NCHO. Practice Phlebotomy Exam
D. Paleness and sweating - answer1. Which of the following is the best indication that a
patient might be at risk of syncope?
A. Involuntary movement
B. Lightheadedness and shallow breath
C. Small red spots appearing on skin
D. Paleness and sweating
C. To ensure proper mixing of blood and additive - answer2. Why is it important for a
phlebotomist to invert anticoagulant tubes?
A. To prevent a pH imbalance
B. To prevent hemolysis
C. To ensure proper mixing of blood and additive
D. To prevent hemoconcentration
B. HIPAA - answer3. Which of the following protects a patient's information?
A. OSHA
B. HIPAA
C. The Joint Commission
D. AAHSA
A. 18-gauge - answer4. Which of the following needle sizes is NOT used for laboratory
assays but for collection of donor units of blood?
A. 18-gauge
B. 23-gauge
C. 21-gauge
D. 22-gauge
D. Within 4 minutes - answer5. How many minutes within collection of a urine sample
should the phlebotomist take the temperature of the specimen?
A. Within 10 minutes
B. Within 45 minutes
C. Within 30 seconds
D. Within 4 minutes
A. Clinical application - answer6. Quality control checklists ensure machines are
inspected for compliance at time intervals specific to the equipment and......
A. Clinical application
B. Chemical measurement
C. Expiration date
D. Stock rotation
,B. Replacing sharps containers when they have reached their fill line - answer7. Which
of the following actions will most likely prevent a needle stick injury?
A. Having a nurse or other healthcare team member dispose of used needles for the
phlebotomist
B. Replacing sharps containers when they have reached their fill line
C. Recapping every needle prior to discarding it in the sharps container
D. Wearing rubber gloves during venipuncture
B. A specimen identiciation code - answer8. Which of the following pieces of information
need to be on a laboratory requisition form before a phlebotomist should proceed with
obtaining a blood specimen?
A. The patient's status as an organ donor
B. A specimen identification code
C. A laboratory's CLIA number
D. The patient's emergency contact
D. The plebotomist should find another way to phrase the explanation and invite the
patient to ask any clarifying questions - answer9. A patient is listening to a phlebotomy
explain the venipuncture process before initiating the blood draw. The patient
communicates their understanding but seems hesitant and confused. How should the
phlebotomist handle the situation?
A. The phlebotomist should surmise that the patient has heard enough information and
get ready to draw the patient's blood
B. The phlebotomist should leave the room and ask for another doctor or nurse to
explain the procedure
C. The phlebotomist should repeat the same explanation in a slower voice
D. The phlebotomist should find another way to phrase the explanation and invite the
patient to ask any clarifying questions
C. Potassium ethylenediaminetetraacetic acid (EDTA) - answer10. The additive in a
Pink Top Tube used in blood banking is which of the following?
A. Sodium polyanethole sulfonate (SPS)
B. Sodium heparin
C. Potassium ethylenediaminetetraacetic acid (EDTA)
D. Acid citrate dextrose (ACD)
D. The plebotomist should immediately report the refusal and actions taken to their
supervisor - answer11. If a patient verbally or physically refuses a venipuncture
procedure, the phlebotomist should do which of the following?
A. The phlebotomist should inform the patient that they will still be responsible to pay for
the procedure
B. The Phlebotomist should re-explain the procedure in case the patient did not
understand
C. The phlebotomist should inform the patient that they will need to reschedule their
appointment
, D. The plebotomist should immediately report the refusal and actions taken to their
supervisor
B. 1% - 5% - answer12. What is the recommended allowance for a total volume of blood
drawn from a patient within a 24-hour period?
A. .05% - 1%
B. 1% - 5%
C. 5% - 7%
D. 10%
C. The phlebotomist should put it into a sharps container, SAFETY CAPPED, after
withdrawing it from the patient's arm - answer13. Which of the following is the proper
way a phlebotomist should dispose of a needle?
A. The phlebotomist should recap it with the original white lid with the opposite hand
and put it in a sharps container
B. The phlebotomist should throw it, recapped into a biohazard bag
C. The phlebotomist should put it into a sharps container, SAFETY CAPPED, after
withdrawing it from the patient's arm
D. The Phlebotomist should collect them in a cup for disposal at the end of the day
A. Surgical mask - answer14. When drawing blood from a patient who has a contagious
pathogen, like COVID-19, which PPE provides the best protection for a phlebotomist?
A. Surgical mask
B. Gown
C. Double gloves
D. Respirator
D. It should be transported in an amber or brown-colored biohazard bag - answer15.
How should Vitamin B6 be transported in order to protect it's photosensitive nature?
A. It should be transported on ice
B. It should be transported at room temperature, no additional precaution needed
C. It should be transported in an air-tight container, no additional precaution needed
D. It should be transported in an amber or brown-colored biohazard bag
A. The phlebotomist should introduce themselves to the patient and any healthcare
team members in the room - answer16. Before asking permission to obtain a specimen
from a patient, a phlebotomist should:
A. The phlebotomist should introduce themselves to the patient and any healthcare
team members in the room
B. The phlebotomist should ask the patient to extend their arm
C. The phlebotomist should locate the sharps container
D. The phlebotomist should begin to explain the phlebotomy procedure
A. ICD-10 codes classify diagnoses and diseases - answer17. What is an ICD-10
Code?
A. ICD-10 codes classify diagnoses and diseases
D. Paleness and sweating - answer1. Which of the following is the best indication that a
patient might be at risk of syncope?
A. Involuntary movement
B. Lightheadedness and shallow breath
C. Small red spots appearing on skin
D. Paleness and sweating
C. To ensure proper mixing of blood and additive - answer2. Why is it important for a
phlebotomist to invert anticoagulant tubes?
A. To prevent a pH imbalance
B. To prevent hemolysis
C. To ensure proper mixing of blood and additive
D. To prevent hemoconcentration
B. HIPAA - answer3. Which of the following protects a patient's information?
A. OSHA
B. HIPAA
C. The Joint Commission
D. AAHSA
A. 18-gauge - answer4. Which of the following needle sizes is NOT used for laboratory
assays but for collection of donor units of blood?
A. 18-gauge
B. 23-gauge
C. 21-gauge
D. 22-gauge
D. Within 4 minutes - answer5. How many minutes within collection of a urine sample
should the phlebotomist take the temperature of the specimen?
A. Within 10 minutes
B. Within 45 minutes
C. Within 30 seconds
D. Within 4 minutes
A. Clinical application - answer6. Quality control checklists ensure machines are
inspected for compliance at time intervals specific to the equipment and......
A. Clinical application
B. Chemical measurement
C. Expiration date
D. Stock rotation
,B. Replacing sharps containers when they have reached their fill line - answer7. Which
of the following actions will most likely prevent a needle stick injury?
A. Having a nurse or other healthcare team member dispose of used needles for the
phlebotomist
B. Replacing sharps containers when they have reached their fill line
C. Recapping every needle prior to discarding it in the sharps container
D. Wearing rubber gloves during venipuncture
B. A specimen identiciation code - answer8. Which of the following pieces of information
need to be on a laboratory requisition form before a phlebotomist should proceed with
obtaining a blood specimen?
A. The patient's status as an organ donor
B. A specimen identification code
C. A laboratory's CLIA number
D. The patient's emergency contact
D. The plebotomist should find another way to phrase the explanation and invite the
patient to ask any clarifying questions - answer9. A patient is listening to a phlebotomy
explain the venipuncture process before initiating the blood draw. The patient
communicates their understanding but seems hesitant and confused. How should the
phlebotomist handle the situation?
A. The phlebotomist should surmise that the patient has heard enough information and
get ready to draw the patient's blood
B. The phlebotomist should leave the room and ask for another doctor or nurse to
explain the procedure
C. The phlebotomist should repeat the same explanation in a slower voice
D. The phlebotomist should find another way to phrase the explanation and invite the
patient to ask any clarifying questions
C. Potassium ethylenediaminetetraacetic acid (EDTA) - answer10. The additive in a
Pink Top Tube used in blood banking is which of the following?
A. Sodium polyanethole sulfonate (SPS)
B. Sodium heparin
C. Potassium ethylenediaminetetraacetic acid (EDTA)
D. Acid citrate dextrose (ACD)
D. The plebotomist should immediately report the refusal and actions taken to their
supervisor - answer11. If a patient verbally or physically refuses a venipuncture
procedure, the phlebotomist should do which of the following?
A. The phlebotomist should inform the patient that they will still be responsible to pay for
the procedure
B. The Phlebotomist should re-explain the procedure in case the patient did not
understand
C. The phlebotomist should inform the patient that they will need to reschedule their
appointment
, D. The plebotomist should immediately report the refusal and actions taken to their
supervisor
B. 1% - 5% - answer12. What is the recommended allowance for a total volume of blood
drawn from a patient within a 24-hour period?
A. .05% - 1%
B. 1% - 5%
C. 5% - 7%
D. 10%
C. The phlebotomist should put it into a sharps container, SAFETY CAPPED, after
withdrawing it from the patient's arm - answer13. Which of the following is the proper
way a phlebotomist should dispose of a needle?
A. The phlebotomist should recap it with the original white lid with the opposite hand
and put it in a sharps container
B. The phlebotomist should throw it, recapped into a biohazard bag
C. The phlebotomist should put it into a sharps container, SAFETY CAPPED, after
withdrawing it from the patient's arm
D. The Phlebotomist should collect them in a cup for disposal at the end of the day
A. Surgical mask - answer14. When drawing blood from a patient who has a contagious
pathogen, like COVID-19, which PPE provides the best protection for a phlebotomist?
A. Surgical mask
B. Gown
C. Double gloves
D. Respirator
D. It should be transported in an amber or brown-colored biohazard bag - answer15.
How should Vitamin B6 be transported in order to protect it's photosensitive nature?
A. It should be transported on ice
B. It should be transported at room temperature, no additional precaution needed
C. It should be transported in an air-tight container, no additional precaution needed
D. It should be transported in an amber or brown-colored biohazard bag
A. The phlebotomist should introduce themselves to the patient and any healthcare
team members in the room - answer16. Before asking permission to obtain a specimen
from a patient, a phlebotomist should:
A. The phlebotomist should introduce themselves to the patient and any healthcare
team members in the room
B. The phlebotomist should ask the patient to extend their arm
C. The phlebotomist should locate the sharps container
D. The phlebotomist should begin to explain the phlebotomy procedure
A. ICD-10 codes classify diagnoses and diseases - answer17. What is an ICD-10
Code?
A. ICD-10 codes classify diagnoses and diseases
