NCCT Phlebotomy Practice Exam 2024
1. A phlebotomist has received a requisition for a blood draw on a patient with a coagulation disorder.
The phlebotomist should be sure to:
a.) collect the specimen from the hand to avoid a hematoma
b.) use a blood pressure cuff to apply consistent pressur...
NCCT Phlebotomy Practice Exam 2024
1. A phlebotomist has received a requisition for a blood draw on a patient with a coagulation disorder.
The phlebotomist should be sure to:
a.) collect the specimen from the hand to avoid a hematoma
b.) use a blood pressure cuff to apply consistent pressure
c.) hold pressure on the draw site until bleeding has stopped
d.) call the doctor to confirm the collection site
c. hold pressure on the draw site until bleeding has stopped
2. When a phlebotomist enters a patient's room to collect a STAT blood sample, a sign above the bed
states that all collections should be from the patient's central port. Which of the following should the
phlebotomist do NEXT?
a. proceed with sample collection from the central port and alert the nurse when finished.
b. exit the patient's room, and proceed directly to the next patient on the collection list.
c. identify the patient and ask for confirmation that the sign is accurate before proceeding with the
collection.
d. communicate with the test order to the nursing staff and wait for one of them to collect the sample
d. communicate with the test order to the nursing staff and wait for one of them to collect the sample
3. Which of the following actions should the phlebotomist take when disposing of a needle following a
venipuncture?
a. push the needle guard over the needle until it clicks and then place in a biohazard bag
b. recap the needle and place it immediately in a sharps container
c. recap the needle and place it on the blood collection tray
d. place the needle with safety device activated immediately in a sharps container.
d. place the needle with safety device activated immediately in a sharps container
4. Which of the following is the correct method for transferring blood from a syringe into evacuated
tubes?
a. remove the hypodermic needle from the syringe and transfer the blood into capped evacuated tubes
by pushing on the syringe plunger
b. uncap the evacuated tubes, place them into a tube rack and transfer the blood from the syringe
through the hypodermic needle
c. uncap the evacuated tubes, place them into a tube rack and transfer blood from the syringe using a
syringe transfer device
d. remove the hypodermic needle from the syringe after activating the safety device and transfer the
blood into a capped evacuated tubes using a syringe transfer device
d. remove the hypodermic needle from the syringe after activating the safety device and transfer the
blood into capped evacuated tubes using a syringe transfer device
,5. Which of the following precautions should be used for a patient with pulmonary TB?
a. standard and droplet
b. contact and airborne
c. airborne and standard
d. droplet and contact
c. airborne and standard
6. Which of the following is an example of a pre-analytical error made at the time of collection?
a. failing to mix tubes
b. incomplete requisition
c. waiting to centrifuge
d. delay in transporting
a. failing to mix tubes
7. At which of the following times should a test tube be labeled with the patient's identification?
a. after leaving the patient's room
b. while the patient's room, before drawing the blood
c. before entering the patient's room
d. while in the patient's room, after drawing the blood
d. while in the patient's room, after drawing the blood
8. Which of the following is an example of negative nonverbal communication?
a. folding the arms across the chest
b. maintaining eye contact
c. taking notes
d. nodding the head
a. folding the arms across the chest
9. The phlebotomist applies the tourniquet, but then has trouble relocating the vein after several
minutes of palpation. Which of the following is an expected outcome in these test results?
a. fibrinolysis from hemodilution
b. falsely elevated K levels from tissue damage
c. falsely increased platelets from clotting
d. falsely decreased iron levels from hemolysis
b. falsely elevated K levels from tissue damage
10. 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. "Sharps containers should be replaced when 2/3 full"
c. "I will perform hand hygiene after removing gloves"
d. "Antimicrobial wipes may be used for cleaning a collection area at the end of a shift."
, a. "I will wear a gown, gloves, and mask for inpatient collections"
11. The Needlestick Safety and Prevention Act exists to protect healthcare workers from accidental
exposure to:
a. blood borne pathogens
b. carcinogens
c. biologic toxins
d. hazardous chemicals
a. blood borne pathogens
12. Which of the following is the reason for wiping off the FIRST drop of blood from the patient's finger
with gauze when performing a capillary puncture?
a. the first drop of blood may contain traces of tissue fluids
b. the first drop may be contaminated by the lancet
c. the first drop of blood contains too much oxygen
a. the first drop of blood may contain traces of tissue fluids
13. Which of the following is the maximum amount of time a phlebotomist can leave a tourniquet
secured in place prior to venous access?
a. two minutes
b. three minutes
c. one minute
d. thirty seconds
c. one minute
14. 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. superficial scalp vein
b. lateral fingertip
c. heel of the foot
d. antecubital space
c. heel of the foot
15. When performing a venipuncture, the phlebotomist is stuck with a bloody needle upon withdrawal
from the patient. What is the FIRST thing the phlebotomist should do?
a. wash the exposed area with soap and water
b. report to a supervisor
c. document the incident
d. seek immediate medical attention
a. wash the exposed area with soap and water
16. A patient has an order for a routine 24-hour urine, with no other special instructions. During the
patient education process, the phlebotomist must tell the patient that the process must begin:
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