Phlebotomy Practice Test: Get Ready for Your Phlebotomy Exam! (2023)

Question 1

Please mark the name of the blood cell which is responsible for transporting oxygen and carbon dioxide:

A

Leukocyte

B

Platelets

C

Erythrocyte

D

I didn’t hear the question

Question 1 Explanation:

Erythrocytes, known as red blood cells transport oxygen and carbon dioxide.

Question 2

Please mark the blood vessels that flow from the heart to the body tissues and whose vessel walls contain smooth muscle:

A

Venous blood vessels

B

Arterial blood vessels

C

Capillary blood vessels

Question 2 Explanation:

The arterial blood vessels carry oxygenated blood from the heart to the body tissues.

Question 3

Please mark the 3most common arm veins used in phlebotomy:

A

Median cubital, basalmic, and radial veins.

B

Antecubital fossa, median cubital and cephalic veins.

C

Cephalic, median cubital and basilic veins.

D

Antecubital, median cubital and basilic veins.

Question 3 Explanation:

The cephalic, median cubital and basilic veins are the three most common arm veins used in phlebotomy.

Question 4

Please mark the location of theantecubital fossa:

A

The bend of the elbow, the front of the arm.

B

The bend of the elbow, back of the arm.

C

The bend of the elbow, the outer side of the arm.

D

The bend of the elbow, the inner side of the arm.

Question 4 Explanation:

The antecubital fossa is located at the bend of the elbow, on the front side of the arm.

Question 5

Please mark the official term that describes a type of blood cell that defends the body frombacteria, viruses, parasites, and allergens:

A

Eosinophils

B

Basophils

C

Monocytes

D

Neutrophils

Question 5 Explanation:

Basophils is a white blood cell responsible for an allergic reaction in case of allergen invasion.

Question 6

Please mark the organ that is the largest filter in the human body and a part ofboth the circulatory and digestive systems:

A

The lungs

B

The kidneys

C

The liver

Question 6 Explanation:

The liver is the body’s largest filter, and part of both the circulatory and digestive systems.

Question 7

Please mark the system whichdetects changes to the internal and external environments of the body and directs or coordinates a response:

A

The circulatory system.

B

The respiratory system.

C

The nervous system.

D

The endocrine system.

Question 7 Explanation:

The nervous system detects changes to the internal and external environments of the body and directs or coordinates a response.

Question 8

Please mark the system whoseprimary function is air-supply and contains cilia, hair-like structures that function as tiny filters:

A

Circulatory system

B

Respiratory system

C

Digestive system

D

A metal band in the '90s

Question 8 Explanation:

The respiratory system's primary function is air-supply and it also contains cilia, hair-like structures that function as tiny filters.

Question 9

The fibrinogen is found in the:

A

Whole blood

B

Plasma

C

Serum

Question 9 Explanation:

The fibrinogen is contained in the blood plasma.

Question 10

Please mark the description of the pathwayinvolved in the formation and excretion of urine:

A

Nephrons in the kidneys filter blood, draining the waste products into the floor of the kidney, ureters drain the urine from the kidneys into the bladder, and the urethra drains the bladder, passing urine outside of the body.

B

Nephrons in the kidneys filter blood, draining the waste products into the floor of the kidney, the urethra drains the urine from the kidneys into the bladder, and the ureters drain the bladder passing urine outside of the body.

C

The bladder produces urine from the ureters; the urethra drains the bladder of urine to outside the body.

Question 10 Explanation:

The pathway involved for formation and excretion of urine involves nephrons in the kidneys filter blood, draining the waste products into the floor of the kidney, ureters drain the urine from the kidneys into the bladder, and the urethra drains the bladder, passing urine outside of the body.

Question 11

A phlebotomy tech is about to collect a blood specimen from a patient and during the examination, they observe areas of pinpoint and red dotsover both of the patient’s arms. Please mark the clinical name for this phenomenon:

A

Petechiae- indicating possible excessive bleeding after blood collection.

B

Measles- indicating possible infectious disease exposure.

C

Psoriasis- indicating a possible skin disorder and should be avoided as a potential venipuncture site.

Question 11 Explanation:

If pinpoint red dots appear on the body, this phenomenon is known as petechiae, indicating possible excessive bleeding after blood collection.

Question 12

A phlebotomy tech is about to collect a blood specimen from a patient and during the examination of the patient's arm for a potential site, the tech notices the presence of petechiae on both patient's arms. The tech understands the meaning of this and thus, they proceed with the venipuncture and allow extra time to assure themselves that the bleeding has stopped before they leave the patient. Why did the tech do this?

A

Petechiae indicate possible clotting problems.

B

Petechia indicates possible blood pressure problems.

C

Petechia indicates possible infectious disease.

D

Petechia indicates possible areas of inflammation.

Question 12 Explanation:

The phlebotomy tech knows that the petechiae indicate possible clotting problems.

Question 13

Which of the following is not something that the phlebotomists should consider when working with older adults?

A

Mobility issues

B

Visual acuity

C

Provide a protective environment

D

Thin fragile veins

Question 13 Explanation:

When working with older adults, the phlebotomists should provide a protective environment.

Question 14

Please mark one of the following considerations which is not special regarding working with newborns:

A

Providing a protective environment.

B

Accurately monitoring the total volume of withdrawn blood.

C

Ensuring warmth.

D

Using protective restraints where necessary.

Question 14 Explanation:

Regarding working with newborns, protective restraints should be used where necessary.

Question 15

The phlebotomy tech is gathering arterial puncture and has gathered equipment such asheparin solution of 1,000 IU per ml, sterile gauze, betadine wipes, sterile needle, and syringe. Please mark the equipment element which the tech has forgotten:

A

A container of ice water.

B

Alcohol wipes.

C

Tourniquet.

D

Requisition form.

Question 15 Explanation:

The tech has forgotten a container of ice water.

Question 16

Please mark the differencebetweenfainting and hypovolemic shock:

A

Hypovolemic shock is a medical emergency.

B

Fainting is a medical emergency.

C

Fainting may be caused by an emotional reaction or pain.

D

A and C

Question 16 Explanation:

Fainting is not a medical emergency while hypovolemic shock is.

(Video) Phlebotomy Exam Practice Test

Question 17

A phlebotomy tech performed their first venipuncture with a syringe. While collecting the specimen he had in mind not to pull up too quickly on the plunger or to push it forcefully whentransferring the blood from the syringe to the specimen container. The special precautions serve to prevent:

A

Bacterial contamination

B

Adulteration of the specimen

C

Hemolysis

D

A needle stick accident

Question 17 Explanation:

These precautions will help prevent hemolysis of the specimen.

Question 18

The phlebotomy tech is about to performvenipuncture on a patient who had a mastectomy on the right side. Please mark the precautions that ought to be observed for this patient:

A

The tech should avoid the right arm.

B

The tech should keep the patient in a flat position.

C

There are no special precautions for this situation.

Question 18 Explanation:

Drawing blood from an arm on the same side as a mastectomy may result in infection for the patient and invalid or inaccurate test results.

Question 19

Please mark the symptoms of alatex allergy:

A

Skin redness, hives

B

Shortness of breath

C

A runny nose, watery eyes

D

All of the above

Question 19 Explanation:

The symptoms of latex allergy are skin redness, hives, shortness of breath, runny nose and watery eyes.

Question 20

The phlebotomy tech collects a blood specimen of a patient that has returned from a radiology test that included an IV injection of dye. The tech notes the radiographic test and time on the requisition form. Why did the tech do this?

A

In order to inform the lab of possible adulterants.

B

In order to inform the lab of a procedure that may affect the blood test.

C

In order to inform the lab of other departments involved in the patients' care.

D

In order to inform the lab of possible time delays.

Question 21

Please mark the appropriate time for labeling a patient's specimen:

A

before the blood is drawn

B

after all blood has been collected for the day

C

immediately after collection

D

none of the above

Question 21 Explanation:

The appropriate time for labeling a patient specimen is immediately after collection.

Question 22

The phlebotomy tech has entered a patient's room. He has introduced the patient and has identified the patient and explained to him the venipuncture procedure. He told him that the doctor had requested a blood test and that the lab will contact the doctor with the results. He also added that he would draw a small sample from his vein in order to run the test and that the patient may feel a small pinch. Please mark the reason why the tech told this to the patient:

A

To inform the patient of the procedure, which is required for informed consent.

B

The tech explained the procedure in order to get implied consent from the patient.

C

To prepare the patient for the pain they may feel, so as not to surprise them.

D

None of the above

Question 22 Explanation:

The tech is informing the patient of the procedure, which is required for informed consent.

Question 23

The phlebotomy tech needs to call the nursing station to inform the nursing staff of an elevated lab result of a patient. The tech is tentative to do so because he believes it may be a breach of confidentiality. Is the tech correct?

A

Yes

B

No

Question 23 Explanation:

The tech is not correct because sharing clinically significant information with members of the healthcare team is not a breach of confidentiality.

Question 24

The phlebotomy tech is in a room with a patient and several of his visitors. He needs to perform another blood draw. The tech introduced themselves and identified the patient and then congratulated the patient saying that the patient's previous blood draw confirmed that the patient is pregnant. Has the tech done anything wrong and if he did, what?

A

The tech has not done anything wrong.

B

The tech has breached the patient’s right to confidentiality.

C

The tech has violated the Patient Bill of Rights.

D

B and C.

Question 24 Explanation:

The has breached the patient’s right to confidentiality and violated the Patient Bill of Rights.

Question 25

Please mark the description of the "chain of custody":

A

Handcuffs used to control people who are arrested.

B

The process an arrested person follows when in jail.

C

The order of laboratory supervisors alike the chain of command.

D

The process for maintaining control of a specimen, from the actual collection to final disposition, used under special circumstances such as workplace, sports, or law enforcement testing.

Question 25 Explanation:

Chain of custody is the process for maintaining control of a specimen, from the actual collection to final disposition, used under special circumstances such as workplace, sports, or law enforcement testing.

Question 26

The phlebotomy tech is performing his working tasks in theoutpatient lab. A patient came in for a drug screening of urine. The tech put atamper-proof urine collection cup in the bathroom designated for drug screening. After the tech has received the patient's urine, he had examined its color and noted the temperature. The tech also noted the observations and initiated the chain of custody form. Why did the tech examinethe color and temperature of the urine sample?

A

The tech was curious.

B

The tech checked for evidence of tampering.

C

The tech checked for signs of dehydration.

D

The tech wanted to determine if drugs are present.

Question 26 Explanation:

The tech checked for evidence of tampering.

Question 27

Please mark the name of the amendment which isapplied to every clinical laboratory in the US and waspassed in 1988 while enacted in 1992 and created to ensure accurate laboratory results:

A

Patient Bill of Rights

B

Clinical Laboratory Improvement Amendment

C

HIPPA

D

None of the above

Question 27 Explanation:

The name of this amendment is the Clinical Laboratory Improvement Amendment.

Question 28

Please mark one of the following that is NOT considereda requirement for a quality specimen:

A

Right patient, right specimen, right tube, right test, right label.

B

Non-hemolyzed specimen.

C

Non-clotted specimen (when an anticoagulant additive is used).

D

Specimen transported to a lab within two hours of collection.

Question 28 Explanation:

Specimen transported to a lab within two hours of collection. is not considered a requirement for a quality specimen.

Question 29

The phlebotomy tech is in a patient's room where they have introduced themselves and identified the patient. The tech is relaxed and sits with their arms at their sides while explaining the procedure. The tech keeps eye contact, doesn'tinterrupt nor paraphrases the patient's questions when asked. Please mark theform of communication used by the tech:

A

Negative body language

B

Active listening

C

Non-verbal communication

D

B and C

Question 29 Explanation:

The tech uses non-verbal communication and friendly professionalism.

Question 30

What is the purpose of an incident report?

A

For the tech to get their story in before the patient does.

B

For the tech to report an incident.

C

For the tech to tell on a co-worker anonymously.

D

For the tech to admit wrongdoing in writing.

Question 30 Explanation:

The incident report is for the tech to report an incident if any.

Question 31

Which department has a clinical chemistry lab?

A

Anatomical pathology

B

Clinical pathology

Question 31 Explanation:

The clinical chemistry lab is in the department of clinical pathology.

Question 32

Please mark the name which describesblood that flows towards the body tissues, and contains oxygenated blood cells:

A

Venous blood.

B

Arterial blood.

C

Capillary blood.

Question 32 Explanation:

Arterial blood is the blood that flows towards the body tissues and contains oxygenated blood cells.

(Video) Chapter 1: Phlebotomy Practice and Quality Assessment Lecture

Question 33

Please mark the term which describes the process by which the human body attempts to maintain internal stability in response to stimuli disturbing its normal condition:

A

Homeostasis.

B

Hemolysis.

C

Hemostasis.

Question 33 Explanation:

Homeostasis is the process in which the human body attempts to maintain internal stability in response to stimuli disturbing its normal condition.

Question 34

What is the meaning of theword partblephar/o?

A

Ear

B

Eyelid

C

Tongue

D

None of the above.

Question 34 Explanation:

The word part blephar/o means eyelid.

Question 35

What is the meaning of the wordbuccal?

A

Pertaining to the chin

B

Pertaining to the cheek

C

Abnormal skin coloring

D

None of the above

Question 35 Explanation:

The meaning of the word buccal is "pertaining to the cheek.”

Question 36

What is the meaning of the wordphlebitis?

A

Inflammation of the arteries

B

Inflammation of the veins

C

Inflammation of the arterioles

D

None of the above

Question 36 Explanation:

Phlebitis is an inflammation of the veins.

Question 37

Which of the following medical word roots which contain -rrhmeans "t burst forth"?

A

-rrhagia

B

-rrhexia

C

-rrhea

D

None of the above

Question 37 Explanation:

The word part "-rrhagia" means “to burst forth.”

Question 38

Please mark one of the following suffixes that means "pertaining to”:

A

-al

B

-ic

C

-ia

D

All of the above.

Question 38 Explanation:

The suffixes-al,-ic, and -ia mean “pertaining to.”

Question 39

What is the meaning of the word-part "hemat/o"?

A

Blood

B

Liver

C

Tissue

D

None of the above

Question 39 Explanation:

The word part "hemat/o" means blood.

Question 40

Please mark thelaboratory professional has extensive training in both clinical and anatomical laboratory interpretations, has a medical degree, and is often classified as the laboratory director:

A

Lab Assistant

B

Phlebotomist

C

Medical Assistant

D

Pathologist

Question 40 Explanation:

The pathologist is the laboratory professional has extensive training in both clinical and anatomical laboratory interpretations and has a medical degree.

Question 41

What are transmission-based precautions?

A

Guidelines designed to prevent transmission of infection from any source of body fluid, except sweat, in healthcare settings.

B

Guidelines designed to prevent transmission of infection by blood and body fluids in healthcare settings.

C

Guidelines designed to prevent transmission of infection by a known source of infection.

Question 41 Explanation:

Transmission-based precautions are guidelines designed to prevent transmission of infection by a known source of infection.

Question 42

Is a splash-proof face shield necessary to enter a contact isolation room?

A

Yes

B

No

Question 42 Explanation:

A splash-proof face shield is necessary to enter a contact isolation room.

Question 43

Please mark the description of the mode of transmission:

A

A route of pathogenic transmission, from one host to another.

B

A method of transmitting information.

C

The categories of isolation.

Question 43 Explanation:

The mode of transmission is the route a pathogen requires for transmission from one host to another.

Question 44

Please mark the the OSHA standard which complies with a properly labeled chemical container:

A

Hazard communication standard

B

Standard precautions

C

Process safety management of highly hazardous chemicals

D

None of the above

Question 44 Explanation:

The Hazard Communication Standard complies with properly labeled chemical containers.

Question 45

Please mark whether the following is a federal requirement of healthcare employers:“All equipment that contains needles must have a system to single-handedly permanently resheath the needle.”

A

Yes.

B

No.

Question 45 Explanation:

"All equipment that contains needles must have a system to single-handedly permanently resheath the needle.” is a federal requirement of healthcare employers.

Question 46

Four small color-coded diamonds are grouped into a larger diamond in the hazard identification system. The numbers stand for the severity of the hazard. Please mark the plausible indication of the yellow diamond with the number 4:

A

Yellow indicates a reactivity/stability hazard. The number 4 indicates no hazard.

B

Yellow indicates a reactivity/stability hazard. The number 4 indicates an extreme hazard.

C

Yellow indicates a special hazard. The number 4 indicates a moderate hazard.

D

Yellow indicates a flammability hazard. The number 4 indicates a mild hazard.

Question 46 Explanation:

The yellow diamond with the number 4 indicates reactivity/ extreme stability hazard.

Question 47

Please mark the plausible indication of ahazard identification label with a red diamond and the number 1:

A

A mild flammability hazard.

B

A moderate flammability hazard.

C

A mild blood borne hazard.

D

A moderate blood borne hazard.

Question 47 Explanation:

A red diamond with a number 1 indicates a mild flammability hazard.

Question 48

What is hepatitis?

A

An infectious agent in the liver.

B

A liver disease that can lead to cirrhosis or cancer.

C

Classified into several sero-types.

D

All of the above

Question 48 Explanation:

Hepatitis is a liver infection that is caused by a virus. This virus can be one of several different serotypes and can lead to cirrhosis or cancer of the liver in susceptible patients.

(Video) *FREE* ASCP Phlebotomy Certification Practice Test

Question 49

Please mark one of thefollowing statements that is true regarding HIV:

A

A health care worker should not shake hands with a patient with HIV.

B

HIV is easier to contract than Hepatitis.

C

HIV is a disease state caused by the virus AIDS.

D

HIV is a blood-borne pathogen that can be spread through blood and body fluids

Question 49 Explanation:

HIV is a blood-borne pathogen that can be spread through blood and body fluids.

Question 50

Why are asepsis procedures are necessary?

A

Patient care areas are sterile.

B

Every patient carries disease.

C

They lower the risk of spreading infection.

D

None of the above.

Question 50 Explanation:

Asepsis procedures are necessary because they lower the risk of spreading infection.

Question 51

What are needle-stick protection devices?

A

Engineering controls for safety.

B

Caps for needles that reduce the risk for needle-sticks.

C

Required by law.

D

All of the above.

Question 51 Explanation:

Needle-stick protection devices are caps for needles that reduce the risk for needle-sticks, engineer controls for safety and they are Required by law.

Question 52

Please mark the term that describes the process through which the human body attempts to maintain internal stability in response to stimuli disturbing its normal condition:

A

Hemostasis.

B

Hemolysis.

C

Homeostasis.

Question 52 Explanation:

Homeostasis is the process through which the human body attempts to maintain internal stability in response to stimuli disturbing its normal condition.

Question 53

The phlebotomy tech is about to perform venipuncture so they are selecting a vein. He assured himselfthat he found the right vein afterapplying a tourniquet, and palpating the vein. The selected vein feels big and it is cord-like. Is this vein the right choice?

A

Yes

B

No

Question 53 Explanation:

Veins that feel cord-like are thrombosed.

Question 54

Please mark the test in which alcohol wipes shouldn't be used when drawing samples:

A

ETOH level

B

Complete blood count

C

Blood cultures

D

A and C

Question 54 Explanation:

The test in which alcohol wipes shouldn't be used when drawing samples are the ETOH level and blood cultures.

Question 55

Please mark one of the following which describes the "proper order of draws":

A

Red top, yellow top, light blue top, additive tubes.

B

Light blue top, red top, additive tubes.

C

None of the answers is right.

D

Yellow top, light blue top, red top, additive tubes.

Question 55 Explanation:

Yellow top, light blue top, red top, additive tubes is the proper order of draws.

Question 56

The phlebotomy tech is collecting blood from a finger-stick. They are worried that have insufficientblood drops and that they might have to re-stick the patient. The techsqueezes and milks the fingertip by squeezing a few more drops of blood.What (if anything) did the new phlebotomy tech do wrong, and why?

A

The tech did not do anything wrong.

B

The tech should not milk the site as milking hurts the patient more than a re-stick.

C

The tech should not squeeze and milk the site because fluid from the fingertip tissue may be squeezed into the blood drops.

D

The tech contaminated the site and sample by squeezing and milking.

Question 56 Explanation:

The tech should not squeeze and milk the site because fluid from the fingertip tissue may be squeezed into the blood drops.

Question 57

What is the purpose of ARD and what does it stand for?

A

"Antibiotic recovery device," used when testing for appropriate antibiotic therapy.

B

"Account receivable department," used for billing purposes.

C

"Antibiotic removal device," used when blood cultures are drawn after the patient has received antibiotics

D

None of the above

Question 57 Explanation:

ARD stands for "Antibiotic removal device," used when blood cultures are drawn after the patient has received antibiotics.

Question 58

A phlebotomy tech drew for multiple tests: a CBC, PT & PTT, blood glucose level and thyroid panel. He recalled from the class that collection tubes are drawn in order. The tech arranged the collection tubes in this order: lavender top, light blue top, gray top, and SST/ tiger top. What did the tech do wrong?

A

The tech used too many tubes.

B

The tech didn't follow the order of draws. The correct order is light blue top, SST/tiger top, lavender top, and gray top.

C

The tech has not done anything wrong.

D

The tech didn't follow the order of draws. The correct order is SST/tiger top, light blue top, lavender top, and gray top.

Question 58 Explanation:

The tech didn't follow the order of draws. Correct order is: light blue top, SST/tiger top, lavender top, and gray top.

Question 59

Please mark whether a SST or PST is first in the order of laws:

A

It is the same tube but a different name.

B

PST is first.

C

SST is first.

D

The order of draw does not apply.

Question 59 Explanation:

The SST is first in the order of draws.

Question 60

Please mark the color of the top of a tube that indicates additive EDTA in the content:

A

Light blue

B

Dark blue

C

Lavender

D

Gray

Question 61

The phlebotomy tech entered the patient and greeted him by saying "Hi, I am thephlebotomy tech and I will draw a little blood. Are you Mr.Jack? What, if anything, has the tech done wrong?

A

The tech should allow the patient to say his name first.

B

The tech did not do anything wrong.

C

The tech shouldn't speak so casually to the patient.

Question 61 Explanation:

The tech should allow the patient to say his name in order to verify the identity of his patient.

Question 62

Does the usage ofmicro-containers implies following an order of draws:

A

What is a micro-container?

B

No

C

Yes

Question 62 Explanation:

When using micro-containers, drawing samples should be in the following order so that additive cross-contamination will be prevented: hematology, chemistry studies, and blood bank.

Question 63

The phlebotomy tech isperforming a heel puncture and is inspecting an infant's heel for an appropriate puncture site. The tech holds the infant's heel and imagines a V-shaped boundary line, with the point at the back of the heel. The tech chooses his puncture site on the left side of the heel, on the outside of the V-shaped boundary line. What, if anything, has the tech done wrong?

A

The tech should have chosen a site inside the V-shaped boundary.

B

The tech should have inverted the V-shaped boundary line.

C

The tech should have used a circle-shaped boundary line.

D

The tech didn't do anything wrong.

Question 63 Explanation:

The tech didn't do anything wrong because choosing a puncture site outside of the V-shaped boundary keeps the puncture site options contained to a safer area.

Question 64

Please mark the difference between serum and plasma:

A

No difference

B

Serum contains proteins and no clotting factors while plasma contains serum and clotting factors.

C

Serum contains clotting factors while plasma contains serum and proteins.

D

Serum and plasma contain clotting factors. The serum also contains proteins while the plasma also contains lymph fluid.

Question 64 Explanation:

The difference is that the serum contains proteins and no clotting factors while plasma contains serum and clotting factors.

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Question 65

Glycolysis is:

A

he additive used to preserve glucose in blood.

B

The destruction of red blood cells.

C

The process of breaking down glucose for energy.

Question 65 Explanation:

Glycolysis is the process of breaking down glucose for energy.

Question 66

The phlebotomy tech has a stat drew and enters a patient's room where the patient and the doctor are discussing. The techimmediately leaves the room, respecting the patients’ right to privacy. He plans to return after completing a routine draw from the patient across the hall. What, if anything, did the tech do wrong?

A

The tech did not do anything wrong.

B

Because it was a stat draw, the tech should interrupt the discussion by informing the physician an important stat draw is due, and draw the sample.

C

The tech should introduce himself, explain to the patient and physician why he is in the room, and follow-up by asking if he may draw the specimen.

D

The tech should stand quietly in the room until the discussion is over and then draw the specimen.

Question 66 Explanation:

After introducing himself, the tech should explain to the physician and patient why are they in the room and ask permission to begin the procedure.

Question 67

The phlebotomy tech ispreparing to perform an arterial puncture. Please mark the area of the patient’s body that should be examined first for a suitable site?

A

The antecubital area of both arms.

B

The thumb side of the wrist.

C

The brachial artery.

D

The femoral artery.

Question 67 Explanation:

The thumb side of the wrist should be examined first.

Question 68

The phlebotomy tech is observing another tech's technique while they perform an arterial puncture.One of the most striking differences the tech observes is the angle of the needle their colleague is using. The colleague-tech has inserted the needle at a 45-degree angle. Is the colleague-tech demonstrating proper technique?

A

Yes

B

No

Question 68 Explanation:

The tech is demonstrating the proper angle for an arterial puncture.

Question 69

The phlebotomy tech has finished one specimen collection and has thought about the stat draw he was just notified of, as well as the timed draw already scheduled on his run.After the collection tube was filled to the correct level, the tech quickly removed the needle, covered the puncture site with gauze, labeled the specimen, and left the patient's room. What, if anything, has the tech done wrong?

A

The tech hasn't done anything wrong.

B

The tech did not remove the tourniquet.

C

The tech did not check the site for bleeding before leaving the room.

D

B and C

Question 69 Explanation:

The tech did not remove the tourniquet before removing the needle. They also didn't check the site for bleeding before leaving the patient’s room.

Question 70

The phlebotomy tech hasselecteda needle for a butterfly syringe, intended for drawing a blood specimen from a pediatric patient. Thepatient’s veins are small, so the tech wants a small sized needle, so he chooses a 23-gauge needle. Has the tech made the correct selection?

A

Yes

B

No

Question 70 Explanation:

A 23-gauge needle is a small-bore needle.

Question 71

The phlebotomy techhas been notified that yet another of his finger sticks has been rejected by the lab. The lab tech tells him, “Quit milking so much!” The tech is not sure what that means. Can you tell the tech what is causing rejection of his capillary collections from finger puncture?

A

You are squeezing too hard and pulling the fingers toward the fingertip. It causes hemolysis and tissue fluid to be squeezed into the blood.

B

You are scooping the blood with the capillary collection device, instead of letting it fill on its own. It’s causing hemolysis.

C

Don’t pester the lab techs so much; lay low and they will quit picking on your specimens.

Question 71 Explanation:

"Milking" is the word for squeezing and pulling action used with a finger puncture.

Question 72

Please mark the POCT device that is the only test which not wiping the first drop of blood away, before collecting the capillary specimen?

A

Blood glucose monitor.

B

Blood gas analyzer.

C

Blood coagulation monitor.

D

Hemoglobin system.

Question 72 Explanation:

Blood coagulation monitor devices usually instruct to not wipe away the first drop of blood after a puncture for capillary blood.

Question 73

Please mark the one that is not a method of blood collection:

A

Syringe draw.

B

Intravenous infusion.

C

Vacutainer draws.

D

Butterfly syringe draw

Question 73 Explanation:

An intravenous infusion is not a method of blood collection.

Question 74

For which group of patients a 22-gauge needle would be appropriately used?

A

Infants

B

Children

C

Senior adults

D

B and C

Question 74 Explanation:

A 22-gauge needle is usually used in both children and senior adults.

Question 75

Anautomatic incision device is used for:

A

surgical purposes

B

bleeding time punctures

C

arterial punctures

D

difficult venous punctures

Question 75 Explanation:

An automatic incision device is used to make two incisions on the lower arm.

Question 76

The disadvantageof using the radial artery for arterial puncture:

A

There is not a disadvantage.

B

that it lies close to the medial nerve.

C

that is small.

D

that is not easily palpable.

Question 76 Explanation:

The disadvantage of using the radial artery for arterial puncture is that it is smaller than other arteries.

Question 77

What is the match if a test is a uric acid:

A

SST/Chemistry lab.

B

Lavender/ Chemistry lab.

C

Green/Serology.

Question 77 Explanation:

A blood sample drawn for a uric acid would be drawn in a SST and sent to the chemistry lab.

Question 78

What is the match if the test is A1C?

A

Green/chemistry lab.

B

Lavender/chemistry lab.

C

Red/hematology lab.

Question 78 Explanation:

A blood sample drawn for an A1C (hemoglobin A1C) is drawn in a lavender top tube and sent to the chemistry lab.

Question 79

Please mark the phrases thatdescribes the pre-analytical phase of laboratory testing:

A

The phase of laboratory testing that involves phlebotomists.

B

One of two phases necessary for laboratory testing,

C

The phase involving all processes of laboratory testing.

D

All of the above

Question 79 Explanation:

The pre-analytical phase of laboratory testing is the first of the two phases that are involved in all processes of laboratory testing.

Question 80

Please mark thepre-analytical variable:

A

The patient did not maintain the designated fasting period for a fasting sample.

B

Light sensitive sample not protected from light.

C

An elevated result not reported immediately

D

A and B

Question 80 Explanation:

Two examples of pre-analytical variables is a patient eating during the fasting period and not protecting a light-sensitive specimen from light

(Video) Phlebotomy Certification Exam Practice Test - (Free Questions from the Phlebotomy Test)

Once you are finished, click the button below. Any items you have not completed will be marked incorrect. Get Results

There are 80 questions to complete.

FAQs

How do I prepare for phlebotomy? ›

You do not need to fast or make special preparations before phlebotomy. But try to eat a good meal and drink plenty of fluids before phlebotomy. This will prevent dizziness or fainting. Health professionals will have you sit or lie down.

Which phlebotomy certification test is best? ›

The Best Phlebotomy Certification Programs in 2022
  • Best Overall: Phlebotomy Career Training.
  • Best Accelerated Program: Chicago School of Phlebotomy.
  • Best Intensive Program: National Phlebotomy Association (NPA)
  • Best Online Option: American National University.
  • Best Value: Heart to Heart Healthcare Training.
4 Jan 2022

How many questions are on the phlebotomy exam in California? ›

The National Certified Phlebotomy Technician Exam contains approximately 150 questions.

When a sample is rejected for QNS what is the appropriate response? ›

Phlebotomy
QuestionAnswer
Which of the following is not a primary method of venipuncture?Lancet.
Why is blood drawn in a specific order?To avoid cross-contamination of additives.
When a sample is rejected for QNS, what is the appropriate response?Collect another sample with sufficient quantity.
37 more rows

Is it hard to pass the phlebotomy exam? ›

National Center for Competency Testing (NCCT/MMCI)

– A score of 70 is required to pass the NCCT exam. – The pass rate for the NCCT Phlebotomy exam is 75.7%.

Is phlebotomy hard to pass? ›

Phlebotomy is one of the easiest health-care professions to enter, with minimal training and certification requirements.

What is the passing score for Nha phlebotomy exam? ›

Pocket Prep's NHA Certified Phlebotomy Technician exam material will help prepare you for scoring in Safety and Compliance, Patient Preparation, Routine Blood Collections, Special Collections, and Processing. A candidate must score a scaled score of 390 or higher to pass the NHA CPT.

What job pays phlebotomist the most? ›

High Paying Phlebotomist Jobs
  • Phlebotomy Supervisor. Salary range: $41,000-$72,500 per year. ...
  • Phlebotomy Specialist. Salary range: $36,000-$65,000 per year. ...
  • Laboratory Phlebotomist. ...
  • Representative Phlebotomy Services. ...
  • Certified Phlebotomy Technician. ...
  • Mobile Phlebotomist. ...
  • Phlebotomy Technician. ...
  • Certified Phlebotomist.

How many questions is the phlebotomy exam? ›

The PBT(ASCP) and PBT(ASCPi) certification examination is composed of 80 questions given in a 2 hour time frame. All exam questions are multiple-choice with one best answer.

How do you pass the phlebotomy exam? ›

7 Best Strategies for Passing the Certified Phlebotomy Technician (CPT) Test
  1. Treat it like a marathon, not a sprint. That's right! ...
  2. Know your study style. ...
  3. Treat study time as if it were a job (and you can't call in sick) ...
  4. Take study breaks. ...
  5. Invest in yourself. ...
  6. Practice questions. ...
  7. Believe in yourself.

How many times can you retake the phlebotomy exam? ›

If you don't pass your exam after the first or second attempt, you must wait 30 days before you can retake it. If you don't pass after the third attempt, you must wait 12 months to challenge the exam again. After your fourth attempt, you must wait 12 months between attempts. Where are NHA certifications sent?

Is phlebotomist training hard? ›

Is it hard to become a phlebotomist? Being a phlebotomist is not hard but it does require lots of training and practice. Phlebotomists will learn a lot on the job and will get better as they gain more experience drawing blood. This job may be difficult for individuals who are sensitive to the sight of bodily fluids.

What is the most common cause of sample rejection? ›

Samples in incorrect containers (e.g. cervical cytology must be a ThinPrep vial; urine cytology must be in a uricyte container). Insufficient sample received. No sample received. Labelling or form issues (mislabelled/unlabelled/no forms/no clinical information).

What are the five rejection criteria to reject a specimen? ›

​Rejection
  • Incorrect specimen collection container.
  • insufficient specimen quantity.
  • Transported incorrectly.
  • Inadequate fixative.
  • specimen too large for container.
  • Incorrect media.
  • Specimen stability compromised (i.e. age of specimen, temperature stored)

Why do blood tests get rejected? ›

Other reasons for rejection of samples were misidentification, inappropriate tube, lipemic samples, inadequate sample/additive ratio, and insignificant icteric samples.

What's the most a phlebotomist can make an hour? ›

The average phlebotomist salary regardless of experience is $17.92 an hour, which is equal to $3,110 a month or $37,280 a year.
...
What is the Average Salary of a Phlebotomist?
TypeSalary
Hourly$17.92
Monthly$3,110
Annual$37,280
(Source: U.S. Bureau of Labor Statistics)

How many patients should a phlebotomist draw in one hour? ›

The 52-second SD allowed them to recommend an acceptable range for performing a venipuncture to be between 3:16 and 6:44, or ten patients every hour, not including travel to and from the patient's location.

What kind of questions are on the phlebotomy certification exam? ›

The ASCP Phlebotomy example questions tackle topics like handling blood specimens, proper ways to measure certain attributes, and blood chemistry. Other questions also cover how to work with patients and take blood, calling on your knowledge of the location and names of specific blood vessels.

What is the average age of a phlebotomist? ›

The average age of an employed phlebotomist is 40 years old.

Why is it so hard to get a job as a phlebotomist? ›

It is sometimes difficult to obtain a job as a phlebotomist because there are few open positions, as too many people are qualified. This scenario is where having completed a phlebotomist program and having additional certifications comes in handy.

Can phlebotomist move up? ›

One of the benefits of a role as a Phlebotomist is the number of options available when it comes to advancing your career. Generally, these options include taking up a management or supervisory positions or becoming a donor phlebotomy technician.

Is it hard to pass the NHA exam? ›

According to the NHA, the pass rate for the CCMA is about 77%. This doesn't mean the exam is incredibly difficult, but it does mean that no one should expect to breeze through without studying. Put in the time to adequately prepare and you can land in that 77% on your first try.

What's the lowest you can score on NHA? ›

The scaled passing score for all examinations is 390/500. The number of currently active certifications is as of December 31, 2021.

How do I study for the NHA exam? ›

Get to know the NHA CCMA exam. Choose your main instructional resource.
...
The NHA provides a number of different materials for students to purchase in order to prepare for the CCMA exam. These include:
  1. An online practice test.
  2. An online study guide.
  3. A study guide + practice test package.
  4. A printed study guide.
31 Jan 2022

What's the next step after phlebotomy? ›

Your next step may be considering some career path options that involve what you've learned in your classes. Some career paths of phlebotomy-certified individuals include: nursing, medical assisting, physician assisting, EKG technician, and medical lab tech.

How much do phlebotomist make an hour near me? ›

A phlebotomist makes $12.08 an hour on average according to Indeed user data.

What is the difference between a licensed phlebotomist and a certified phlebotomist? ›

Certification. Phlebotomists and phlebotomy technicians earn the same certificate or license regardless of job title. Since the job duties, particularly those related to the actual drawing of blood, are the same, most issuing organizations offer the same certificate regardless of title.

How many levels are in phlebotomy? ›

There are three levels of certification that a phlebotomy program can offer. These are: Limited Phlebotomy Technician (LPT) – Authorized to perform skin puncture blood collection. Certified Phlebotomy Technician I (CPT I) – Authorized to perform skin puncture and venipuncture blood collection.

What is Level 3 phlebotomy? ›

NOCN Level 3 Award in Phlebotomy is a regulated and nationally recognised healthcare qualification, ideal for those seeking a career in phlebotomy, healthcare or those who seek to add further skills. Over a 2 day period, learners will gain the knowledge, skills and competencies needed to start a career in phlebotomy.

What is a timed test in phlebotomy? ›

Timed Specimens

There are two types of timed blood specimens: One is for a single blood specimen ordered to be drawn at a specific time. The other is for a test that may require multiple blood specimens to be collected at several specific times.

What are the four phlebotomy techniques? ›

Draw Blood-
  • Capillary method-
  • Venipuncture-
  • Fill up sample tubes-
  • Complete procedure-
  • Prepare for transportation of samples-
21 Sept 2021

Can phlebotomist draw from foot? ›

While hand veins may be utilized for blood draws and intravenous infusions, veins in the feet and legs should be avoided for adults. Drawing from these sites can cause blood clotting and hemostasis.

In what order do you draw blood tubes? ›

The recommended order of draw for plastic collection tubes is:
  1. First - blood culture bottle or tube (yellow or yellow-black top)
  2. Second - coagulation tube (light blue top). ...
  3. Third - non-additive tube (red top)
  4. Last draw - additive tubes in this order:

What is the most common error in phlebotomy? ›

Common Mistakes Phlebotomy Technicians Should Avoid
  • Drawing blood from the wrong patient. This may be one of the rarest mistakes but misidentifying patients do happen. ...
  • Labeling mistake. ...
  • Lack of knowledge in using equipment properly. ...
  • Poor phlebotomy techniques.
19 Oct 2020

What is the most serious error in phlebotomy? ›

The most serious error is failure to properly identify the patient. Even if everything else is done perfectly, the final result will not apply to the patient incorrectly presumed to be the source.

What will you do if you did not pass the exam? ›

Failed an Exam? 5 Essential Steps to Take
  1. Don't Panic. If you've always done well in school — or even if you haven't — a failing grade can come as a shock. ...
  2. Carefully Review Your Exam. When I failed my chemistry exam, I barely looked at the test. ...
  3. Make a Plan. ...
  4. Go to Office Hours. ...
  5. Prepare for the Next Exam.

What is the hardest part of being a phlebotomist? ›

Many people work on their feet for a living, but blood draws often require a specific set of repetitive motions that can be taxing on the body. All of the bending and turning from workstation to patient can result in some serious knots — or worse.

Is phlebotomy worth the money? ›

So Is a Phlebotomy Certification Worth It? If you're looking for a stable income and job security, earning certification is worth it. BLS 2020 data shows that a phlebotomist earned an annual salary of $36,320 and an hourly wage of $17.46.

Are phlebotomist respected? ›

Well respected career

If everybody were able to draw blood, then there would be no need for a phlebotomist. You possess a skill that is well respected and needed in the healthcare community.

How can you prevent a hemolyzed sample? ›

Best Practices to Prevent Hemolysis

Use the correct needle size for blood collection (20-22 gauge). Avoid using butterfly needles, unless specifically requested by patient. Warm up the venipuncture site to increase blood flow. Allow disinfectant on venipuncture site to dry completely.

What is the most common cause of error in the laboratory? ›

Failure in the ordering of appropriate laboratory test and the application of laboratory test results are major contributors to diagnostic errors, along with residual problems in test performances (analytical errors) (34).

What are some common mistakes for specimen rejection? ›

Two of the most common errors that occur during specimen collection and handling are clotting and inaccurate volume. Exposure to temperature extremes may also cause specimens to be rejected for testing. Clotting compromises the integrity of a specimen, making it unsatisfactory for testing.

What makes a blood sample unusable? ›

The three most common causes of blood sample errors:

A clotted sample. A haemolysed sample. An insufficient sample.

What are unacceptable specimens? ›

Unsuitable Specimens

Insufficient specimen. Clotted EDTA specimen. Citrate Tube – not correctly filled. Specimen received in unsuitable containers e.g. blood still in syringe. Leaking specimens.

What happens if you shake a blood sample? ›

Shaking tubes can break fragile red cells and release analytes from the cells into the serum/plasma. Immediate mixing assists with clot activation in serum tubes and anticoagulation in plasma tubes. *Exception: Shake tubes for Quantiferon vigorously 5 seconds to create frothing and ensure optimal results.

How common are blood test errors? ›

Potentially millions of lab mistakes occur each year. A proactive approach can help lower your risk for misdiagnosis. It is estimated that seven to ten million patients receive an inaccurate blood test result annually. Approximately 35,000 labs run high complexity tests.

Do doctors call you if your test results are negative? ›

In some cases, doctors will tell patients that if they don't get a call with test results, there's nothing to worry about. In other cases, doctors will require patients to book an appointment to learn the results of a test, good or bad.

What is the most important step in phlebotomy? ›

1. Planning ahead. This is the most important part of carrying out any procedure, and is usually done at the start of a phlebotomy session.

How do you prepare veins for blood draw? ›

Get warm
  1. Apply a hot washcloth to the area you plan to infuse for several minutes before the infusion.
  2. Soak the hand or arm in warm water or run it under the faucet for five minutes.
  3. Take a hot shower or bath before the infusion.
  4. Gently massage the area over the chosen site.
15 Nov 2018

What two skills are important for phlebotomy? ›

Two skills that are important for a phlebotomist are hand-eye coordination and compassion. Phlebotomists work on the front line with patients and draw blood for tests, research, donation, or even transfusions. While many important skills are needed to work as a phlebotomist, coordination and compassion are the highest.

What should I do before a therapeutic phlebotomy? ›

Your doctor will decide how much blood will be drawn based on the reason you're having the procedure. If you can, it's helpful to drink more liquids than usual before your therapeutic phlebotomy procedure. Aim to drink 8 to 10 (8-ounce) glasses of liquids for 1 day before your procedure.

What are the 3 main phlebotomy veins? ›

Explore the Possibilities! The antecubital area of the arm is usually the first choice for routine venipuncture. This area contains the three vessels primarily used by the phlebotomist to obtain venous blood specimens: the median cubital, the cephalic and the basilic veins.

What are the 3 main phlebotomy procedures used today? ›

You will learn three different phlebotomy techniques: butterfly needle and Vacutainer, straight needle and Vacutainer, and butterfly needle and syringe.

How do you make your veins pop out quickly? ›

High-intensity weightlifting causes your muscles to enlarge. In turn, that causes your veins to move toward the surface of your skin and pop out more. To build muscle, do strength-building workouts with a high number of reps, heavy weights, and short rest breaks between sets.

How do you draw blood faster? ›

12 Tips for Easier Blood Draws & Pokes
  1. Place hot, moist towels over your arms for 10 minutes or so prior to a stick in order to plump up the veins. ...
  2. If you seriously have HORRIBLE veins and it really never works, see if the nurse would be willing/able to use a child-size butterfly needle on you, even if you're an adult.
9 Jun 2016

What should you not do before a blood test? ›

Avoiding specific foods and drinks such as cooked meats, herbal tea, or alcohol. Making sure not to overeat the day before a test. Not smoking. Avoiding specific behaviors such as strenuous exercise or sexual activity.

What are 5 duties of a phlebotomist? ›

The phlebotomy technician's responsibilities include drawing blood, conducting patient interviews, checking patients' vital signs, and transporting blood samples to the laboratory for testing.

What are the most common errors encountered during phlebotomy give at least 2? ›

The author identifies four errors in phlebotomy that are effectively indefensible in a court of law: patient misidentification, improper angle of insertion, improper vein selection, and ineffective training and evaluation of those performing venipunctures.

What is the most important item for a phlebotomist? ›

Needles. Needles, of course, are perhaps the most essential tool for phlebotomists. Needles come in all shapes, sizes, and gauges, but the most commonly used gauge for venipuncture is 21. However, a 16 gauge need may be used for blood donation, and injections may call for a 30 gauge needle.

What are the three skills used in phlebotomy when approaching a patient? ›

What are three skills used in approaching a patient? social skills, administrative/clerical skills, and technical skill.

Which vein is the first choice for phlebotomist? ›

The median cubital vein, also known as the antecubital vein, is the most common vein for phlebotomy. Located in the antecubital fossa, the median cubital vein is a well anchored, stable vein that rarely rolls during venipuncture.

How do I gain confidence in phlebotomy? ›

Practice makes perfect – The best way to build confidence in your abilities as a phlebotomist is to continue to practice them until you have perfected them. The importance of real-world experience is exactly why we offer an externship as part of our Phlebotomy Course.

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