NursGuru
    Login/Signup
    Review ModeExam ModePractice Mode

    Exam Review

    1. A phlebotomist should verify that a patient has fasted for how long prior to obtaining a fasting specimen?
      A)
      8 to 12 hours
      B)
      1 to 2 hours
      C)
      4 to 6 hours
      D)
      24 hours
    2. How can a phlebotomist distinguish whether a collection tube contains serum or plasma?
      A)
      SST in the collection tube indicates plasma.
      B)
      Sodium fluoride in the collection tube indicates serum.
      C)
      Sodium citrate in the collection tube indicates serum.
      D)
      EDTA in the collection tube indicates plasma.
      E)
      None
    3. An adult patient gives implied consent to a phlebotomist when which of the following occurs?
      A)
      When the patient signs a release for their laboratory results.
      B)
      When the patient signs a document of agreement for a research study.
      C)
      When the patient offers their arm out to the phlebotomist.
      D)
      When the patient's family member nods for the phlebotomist to proceed.
    4. An adult patient gives implied consent to a phlebotomist when which of the following occurs?
      A)
      When the patient signs a release for their laboratory results.
      B)
      When the patient signs a document of agreement for a research study.
      C)
      When the patient offers their arm out to the phlebotomist.
      D)
      When the patient's family member nods for the phlebotomist to proceed.
    Page 1 of 29

    Exam Review

    1. Which of the following is the minimum required number of unique patient identifiers a phlebotomist should use prior to a blood draw?
      A)
      One
      B)
      Two
      C)
      Three
      D)
      Four
    2. After greeting the patient, a phlebotomy technician is preparing to perform a blood draw on a patient in an inpatient facility. Which of the following actions should the technician take next?
      A)
      Tell the patient that they will be drawing blood.
      B)
      Ask if the patient has a latex allergy.
      C)
      State their name to the patient.
      D)
      Ask the patient which arm they prefer for the blood draw.
    3. A patient who is on droplet precautions requires daily blood glucose monitoring. Besides gloves, which piece of personal protective equipment must the phlebotomist wear when drawing the sample?
      A)
      Shoe covers
      B)
      Mask
      C)
      Gown
      D)
      Goggles
    4. When using a butterfly needle for venipuncture on dorsal hand veins, which of the following actions should the phlebotomist take?
      A)
      Position the needle at a 45° angle to the skin.
      B)
      Hold the needle by the wings of the butterfly.
      C)
      Instruct the patient to hold the collection tubes.
      D)
      Apply the tourniquet at the antecubital area.
    Page 2 of 29

    Exam Review

    1. When drawing blood on a preschooler, the phlebotomist should:
      A)
      Explain the procedure to the parent and child.
      B)
      Not tell the child when the needle insertion is coming.
      C)
      Obtain a heel stick.
      D)
      Obtain a thumb stick.
    2. Which of the following forms commonly accompanies a toxicology drug screen for legal purposes?
      A)
      Chain of custody
      B)
      Requisition
      C)
      Encounter
      D)
      CMS 1500
    3. Failure to demonstrate proper care that results in an injury to another person is an example of:
      A)
      Assault.
      B)
      Battery.
      C)
      Negligence.
      D)
      Fraud.
    4. A phlebotomist is preparing to collect a blood specimen from a patient who has self-reported needle phobia. Which of the following actions should the phlebotomist take?
      A)
      Encourage the patient to chew gum during the procedure.
      B)
      Instruct the patient to lie supine during the procedure.
      C)
      Place the patient's elbow joint at 90 degrees of flexion.
      D)
      Warm the site for 10 minutes before venipuncture.
    Page 3 of 29

    Exam Review

    1. A dialysis patient in the ICU has a shunt placement in the right forearm and an IV placed in the left hand. Which of the following options best describes the optimal site for the collection of a CBC?
      A)
      The right antecubital fossa
      B)
      The right hand
      C)
      The left antecubital fossa
      D)
      Capillary collection from the left hand
    2. According to the Joint Commission, which of the following should a phlebotomist use as a unique identifier when establishing correct inpatient identification?
      A)
      Patient's room number
      B)
      Patient's bed label
      C)
      Patient's inpatient chart
      D)
      Patient's verbal confirmation
    3. Which of the following items should a phlebotomist recognize as part of the aseptic technique protocol?
      A)
      Standard precautions
      B)
      Safety devices
      C)
      Quality control logs
      D)
      Disaster emergency plan
    4. A phlebotomist is preparing to collect a capillary blood specimen from a patient using the aseptic technique. Which of the following cleansing agents should the phlebotomist use?
      A)
      Povidone-iodine
      B)
      Hand sanitizer
      C)
      70% isopropyl alcohol
      D)
      10% chlorine bleach solution
    Page 4 of 29

    Exam Review

    1. During a venipuncture, the needle is in the vein and blood flow is established. When the second tube is attached, blood flow stops. Which of the following actions should the phlebotomist take?
      A)
      Withdraw the needle completely.
      B)
      Rotate the bevel of the needle.
      C)
      Increase tourniquet pressure.
      D)
      Activate a new evacuated tube.
    2. Which of the following locations should a phlebotomist use to anchor a vein during a venipuncture using the evacuated tube method?
      A)
      1 to 2 inches below the puncture site
      B)
      1 to 2 inches above the puncture site
      C)
      2 inches left of the puncture site
      D)
      1 inch right of the puncture site
    3. A phlebotomist receives an accidental needlestick, which of the following actions should be taken first?
      A)
      Report the needlestick to the supervisor.
      B)
      Complete the blood draw.
      C)
      Wash the area with soap and water.
      D)
      Seek immediate treatment.
    4. Hemoconcentration of a venous blood sample is most often caused when:
      A)
      The site is prepped with povidone iodine.
      B)
      The tourniquet is in place for more than 2 minutes.
      C)
      The specimen is not refrigerated within 30 minutes.
      D)
      The needle is removed before the tourniquet.
    Page 5 of 29

    Exam Review

    1. When a phlebotomy technician is introducing themselves after entering a patient's room, which of the following tones of voice should the technician use?
      A)
      Quiet and professional
      B)
      Loud and authoritative
      C)
      Assertive and humorous
      D)
      Commanding and confident
    2. According to the CLSI standard, a phlebotomist must attempt to locate which of the following veins on both arms before considering other veins?
      A)
      Median cubital vein
      B)
      Basilic vein
      C)
      Cephalic vein
      D)
      Veins on the underside of the wrist
    3. Which of the following needle gauge ranges should a phlebotomist select when performing a venipuncture for blood donation?
      A)
      16- to 18-gauge
      B)
      19- to 21-gauge
      C)
      22- to 24-gauge
      D)
      25- to 28-gauge
    4. Which of the following means of receiving an order for specimen collection is considered to be the most accurate method?
      A)
      Multipart requisition
      B)
      Manual requisition
      C)
      Automated requisition
      D)
      Verbal requisition
    Page 6 of 29