NCCT Practice Test Exam 2025
Questions and Answers 100% Pass
Which of the following actions should the phlebotomist take to decrease the
potential for hemolysis of blood specimen in an EDTA tube?
A. Store the tube in the refrigerator after the specimen has been collected
B. Use a 25 gauge needle or smaller to collect the specimen
C. Allow the tube to stand for 20 minutes prior to processing
D. Gently invert the tube after collecting the specimen - ANSWER-Gently invert
the tube after collecting the specimen
Since an EDTA tube contains anticoagulant, it is important to immediately mix the
blood as soon as it is collected to ensure that it doesn't clot. The phlebotomist
should gently invert the tube after collecting the specimen to maintain specimen
integrity and prevent rupture of RBC's in the sample.
Small red spots appear near the tourniquet on a patient's arm. This is MOST likely
an indication of
A. a collapsed vein.
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,B. a hematoma.
C. petechiae.
D. edema. - ANSWER-Petechiae
Small red spots near the tourniquet on a patient's arm are most likely indicative of
petechiae. Petechiae are small, red, non-raised spots that appear in response to
pressure from the tourniquet.
Which of the following is outside the scope of practice for a phlebotomist?
A. Verifying equipment function on point of care testing using a control.
B. Prioritizing collections based on order requests.
C. Recording quality control results on a log sheet.
D. Performing CLIA high complexity tests. - ANSWER-Performing CLIA high
complexity tests
CLIA refers to the Clinical Laboratory Improvement Amendment, which specifies
personnel requirements for performing laboratory testing based upon their
complexity. Moderate and high complexity testing are outside the scope of practice
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,for a phlebotomist. Medical assistants may perform CLIA-waived testing, such as
Point of Care Testing, with proper training.
If a phlebotomist has questions about disposing of outdated hazardous chemicals,
where should she look to find this information?
A. HIPAA
B. MSDS
C. CLIA
D. NIOSH - ANSWER-MSDS
A Material Safety Data Sheet (MSDS) is a hazardous chemical reference. It
provides healthcare workers with procedures for working with substances safety to
ensure regulatory compliance.
When inserting a needle during venipuncture, the bevel should be in which of the
following positions in relation to the vein?
A. Up
B. Down
C. Left
D. Right - ANSWER-Up
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, Which of the following is an example of a pre-analytical error made at the time of
collection?
A. Delay in transporting
B. Failing to mix tubes
C. Incomplete requisition
D. Waiting to centrifuge - ANSWER-Failing to mix tubes
If the blood is not well mixed with the anticoagulant, partial clotting can occur
leading to microscopic fibrin strands and inaccurate test results.
Which of the following is the appropriate blood collection device for obtaining a
blood spot collection on an infant?
A. Syringe
B. Lancet
C. Micro-collection container
D. Evacuated tube - ANSWER-Lancet
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Questions and Answers 100% Pass
Which of the following actions should the phlebotomist take to decrease the
potential for hemolysis of blood specimen in an EDTA tube?
A. Store the tube in the refrigerator after the specimen has been collected
B. Use a 25 gauge needle or smaller to collect the specimen
C. Allow the tube to stand for 20 minutes prior to processing
D. Gently invert the tube after collecting the specimen - ANSWER-Gently invert
the tube after collecting the specimen
Since an EDTA tube contains anticoagulant, it is important to immediately mix the
blood as soon as it is collected to ensure that it doesn't clot. The phlebotomist
should gently invert the tube after collecting the specimen to maintain specimen
integrity and prevent rupture of RBC's in the sample.
Small red spots appear near the tourniquet on a patient's arm. This is MOST likely
an indication of
A. a collapsed vein.
COPYRIGHT 2025 ALL RIGHTS RESERVED, TRUSTED AND VERIFIED 1
,B. a hematoma.
C. petechiae.
D. edema. - ANSWER-Petechiae
Small red spots near the tourniquet on a patient's arm are most likely indicative of
petechiae. Petechiae are small, red, non-raised spots that appear in response to
pressure from the tourniquet.
Which of the following is outside the scope of practice for a phlebotomist?
A. Verifying equipment function on point of care testing using a control.
B. Prioritizing collections based on order requests.
C. Recording quality control results on a log sheet.
D. Performing CLIA high complexity tests. - ANSWER-Performing CLIA high
complexity tests
CLIA refers to the Clinical Laboratory Improvement Amendment, which specifies
personnel requirements for performing laboratory testing based upon their
complexity. Moderate and high complexity testing are outside the scope of practice
COPYRIGHT 2025 ALL RIGHTS RESERVED, TRUSTED AND VERIFIED 2
,for a phlebotomist. Medical assistants may perform CLIA-waived testing, such as
Point of Care Testing, with proper training.
If a phlebotomist has questions about disposing of outdated hazardous chemicals,
where should she look to find this information?
A. HIPAA
B. MSDS
C. CLIA
D. NIOSH - ANSWER-MSDS
A Material Safety Data Sheet (MSDS) is a hazardous chemical reference. It
provides healthcare workers with procedures for working with substances safety to
ensure regulatory compliance.
When inserting a needle during venipuncture, the bevel should be in which of the
following positions in relation to the vein?
A. Up
B. Down
C. Left
D. Right - ANSWER-Up
COPYRIGHT 2025 ALL RIGHTS RESERVED, TRUSTED AND VERIFIED 3
, Which of the following is an example of a pre-analytical error made at the time of
collection?
A. Delay in transporting
B. Failing to mix tubes
C. Incomplete requisition
D. Waiting to centrifuge - ANSWER-Failing to mix tubes
If the blood is not well mixed with the anticoagulant, partial clotting can occur
leading to microscopic fibrin strands and inaccurate test results.
Which of the following is the appropriate blood collection device for obtaining a
blood spot collection on an infant?
A. Syringe
B. Lancet
C. Micro-collection container
D. Evacuated tube - ANSWER-Lancet
COPYRIGHT 2025 ALL RIGHTS RESERVED, TRUSTED AND VERIFIED 4
