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NHCO PHLEBOTOMY EXAM 2026
ACTUAL QUESTIONS WITH
VERIFIED SOLUTIONS.
Which of the following is the best indication that a patient might be at risk of syncope? a. Involuntary movement b. Lightheadedness and shallow breath c. Small red spots appearing on skin d. Paleness and sweating - ANSWER-d. Paleness and sweating Why is it important for a phlebotomist to invert anticoagulant tubes? a. To prevent a pH imbalance b. To prevent hemolysis c. To ensure proper mixing of blood and additive d. To prevent hemoconcentration - ANSWER-c. To ensure proper mixing of blood and additive
Which of the following protects a patient's information? a. OSHA b. HIPPA c. The Joint Commission d. AAHSA - ANSWER-b. HIPPA Which of the following needle sizes is NOT used for laboratory assays but for collection of donor units of blood? a. 18-gauge b. 23-gague c. 21-gague d. 22-gague - ANSWER-a. 18-gauge How many minutes within collection of a urine sample should the phlebotomist take the temperature of the specimen? a. Within 10 minutes b. Within 45 minutes c. Within 30 seconds
Which of the following pieces of information need to be on a laboratory requisition form before a phlebotomist should proceed with obtaining a blood specimen? a. The patient's status as an organ donor b. A specimen identification code c. A laboratory's CLIA number d. The patient's emergency contact - ANSWER-b. A specimen identification code A patient is listening to a phlebotomist explain the venipuncture process before initiating the blood draw. The patient communicates their understanding but seems hesitant and confused. How should the phlebotomist handle the situation? a. The phlebotomist should surmise that the patient has heard enough information and get ready to draw the patient's blood. b. The phlebotomist should leave the room and ask for another doctor or nurse to explain the procedure. c. The phlebotomist should repeat the same explanation in a slower voice. d. The phlebotomist should find another way to phrase the explanation and invite the patient to ask any clarifying questions. - ANSWER-d. The phlebotomist should find another
way to phrase the explanation and invite the patient to ask any clarifying questions. The additive in a Pink Top Tube used in blood banking is which of the following? a. Sodium polyanethole sulfonate (SPS) b. Sodium heparin c. Potassium ethylenediaminetetraacetic acid (EDTA) d. Acid citrate dextrose (ACD) - ANSWER-c. Potassium ethylenediaminetetraacetic acid (EDTA) If a patient verbally or physically refuses a venipuncture procedure, the phlebotomist should do which of the following? a. The phlebotomist should inform the patient that they will still be reasonable to pay for the procedure. b. The phlebotomist should re-explain the procedure in case the patient did not understand. c. The phlebotomist should inform the patient that they will need to reschedule their appointment. d. The phlebotomist should immediately report the refusal and actions taken to their supervisor. - ANSWER-d. The
When drawing blood from a patient who has a contagious pathogen, like COVID-19, which PPE provides the best protection for a phlebotomist? a. Surgical mask b. Gown c. Double gloves d. Respirator - ANSWER-a. Surgical mask How should vitamin B6 be transported in order to protect its photosensitive nature? a. It should be transported on ice b. It should be transported at room temperature, no additional precaution needed c. It should be transported in an air-tight container, no additional precaution needed d. It should be transported in an amber or brown-colored biohazard bag - ANSWER-d. It should be transported in an amber or brown-colored biohazard bag
Before asking permission to obtain a specimen from a patient, a phlebotomist should: a. The phlebotomist should introduce themselves to the patient and any healthcare team members in the room b. The phlebotomist should ask the patient to extend their arm c. The phlebotomist should locate the sharps container d. The phlebotomist should begin to explain the phlebotomy procedure - ANSWER-a. The phlebotomist should introduce themselves to the patient and any healthcare team members in the room What is an ICD-10 Code? a. ICD-10 codes classify diagnoses and diseases b. ICD-10 codes identify specimens c. ICD-10 codes dictate patient care and privacy d. ICD-10 codes organize the medical record number - ANSWER-a. ICD-10 codes classify diagnoses and diseases If a patient expresses that they often faint when getting their blood drawn, a phlebotomist should do which of the following?
b. Getting a bandage ready for the patient c. Re-anchoring of the skin below the draw site d. Asking the patient to open their fist - ANSWER-b. Getting a bandage ready for the patient A phlebotomist witnesses a nurse receive a major electric shock from an instrument and immediately calls 911. What action should the phlebotomist have taken before calling 911? a. The phlebotomist should have first removed the nurse from the instrument and the scene of the incident b. The phlebotomist should have first notified the supervisor that was on staff of the emergency c. The phlebotomist should have first found another nurse to take over the injured nurse's duties d. The phlebotomist should have first shut off the instrument to cut off the source of the shock - ANSWER-d. The phlebotomist should have first shut off the instrument to cut off the source of the shock The type of microorganism that causes disease is which of the following? a. Normal flora
b. Nonpathogenic c. Pathogenic d. Hereditary - ANSWER-c. Pathogenic Which interfacility conditions would require a phlebotomist to transport specimens in a closed container with ice packs? a. None as this is never necessary and will damage any specimen b. If the specimens are hot to the touch and need to be cooled before testing c. If it is hot weather d. If the transport arrives and is missing a biohazard label - ANSWER-c. If it is hot weather Which color signifies "instability" in the National Fire Protection Association marking system? a. Yellow b. White c. Red d. Orange - ANSWER-a. Yellow
Which of the following steps should a phlebotomist take if blood was drawn from the wrong patient? a. The phlebotomist should re-label the tubes with the correct patient's name and move on b. The phlebotomist should immediately report the incident to the supervisor for corrective action c. The phlebotomist should redraw the specimen immediately and discard the wrong tubes d. The phlebotomist should throw the tubes away and have a nurse do the draw again - ANSWER-b. The phlebotomist should immediately report the incident to the supervisor for corrective action Which of the following is the additive in the Red-Gray Speckled Top Tube, also known as the Gold Top Tube or SST Tube? a. Sodium heparin b. Thixotropic gel for serum separation c. Ethylenediaminetetraacetic acid (EDTA) d. No additive - ANSWER-b. Thixotropic gel for serum separation Where is the best draw site on a 9-month-old infant?
a. Dorsal vein b. Thumb finger on either fand c. Cephalic vein d. Either heel - ANSWER-d. Either heel When removing gloves after a procedure, which action best prevents contact with blood? a. The phlebotomist should discard the first glove before touching the other glove b. The phlebotomist should ask another healthcare team member to assist them in taking off their gloves c. The phlebotomist should pinch the fingers of one glove and tug quickly d. The phlebotomist should remove the first glove so that it turns inside out - ANSWER-d. The phlebotomist should remove the first glove so that it turns inside out Serum is the LIQUID portion of _______________ blood. a. Hemolyzed b. Anticoagulated
c. The patient should be directed to spit into the container after taking a deep breath and coughing d. The patient should be directed to keep the specimen in a room-temperature area, preferably in the dark - ANSWER-c. The patient should be directed to spit into the container after taking a deep breath and coughing Which of the following examples of questions is most appropriate to use when identifying a patient? a. "Are you Ms. Smith?" b. "Is your name Jane Smith?" c. "Would you please state and spell your full name and provide your date of birth?" d. "Would you please provide me with your last name and your billing address?" - ANSWER-c. "Would you please state and spell your full name and provide your date of birth?" Why should a phlebotomist use an amber-colored microcontainer when obtaining a bilirubin level from a newborn? a. This reduces the risk of penetrating bone during the heel stick
b. Bilirubin is photosensitive, and this tube protects the specimen from light exposure c. This tube prevents the risk of cross-contamination d. Bilirubin needs to be in a microcontainer in order to test properly - ANSWER-b. Bilirubin is photosensitive, and this tube protects the specimen from light exposure Hemolyzation occurs when a phlebotomist: a. Uses an incorrect needle gauge b. Transports a specimen incorrectly c. Follows an incorrect order of draw d. Fails to invert the tube - ANSWER-a. Uses an incorrect needle gauge How many minutes should a phlebotomist rinse with water after receiving a chemical spill to exposed skin? a. 10 minutes b. 15 minutes c. 12 minutes d. 7 minutes - ANSWER-b. 15 minutes
b. The phlebotomist should send the results to the patient's ordering provider c. The phlebotomist should send the results to the patient directly through the mail d. The phlebotomist should send the results to the patient's insurance - ANSWER-b. The phlebotomist should send the results to the patient's ordering provider Which of the following actions should a phlebotomist advise a blood donor patient to take to ensure a quality collection? a. To stand upright during collection b. To open and close their hand gently throughout the collection c. To uncross their legs before the procedure d. To label the collection tube with their name and mailing address - ANSWER-b. To open and close their hand gently throughout the collection What is the LIQUID portion of anticoagulated blood? a. Serum b. Plasma c. Hematocrit d. Leukocytes - ANSWER-b. Plasma
After setting up for a blood draw, a phlebotomist notices raised, red welts on a patient's arm. Which of the following describes these welts? a. Edema b. Petechiae c. Psoriasis d. Urticaria - ANSWER-d. Urticaria Which three additives are ALL used to prevent coagulation? a. Sodium fluoride, EDTA, heparin b. EDTA, Sodium citrate, and heparin c. Heparin, sodium chloride, EDTA d. Sodium citrate, sodium fluoride, heparin - ANSWER-b. EDTA, Sodium citrate, and heparin When using an evacuated tube system to obtain a blood specimen, what step should the phlebotomist perform after tying the tourniquet and cleaning the site?
