Advanced Phlebotomy Practice Test

These questions are part of the practice quiz. Start practicing

• Which step helps prevent clotting in additive tubes?
• Which additive in the Canary Yellow Tube is used for blood cultures?
• When performing an arterial blood gas draw, what site and preparatory test ensure collateral flow, and what handling is required for transport and analysis?
• Which organization oversees phlebotomists working directly for doctors' offices?
• For arterial blood gas samples, what is the typical time window to analyze after collection?
• Which test value is expressed in minutes rather than seconds or a ratio?
• Which option best describes disease transmission from person to person?
• Which term is the proper name for the chemical released by damaged blood vessels?
• What describes the amount of blood that fills the collection tube?
• In pediatric capillary collection, what is the recommended site, depth, and technique to minimize tissue fluid contamination and ensure adequate sample?
• After filling an anticoagulant blood collection tube, what should be done to ensure proper mixing?
• Which test measures the intrinsic coagulation pathway?
• What is the maximum recommended duration for a tourniquet during venipuncture?
• Which item involves collection proximal to an IV?
• Which of the following statements about labeling and tracking is most accurate?
• Why is fasting recommended for lipid panels, and what is typical fasting duration?
• What does JCAHO stand for?
• MSDS stands for which of the following?
• What is the recommended antiseptic for venipuncture and what alternatives exist for patients with sensitivities?
• Which smear type is most appropriate for performing differential counts and identifying parasites?
• Liquid removed from whole anti-coagulated blood is called?
• Most analytic errors occur during which phases?
• Careless phlebotomy technique can cause which of the following?
• OSHA training should be provided at what cost?
• What is the recommended bedside labeling procedure to prevent mislabeling, and what information must be included?
• Which of the following is one of the eight principles of the PBR?
• Bleeding Time normal value is expressed in which unit?
• Icterus is best described as which of the following?
• How should a tube with additives be mixed?
• What centrifugation parameters are typical for serum separation?
• The normal INR range is which of the following?
• In arterial blood gas collection, which syringe anticoagulant is used?
• You can choose not to draw for safety reasons in which patients?
• When venous access is difficult and initial attempts fail, which strategies are appropriate?
• What PPE must be worn for standard phlebotomy, and when might additional PPE be required?
• Lipemia is often associated with which preanalytical issue?
• Which tube is used for coagulation testing such as PT, PTT, and PFA?
• Which tube is used for therapeutic drug level testing and contains no additive?
• What needle size is most often used for blood draws?
• Which tube contains ACD and is used for HLA B27 genetic marker testing and DNA matching?
• How does needle gauge selection impact patient comfort and specimen quality during venipuncture?
• SST Tiger Top is used for which types of tests?
• What is the most common nosocomial infection?
• Which topic is commonly reviewed before drawing blood?
• What is the role of a discard tube when drawing from an IV line?
• Why is it important to fill blood collection tubes completely, especially for citrate tubes, and what happens if underfilled or overfilled?
• The purpose of an Exposure Control Plan is to:
• What is the correct consequence of overfilling a citrate tube?
• In the WBC mnemonic Never Let Monkeys Eat Bananas, which cell type is associated with fighting bacteria?
• What does a venipuncture failure refer to, and what steps should be taken after failure?
• Which documentation detail is essential for ensuring traceability?
• What is the angle of insertion for a winged infusion set (butterfly)?
• Which statement best describes the pre-analytic phase?
• How is serum separated from clot and what centrifugation parameters are typical?
• For a coagulation study, what is the required blood-to-additive ratio in a light blue citrate tube?
• Which of the following is a QC activity?
• In the mnemonic explanation, which WBC is described as 'dead or foreign tissue'?
• Where should you not draw blood?
• What happens if a centrifuge is not balanced?
• When a sample needs to be kept cold?
• CLIA stands for which of the following?
• Which organization certifies laboratories for operation?
• Which action prevents mislabeling of specimens?
• What are best practices to avoid contamination when drawing from an IV line?
• Which statement about cold chain requirements for certain tests is correct?
• Which tool is commonly used as part of bleeding control when direct pressure is not sufficient?
• Which statement correctly describes capillary blood gas testing?
• Describe the recommended heel-stick sampling procedure for newborns, including site, depth, and sample handling?
• Hepatitis vaccine must be offered within how many working days of initial assignment?
• What is the correct order of draw for evacuated tubes (including blood culture) in a single venipuncture sequence?
• Which Canary Yellow Tube is used for blood cultures (Bacterial Cultures) and contains SPS?
• When a patient cannot identify themselves, what is the proper labeling and handling protocol?
• What percentage of plasma makes up whole blood?
• Which of the following is a complication of drawing blood involving inflammation of a vein?
• Which item is a common source of error related to tube labeling?
• What causes hemolysis?
• Discontinue draw and apply direct pressure should be used when:
• How does lipemia interfere with laboratory assays, and what pre-collection practices help minimize it?
• Most anticoagulants work by:
• Which action is appropriate when a hematoma starts to form during a draw?
• What steps ensure specimen labeling and tracking across the lab to maintain traceability?
• Which option lists all items that must be on a specimen label?
• Which factor most directly addressed by adjusting the needle angle to improve blood return during venipuncture?
• In a patient who has had a unilateral mastectomy with axillary lymph node dissection, which arm should generally be avoided for venipuncture?
• In which clinical scenario should a phlebotomist avoid using a tourniquet or modify technique?
• In which phase are lab tests run?
• How can a patient’s clenched fist affect test results, and what should you instruct?
• Liquid removed from clotted blood is called?
• A patient faints during phlebotomy. What are the immediate steps to manage and when is it appropriate to continue?
• Retention time for employee records?
• What is the primary consequence of hemolysis?
• Which term best describes the safety concept that uses sources or devices to remove hazards?
• In the case of a citrate tube that is underfilled, what is the consequence?
• Which term best describes lack of physical or mental ability?
• Which phase is associated with performing phlebotomy?
• Common Sources of Error (Patient must be redrawn) Which of the following is a common source of error?
• Which patients are more predisposed to infection?
• Before drawing from an IV line in the same limb as an infusion, what is the recommended practice?
• How should most routine blood samples be transported and stored, and which tests require immediate handling or refrigeration?
• Which statement describes the analytic phase?
• For arterial blood gas samples, which steps ensure accuracy of gas measurements and pH?
• What are signs of specimen hemolysis and what steps minimize hemolysis during collection?
• The needle gauge most commonly used for venipuncture is:
• For ESR testing, what tube type is used and handling considerations?
• Lipemia in a serum sample is typically observed as which of the following?
• Which tube type should be used for glucose testing when glycolysis must be prevented?
• Which statement about capillary blood gas testing is true?
• In therapeutic drug monitoring, why is the timing of the last dose important?
• In laboratory results, which term indicates a sample that is not sufficient for testing?
• Which statement about serum and plasma is correct?
• For a blood culture collection, what antiseptic should be used and how long should it air-dry before drawing?
• What is meant by specimen stability, and how do temperature, light, and time influence it?
• What is hemolysis, what causes it, and what is the protocol when a hemolyzed specimen is observed?
• Which additive is in the Lt Blue Tube used for coagulation testing?
• Which agency governs workplace safety standards?
• Which procedure is CPT2 authorized that CPT1 is not?
• CLSI stands for which organization?
• Which tube must be placed on ice and used for lactic acid testing?
• Which tube contains EDTA and is used for hematology tests such as CBC, Hgb, and Hct?
• What does the term 'Communicable' mean?
• Values are already known in the context of quality control; which item does this refer to?
• Who prepares blood smears?
• Which two identifiers should you verify on a patient prior to phlebotomy and on the specimen label?
• Which testing scenario typically requires cooling during transport?
• Which tube is used for chemistry panels and serology tests and contains a gel barrier but no additive?
• Bleeding Time normal value is described as which of the following?
• Which of the following is NOT required on a specimen label?
• Which tube contains heparin and is used for STAT chemistry and ammonia testing?
• Which WBC type is linked to allergic reactions and parasitic infections?
• Which agency certifies phlebotomists in hospitals and clinical laboratories?
• What is the angle of insertion for standard syringes and needles?
• Which of the following lists contains the anticoagulants listed for routine blood collection tubes?
• What is hemolysis?
• Which principle addresses selecting providers and plans under the PBR eight principles?
• Which is an example of an improper mixture of blood with a vacutainer additive?
• How many hours of basic training are required for CPT1 certification?
• How many provisions are contained in the Patients Bill of Rights?
• Time used in hospitals and labs?
• What is the purpose of the Allen test in arterial blood gas collection?
• Which action can generate aerosols during specimen handling?
• If a needlestick occurs, what are the immediate steps?
• Which term refers to ensuring all services meet acceptable standards?
• The termination of bleeding is best described as what?
• In the mnemonic 'Never Let Monkeys Eat Bananas,' which cell type corresponds to the third term?
• What is the proper name for the chemical released by damaged blood vessels?
• What is most important for stopping the spread of disease?
• Which Canary Yellow Tube contains ACD and is used for genetic marker testing?
• What is the purpose of quality control in phlebotomy?
• Which tube types are typically used for routine chemistry, lipid panels, and coagulation studies, and what are their common additives?
• Which term is used to refer to the overall process ensuring standards?
• Partial Thromboplastin Time (PTT) normal value is?
• Shipping to off-site reference lab—what labeling and custody standards apply?
• Before venipuncture, what instruction helps ensure accurate results when a patient would otherwise squeeze their fist?
• Serum does not contain which substance?
• What practice helps prevent hemolysis during collection?
• What is the purpose of the Allen test and when should it be performed?
• PPE stands for?
• Which is the liquid portion obtained from anti-coagulated whole blood?
• Which term describes procedures that isolate or remove the bloodborne pathogen hazard from the workplace, such as sharps disposal containers?
• In IV-line blood draws, what is the purpose of using a discard tube and what volume is typically discarded?
• Where are infants commonly drawn from?
• PBR stands for which of the following?
• Which WBC type helps break up blood clots?
• Who should be notified if inpatient refuses blood draw?
• What practice can contribute to specimen hemolysis during collection?
• Thick blood smears are used for:
• What is the last step after an exposure incident?
• A specimen arrives clotted in a tube intended for plasma testing. What preanalytical error occurred, and what should you do next?
• These reduce blood flow are called what?
• Which tube is used for ETOH, glucose testing (if used alone), and lactic acid on ice, with no tourniquet?
• Which of the following is the recommended action if drawing blood cultures from an IV line is unavoidable?
• What is the purpose of the Allen test in arterial blood sampling?
• OPIM stands for which?
• Which of the following is NOT one of the four elements of bleeding control?
• Which is the second element of bleeding control?
• Thrombophlebitis is best described as
• What is the primary function of red blood cells?
• First tube drawn if you only need a coagulation test?
• What is the flush time after exposure incidents?
• Which tests require cold chain transport, and what are typical temperature requirements?
• Which statement correctly identifies the pre-analytic phase?
• HIPAA protects which of the following?
• Which item relates to failure to document specifics for the patient?
• During which phase is phlebotomy performed?
• CPT2 can perform which types of draws?
• Which is the liquid portion obtained from clotted blood?
• INR stands for what?
• Results are sent to the doctor in which phase?
• The process used to destroy all microbial life including endospores is called:
• What is the proper practice to avoid needlestick injuries when using a safety-engineered needle?
• PT and PTT values are typically measured in which unit?
• Prothrombin Time (PT) normal value is in which range?
• CDPH approved phlebotomists are?
• Which of the following is the first element of bleeding control?
• What percentage do plasma and formed elements together account for in whole blood?
• For blood cultures in adults, what is the recommended blood volume per culture set and how many bottles are typically collected?
• Which statement about air bubbles in arterial blood gas samples is true?
• What information must be documented on the requisition and label to ensure traceability?
• Where may infants be drawn from?
• Which term denotes a disease that can be transmitted from one person to another?
• Which of the following is documented on lab slips accompanying blood samples?
• CLSI is also known as NCCLS.
• Which test assesses the extrinsic coagulation pathway?
• Integrity is defined as which of the following?
• Which WBC is primarily involved in fighting viruses?
• What do anticoagulants prevent?
• Strategies for difficult venous access in adults?
• In the mnemonic for white blood cells, which cell type corresponds to the first letter N?
• Which cleansing agent is indicated for skin preparation in this material?
• Thin blood smears are used for:
• What percentage of blood is formed elements?
• Which action most reduces the risk of mislabeled specimens?
• Which number corresponds to the required number of successful venipunctures for CPT1 certification?
• Phlebotomy is performed during which phase?
• The Patients Bill of Rights was enacted in which year?
• Which of the following is a listed coagulation-related test in the Common Tests?
• Which value is expressed as a ratio rather than seconds or minutes?
• Which option lists the correct technique for mixing a tube with additives?
• Pediatric blood culture volumes vary by weight. What is a typical per-bottle volume?
• Tests used for disseminated intravascular coagulation (DIC) include:
• Which tube prevents glycolysis and is used for accurate glucose testing?
• During venipuncture, you notice a developing hematoma. What steps should you take and what should you avoid?
• What issues can arise from using a partially evacuated tube or malfunctioning vacuum, and how should you respond?