NCCT Certification Exam 2025 UPDATE |COMPLETE EXAM TEST AND
NCCT Certification Exam
VERIFIED ANSWERS MULTIPLE CHOICES WITH RATIONALES|
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ACCURATE ANSWERS|100% SOLVED!!
1. Which of the following lactic acid
specimens is likely to be Rationale
considered STAT? A lactic acid level is likely to be a STAT order as this analyte de-
teriorates very quickly after being drawn and is usually associated
A. therapeutic drug levels with emergency situations. Therapeutic drug levels, electrolytes and
B. lactic acid blood smears are much more stable analytes.
C. electrolytes
D. blood smears
2. A phlebotomist is assigned STAT troponin level on a patient sent over from a doctor's office,
to manage an outpatient type and screen on a pre-operative patient due for surgery that
draw station. Prioritize the day, 2-hour post-prandial glucose level due in 40 minutes, weekly
following patients in the PT/INR
correct order. Rationale
It is important that a phlebotomist be able to prioritize blood draw
A. 2-hour post-prandial orders. This assures that patients get correct and timely medical
glucose level due in 40 min- treatment. A STAT troponin level is used to triage the possibility of
utes heart attack. The type and screen for surgery the same day is needed
B. type and screen on a so the Blood Bank staff can assure blood components can be ready if
pre-operative patient due necessary. For accurate results, timed tests need to be drawn within
for surgery that day a certain window. The weekly PT/INR can be done anytime.
C.weekly PT/INR
D.STAT troponin level on a
patient sent over from a
doctor's office
3. A phlebotomist performs a To protect specimen from light.
blood draw testing for CBC, Rationale
chemistry, and bilirubin. Levels of bilirubin are susceptible to deterioration if exposed to light.
After the draw, the phle- Bilirubin is the most sensitive - it may drop in concentration as much
botomist wraps the biliru- as 50% in one hour. Therefore these tests are protected from light by
bin tube in aluminum foil. either wrapping the specimen in aluminum foil or transferring the
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Which of the following was spun serum or plasma to a brown aliquot tube. The specimen does
the reason for the wrap- not have to be cooled down or maintained at body temperature
ping of the bilirubin tube? (37oC). Also, the foil wrapping does not prevent contamination of
the specimen.
A. To cool down the speci-
men.
B. To maintain the speci-
men at 37 degrees Celsius.
C. To protect specimen
from light.
D. To prevent contamina-
tion of the specimen.
4. Which of the following cor- lactic acid chilled in slurry of ice and water
rectly matches the test Rationale
with the appropriate spe- Some blood specimens require special treatment and handling to
cial handling instructions? preserve the analyte while being transported to the lab for testing.
Lactic acid and ammonia are chilled in ice slurries as they deteriorate
A. vitamin A specimen very quickly at room temperature. Cryoglobulin must be kept at body
kept warm using a heating temperature (in a 37 degree C heat block) until analysis can begin.
pack Vitamin A samples need to be protected from light and may be
B. cryoglobulin level pro- wrapped with aluminum foil.
tected from light with alu-
minum foil
C. ammonia level kept
warm using a heating
pack
D. lactic acid chilled in slur-
ry of ice and water
5. The phlebotomist draws biohazard transport bag
blood from a patient in an Rationale
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isolation room. The spec- Biohazard transport bags are used to transfer specimens to the lab
imen should be properly in an effort to prevent the spread on infection. There are two pockets.
taken to the lab in a The inside one holds the specimen and the outside pocket is for
any labels or paperwork. Red biohazard bags are used for disposal
A. red biohazard bag of medical waste such as used gloves or objects contaminated with
B. yellow bag blood or body fluids. Yellow bags are used for containing contam-
C. biohazard transport inated linens or PPE. Brown paper bags are not used for specimen
bag transport.
D. brown paper bag
6. Which of the following a glucose test in a gray top tube
samples is still acceptable Rationale
when kept at room temper- Glucose levels are stable in a gray top tube at room temperature for
ature for 8 hours after col- up to three days because they contain the glycolytic inhibitor sodium
lection? fluoride. A urine or stool sample would need to be refrigerated to
prevent overgrowth of bacteria or deterioration of analytes. Red top
A. a urine sample tubes for B12 levels should be centrifuged and the serum removed
B. a stool culture from the cells within 2 hours of collection.
C. a glucose test in a gray
top tube
D. a B12 test in a red top
tube
7. Which of the following ammonia, cold agglutinin, bilirubin
blood tests require special Rationale
handling? (Select the three Many types of specimens require special handling for accurate
(3) correct answers.) test results to be obtained by the laboratory. Ammonia must be
transported in an ice slurry as this analyte deteriorates rapidly. Cold
A. CBC agglutinins must be kept at 37o C (body temperature). Bilirubin
B. ammonia requires protection from light. Consult your facility's policies for the
C. cold agglutinin correct procedures to follow. CBCs and blood cultures are kept at
D. blood culture room temperature.
E. bilirubin
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8. A glucose specimen collect- The specimen was transported in a pneumatic tube system and cells
ed in a gel barrier tube were not separated from serum or plasma within the time limit.
from a hyperglycemic pa- Rationale
tient was left in a pneu- When a physician orders laboratory testing, he is looking for a
matic tube system for four "snapshot" of the patient's condition at the time the specimen was
hours before being cen- collected. If the cells are not separated from the serum/plasma in a
trifuged. The test results timely manner (2 hours), metabolism will continue and the levels of
were unusually low. Which analytes will change. Since this glucose was drawn in a gel barrier
of the following specimen tube and left unspun for 4 hours, the results could be lowered by as
handling errors is most much a 7% per hour. This could cause inaccurate treatment of the
likely to have caused the in- patient. It is not necessary to place this specimen on ice or protect
accurate results? it from light. Timely transport and processing are crucial.
A. The specimen was not
protected from light and
cells were not separat-
ed from serum or plasma
within the time limit.
B. The specimen was not
protected from light and
was not placed on ice.
C. The specimen was trans-
ported in a pneumatic tube
system and was not placed
on ice.
D. The specimen was trans-
ported in a pneumatic tube
system and cells were not
separated from serum or
plasma within the time lim-
it.
NCCT Certification Exam
VERIFIED ANSWERS MULTIPLE CHOICES WITH RATIONALES|
Study online at https://quizlet.com/_8vg8g3
ACCURATE ANSWERS|100% SOLVED!!
1. Which of the following lactic acid
specimens is likely to be Rationale
considered STAT? A lactic acid level is likely to be a STAT order as this analyte de-
teriorates very quickly after being drawn and is usually associated
A. therapeutic drug levels with emergency situations. Therapeutic drug levels, electrolytes and
B. lactic acid blood smears are much more stable analytes.
C. electrolytes
D. blood smears
2. A phlebotomist is assigned STAT troponin level on a patient sent over from a doctor's office,
to manage an outpatient type and screen on a pre-operative patient due for surgery that
draw station. Prioritize the day, 2-hour post-prandial glucose level due in 40 minutes, weekly
following patients in the PT/INR
correct order. Rationale
It is important that a phlebotomist be able to prioritize blood draw
A. 2-hour post-prandial orders. This assures that patients get correct and timely medical
glucose level due in 40 min- treatment. A STAT troponin level is used to triage the possibility of
utes heart attack. The type and screen for surgery the same day is needed
B. type and screen on a so the Blood Bank staff can assure blood components can be ready if
pre-operative patient due necessary. For accurate results, timed tests need to be drawn within
for surgery that day a certain window. The weekly PT/INR can be done anytime.
C.weekly PT/INR
D.STAT troponin level on a
patient sent over from a
doctor's office
3. A phlebotomist performs a To protect specimen from light.
blood draw testing for CBC, Rationale
chemistry, and bilirubin. Levels of bilirubin are susceptible to deterioration if exposed to light.
After the draw, the phle- Bilirubin is the most sensitive - it may drop in concentration as much
botomist wraps the biliru- as 50% in one hour. Therefore these tests are protected from light by
bin tube in aluminum foil. either wrapping the specimen in aluminum foil or transferring the
, NCCT Certification Exam
Study online at https://quizlet.com/_8vg8g3
Which of the following was spun serum or plasma to a brown aliquot tube. The specimen does
the reason for the wrap- not have to be cooled down or maintained at body temperature
ping of the bilirubin tube? (37oC). Also, the foil wrapping does not prevent contamination of
the specimen.
A. To cool down the speci-
men.
B. To maintain the speci-
men at 37 degrees Celsius.
C. To protect specimen
from light.
D. To prevent contamina-
tion of the specimen.
4. Which of the following cor- lactic acid chilled in slurry of ice and water
rectly matches the test Rationale
with the appropriate spe- Some blood specimens require special treatment and handling to
cial handling instructions? preserve the analyte while being transported to the lab for testing.
Lactic acid and ammonia are chilled in ice slurries as they deteriorate
A. vitamin A specimen very quickly at room temperature. Cryoglobulin must be kept at body
kept warm using a heating temperature (in a 37 degree C heat block) until analysis can begin.
pack Vitamin A samples need to be protected from light and may be
B. cryoglobulin level pro- wrapped with aluminum foil.
tected from light with alu-
minum foil
C. ammonia level kept
warm using a heating
pack
D. lactic acid chilled in slur-
ry of ice and water
5. The phlebotomist draws biohazard transport bag
blood from a patient in an Rationale
, NCCT Certification Exam
Study online at https://quizlet.com/_8vg8g3
isolation room. The spec- Biohazard transport bags are used to transfer specimens to the lab
imen should be properly in an effort to prevent the spread on infection. There are two pockets.
taken to the lab in a The inside one holds the specimen and the outside pocket is for
any labels or paperwork. Red biohazard bags are used for disposal
A. red biohazard bag of medical waste such as used gloves or objects contaminated with
B. yellow bag blood or body fluids. Yellow bags are used for containing contam-
C. biohazard transport inated linens or PPE. Brown paper bags are not used for specimen
bag transport.
D. brown paper bag
6. Which of the following a glucose test in a gray top tube
samples is still acceptable Rationale
when kept at room temper- Glucose levels are stable in a gray top tube at room temperature for
ature for 8 hours after col- up to three days because they contain the glycolytic inhibitor sodium
lection? fluoride. A urine or stool sample would need to be refrigerated to
prevent overgrowth of bacteria or deterioration of analytes. Red top
A. a urine sample tubes for B12 levels should be centrifuged and the serum removed
B. a stool culture from the cells within 2 hours of collection.
C. a glucose test in a gray
top tube
D. a B12 test in a red top
tube
7. Which of the following ammonia, cold agglutinin, bilirubin
blood tests require special Rationale
handling? (Select the three Many types of specimens require special handling for accurate
(3) correct answers.) test results to be obtained by the laboratory. Ammonia must be
transported in an ice slurry as this analyte deteriorates rapidly. Cold
A. CBC agglutinins must be kept at 37o C (body temperature). Bilirubin
B. ammonia requires protection from light. Consult your facility's policies for the
C. cold agglutinin correct procedures to follow. CBCs and blood cultures are kept at
D. blood culture room temperature.
E. bilirubin
, NCCT Certification Exam
Study online at https://quizlet.com/_8vg8g3
8. A glucose specimen collect- The specimen was transported in a pneumatic tube system and cells
ed in a gel barrier tube were not separated from serum or plasma within the time limit.
from a hyperglycemic pa- Rationale
tient was left in a pneu- When a physician orders laboratory testing, he is looking for a
matic tube system for four "snapshot" of the patient's condition at the time the specimen was
hours before being cen- collected. If the cells are not separated from the serum/plasma in a
trifuged. The test results timely manner (2 hours), metabolism will continue and the levels of
were unusually low. Which analytes will change. Since this glucose was drawn in a gel barrier
of the following specimen tube and left unspun for 4 hours, the results could be lowered by as
handling errors is most much a 7% per hour. This could cause inaccurate treatment of the
likely to have caused the in- patient. It is not necessary to place this specimen on ice or protect
accurate results? it from light. Timely transport and processing are crucial.
A. The specimen was not
protected from light and
cells were not separat-
ed from serum or plasma
within the time limit.
B. The specimen was not
protected from light and
was not placed on ice.
C. The specimen was trans-
ported in a pneumatic tube
system and was not placed
on ice.
D. The specimen was trans-
ported in a pneumatic tube
system and cells were not
separated from serum or
plasma within the time lim-
it.
