CPT – Certified Phlebotomy Technician
Questions with Certified Solutions
What mask needs to be worn in a room with airborne isolation precautions ✔✔N-95 Mask (plus
gloves & a gown)
What does PPE stand for ✔✔Personal Protective Equipment
What PPE needs to be worn in a room with droplet isolation precautions ✔✔Gloves, mask, eye
protection & gown
What PPE needs to be worn in a room with contact precautions ✔✔Gloves & gown
What gauge needle will cause hemolysis ✔✔25 gauge (and above) (to small & it breaks the
blood up; to large and it slams into the back of the tube)
What is the range of needle gauges for blood donation ✔✔16-18 gauge
Needles for phlebotomy should be pitched how many degrees ✔✔15o-30 degree angle
Needles should be inserted how far ✔✔¼”- ½” or until you reach a change of resistance
What are the three vessels of the anti cubital fossa ✔✔Median Cubital Vein, Cephalic Vein,
Brachial/basilic Vein
Which vessel is the first choice for a blood draw ✔✔Median Cubital Vein
Which vessel is the second choice for a blood draw ✔✔Cephalic Vein
Which vessel is the third choice for a blood draw ✔✔Brachial/basilic Vein
Which vessel is lateral to the patient’s body ✔✔Cephalic Vein
What are the names of the three main vessels of the body ✔✔Veins, arteries, capillaries
What are the microscopic blood vessels responsible for O2 exchange ✔✔Capillaries
How much blood is needed for each blood culture bottle ✔✔Adults: 8-10ml (3-4ml in each
bottle, aerobic & anaerobic)
How many liters of blood does the average adult have ✔✔5 (4-6 liters)
What is the name of the part of the blood which suspends all of its whole material ✔✔Plasma
What is serum ✔✔Plasma without the clotting factor
What type of anemia can occur in infants because of frequent excessive blood drawing
✔✔Iatrogenic anemia
What is the lifespan of an RBC ✔✔90-120 days
What does CBC stand for ✔✔Complete blood count
What is a CBC with differential ✔✔measures the levels of red blood cells, white blood cells,
platelet levels, hemoglobin and hematocrit
Phlebotomy Certification EXAM
(2022/2023) (Certified Answers)
Capillary Puncture ✔✔3rd or 4th finger for adults, heel stick for infants; Lancet cut across
ridges; hold the tube horizontal when filling. Don’t sqeeze finger too tightly or milk the finger.
Wipe off 1st drop.
The vein can collapse ✔✔If you pull on the plunger of the syringe too hard or too quickly during
a draw or you use too strong of a vaccum for the vein, this can happen…
Anticoagulant ✔✔An agent used to preven blood clotting and to keep the specimen whole blood
Red top ✔✔NO ADDITIVE — Clot Forms —-Serum used for Chemistries, Electrolytes,
Thyroids (TSH, T4), Hormone, Liver, Kidney, Lipid stuidies, CMP, BMP.
Tiger top ✔✔Aka Red/Gray top: Clot activator additive – Clot Forms – SERUM STUDIES
Lavender top ✔✔EDTA additive – No Clot – WHOLE BLOOD for: Complete blood count
(CBC), Blood smear, Blood banking (ABO/Rh), ESR, HCT, Hmg,Glyco Alc Must be filled sufficiently and inverted (gentle rocked) several times
Gold Top ✔✔Clot activator additive – Clot Forms – SERUM Studies
Grey top ✔✔Sodium Fluoride/Potassium oxalate – Glucose, Alcohol, FBS
Light blue top ✔✔Sodium citrate additive – No Clot – Used for coagulation studies (PT, PTT)
Tube must be filled to the proper level and inverted (gentle rocked) several times
Wipe away the first drop ✔✔We do this to remove tissue juices, skin cells, alcohol,
contaminates, avoid activating clotting process, avoid producing incorrect results, avoid diluting
specimen.
The basilic, cephilic, and the median ✔✔What veins are in the antecubical area?
Hemoconcentration ✔✔This is the increase of the cellular/solid elements in direct ratio to
plasma This can be caused by “pumping of the fist” and begins after the tourniquet is left on
longer than 1 minute.
Provodine/iodine ✔✔Agent used on the skin to sterilize the area.
Certified phlebotomy technician (CPT)
Practice test 2.0 B Rated A+
A phlebotomy technician should identify that which of the following additives is used to prevent
the breakdown of glucose ? ✔✔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? ✔✔Would you please state and 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? ✔✔A transfusion reaction
A phlebotomy technician should invert anticoagulant tubes to prevent which of the following
complications? ✔✔Hemolysis
According to OSHA standards, which of the following vaccines must employers offer to their
phlebotomist at no cost? ✔✔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? ✔✔Syncope
A phlebotomy technician should identify that which of the following tube selections indicates the
correct order of draw for a venipuncture ? ✔✔Green, lavender, gray
A 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?
✔✔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 ? ✔✔Ask the
patient to make a fist
Which of the following actions by a phlebotomy technician can result in a grossly hemolyzed
specimen? ✔✔Using an incorrect needle gauge
A phlebotomy technician should identify that which of the following series of venipuncture steps
is in the appropriate order? ✔✔assess the site, cleanse the site, insert the needle
A phlebotomy technician should comply with HIPAA to protect which of the following?
✔✔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? ✔✔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 facility. Which of the following actions by the
patient indicates implied consent for the venipuncture? ✔✔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 ?
✔✔Push the first collection tube gently into the holder
For an older adult patient who has difficult-to-access vein, a phlebotomy technician should select
which of the following veins to perform a venipuncture ? ✔✔Dorsal veins
CERTIFIED PHLEBOTOMY TECHNICIAN
REVIEW EXAM ALREADY PASSED
What are the methods of transmission for the different types of precautions? ✔✔CONTACT
AIRBORNE
DROPLET
Know the order of draw for capillary sticks? ✔✔BLOOD GASES
EDTA
other ADDITIVE TUBES
Know the types of tests that require chain of custody documentation. What is needed on a chain
of custody form for a urine specimen. ✔✔CHAIN OF CUSTODY IS NEEDED IN ANY TYPE
OF LEGAL DOCUMENTATION OR PURPOSES. TEMPERATURE NEEDS TO BE
DOCUMENTED.
Which agency governs safety in the workplace? ✔✔OSHA
When performing a capillary puncture on fingers you should? ✔✔MILK THE FINGER
GENTLY
Know the order of draw for evacuated tubes? ✔✔YELLOW
LIGHT BLUE
RED
SST
GREEN
LAVENDER
GRAY
What in the urinalysis would indicate an infection? ✔✔LEUKOCYTES-WHITE BLOOD
CELLS
How are lactic acid specimens sent, and What if they are being sent to an outside lab? ✔✔SENT
ON ICE REGULARLY , BUT IF SENT TO AN OUTSIDE LAB SENT FROZEN
Can a patient eat or drink anything but water before a fasting blood test? And how long does
patients need to fast? ✔✔NO, for 8-12 HRS
Why are there 2 different colored caps on collection bottles? ✔✔BLOOD CULTURES
ANAEROBIC AND AEROBIC TO DETECT MICROORGANISMS IN THE BLOOD
According to CLSI standards what is the first vein you must attempt to find on either arm?
✔✔MEDIAN CUBITAL VEIN
Why do Point of Care test regulations require quality control? Also remember to document
Quality control results. ✔✔TO ENSURE ACCURATE RESULTS
Failure to demonstrate proper care with injury is ✔✔NEGLIGENCE
Why should the phlebotomist explain the procedure prior to venipuncture? ✔✔TO GET
CONSENT
Drawing a patient’s blood without consent would be? ✔✔BATTERY
Can a stool specimen be collected with urine? ✔✔NO
Phlebotomy National Exam Study Guide
(2022/2023) Rated A+
OSHA ✔✔Occupational Saftey & Health Administration
What vaccination does OSHA require all health care personnel get? ✔✔OSHA requires that all
health care personnel exposed to blood and other bodily fluids must receive a vaccination against
Hepatitis B
Pulmonary Edema ✔✔Fluid in the lungs
How much blood can a person donate in a session? ✔✔500 mL
Patients have the right to what? ✔✔Under the Patient Bill Of Rights they always have the option
to decline medical treatment and to know what tests are being performed on them.
What can you NOT give a patient? ✔✔Results or a diagnosis. Because you are not medically
qualified to do so.
Negligence is? ✔✔Failure to give appropriate care. DON’T BE NEGLIGENT!
PPE stands for? ✔✔Personal Protective Equipment
One of the most important practices is? ✔✔Hand Washing is one of the most important (and
easiest) practices used to prevent transmission of bloodborne pathogens
Needles should never be ✔✔recapped
Sharps containers must be what? ✔✔puncture-resistent, leak proof on the sides and bottom and
must be labeled or color-coded
Types of Hazards ✔✔Biologic – Infectious agents that can cause bacterial, viral, fungal or
parasitic infections
Sharps – Needles, lancets and broken glass can puncture and cut, causing blood-borne pathogen
exposure
Chemical – Preservatives and chemicals used in the laboratory. Exposure to Toxin, Carcinogenic
or caustic substances
Fire or explosive – bunsen burners, oxygen and chemicals can cause burns or dismemberment
Physical – wet floors, heavy lifting ance cause falls, sprains and strains
- ALLERGIC reaction ** – Latex sensitivity is a PHYSICAL reaction to care worker allergic
reation to the patient
In infection control WHO is the agent? ✔✔Person
In infection control WHAT is portal of exit? ✔✔Needle
In infection control WHAT can we control? ✔✔Mode Of Transmission OR exit of infection
In infection control WHAT is a portal of entry? ✔✔Mucas membrane
In infection control WHO is a susceptible host? ✔✔Person
Mode of Transmission ✔✔Specific ways in which microorganisms travel from the reservoir to
the suseptible host
Five main types or mode of transmission ✔✔contact – direct and indirect (fomite)
Droplet – Cold, Flu and sneezing
Airborne – viral – breath in
common vehicle – person, fomite and not handwashing
vector borne – illness that is transmitted through an invertebrate, such as an insect
Mode of infection ✔✔the point in the infection chain where we aim at preventing the spread of
infectious disease
Standard precautions do what? ✔✔Infection control method designed to prevent direct contact
with blood and other body fluids and tissues by using a barrier of protection and work control
practices.
Certified Phlebotomy Technician
Practice Test 2.0 Questions and Answers
100% Pass
A phlebotomy technician is washing her hands at the beginning of her shift. Which of the
following actions should the technician take? ✔✔The technician should form a lather by rubbing
her hands together for at least 15 seconds, covering all surfaces of her hands and fingers with
soap.
Which of the following test results are affected when a phlebotomy technician uses povidoneiodine to cleanse a site for a dermal puncture? ✔✔Povidone-iodine is contraindicated for
potassium tests because it can cause a false elevation of potassium in a specimen.
A phlebotomy technician is removing his gloves after a venipuncture procedure. Which of the
following actions should the technician take? ✔✔When removing gloves, the technician should
turn the first glove inside out during removal to decrease chances of contact with blood.
A phlebotomy technician is preparing to dispose of contaminated sharps. According to OSHA
standards, which of the following actions should the technician take? ✔✔According to OSHA
standrads, the technician should replace the sharps container when it is two-thirds full.
A phlebotomy technician is preparing to perform a fingerstick for a patient. Which of the
following actions should the technician take first? ✔✔The technician should identify the patient
prior to performing any other steps of the procedure.
For which of the following procedures should a phlebotomy technician follow chain of custody
guidelines? ✔✔Chain of custody guidelines apply to drug screenings, forensic studies, blood
alcohol tests, and paternity testing.
After exiting a patient’s room, which of the following is the last piece of personal protective
equipment (PPE) a phlebotomy technician should remove? *** ✔✔When removing PPE, the
technician should first remove the gloves, then the gown, and then the protective eyewear. The
mask is the last piece of PPE the technician should remove after exiting the patient’s room.
After verifying a patient’s identity, a phlebotomy technician sees that the patient’s laboratory
results are ready. Which of the following actions should the technician take? ✔✔Only the
ordering provider can discuss laboratory results with the patient. The technician should instruct
the patient to contact the provider to obtain the laboratory results.
A phlebotomy technician should comply with HIPAA to protect which of the following?
✔✔HIPAA, or the Health Insurance Portability and Accountability Act, protects patients’
personal health information.
A phlebotomy technician should select a tube that has which of the following anticoagulants to
collect a sample for a PT/PTT test? ✔✔The technician should use a collection tube that has the
anticoagulant sodium citrate to collect a sample for a PT/PTT test.
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? ***
✔✔The technician should gently push the first collection tube into the holder to secure the
placement of the tube.
A phlebotomy technician is disposing of used supplies when he accidentally receives a
needlestick injury. According to OSHA guidelines, which of the following actions should the
technician take first? ✔✔The first step the technician should take after receiving a needlestick
injury is to decontaminate the puncture site by washing it with soap and water for 30 seconds.
A phlebotomy technician is preparing to draw blood from a patient in an inpatient setting. The
patient extends his arm and turns his head away. The patient is an example of which of the
Certified Phlebotomy Technician Study
Guide Already Passed
How are above the draw site should the tourniquet be placed? ✔✔4-6″
Briefly explain the area in which to draw a PKU (Cognitive test) on an infant? ✔✔It is done on
the infants heel or take a urine sample.
What is the additive in in a light blue tube top? ✔✔Sodium citrate.
Define neonate. ✔✔A newborn, human infant during the first month after birth.
What does layperson mean? ✔✔Easy to understand.
Which way should the bevel be facing when entering in the arm? ✔✔Up.
What tube contains a preservative and an anticoagulant? ✔✔Gray tube top.
Who usually will draw an arterial blood gas? What are the four things they are checking for in
the blood? ✔✔A respiratory therapist, nurse, or physician. O2, CO2, bicarbonate, and pH.
Which tubes contain anticoagulants? Write the type of anticoagulant. ✔✔Lavender- EDTA,
Green- (M) Lithium, (D) Sodium, Pink- EDTA, Royal blue w/light blue stripe- EDTA, Light
blue- Sodium citrate, Gray- Sodium Floride.
True or False- OSHA permits the removal of gloves while putting on a patients bandaid?
✔✔False.
What is implied consent? ✔✔Patient’s actions gives permission without verbal or written
consent.
What two gloves may be used if non-latex gloves cause skin allergies for the patient? ✔✔Vinyl
or nitrile.
What is another word for a winged infusion set? ✔✔Butterfly needle.
What is QNS defined as? ✔✔Quantity not sufficient.
What is creatinine clearance? How must it be stored? ✔✔It’s a 24-hour specimen, and it must be
kept refrigerated.
Is cavicide used to cleanse an area on a patient for venipuncture? ✔✔No.
If you got an accidental needle stick on your finger with a used butterfly needle, what is your
next course of action. ✔✔Notify your supervisor immediately and document it.
If the sharps container is overflowing when you come onto shift what is the appropriate
response? ✔✔Report it to your supervisor immediately.
All healthcare workers are required to vaccinate or sign a declination form for which virus?
✔✔Hepatitis B.
What is ETOH? ✔✔Ethanol or alcohol in bleeding testing.
What is protective isolation? ✔✔Keeps susceptible patients isolated to prevent them from getting
a disease or infection.
Phlebotomy technician (CPT) practice
test 2.0 A questions and answers already
passed
a phlebotomy technician is washing her hands at the beginning of her shift. Which of the
following actions should the technician take ? ✔✔use enough soap to form a lather
which of the following test results are affected when a phlebotomy technician uses providoneiodine to cleanse a site for a dermal puncture? ✔✔potassium
a phlebotomy technician is removing his gloves after a venipuncture procedure. Which of
following actions should the technician take? ✔✔remove the first glove so that it turns inside out
during removal
a phlebotomy technician is preparing to depose of contaminated sharp. According to OSHA
standards, which of the following actions should the technician take? ✔✔replace the sharps
container when it is two- thirds full
A phlebotomy technician is preparing to perform a fingerstick for a patient which of the
following actions should the technician take first ? ✔✔Confirm the identity of the patient
For which of the following procedures should a phlebotomy technicians follow chain of custody
guidelines? ✔✔Paternity testing
after exiting a patients room, which of the following is the last piece of personal protective
equipment (PPE) a phlebotomy technician should remove? ✔✔Mask
After verifying a patient’s identity, a phlebotomy technician sees that the patient’s laboratory
results are ready. Which of the following actions should the technician take ? ✔✔Inform the
patient to contact the ordering provider to obtain the results
A Phlebotomy Technician should comply with HIPPA to protect which of the following ?
✔✔Patient’s information
A phlebotomy technician should select a tube that has which of the following anticoagulants to
collect a sample for a PT/PTT test ? ✔✔sodium citrate
A phlebotomy technician is using an evacuated needle holder and blood collection tunes to
collect blood from a patient. which of the following actions the technician take ? ✔✔push the
first collection tube gently in the holder
a phlebotomy technician is disposing of used supplies when he accidentally receives a
needlestick injury. According to OSHA guidelines . Which of the following actions should the
technician take first? ✔✔wash the puncture site with soap and water
A phlebotomy technician is preparing draw from a patient in an inpatient setting. The patient
extends his arm and turns his head away. This action by the patient is an example of which of the
following types of consent? ✔✔Implied consent
When should a phlebotomy technician perform external liquid controls for quality control on a
clia-waived glucose point-of-care test ? ✔✔When a new lot number or kit is opened
A phlebotomy technician is performing a venipuncture for a patient who begins to seize. Which
of the following actions should the technician take ? ✔✔Discountinue the draw
National Phlebotomy Certification Latest
2023 Graded A
hematuria ✔✔blood in urine
winged infusion set ✔✔butterfly
ESR ✔✔Erythrocyte sedimentation rate
test performed in purple-EDTA tube
hematoma ✔✔bruising under skin and common complication from venipuncture procedures
light blue tube ✔✔sodium citrate
PT, PTT activated partial thromboplastin time, coagulation studies
yields plasma
absolutely requires full draw
EDTA ✔✔Purple tube – CBC, glycosylated HGB, ESR must be 80% or 2/3 full
Redraw immediately ✔✔if you realize that you have drawn tube from wrong patient, or you
have drawn wrong color tube on patient
edema ✔✔fluid tissues
phlebitis ✔✔inflammation of vein from repeated venipuncture
green top ✔✔Lithium or Sodium Heparin
Stat chems, ammonia level (keep on ice), electrolytes
yield is plasma
blood borne ✔✔infection transmitted by body fluid
cleansing arm ✔✔concentric motion, using an outward spiral
blood smear ✔✔for CBC with differential, goal is to get good feathered edge
Certified Phlebotomy Technician (CPT)
Questions and Answers 100% Pass
Petechiae is best described as ✔✔Tiny purplish spots.
Which of the following equipment should a phlebotomist use for a routine venipuncture
procedure using the evacuated tube method? ✔✔Multiple sample needle
After collecting a bilirubin test, a phlebotomist should take which of the following actions postvenipuncture to ensure an accurate test result? ✔✔The specimen should be kept away from
direct light
If a phlebotomist receives a call from the laboratory with a critical value after the physician has
already left for the day, which of the following actions should be taken? ✔✔Contact the
physician out of the office to advise him of the results
A phlebotomist should verify that a patient has fasted for how long prior to obtaining a fasting
specimen? ✔✔8 to 12 hr
Which of the following actions can result in a violation of patient privacy? ✔✔Discussing
laboratory results with a patient’s partner
Which of the following is part of the correct procedure when collecting a capillary specimen?
✔✔After the site has been punctured, wipe away the first drop of blood and collect the specimen
When is it appropriate for a phlebotomist to label a specimen tube? ✔✔After collecting the
specimen before leaving the room
A phlebotomist is preparing a collection for transport. Which of the following should be placed
into an ice bath if processing is delayed for more than 30 min? ✔✔Ammonia
Which of the following criteria is acceptable in determining the quality of a peripheral blood
smear? ✔✔A feathered edge
Which of the following additives must be in the vacuum tube for a blood culture? ✔✔Sodium
polyanethol sulfonate
A phlebotomist has collected a lactic acid sample and needs to prepare the sample for processing
and transportation. Which of the following methods is correct? ✔✔Chill the sample
A patient falls and sustains a mild laceration to his arm while on the care of the phlebotomist.
Which of the following actions should the phlebotomist take? ✔✔Apply pressure over the
wound with a clean cloth
A phlebotomist has washed their hands in preparation for a routine venipuncture. Which of the
following actions should the phlebotomist take to dry their hands? ✔✔Dry hands with a clean
disposable towel
Which of the following precautions should a phlebotomist take when performing venipuncture
on a patient who is on an active anticoagulant therapy? ✔✔Apply direct pressure to the puncture
site for an extended length of time
There has been a chemical spill in the laboratory. To which of the following should a
phlebotomist refer for directions to clean up the spill? ✔✔SDS
OSHA guidelines are standards for which of the following? ✔✔Reduction of risks and injures to
the employee
NHA Certified Phlebotomy Technician
(CPT) Study Guide 2.0 Latest 2023
Already Passed
A phlebotomy technician is preparing to perform blood collection for blood cultures, PTT, and
testosterone levels. In which of the following orders should the technician collect these samples?
✔✔Yellow-topped tube, blue-topped tube, red-topped tube
A phlebotomy technician is collecting a peripheral blood smear from a patient. The technician
should identify that this collection technique is used for which of the following tests? ✔✔WBC
differential test
A phlebotomy technician is preparing a peripheral blood slide from a capillary puncture. Which
of the following actions should the technician take? ✔✔Touch the slide to the second drop of
blood
A phlebotomy technician is instructing a patient about how to collect a sputum specimen. Which
of the following statements should the technician make? ✔✔” You should provide the specimen
in the morning before eating or drinking”
National Phlebotomy Certification Exam
Questions and Answers with Certified
Solutions
An individual who has little resistance to an infectious microbe is referred to as a susceptible
what? ✔✔Host
Which of the following is an example of a work practice control that reduces risk of exposure to
bloodborne pathogens? ✔✔Wearing gloves to draw blood
This ion is essential to the coagulation process. ✔✔Calcium
QC protocols prohibit use of outdated evacuated tubes because why? ✔✔Tubes my not fill
completely, changing additive-to-sample ratios.
Molecular genetic testing requires what? ✔✔Specimens to be collected in sterile EDTA.
What is the purpose of an antiglycolytic agent? ✔✔Preserve glucose
Which on of the following tubes is filled first when multiple tubes are filled using an evacuated
tube system? ✔✔Blood culture (SPS) tube
What is the recommended disinfectant for blood culture sites in infants 2 months and older?
✔✔Chlorhexidine gluconate
Latent fibrin formation in serum can result from what? ✔✔Incomplete clotting when centrifuged
In which of the following areas does capillary specimen collection differ from routine
venipuncture when collecting a BUN and CBC? ✔✔Order of draw
This is an example of a preanalytical error made at the time of collection. ✔✔Failing to mix
tubes
What constitutes a positive modified Allen test? ✔✔The hand color returns to normal in 15
seconds.
According to CLSI, which tubes should be placed upright as soon as they are mixed?
✔✔Nonanticoagulant gel tubes
National Phlebotomy Certification Exam
Questions and Answers with Certified
Solutions
An individual who has little resistance to an infectious microbe is referred to as a susceptible
what? ✔✔Host
Which of the following is an example of a work practice control that reduces risk of exposure to
bloodborne pathogens? ✔✔Wearing gloves to draw blood
This ion is essential to the coagulation process. ✔✔Calcium
QC protocols prohibit use of outdated evacuated tubes because why? ✔✔Tubes my not fill
completely, changing additive-to-sample ratios.
Molecular genetic testing requires what? ✔✔Specimens to be collected in sterile EDTA.
What is the purpose of an antiglycolytic agent? ✔✔Preserve glucose
Which on of the following tubes is filled first when multiple tubes are filled using an evacuated
tube system? ✔✔Blood culture (SPS) tube
What is the recommended disinfectant for blood culture sites in infants 2 months and older?
✔✔Chlorhexidine gluconate
Latent fibrin formation in serum can result from what? ✔✔Incomplete clotting when centrifuged
In which of the following areas does capillary specimen collection differ from routine
venipuncture when collecting a BUN and CBC? ✔✔Order of draw
This is an example of a preanalytical error made at the time of collection. ✔✔Failing to mix
tubes
What constitutes a positive modified Allen test? ✔✔The hand color returns to normal in 15
seconds.
According to CLSI, which tubes should be placed upright as soon as they are mixed?
✔✔Nonanticoagulant gel tubes
Phlebotomy Technician 1 NHA Practice
Test Already Passed
The single most important way to prevent the spread of infection while performing phlebotomy
is by? ✔✔Washing Hands
After drawing blood from a patient, the phlebotomist should dispose of the needle by?
✔✔Deposit it in an approved “Sharps Container”
Negligence by a professional person is called? ✔✔Malpractice
Which of the following is the single most common source of HIV and HBV in the workplace?
✔✔Blood
The heart, lymphatic organs, and blood vessels are in the? ✔✔Cardiovascular System
The venipuncture site should be cleansed in a circular motion from the center to the?
✔✔Periphery: the outer limits or edge of an area or object
Red and white blood cell counts are examples of __ tests? ✔✔Hematology
Treating all specimens as if they are hazardous and infectious is the basis for? ✔✔Universal
Precautions
Drugs used to destroy or kill bacteria that cause disease are called? ✔✔Antibiotics
When the heart is contracting, the pressure is highest. This pressure is called? ✔✔Systolic
Pressure
The process by which an object or area becomes unclean is known as? ✔✔Contamination
The health worker is protected by law if it can be determined that he or she acted as expected
when compared with fellow workers. This is called? ✔✔Reasonable Care
Characteristics of capillaries include? ✔✔Being thin walled in structure
Forming microscopic pathways
Connecting arterioles with venules
ALL OF THE ABOVE
The branch of study of moral issues, questions and problems arising in the practice of medicine
and in biomedical research is called? ✔✔Bioethics
If a test requires serum rather than plasma, a tube with what color top should be drawn? ✔✔Red
When using evacuated tubes for blood collection, it is crucial to remember to? ✔✔Never under
fill tubes that contain anticoagulant
Never use tubes past their stated expiration dates
Immediately invert any tubes that contain additives
ALL OF THE ABOVE
The rubber sleeve (at the end opposite the needle tip) on an evacuated tube needle makes it
possible for use with? ✔✔Multiple Tubes
Capillary blood sampling may be used if the laboratory tests require? ✔✔Very little blood
The tube to collect whole blood with an EDTA additive in it has a _____ stopper?
✔✔Lavender
Diastolic pressure is? ✔✔The bottom number of blood pressure readings
Do not draw ____ an intravenous infusion? ✔✔Above
Which of the following legally enforces the Bloodbourne Pathogen Standard? ✔✔OSHA
Common symptoms of shock include all of the following EXCEPT? ✔✔Temperature
Which of the following causes AIDS? ✔✔HIV
Arterioles, the smallest arteries, subdivide into? ✔✔Capillaries
Which is the best method for a phlebotomy technician to collect blood specimen from an older
adult patient who has fragile, easy-to-collapse veins? ✔✔Choose a syringe and butterfly
assembly and transfer to an ETS tube:
MedCa Phlebotomy Certification Exam
Already Passed
MedCa Phlebotomy Certification Exam Review ✔✔Collection of quiz style questions for study
purposes
What department studies disease? ✔✔Pathology
What is the general blood volume for the average adult? ✔✔5 Liters.
55% plasma, 45% formed elements
What are erythrocytes? ✔✔(RBC) Red Blood Cells.
Main Function: Carry oxygen from the lungs to the tissue cells and to transport carbon dioxide
away from the cells to the lungs.
An leukocyte is? ✔✔(WBC) White Blood Cells.
Main Fuction: Non-Nucleus containing blood cells whose main fuction is to combat infection
and remove disintegrated tissue.
Platelets are also called? ✔✔Thrombocytes.
Cellular elements that play a role in the coagulation process and are the smallest of the formed
elements.
Mature RBC’s have an approximate lifespan of ✔✔120 Days
What iron-containing pigment enables RBC’S to transport oxygen and carbon dioxide:
✔✔Hemoglobin (Main component of RBC)
The role of a phlebotomist in the lab is: ✔✔Pre-Analytical
Blood collection on neonatalogy floors involves what type of patients? ✔✔Newborn
Hours to a few days old.
Phlebotomy Certification Practice Test 1
Questions and Answers Already Passed
Hemoconcentration can be caused by which of the following? ✔✔Leaving the tourniquet on the
patient too long
Antisepsis is a technique that is used on which of the following? ✔✔Skin
In phlebotomy, what does the term pre-analytical mean? ✔✔Variables that affect a specimen
prior to lab testing
The “Airborne Precautions” isolation category is used when a patient is suspected or confirmed
to have which of these? ✔✔Tuberculosis
Which of the following is not considered to be a phlebotomy competency? ✔✔Operating a
haematology blood analyzer
In considering the safety of the patient, which of the following is the more dangerous element?
✔✔Labeling collection tubes before collecting the blood
Phlebotomy Practice Test Questions and
Answers 100% Pass
Most important step in venipuncture? ✔✔Patient identification
What is PPE? ✔✔Personal Protective Equipment
What is the best way to let a clean site dry? ✔✔Air dry
OSHA requires all phlebotomist to be trained regarding what? ✔✔Blood borne pathogens and
needle saftey
All specimens are considered hazardous and infectious so we must use what? ✔✔Universal and
or Standard precautions
What organization should be contacted regarding employee safety and unsafe working
conditions? ✔✔OSHA (occupational safety and health administration
What does MSDS mean and what is it part of? ✔✔Material Safety Data Sheet (right to know
law)
What color tube, and additive is used for CBC, Hct, Hgb, Sed rate? ✔✔Lavender, EDTA
Which tube has no additive? ✔✔Red
What color tube and which additive is used for protime and APTT? ✔✔Lt. Blue, sodium citrate
What is the ratio of blood to additive in a light blue tube? ✔✔9 to 1
Which additive is the best choice for an ethanol specimen? ✔✔Na fluoride
What color tube is an ethanol specimen drawn in? ✔✔Grey
In case of a needle stick accident you should? ✔✔Cleanse the site, get patient information if
able, and notify your supervisor
What is the purpose of the tourniquet? ✔✔To find the vein
How long can the tourniquet be in place? ✔✔1 minute
What is the first thing you must do after every finger stick? ✔✔Wipe away the first drop
Why is it necessary to keep the centrifuge lid closed until it comes to a complete stop? ✔✔It
reduced the chance of aerosol and microbial contamination
What angle should your slider be when making blood smears? ✔✔30 degrees
What should you do if a standard size tube collapses the veins? ✔✔Use a pediatric tube
Which cleansers are most common for blood culture site preparation? ✔✔povidone iodine or 2%
chlorhexidine
What characteristics do sharps disposal containers have? ✔✔Spill proof, tamper proof, and
puncture resistant.
When used for decontamination, the dilution for bleach in water should be what? ✔✔10%
bleach, 90% water
Which point of care test is done to determine a platelet plug formation? ✔✔Bleeding time (also
known as platelet function assay)
Where in the wrist area are ABGs done and which artery? ✔✔Outer aspect of the wrist and from
the radial artery
Which are the smallest vessels in the body? ✔✔Capillaries
Which are the smallest veins in the body? ✔✔Venules
The respiratory system is responsible for? ✔✔Breathing and the exchange of oxygen and carbon
dioxide
Common site cleanser for a venipuncture is? ✔✔70% isopropyl alcohol
CPT Phlebotomy Exam Study Guide
Rated A+
What is phlebotomy? ✔✔The process of drawing blood
What is a phlebotomist? ✔✔A trained professional in blood drawing
Which of the following is a part of a phlebotomist’s POC job related duties? ✔✔Taking blood
pressure, instructing patients on urine specimen collection, and performing POC testing
All of the following are true about laboratory safety ✔✔Protect your feet from spills, always
wear required personal protection equipment
As written in the Patient Care Partnership from the American Hospital Association, the patient
has the right to: ✔✔High quality care, protection of privacy, help with billing claims
Certification is evidence that: ✔✔The phlebotomist has demonstrated proficiency in the area of
blood drawing
Which of the is OSHA required personal protection equipment? ✔✔Goggles, chin-length face
shield, full-length lab coat
The Clinical Laboratory Improvement Act of 1988 follows guidelines and standards set by the:
✔✔CLSI
Samples collected from a patient in a nursing home are sent to the: ✔✔Reference laboratory
Quality assurance for laboratory personnel includes all of the following ✔✔Specimen collection
procedures, Specimen transport processes, Specimen processing policies
Personal protection equipment must be provided by the ✔✔Employer
Which of the following personal protection equipment must a phlebotomist use when performing
a skin puncture or venipuncture? ✔✔Gloves
Under HIPPA, protected health is defined as: ✔✔Any part of a pt’s health information that is
linked to information that identifies the pt.
Employers must provide vaccination against what free of charge? ✔✔Hep B
Which of the following would be a reason for a rejection of a specimen by the lab? ✔✔An ESR
has been collected in a red-topped tube
The quality of the test result depends on: ✔✔The time between collecting the specimen and
analyzing the specimen
The purpose of Total Quality Management is to: ✔✔Check machinery with automated
procedures, ensure that proper laboratory procedures are being followed, ensure that adequate
patient care is being provided.
A specimen may be rejected by the lab if: ✔✔The tube was not initialed, the blood is hemolyzed,
the tube was not transported properly.
Transport bags have a separate compartment (pouch) for the requisition to: ✔✔Prevent
contamination if the specimen leaks
NHA Phlebotomy Technician Study
Guide 1, Certified Phlebotomy
Technician EXAM 2022/2023 Already
Passed
OSHA ✔✔Occupational Saftey & Health Administration
What vaccination does OSHA require all health care personnel get? ✔✔OSHA requires that all
health care personnel exposed to blood and other bodily fluids must receive a vaccination against
Hepatitis B
Pulmonary Edema ✔✔Fluid in the lungs
How much blood can a person donate in a session? ✔✔500 mL
Patients have the right to what? ✔✔Under the Patient Bill Of Rights they always have the option
to decline medical treatment and to know what tests are being performed on them.
What can you NOT give a patient? ✔✔Results or a diagnosis. Because you are not medically
qualified to do so.
Negligence is? ✔✔Failure to give appropriate care. DON’T BE NEGLIGENT!
PPE stands for? ✔✔Personal Protective Equipment
One of the most important practices is? ✔✔Hand Washing is one of the most important (and
easiest) practices used to prevent transmission of bloodborne pathogens
Needles should never be ✔✔recapped
Sharps containers must be what? ✔✔puncture-resistent, leak proof on the sides and bottom and
must be labeled or color-coded
Types of Hazards ✔✔Biologic – Infectious agents that can cause bacterial, viral, fungal or
parasitic infections
Sharps – Needles, lancets and broken glass can puncture and cut, causing blood-borne pathogen
exposure
Chemical – Preservatives and chemicals used in the laboratory. Exposure to Toxin, Carcinogenic
or caustic substances
Fire or explosive – bunsen burners, oxygen and chemicals can cause burns or dismemberment
Physical – wet floors, heavy lifting ance cause falls, sprains and strains
- ALLERGIC reaction ** – Latex sensitivity is a PHYSICAL reaction to care worker allergic
reation to the patient
In infection control WHO is the agent? ✔✔Person
In infection control WHAT is portal of exit? ✔✔Needle
In infection control WHAT can we control? ✔✔Mode Of Transmission OR exit of infection
In infection control WHAT is a portal of entry? ✔✔Mucas membrane
In infection control WHO is a susceptible host? ✔✔Person
Mode of Transmission ✔✔Specific ways in which microorganisms travel from the reservoir to
the suseptible host
Five main types or mode of transmission ✔✔contact – direct and indirect (fomite)
Droplet – Cold, Flu and sneezing
Airborne – viral – breath in
common vehicle – person, fomite and not handwashing
vector borne – illness that is transmitted through an invertebrate, such as an insect
Mode of infection ✔✔the point in the infection chain where we aim at preventing the spread of
infectious disease
Standard precautions do what? ✔✔Infection control method designed to prevent direct contact
with blood and other body fluids and tissues by using a barrier of protection and work control
practices.