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Questions & Answers 2025
- Which of these tasks is typically considered within a phlebotomy technician's scope of practice? (Choose three.) (A) Creating peripheral blood smear slides (B) Drawing blood from an indwelling port (C) Performing a throat culture (D) Drawing blood from the dorsal aspect of the hand using a syringe and transfer device (E) Using a microscope to examine blood smears - CORRECT ANSWER ✅(A) Creating peripheral blood smear slides (C) Performing a throat culture (D) Drawing blood from the dorsal aspect of the hand using a syringe and transfer device
- Blood pulsing into collection tubes is an indication that (A) The needle is placed in the exact center of the vein
Questions & Answers 2025
(B) The needle has struck a nerve (C) The needle has passed entirely through the vein (D) The needle has struck an artery - CORRECT ANSWER ✅(D) The needle has struck an artery
- A phlebotomist needs to collect gold, pink, and green-topped tubes by venipuncture. Which order is correct? (A) Gold, green, pink (B) Green, gold, pink (C) Pink, green, gold (D) Gold, pink, green - CORRECT ANSWER ✅(A) Gold, green, pink
- Collection tubes with ___________________ _____________ should not be used for therapeutic drug testing. (A) Separator gel (B) Clot activator (C) Red tops
Questions & Answers 2025
(A) 12 mL (B) 16 mL (C) 20 mL (D) 24 mL - CORRECT ANSWER ✅(B) 16 mL
- A patient's chart indicates that her veins are thin, fragile, and frequently collapse. A total of 5 mL of blood needs to be drawn for various tests. Which of the following techniques would be best for drawing blood from this patient? (A) Capillary puncture of the third or fourth finger (B) Venipuncture using a 23-gauge butterfly needle and syringe/transfer device (C) Venipuncture using a 21-gauge straight multisample needle (D) Venipuncture using a 23-gauge butterfly needle and a 5 mL evacuated tube - CORRECT ANSWER ✅(B) Venipuncture using a 23-gauge butterfly needle and syringe/transfer device
Questions & Answers 2025
- Which of the following is a significant difference between midstream and routine urine specimens? (A) The area around the urethra is cleaned before collecting a midstream specimen (B) A routine urine specimen is collected first thing in the morning (C) A midstream urine specimen is collected at a patient's home (D) A routine urine specimen is collected in a sterile container - CORRECT ANSWER ✅(A) The area around the urethra is cleaned before collecting a midstream specimen
- Hemoconcentration may be caused by (A) Leaving a tourniquet in place for too long (B) A patient eating a breakfast rich in fatty foods (C) Using too narrow a needle
Questions & Answers 2025
(D) Complete blood count with differential - CORRECT ANSWER ✅(A) Testing urine with a dipstick
- Which of these items may be reused between patients with proper cleaning? (A) A tube holder if there is no blood visible (B) A specimen tube that was inserted but never received blood flow (C) A phlebotomy wedge (D) A retractable lancet - CORRECT ANSWER ✅(C) A phlebotomy wedge
- One effective method to help control healthcare associated infections is (A) Wiping down surfaces in a drawing station between patients using a damp, soapy cloth (B) Performing hand hygiene after every other patient (C) Washing hands for at least 15 seconds (D) Using facility-approved disinfectants to
Questions & Answers 2025
clean reusable items like point-of-care testing devices - CORRECT ANSWER ✅(D) Using facility- approved disinfectants to clean reusable items like point-of-care testing devices
- Just as a needle is removed from a patient's arm, the patient has a coughing fit and the phlebotomy technician is accidentally stuck with the needle. What should the phlebotomy technician do after placing the needle in the sharps container? (A) Call her supervisor (B) Ask the patient if he has any known bloodborne illnesses (C) Complete an incident report (D) Wash the injury with soap under running water for 15 minutes - CORRECT ANSWER ✅(D) Wash the injury with soap under running water for 15 minutes
Questions & Answers 2025
the centrifuge. How should the phlebotomy technician operating the centrifuge respond? (A) He should reach around carefully and unplug the centrifuge, then activate the fire alarm. (B) He should leave the area and immediately activate the fire alarm. (C) He should attempt to smother the flames with his lab coat, then activate the fire alarm. (D) He should douse the centrifuge with water, then activate the fire alarm. - CORRECT ANSWER ✅(B) He should leave the area and immediately activate the fire alarm.
- Which of the following is the best response to a patient who is afraid of needles? (A) "The sooner we do this, the sooner you can leave." (B) "My last patient was ten years old and he said it didn't even hurt."
Questions & Answers 2025
(C) "You might find it easiest to look away while I get the equipment ready. I'll tell you before I actually perform the procedure." (D) "Just close your eyes. It's probably easier if you just don't know when it's coming." - CORRECT ANSWER ✅(C) "You might find it easiest to look away while I get the equipment ready. I'll tell you before I actually perform the procedure."
- The anticoagulant action of this tube additive can be reversed with the addition of calcium: (A) Sodium citrate (B) Sodium fluoride (C) EDTA (D) Sodium heparin - CORRECT ANSWER ✅(A) Sodium citrate
- Which of the following situations always requires written permission from a physician? (Choose two.)
Questions & Answers 2025
(D) Iron-deficient, cardiac units - CORRECT ANSWER ✅(A) Pediatric, intensive care
- If a patient's veins seem difficult to access, one appropriate adaptation is to (A) Slightly bend the venipuncture needle to allow a low angle of insertion while still maintaining control of the needle (B) Ask the patient to dangle his arms for 3 minutes with the tourniquet in place (C) Ask the patient to dangle his arms for 3 minutes without the tourniquet in place (D) Attempt a "blind stick" - CORRECT ANSWER ✅(C) Ask the patient to dangle his arms for 3 minutes without the tourniquet in place
- Which set of regulations deals with how laboratories are staffed and what tests they can perform? (A) HITECH (B) HIPAA
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(C) CLSI
(D) CLIA - CORRECT ANSWER ✅(D) CLIA
- When a patient's veins are difficult to access, how many attempts at venipuncture should a phlebotomy technician make before seeking help from other qualified personnel? (A) Four (B) Three (C) Two (D) One - CORRECT ANSWER ✅(C) Two
- Accidental artery puncture should be avoided for the following reason: (A) It can be more difficult to get an adequate amount of blood for testing (B) It can be more difficult to stop arterial bleeding (C) Diagnostic tests cannot be run on arterial blood (D) Arteries are more likely to collapse than
Questions & Answers 2025
after needle removal - CORRECT ANSWER ✅(A) Opening and closing the hand during collection
- When should gloves be removed and replaced? (A) Only if they become visibly soiled (B) Always between patients (C) Only if they are punctured or torn (D) After every three patients - CORRECT ANSWER ✅(B) Always between patients
- The bloodborne illness that has most commonly affected healthcare workers is (A) HIV (B) AIDS (C) Hepatitis B (D) Hepatitis C - CORRECT ANSWER ✅(C) Hepatitis B
- Coagulation studies are ordered for a patient whose veins require use of a butterfly assembly.
Questions & Answers 2025
Which of the following is true? (A) A discard tube should be started first, then a light blue tube filled completely (B) A discard tube should be started first, then a light green tube filled completely (C) A light blue tube should be filled at least halfway (D) A lavender tube should be filled completely - CORRECT ANSWER ✅(A) A discard tube should be started first, then a light blue tube filled completely
- If a phlebotomy technician is not able to read a note made on a manual requisition form, she should (A) Perform the draw as long as she can read which tests are ordered (B) Ask the patient if she knows what the doctor wrote at the top of her requisition (C) Contact the ordering provider for clarification
Questions & Answers 2025
- Hemolysis of a capillary specimen is most likely to have resulted from (A) Warming the collection site for too long (B) "Milking" the finger during collection (C) Using incorrect order of draw (D) Creating too deep a puncture with the lancet - CORRECT ANSWER ✅(B) "Milking" the finger during collection
- A patient indicates that phlebotomy technicians have always had the best luck drawing blood from his right arm, but no suitable site can be found in the right arm after visual inspection and palpation. What should the phlebotomy technician do next? (A) Draw from the patient's hand (B) Check the left arm (C) Attempt to draw from the right arm (D) Perform capillary puncture - CORRECT ANSWER ✅(B) Check the left arm
Questions & Answers 2025
- Which of the following are effects of warming a capillary puncture site? (Choose two.) (A) Decreased pain for the patient (B) Improved blood flow (C) Arterialization of the blood (D) Decreased blood oxygen at the site (E) Increased platelet activation at the site - CORRECT ANSWER ✅(B) Improved blood flow (C) Arterialization of the blood
- Gray-topped tubes typically have two additives. What are the actions of these two additives? (A) Anticoagulant and clot activation (B) Antihemolytic and antiglycolytic (C) Anticoagulant and antiglycolytic (D) Antiglycolytic and antithrombolytic - CORRECT ANSWER ✅(C) Anticoagulant and antiglycolytic
- When a patient is in an isolation room, where should the phlebotomy technician doff any
