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Phlebotomy Practice Exam: Questions and Answers for Certification, Exams of Nursing

University of St AndrewsNursing

This comprehensive practice exam provides numerous questions and answers covering key aspects of phlebotomy techniques, safety protocols, and patient care. it's designed to help students prepare for certification exams by testing their knowledge of blood collection procedures, specimen handling, and relevant regulations. The questions cover a wide range of topics, including patient identification, order of draw, and handling of various specimen types. This resource is invaluable for students seeking to master phlebotomy skills and excel in their certification process.

Typology: Exams

2024/2025

Available from 05/01/2025

Expert-Hannah
Expert-Hannah 🇬🇧

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NHA Phlebotomy Practice Exam with Complete Solutions
A phlebotomy technician should identify that which of the following additives is
used to prevent the breakdown of glucose? - ANSWER-Sodium fluoride
A Phlebotomy technician in an outpatient setting is identifying a patient before
performing a venipuncture procedure. To confirm the patient's identity, which of
the following questions should the technician ask? - ANSWER-"Would you please
state and spell your full name and provide your date of birth"
Which of the following is a potential consequence of a phlebotomy technician
mislabeling a blood bank specimen? - ANSWER-A transfusion reaction
A phlebotomy technician should invert anticoagulant tubes to prevent which of
the following complications? - ANSWER-Hemolysis
According to OSHA standards, which of the following vaccines must employers
offer to their phlebotomist at no cost? - ANSWER-Hepatitis B
During a routine venipuncture, a phlebotomy technician notices that a patient is
becoming pale and diaphoretic. The technician should identify that the patient is
at risk for which of the following conditions? - ANSWER-Syncope
A phlebotomy technician should identify that which of the following tube
selections indicates the correct order of draw for venipuncture? - ANSWER-Green,
lavender, grey
Phlebotomy technician is preparing to collect a blood specimen from the hand of
a patient whose veins are difficult to access. Which of the following devices should
the technician use? - ANSWER-Hand immobilizer
A phlebotomy technician is preparing to use an evacuated tube system to obtain a
venous blood specimen from a patient. The tourniquet is in place and the
technician has cleansed the puncture site. Which of the following procedural steps
should the technician perform next? - ANSWER-Ask the patient to make a fist
Which of the following actions by a phlebotomy technician can result in a grossly
hemolyzed specimen? - ANSWER-Using an incorrect needle gauge
A phlebotomy technician should identify that which of the following series of
venipuncture steps is in the appropriate order? - ANSWER-assess the site, cleanse
the site, insert the needle
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NHA Phlebotomy Practice Exam with Complete Solutions

A phlebotomy technician should identify that which of the following additives is used to prevent the breakdown of glucose? - ANSWER-Sodium fluoride A Phlebotomy technician in an outpatient setting is identifying a patient before performing a venipuncture procedure. To confirm the patient's identity, which of the following questions should the technician ask? - ANSWER-"Would you please state and spell your full name and provide your date of birth" Which of the following is a potential consequence of a phlebotomy technician mislabeling a blood bank specimen? - ANSWER-A transfusion reaction A phlebotomy technician should invert anticoagulant tubes to prevent which of the following complications? - ANSWER-Hemolysis According to OSHA standards, which of the following vaccines must employers offer to their phlebotomist at no cost? - ANSWER-Hepatitis B During a routine venipuncture, a phlebotomy technician notices that a patient is becoming pale and diaphoretic. The technician should identify that the patient is at risk for which of the following conditions? - ANSWER-Syncope A phlebotomy technician should identify that which of the following tube selections indicates the correct order of draw for venipuncture? - ANSWER-Green, lavender, grey Phlebotomy technician is preparing to collect a blood specimen from the hand of a patient whose veins are difficult to access. Which of the following devices should the technician use? - ANSWER-Hand immobilizer A phlebotomy technician is preparing to use an evacuated tube system to obtain a venous blood specimen from a patient. The tourniquet is in place and the technician has cleansed the puncture site. Which of the following procedural steps should the technician perform next? - ANSWER-Ask the patient to make a fist Which of the following actions by a phlebotomy technician can result in a grossly hemolyzed specimen? - ANSWER-Using an incorrect needle gauge A phlebotomy technician should identify that which of the following series of venipuncture steps is in the appropriate order? - ANSWER-assess the site, cleanse the site, insert the needle

A phlebotomy technician should comply with HIPAA to protect which of the following? - ANSWER-Patients information A phlebotomy technician is performing a capillary blood collection for an older adult patient. Which of the following sites should the technician select? - ANSWER- The distal phalanx of either middle finger A phlebotomy technician is preparing to collect a blood specimen from a patient who signed a general informed consent form upon admission to the facility. Which of the following actions by the patient indicates implied consent for the venipuncture? - ANSWER-Rolling up his shirtsleeve A phlebotomy technician is using an evacuated needle holder and blood collection tubes to collect blood from a patient. Which of the following actions should the technician take? - ANSWER-Push the first collection tube gently into the holder For an older adult patient who has difficult-to-access veins, a phlebotomy technician should select which of the following beans to perform a venipuncture?

  • ANSWER- Dorsal veins How often should a phlebotomy technician run quality control test on point-of- care testing instruments? - ANSWER-Daily A phlebotomy technician must comply with which of the following OSHA requirements when performing a venipuncture? - ANSWER-Wear gloves when contact with blood is anticipated Which of the following actions should the phlebotomy technician take when performing a venipuncture using an evacuated tube system? - ANSWER-Position the needle at a 30° angle in the same direction as the vein and with the bevel up A phlebotomy technician is collecting a blood specimen from a patient to measure the trough level of a medication. The technician should collect the specimen at which of the following times? - ANSWER-Within 15 mins before the patient receives the next dose of medication. For which of the following test should a phlebotomy technician follow chain of custody guidelines? - ANSWER-Blood alcohol During a venipuncture, a patient reports a sharp pain radiating down his arm. Which of the following actions should the phlebotomy technician take? - ANSWER- Release the tourniquet and remove the needle

For which of the following procedures should a phlebotomy technician follow chain of custody guidelines? - ANSWER-Paternity testing A phlebotomy technician has a request to collect a routine CBC from a healthy 10 month old infant. Which of the following collection sites should the technician select? - ANSWER-Either heel When collecting a routine blood sample, which of the following beins should a phlebotomy technician attempt to draw from first? - ANSWER-Median cubital A phlebotomy technician should identify that which of the following is the next step after removing a needle from a patient's arm? - ANSWER-Engage the needle safety device A phlebotomy technician is preparing to collect a blood specimen from a patient for a coagulation study. The patient states, "I faint every time I get my blood drawn." which of the following statements should the technician make? - ANSWER-"I will perform the draw while you are laying down." A phlebotomy technician is collecting a blood specimen from a patient for blood cultures. Which of the following additives do the blood collection tubes require? - ANSWER-Sodium polyanethol sulfonate A phlebotomy technician has a requisition for collecting fast blood glucose and albumin specimens from a patient. Which of the following actions should the technician take before collecting the patient's blood? - ANSWER-Make sure the patient has fasted for the past 8 to 12 hours A phlebotomy technician is preparing to remove personal protective equipment following a venipuncture for a patient in an isolation room. Which of the following pieces of equipment should the technician remove first? - ANSWER-Gloves Phlebotomy technician is reviewing a laboratory requisition before obtaining blood specimens from a patient. The technician should verify that the requisition includes which of the following information? - ANSWER-A specimen identification code Phlebotomy technician is educating a patient about the at-home collection of a semen specimen. Which of the following statements by the patient indicates an understanding of the procedure? - ANSWER-"I will collect the specimen in a sterile container and return within 1 hour"

A phlebotomy technician is preparing several specimens for transport to the facilities laboratory. Which of the following specimens should the technician protect from bright light by placing it in an amber/brown biohazard bag for transport? - ANSWER-Vitamin B

open and close his hand gently throughout the collection A phlebotomy technician should identify that which of the following phrases is represented by the abbreviation "SD"? - ANSWER-Standard deviation

A phlebotomy technician is using a point-of-care test system to determine a patient's WBC count. For which of the following results should the technician immediately notify the provider? - ANSWER-1.8/mm^ A phlebotomy technician is instructing a patient how to collect a clean-catch urine specimen. Which of the following cleansers should the technician instruct the patient to use when cleansing around her urinary meatus? - ANSWER-Mild antiseptic soap A phlebotomy technician is collecting a blood specimen from a patient who has cutaneous diphtheria. Besides gloves which of the following pieces of personal protective equipment should be technician where? - ANSWER-Gown A phlebotomy technician is collecting blood from a patient for donation. The collection bag only fills halfway, and the vein collapses. Which of the following actions should the technician take? - ANSWER-use a new collection bag to draw a new unit of blood A phlebotomy technician should identify that which of the following is an identifier for a specimen as long as it remains in the laboratory? - ANSWER-Accession number Which of the following actions should a phlebotomy technician take to locate a vein using the warming technique? - ANSWER-Encase the warm towel in a plastic bag A phlebotomy technician is collecting a venipuncture blood specimen from a patient for a blood assay. The technician should fill which of the following tubes first? - ANSWER- Yellow-topped tube A phlebotomy technician is collecting a urine specimen from a patient for a pre- employment drug test which of the following action should the technician take? - ANSWER-Verify that the specimen contains at least 45 mL of urine Phlebotomy technician is preparing to collect a blood specimen from a small vein of an older adult patient. Which of the following actions should the technician take to keep the vein from collapsing? - ANSWER-Use a small meal for the draw Which of the following action should I phlebotomy technician take after collecting an ammonia specimen? - ANSWER-Place the specimen tube in an ice-water slurry

A phlebotomy technician should transport a semen sample at which of the following temperatures? - ANSWER-36° to 38°C A phlebotomy technician receives a chemical splash to his forearm. After removing his contaminated clothing, which of the following is the minimum amount of time the technician should rinse the affected area? - ANSWER-15 min A phlebotomy technician is performing a heel stick to obtain capillary blood for testing a newborns bilirubin level. Which of the following actions should the technician take? - ANSWER-Use an amber-colored microcontainer A phlebotomy technician is assembling the equipment he will need for collecting donor units of blood. Which of the following needle sizes should the technician select? - ANSWER-18-gauge A phlebotomy technician is collecting a blood specimen from a patient. Which of the following techniques should the technician use to anchor the vein just before inserting the needle? - ANSWER-Use thumb to anchor the vein 5 cm (2in) below the puncture site Within which of the following time periods to the phlebotomy technician collect a newborn blood-spot test screening card? - ANSWER-Within 72 hours A phlebotomy technician is washing her hands at the beginning of her shift. Which of the following action should the technician take? - ANSWER-Use enough soap to form a lather To prevent hospital-acquired infections, a phlebotomy technician should clean items that have been contaminated by blood with a 1:10 dilution of which of the following substances and water? - ANSWER-sodium hypochlorite A phlebotomy technician is obtaining a blood specimen from a patient. The technician notices swelling and a large hematoma forming at the puncture site. Which of the following actions should the technician take? - ANSWER-Remove the tourniquet and needle A phlebotomy technician has a mild sensitivity to latex. According to the national Institute for occupational safety and health (NIOSH), which of the following actions should the technician take? - ANSWER-Wear nitrile gloves instead of latex gloves According to standard precautions, a phlebotomy technician should take which of the following actions when shipping specimens to a reference laboratory in

hot weather? - ANSWER-Place the specimens in a box with cold packs and a biohazard label

blood from the leg or foot of a patient with diabetes? - ANSWER-These areas are more susceptible to infection A phlebotomy technician enters a patient's room or form is been a puncture and notices that the patient is sleeping. Which of the following actions should the technician take? - ANSWER-Wake the patient before collection

A phlebotomy technician is removing his gloves after a venipuncture procedure. Which of the following actions should the technician take? - ANSWER-Remove the first glove so that it turns inside out during removal Which of the following action should I phlebotomy technician take to prevent bleeding from a venipuncture site after the needle is removed? - ANSWER-Apply pressure to prevent leakage of blood into the tissues A phlebotomy technician is preparing to collect a vancomycin peak level for a patient in an inpatient setting. Which of the following actions should the technician take prior to collecting the blood specimen? - ANSWER-Ask the attending nurse if the patient's vancomycin dose schedule is accurate Which of the following regulations ensures that the phlebotomy technician is proficient to perform job duties and responsibilities? - ANSWER-CLIA A phlebotomy technician is preparing to collect a blood specimen from a patient who is allergic to alcohol. Which of the following antiseptic solutions should the technician use to repair the insertion site? - ANSWER-Chlorhexidine I phlebotomy technician is using a glucose monitor for point-of-care Testing of a patient who has been fasting for 12 hours. Which of the following results should the technician immediately notify the provider? - ANSWER-130mg/dL Prior to transport, which of the following specimens should a phlebotomy technician place in an ice bath within 30 minutes after collection? - ANSWER- Arterial blood gas Which of the following sources for patient identification to the full bottom me technician use in an inpatient setting? - ANSWER-Verbal and wristband A phlebotomy technician is interviewing a patient before performing a venipuncture. During the interview, the patient states that he lives nearby and brain to the facility to "get in some running time today." Which of the following precautionary action should the technician take? - ANSWER-Have the patient rest comfortably for at least 15 minutes before the venipuncture A phlebotomy technician is performing have been a puncture for patient. The patient suddenly reports "feeling faint." After removing the tourniquet and the needle which of the following action should the technician take next? - ANSWER- Have the patient put her head between her legs

When performing a venipuncture, a phlebotomy technician is stuck with a used needle. Which of the following actions should the technician take first? - ANSWER- Flush the injury with running water A phlebotomy technician is required to obtain which of the following from a potential blood donor? - ANSWER-Complete medical history According to the clinical and laboratory standards institutes order of draw guidelines, which of the following samples should a phlebotomy technician collect first? - ANSWER- Blood cultures A phlebotomy technician is transporting blood specimens to a laboratory. Which of the following actions should the technician take? - ANSWER-Placed the specimens in a lockable container A tourniquet should be left on a patient's arm for which of the following amounts of time?

  • ANSWER-No longer than 60 seconds A phlebotomy technician is preparing a patient's arm for venipuncture. Which of the following techniques should be technician use when applying an antiseptic solution? - ANSWER-Back and forth strokes A patient arrives at a clinic with a requisition for a chemistry panel. A technician notices that the patient's last name on the requisition differs from the patient's provided identification. Which of the following action should the technician take? - ANSWER- Contact the ordering provider to correct the requisition form A phlebotomy technician is collecting a patient's blood specimen in a lavender- topped tube. How many time should the technician gently invert the two before setting it in the specimen collection tray? - ANSWER-8 to 10 times Phlebotomy technician is performing a total cholesterol point-of-care test for a patient. Which of the following findings should the technician immediately report to the provider?
  • ANSWER-300 mg/dL For which of the following reasons for a phlebotomy technician place a specimen in a biohazard bag for transport to an outside laboratory? - ANSWER-The biohazard bag prevents a possible exposure incident Phlebotomy technician should ensure that which of the following specimens is protected from light? - ANSWER-Bilirubin

A phlebotomy technician is preparing to draw blood sample from a patient for a glucose tolerance test (GTT) and notices an empty breakfast plate on a bedside table. Which of the following actions should the technician take? - ANSWER-Ask the patient when he last ate or drank

Phlebotomy technician is preparing to obtain a blood specimen from a patient for an erythrocyte sedimentation rate test. The technician should select a collection tube that has a tub with which of the following colors? - ANSWER-Lavender

Lobotomy technician is selecting a site for a blood draw from a patient. From which of the following beans should the technician attempt to draw first? - ANSWER-Median cubital Which of the following action should a phlebotomy technician take when recording laboratory results? - ANSWER-Send the results to the patient's ordering provider Which of the following information should the phlebotomy technician document when adhering to chain of custody guidelines? - ANSWER-Identity of everyone who had possession of the specimen Phlebotomy technician is preparing to perform a venipuncture on a patient. Which of the following types of consent is the patient providing when she extends her arm to begin the procedure? - ANSWER-Implied consent A phlebotomy technician is working with a patient who has Mycobacterium tuberculosis infection. Which of the following transmission for caution should the technician use for this patient? - ANSWER-Airborne precaution When performing a hand draw, which of the following steps should phlebotomy technician take before moving the needle? - ANSWER-Disengage the tube from the adapter A phlebotomy technician is instructing a patient how to collect a 24 hour urine specimen. Which of the following instruction should the technician include? - ANSWER-Discard the first void of the morning A phlebotomy technician is preparing to perform a hand draw. Which of the following equipment should the technician assemble? - ANSWER-Winged infusion set and adapter A phlebotomy technician is removing a bag of contaminated items from a collection area. Which of the following action should the technician take to properly dispose of them? - ANSWER-Placed the bag inside a second hazardous- waste bag outside of the room A phlebotomy technician is preparing to perform a blood draw when the patient states that he is severely allergic to latex. Which of the following actions should the technician take? - ANSWER-Use a blood pressure cuff inflate it to 40 mm Hg A phlebotomy technician is preparing to performAveda puncture of a patient who has small, rolling veins. Which of the following equipment should the