NHCO Phlebotomy Exam
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1. Which of the following is the best indication that a patient might be at risk
of syncope?
a. Involuntary movement
b. Lightheadedness and shallow breath
c. Small red spots appearing on skin
d. Paleness and sweating: d. Paleness and sweating
2. Why is it important for a phlebotomist to invert anticoagulant tubes?
a. To prevent a pH imbalance
b. To prevent hemolysis
c. To ensure proper mixing of blood and additive
d. To prevent hemoconcentration: c. To ensure proper mixing of blood and additive
3. Which of the following protects a patient's information?
a. OSHA
b. HIPPA
c. The Joint Commission
d. AAHSA: b. HIPPA
4. Which of the following needle sizes is NOT used for laboratory assays but
for collection of donor units of blood?
a. 18-gauge
b. 23-gague
c. 21-gague
d. 22-gague: a. 18-gauge
5. How many minutes within collection of a urine sample should the phle-
botomist take the temperature of the specimen?
a. Within 10 minutes
b. Within 45 minutes
c. Within 30 seconds
d. Within 4 minutes: d. Within 4 minutes
6. Quality control checklists ensure machines are inspected for compliance at
time intervals specific to the equipment and .
a. Clinical application
b. Chemical measurement
, NHCO Phlebotomy Exam
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c. Expiration date
d. Stock rotation: a. Clinical application
7. Which of the following actions will most likely prevent a needle stick injury?
a. Having a nurse or other healthcare team member dispose of used needles
for the phlebotomist
b. Replacing sharps containers when they have reached their fill line
c. Recapping every needle prior to discarding it in the sharps container
d. Wearing rubber gloves during venipuncture: b. Replacing sharps containers
when they have reached their fill line
8. Which of the following pieces of information need to be on a laboratory
requisition form before a phlebotomist should proceed with obtaining a blood
specimen?
a. The patient's status as an organ donor
b. A specimen identification code
c. A laboratory's CLIA number
d. The patient's emergency contact: b. A specimen identification code
9. A patient is listening to a phlebotomist explain the venipuncture process
before initiating the blood draw. The patient communicates their understand-
ing but seems hesitant and confused. How should the phlebotomist handle
the situation?
a. The phlebotomist should surmise that the patient has heard enough infor-
mation and get ready to draw the patient's blood.
b. The phlebotomist should leave the room and ask for another doctor or nurse
to explain the procedure.
c. The phlebotomist should repeat the same explanation in a slower voice.
d. The phlebotomist should find another way to phrase the explanation and
invite the patient to ask any clarifying questions.: d. The phlebotomist should
find another way to phrase the explanation and invite the patient to ask any clarifying
questions.
10. The additive in a Pink Top Tube used in blood banking is which of the
following?
a. Sodium polyanethole sulfonate (SPS)
b. Sodium heparin
c. Potassium ethylenediaminetetraacetic acid (EDTA)
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d. Acid citrate dextrose (ACD): c. Potassium ethylenediaminetetraacetic acid
(EDTA)
11. If a patient verbally or physically refuses a venipuncture procedure, the
phlebotomist should do which of the following?
a. The phlebotomist should inform the patient that they will still be reasonable
to pay for the procedure.
b. The phlebotomist should re-explain the procedure in case the patient did
not understand.
c. The phlebotomist should inform the patient that they will need to reschedule
their appointment.
d. The phlebotomist should immediately report the refusal and actions taken
to their supervisor.: d. The phlebotomist should immediately report the refusal and
actions taken to their supervisor.
12. What is the recommended allowance for a total volume of blood drawn
from a patient within a 24-hr period?
a. 0.05% - 1%
b. 1% - 5%
c. 5% - 7%
d. 10%: b. 1% - 5%
13. Which of the following is the proper way a phlebotomist should dispose of
a needle?
a. The phlebotomist should recap it with the original white lid with the opposite
hand and put it in a sharps container.
b. The phlebotomist should throw it, recapped, into a biohazard bag.
c. The phlebotomist should put it into a sharps container, SAFETY CAPPED,
after withdrawing it from the patient's arm.
d. The phlebotomist should collect them in a cup for disposal at the end of the
day.: c. The phlebotomist should put it into a sharps container, SAFETY CAPPED,
after withdrawing it from the patient's arm.
14. When drawing blood from a patient who has a contagious pathogen, like
COVID-19, which PPE provides the best protection for a phlebotomist?
a. Surgical mask
b. Gown
c. Double gloves
d. Respirator: a. Surgical mask
Study online at https://quizlet.com/_e6zibw
1. Which of the following is the best indication that a patient might be at risk
of syncope?
a. Involuntary movement
b. Lightheadedness and shallow breath
c. Small red spots appearing on skin
d. Paleness and sweating: d. Paleness and sweating
2. Why is it important for a phlebotomist to invert anticoagulant tubes?
a. To prevent a pH imbalance
b. To prevent hemolysis
c. To ensure proper mixing of blood and additive
d. To prevent hemoconcentration: c. To ensure proper mixing of blood and additive
3. Which of the following protects a patient's information?
a. OSHA
b. HIPPA
c. The Joint Commission
d. AAHSA: b. HIPPA
4. Which of the following needle sizes is NOT used for laboratory assays but
for collection of donor units of blood?
a. 18-gauge
b. 23-gague
c. 21-gague
d. 22-gague: a. 18-gauge
5. How many minutes within collection of a urine sample should the phle-
botomist take the temperature of the specimen?
a. Within 10 minutes
b. Within 45 minutes
c. Within 30 seconds
d. Within 4 minutes: d. Within 4 minutes
6. Quality control checklists ensure machines are inspected for compliance at
time intervals specific to the equipment and .
a. Clinical application
b. Chemical measurement
, NHCO Phlebotomy Exam
Study online at https://quizlet.com/_e6zibw
c. Expiration date
d. Stock rotation: a. Clinical application
7. Which of the following actions will most likely prevent a needle stick injury?
a. Having a nurse or other healthcare team member dispose of used needles
for the phlebotomist
b. Replacing sharps containers when they have reached their fill line
c. Recapping every needle prior to discarding it in the sharps container
d. Wearing rubber gloves during venipuncture: b. Replacing sharps containers
when they have reached their fill line
8. Which of the following pieces of information need to be on a laboratory
requisition form before a phlebotomist should proceed with obtaining a blood
specimen?
a. The patient's status as an organ donor
b. A specimen identification code
c. A laboratory's CLIA number
d. The patient's emergency contact: b. A specimen identification code
9. A patient is listening to a phlebotomist explain the venipuncture process
before initiating the blood draw. The patient communicates their understand-
ing but seems hesitant and confused. How should the phlebotomist handle
the situation?
a. The phlebotomist should surmise that the patient has heard enough infor-
mation and get ready to draw the patient's blood.
b. The phlebotomist should leave the room and ask for another doctor or nurse
to explain the procedure.
c. The phlebotomist should repeat the same explanation in a slower voice.
d. The phlebotomist should find another way to phrase the explanation and
invite the patient to ask any clarifying questions.: d. The phlebotomist should
find another way to phrase the explanation and invite the patient to ask any clarifying
questions.
10. The additive in a Pink Top Tube used in blood banking is which of the
following?
a. Sodium polyanethole sulfonate (SPS)
b. Sodium heparin
c. Potassium ethylenediaminetetraacetic acid (EDTA)
, NHCO Phlebotomy Exam
Study online at https://quizlet.com/_e6zibw
d. Acid citrate dextrose (ACD): c. Potassium ethylenediaminetetraacetic acid
(EDTA)
11. If a patient verbally or physically refuses a venipuncture procedure, the
phlebotomist should do which of the following?
a. The phlebotomist should inform the patient that they will still be reasonable
to pay for the procedure.
b. The phlebotomist should re-explain the procedure in case the patient did
not understand.
c. The phlebotomist should inform the patient that they will need to reschedule
their appointment.
d. The phlebotomist should immediately report the refusal and actions taken
to their supervisor.: d. The phlebotomist should immediately report the refusal and
actions taken to their supervisor.
12. What is the recommended allowance for a total volume of blood drawn
from a patient within a 24-hr period?
a. 0.05% - 1%
b. 1% - 5%
c. 5% - 7%
d. 10%: b. 1% - 5%
13. Which of the following is the proper way a phlebotomist should dispose of
a needle?
a. The phlebotomist should recap it with the original white lid with the opposite
hand and put it in a sharps container.
b. The phlebotomist should throw it, recapped, into a biohazard bag.
c. The phlebotomist should put it into a sharps container, SAFETY CAPPED,
after withdrawing it from the patient's arm.
d. The phlebotomist should collect them in a cup for disposal at the end of the
day.: c. The phlebotomist should put it into a sharps container, SAFETY CAPPED,
after withdrawing it from the patient's arm.
14. When drawing blood from a patient who has a contagious pathogen, like
COVID-19, which PPE provides the best protection for a phlebotomist?
a. Surgical mask
b. Gown
c. Double gloves
d. Respirator: a. Surgical mask
