NPS Phlebotomy Exam 2026-2027 BANK QUESTIONS
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Question 1
Which of the following is a standard precaution in phlebotomy?
A) Reuse gloves if they appear clean.
B) Only wear gloves when the patient looks sick.
C) Treat all blood and body fluids as potentially infectious.
D) Disinfect hands only after visible contamination.
Answer: C
Explanation: Standard Precautions, established by the CDC, are a set of
infection control practices used to prevent transmission of diseases that
can be acquired through contact with blood, body fluids, non-intact
skin, and mucous membranes. These precautions assume that all blood
and body fluids are potentially infectious, regardless of the patient's
diagnosis or perceived health status. This principle requires the
consistent use of barriers such as gloves, gowns, and masks, and proper
hand hygiene for every patient encounter. Options A, B, and D are
incorrect because they represent unsafe practices that contradict the
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core tenet of Standard Precautions, which is to treat all patients with
the same level of infection control vigilance.
Question 2
What is the proper procedure for handwashing before a venipuncture?
A) Lather with soap, rinse quickly, and dry with an air dryer.
B) Lather with soap, rub vigorously, rinse with fingers pointed down,
and dry completely.
C) Rinse with water, apply sanitizer, and dry with a towel.
D) Rinse with water, lather with soap, and dry with a towel.
Answer: B
Explanation: Proper hand hygiene is the most critical measure for
preventing the spread of infection. The correct procedure involves
wetting hands with water, applying soap, and lathering by rubbing
hands together vigorously for at least 15-20 seconds. It is crucial to rinse
thoroughly with fingers pointed downward to allow water to flow from
the cleanest area (the hands) to the less clean area (the elbows),
preventing contamination of the hands. Finally, hands must be dried
completely with a clean paper towel or air dryer. This meticulous
process ensures that transient microorganisms are effectively removed.
Options A, C, and D describe incomplete or incorrect techniques that
could leave contaminants on the skin.
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Question 3
How should contaminated sharps be disposed of?
A) By washing and reusing.
B) In a plastic bag.
C) In the regular trash bin.
D) In a puncture-resistant sharps container.
Answer: D
Explanation: The disposal of contaminated sharps is strictly regulated by
OSHA's Bloodborne Pathogens Standard. All needles, lancets, and other
sharp devices that have been used on a patient must be discarded
immediately after use in an approved sharps container. These
containers must be puncture-resistant, leak-proof, and clearly labeled or
color-coded to warn of the biohazardous contents. This practice is
essential for preventing needlestick injuries and exposure to bloodborne
pathogens for healthcare workers, patients, and waste handlers. The
other options are dangerous violations of safety protocols that
significantly increase the risk of occupational exposure.
Question 4
If a glove gets torn during a procedure, what action should be taken?
A) Use hand sanitizer over the glove.
B) Replace the glove immediately.
C) Continue the procedure and change afterward.
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D) Tape the torn area.
Answer: B
Explanation: Gloves are a primary barrier against bloodborne
pathogens. If a glove becomes torn, punctured, or otherwise
compromised, its protective function is lost, and the phlebotomist is at
risk of exposure. The correct action is to immediately stop the
procedure, remove the contaminated glove, perform hand hygiene, and
don a new, intact glove before continuing. Continuing the procedure
with a torn glove, taping it, or applying sanitizer over it are not
acceptable or safe practices and leave the phlebotomist and the patient
at unnecessary risk.
Question 5
Which part of the needle should always face up during venipuncture?
A) Shaft
B) Lumen
C) Hub
D) Bevel
Answer: D
Explanation: The bevel is the slanted, angled opening at the tip of the
needle. It is essential that the bevel faces upward when performing a