Phlebotomy Career Training: PHLEBOTOMY 2026 Exam | ACTUAL! 150 Questions and Answers 100%.

Phlebotomy Career Training: PHLEBOTOMY 2026 Exam | ACTUAL! 150 Questions and Answers 100%. - B W B NNNWES Multiple Choice Select the option that best answers the question Safety and Compliance (1-41) 1. A phlebotomist is drawing blood when the patient suddenly moves, causing the needle to come out of the arm. What should the phlebotomist do next? a. Stick the needle back into the skin. b. Fill out an accidental needlestick exposure report. . Wipe the needle clean with an alcohol wipe and reinsert. (d.) Engage the safety cap, dispose of the needle, and redraw using a new needle. 2. Which of the following is not one of OSHA’s laboratory rules? (&) PPE should be removed after exiting the lab. b. Fingernails should be kept short. ¢. No long chains, earrings, or bracelets should be worn. = d. No cologne or perfume is allowed. 3. A phlebotomist is performing venipuncture on a patient’s hand and neglects to pull the skin taut prior to inserting the needle. The patient winces in pain, and the vein is missed entirely. Why was the vein missed? a. The phlebotomist inserted the needle too slowly. b. The phlebotomist used a butterfly needle. ¢. The phlebotomist didn’t sanitize the area properly. @ e ) The phlebotomist did not stabilize the vein through anchoring. 4, How should a phlebotomist verify a patient’s identity? ;E.)By asking the patient to state their full name and date of birth. b. By asking for the patient’s Social Security Number. ¢. By stating the patient’s name and asking them to confirm it. d. By asking the patient’s provider. 6. What is the most common type of inspection LQAn Imminent Danger Inspection. experiencing the early signs of what condition? a. Diaphoresis, ' b. Lipemia. (q,) Syncope, d. Arteriospasm. conducted by OSHA? b. A Complaint Inspection. ¢. A Programmed Inspection. d. A Fatality Inspection. A phlebotomist finishes preparing specimens in the laboratory and needs to go to another room for their next patient. What should they do before leaving the lab? a. Turn on the centrifuge. b. Prelabel the next patient’s tubes. c. Discard contaminated items in the trash can. Remove their gloves. 8. What is a nosocomial infection? @An infection acquired in a healthcare setting. b. A contagious infection. ¢. An infection transmitted by an insect. d. An infection caused by poor personal hygiene. 9. All healthcare workers are expected to receive a vaccine within 10 days of employment or sign a declination form for which virus? a. Hepatitis A and B. b. Hepatitis B. @J HIV. d. COVID-19. 10. A phlebotomist has splashed a chemical cleaning product in their eyes. How long should they flush their eyes? a. Five minutes. b/ At least fiteen minutes. ¢. No longer than one minute. d. At least twenty minutes.1. What infection prevention 8 trategy involves assuming everyone and everything i8 infectious or contaglous? a. ) Standard precautions. b. The Needlestick Safety and Prevention Act. ©. Universal precautions. d. OSHA’s Laboratory Rules. 12. A phlebotomist is asked to record the laboratory’s refrigerator temperature every morning and evening. What protocol is this action part of? a. Aseptic technique. b. Standard precautions. ¢. Blood spill protocol. d. )« quality assurance program. 13. A patient has an order for a BMP and a CBC. While the SST tube is filling, the patient suddenly slumps forward in the chair and is unresponsive. How should the phlebotomist respond? a Continue the draw so that all of the necessary tests can be performed. b. Wait for the SST tube to fill, then pause the draw until the patient is awake and alert. /& End the blood draw immediately by removing the needle from the arm. d. Leave the needle in the arm and try to wake the patient. 14. A phlebotomist pulls the tip of her glove off her finger in order to easily palpate the patient’s vein. This action is a violation of which of the following? a. OSHA safety standards. «'B., CDC infection control guidelines. c. The Patient Bill of Rights. d. OSHA’s Patient Care Room Standards. 15. A patient is on Contact Precautions due to a diagnosis of C. diff When performing a blood draw on this patient, what PPE should the phlebotomist wear? a. An N95 respirator mask. b. A gown and mask. c. A gown and gloves, d. Gloves and shoe covers, Test Review 16, anchor A supervisor a patient’s : notices i vein aby P using phlebotom the ist «c” attempting method. Whyto is this not recommended’? may not be pulled tight en cts the view of the needle. a. Because the skin i ougd ugh. b. Because it obstru Because it puts the phlebotomist at risk of an accidental needle stick. (2} d. Because the vein is more likely to roll. 7. What is an organism that causes disease called? a.) Pathogenic. b. Nosocomial. c. Hereditary. d. Bariatric. 18. What is the term for failing to provide appropriate care to a patient? a. Assault. ( b.) Negligence. cg. Libel. d. Battery. 119 What global laboratory develops standard practices for quality patient care and safety? a. OPIM. b. NHCO. c. HITECH. (d.j)CLSI. 20. Where can information be found regarding the safe use, storage, and disposal of chemicals used in the clinical and laboratory environment? a. OSHA’s Laboratory Rules. b. A quality assurance program. ¢. The Bloodborne Pathogen Standard Manual. ('d) The Safety Data Sheet (SDS). 21. What act aims to minimize occupational exposure to bloodborne pathogens from accidental needle sticks and other percutaneous injuries? a. The Needlestick Safety and Prevention Act. p! b. The Accidental Exposure Act. c. The Bloodborne Pathogen Standards Act. d. The Hazardous Materials Act.Test Review 22. W hat should a phlebotomist use to clean up a blood X Q:). ) A bleach and water solution in a 110 ratio. c. Povidone-iodine wipes. d. An alcohol-based solution. C. 23. The phlebotomist is cleaning up contaminated broken ( d. After glass on the Jaboratory floor that is too large for the sharps container. What should they use? ca / A broom and dustpan to collect the pieces, and a cardboard box to dispose of them. Gloves to carefully pick up the pieces by hand. c. A paper towel to gather the pieces before placing them in the trash. d. Avacuum cleaner. 24. What items should be disposed of i container? 29. What i n the sharps a Antibacterial wipes, gloves, and gauze. and hubs, bloody gauze, and band N V99IIIIIII7772¢ b. Needles ages. G: Needles, lancets, and glass slides. and lancets. spill o on the t' laboratory v fi oo; e vl 8 a part ((::‘(()‘,l|!?‘,| LSl'as :fnmr:m,r/ practice standard . Antiseptic soapea otil g osurfaces ied in 'r“ ¢ ar."r.n fpatient S lab) be ) Sean ; a. At the b. First thing in the morning Once avery hour 28.In order to minimize the risk of exposure, tr . posure, the Negdles’tuck Safety and Prevention Act includes usinc which of the following? Rt ot a. Retractable needles. b. Needles with safety caps. C. Punctu_re:resistant gloves. (d. Bothaandb.~ a. Anchoring the vein using the thumb of your dominant hand. b. Safety protocols, temperature of the | c. Locking maximum capacity. 266 y BAINNING beaginn and end of each v ’ shift oY) each patient encournter or use s aseptic technique? such as checking the aboratory refrigerator. the sharps container when it is at d. Used masks, needles, o5 When doffing PPE, what is the first item to be @ Practices that help maintain an environment free removed? from pathogenic microorganisms. a Gown 30. Why should phlebotomists never dispose of needles : in an overfilled sharps container? b. Mask. o~ a. Because it prevents the need for frequent &/ : e replacement of the container. d. Goggles. b) Because it reduces the risk of needle-stick | 26. What is the correct way to dispose of a used needie? a. Recap the né edle using the original cap, then c. Activate the safety cap, then place t a biohazard bag. d. Leave the needle uncapped, then pl gharps container. ace it in the a b. ~c d e fixx =/ r | injuries to healthcare workers. c. Because it helps keep the place it in the sharps container. b, Activate the safety cap, then place the needle in d. Becagse it reduces the likelinood of the container ‘the sharps container. breaking. : he needle in 31. A patient arrives at the lab for @ venipuncture and : identifies himself The phlebotomlst verifies his D from t prefers 10 be addressed as be labeled? work area organized and clutter-free. as K. Kelson. : he LIS as Kam K elson. The patient K. How should the tubes K. Kelson. Kelson, K. ~ Kam Kelson. ~ Kelson, Kam.32. A phlebotomist notices that the lab's biohazard sharps .contm'ner is overflowing and needles are poking out of the top. What action should the phlebotomist take? a Report the violation to the supervisor immediately b}mpty the sharps container into a larger one. ¢. Remove and replace it before anyone notices. d. Rearrange the contents so the lid can close securely. 33.A phlebotomist enters a patient’s room wearing gloves and begins venipuncture. What protocol did they fail to follow? ;.'hey did not perform hand hygiene and put on ~ clean gloves in front of the patient. b. They did not apply hand sanitizer to their gloves. ¢. They did not prelabel the patient’s tubes. d. They did not anchor using the “C” method. 34. What is a biohazard? ‘_a)A harmful substance that poses a risk through exposure. b. A surface that is contaminated. C. A fever of unknown origin. d. Small, non-raised red dots caused by bleeding under the skin. 35. Which organization is responsible for ensuring safe workplace practices? a. HIPAA. b. CDC. (c)osHa. d. AHA. 36. After use, contaminated PPE should be discarded into which receptacle? ( 3’Atrash can, b. A laundry basket. C. A sharps container. d. A biohazard bag, N e T R M T e TR IR ie e d, Ml. B *5{ 3 v 5 - ““‘ ’v“'i".{p; .- . h% ) B, e | Jt - % LT A Y Y o ety ar:“-: R L' . e ." , ‘; N ! Test Review 37. Which of the following statements is : true regarding in the hepatitis B vaccine? a. After the initial injection, it must be administered annually, b. Jt consists of a series of three injections. c. It has a risk of causing a mild case of hepatitis in the patient. d. The employee is responsible for the cost. ) 38.'Vhat term describes touching the patient without their consent? & a. Assault. : b. Lbel. &— ¢ Mcoenis T e Battery. /nawfy| fldcrig W/ Consent d. Slander. 39. After drawing a patient’s blood, the phlebotomist is accidentally poked with the contaminated needle. What action should they take? e, @eport the incident to the supervisor and then wash the area. b. Wash the area and report the incident when their shift ends. c. Clean the area with hand sanitizer and then report it to the supervisor. d. Wash the area for fifteen minutes and thenfipat it to the supervisor. 40.A phlebotomist leaves a Computer screen open, displaying patient information in view of others. What law does this violate? a. The Joint Commission. Q’ HIPAA. c. OSHA. d. NSPA. 4. After giving consent for a blood draw, the patient changes their mind and asks the phlebotomist to stop the procedure. What should the phlebotomist do? a. Reassure the patient and continue with the draw. b. Discontinue the draw after the current tube is full. ¢. Continue the draw since consent was already given, CD Stop the draw immediately.. Noadd e R STEERAES FA R _ T RN R WA X el t‘ ) o) e Test Review Patient Preparation (42-53) a ¢ 2. The :)atlent states that they are allergic to alcohol What should the phlebotomist use as an alternativ cleanser? il a. A paper towel soaked with water. @Wxidine. c. Proceed without a skin cleanser. d. Hand sanitizer. 43 A phlebothr_ist is preparing to draw from a patient who has limited English language skills. What steps should the phlebotomist take to ensure that the patient understands the process? @he phlebotomist should use a language interpreter. b. The philebotomist should ask the provider to assist. e The phlebotomist should ask the patient to repeat back what was communicated to them. d. The phlebotomist should only communicate with the patient’s family member. 44 A patient arrives at the lab with an order for a fasting lipid panel. What should the phlebotomist do before collecting the sample? a Make the patient swear that they have not eaten. { Ask the patient when they last had any food or — peverages. ¢. Draw the blood as usual and hope the patient remembered 1O fast. d. Assume that the patient followe instructions. d fasting 45, A patient informs the phlebotomist that they fainted after their previous plood draw. What should the phlebotomist do to prepare for the draw? a Give the patient orange juice. b. Draw from the patient’s hand. (c./ Have the patient lie down. d. Use a looser tourniquet application. 268 46, Which of the following we uld ¢ donating blood? uld discualify a patient fre 2 ) a. Theyc yl 10 not meet the rinirmurr requirerment ‘s b : z : : .l'e“ "3”“)(’ “ )‘ NY & ANI‘ 'l‘“‘ atocrtt e lewvels lewela ( C.Poth aand b. d. None of the above. are oo 47. A. patient seated in the draw chair reports feelir dizzy and nauseated before the blood draw 1111*21 should the phlebotomist do? @Direct the patient to an area where they can lie down. b. Offer the patient some orange juice. c. Perform the draw using a butterfly needle. d. Leave the patient where they are. 48)What is the maximum amount of blood that can be drawn from an infantin a 24-hour period? (a-5%. b. 6-8%. c. 8-10%. d. 10-12%. 49. In order to locate a patient’s veins, the phlebotomist should do which of the following? @ Apply the tourniquet and ask the patient to make a fist. b. Apply the tourniquet and ask the patient 10 pull their skin taut. c. Apply the tourniquet and slap the area to make the veins more prominent. d. Apply the tourniquet and mark the visible vein with a pen. ‘30 What should the phleboto mist instruct the patient t© / do if collecting & sputum s ample at home? a. Refrigerate the sample. ‘B) Drive the sample to the | ab within 60 minutes of collection. c. Spitinto the provid d. Cough deeply to brin lower respiratory tract. ed sterile container. g up sacretions from the | 1 | o = - |51. A patient is scheduled for surgery and has an NPO order. What does this mean for the patient? SRR AR H‘%Vxg‘t % ) 269 vitwe | ‘?-f'._fi e a. Wo food or drink, ‘ }W : ! b. Clear liquids only for 8-12 hours before the ;’ LR procedure. : :i:'" N ' ‘ ¢. No food or drink restrictions. on'i‘ *' d. No exercise 8-12 hours before the procedure. ;’ *‘%s 52. What type of gloves do phlebotomists use? T RE S a. Cloth. : (BNt s c. Latex. N d. Polyester. 53. A patient arrives at the lab for an OGTT and undergoes their baseline blood collection. When should the phlebotomist set the timer for the next blood draw? ) a. Five minutes after the patient finishes drinking the glucose solution. @ After the patient finishes drinking the glucose solution. c. Immediately after the baseline blood collection. d. None of the above. Routine Blood Collection (54-96) 54. The phlebotomist is preparing for a blood draw. What should they do to ensure an aseptic technique? a. Cleanse the skin using a 70% isopropyl alcohol wipe and blow on it until dry. b. Cleanse the skin with soap and water. c. Cleanse the skin with an alcohol wipe and fan it dry. d. 3 leanse the skin thoroughly with an up-anddown motion using 70% isopropyl alcohol. ~ 4 55. A phlebotomist gathers an alcohol . wipe, gauze, and '/I ¢ a glucometer to collect a capillary sample. What : :' % necessary item are they missing? i f /a™A lancet. A. :'11 . ".'. ':,. ‘ b. £A butterfly needle. ‘rf_f’.?f.. c. A tourniguet. "'1' e, d. A light blue-top tube, « -4 % Test Review V.. ) N 56, What information is included on a requisition’? [ a. Patient details, ordered tests, and any special instructions, Proper storage, use, and disposal of chemicals. ., Insurance information. . The risks, benefits, and alternative treatments for the procedure. @/hat is the maximum amount of time a tourniquet should be left on? O Ol OF a. 30 seconds. b. One minute. (€. Three minutes. d. 10 seconds. 58. While drawing blood from a patient, the phlebotomist notices a slight vibration in the needle. What is likely the cause? a. They used the incorrect order of draw. b. They neglected to use a discard tube. @ he needle punctured a vein valve. d. They didn’t engage the tube properly. 59. What is another name for a butterfly needle? a. Microhematocrit tube. b. Collection deferral notice. c. Multi-sample needle. @ Winged infusion set. @ patient receiving anticoagulant therapy arrives at the lab for & PT/INR test] What should the phlebotomist keep in mind before performing the draw? a. The patient may faint due to fasting. 'b.) The phlebotomist should confirm whether the patient has taken their medication. c. The patient may experience prolonged bleeding due to the effects of the anticoagulant d. The patient may be prone to seizures. 61. The date of birth on the requisition does not match the information provided by the patient. What should the phlebotomist do? (é. Delay the draw and verify the patient’s identity. b. Draw the blood and resolve the discrepancy later. c. Use the information on the requisition. d. Ask the patient's family member.Test Review procedure? a. Implicated. @ Expressed or verbal. c. Informed. d. parental. |s up their s leeve for a blood draw. monstrate? 63.A patient rol What type of consent does this action de @ implied consent. b. Verbal consent. c. Informative consent. 4. Informed consent. 4. Profession alism includes which of the following attributes? a. Honesty and integrity. p. Empath y and compassion. c. Confidence and perseverance. @Both aandb. (65)In ‘/v which - scenario. 1S . a choice for venipuncture’? a. When multiple tubes need to be collec ted quickly. me of blood needs syringe the most appropriate N When a specific volu to be withdrawn. c. When performin d. When the patient (b. N/ ga capillary draw on an infant. has a fear of needles. ctedintoa light plue-top tube using 2 putter was rejected by the laboratory due to i yolume. What is the mos t likely reason th not fill competely’? a Fibrinolysis occurred. b. The wron g tube was used. ¢. Adiscard tube was not used. (d ) Hemolysis occurred: 62. ; What type of consent is i needed forrapphlebotomy 7. A patient "has an order for) the e foll following é - liver function pane, glucose, and lig "4 "‘Y:Yrg»n». ESR, ' ) yanel, In what order should the tubes be a @old, gold, lavender, aray. b. Lavender, gold, light green, gray (-5 /,L'ght blue, gold, lavender, gray d. Red, light-blue, gray, lavender 68. What are th 69.A patie A specimen for PT/INR}est was colle fly needle. The sample /) 71. 1CD-10 codes & Yy 210 collectad? e tiny, non-raised red spotsthat canap oeas on the patient’s skin after applying a tourniquet” a. Urticaria. b. Diaphoresis. c. Hemolysis. petechiae. nt becomes angry peing told a redraw is Necess phebotom'lst respond? a. Contact the patient’s physician. equest assistance from another te _ Respond with e pehavior. patient frorn returnin and combative after ary. How should the am member. qual anger to match the patient's d. Banthe g to the facility. ng a blood collection, which of the tomist complete? 70. Before peginni following steps should the phlebo a. Explain the procedure and the reason for the S tests. . by Introduce themselves an identity. c. dentify themselve poth arms. d. Collect the n tubes. d verify the pat'ent’s s and ask the patient t0 extend ecessary supplies and pre-abel the e used for which of the following purposes’? Q To describe th e diagnoses and conditions of the - pattent. p. To identify c. To identify d. To identify t@ procedures performed on a patient. () L G 3 pat‘ents correctly. sts in the LIS.271 73. 72. Which of the following tubes contains a preservative and is ideal for collecting blood glucose levels? a. Gold, b. Light green. c. Dark green, d. Gray. Test Review 77. What condition ie characterized by swelling in an area where lymph nodes have been removed? a. Fistula, b. Mastectomy. (. lymphedema. d. Urticaria. In what area of an infant’s heel can capillary samples be collected? a.| The medial and lateral plantar surface. b. The big toe. ¢. The center of the heel. d. The pinky toe. 74. A patient arrives at the lab for a fasting lipid panel but is seen drinking a cup of coffee upon arrival. What should the phlebotomist do? a. Proceed with the draw and note on the requisition that the patient had coffee. b. Call the ordering provider to request a nonfasting lipid panel instead. /. Explain the fasting requirements to the patient and reschedule the blood draw. d. Lecture the patient on following directions. 75. To avoid losing track of the palpated vein after cleansing the site, what should the phlebotomist do? a. Softly slap the area so the vein remains a) .o R - prominent. . Mark the vein with a pen. . Softly indent the area with their fingernail. . Use the bottom corner of the alcohol wipe to point to the vein, or find a landmark, such as a freckle, mole, or hair. 76. After a patient reports unusual pain during needle insertion, the phlebotomist notices the needle has a blunted tip. How could this discomfort have been prevented? a. By only using 21-gauge needles. b. By using a syringe instead of an evacuated tube o system. By inspecting the needle for defects prior to insertion. By testing the needle at a different draw site. 78. What is a sudden, uncontrolled electrical disturbance in the brain that may cause a patient to become unresponsive or have involuntary muscle moverments? [a 'A seizure. b. Anaphylaxis. c. Edema. d. A heart attack. 79. What is the most likely cause of a “hissing” sound during venipuncture? a. A collapsed vein. b. Hematoma formation. c. A full tube. @:“The needle coming out of the skin. 80. What is the tip of a needle called? a. Lumen. Bevel. c. Gauge. d. Shaft. 81. Upon entering an inpatient’s room to collect a sample, the phlebotomist notices the patient’s ID bracelet is missing. What should the phlebotomist do? a. Assume the patient’s identity is correct and collect the sample. b. Collect the sample and return later in the day to scan the bracelet. ('c., Inform the nurse that the bracelet is missing. d. Move the patient to a different room. patient has an order for the following lab tests: aPTT, CBC, HbAlc, and blood culture. In what order should the tubes be collected? a. Light blue, gold, lavender, green. b. Blood culture, light blue, lavender, lavender. y (¢ Blood culture, light blue, lavender, gold. d. Red, light blue, gold, gold. hhhhflfl@wpr - 000 UTest Review 83. Mild allergic reactions can result in which condition? A0 a. Internal bleeding. b. Hematoma. (é(.éHives. i d. Lipemia. 84. Which document accompanies |laboratory specimens to the 1ab? TITES TR oot : a. Injury 108 p. Chain of custodyc. Advance penefici d Reqmsition. = (i ary notice. two acceptable methods a phebotom'st E can use o identify a patient in a hospital? the patient’s ID bracelet and ask them to state their full name and date of birth. p. Scan the patient’s ID bracelet and ask the to provide their medical record number. ent’'s name and date of birth and g85. What are a ) Scan patient c. State the pati ask them to confirm it. state the e their social secur d. Ask the patient 0 ir full name and date of birth and provid ity number. @PH - cludes which of the following? S,The paflent’s name, pOB, and diagnosis. p. The patient’s demographic informationc. Both2a and b. d. None of the above. hich of the following 8 the res ponsibility of the phebotomist’? a Diagnosing patie nts pased oN their lab results. b, Advising patients O n lifestyle changesc. erfying that the patie nt has followed any test fequirements. pre- 90. A sample collected for a lipid panel appears Whichh ve in le generally considered t venipuncture? ' he best choice for a. The cephalc vein b, The median cubital vein c. The dorsal hand veins d. The basilic vein. .(,QY';r‘ What could have caused this? a. The patient has elevated lipid levels. b. The patient did not fast before the test. c. The patient exercised before the test. T o (c}/éoth aand b. of. What is the protocol for labeling a. Tubes should be pre—abeed pefore the draw. p. Tube labels should include the pa tient’s SSN. c. Tube labels hould be attached using superglue. ubes should be |abeled in the paflent’s presence. protoco atient in It is never acceptable. Thep to provide proper D and consent. form of implied consent. amily gives consent. tubes? for drawing plood from an an emergency S ftuation? atient must be awake What is the unconscious P (&’w p. ltis acceptable as a c. ltis acceptable if the f d. ltis acceptable if the patient has a DNR order. 93.What s the correct sequence of steps @ phebotom’st should follow to end a blood draw? a. Remove the tube, remove the needle, rernove the tourniquet, apply gauze. e the tourniquet, re o the safety cap. engage the safety cap toumquet. 'b. RemoV move the tube, remove 'the needle, engad c. Remove the needie, remove the tube, remove the d. Remove the n eede, apply gauze, remove the the tourn'quet. (d/ Both a and C. 88. What is the medical term for a deficiency of red plood ube, remove cells? : : : ‘* (a) Anemi @4. patient has an order for the followingd |ab tests: CcBGC, ‘ v *) et ~ cMP, PTT, and CRP. In what order should the ubes be A p b. Lipemia. colected? c. Leukocytosis. a. Gold, avender, light blue, light Plue ¥ N /4 d. Hypogycem'a. b, Lavender gold, light blué, red. /4 . 4. TRty “"‘M‘.‘ c. Gold, gold, |avender, light plue. {d) Light blue, gold, gold |avender.* X / .: % hematoma forming. What should the phlebotomist do? Ka:End the draw and apply an ice pack. b. Remove the needle and replace it with a smaller one. ¢. Complete the draw quickly to minimize bruising. d. Remove the tourniquet early and continue the draw. ‘ 96 patient has an order for the following lab tests: CMP, = PT/INR, and Hemoglobin Aic. In what order should the tubes be collected? a. Blood culture, light blue, gold. § t; Light blue, gold, lavender. ¢. Light blue, lavender, gray. d. Light green, dark green, lavender. Special Collections (97-131) 97. A phlebotomist has three patients already scheduled when another patient arrives with a STAT order. What should the phlebotomist do? a. Complete the scheduled patients’ draws quickly to get to the STAT order. b. Draw the STAT patient and a scheduled patient at the same time. c. bomplete the STAT patient’s draw first. d. Complete the draws in the order they were received. 98.Which of the following are common newborn screening tests? Q,,.*Phenylketonuria (PKU) and bilirubin. b. Phenylketonuria and bacteremia. c. Blood cultures and HbAic. d. Bacteremia and sickle cell disease. 99 While performing a hand draw, the phlebotomist notices a slight bubble beginning to form beneath the needle. What is the likely cause? a. Fibrinolysis. b, Hematoma. c. Hemochromatosis. d. Hemolysis. oERSTIR R R 165 Test Review v " | wks @ ” ate” mean? 95, During a hand draw, the phlebotomist notices a (What does the term "neon (a.) An infant who is one year of age or younger. b. An infant who is in the ICU. c. Aninfant who is 28 days old or younger. d. Aninfant who is underdeveloped for their age. Which of the following can cause a newborn screening card to be rejected? a. Completely filling the circles. b. Smudging blood across the card. c. Not allowing the card to touch the skin. ( @ .)Both a and b. 102. Where can a patient who has undergone surgical removal of the left breast have their blood drawry? a. The left hand. b y The right arm. c. The left arm. d. Bothaand b. What is a temporary synthetic tube that is surgically implanted under the skin to connect a vein and an artery known as? a. A graft. (b) A fistula. c. A port. d. APICC line. 104. Which of the following represents the largest needle diameter? a. 30G. b. 23G. c. 21G. (" d.18aG. 105. What should a phlebotomist do if the patient they P / are scheduled to draw is asleep? a. Draw the blood carefully without waking the patient. b. Prepare loudly so the patient wakes up on their own, /0, bently wake the patient to verify their identity and obtain consent. d. Skip the patient’s blood draw. Y - ee= 5 VAR - RR o. R T isoY Sy -»'Y :“ w0circulation? b. Protein and glucose levels, a Blood culture collection. c. hCG hormone levels. . b. Sputum analysis. (d Kidney function. Test Review 106. il Which specimen Pth T‘TUSt. be protected from light by 12) Whi pping the tube in foil or collecting it in an ambet Weh type of blood is collect colored tube? : gases and blood m,umy'/ ted 1o assess blood a. Glucose. & Arterial blood, ' b. Hemoglobin Alc. b. Capillary blood ( | ] o Arterial blood gas. 0, )Venous blood s " R d. O ;o Bilirubin. O it y 113/ What is a urine C 107. Before which procedure should a phlebotomist ‘ et Al nbogandodd perform the Modified Allen Test to assess collateral a. The presence of bacteria. (O Arterial blood gas collection. @ Which site should the phiebotomist use to collect 2 sample from a six-month-old patient? d. Therapeutic phlebotomy. a. The antecubital fossa. p 108. A patient’s chart states that no more than 8 mL of blood can be drawn due to anemia. The provider @The hand. orders a CMP. What should the phlebotomist do? ¢. The heel.’é" a Collect several small tubes. d. The finger. 4 b. Use a full-size gold-top tube, but only fill it 115. What should the phlebotomist do when collecting halfway. blood from a patient with a fistula? (c E)J se a syringe ' and d aa butterfly butterty needle : Ca; Draw from the arm without : the fistula. 5 d. Skip the draw until the condition improves. ©. Draw from the fistula. p— 109, What tube is used to collect blood for a B-Type c. Delay the draw until the fistula is removed. e _/ Natriuretic Peptide (BNP) test? 4. None of the above. | — a. Yellow. 6. Which of the following s a required feature of 3 - ‘ b. Royal blue with a red stripe. properly prepared blood smear? % — c. Light blue. a. A centrifuged plasma sample. | - 4 B ‘d.Lavender. b. A feathered edge. 10, What is the term for @ surgical connection between o. Aniodine-based stain. an artery and a vein created for dialysis? d. A perfect circle of blood. @Why is CLIA-waived testing often performed a. Purpura. b. Vasoconstriction. outpatient clinics? 1',01/ Fistula. a. -CLIA-waived tests are moderate-to-high ] d. Port. — complexity. . ' t be performed ina @ to Which collect needle a large sizevolume is typically of blood? used at a blood bank b. CLlA—waived aporatory tests cann@ ol : c. Botha and b. P —~ g g g ¢ ¢ 4 ~¢)] ; { Rl d. Neither a nor b. . /4 Ry ) b. 23G. » C. 12G rd 21G.275 118. Which is the most effective way to collect a pediatric specimen? a. Let the child sit on the ground. b. Have another technician hold the patient down firmly. c. Sedate the child for the draw. d. Ask the parent or caregiver to gently secure the child. 119. Which condition can make a patient’s veins difficult to locate? _ a. Dehydration. b. Needle phobia. ¢. Recent caffeine intake. d. High blood sugar. 120. Why is chlorhexidine used to clean the draw site before collecting a blood culture? a. The patient may be allergic to alcohol. b Blood cultures require a stronger antiseptic than ~— alcohol alone. c. Chlorhexidine is used instead of alcohol in hospital settings. d. Using chlorhexidine is more cost-effective. (121.) A urine drug screen order is received for a patient marked “Chain of Custody” What should the phlebotomist do? a. Collect the sample using strict aseptic technigue. fi;f Accompany the patient to the restroom to ~“ensure proper collection. c. Fallow strict protocols for tracking and handling forensic specimens. d. Allow the patient to bring their backpack into the restroom. 1f22. ‘What should the phlebotomist do if a CBC is ordered for a patient who had a mastectomy on the left side? a. Draw a gold-top tube from the left hand. b. Draw a lavender-top tube from the left arm. c. Draw a gold-top tube from the right hand, d. Draw a lavender-top tube from the right arm. RERN Ly Mou“‘“‘“““‘w “ 123. A patient has extensive scar tissue on = Test Review his right arm and left hand from a previous burn injury. Where should the phlebotomist collect the sample? a. The left hand. ( b. /The left arm, c. The right foot, d. The right arm. 124. Which diagnosis would require a phlebotomist to wear an N96 respirator when interacting with a patient? a. latrogenic anemia. Tuberculosis. c. Strep throat. d. Norovirus. 125, What conditionis characterized bythe overproduction 2 of red blood cells, leading to elevated hematocrit ; levels and increased blood viscosity? a. Arterial blood gas. bfi’olycythemia vera. c. Edema. d. Diabetes. 126. A patient with A+ blood type received a mislabeled blood product during surgery and died shortly after. What was the likely cause? a. The blood was not kept warm. b. The blood was not kept refrigerated. @7he blood was not compatible with the patient’s blood. d. The blood was contaminated. 27) What is it called when a patient donates their own blood in advance to be used for transfusion during surgery? a. Transdermal infusion. b. Autologous donation. c. Autoimmune profiling. ( d.)Therapeutic phlebotomy. 128. What blood type is considered the universal donor? a At, b. B~ c. AB+, @o-.‘Y - Aw— .2 4 4 ’ X Hypercholestero|emia. d. Hypothyroidism. @ SST. 131, A patient brings & stool sample for an O&P test in b. PST. a plastic container from home, saying they lost the c. Gray. original one. What should the phlebotomist do? S d. Light blue. @Explain that the original container is required 7 Wh s - ; - pecause it contains preservatives, and provide a 137 blgf:t:kf) thfe foovvmg .‘s’k requrfrted hwher; . o es for courier pick-up after hours: Test Review 129. What are the collecti ction requ acid test? quirements for a lactic ‘ Y Aactic .V. “ ’ A0 1on W'll‘(‘ most VOS like )) “/ cause ; 196 y A sarm pee t¢ ) - hemolyze? [a. A gray-top tube drawn without stasis and Jplaced A on ice. a. Centrifugation b, Using a 23 b. A§ pre-warmed : | Javender-top. tube : with a full-size ~gauge SST butterfly t needle on the harc) o. A fasting . specimen drawn in & plain red-top o, . LBtk Lack of patient b fasting e d. Lack of refrigeration. d. A pink-top tube placed in the refrigerator. 136, What is the liquid portion of anticoagulated blood? 130. A patient arives at the lab for a phlebotomy procedure to remove a pint of blood. What is the &, Serum, likely diagnosis? ( b.)Plasma ~ ’a.fiemochromatosis. c. Platelets. b. latrogenic anemia. d. White blood cells. Which tube is always centrifuged and yields serum? p. Label the patient’s container and send it to the a. A heatlamp. lab. A lockable, temperature-contro|ed container. c. Transfer the sample into the correct container c. Bothaandb. ) pefore sending it out. 4 None of the above. R d. Send the sample to the lab as is. _ : 138. What IS the purpose of the order of draw? e Processi 132-150 = ~ ng ( ) a To control tube supply- % | : o ; D 13_5 A ph|ebotomrst dravvs a CMP, Ilprd panel, and CBC’3, b, To prevent hernolele 3 then places them in the centrifuge. Later, shes ‘ ; e informed that one test was rejected: Which test was c. To allow thrombin to activate the samples: ; rejected by the lab? Q ‘)To prevent cross—contam’rnation of tube o : “additives. N (a./ The CBC, because it should not be centnfuged. additives N b. The CMP, because it was collected in an ssT. 139. What should the phlebotomist do if a centrifug® is ; making a loud noise during operation? c. The lipid panel, pecause the patient was not fasting. @‘.‘)Ask a quaified professiona to perform & d. The CBC because it should not bé collected at calibration check. N b. Attempt 0 fix the centrifuge. the same time as @ CMP. @hat protein is formed during normal blood clotting? c. Continue to use the centrifuge. /(a Platelets d. Dispose of the centrifuge. b. Cholesterol. ¢. Monocytes. d. Fibrin. N; N - 140. A phlebotomist centrifuges SST tubes without checking for clotting. One tube shows a yellowish, thick clump at the top instead of serum. What likely occurred? a. The sample hemolyzed. b. The sample is icteric, ¢. The sample was contaminated. d.OHA fibrin clot formed due to insufficient clotting time. Which specimen should be protected from light exposure? _a. Calcitonin. b. Glucose. ¢. Vitamin B6. d. Lactic acid. 142, fhe gold-top tube contains what two additives? ; a.)Silica and thixotropic gel. b. Heparin and thixotropic gel. ¢. Sodium fluoride and thixotropic gel. d. Thrombin and thixotropic gel. What is a sample with a milky white appearance called? a. Hypodermic. b. Hemolyzed. ‘CJcteric. a./c. @ After receiving a completed 24-hour urine collection, what should the phlebotomist ask the patient? a. The number of times the patient voided. b. Whether the sample was kept refrigerated. c. The date the patient began the collection. d. The number of times the patient has had a UTI. 1 hat term describes the reaction that occurs when incompatible blood is mixed, causing red blood cells to burst? ‘a. Fibrinolysis. b. Anaphylaxis. c. Agglutination, d. Urticaria. 3 TRAT Y . iPN ~ = S e 3 i’‘g’&_&.‘x - Test Review 146, Which reason would cause the laboratory to reject ' a tube? . a, The tube is expired. b, The tube was labeled after collection was complete, c. Both aand b, d. None of the above, ( W What is required for the proper handling of a semen ~ sample? (a.' )Refrigeration and delivery to the lab within 24 hours of collection. b. Delivery to the lab within 60 minutes of collection. c. Protection from light. d. Centrifugation. hat is serum with a brownish color called? é}ipemic. b. ‘Hemolyzed. c. Contaminated. d. Icteric. . What is the term for an increased concentration of “ blood components due to a decrease in plasma caused by prolonged tourniquet use? (_a. Hemolysis. b. Hemoconcentration. c. Hemoglobin. d. Hematocrit. 150. After placing several tubes into the centrifuge, the phlebotomist notices the machine shaking and making a loud noise. What is the likely cause? a. The centrifuge was not set for the correct time. (_b) The centrifuge load was not balanced. ¢. The load contained large and small tubes. d. The centrifuge is old.