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Practice Certification Exam
HARTMAN 2025 With 100% Correct
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A patient reports that during a previous blood draw he felt lightheaded and almost passed out. What should - correct answers ✔✔Perform the draw with the patient reclined or in a supine position A phlebotomy technician at a primary care clinic is performing venipuncture on a patient with suspected influenza. The patient is wearing a mask. What PPE should the technician wear? - correct answers ✔✔Gloves and a mask A requisition calls for the following tests: CBC, CMP, and PTT. Which of the following reflects the proper order of draw? - correct answers ✔✔Citrate, SST, EDTA Blood exits the heart through the body's largest artery, the ________________. - correct answers ✔✔Aorta What part of the evacuated tube system allows multiple collection tubes to be filled with one
puncture? - correct answers ✔✔The interior needle/tube holder When drawing a specimen for an ammonia test, what should a phlebotomy technician have ready for specimen transportation? - correct answers ✔✔An ice slurry A phlebotomy technician asks a patient to state and spell his name. He says, "Chris Morgan, C-H-R-I-S M-O-R-G-A-N." The name listed on the requisition is "Criss Morgan." What should the phlebotomy technician do? - correct answers ✔✔Call the ordering provider to resolve the issue and get a new requisition with the correct spelling if the spelling was an error When a blood culture is ordered along with other tests, which tube is filled first? - correct answers ✔✔Yellow SPS Which of these patient reactions should be documented, but is not a cause for discontinuing a draw or likely to affect analytes? - correct answers ✔✔Petechiae A phlebotomy technician is performing a venipuncture collection on a young adult and needs to draw a citrate tube, a serum separator
When performing a draw on an inpatient with a recent mastectomy, the phlebotomy technician finds that an IV is running in the arm on the non-mastectomy side. Which site should the phlebotomy technician use? - correct answers ✔✔A site distal to the IV on the non- mastectomy side An infant's blood volume may be approximated by multiplying the child's ___________________ by ________. - correct answers ✔✔Weight in kilograms, 80 Two sets of blood culture bottles are to be filled for a patient. Which of the following is true? - correct answers ✔✔The sets must be filled from two different venipuncture sites. After assembling the ETS and double-checking that he has the correct tubes gathered for a venipuncture draw, a phlebotomy technician realizes that he forgot to remove the tourniquet after site selection. He knows that it has been in place for more than one minute. If he continues with the draw, what is one possible consequence? - correct answers ✔✔The specimens collected will not produce
accurate test results. Which of the following information on a requisition form is essential for a phlebotomy technician to match exactly with information provided by the patient? - correct answers ✔✔Complete date of birth Disposable tourniquets are intended to be used - correct answers ✔✔On one patient only How should a phlebotomy technician respond if, after a site is selected and cleaned and equipment prepared, the patient pushes down his sleeve and clutches his arm to his chest? - correct answers ✔✔She should ask the patient if he has concerns she can address or if he would like Which of the following is a HIPAA violation? - correct answers ✔✔Failing to log out of a patient record on a visible screen before calling the next patient in A patient with a DNR order in place becomes unresponsive during the course of a blood draw. The phlebotomy technician should - correct answers ✔✔Discontinue the blood draw and immediately call for help
tube does not fill, perform a second venipuncture at a new site Using liquid controls to test point-of-care devices is effective because - correct answers ✔✔It tests the device using analytes of known composition A lancet designed for heel stick on a full-term infant usually punctures at a depth of - correct answers ✔✔1.0 mm If a facility's policy is to collect tan-topped tubes along with tubes with the same additive, they should be collected in the same order as - correct answers ✔✔Lavender-topped tubes In which of the following situations should a phlebotomy technician consult a Safety Data Sheet? - correct answers ✔✔She splashes a disinfecting solution on her skin
. A patient has orders for a fasting blood glucose test. What should the phlebotomy technician do before inspecting the patient's arms for an acceptable venipuncture site? - correct answers ✔✔Ask the patient when she last had anything to eat or drink other than water The veins in both arms of a patient who is
obese are difficult for a phlebotomy technician to palpate and the patient is complaining of pain from the standard disposable tourniquet applied to her arm. Which steps might help the phlebotomy technician locate a vein and improve comfort for the patient? - correct answers ✔✔Remove the tourniquet, ask the patient to dangle her arms for several minutes, and then use a blood pressure cuff inflated to just below the patient's diastolic blood Capillary blood will flow more easily when this is done prior to capillary puncture: - correct answers ✔✔The site is warmed for 3-5 minutes When a patient enters a phlebotomist's drawing station, how can the phlebotomist best communicate a positive, professional attitude? - correct answers ✔✔By greeting the patient, introducing himself by name and title, and inviting the patient to be seated
- _________________________ is an illness spread by droplets. - correct answers ✔✔Influenza Microclotting of an anticoagulated specimen may occur if the phlebotomy technician does
blood collection? (Choose two.) - correct answers ✔✔(B) The ring finger C) The middle finger Hemolysis can occur when the phlebotomist - correct answers ✔✔(A) Draws a syringe plunger back forcefully Which of the following is true of patient fasting? - correct answers ✔✔(C) If it extends beyond 14 hours it may produce inaccurate test results. When an order is marked STAT it should be collected - correct answers ✔✔(C) Within 10 minutes
. A patient is being tested for various vitamin levels. Which of the following is true? - correct answers ✔✔(A) The tubes should be protected from light. If a tourniquet has been left on the arm for more than one minute, how long should it remain off the arm before it is reapplied? - correct answers ✔✔(B) Two minutes This venipuncture site poses the lowest risk for nerve or artery involvement, and is generally well anchored: - correct answers ✔✔(C) The median cubital vein Blood for newborn metabolic screening is
collected - correct answers ✔✔(B) On filter paper printed with circles for each blood drop Electrolytes and complete blood count are ordered for a patient who must have blood collected by capillary puncture. The correct tubes to use, in the correct order, would be - correct answers ✔✔(A) EDTA, serum
. Which of the following techniques is an acceptable way to make a patient's veins appear more prominently? - correct answers ✔✔(D) Placing a warm pack over the antecubital area for 3-5 minutes A blade-style lancet should be held at a _______ angle to a patient's fingerprint whorls when performing capillary collection. - correct answers ✔✔(B) 90° Death is a possible consequence of - correct answers ✔✔(D) Misidentifying a patient After completing a blood draw the phlebotomy technician should always - correct answers ✔✔(A) Thank the patient If a patient has orders for therapeutic drug monitoring and must have blood drawn at trough medication levels, when should her
patient's identifying information What step immediately follows removing the needle from a venipuncture site? - correct answers ✔✔(B) Activating the needle's safety mechanism The following tests may be related to assessing kidney health: - correct answers ✔✔(C) Renal panel, 24-hour urine collection A patient who uses a cane or walker is at a higher risk for this type of hazard: - correct answers ✔✔(A) Uneven walkways and tripping hazards Drawing blood from _____________ is usually considered to be beyond the scope of practice for entry-level phlebotomy technicians. - correct answers ✔✔(C) Arteries __________________________________ is an organization that develops standards of practice for laboratories worldwide. - correct answers ✔✔(A) CLSI Which set of adaptations is appropriate when drawing blood from a pediatric patient? - correct answers ✔✔(A) Use of a higher gauge needle, removing any sharp or potentially dangerous objects from within the patient's reach, and never leaving the patient alone at the
drawing station Adhesive bandages are never placed on - correct answers ✔✔(D) Patients under 2 years of age Which of the following equipment has an expiration date that must be checked prior to use? - correct answers ✔✔C) Point-of-care test strips Some swabs are transported in a tube with a(n) _________________ that must be ______________ to release liquid. - correct answers ✔✔(B) Ampule, crushed Most collection tubes should be centrifuged within ______________ of collection. - correct answers ✔✔(C) Two hours Drawing a patient's blood for routine testing after she has expressed that she does not wish to have the procedure performed may be considered - correct answers ✔✔(B) Battery How should a vein be anchored before venipuncture? - correct answers ✔✔(B) By placing the thumb of the nondominant hand 1-2 inches below the venipuncture site and pulling firmly but gently toward the wrist
Which of the following are effects of warming a capillary puncture site? (Choose two.) - correct answers ✔✔(B) Improved blood flow (C) Arterialization of the blood 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? - correct answers ✔✔(B) Check the left arm Hemolysis of a capillary specimen is most likely to have resulted from - correct answers ✔✔(B) "Milking" the finger during collection Which of the following patients is most likely to require use of a syringe and transfer device? - correct answers ✔✔(D) An 80-year old man
