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Phlebotomy Practice National Exam Questions and Answers 2023, Exams of Nursing, Exams of Nursing

Chapman UniversityNursing

Phlebotomy Practice National Exam Questions and Answers 2023, Exams of Nursing

Typology: Exams

2024/2025

Available from 06/02/2025

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Phlebotomy Practice National Exam
Questions and Answers 2023, Exams of
Nursing
Workplace safety in a lab is governed by which agency?
- Center for Disease Control (CDC).
- National Institutes of Health (NIH).
- Federal Emergency Management Administration (FEMA).
- Occupational Safety and Health Administration (OSHA).
<<<answer>>>
Occupational Safety and Health Administration (OSHA).
What is the proper sequence for putting on PPE?
- Gloves, Gown, Mask.
- Mask, Gloves, Gown.
- Gown, Mask, Gloves.
- Mask, Gown, Gloves.
<<<answer>>>
Gown, Mask, Gloves.
When should a sharps container be disposed of?
- After it is half full.
- When it is 3/4 full.
- When it is completely full.
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Phlebotomy Practice National Exam

Questions and Answers 2023, Exams of

Nursing

Workplace safety in a lab is governed by which agency?

  • Center for Disease Control (CDC).
  • National Institutes of Health (NIH).
  • Federal Emergency Management Administration (FEMA).
  • Occupational Safety and Health Administration (OSHA).

<<>> Occupational Safety and Health Administration (OSHA).

What is the proper sequence for putting on PPE?

  • Gloves, Gown, Mask.
  • Mask, Gloves, Gown.
  • Gown, Mask, Gloves.
  • Mask, Gown, Gloves. <<>> Gown, Mask, Gloves. When should a sharps container be disposed of?
  • After it is half full.
  • When it is 3/4 full.
  • When it is completely full.
  • Never. They are reusable. <<>> When it is 3/4 full. Which of the following draws can be collected after a draw the a gray tube (sodium fluoride/potassium oxalate with antiglycolytic inhibitor)?
  • Blood culture (yellow with SPS).
  • Sodium citrate tubes (light blue).
  • Heparin tubes with or without gel (light or dark green).
  • None of the above. <<>> None of the above. The additive 3.2% sodium citrate results in what?
  • The prevention of clotting by binding calcium.
  • Activation of clotting with glass or silica particles.
  • Prevention of clotting by inhibiting thrombin and thromboplastin.
  • Prevention of clotting by inhibiting glycolysis. <<>> The prevention of clotting by binding calcium. Venipuncture should not be performed on which of the following sites?
  • Sites with scar tissue.
  • Sites with hematomas present.
  • Sites with vascular grafts.
  • All of the above. <<>> All of the above. The use of povidone iodine for site preparation can result in a false increase in what level?

Which of the following is a characteristic of capillaries?

  • They are permeable for every substance.
  • They are found in every square inch of the human body.
  • Their walls are rugged.
  • Capillaries are only a small part of the vascular system. <<>> They are found in every square inch of the human body. What action can prevent bruises from forming due to a blood draw?
  • Applying firm pressure immediately after and keeping a bandage on for several hours.
  • Taking ibuprofen.
  • Applying heat.
  • All of the above. <<>> Applying firm pressure immediately after and keeping a bandage on for several hours. Which test order should be given the most priority?
  • STAT.
  • Urgent.
  • Timed.
  • Routine. <<>> STAT. Which of the following is not a primary method of venipuncture?
  • Vacuum Tube.
  • Lancet.
  • Syringe
  • Butterfly. <<>> Lancet. Why is blood drawn in a specific order?
  • To reduce pain and patient discomfort.
  • To avoid cross-contamination of additives.
  • To facilitate transportation of the specimens.
  • All of the above. <<>> To avoid cross-contamination of additives. When a sample is rejected for QNS, what is the appropriate response?
  • Collect another sample while protecting from light.
  • Collect another sample with sufficient quantity.
  • Analyze the label for missing information.
  • Redraw the blood in the proper order. <<>> Collect another sample with sufficient quantity. Which of the following examples is not a HIPAA violation?
  • Accessing the health record of family members or friends.
  • Providing court-ordered health information.
  • Accidentally losing an unencrypted laptop.
  • Providing a patient with a copy of requested health records within 60 days.

<<>> Providing court-ordered health information.

What types of safety hazard might you encounter while working as a phlebotomist?

  • Biological.
  • Electrical.
  • Radioactive.
  • All of the above. <<>> All of the above. Which of the following can result in legal or criminal actions against the phlebotomist?
  • Breach of confidentiality.
  • Holding a patient down to obtain a sample.
  • Median nerve damage related to a negligent draw.
  • All of the above. <<>> All of the above. When a patient's vein is small, thin or fragile, what would be the most appropriate equipment selection?
  • Evacuated tube system.
  • Syringe.
  • Straight, multi sample needle.
  • Additional bandages. <<>> Syringe. Which of the following needle gauge sizes has the largest bore (opening)?
  • 18 G
  • 21 G

- 22 G

  • 25 G <<>> 18 G How long should a tube be pre-warmed in an incubator prior to collecting a warmed specimen, such as Cold Agglutinins?
  • 5 minutes.
  • 10 minutes.
  • 30 minutes.
  • 60 minutes. <<>> 30 minutes Which cleansing agent is typically not used on venipuncture for the collection of blood cultures or blood alcohol specimens?
  • Chlorhexidine gluconate.
  • Povidone-iodine.
  • Isopropyl alcohol.
  • All of the above. <<>> Isopropyl alcohol. What is an acceptable method of patient identification?
  • Viewing a patient respond when you call their name.
  • Having a member of their family tell you their name.
  • Requesting that the patient provide their name and date of birth.
  • All of the above. <<>> Requesting that the patient provide their name and date of birth.
  • Spreading the finger across the entire slide.
  • Placing the finger to the slide immediately after puncture.
  • All of the above. <<>> Cleaning a slide with isopropyl alcohol and letting it dry. What is the smallest gauge needle used for venipuncture?
  • 18
  • 20
  • 22
  • 23 <<>> 23 Which test is not impacted by fasting?
  • Glucose.
  • Blood culture.
  • Cholesterol.
  • Triglycerides. <<>> Blood culture Which of the following is not a standard vacuum tube size?
  • 2 ml.
  • 3 ml.
  • 10 ml.
  • 20 ml. <<>> 20 ml.

What is the most common cause of blood culture contamination?

  • Improper draw order.
  • Contaminated needles.
  • Expired tubes.
  • Improper skin preparation. <<>> Improper skin preparation When checking inventory, which of the following elements needs to be verified for use?
  • The expiration date has not lapsed.
  • There is no visible damage to the equipment.
  • There is no heat and moisture damage.
  • All of the above. <<>> All of the above Which of the following may occur if additives are not mixed adequately?
  • Clotting of the sample.
  • Erroneous test results.
  • A repeat draw will be necessary.
  • All of the above. <<>> All of the above What action should not be taken when first meeting a patient?
  • Introduce yourself.
  • Request that the patient verify their identification.
  • Inquire the reason they need their blood drawn.
  • One.
  • Two.
  • Three.
  • You are allowed as many as you need. <<>> Two. For elderly patients, in what circumstances would a capillary puncture be performed rather than venipuncture?
  • The patient is immobile.
  • The patient's skin is thin.
  • The patient has a tendency to form clots.
  • The patient has deteriorated muscle tone. <<>> The patient has a tendency to form clots Which tube color has no additive?
  • Light blue.
  • Red.
  • Gold.
  • Green. <<>> Red. What test requires that it be chilled in ice right after collection?
  • Arterial Gases.
  • Ammonia.
  • Lactic Acid.
  • All of the above. <<>> All of the above

If one is used, when should the tourniquet be removed?

  • Prior to puncture.
  • Prior to withdrawal.
  • After it's been in place for 30 seconds.
  • After withdrawal. <<>> Prior to withdrawal What may occur if a tourniquet is left on too long?
  • Numbness.
  • Skin Tears.
  • Extremity color and temperature change.
  • All of the above. <<>> All of the above If you cannot palpate a vein on the patient's dominant arm, what should be done?
  • Check the other arm.
  • Collect a capillary sample.
  • Have another phlebotomist check.
  • Use your instinct to guess where it is located. <<>> Check the other arm What is the maximum depth a heel stick should penetrate?
  • 2.0 mm.
  • 0.5 mm.
  • You can select a smaller gauge needle.
  • You can anchor the vein.
  • You can use a lancet. <<>> You can anchor the vein Which of the following tubes would be filled first?
  • Blue.
  • Red.
  • Lavender.
  • Yellow. <<>> Blue If an intoxicated person refuses a blood sample to determine the presence of alcohol or drugs at the request of a police officer, what is the best course of action?
  • Obtain the police officer's permission to get the sample.
  • Nothing. The patient has the right to refuse the test.
  • Request that the officer get a warrant.
  • Discuss the importance of the test and try to get them to change their mind.

<<>> Request that the officer get a warrant.

What is the optimal angle in which a needle should be inserted in order to minimize the likelihood that the needle will go all the way through the vein?

  • Less than 5 degrees.
  • 15 - 30 degrees.
  • 45 - 60 degrees.
  • 90 degrees. <<>> 15 - 30 degrees When performing quality control checks, tubes should be discarded under which circumstances?
  • Their expiration date is approaching.
  • The stopper has small cracks.
  • The tubes have no loss of vacuum.
  • There is no visible sign of defect. <<>> The stopper has small cracks When should tubes be labeled?
  • Before greeting the patient.
  • Before drawing the specimen.
  • After the draw, but before exiting the patient's room.
  • After leaving the patient's room. <<>> After the draw, but before exiting the patient's room. If a patient refuses to have their blood drawn, what is the best course of action?
  • Leave the room and have another phlebotomist attempt to draw from them.
  • Firmly request that they sit and ensure that you collect the sample.
  • Let them wait for a while and see if they change their mind.
  • Notify a supervisor and document the patient's refusal. <<>> Notify a supervisor and document the patient's refusal How long should you observe the site prior to bandaging?

If a patient indicates an allergy to latex, what is the proper action?

  • Wearing no gloves.
  • Minimizing contact with latex gloves.
  • Wearing nitrile gloves.
  • All of the above. <<>> Wearing nitrile gloves What is the proper material used to stop bleeding after collection?
  • Alcohol prep pad.
  • Tissue.
  • Gauze.
  • Any of the above. <<>> Gauze When preparing to draw a gentamycin peak and trough, what element should the phlebotomist pay particular attention to?
  • Fasting status.
  • Prior physical activity.
  • Patient status as a smoker.
  • The timing instructions. <<>> The timing instructions Palpation describes what process?
  • Searching for a vein using pressure and release.
  • Disinfecting a selected site.
  • Identifying the patient using defined standards.
  • Disposing of equipment used in a collection. <<>> Searching for a vein using pressure and release What field is unnecessary on an infant's blood sample label?
  • Infant's first name.
  • Mother's name.
  • Phlebotomist identification.
  • Infant Gender. <<>> Infant's first name Which test requires the collection of both blood and urine at specific intervals?
  • Blood urea nitrogen (BUN).
  • Arterial blood gas (ABG).
  • Glucose tolerance testing.
  • Liver function tests. <<>> Glucose tolerance testing What is the best spot for completing a finger stick?
  • The center of the 2nd finger.
  • The side of the 5th finger.
  • The center of the thumb.
  • The side of the 3rd finger. <<>> The side of the 3rd finger Which test requires the sample to be protected from light?