Phlebotomy Exam with Complete
Solutions
1. which of the following is a violation of the health insurance portability and
accountability act (HIPPA)?
a. overheard conversation of a patient and physician behind a curtain in the emergency
room
b. two diagnostic technicians discussing the best placement of a patient needing series
of knee x-rays
c. calling a patient by first name from the waiting room for an outpatient procedure
d. a phlebotomist looking up the medical record of a relative with the relative's verbal
consent - ANS-d. a phlebotomist looking up the medical record of a relative with the
relative's verbal consent
2. which one of the following is a BEST practice in regards to wearing a disposable
mask?
a. disposable masks can be worn multiple times
b. immunosuppressed patients need to wear a mask during transport
c. everyone not in direct contact with a patient should adorn a mask
d. disposable masks remain effective even when they are moist - ANS-b.
immunosuppressed patients need to wear a mask during transport
3. A patient comes to the lab with orders to be drawn for a complete blood count, blood
glucose, and vitamin B12. which of the following tubes should the phlebotomist use?
a. light blue, gold and red
b. gold, lavender and gray
c. red and light blue
d. lavender and gray - ANS-b. gold, lavender and gray
4. while collecting blood via venipuncture on a 2-year old, the vein collapses and the
phlebotomist has to repeat the puncture. what should the phlebotomist have used to
prevent this from happening?
a. winged collection set and syringe
b. 21- gauge needle with syringe
c. 21- gauge needle with pediatric tubes
d. winged collection set and tubes - ANS-d. winged collection set and tubes
,5. after drawing chemistry profiles on several patients, a phlebotomist notices that the
red tube is not always drawing to the manufacturer's fill line. which of the following
actions should the phlebotomist take FIRST?
a. check the expiration date on the tubes
b. redraw the patients
c. draw an additional serum tube to ensure adequate volume for testing
d. proceed with the test because it is not critical fill tube - ANS-a. check the expiration
date on the tubes
6. which of the following tubes is required for an ESR (erythrocyte sedimentation rate)?
a. red
b. blue
c. lavender
d. green - ANS-c. lavender
7. which of the following systems is MOST likely to be affected by a hospital-acquired
infection?
a. urinary
b. digestive
c. cardiovascular
d. integumentary - ANS-a. urinary
8. which of the following colors is associated with chemical reactivity on the National
Fire Protection Association (NFPA) diamond?
a. blue
b. white
c. red
d. yellow - ANS-d. yellow
if a patient needing a PT/INR tells a phlebotomist " you must use a butterfly" which of
the following is an appropriate response?
a. " i can see you have small veins, but may i try using a pediatric straight needle that
would be better to use for your type of test?"
b. " that equipment is very expensive and i am only allotted a few a day so let me see if i
can find a better site for a venipuncture"
c. " let me assure you i am a professional and would appreciate it if you would let me
decide what equipment i need"
d. " yes, of course i can accommodate your upset, i have an 18 gauge butterfly right
here" - ANS-a. " i can see you have small veins, but may i try using a pediatric straight
needle that would be better to use for your type of test?"
, 10. a phlebotomist is called to obtain blood on a 4-month-old child for initial lead
screening. which of the following equipment is necessary to complete the draw?
a. 21 gauge butterfly
b. lancet
c. heparinized capillary tube
d. syringe - ANS-b. lancet
11. a 17-year-old patient presents to the lab for a venipuncture. the phlebotomist
explains the procedure and the patient holds out her arm. which of the following types of
consent is the patient giving?
a. parental
b. implied
c. informed
d. expressed - ANS-b. implied
12. which of following items is essential in a venous phlebotomy tray for a routine draw?
( select the three (3) correct answers.)
a. lancets
b. tube holders
c. alcohol prep pads
d. ABG syringe
e. tourniquet - ANS-b. tube holders
d. ABG syringe
e. tourniquet
13. which of the following will contain first aid procedures for a bleach splash in the eye?
a. MSDS
b. CLIA manual
c. quality assurance plan
d. exposure control plan - ANS-a. MSDS
14. which of the following actions by a phlebotomist is the MOST likely reason that a
patient might pursue legal action?
a. the phlebotomist collected the sample from below an IV site
b. the patient fainted and the phlebotomist had to stop the draw to assist the patient
c. the phlebotomist had to probe the basilic vein for 30 seconds to collect the sample.
d. the patient experienced severe pain from the draw and the phlebotomist stopped the
collection - ANS-c. the phlebotomist had to probe the basilic vein for 30 seconds to
collect the sample.
Solutions
1. which of the following is a violation of the health insurance portability and
accountability act (HIPPA)?
a. overheard conversation of a patient and physician behind a curtain in the emergency
room
b. two diagnostic technicians discussing the best placement of a patient needing series
of knee x-rays
c. calling a patient by first name from the waiting room for an outpatient procedure
d. a phlebotomist looking up the medical record of a relative with the relative's verbal
consent - ANS-d. a phlebotomist looking up the medical record of a relative with the
relative's verbal consent
2. which one of the following is a BEST practice in regards to wearing a disposable
mask?
a. disposable masks can be worn multiple times
b. immunosuppressed patients need to wear a mask during transport
c. everyone not in direct contact with a patient should adorn a mask
d. disposable masks remain effective even when they are moist - ANS-b.
immunosuppressed patients need to wear a mask during transport
3. A patient comes to the lab with orders to be drawn for a complete blood count, blood
glucose, and vitamin B12. which of the following tubes should the phlebotomist use?
a. light blue, gold and red
b. gold, lavender and gray
c. red and light blue
d. lavender and gray - ANS-b. gold, lavender and gray
4. while collecting blood via venipuncture on a 2-year old, the vein collapses and the
phlebotomist has to repeat the puncture. what should the phlebotomist have used to
prevent this from happening?
a. winged collection set and syringe
b. 21- gauge needle with syringe
c. 21- gauge needle with pediatric tubes
d. winged collection set and tubes - ANS-d. winged collection set and tubes
,5. after drawing chemistry profiles on several patients, a phlebotomist notices that the
red tube is not always drawing to the manufacturer's fill line. which of the following
actions should the phlebotomist take FIRST?
a. check the expiration date on the tubes
b. redraw the patients
c. draw an additional serum tube to ensure adequate volume for testing
d. proceed with the test because it is not critical fill tube - ANS-a. check the expiration
date on the tubes
6. which of the following tubes is required for an ESR (erythrocyte sedimentation rate)?
a. red
b. blue
c. lavender
d. green - ANS-c. lavender
7. which of the following systems is MOST likely to be affected by a hospital-acquired
infection?
a. urinary
b. digestive
c. cardiovascular
d. integumentary - ANS-a. urinary
8. which of the following colors is associated with chemical reactivity on the National
Fire Protection Association (NFPA) diamond?
a. blue
b. white
c. red
d. yellow - ANS-d. yellow
if a patient needing a PT/INR tells a phlebotomist " you must use a butterfly" which of
the following is an appropriate response?
a. " i can see you have small veins, but may i try using a pediatric straight needle that
would be better to use for your type of test?"
b. " that equipment is very expensive and i am only allotted a few a day so let me see if i
can find a better site for a venipuncture"
c. " let me assure you i am a professional and would appreciate it if you would let me
decide what equipment i need"
d. " yes, of course i can accommodate your upset, i have an 18 gauge butterfly right
here" - ANS-a. " i can see you have small veins, but may i try using a pediatric straight
needle that would be better to use for your type of test?"
, 10. a phlebotomist is called to obtain blood on a 4-month-old child for initial lead
screening. which of the following equipment is necessary to complete the draw?
a. 21 gauge butterfly
b. lancet
c. heparinized capillary tube
d. syringe - ANS-b. lancet
11. a 17-year-old patient presents to the lab for a venipuncture. the phlebotomist
explains the procedure and the patient holds out her arm. which of the following types of
consent is the patient giving?
a. parental
b. implied
c. informed
d. expressed - ANS-b. implied
12. which of following items is essential in a venous phlebotomy tray for a routine draw?
( select the three (3) correct answers.)
a. lancets
b. tube holders
c. alcohol prep pads
d. ABG syringe
e. tourniquet - ANS-b. tube holders
d. ABG syringe
e. tourniquet
13. which of the following will contain first aid procedures for a bleach splash in the eye?
a. MSDS
b. CLIA manual
c. quality assurance plan
d. exposure control plan - ANS-a. MSDS
14. which of the following actions by a phlebotomist is the MOST likely reason that a
patient might pursue legal action?
a. the phlebotomist collected the sample from below an IV site
b. the patient fainted and the phlebotomist had to stop the draw to assist the patient
c. the phlebotomist had to probe the basilic vein for 30 seconds to collect the sample.
d. the patient experienced severe pain from the draw and the phlebotomist stopped the
collection - ANS-c. the phlebotomist had to probe the basilic vein for 30 seconds to
collect the sample.
