room temperature
b. wrap the specimen in a heel warmer to slow the
metabolic process
c. wrap the specimen in foil to protect from light
d. immerse the specimen in an ice and water slurry
When a phlebotomist enters a patient's room to collect b
a STAT blood sample, a sign above the bed states that
all collections should be from the patient's central port.
Which of the following should the phlebotomist do
next?
a. proceed with sample. collection from the central
port and alert the nurse when finished
b. communicate the test order to the nursing staff and
wait for one of them to collect the sample
c. identify the patient and ask for confirmation that the
sign is accurate before proceeding with the collection
d. exit the patient's room and proceed directly to the
next patient on the collection list
While performing a capillary stick on a six-month-old a
infant's heel, the lancet should be no longer than...
a. 2.0mm
b. 2.0cm
c. 3.0cm
d. 3.0mm
For which of the following tubes must the phlebotomist d
prep the site with povidone iodine or chlorhexidine?
a. a lavender tube with EDTA
b. a light blue tube with sodium citrate
c. a yellow tube with ACD
d. a yellow tube with SPS
Small red spots appear neat the tourniquet on a c
patient's arm. This most likely an indiction of...
a. a collapsed nein
b. a hematoma
c. petechiae
d. edema
A patient presents to have a diagnostic HIV test drawn. c
Which of the following forms of consent must the
phlebotomist obtain prior to venipuncture?
a. expressed
b. implied
c. informed
d. verbal
A phlebotomist has received a requisition to draw a a
bilirubin on an infant with jaundice. The phlebotomist
should...
a. protect the specimens from light
b. invert the specimen immediately
c. transport the specimen on ice
d. draw a waste tube
Gray-topped sodium fluoride tubes should not be used a
to collect alanine aminotransferase (ALT) or aspartate
aminotransferase (AST) because the anticoagulant...
a. destroys many enzymes
b. increases lipemia
c. prevents hemoconcentration
d. causes hemolysis
Which of the following actions should the phlebotomist c
take when disposing of a needle following a
venipuncture?
a. recap the needle and place it immediately in a sharp
container
b. push the needle guard over the needle until it clicks
and then place in a biohazard bag
c. place the needle with safety device activated
immediately in a sharps container
d. recap the needle and place it on the blood
collection tray
The phlebotomist applies the tourniquet, but then has a
trouble relocating the vein several minutes of palpation.
Which of the following is an expected outcome in these
test results?
a. falsely elevated K levels from tissue damage
b. fibrinolysis from hemodilution
c. falsely decreased iron levels from hemolysis
d. falsely increased platelets from clotting
Forceful shaking of blood in an evacuated collection c
tube will cause which of the following complications?
a. hemostasis
b. hemoconcentration
c. hemolysis
d. contamination
, NCCT Phlebotomy Practice Test
Instead of obtaining consent from a patient who is b
mentally competent, the phlebotomist obtains from a
family member. This is a violation of...
a. HIPAA
b. The Patient's Bill of Rights
c. CLIA Waived Testing
d. The Stark Law
The physician has ordered a prothrombin time (PT) and c
complete blood count (CBC) for an adult patient with a
diagnosis of thrombophlebitis. The phlebotomist should
collect the evacuated tubes in which of the following
orders?
a. lavender, light blue
b. light blue, red
c. light blue, lavender
d. red, light blue
If a patient has measles, which of the following is a b
required additional precaution?
a. surgical mask
b. N95 respirator
c. fluid resistant apron
d. double gloves
Which of the following specimens require the b, d
phlebotomist to follow chain-of-custody
documentation procedures? (two answers)
a. neonatal screening
b. blood alcohol
c. therapeutic drug monitoring
d. drug testing
e. maternal screening
For which of the following patients is the use of an d
adhesive bandage contraindicated?
a. adult with hemophilia
b. immunocompromised child
c. adolescent with sickle cell anemia
d. newborn with hyperbilirubinemia
When performing venipuncture on a patient with a left b
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 basilica vein
, NCCT Phlebotomy Practice Test
The phlebotomist has collected an ammonia level. d
Which of the following should be done regarding
transport of the specimen?
a. maintain the specimen at room temperature
b. wrap the specimen in a heel warmer to slow the
metabolic process
c. wrap the specimen in foil to protect from light
d. immerse the specimen in an ice and water slurry
When a phlebotomist enters a patient's room to collect b
a STAT blood sample, a sign above the bed states that
all collections should be from the patient's central port.
Which of the following should the phlebotomist do
next?
a. proceed with sample. collection from the central
port and alert the nurse when finished
b. communicate the test order to the nursing staff and
wait for one of them to collect the sample
c. identify the patient and ask for confirmation that the
sign is accurate before proceeding with the collection
d. exit the patient's room and proceed directly to the
next patient on the collection list
While performing a capillary stick on a six-month-old a
infant's heel, the lancet should be no longer than...
a. 2.0mm
b. 2.0cm
c. 3.0cm
d. 3.0mm
For which of the following tubes must the phlebotomist d
prep the site with povidone iodine or chlorhexidine?
a. a lavender tube with EDTA
b. a light blue tube with sodium citrate
c. a yellow tube with ACD
d. a yellow tube with SPS
Small red spots appear neat the tourniquet on a c
patient's arm. This most likely an indiction of...
a. a collapsed nein
b. a hematoma
c. petechiae
d. edema
A patient presents to have a diagnostic HIV test drawn. c
Which of the following forms of consent must the
phlebotomist obtain prior to venipuncture?
a. expressed
b. implied
c. informed
d. verbal
