Phlebotomy Exam Practice

Question 1

Before leaving the patient’s room, which of the following actions is required for the phlebotomist to take?

Answer 1

Initial and date/time mark each tube drawn.

Question 2

The phlebotomist must perform a blood draw on a patient with an IV on the right side, and there has been a mastectomy on the left side. Where should the phlebotomist perform the venipuncture.

Answer 2

Below the IV

Question 3

Which of the following can cause a hemolyzed specimen?

Answer 3

Shaking the collection tube vigorously

Question 4

A phlebotomist must centrifuge a serum specimen before shipment to an outside reference laboratory because:

Answer 4

Cells must be separated from the serum

Question 5

What action should the phlebotomist take to verify the quality of venipuncture supplies before beginning a blood draw on an adult patient?

Answer 5

Inspect the integrity of the needle’s seal.

Question 6

During venipuncture, the phlebotomist is stuck with a used needle. Which of the following is the first action the phlebotomist should take?

Answer 6

Clean the injured area with soap and running water.

Question 7

Which of the following venipuncture steps are in the appropriate order?

Answer 7

Assess the site, cleanse the site, insert the needle

Question 8

When collecting a routine blood sample, which of the following vessels should the phlebotomist attempt to draw from first?

Answer 8

Median Cubital

Question 9

Blood cultures have been ordered on a patient in the intensive care unit. The nurse calls the phlebotomist to bring the appropriate materials. Which of the following should the phlebotomist bring?

Answer 9

An aerobic bottle and an anaerobic bottle.

Question 10

Which of the following tubes contains a thixotropic gel?

Answer 10

Gold Top

Question 11

Which of the following is the next step after removing the needle from the patient’s arm?

Answer 11

Engage the needle safety device

Question 12

According to the CLSI order of draw guidelines, when all ordered, which of these would be collected first?

Answer 12

PT/INR

Question 13

A phlebotomist is required to obtain which of the following from a potential blood donor?

Answer 13

Complete medical history

Question 14

Green top tubes are coated with which additive?

Answer 14

Heparin

Question 15

The phlebotomist needs to draw a glucose tolerance test (GTT) on a patient and notices an empty breakfast plate on the bedside table. Which of the following actions should the phlebotomist take?

Answer 15

Ask the patient when she last ate or drank

Question 16

When performing an evacuated tube system (ETS) venipuncture, a phlebotomist should?

Answer 16

Position the needle at a 30 degree angle with the bevel up.

Question 17

The phlebotomist should use a tube with which of the following anticoagulants to collect a PT/PTT test?

Answer 17

Sodium Citrate

Question 18

Which of the following statements is an appropriate introduction for a phlebotomist?

Answer 18

Hi, my name is Sally Smith. I am your phlebotomist and I am here to collect a blood specimen.

Question 19

Why are you required to place a specimen in a biohazard specimen bag when transporting to an outside laboratory?

Answer 19

To prevent a possible exposure incident by providing a 2nd barrier.

Question 20

During a draw, the patient becomes unresponsive. What is the next action the phlebotomist should take?

Answer 20

Check for breathing

Question 21

Why should a phlebotomist avoid drawing blood from the leg or foot of a diabetic patient?

Answer 21

These areas are more susceptible to infection.

Question 22

When preparing for transport, which of the following specimens must be placed into an ice bath within 30 minutes after collection?

Answer 22

Arterial blood gasses.

Question 23

Which of the following provides the phlebotomist the best protection when drawing blood from a patient with active tuberculosis?

Answer 23

N-95 respirator

Question 24

Industry standard states that needle insertion in the antecubital area should be at:

Answer 24

15 to 30 degree angle

Question 25

Tubes with which of the following additives should be used when collecting a sample for a CBC?

Answer 25

EDTA