NCCT Phlebotomy Practice Test
Prep Questions with Correct
Answers
Which of the following standards are being violated when a phlebotomist fails to use
proper handwashing technique?
a. HIPAA
b. OSHA
c. CMS
d. NAACLS - b
Which of the following POC laboratory tests is within the CLIA defined scope of practice
for a phlebotomist?
a. cell differential and urine sediment
b. strep test and urine sediment
c. urine dip and cell differential
d. strep test and urine reagent strip - d
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 - b
On the initial attempt the phlebotomist went through the vein, but was able to pull back
on the needle and successfully collect the specimen. Which of the following should the
phlebotomist do next?
a. explain to the patient that a bruise may be likely, but it should be gone within a few
days
b. apply pressure dressing and instruct the patient to leave. it on for 24 hours
c. have the patient hold pressure on the site for at least 10 minutes and notify the nurse
d. apply an ice pack to the site to minimize bleeding and prevent hematoma - a
During palpation of a large vessel in the forearm, the phlebotomist detects a vibration
sensation. The phlebotomist should then...
a. use a syringe blood collection set up with minimal plunger pressure
b. select a smaller gauge needle for the draw site
c. choose a different collection site
,d. use a lower angle of penetration with a butterfly - c
To help prevent a hematoma at the site after drawing blood, which of the following
actions should the phlebotomist take?
a. ask the patient to make a fist
b. clean the. site with an alcohol prep
c. apply direct pressure with cotton gauze
d. have the patient bend the elbow to hold the cotton gauze on the site - c
The patient on hemodialysis with a left AV shunt has undergone a right sided
mastectomy and has an order for a STAT glucose. After consulting with the physician
the phlebotomist is told to perform a capillary draw. Which of the following sites should
the phlebotomist use?
a. right middle finger
b. left ring finger
c. left thumb
d. right little finger - b
The phlebotomist needs to draw a blood culture, sedimentation rate, PTT, and a
glucose test. Which of the following is the correct order of draw?
a. red, yellow, light blue, lavender
b. yellow, light blue, lavender, gray
c. gray, light blue, lavender, red
d. yellow, red, lavender, gray - b
The phlebotomist received a requisition for blood test on a 70-year-old female patient
with diabetes and a mastectomy of the left breast. Upon entering the room the
phlebotomist notices a PICC line in the patient's right arm. For this specimen collection,
the phlebotomist should...
a. draw above the PICC line
b. draw form the left arm
c. refer the draw to the nurse
d. draw directly from he PICC line - c
The physician orders a hemoglobin level to be checked on a 2-month-old patient. Which
of the following sites should the phlebotomist use to obtain the specimen?
a. lateral fingertip
b. antecubital space
c. heel of the foot
d. superficial scalp vein - c
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 - d
, While performing a venipuncture, the phlebotomist removes the filled tubes, but forgets
to remove the tourniquet prior to needle withdrawal. Which of the following is the most
likely result?
a. syncope
b. hemoconcentrated specimen
c. hematoma
d. hemolyzed specimen - c
While performing a venipuncture in the antecubital space, the patient verbalizes an
extreme amount of pain and the blood in the collection tube is noted to be bright red.
Which of the following sites is most likely to have been inadvertently punctured?
a. brachial artery
b. basilic vein
c. cephalic vein
d. ulnar artery - a
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."
-a
When inspecting a patient's arm before performing a venipuncture, the most desirable
site appears to be the back of the hand. Which of the following venipuncture methods is
most appropriate in this situation?
a. evacuated tube
b. needle and syringe
c. butterfly needle
d. capillary puncture - c
The phlebotomist is preparing to remove her gloves after a venipuncture and notices
blood on the gloves. Where should the phlebotomist dispose of her gloves?
a. a biohazard waste container
b. a red sharps container
c. a regular trash container
d. a specimen transport beg - a
A phlebotomist has received a requisition for a blood draw on a patient with a
coagulation disorder. The phlebotomist should be sure to...
a. hold pressure on the draw site until bleeding has stopped
b. call the doctor to confirm the collection site
c. collect the specimen. form the hand to avoid a hematoma
d. use a blood pressure cuff to apply consistent pressure - a
Prep Questions with Correct
Answers
Which of the following standards are being violated when a phlebotomist fails to use
proper handwashing technique?
a. HIPAA
b. OSHA
c. CMS
d. NAACLS - b
Which of the following POC laboratory tests is within the CLIA defined scope of practice
for a phlebotomist?
a. cell differential and urine sediment
b. strep test and urine sediment
c. urine dip and cell differential
d. strep test and urine reagent strip - d
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 - b
On the initial attempt the phlebotomist went through the vein, but was able to pull back
on the needle and successfully collect the specimen. Which of the following should the
phlebotomist do next?
a. explain to the patient that a bruise may be likely, but it should be gone within a few
days
b. apply pressure dressing and instruct the patient to leave. it on for 24 hours
c. have the patient hold pressure on the site for at least 10 minutes and notify the nurse
d. apply an ice pack to the site to minimize bleeding and prevent hematoma - a
During palpation of a large vessel in the forearm, the phlebotomist detects a vibration
sensation. The phlebotomist should then...
a. use a syringe blood collection set up with minimal plunger pressure
b. select a smaller gauge needle for the draw site
c. choose a different collection site
,d. use a lower angle of penetration with a butterfly - c
To help prevent a hematoma at the site after drawing blood, which of the following
actions should the phlebotomist take?
a. ask the patient to make a fist
b. clean the. site with an alcohol prep
c. apply direct pressure with cotton gauze
d. have the patient bend the elbow to hold the cotton gauze on the site - c
The patient on hemodialysis with a left AV shunt has undergone a right sided
mastectomy and has an order for a STAT glucose. After consulting with the physician
the phlebotomist is told to perform a capillary draw. Which of the following sites should
the phlebotomist use?
a. right middle finger
b. left ring finger
c. left thumb
d. right little finger - b
The phlebotomist needs to draw a blood culture, sedimentation rate, PTT, and a
glucose test. Which of the following is the correct order of draw?
a. red, yellow, light blue, lavender
b. yellow, light blue, lavender, gray
c. gray, light blue, lavender, red
d. yellow, red, lavender, gray - b
The phlebotomist received a requisition for blood test on a 70-year-old female patient
with diabetes and a mastectomy of the left breast. Upon entering the room the
phlebotomist notices a PICC line in the patient's right arm. For this specimen collection,
the phlebotomist should...
a. draw above the PICC line
b. draw form the left arm
c. refer the draw to the nurse
d. draw directly from he PICC line - c
The physician orders a hemoglobin level to be checked on a 2-month-old patient. Which
of the following sites should the phlebotomist use to obtain the specimen?
a. lateral fingertip
b. antecubital space
c. heel of the foot
d. superficial scalp vein - c
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 - d
, While performing a venipuncture, the phlebotomist removes the filled tubes, but forgets
to remove the tourniquet prior to needle withdrawal. Which of the following is the most
likely result?
a. syncope
b. hemoconcentrated specimen
c. hematoma
d. hemolyzed specimen - c
While performing a venipuncture in the antecubital space, the patient verbalizes an
extreme amount of pain and the blood in the collection tube is noted to be bright red.
Which of the following sites is most likely to have been inadvertently punctured?
a. brachial artery
b. basilic vein
c. cephalic vein
d. ulnar artery - a
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."
-a
When inspecting a patient's arm before performing a venipuncture, the most desirable
site appears to be the back of the hand. Which of the following venipuncture methods is
most appropriate in this situation?
a. evacuated tube
b. needle and syringe
c. butterfly needle
d. capillary puncture - c
The phlebotomist is preparing to remove her gloves after a venipuncture and notices
blood on the gloves. Where should the phlebotomist dispose of her gloves?
a. a biohazard waste container
b. a red sharps container
c. a regular trash container
d. a specimen transport beg - a
A phlebotomist has received a requisition for a blood draw on a patient with a
coagulation disorder. The phlebotomist should be sure to...
a. hold pressure on the draw site until bleeding has stopped
b. call the doctor to confirm the collection site
c. collect the specimen. form the hand to avoid a hematoma
d. use a blood pressure cuff to apply consistent pressure - a
