CPT (Certified Phlebotomy Tech)
National Exam-Graded A
Laboratory test - ANS-A phlebotomist must choose the right tube color and additive for
the corresponding _______?
When should a phlebotomist perform external liquid controls for quality control on a
CLIA-waived point of care test? - ANS-When a new lot # or kit is opened
A phlebotomist is drawing 5 blood collection tubes. When should the tourniquet be
released? - ANS-1 to 2 minutes
What agent should a phlebotomist cleanse the skin with before drawing blood cultures?
- ANS-Providone Iodine"
According to the CLSI order of draw guidelines, which of the following samples should
the phlebotomist collect first?
Blood cultures
coagulation
electrolytes
glucose levels - ANS-Blood cultures
Which of the following is appropriate to use when collecting for a chemistry test that
requires serum?
SST
SPS
EDTA
PST - ANS-SST (serum separator tube)
After performing a heel puncture for neonatal screening, which of the following is the
correct procedure for collecting the blood?
Smear the blood on the circle
saturate each circle
touch the heel to the center of the circle
drop the blood on the circle - ANS-saturate each circle
A phlebotomist observes a hematoma developing at the site of a venous blood draw.
The phlebotomist should?? - ANS-Release the tourniquet and stop the draw
,When should the code on glucose cuvettes or strips be compared to the code on the
glucose meter? - ANS-When a patient is tested
The phlebotomist needs to draw a glucose tolerance test (GTT) on a patient and notices
an empty breakfast plate on the bedside table. Which of the following actions should the
phlebotomist take? - ANS-Ask the patient when she last ate or drank
Tubes with what additive should be used when collecting a sample for CBC - ANS-
EDTA
When preparing for transport, what specimens must be placed into an ice bath within 30
minutes after collection? - ANS-Arterial blood gases
Which of the following actions would result in a grossly hemolyzed specimen?
An incorrect order of draw
applying the tourniquet too close to the draw site
failure to invert the tube
an incorrect needle gauge - ANS-An incorrect needle gauge
The phlebotomist must perform a blood draw on a patient with an IV on the right side,
and there has been a mastectomy on the left side. Where should the phlebotomist
perform the venipuncture? - ANS-Below the IV
Before collecting blood on an inpatient, the phlebotomist notices that the patient does
not have a wristband on his wrist, but there is one attached to the patient's IV stand.
Which of the following is the proper action? - ANS-Don't draw until the nurse has
attached a wristband to the patient
A phlebotomist receives orders to draw an infant screening card, O2 levels, bilirubin and
DNA. Which of the following should be drawn first?
Bilirubin
O2 levels
DNA
Screening card - ANS-O2 levels
Why is it important to place a specimen in a biohazard specimen bag when transporting
to an outside laboratory? - ANS-The biohazard bag prevents a possible exposure
incident
Industry standard states that needle insertion in the antecubital area should be at?? -
ANS-15 to 30 degree angle
, Some older adults or obese patients may not have accessible antecubital veins. In this
situation, the phlebotomist may use which of the following? - ANS-Dorsal veins
Before leaving the patient's room, which of the following actions is required for the
phlebotomist to take? - ANS-Initial and mark date/time on each tube
During a draw, the patient becomes unresponsive What is the next action the
phlebotomist should take? - ANS-Check for breathing
What action should a phlebotomist take to verify the quality of veinpuncture supplies
before beginning a blood draw on an adult patient? - ANS-Inspect the integrity of the
needle's seal
Which of the following is the next step after removing the needle from the patient's arm?
Ask the patient to open his fist
remove the tourniquet
engage the needle safety device
invert all tubes - ANS-Engage the needle safety device
Why should the phlebotomist document the total volume of blood drawn from a patient?
- ANS-To determine if the patient is at risk for developing iatrogenic anemia
Phlebotomists should comply with which of the following OSHA requirements specific to
the venipuncture procedure?
Wear gloves when contact with blood is anticipated
wear safety glasses if spashes, spray, splatter or droplets of blood may be generated
Recap contaminated venipuncture devices to reduce exposure incidents - ANS-Wear
gloves when contact with blood is anticipated
Which of the following indicates the correct order of draw?
Lavender, green, gray
Gray, green, lavender
Green, gray, lavender
Green, lavender, gray - ANS-Green, lavender, gray (G,P,G)
A patient comes in to find out his test results. The phlebotomist notices the results are
ready and verifies the patient's identity. Which of the following action is most
appropriate? - ANS-Inform the patient to contact the ordering physician to get the
results
National Exam-Graded A
Laboratory test - ANS-A phlebotomist must choose the right tube color and additive for
the corresponding _______?
When should a phlebotomist perform external liquid controls for quality control on a
CLIA-waived point of care test? - ANS-When a new lot # or kit is opened
A phlebotomist is drawing 5 blood collection tubes. When should the tourniquet be
released? - ANS-1 to 2 minutes
What agent should a phlebotomist cleanse the skin with before drawing blood cultures?
- ANS-Providone Iodine"
According to the CLSI order of draw guidelines, which of the following samples should
the phlebotomist collect first?
Blood cultures
coagulation
electrolytes
glucose levels - ANS-Blood cultures
Which of the following is appropriate to use when collecting for a chemistry test that
requires serum?
SST
SPS
EDTA
PST - ANS-SST (serum separator tube)
After performing a heel puncture for neonatal screening, which of the following is the
correct procedure for collecting the blood?
Smear the blood on the circle
saturate each circle
touch the heel to the center of the circle
drop the blood on the circle - ANS-saturate each circle
A phlebotomist observes a hematoma developing at the site of a venous blood draw.
The phlebotomist should?? - ANS-Release the tourniquet and stop the draw
,When should the code on glucose cuvettes or strips be compared to the code on the
glucose meter? - ANS-When a patient is tested
The phlebotomist needs to draw a glucose tolerance test (GTT) on a patient and notices
an empty breakfast plate on the bedside table. Which of the following actions should the
phlebotomist take? - ANS-Ask the patient when she last ate or drank
Tubes with what additive should be used when collecting a sample for CBC - ANS-
EDTA
When preparing for transport, what specimens must be placed into an ice bath within 30
minutes after collection? - ANS-Arterial blood gases
Which of the following actions would result in a grossly hemolyzed specimen?
An incorrect order of draw
applying the tourniquet too close to the draw site
failure to invert the tube
an incorrect needle gauge - ANS-An incorrect needle gauge
The phlebotomist must perform a blood draw on a patient with an IV on the right side,
and there has been a mastectomy on the left side. Where should the phlebotomist
perform the venipuncture? - ANS-Below the IV
Before collecting blood on an inpatient, the phlebotomist notices that the patient does
not have a wristband on his wrist, but there is one attached to the patient's IV stand.
Which of the following is the proper action? - ANS-Don't draw until the nurse has
attached a wristband to the patient
A phlebotomist receives orders to draw an infant screening card, O2 levels, bilirubin and
DNA. Which of the following should be drawn first?
Bilirubin
O2 levels
DNA
Screening card - ANS-O2 levels
Why is it important to place a specimen in a biohazard specimen bag when transporting
to an outside laboratory? - ANS-The biohazard bag prevents a possible exposure
incident
Industry standard states that needle insertion in the antecubital area should be at?? -
ANS-15 to 30 degree angle
, Some older adults or obese patients may not have accessible antecubital veins. In this
situation, the phlebotomist may use which of the following? - ANS-Dorsal veins
Before leaving the patient's room, which of the following actions is required for the
phlebotomist to take? - ANS-Initial and mark date/time on each tube
During a draw, the patient becomes unresponsive What is the next action the
phlebotomist should take? - ANS-Check for breathing
What action should a phlebotomist take to verify the quality of veinpuncture supplies
before beginning a blood draw on an adult patient? - ANS-Inspect the integrity of the
needle's seal
Which of the following is the next step after removing the needle from the patient's arm?
Ask the patient to open his fist
remove the tourniquet
engage the needle safety device
invert all tubes - ANS-Engage the needle safety device
Why should the phlebotomist document the total volume of blood drawn from a patient?
- ANS-To determine if the patient is at risk for developing iatrogenic anemia
Phlebotomists should comply with which of the following OSHA requirements specific to
the venipuncture procedure?
Wear gloves when contact with blood is anticipated
wear safety glasses if spashes, spray, splatter or droplets of blood may be generated
Recap contaminated venipuncture devices to reduce exposure incidents - ANS-Wear
gloves when contact with blood is anticipated
Which of the following indicates the correct order of draw?
Lavender, green, gray
Gray, green, lavender
Green, gray, lavender
Green, lavender, gray - ANS-Green, lavender, gray (G,P,G)
A patient comes in to find out his test results. The phlebotomist notices the results are
ready and verifies the patient's identity. Which of the following action is most
appropriate? - ANS-Inform the patient to contact the ordering physician to get the
results
