NCCT Certification EXAM, questions answered
MULTIPLE CHOICES WITH RATIONALES| 2025
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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 deteriorates very quickly after being drawn
A. therapeutic drug levels and is usually associated with emergency situations.
B. lactic acid Therapeutic drug levels, electrolytes and blood
C. electrolytes smears are much more stable analytes.
D. blood smears
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A phlebotomist is STAT troponin level on a patient sent over from a
assigned to manage an doctor's office, type and screen on a pre-operative
outpatient draw station. patient due for surgery that day, 2-hour post-prandial
Prioritize the following glucose level due in 40 minutes, weekly PT/INR
patients in the correct Rationale
order. It is important that a phlebotomist be able to prioritize
blood draw orders. This assures that patients get
A. 2-hour post-prandial correct and timely medical treatment. A STAT troponin
glucose level due in 40 level is used to triage the possibility of heart attack.
minutes The type and screen for surgery the same day is
B. type and screen on a needed so the Blood Bank staff can assure blood
pre-operative patient due components can be ready if necessary. For accurate
for surgery that day results, timed tests need to be drawn within a certain
C.weekly PT/INR window. The weekly PT/INR can be done anytime.
D.STAT troponin level on a
patient sent over from a
doctor's office
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A phlebotomist performs To protect specimen from light.
a blood draw testing for Rationale
CBC, chemistry, and Levels of bilirubin are susceptible to deterioration if
bilirubin. After the draw, exposed to light. Bilirubin is the most sensitive - it may
the phlebotomist wraps drop in concentration as much as 50% in one hour.
the bilirubin tube in Therefore these tests are protected from light by
aluminum foil. Which of either wrapping the specimen in aluminum foil or
the following was the transferring the spun serum or plasma to a brown
reason for the wrapping of aliquot tube. The specimen does not have to be
the bilirubin tube? cooled down or maintained at body temperature
(37oC). Also, the foil wrapping does not prevent
A. To cool down the contamination of the specimen.
specimen.
B. To maintain the
specimen at 37 degrees
Celsius.
C. To protect specimen
from light.
D. To prevent
contamination of the
specimen.
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Which of the following lactic acid chilled in slurry of ice and water
correctly matches the test Rationale
with the appropriate Some blood specimens require special treatment and
special handling handling to preserve the analyte while being
instructions? 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
kept warm using a heating be kept at body temperature (in a 37 degree C heat
pack block) until analysis can begin. Vitamin A samples
B. cryoglobulin level need to be protected from light and may be wrapped
protected from light with with aluminum foil.
aluminum foil
C. ammonia level kept
warm using a heating pack
D. lactic acid chilled in
slurry of ice and water
The phlebotomist draws biohazard transport bag
blood from a patient in an Rationale
isolation room. The Biohazard transport bags are used to transfer
specimen should be specimens to the lab in an effort to prevent the
properly taken to the lab spread on infection. There are two pockets. The inside
in a one holds the specimen and the outside pocket is for
any labels or paperwork. Red biohazard bags are
A. red biohazard bag used for disposal of medical waste such as used
B. yellow bag gloves or objects contaminated with blood or body
C. biohazard transport fluids. Yellow bags are used for containing
bag contaminated linens or PPE. Brown paper bags are
D. brown paper bag not used for specimen transport.
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