NCCT Practice Test Exam 2024
Questions And Answers With Verified
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Which of the following actions should the phlebotomist take to decrease the
potential for hemolysis of blood specimen in an EDTA tube?
A. Store the tube in the refrigerator after the specimen has been collected
B. Use a 25 gauge needle or smaller to collect the specimen
C. Allow the tube to stand for 20 minutes prior to processing
D. Gently invert the tube after collecting the specimen - ANSWER✔✔ Gently
invert the tube after collecting the specimen
Since an EDTA tube contains anticoagulant, it is important to immediately mix the
blood as soon as it is collected to ensure that it doesn't clot. The phlebotomist
should gently invert the tube after collecting the specimen to maintain specimen
integrity and prevent rupture of RBC's in the sample.
Small red spots appear near the tourniquet on a patient's arm. This is MOST likely
an indication of
A. a collapsed vein.
B. a hematoma.
C. petechiae.
D. edema. - ANSWER✔✔ Petechiae
Small red spots near the tourniquet on a patient's arm are most likely indicative of
petechiae. Petechiae are small, red, non-raised spots that appear in response to
pressure from the tourniquet.
,Which of the following is outside the scope of practice for a phlebotomist?
A. Verifying equipment function on point of care testing using a control.
B. Prioritizing collections based on order requests.
C. Recording quality control results on a log sheet.
D. Performing CLIA high complexity tests. - ANSWER✔✔ Performing CLIA
high complexity tests
CLIA refers to the Clinical Laboratory Improvement Amendment, which specifies
personnel requirements for performing laboratory testing based upon their
complexity. Moderate and high complexity testing are outside the scope of practice
for a phlebotomist. Medical assistants may perform CLIA-waived testing, such as
Point of Care Testing, with proper training.
If a phlebotomist has questions about disposing of outdated hazardous chemicals,
where should she look to find this information?
A. HIPAA
B. MSDS
C. CLIA
D. NIOSH - ANSWER✔✔ MSDS
A Material Safety Data Sheet (MSDS) is a hazardous chemical reference. It
provides healthcare workers with procedures for working with substances safety to
ensure regulatory compliance.
When inserting a needle during venipuncture, the bevel should be in which of the
following positions in relation to the vein?
A. Up
,B. Down
C. Left
D. Right - ANSWER✔✔ Up
Which of the following is an example of a pre-analytical error made at the time of
collection?
A. Delay in transporting
B. Failing to mix tubes
C. Incomplete requisition
D. Waiting to centrifuge - ANSWER✔✔ Failing to mix tubes
If the blood is not well mixed with the anticoagulant, partial clotting can occur
leading to microscopic fibrin strands and inaccurate test results.
Which of the following is the appropriate blood collection device for obtaining a
blood spot collection on an infant?
A. Syringe
B. Lancet
C. Micro-collection container
D. Evacuated tube - ANSWER✔✔ Lancet
PKU is a neonatal screening test collected on a blot card. The recommended
method of blood collection on infants less than a year old is via capillary (thus
eliminating the venipuncture choices)
, A phlebotomist has orders to collect blood specimens from a patient who has IVs
in his right forearm and in the left antecubital area. Where should the phlebotomist
collect a venous blood specimen?
A. The middle or ring finger of right hand
B. In the antecubital area of the right arm
C. Above the IV in the left arm
D. Distal to the IV in the left arm - ANSWER✔✔ Distal to the IV in the left arm
Drawing in the antecubital area of the right arm or above the IV in the left arm
would lead to contamination of the sample with the fluid being administered. The
test results would then reflect the contents of the fluid or dilute the analyte to be
measured. Incorrect patient treatment might result. In this case, the safest place to
draw would be distal to (away from) the IV left arm. The middle or ring finger
could be used for a dermal puncture but not for venous blood.
Which of the following actions is an example of compliance with Quality Control
(QC) guidelines for phlebotomy?
A. Check controls on urinalysis reagent strips daily.
B. Ensure supplies in venipuncture trays are no more than one month beyond the
expiration date.
C. Ensure reusable supplies in venipuncture trays are recycled.
D. Check glucometer controls monthly. - ANSWER✔✔ Check controls on
urinalysis reagent strips daily.
Proper Quality Control ensures accuracy and reliability of test results while
detecting and eliminating errors. It is an important component of patient care to
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