WorksheetsPhlebotomy Mock Test - Tabetha Durbin
Total questions: 100
Worksheet time: 50mins
A phlebotomy technician is collecting blood from s patient for donation. The collection bag only fills halfway, and the vein collapses. Which of the following actions should the technician take?
combine two separate bags to make a whole
Continue filling the bag using a alternative collection site
Use a new collection bag to draw a new unit
Mark the collection bag as half full
Which of the following procedures should a phlebotomy tech take when using the warming technique?
Heat a clean towel to 45* C or 113* F
Wrap the warm towel around the cite for 1 - 2 minutes
Encase the warm towel in a plastic bag
Ask the patient to rinse her hands in warm water for 2 minutes.
A phlebotomy tech should identify that which of the following is an identifier for a specimen as long as it remains in the laboratory?
ICD-10codes
Accession Number
CRT Code
Medical Record Number
A phlebotomy Tech is planning to collect a spuntum specimen from a patient. Which of the following instructions should the tech give to the patient?
Rinse your mouth with mouthwash before we collect the specimen
Gargle some water before we collect the specimen
Leave your dentures in while we collect the specimen
Breathe deeply and then cough up a specimen into the container
After verifying the identity of a patient, a phlebotomy tech sees that the patients laboratory results are ready. Which of the following actions should the tech take
Have the laboratory manager discuss the results with the patient
Have the nurse interpret the results with the patient
Inform the patient to contact the ordering provider to obtain the results
Explain the results to the patient in a private room.
For which of the following reasons should a phlebotomy tech centrifuge a serum specimen before transport to an outside reference?
Cells must be separated from the serum
Cells with hemocyte
Plateletes must be separated from the serum
White blood cells will be elevated
After placing a tourniquet on a patients arm, a phlebotomy tech notices red spots below the tourniquet. Which of the following terms describes these spots?
Homoconcentration
Edema
urticaria
petechiae
after exiting a patients room, which of the following is the last piece of personal protective equipment a phlebotomy tech should remove?
Gown
Gloves
mask
protective eyesore
A Provider has ordered a urine culture and sensitivity test. Which of the following types of urine collection should a phlebotomy tech obtain?
Random
Timed urine collection
First morning
Clean midstream catch
A phlebotomy tech is using a point of care test system to determine a patients WBC count. For which of the following results should the technician immediately notify the provider?
1.8/mm^3
4.6/mm^3
7.4/mm^3
10.8/mm^3
A phlebotomy tech has a requisition form for a series of tests on a patient serum. The tech should select a collection tube that contains which of the following additives?
Sodium Fluoride
Thrombin
Sodium Citrate
Heparin
A phlebotomy tech is preparing to collect a blood specimen from a patient who signed a general consent form upon admission to the facility. Which of the following actions by the patient indicates implied consent?
Rolling up his shirt sleeves
Asking about the techs experience
Expressing apprehension about the procedure
Saying he needs to make sure his provide wants these tests
A phlebotomy tech is assembling the equipment he will need for collecting donor units of blood. Which of the following needle sizes should the tech select?
23-gage
22-gage
21-gage
18-gage
How frequently should a phlebotomy tech preform a quality control test on a glucometer in the laboratory?
Every month the meter is used
Every week the meter is used
Everyday the meter is used
Every 6 months the meter is used
A phelbotomy tech is preparing to collect a vancomycin peak level for a patient in an inpatient setting. Which of the following actions should the tech take prior to collecting the blood specimen
Ask the patient when he received his last dose of vancomycin
Ask the attending nurse if the patients vancomycin dose schedule is accurate
ask the pharmacist when the nest dose of vancomycin is scheduled for the patient
Ask the provider if the patient has received his dose of vancomycin
A phlebotomy tech is reviewing a laboratory test requisition form before obtaining specimens from a patient. Which of the following actions should the tech take prior to preforming the venipuncture
Ensure the requisition form includes an accession number
Review the patients medication record
Check the providers availability
Check the requisition form for duplicate orders
A phlebotomy tech is verifying a patients identity before performing a venipuncture procedure. Which of the following information should the tech request from the patient?
The patients name and date of birth
The name of the patients provider
The patients room and bed number
The patients city and state of birth
A phlebotomy tech should select a tube that has which of the following additives when collecting a specimen for a CBC?
SST
EDTA
Lithium Heparin
Sodium citrate
A phelbotomy tech should comply with HIPAA to protect which of the following?
Patients consent
patient standards
Patients information
Patients compliance
A phlebotomy tech is applying a tourniquet to collecting a blood specimen from a patient. Which of the following actions should the tech take?
Place the tourniquet 5 cm (2in) above the anticubital space
Tuck a partial loop under the tourniquet
Allow space for two fingers beneath the tourniquet
Release the tourniquet after the blood tube is full
When collecting a routine blood sample, which of the following veins should a phlebotomy tech attempt to draw from first?
Radial
Ulnar
Distal cephalic
Median Cubital
A phlebotomy tech is preparing to preform a venipuncture for a 2yr old child. The child asks if the blood draw will hurt. Which of the following statements should the tech make?
This will not hurt at all
this will go quickly
You will feel a small prick
You have no reason to worry
a phlebotomy tech is educating a patient about the at - home collection of a semen specimen. Which of the following statements by the patient indicates an understanding of the procedure ?
I will collect the specimen in a sterile container and refrigerate
I will collect the specimen in a sterile container and return it to the lab within 1 hour
I will collect the specimen in a clean condom and return in 3 hours
I will abstain from ejaculation 12hours prior to the test
A phlebotomy tech is selecting a site to collect a blood specimen from a patient. After applying a tourniquet, the tech sees no apparent vein to use for the venipuncture. Which of the following actions should the tech take?
Apply and inflate a blood pressure cuff to 60 mm hg
Puncture the area where the patients vein should be located
tap the area repeatedly until the vein reappears
have the patient dangle her arm for 2 mins
Which of the following sources should a phlebotomy tech use in an inpatient setting ?
Verbal and wrist band
Medical chart and nurse
family member, and drivers license
Spiritual advisor and provider
a phlebotomy tech should identify that which of the following is first in the blood collection procedure?
Test requisition
Preparing equipment
Test accession
vein location
A phlebotomy tech is preparing to dispose of contaminated sharps. According to OSHA standards, which of the following actions should the tech take?
Replace the sharps container when its two thirds full
Discard covered lancets into metal trash receptacle
Recap needles before placing them into the sharps container
Disassemble the evacuated tube system prior to dropping it not the sharps container
Which of the following actions is a phlebotomy tech required to take before leaving a patients room?
Ask the patient for feedback
Alert the nurse that she is leaving
Initial and mark the date and time on each tube draw
Initial and mark the date and time on the requisition form
When should a phlebotomy tech preform external liquid controls for quality control on a CLIA waved glucose point of care test?
With every patient
Every week the test is preformed
When a new number or lot has opened
When a different tech preforms the test
A phlebotomy tech is preparing to obtain a blood specimen to determine a patients sodium level. The tech should select a collection tube that has a top with which of the following colors?
Lavender
Gray
Green
yellow
A phlebotomy tech is collecting a urine specimen from a patient for a pre employment drug test. Which of the following actions should the tech take?
Ensure the specimen is within its temperature range of 21.2*C to 26.6*C
Take the temperature of the specimen within a min of collection
Instruct the patient to flush the toilet after filling the collection container
Verify that the specimen contains at least 45mL of urine
A phlebotomy technician should identify that which of the following colors signifies a health hazard in the National Fire Protection Association (NFPA) 704 Marking System?
red
White
yellow
blue
A phlebotomy technician is preparing to perform a venipuncture on a patient who states, “ I faint at the sight of blood.” Which of the following positions is optimal for the patient’s safety during the procedure?
Lying in a reclined position
Standing Against the wall
Sitting upright in a chair
leaning on a stool
A phlebotomy technician is preparing to draw blood from a patient in an inpatient setting. The patient extends his arm and turns his head away. This action by the patient is an example of which of the following types of consent?
informed consent
Implied Consent
Refusal of consent
expressed Consent
A phlebotomy technician is collecting a blood specimen from a patient who has pneumonia. Besides gloves, which of the following pieces of personal protective equipment should the technician wear?
goggles
Gown
Mask
N95 respirator
A phlebotomy technician is performing a venipuncture using a winged infusion set. The red-topped tube fills, but the light blue- topped tube slows and does not fill completely. Which of the following actions should the technician take?
Tell the patient that another venipuncture will need to be preformed
write "insufficient quality" on the requisition form
Submit the partially filled light blue topped tube to the laboratory
Insert a new light blue topped tube to see if it will fill
Which of the following collection tubes should a phlebotomy technician use when collecting for a routine chemistry test that requires serum?
SST
EDTA
PST
SPS
A phlebotomy technician should use a capillary collection instead of venipuncture in which of the following situations?
A patients veins are inaccessible
A patient prefers capillary collection
The tech is collecting blood cultures
the tech is conducting erythrocyte sedimentation rate (ESR) tests
A phlebotomy technician is preparing to collect a patient’s troponin T level. Which of the following troponin T levels should the technician immediately report to the provider?
0.3 ng/mL
0.2ng/mL
0.03 ng/mL
0.02 ng/mL
A phlebotomy technician is preparing to collect a blood specimen from the antecubital site of a patient. Which of the following devices can be used to help stabilize the arm for the collection?
Supply clamp
Hand immobilizer
Phlebotomy Wedge
hand Brace
A phlebotomy technician is collecting a blood specimen from a patient. To avoid hemolysis, which of the following precautions should the technician take?
Leave the tourniquet in place for 90seconds
ensure the alcohol at the insertion site has dried
Shake the tube after filling it with the patients blood
Readjust the needle after insertion
A phlebotomy technician should identify that the order of draw for a capillary collections is different from venipuncture for which of the following reasons?
The risk of hemoconcentration
An increased rate of coagulation
Smaller size specimen
Additive cross contamination
A phlebotomy tech should transport a semen sample at which of the following tempatures?
-20* to -10*
21* to 23*
25* to 30*
36* to 38*
A phlebotomy technician is collecting a blood sample from a newborn who weighs 3 kg (6.6 lb). Which of the following amounts is the maximum volume of blood the technician can draw from this newborn at one time is the maximum allowable volume is 1%?
1.5mL
3mL
4mL
6mL
Prior to transport, which of the following specimens should a phlebotomy technician place in an ice bath within 30 min after collection?
Arterial Blood gas
COLD AGGULATION
Cryoglbulnin
Blood Culture
A phlebotomy technician is interviewing a patient before performing a venipuncture. During the interview, the patient states that he lives nearby and ran to the facility to “get in some running time today.” Which of the following precautionary actions should the technician take?
Offer the patient a high carbohydrate snack before venipuncture
Place the patient in a reclining position for the venipuncte
Have the patient rest comfortably for at least 15 mins before the venipuncture
Reschedule the venipuncture for another day
A phlebotomy technician sees a coworker receive a major electrical shock from an instrument. Which of the following actions should the technician take first?
Call 911
Notify the shift supervisor
Remove the coworker from contact with the instrument
Shut the power off to the instrument
A phlebotomy technician is removing his gloves after a venipuncture procedure. Which of the following actions should the technician take?
Grasp the tips of the fingers of one glove with the other gloved hand
Remove the first glove so that it turns inside out during removal
Discard the first glove before removing the second glove
Turn the glove right side out before discarding them
A phlebotomy technician is preparing to collect a blood specimen from a patient who is allergic to alcohol. Which of the following antiseptic solutions should the technician use to prepare the insertion site?
Chlorhexidine
iodophor
Tincture of iodine
Hydrogen Peroxide
A phlebotomy technician is preparing to perform a blood draw on a patient who had a left-sided mastectomy and has an IV on her right side. In which of the following locations should the technician perform the draw?
Left median cubital vein
Above the IV
Left dorsal vein
Below the IV
A phlebotomy technician is using a syringe method to obtain a blood culture specimen from an adult patient. Which of the following actions should the technician take?
Scrub the incision site with isopropyl alcohol for 30secs
Withdraw the blood into a sterile safety suyringe
Collect a total of 10mL of blood from the patient
Transfer the blood to anaerobic culture bottle first
Which of the following is the best method for a phlebotomy technician to collect a blood specimen from an older adult patient who has fragile,east-to-collapse veins?
Chose a butterfly assembly using a regular ETS tube
Chose a butterfly assembly and use a pediatric tube
Chose a syringe and butterfly assembly and transfer to ETS tube
Chose a pediatric tube assembly and a regular ETS tube
For which of the following reasons should a phlebotomy technician examine the antecubital areas in both of a patient’s arms?
The median cubital vein could be more accessible on one side than the other
the median cubital vein on the dominant arm tends to be anchored better
The median cubital vein in the non dominant arm tends to be inaccessible
The median cubital vein could bruise more easily on one side than the other
To prevent hospital-acquired infections, a phlebotomy technician should clean items that have been contaminated by blood with a 1:10 dilution of which of the following substances and water?
Hydrogen peroxide
Isopropyl alcohol
Sodium Hypochlorite
benzalkonium Chloride
A phlebotomy technician is using a glucose monitor for point-of-care testing for a patient who has been fasting for 12 hr. For which of the following results should the technician immediately notify the provider?
70 mg/dL
90 mg/dL
110 mg/dL
130 mg/dL
According to standard precautions, a phlebotomy technician should take which of the following actions when shipping specimens to a reference laboratory in hot weather?
Place the specimen in a box with bubble wrap and a biohazard label
Place the specimen in a box with cold packs and a biohazard label
Place the specimen in a padded envelope with cold packs and a biohazard label
Place the specimen in a padded envelope with bubble wrap and a biohazard label
A phlebotomy technician is washing her hands at the beginning of her shift. Which of the following actions should the technician take?
Turn the faucet off with her wet hands
Use enough soap to form a lather
Rub hands together for at least 5 seconds
Hold hands with palms facing upwards while resting
A phlebotomy technician uses alcohol to cleanse a venipuncture site. Before performing the venipuncture, the technician should allow the site to dry for which of the following reasons?
Alcohol requires time for antiseptic action to take effect
Alcohol destroys white blood cells
Alcohol compromises the additive in the tube
Alcohol clogs the blood specimen
According to OSHA standards, which of the following vaccines must the employers offer to their phlebotomists at no cost?
Hepatitis B
Hepatitis C
Hepatitis D
Hepatitis E
A phlebotomy technician is using an evacuated needle holder and blood collection tubes to collect blood from a patient . Which of the following actions should the technician take?
Position the needle at a 45 degree angle to the skin
Insert the needle with the bevel side facing downward
Palpate below the puncture site if blood flow is not established
Push the first collection tube gently into the holder
An unconscious patient is brought to the emergency department, and several blood tests are ordered. A phlebotomy technician should collect the patient’s blood because he has received which of the following types of consent?
Implied consent
informed Consent
Expressed Consent
Explicit Consent
A phlebotomy technician has a request to collect a routine CBC from a healthy 10-month-old infant. Which of the following collection sites should the technician select?
Third finger of either hand
Median antecubital vein
Cephalic vein
Either heel
A phlebotomy technician is preparing to collect a blood specimen from a small vein of an older adult patient. Which of the following actions should the technician take to keep the vein from collapsing?
Use a small needle for the draw
Use a large evacuated tube for the draw
Pull the syringe’s plunger back quickly
Probe the vein with the needle
A phlebotomy technician is collecting a blood specimen from a patient to measure the trough level of a medication. The technician should collect the specimen at which of the following times?
Within 15 min before the patient receives the next dose of medication
Less than 15 min after the patient receives a dose of the medication
At least 2 hr after the patient receives a dose of the medication
Approximately halfway between the dose of the medication
A phlebotomy technician is preparing to perform a fingerstick for a patient. Which of the following actions should the technician take first?
Cleanse the site with an antiseptic wipe
Select the appropriate part of the third or fourth finger
Position the blade of the lancet across the lines of the fingertip
Confirm the identity of the patient
A phlebotomy technician is following the Clinical and Laboratory Standards Insiture’s (CLSI) clinical laboratory workflow pathway. As part of the post examination phase of this process, which of the following actions should the technician take?
Process the specimen
Review and verify results
Provide post-puncture care
Enter critical laboratory data
A phlebotomy technician has a mild sensitivity to latex. According to the National institute for Occupational Safety and Health (HIOSH), which of the following actions should the technician take?
Scrub hands with detergent after wearing latex gloves
Use gloves with powder inside of them
Apply oil-based hand cream before putting in latex gloves
Wear non-latex gloves instead of latex gloves
A phlebotomy technician is collecting a blood specimen from a patient who has cutaneous diphtheria. Besides gloves, which of the following pieces of personal protective equipment should the technician wear?
Mask
Gown
Goggles
N95 respirator
A phlebotomy technician is collecting a blood specimen from a patient. Which of the following techniques should the technician use to anchor the vein just before inserting the needle?
Use the thumb to anchor the vein 5 cm (2in) below the puncture site
Attack a 5cm (2in) piece of hypoallergenic tape 7.5 cm (3in) below the puncture site to anchor the vein
Anchor the vein 7.5 cm (3 to 4in) above the puncture site
Apply a tourniquet 2.3cm (1in) above the puncture site to anchor the vein
A phlebotomy technician is drawing a patient’s blood when the patient states she is becoming dizzy and ligh-headed. Which of the following actions should the technician take first?
Place the patient’s head between her legs
Remove the tourniquet and needle
Call other medical personnel for help
Instruct the patient to breathe deeply
A phlebotomy technician is disposing of used supplies when he accidentally receives a needlestick injury. According to OSHA guidelines, which of the following actions should the technician take first?
Seek out counseling about the incident
Go to a medical facility for evaluation
Wash the puncture site with soap and water
Report the incident to the supervisor
A phlebotomy technician is transporting blood specimens to a laboratory. Which of the following actions should the technician take?
Place the specimen in a specimen collection tray
Place the specimen in the trunk of a car
Place the specimen in a lockable container
Place the specimen near a anticoagulant in the car
A phlebotomy technician is performing a total cholesterol point-of-care test for a patient. Which of the following findings should the technician report to the provider?
300 mg/dL
200 mg/dL
180 mg/dL
140 mg/dL
A phlebotomy technician is preparing to draw blood from a patient who states that this is his first blood draw. Which of the following actions should the technician take?
Explain the reason the test was ordered
Inform the patient of possible complications of the procedure
Show the patient the gauge of the needle
Describe the procedure to the patient
A phlebotomy technician has a requisition form to perform a chromosome analysis for a patient. The technician should select a collection tube that contains which of the following additives?
Sodium polyanethol sulfonate
Thrombin
Sodium citrate
Heparin
A phlebotomy technician observes a hematoma developing at the site of a venous blood draw. Which of the following actions should the technician take?
Observe the site to see if the hematoma worsens
Ask the patient to apply pressure to the area
Release the tourniquet and stop the draw
Call for a nurse to assess the patient’s condition
A phlebotomy technician is performing a venipuncture for a patient who begins to seize. Which of the following actions should the technician take?
Insert a tongue depressor into the patients mouth
Place the patient in the prone position
Discontinue the draw
Restrain the patient
For which of the following procedures should a phlebotomy technician follow chain of custody guidelines?
Digoxin level testing
Blood culture testing
Paternity testing
Lead level testing
A phlebotomy technician receives a chemical splash to his forearm. After removing his contaminated clothing, which of the following is the minimum mount of time the technician should rinse the affected area?
3min
5min
10min
15min
Which of the following test results are affected when a phlebotomy technician uses povidone-iodine to cleanse a site for dermal puncture?
Glucose
Blood urea nitrogen
Potassium
Coagulation Studies
A phlebotomy technician is preparing several specimens for transport to the facility’s laboratory. Which of the following specimens should the technician protect from bright light by placing it in an amber/brown biohazard bag for transport?
Lactic acid
Vitamin B6
Blood gas
Ammonia
A phlebotomy technician is preparing to draw blood from a patient who has scabies. Which of the following pieces of personal protective equipment should the technician use?
Goggles
N95 respirator
Gown
Face shield
Which of the following actions should a phlebotomy technician take to maintain compliance with HIPAA?
Discard test results into the office trash can
Leave patient information next to the printer
Clear phone numbers from the fax machine
Share passwords with other facility staff
Which of the following actions should a phlebotomy technician take after collecting an ammonia specimen?
Protect the specimen tube from the light
Keep the specimen tube warm
Keep the specimen at body temperature
Place the specimen tube in an ice water slurry
A phlebotomy technician is preparing to enter a patient’s room to collect a blood specimen. Which of the following actions should the technician plan to take?
Knock firmly on the patient’s door
Speak in a loud tone when addressing the patient
Communicate name and department affiliation to the patient
Place the specimen collection tray on the patient’s bed
A phlebotomy technician is preparing to obtain a blood specimen from a patient for thyroid studies. The technician should select a collection tube that has a top with which of the following colors?
Speckled
Gray
Green
Light blue
Which of the following person protective equipment provides a phlebotomy technician with the best protection when drawing blood from a patient who has active tuberculosis?
Double gloves
N95 respirator
Surgical Mask
Show covers
A phlebotomy technician is preparing a peripheral blood smear from a patient’s capillary blood. Which of the following actions should the technician take?
Select the patient’s index finger for the capillary blood draw
Use the second drop of blood the emerges from the puncture
Position the puncture device so it cuts along the lines of the fingerprint
Touch the slide of the blood at least 3.8cm (1.5in) from the end of the slide
A phlebotomy technician is preparing to obtain a blood specimen from a patient for an erythrocyte sedimentation rare test. The technician should select a collection tube that has a top with which of the following colors?
Red
Light Green
Lavender
Royal Blue
A phlebotomy technician should select a tube that has which of the following anticoagulants to collect a sample for a PT/PTT test?
EDTA
Sodium Citrate
Potassium oxalate
Heparin
When should a phlebotomy technician perform external liquid controls for quality control on a CLIA-waived glucose point-of-care test?
With every patient
Every week the test is performed
When a new lot number or kit is opened
When a different technician performed the test
A phlebotomy technician is obtaining a blood specimen from a patient. The patient reports experiencing a sharp, painful, and tingling sensation going down her arm and into her hand. The technician should recognize which of the following compilations of venipuncture is occurring?
Nerve Injury
Petechiae
Hematoma
Hemoconcentration
A phlebotomy technician is collecting capillary blood drops on a filter paper card to screen a newborn for phenylketonuria. Which of the following actions should the technician take?
Apply blood to the printed side of the filter paper
Add a second drop of blood if a circle is not full
Touch the puncture site to the filter paper
Allow the Blood spots to dry for a minimum of 2 hrs
A phlebotomy technician is preparing to collect a blood specimen from a patient who had a right-sided mastectomy. Which of the following sites should the technician select?
Medial cubital in the right arm
Medial cubital in the left arm
Underside of the right wrist
Underside of the left wrist
A phlebotomy technician is preparing to draw blood from a patient’s arm and observes a sore site where the tourniquet is to be placed. Which of the following actions should the technician take?
Keep the tourniquet on the patient’s arm for 2 min.
Use a slip tourniquet
Tie the tourniquet over the patients sleeve
Position the tourniquet distal to the antecubital area
A phlebotomy technician is preparing to obtain a blood specimen from a patient in an outpatient setting. Using standard precautions, which of the following pieces of personal protective equipment should the technician wear?
Goggles
Gloves
Mask
Gown
A phlebotomy technician has collected a blood specimen from a patient who is in an isolation room. Which of the following pieces of personal protective equipment (PPE) should the technician remove first?
Gown
Gloves
Masks
Goggles
Phlebotomy technician is reviewing a laboratory requisition before obtaining blood specimens from a patient. The technician should verify that the requisition includes which of the following information?
The patients next of kin
Emergency contact information
The patients previous medication
A specimen identification code
Which of the following tubes should a phlebotomy technician collect first when obtaining dermal samples?
Lavender top
Green top
Red top
Light blue top
A phlebotomy technician is preparing to draw a peak level for a medication that was administered orally to the patient. After verifying when the patient received the medication, how long should the technician wait prior to attempting the draw?
30 mins after administration
2hrs after administration
15mins after administration
4hrs after administration
