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Patient Preparation — All Questions

NHA CPT Practice Tests and Exam Review
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Patient Preparation — All Questions

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Question 1 of 208

1. Question

Category: Patient Preparation: Patient Identification

Which of the following is an acceptable form of patient identification per the two-identifier protocol?

Patient's full name and date of birth
Correct Incorrect Correct answer

Patient's room number and bed assignment
Correct Incorrect Correct answer

Patient's full name and physician's name
Correct Incorrect Correct answer

Patient's diagnosis and insurance number
Correct Incorrect Correct answer

Correct

Incorrect
Question 2 of 208

2. Question

Category: Patient Preparation: Patient Identification

A phlebotomist arrives to draw blood from a hospital patient. The patient’s wristband shows the name ‘Maria Lopez’ and DOB ’04/15/1980,’ but the requisition lists ‘Maria Lopez-Garcia’ with the same DOB. What should the phlebotomist do?

Hold the draw and contact the nurse to resolve the name discrepancy
Correct Incorrect Correct answer

Proceed with the draw since the DOB matches
Correct Incorrect Correct answer

Ask the patient which name is correct and proceed
Correct Incorrect Correct answer

Cross out the incorrect name on the requisition and draw the specimen
Correct Incorrect Correct answer

Correct

Incorrect
Question 3 of 208

3. Question

Category: Patient Preparation: Patient Identification

A phlebotomist is preparing to collect blood from an outpatient who is not wearing an identification wristband. What is the best approach to verify identity?

Ask the patient to state their full name and date of birth
Correct Incorrect Correct answer

Ask the patient to confirm the name on the requisition form
Correct Incorrect Correct answer

Look up the patient's photo in the electronic health record
Correct Incorrect Correct answer

Have the front desk staff confirm the patient's identity
Correct Incorrect Correct answer

Correct

Incorrect
Question 4 of 208

4. Question

Category: Patient Preparation: Patient Identification

A new phlebotomy student asks their preceptor how many unique patient identifiers must be verified before performing any blood draw. The preceptor should respond with which of the following?

Two unique identifiers are required per The Joint Commission's National Patient Safety Goals
Correct Incorrect Correct answer

One identifier is sufficient as long as it is the patient's full legal name
Correct Incorrect Correct answer

Three identifiers are required for inpatients and two for outpatients
Correct Incorrect Correct answer

Four identifiers are required to meet HIPAA compliance standards
Correct Incorrect Correct answer

Correct

Incorrect
Question 5 of 208

5. Question

Category: Patient Preparation: Patient Identification

A phlebotomist needs to draw blood from an unconscious emergency department patient who has no wristband and no family present. The requisition lists the patient as ‘John Doe.’ What is the most appropriate action?

Follow the facility's unidentified patient protocol and verify the temporary identifier matches the requisition
Correct Incorrect Correct answer

Delay the collection until a family member can confirm identity
Correct Incorrect Correct answer

Draw the blood and label it with the room number
Correct Incorrect Correct answer

Ask the attending nurse to verbally confirm the patient's real name
Correct Incorrect Correct answer

Correct

Incorrect
Question 6 of 208

6. Question

Category: Patient Preparation: Patient Identification

Which piece of information found on a requisition form identifies the reason for the laboratory test?

Diagnosis code
Correct Incorrect Correct answer

Test priority
Correct Incorrect Correct answer

Physician's NPI number
Correct Incorrect Correct answer

Patient's insurance ID
Correct Incorrect Correct answer

Correct

Incorrect
Question 7 of 208

7. Question

Category: Patient Preparation: Patient Identification

A phlebotomist reviews a requisition that lists the patient’s name, date of birth, and tests ordered but is missing the ordering physician’s name. What should the phlebotomist do?

Contact the ordering department to obtain the missing physician information before proceeding
Correct Incorrect Correct answer

Proceed with the draw since the patient identifiers are present
Correct Incorrect Correct answer

Write in the name of the patient's primary care physician
Correct Incorrect Correct answer

Ask the patient who their doctor is and add it to the form
Correct Incorrect Correct answer

Correct

Incorrect
Question 8 of 208

8. Question

Category: Patient Preparation: Patient Identification

Which of the following is a required element on a laboratory requisition form?

Patient demographics and tests ordered
Correct Incorrect Correct answer

Patient's insurance copay amount
Correct Incorrect Correct answer

Patient's emergency contact information
Correct Incorrect Correct answer

Patient's pharmacy preference
Correct Incorrect Correct answer

Correct

Incorrect
Question 9 of 208

9. Question

Category: Patient Preparation: Patient Identification

A phlebotomist receives two requisitions for the same patient: one marked STAT for a troponin level and one marked routine for a lipid panel. The patient has been fasting. Which collection should be prioritized?

The STAT troponin, because STAT orders take precedence over routine orders
Correct Incorrect Correct answer

The lipid panel, because the patient is already fasting and results may change
Correct Incorrect Correct answer

Both should be drawn simultaneously with no priority distinction
Correct Incorrect Correct answer

The lipid panel first, then the troponin after a 15-minute wait
Correct Incorrect Correct answer

Correct

Incorrect
Question 10 of 208

10. Question

Category: Patient Preparation: Patient Identification

Under HIPAA regulations, a phlebotomist may share a patient’s laboratory results with which of the following?

The ordering physician listed on the requisition
Correct Incorrect Correct answer

The patient's employer who is paying for the test
Correct Incorrect Correct answer

A family member who calls the laboratory
Correct Incorrect Correct answer

A coworker who is curious about the patient's diagnosis
Correct Incorrect Correct answer

Correct

Incorrect
Question 11 of 208

11. Question

Category: Patient Preparation: Patient Identification

A phlebotomist notices that a patient’s wristband lists an allergy to latex, but the requisition does not mention any allergies. The phlebotomist is wearing standard latex gloves. What is the most appropriate first action?

Remove the latex gloves and replace them with non-latex gloves before proceeding
Correct Incorrect Correct answer

Proceed with the draw since the requisition does not list allergies
Correct Incorrect Correct answer

Ask the patient if the allergy information on the wristband is still current
Correct Incorrect Correct answer

Contact the physician to update the requisition with the allergy information
Correct Incorrect Correct answer

Correct

Incorrect
Question 12 of 208

12. Question

Category: Patient Preparation: Patient Identification

A phlebotomist asks a patient to state her date of birth. The patient responds with a date that does not match the requisition. What should the phlebotomist do next?

Do not proceed with the draw and verify the correct patient identity with nursing staff
Correct Incorrect Correct answer

Proceed if the patient's name matches the requisition
Correct Incorrect Correct answer

Ask the patient to repeat her date of birth in case she misspoke
Correct Incorrect Correct answer

Check the patient's driver's license to determine which date is correct
Correct Incorrect Correct answer

Correct

Incorrect
Question 13 of 208

13. Question

Category: Patient Preparation: Patient Identification

A phlebotomist overhears a colleague tell a patient, ‘I verified your identity using your name and room number.’ What should the phlebotomist do?

Inform the colleague that room number is not an acceptable patient identifier and the patient needs to be re-identified using two approved identifiers
Correct Incorrect Correct answer

Say nothing since the colleague used two identifiers as required
Correct Incorrect Correct answer

Report the colleague to the supervisor without speaking to them first
Correct Incorrect Correct answer

Suggest the colleague also check the patient's bed assignment for confirmation
Correct Incorrect Correct answer

Correct

Incorrect
Question 14 of 208

14. Question

Category: Patient Preparation: Patient Identification

A phlebotomist is collecting blood at a long-term care facility. The patient has advanced dementia and cannot state her name or date of birth. What is the best method to verify identity?

Check the patient's wristband and confirm with the attending nurse
Correct Incorrect Correct answer

Ask a nearby resident to confirm the patient's name
Correct Incorrect Correct answer

Use the room number to match the requisition
Correct Incorrect Correct answer

Skip the identification step since the nurse assigned the draw
Correct Incorrect Correct answer

Correct

Incorrect
Question 15 of 208

15. Question

Category: Patient Preparation: Patient Identification

What information must be included when labeling a specimen tube at the bedside?

Patient's full name, date of birth, date and time of collection, and phlebotomist's initials
Correct Incorrect Correct answer

Patient's full name and room number only
Correct Incorrect Correct answer

Patient's name, diagnosis, and insurance information
Correct Incorrect Correct answer

Patient's name and the test being ordered
Correct Incorrect Correct answer

Correct

Incorrect
Question 16 of 208

16. Question

Category: Patient Preparation: Patient Identification

A phlebotomist scans a patient’s wristband barcode, and the electronic system displays a different patient’s information than what appears on the requisition. What should the phlebotomist do?

Stop the procedure and report the barcode discrepancy to the charge nurse immediately
Correct Incorrect Correct answer

Manually enter the requisition information to override the system
Correct Incorrect Correct answer

Proceed with the draw using the information from the wristband scan
Correct Incorrect Correct answer

Remove the wristband and request a new one from admissions
Correct Incorrect Correct answer

Correct

Incorrect
Question 17 of 208

17. Question

Category: Patient Preparation: Patient Identification

A phlebotomist is about to draw blood from an outpatient named James Smith. The patient confirms his name as James Smith and provides a date of birth that matches the requisition. However, the requisition also lists a medical record number. What additional step is appropriate?

Verify the medical record number matches the patient's records in the system
Correct Incorrect Correct answer

Proceed with the draw since two identifiers already match
Correct Incorrect Correct answer

Ask the patient to recite his medical record number from memory
Correct Incorrect Correct answer

Call the ordering physician to confirm the medical record number
Correct Incorrect Correct answer

Correct

Incorrect
Question 18 of 208

18. Question

Category: Patient Preparation: Patient Identification

Which federal regulation protects the confidentiality of a patient’s health information, including laboratory results?

HIPAA (Health Insurance Portability and Accountability Act)
Correct Incorrect Correct answer

OSHA (Occupational Safety and Health Act)
Correct Incorrect Correct answer

CLIA (Clinical Laboratory Improvement Amendments)
Correct Incorrect Correct answer

The Joint Commission standards
Correct Incorrect Correct answer

Correct

Incorrect
Question 19 of 208

19. Question

Category: Patient Preparation: Patient Identification

While collecting blood from a patient in a semi-private room, the patient’s roommate asks the phlebotomist what tests are being run. How should the phlebotomist respond?

Politely decline to share the information, explaining that patient information is confidential
Correct Incorrect Correct answer

Tell the roommate only the general category of testing
Correct Incorrect Correct answer

Ask the patient if it is okay to share the information with the roommate
Correct Incorrect Correct answer

Ignore the roommate's question and continue with the procedure
Correct Incorrect Correct answer

Correct

Incorrect
Question 20 of 208

20. Question

Category: Patient Preparation: Patient Identification

Which section of the requisition form indicates the urgency of the laboratory test?

Test priority
Correct Incorrect Correct answer

Diagnosis code
Correct Incorrect Correct answer

Ordering physician's signature
Correct Incorrect Correct answer

Patient demographics
Correct Incorrect Correct answer

Correct

Incorrect
Question 21 of 208

21. Question

Category: Patient Preparation: Patient Communication

A phlebotomist enters a patient’s room and finds the patient crying and visibly upset. What is the most appropriate first response?

Introduce yourself, acknowledge the patient's distress, and ask if they are ready to proceed
Correct Incorrect Correct answer

Proceed quickly with the draw to minimize the patient's discomfort
Correct Incorrect Correct answer

Leave the room and return when the patient appears calmer
Correct Incorrect Correct answer

Ask the nurse to explain why the patient is upset
Correct Incorrect Correct answer

Correct

Incorrect
Question 22 of 208

22. Question

Category: Patient Preparation: Patient Communication

Which type of consent is given when a patient extends their arm and rolls up their sleeve after the phlebotomist explains the blood draw procedure?

Implied consent
Correct Incorrect Correct answer

Informed consent
Correct Incorrect Correct answer

Expressed consent
Correct Incorrect Correct answer

Verbal consent
Correct Incorrect Correct answer

Correct

Incorrect
Question 23 of 208

23. Question

Category: Patient Preparation: Patient Communication

A phlebotomist needs to draw blood from a 7-year-old child. The child’s parent is present but the child is crying and pulling away. What is the best approach?

Speak calmly to the child at their developmental level and allow the parent to help comfort them
Correct Incorrect Correct answer

Restrain the child immediately to prevent injury during the draw
Correct Incorrect Correct answer

Ask the parent to leave the room so the child calms down
Correct Incorrect Correct answer

Tell the child the procedure will not hurt to gain cooperation
Correct Incorrect Correct answer

Correct

Incorrect
Question 24 of 208

24. Question

Category: Patient Preparation: Patient Communication

A phlebotomist is verifying a patient’s identity and preparing for a blood draw. The patient mentions feeling nervous. Which response best demonstrates effective patient communication?

Acknowledge the patient's concern and explain each step of the procedure in simple terms
Correct Incorrect Correct answer

Tell the patient not to worry because the procedure will be quick
Correct Incorrect Correct answer

Proceed silently and quickly to minimize the patient's anxiety
Correct Incorrect Correct answer

Ask the patient a series of rapid yes-or-no questions to speed through the process
Correct Incorrect Correct answer

Correct

Incorrect
Question 25 of 208

25. Question

Category: Patient Preparation: Patient Communication

A phlebotomist is about to draw blood from a patient who speaks only Mandarin. The phlebotomist does not speak Mandarin. What is the most appropriate action?

Contact the facility's interpreter services to assist with communication
Correct Incorrect Correct answer

Use hand gestures to explain the procedure and proceed
Correct Incorrect Correct answer

Ask a bilingual visitor in the waiting room to translate
Correct Incorrect Correct answer

Proceed with the draw since the order is already in the system
Correct Incorrect Correct answer

Correct

Incorrect
Question 26 of 208

26. Question

Category: Patient Preparation: Patient Communication

Informed consent for a blood draw requires which of the following?

An explanation of the procedure, its purpose, and any risks involved
Correct Incorrect Correct answer

Only the patient's verbal agreement to proceed
Correct Incorrect Correct answer

A signed consent form witnessed by two healthcare workers
Correct Incorrect Correct answer

The physician's written authorization on the requisition
Correct Incorrect Correct answer

Correct

Incorrect
Question 27 of 208

27. Question

Category: Patient Preparation: Patient Communication

A phlebotomist needs to collect blood from an elderly patient with moderate hearing loss. The patient nods in agreement to everything but does not appear to understand the procedure being explained. What should the phlebotomist do?

Face the patient directly, speak clearly at a moderate volume, and confirm understanding by asking the patient to repeat key information
Correct Incorrect Correct answer

Speak louder and repeat the same explanation until the patient responds
Correct Incorrect Correct answer

Write the explanation on paper and hand it to the patient
Correct Incorrect Correct answer

Accept the patient's nod as implied consent and proceed with the draw
Correct Incorrect Correct answer

Correct

Incorrect
Question 28 of 208

28. Question

Category: Patient Preparation: Patient Communication

A phlebotomist is preparing to draw blood from a patient who identifies as nonbinary and uses they/them pronouns. What is the most professional approach?

Use the patient's preferred pronouns and name as indicated in their record
Correct Incorrect Correct answer

Use the legal name and sex listed in the medical record regardless of preference
Correct Incorrect Correct answer

Avoid using any pronouns to prevent making a mistake
Correct Incorrect Correct answer

Ask the patient to confirm which pronouns they prefer each time
Correct Incorrect Correct answer

Correct

Incorrect
Question 29 of 208

29. Question

Category: Patient Preparation: Patient Communication

When a minor requires a blood draw and the parent is not present, consent should be obtained from which of the following?

The patient's legal guardian
Correct Incorrect Correct answer

The minor patient themselves
Correct Incorrect Correct answer

The nurse assigned to the patient
Correct Incorrect Correct answer

The ordering physician
Correct Incorrect Correct answer

Correct

Incorrect
Question 30 of 208

30. Question

Category: Patient Preparation: Patient Communication

A phlebotomist enters a patient’s room and finds the patient on the phone. What is the most appropriate action?

Wait briefly, make eye contact, and politely indicate that you need to perform a procedure
Correct Incorrect Correct answer

Interrupt the call immediately since the blood draw is a medical priority
Correct Incorrect Correct answer

Leave and return in 30 minutes when the patient may be available
Correct Incorrect Correct answer

Begin setting up equipment silently and wait for the patient to finish
Correct Incorrect Correct answer

Correct

Incorrect
Question 31 of 208

31. Question

Category: Patient Preparation: Patient Communication

A phlebotomist is assigned to draw blood from a patient whose cultural practices require that only female healthcare workers perform physical contact. The phlebotomist is male. What is the best course of action?

Respect the patient's cultural preference and arrange for a female phlebotomist to perform the draw
Correct Incorrect Correct answer

Explain that phlebotomy is a medical procedure and cultural preferences cannot be accommodated
Correct Incorrect Correct answer

Ask the nurse to override the patient's request due to staffing limitations
Correct Incorrect Correct answer

Proceed with the draw after explaining that you are a trained professional
Correct Incorrect Correct answer

Correct

Incorrect
Question 32 of 208

32. Question

Category: Patient Preparation: Patient Communication

Which communication technique involves restating what the patient has said to confirm understanding?

Active listening with reflective feedback
Correct Incorrect Correct answer

Closed-ended questioning
Correct Incorrect Correct answer

Directive communication
Correct Incorrect Correct answer

Nonverbal assessment
Correct Incorrect Correct answer

Correct

Incorrect
Question 33 of 208

33. Question

Category: Patient Preparation: Patient Communication

A phlebotomist approaches a patient who appears anxious and states, ‘I always faint when I get my blood drawn.’ What is the most appropriate response?

Acknowledge the patient's concern, position them in a reclined or supine position, and explain steps you will take to ensure their safety
Correct Incorrect Correct answer

Tell the patient that fainting is rare and they will be fine
Correct Incorrect Correct answer

Ask the patient to take deep breaths and proceed with the draw in a seated position
Correct Incorrect Correct answer

Suggest the patient reschedule when they feel less anxious
Correct Incorrect Correct answer

Correct

Incorrect
Question 34 of 208

34. Question

Category: Patient Preparation: Patient Communication

Expressed consent is best described as which of the following?

A verbal or written statement from the patient agreeing to the procedure
Correct Incorrect Correct answer

The patient extending their arm for the blood draw without being asked
Correct Incorrect Correct answer

A physician's order authorizing the blood collection
Correct Incorrect Correct answer

The patient not objecting when the phlebotomist begins the procedure
Correct Incorrect Correct answer

Correct

Incorrect
Question 35 of 208

35. Question

Category: Patient Preparation: Patient Communication

A phlebotomist is drawing blood from an adult patient with Down syndrome. The patient’s caregiver is present. How should the phlebotomist approach communication?

Speak directly to the patient using simple, clear language while including the caregiver as needed
Correct Incorrect Correct answer

Direct all communication to the caregiver since they can relay information to the patient
Correct Incorrect Correct answer

Use the same medical terminology you would use with any adult patient
Correct Incorrect Correct answer

Ask the caregiver to sign consent on behalf of the patient without attempting to explain the procedure to the patient
Correct Incorrect Correct answer

Correct

Incorrect
Question 36 of 208

36. Question

Category: Patient Preparation: Patient Communication

Which of the following best demonstrates professionalism during a patient interaction?

Introducing yourself by name and title before beginning the procedure
Correct Incorrect Correct answer

Discussing your personal schedule with a coworker while drawing blood
Correct Incorrect Correct answer

Chewing gum while explaining the procedure to appear relaxed
Correct Incorrect Correct answer

Using the patient's first name without asking their preference
Correct Incorrect Correct answer

Correct

Incorrect
Question 37 of 208

37. Question

Category: Patient Preparation: Patient Communication

A Jehovah’s Witness patient tells the phlebotomist they do not want blood drawn for religious reasons, despite having a physician’s order. What should the phlebotomist do?

Respect the patient's right to refuse, document the refusal, and notify the ordering physician
Correct Incorrect Correct answer

Explain that the physician ordered the test and proceed with the draw
Correct Incorrect Correct answer

Ask the patient's family to convince the patient to comply
Correct Incorrect Correct answer

Draw the blood while the patient is distracted by another staff member
Correct Incorrect Correct answer

Correct

Incorrect
Question 38 of 208

38. Question

Category: Patient Preparation: Patient Communication

A phlebotomist needs to explain a glucose tolerance test to a patient who has limited English proficiency. A certified medical interpreter is available by phone. What is the correct approach?

Use the phone interpreter to explain the test requirements, timing, and preparation instructions
Correct Incorrect Correct answer

Speak slowly in English and use hand gestures to communicate
Correct Incorrect Correct answer

Give the patient a written instruction sheet in English and proceed
Correct Incorrect Correct answer

Ask the patient's bilingual child to interpret the instructions
Correct Incorrect Correct answer

Correct

Incorrect
Question 39 of 208

39. Question

Category: Patient Preparation: Patient Communication

Which nonverbal communication behavior helps build patient trust during a blood draw?

Maintaining appropriate eye contact and a calm facial expression
Correct Incorrect Correct answer

Crossing your arms while listening to the patient
Correct Incorrect Correct answer

Standing over the patient while giving instructions
Correct Incorrect Correct answer

Avoiding eye contact to give the patient privacy
Correct Incorrect Correct answer

Correct

Incorrect
Question 40 of 208

40. Question

Category: Patient Preparation: Patient Communication

A phlebotomist is called to draw blood from a patient in the ICU who is intubated and cannot speak. The patient is alert and following commands. How should the phlebotomist obtain consent?

Explain the procedure clearly and look for nonverbal cues of agreement, such as a nod or thumbs up
Correct Incorrect Correct answer

Proceed without consent since the patient is in the ICU and cannot communicate verbally
Correct Incorrect Correct answer

Wait until the patient is extubated to obtain verbal consent
Correct Incorrect Correct answer

Ask the physician to provide consent on the patient's behalf
Correct Incorrect Correct answer

Correct

Incorrect
Question 41 of 208

41. Question

Category: Patient Preparation: Order Verification

A STAT laboratory order indicates which of the following?

The specimen must be collected and processed immediately
Correct Incorrect Correct answer

The specimen should be collected within 24 hours
Correct Incorrect Correct answer

The test requires a fasting specimen
Correct Incorrect Correct answer

The order has been placed by the emergency department only
Correct Incorrect Correct answer

Correct

Incorrect
Question 42 of 208

42. Question

Category: Patient Preparation: Order Verification

A phlebotomist receives a timed draw order for cortisol at 0800. It is currently 0745. What is the most appropriate action?

Prepare equipment and materials so the specimen can be collected as close to 0800 as possible
Correct Incorrect Correct answer

Collect the specimen now since it is close enough to the ordered time
Correct Incorrect Correct answer

Wait until exactly 0800 and then begin gathering supplies
Correct Incorrect Correct answer

Contact the physician to ask if the draw can be done early
Correct Incorrect Correct answer

Correct

Incorrect
Question 43 of 208

43. Question

Category: Patient Preparation: Order Verification

A phlebotomist asks a patient about their food and drink intake. The patient states they have had nothing but water since 10 PM the previous night. It is now 8 AM. How should the phlebotomist classify the patient’s status?

The patient is in a fasting state, having abstained from food and non-water beverages for 10 hours
Correct Incorrect Correct answer

The patient is in a basal state because they rested overnight
Correct Incorrect Correct answer

The patient is NPO because they have had nothing to eat
Correct Incorrect Correct answer

The patient is in a postprandial state because they drank water
Correct Incorrect Correct answer

Correct

Incorrect
Question 44 of 208

44. Question

Category: Patient Preparation: Order Verification

A phlebotomist is preparing to collect a fasting lipid panel. The patient admits to drinking black coffee with sugar two hours ago. What should the phlebotomist do?

Do not collect the specimen and notify the ordering physician about the broken fast
Correct Incorrect Correct answer

Proceed with the collection since coffee is a liquid, not food
Correct Incorrect Correct answer

Collect the specimen and note on the requisition that the patient drank coffee
Correct Incorrect Correct answer

Ask the patient to wait two more hours and then collect the specimen
Correct Incorrect Correct answer

Correct

Incorrect
Question 45 of 208

45. Question

Category: Patient Preparation: Order Verification

The basal state for laboratory testing is best achieved under which conditions?

Early morning after the patient has been resting and fasting for at least 12 hours
Correct Incorrect Correct answer

Immediately after the patient finishes exercising
Correct Incorrect Correct answer

Any time of day as long as the patient has not eaten for 4 hours
Correct Incorrect Correct answer

After the patient has consumed a standard meal for comparison
Correct Incorrect Correct answer

Correct

Incorrect
Question 46 of 208

46. Question

Category: Patient Preparation: Order Verification

A phlebotomist receives an order for a trough level of vancomycin. When should this specimen be collected?

Immediately before the next scheduled dose of the medication
Correct Incorrect Correct answer

Immediately after the medication is administered
Correct Incorrect Correct answer

Two hours after the medication is administered
Correct Incorrect Correct answer

At any time during the dosing interval
Correct Incorrect Correct answer

Correct

Incorrect
Question 47 of 208

47. Question

Category: Patient Preparation: Order Verification

ICD-10-CM codes on a laboratory requisition are used primarily for which purpose?

Documenting the medical necessity and diagnosis justifying the test
Correct Incorrect Correct answer

Identifying the specific laboratory test to be performed
Correct Incorrect Correct answer

Tracking the phlebotomist who collected the specimen
Correct Incorrect Correct answer

Indicating the priority level of the order
Correct Incorrect Correct answer

Correct

Incorrect
Question 48 of 208

48. Question

Category: Patient Preparation: Order Verification

A phlebotomist reviews a requisition for a patient taking warfarin. The order includes a PT/INR test. The phlebotomist notices no ICD-10 code is listed. What is the most appropriate action?

Collect the specimen but flag the requisition for coding completion before processing
Correct Incorrect Correct answer

Refuse to draw the specimen until the ICD-10 code is added
Correct Incorrect Correct answer

Add the ICD-10 code based on the test ordered
Correct Incorrect Correct answer

Proceed normally since ICD-10 codes are only needed for billing after the fact
Correct Incorrect Correct answer

Correct

Incorrect
Question 49 of 208

49. Question

Category: Patient Preparation: Order Verification

A phlebotomist receives three orders for the same patient: a STAT potassium, a timed cortisol draw at 0800, and a routine CBC. It is currently 0755. In what order should these be collected?

Collect the STAT potassium first, then the timed cortisol at 0800, then the routine CBC
Correct Incorrect Correct answer

Collect all three at 0800 to minimize needle sticks
Correct Incorrect Correct answer

Collect the timed cortisol first since it has a specific time, then the STAT, then the routine
Correct Incorrect Correct answer

Collect the routine CBC first, then the STAT, then the timed draw
Correct Incorrect Correct answer

Correct

Incorrect
Question 50 of 208

50. Question

Category: Patient Preparation: Order Verification

A peak drug level is collected at which time relative to medication administration?

At the time the drug is expected to reach its highest concentration, typically 30 to 60 minutes after administration
Correct Incorrect Correct answer

Immediately before the next dose is given
Correct Incorrect Correct answer

Twelve hours after the last dose
Correct Incorrect Correct answer

At any time during the dosing cycle
Correct Incorrect Correct answer

Correct

Incorrect
Question 51 of 208

51. Question

Category: Patient Preparation: Order Verification

A phlebotomist receives an order for a glucose tolerance test. The patient states she ate breakfast one hour ago. What should the phlebotomist do?

Inform the patient that the test requires fasting and reschedule the collection
Correct Incorrect Correct answer

Proceed with the fasting blood draw and begin the test
Correct Incorrect Correct answer

Collect a random glucose level instead
Correct Incorrect Correct answer

Ask the patient to drink the glucose solution immediately to make up for lost time
Correct Incorrect Correct answer

Correct

Incorrect
Question 52 of 208

52. Question

Category: Patient Preparation: Order Verification

Which of the following tests typically requires a fasting specimen?

Triglyceride level
Correct Incorrect Correct answer

Complete blood count (CBC)
Correct Incorrect Correct answer

Blood type and crossmatch
Correct Incorrect Correct answer

Prothrombin time (PT)
Correct Incorrect Correct answer

Correct

Incorrect
Question 53 of 208

53. Question

Category: Patient Preparation: Order Verification

A phlebotomist checks a requisition and sees an order for a blood culture with a notation ‘collect x2 from separate sites.’ What does this instruction mean?

Two separate blood culture sets must be collected from two different venipuncture sites
Correct Incorrect Correct answer

Two tubes of blood should be collected from the same site
Correct Incorrect Correct answer

The same blood culture bottle should be filled twice
Correct Incorrect Correct answer

Two different phlebotomists should each collect one set
Correct Incorrect Correct answer

Correct

Incorrect
Question 54 of 208

54. Question

Category: Patient Preparation: Order Verification

A routine laboratory order is typically expected to be completed within which timeframe?

Within 24 hours or by the next scheduled collection round
Correct Incorrect Correct answer

Within 15 minutes of the order being placed
Correct Incorrect Correct answer

Within 1 hour of the order being placed
Correct Incorrect Correct answer

Only during the morning collection period
Correct Incorrect Correct answer

Correct

Incorrect
Question 55 of 208

55. Question

Category: Patient Preparation: Order Verification

A patient tells the phlebotomist that they started taking biotin supplements last week. The requisition includes a thyroid panel. What should the phlebotomist consider?

Biotin supplements can interfere with certain immunoassay-based tests, including thyroid panels, and the phlebotomist should note this on the requisition
Correct Incorrect Correct answer

Biotin has no effect on blood test results
Correct Incorrect Correct answer

The phlebotomist should cancel the order and inform the physician
Correct Incorrect Correct answer

The patient should stop taking biotin immediately before the draw
Correct Incorrect Correct answer

Correct

Incorrect
Question 56 of 208

56. Question

Category: Patient Preparation: Order Verification

A phlebotomist reviews a requisition that lists an order for a ‘fasting glucose’ but the ordering time stamp is 3:00 PM. The patient confirms they have been fasting since midnight. What is the best action?

Collect the specimen since the patient meets the fasting requirement, regardless of the time the order was placed
Correct Incorrect Correct answer

Refuse to collect because fasting specimens should only be drawn in the morning
Correct Incorrect Correct answer

Contact the physician because the order time seems unusual for a fasting test
Correct Incorrect Correct answer

Ask the patient to eat and return the next morning for a proper fasting draw
Correct Incorrect Correct answer

Correct

Incorrect
Question 57 of 208

57. Question

Category: Patient Preparation: Order Verification

Which type of order requires specimen collection at a specific time interval to monitor drug therapy effectiveness?

Timed draw
Correct Incorrect Correct answer

STAT order
Correct Incorrect Correct answer

Standing order
Correct Incorrect Correct answer

Reflex order
Correct Incorrect Correct answer

Correct

Incorrect
Question 58 of 208

58. Question

Category: Patient Preparation: Order Verification

A phlebotomist receives an order for a hemoglobin A1c. The patient asks if they need to be fasting. What is the correct response?

Inform the patient that the hemoglobin A1c test does not require fasting
Correct Incorrect Correct answer

Tell the patient they should have fasted for at least 8 hours
Correct Incorrect Correct answer

Advise the patient to fast for the next test and collect a random glucose instead
Correct Incorrect Correct answer

Explain that all blood tests require fasting for accurate results
Correct Incorrect Correct answer

Correct

Incorrect
Question 59 of 208

59. Question

Category: Patient Preparation: Order Verification

A phlebotomist is reviewing a requisition that includes both a BMP (basic metabolic panel) and a CBC. The BMP requires a fasting specimen. The patient has been fasting for 10 hours. Can both tests be collected at the same time?

Yes, both tests can be collected during the same venipuncture while the patient is fasting
Correct Incorrect Correct answer

No, the CBC must be collected separately because it does not require fasting
Correct Incorrect Correct answer

No, fasting and nonfasting tests should never be collected at the same draw
Correct Incorrect Correct answer

Yes, but only if the physician writes a separate order for simultaneous collection
Correct Incorrect Correct answer

Correct

Incorrect
Question 60 of 208

60. Question

Category: Patient Preparation: Order Verification

Which of the following best describes the purpose of verifying a laboratory order before specimen collection?

To confirm that the correct tests are being performed on the correct patient at the correct time
Correct Incorrect Correct answer

To determine which insurance company will pay for the tests
Correct Incorrect Correct answer

To verify that the patient has completed their co-payment
Correct Incorrect Correct answer

To check that the physician has signed the discharge papers
Correct Incorrect Correct answer

Correct

Incorrect
Question 61 of 208

61. Question

Category: Patient Preparation: Collection Planning

Which color tube stopper contains EDTA as its additive and is commonly used for a complete blood count (CBC)?

Lavender (purple)
Correct Incorrect Correct answer

Light blue
Correct Incorrect Correct answer

Red
Correct Incorrect Correct answer

Green
Correct Incorrect Correct answer

Correct

Incorrect
Question 62 of 208

62. Question

Category: Patient Preparation: Collection Planning

A phlebotomist receives orders for a PT/INR, CBC, and basic metabolic panel. Which tube colors should be selected for these tests?

Light blue for PT/INR, lavender for CBC, and green or gold/red for the metabolic panel
Correct Incorrect Correct answer

Red for all three tests since they are all blood tests
Correct Incorrect Correct answer

Lavender for PT/INR, light blue for CBC, and green for the metabolic panel
Correct Incorrect Correct answer

Light blue for CBC, lavender for PT/INR, and gold for the metabolic panel
Correct Incorrect Correct answer

Correct

Incorrect
Question 63 of 208

63. Question

Category: Patient Preparation: Collection Planning

A phlebotomist needs to collect a specimen in a green-top tube for a stat electrolyte panel. A colleague asks what additive the green tube contains and how it works. What is the correct explanation?

Heparin, which prevents coagulation by inhibiting thrombin activity
Correct Incorrect Correct answer

EDTA, which prevents clotting by chelating calcium ions
Correct Incorrect Correct answer

Sodium citrate, which binds calcium in a 9:1 ratio
Correct Incorrect Correct answer

Potassium oxalate, which inhibits glycolysis to preserve glucose levels
Correct Incorrect Correct answer

Correct

Incorrect
Question 64 of 208

64. Question

Category: Patient Preparation: Collection Planning

A phlebotomist is preparing to draw blood from a patient who reports having an AV fistula in the left arm for dialysis. What is the correct approach?

Avoid the left arm entirely and select a site on the right arm or hand
Correct Incorrect Correct answer

Use the left arm since the fistula provides good blood flow
Correct Incorrect Correct answer

Draw from below the fistula on the left arm
Correct Incorrect Correct answer

Apply a tourniquet above the fistula and draw from the antecubital area
Correct Incorrect Correct answer

Correct

Incorrect
Question 65 of 208

65. Question

Category: Patient Preparation: Collection Planning

The minimum blood volume for a standard adult evacuated tube draw is determined by which factor?

The laboratory's specified minimum fill volume for accurate testing
Correct Incorrect Correct answer

The patient's body weight
Correct Incorrect Correct answer

The size of the needle used
Correct Incorrect Correct answer

The number of tubes ordered
Correct Incorrect Correct answer

Correct

Incorrect
Question 66 of 208

66. Question

Category: Patient Preparation: Collection Planning

A phlebotomist needs to collect a light blue top tube for coagulation testing. After collection, the tube is only filled to 75% capacity. What should the phlebotomist do?

Discard the tube and recollect, because coagulation tubes must be filled to the manufacturer's specified fill line
Correct Incorrect Correct answer

Submit the tube since 75% is close enough for accurate results
Correct Incorrect Correct answer

Add saline to the tube to reach the fill line
Correct Incorrect Correct answer

Label the tube as a short draw and send it to the lab
Correct Incorrect Correct answer

Correct

Incorrect
Question 67 of 208

67. Question

Category: Patient Preparation: Collection Planning

Which tube stopper color is used for blood bank testing such as type and crossmatch?

Pink or red
Correct Incorrect Correct answer

Lavender (purple)
Correct Incorrect Correct answer

Light blue
Correct Incorrect Correct answer

Gray
Correct Incorrect Correct answer

Correct

Incorrect
Question 68 of 208

68. Question

Category: Patient Preparation: Collection Planning

A phlebotomist is planning a blood collection on a 3-month-old infant. Which of the following is the most important consideration when planning the collection?

Calculating the maximum safe blood volume that can be drawn based on the infant's weight
Correct Incorrect Correct answer

Selecting the largest gauge needle available for faster collection
Correct Incorrect Correct answer

Using an evacuated tube system for efficiency
Correct Incorrect Correct answer

Applying a tourniquet to the infant's antecubital area
Correct Incorrect Correct answer

Correct

Incorrect
Question 69 of 208

69. Question

Category: Patient Preparation: Collection Planning

Gray-top evacuated tubes contain which additive combination?

Sodium fluoride and potassium oxalate
Correct Incorrect Correct answer

EDTA and sodium fluoride
Correct Incorrect Correct answer

Heparin and sodium citrate
Correct Incorrect Correct answer

Sodium citrate and potassium oxalate
Correct Incorrect Correct answer

Correct

Incorrect
Question 70 of 208

70. Question

Category: Patient Preparation: Collection Planning

A phlebotomist reviews orders for a patient who had a mastectomy with lymph node removal on the right side. The patient also has an IV running in the left hand. Where should the phlebotomist plan to draw blood?

Below the IV site on the left arm after the IV has been paused, or from the left antecubital area if it is unaffected by the IV
Correct Incorrect Correct answer

From the right arm since it is free of IV lines
Correct Incorrect Correct answer

From either arm since the mastectomy was a long time ago
Correct Incorrect Correct answer

From the right hand using a butterfly needle
Correct Incorrect Correct answer

Correct

Incorrect
Question 71 of 208

71. Question

Category: Patient Preparation: Collection Planning

Which tube additive is specifically designed to preserve glucose levels by inhibiting glycolysis?

Sodium fluoride
Correct Incorrect Correct answer

EDTA
Correct Incorrect Correct answer

Heparin
Correct Incorrect Correct answer

Sodium citrate
Correct Incorrect Correct answer

Correct

Incorrect
Question 72 of 208

72. Question

Category: Patient Preparation: Collection Planning

A phlebotomist is preparing to collect blood from an elderly patient with fragile, thin skin and rolling veins. Which collection equipment is most appropriate?

A winged infusion (butterfly) set with a smaller gauge needle
Correct Incorrect Correct answer

A standard 21-gauge straight needle with an evacuated tube holder
Correct Incorrect Correct answer

The largest gauge needle available for faster collection
Correct Incorrect Correct answer

A syringe with an 18-gauge needle for maximum blood flow
Correct Incorrect Correct answer

Correct

Incorrect
Question 73 of 208

73. Question

Category: Patient Preparation: Collection Planning

Gold-top (SST) tubes contain which component that aids in serum separation?

A gel separator and clot activator
Correct Incorrect Correct answer

EDTA anticoagulant
Correct Incorrect Correct answer

Sodium citrate
Correct Incorrect Correct answer

Lithium heparin
Correct Incorrect Correct answer

Correct

Incorrect
Question 74 of 208

74. Question

Category: Patient Preparation: Collection Planning

A phlebotomist needs to collect blood from a patient who reports a severe allergy to adhesive bandages. What modification should be planned for post-procedure care?

Use self-adhering wrap or hold gauze in place with paper tape as an alternative to adhesive bandages
Correct Incorrect Correct answer

Apply the standard adhesive bandage since the allergy is unlikely to cause a serious reaction
Correct Incorrect Correct answer

Skip the bandage entirely and tell the patient to apply pressure
Correct Incorrect Correct answer

Use a latex tourniquet wrapped around the site instead of a bandage
Correct Incorrect Correct answer

Correct

Incorrect
Question 75 of 208

75. Question

Category: Patient Preparation: Collection Planning

Which of the following is the correct blood-to-anticoagulant ratio for a light blue top (sodium citrate) tube?

9:1 (nine parts blood to one part anticoagulant)
Correct Incorrect Correct answer

4:1 (four parts blood to one part anticoagulant)
Correct Incorrect Correct answer

1:1 (equal parts blood and anticoagulant)
Correct Incorrect Correct answer

10:1 (ten parts blood to one part anticoagulant)
Correct Incorrect Correct answer

Correct

Incorrect
Question 76 of 208

76. Question

Category: Patient Preparation: Collection Planning

A phlebotomist is preparing to collect blood from a patient who mentions they had a seizure earlier in the day. How should this information affect collection planning?

Position the patient supine, ensure safety precautions are in place, and have assistance available in case of another seizure
Correct Incorrect Correct answer

Refuse to draw blood until the patient has been seizure-free for 24 hours
Correct Incorrect Correct answer

Proceed normally since the seizure has already passed
Correct Incorrect Correct answer

Use only capillary collection to minimize the risk during a seizure
Correct Incorrect Correct answer

Correct

Incorrect
Question 77 of 208

77. Question

Category: Patient Preparation: Collection Planning

A phlebotomist receives orders for a patient requiring a CBC, BMP, PT/INR, and blood culture. The patient has small, difficult veins and the phlebotomist wants to minimize the number of venipunctures. Which is the best collection strategy?

Collect the blood culture from one site first using aseptic technique, then perform a second venipuncture at a different site for the remaining tubes in proper order of draw
Correct Incorrect Correct answer

Collect all specimens from one venipuncture site to minimize patient discomfort
Correct Incorrect Correct answer

Collect only the STAT orders and request that the remaining tests be canceled
Correct Incorrect Correct answer

Use a capillary puncture to collect all specimens from a fingerstick
Correct Incorrect Correct answer

Correct

Incorrect
Question 78 of 208

78. Question

Category: Patient Preparation: Collection Planning

Which tube stopper color contains sodium citrate and is used for coagulation studies?

Light blue
Correct Incorrect Correct answer

Lavender (purple)
Correct Incorrect Correct answer

Green
Correct Incorrect Correct answer

Gray
Correct Incorrect Correct answer

Correct

Incorrect
Question 79 of 208

79. Question

Category: Patient Preparation: Collection Planning

A phlebotomist is planning collections for a patient who recently had surgery on the right hand and has a cast on the right forearm. The patient also has a small bruise in the left antecubital area. Where should the phlebotomist plan to draw?

From the left arm, selecting a site away from the bruised area
Correct Incorrect Correct answer

From the right arm above the cast
Correct Incorrect Correct answer

From the right hand since only the forearm has a cast
Correct Incorrect Correct answer

Wait until the bruise and cast are both resolved before drawing
Correct Incorrect Correct answer

Correct

Incorrect
Question 80 of 208

80. Question

Category: Patient Preparation: Collection Planning

What is the maximum recommended time a tourniquet should remain applied during venipuncture?

One minute (60 seconds)
Correct Incorrect Correct answer

Two minutes (120 seconds)
Correct Incorrect Correct answer

Thirty seconds
Correct Incorrect Correct answer

Five minutes
Correct Incorrect Correct answer

Correct

Incorrect
Question 81 of 208

81. Question

Category: Patient Preparation: Site Selection Positioning

Which vein in the antecubital fossa is the most commonly preferred site for venipuncture?

Median cubital vein
Correct Incorrect Correct answer

Cephalic vein
Correct Incorrect Correct answer

Basilic vein
Correct Incorrect Correct answer

Radial vein
Correct Incorrect Correct answer

Correct

Incorrect
Question 82 of 208

82. Question

Category: Patient Preparation: Site Selection Positioning

A phlebotomist palpates the antecubital area of a patient and cannot locate the median cubital vein. The cephalic vein is visible on the lateral aspect of the arm. What is the appropriate next step?

Attempt venipuncture on the cephalic vein, anchoring it well to prevent rolling
Correct Incorrect Correct answer

Move directly to a hand vein without attempting the cephalic vein
Correct Incorrect Correct answer

Apply a second tourniquet to increase pressure and try the median cubital again
Correct Incorrect Correct answer

Ask another phlebotomist to attempt the draw before trying the cephalic vein
Correct Incorrect Correct answer

Correct

Incorrect
Question 83 of 208

83. Question

Category: Patient Preparation: Site Selection Positioning

Which vein in the antecubital fossa is closest to the brachial artery and median nerve, making it the least preferred for venipuncture?

Basilic vein
Correct Incorrect Correct answer

Median cubital vein
Correct Incorrect Correct answer

Cephalic vein
Correct Incorrect Correct answer

Accessory cephalic vein
Correct Incorrect Correct answer

Correct

Incorrect
Question 84 of 208

84. Question

Category: Patient Preparation: Site Selection Positioning

A phlebotomist is unable to locate a suitable vein in either antecubital fossa after applying a tourniquet and palpating both arms. What is the next appropriate site to evaluate?

The dorsal hand veins
Correct Incorrect Correct answer

The veins of the foot
Correct Incorrect Correct answer

The veins of the wrist
Correct Incorrect Correct answer

The jugular vein in the neck
Correct Incorrect Correct answer

Correct

Incorrect
Question 85 of 208

85. Question

Category: Patient Preparation: Site Selection Positioning

In which position should an outpatient ideally be seated during a routine venipuncture?

In a phlebotomy chair with an armrest that supports the extended arm
Correct Incorrect Correct answer

Standing upright to allow gravity to fill the veins
Correct Incorrect Correct answer

Lying flat on an examination table for all outpatient draws
Correct Incorrect Correct answer

In a regular chair without armrests for quick access
Correct Incorrect Correct answer

Correct

Incorrect
Question 86 of 208

86. Question

Category: Patient Preparation: Site Selection Positioning

A phlebotomist is preparing to draw blood from a hospitalized patient who is lying in bed with the head elevated at 45 degrees. The patient states they feel comfortable. Is this position acceptable for venipuncture?

Yes, a semi-reclined position at 45 degrees is acceptable and provides safety if the patient faints
Correct Incorrect Correct answer

No, the patient must be sitting upright at 90 degrees for proper vein distension
Correct Incorrect Correct answer

No, the patient must be completely flat to ensure accurate results
Correct Incorrect Correct answer

Yes, but only if the patient signs a waiver acknowledging the nonstandard position
Correct Incorrect Correct answer

Correct

Incorrect
Question 87 of 208

87. Question

Category: Patient Preparation: Site Selection Positioning

A phlebotomist needs to draw blood from a patient who has IVs running in both antecubital areas. No hand veins are visible. What should the phlebotomist do?

Contact the nurse to determine if an IV can be temporarily paused and follow facility protocol for drawing below the IV site
Correct Incorrect Correct answer

Draw from above one of the IV sites since the IV fluid flows downward
Correct Incorrect Correct answer

Perform a capillary fingerstick for all ordered tests
Correct Incorrect Correct answer

Draw from the IV line directly to avoid additional needle sticks
Correct Incorrect Correct answer

Correct

Incorrect
Question 88 of 208

88. Question

Category: Patient Preparation: Site Selection Positioning

Collection of blood from foot veins typically requires which additional step compared to drawing from the arm?

Obtaining physician authorization per facility policy
Correct Incorrect Correct answer

Using a larger gauge needle for better access
Correct Incorrect Correct answer

Applying two tourniquets simultaneously
Correct Incorrect Correct answer

Drawing the specimen with the patient standing
Correct Incorrect Correct answer

Correct

Incorrect
Question 89 of 208

89. Question

Category: Patient Preparation: Site Selection Positioning

A phlebotomist is about to draw blood from a patient who says, ‘Please use my right arm. The left arm is always hard to draw from.’ After palpation, the phlebotomist finds a suitable vein in the right antecubital fossa. What is the appropriate action?

Respect the patient's preference and use the right arm since a suitable vein is present
Correct Incorrect Correct answer

Insist on trying the left arm first since it is closer to the heart
Correct Incorrect Correct answer

Always draw from the nondominant arm regardless of patient preference
Correct Incorrect Correct answer

Ignore the request and choose the arm with the best vein
Correct Incorrect Correct answer

Correct

Incorrect
Question 90 of 208

90. Question

Category: Patient Preparation: Site Selection Positioning

A phlebotomy student is learning venipuncture and asks the instructor to identify the antecubital fossa on a patient’s arm. The instructor should point to which anatomical area?

The shallow depression on the inner bend of the elbow
Correct Incorrect Correct answer

The back of the hand where veins are most visible
Correct Incorrect Correct answer

The inner surface of the wrist near the radial pulse
Correct Incorrect Correct answer

The top of the forearm between the elbow and wrist
Correct Incorrect Correct answer

Correct

Incorrect
Question 91 of 208

91. Question

Category: Patient Preparation: Site Selection Positioning

A phlebotomist is instructing a patient on how to collect a clean-catch midstream urine specimen. Which instruction is most important for specimen integrity?

Clean the genital area with the provided antiseptic wipe before beginning collection, and collect the specimen midstream
Correct Incorrect Correct answer

Collect the first portion of urine into the cup for the most concentrated specimen
Correct Incorrect Correct answer

Fill the cup completely to the top for maximum volume
Correct Incorrect Correct answer

Collect the specimen at any point during urination without cleaning first
Correct Incorrect Correct answer

Correct

Incorrect
Question 92 of 208

92. Question

Category: Patient Preparation: Site Selection Positioning

A phlebotomist receives an order for a sputum specimen for culture. When should the patient be instructed to collect the specimen?

Early in the morning before eating or drinking, after a deep cough from the lower respiratory tract
Correct Incorrect Correct answer

After drinking water to thin the mucus
Correct Incorrect Correct answer

At any time of day, regardless of food or drink intake
Correct Incorrect Correct answer

After using a throat lozenge to stimulate production
Correct Incorrect Correct answer

Correct

Incorrect
Question 93 of 208

93. Question

Category: Patient Preparation: Site Selection Positioning

Which vein in the antecubital fossa is located on the lateral (thumb) side of the arm?

Cephalic vein
Correct Incorrect Correct answer

Basilic vein
Correct Incorrect Correct answer

Median cubital vein
Correct Incorrect Correct answer

Brachial vein
Correct Incorrect Correct answer

Correct

Incorrect
Question 94 of 208

94. Question

Category: Patient Preparation: Site Selection Positioning

A phlebotomist must collect a stool specimen for occult blood testing. What dietary instruction should be given to the patient before collection?

Avoid red meat, certain raw vegetables, and vitamin C supplements for the period specified by the test instructions
Correct Incorrect Correct answer

Eat a high-fiber diet for 24 hours before the specimen collection
Correct Incorrect Correct answer

Fast for 12 hours before collecting the stool specimen
Correct Incorrect Correct answer

No dietary modifications are needed for stool occult blood testing
Correct Incorrect Correct answer

Correct

Incorrect
Question 95 of 208

95. Question

Category: Patient Preparation: Site Selection Positioning

A phlebotomist enters the room of a patient who is receiving a blood transfusion in the right arm. Orders are for a CBC and type and screen. What site should be selected?

The left arm, avoiding the arm with the transfusion
Correct Incorrect Correct answer

The right arm, drawing above the transfusion site
Correct Incorrect Correct answer

The right arm, drawing below the transfusion site
Correct Incorrect Correct answer

Either arm is acceptable as long as the tourniquet is applied correctly
Correct Incorrect Correct answer

Correct

Incorrect
Question 96 of 208

96. Question

Category: Patient Preparation: Site Selection Positioning

What information should a phlebotomist enter into the EMR/EHR after completing a blood collection?

Date and time of collection, specimens collected, site used, and collector identification
Correct Incorrect Correct answer

Only the patient's name and the tests ordered
Correct Incorrect Correct answer

The test results after they have been analyzed
Correct Incorrect Correct answer

The diagnosis code and treatment plan
Correct Incorrect Correct answer

Correct

Incorrect
Question 97 of 208

97. Question

Category: Patient Preparation: Site Selection Positioning

A phlebotomist is asked to collect a semen specimen from a patient for fertility testing. The patient asks if he can collect the specimen at home. What is the correct guidance?

Home collection may be acceptable if the specimen is kept at body temperature and delivered to the laboratory within the time specified by the facility's protocol
Correct Incorrect Correct answer

Home collection is never acceptable for semen specimens
Correct Incorrect Correct answer

The specimen must be collected in the laboratory under direct observation
Correct Incorrect Correct answer

The patient can collect the specimen at home and bring it in at any convenient time
Correct Incorrect Correct answer

Correct

Incorrect
Question 98 of 208

98. Question

Category: Patient Preparation: Site Selection Positioning

A phlebotomist palpates a vein and notices it feels hard, cord-like, and does not bounce back when pressed. What does this finding suggest, and what should the phlebotomist do?

The vein may be sclerosed or thrombosed, and the phlebotomist should select a different site
Correct Incorrect Correct answer

The vein is well-anchored and ideal for venipuncture
Correct Incorrect Correct answer

The vein has good turgor and will provide excellent blood flow
Correct Incorrect Correct answer

The finding is normal for elderly patients and the phlebotomist should proceed
Correct Incorrect Correct answer

Correct

Incorrect
Question 99 of 208

99. Question

Category: Patient Preparation: Site Selection Positioning

When positioning a patient’s arm for venipuncture, the arm should be extended in which direction?

Downward in a straight line from the shoulder to the wrist, forming a straight line
Correct Incorrect Correct answer

Bent at a 90-degree angle at the elbow
Correct Incorrect Correct answer

Raised above the level of the heart
Correct Incorrect Correct answer

Bent slightly upward toward the ceiling
Correct Incorrect Correct answer

Correct

Incorrect
Question 100 of 208

100. Question

Category: Patient Preparation: Site Selection Positioning

A phlebotomist is collecting a 24-hour urine specimen instruction sheet for a patient. Which of the following instructions is essential?

Discard the first morning void, note the time, and then collect all subsequent urine for 24 hours, including the first void the next morning at the same time
Correct Incorrect Correct answer

Collect only the first and last voids of the day in the container
Correct Incorrect Correct answer

Collect all urine for 24 hours starting with the first morning void
Correct Incorrect Correct answer

Collect a random sample each hour for 24 hours
Correct Incorrect Correct answer

Correct

Incorrect
Question 101 of 208

101. Question

Category: Patient Preparation: Patient Identification

Which of the following best describes the standard requirement for verifying a patient’s identity before specimen collection?

Two forms of identification must be confirmed before any collection
Correct Incorrect Correct answer

One form of identification is sufficient if the patient states their name
Correct Incorrect Correct answer

Identification is only required for inpatient collections
Correct Incorrect Correct answer

A single photo ID replaces the need for any other identifier
Correct Incorrect Correct answer

Correct

Incorrect
Question 102 of 208

102. Question

Category: Patient Preparation: Patient Identification

A phlebotomist is preparing to draw blood from a hospitalized patient. The patient’s identification band shows the name “Jane Smith” and a medical record number. What should the phlebotomist do next?

Ask the patient to state her full name and date of birth, then compare to the identification band
Correct Incorrect Correct answer

Proceed with the draw since the identification band is already in place
Correct Incorrect Correct answer

Ask the nurse to confirm the patient's identity verbally
Correct Incorrect Correct answer

Check the patient's chart at the nursing station instead of using the band
Correct Incorrect Correct answer

Correct

Incorrect
Question 103 of 208

103. Question

Category: Patient Preparation: Patient Identification

A phlebotomist enters a patient’s room and says, “Are you John Davis?” The patient nods. Why is this approach to verbal confirmation inadequate?

The phlebotomist should ask the patient to state their own name rather than confirming a name provided to them
Correct Incorrect Correct answer

Nodding is an acceptable form of verbal confirmation in most facilities
Correct Incorrect Correct answer

The phlebotomist should have checked the chart before speaking to the patient
Correct Incorrect Correct answer

Verbal confirmation is not a recognized method of patient identification
Correct Incorrect Correct answer

Correct

Incorrect
Question 104 of 208

104. Question

Category: Patient Preparation: Patient Identification

Which regulation requires healthcare facilities to protect the confidentiality of patient health information during the specimen collection process?

HIPAA privacy guidelines
Correct Incorrect Correct answer

OSHA Bloodborne Pathogen Standard
Correct Incorrect Correct answer

CLSI venipuncture guidelines
Correct Incorrect Correct answer

The Clinical Laboratory Improvement Amendments (CLIA)
Correct Incorrect Correct answer

Correct

Incorrect
Question 105 of 208

105. Question

Category: Patient Preparation: Patient Identification

A phlebotomist receives a test requisition for a patient in an outpatient clinic. Which information on the requisition is essential to verify before proceeding with specimen collection?

Patient name, date of birth, tests ordered, and ordering provider
Correct Incorrect Correct answer

Only the patient name and the tests ordered
Correct Incorrect Correct answer

The ordering provider name and the collection date only
Correct Incorrect Correct answer

The patient's insurance information and date of birth only
Correct Incorrect Correct answer

Correct

Incorrect
Question 106 of 208

106. Question

Category: Patient Preparation: Patient Identification

Which of the following is considered demographic information that may appear on a patient’s identification band?

Patient name, date of birth, and medical record number
Correct Incorrect Correct answer

Laboratory test results and diagnosis codes
Correct Incorrect Correct answer

Insurance provider and copayment amount
Correct Incorrect Correct answer

Physician progress notes and medication orders
Correct Incorrect Correct answer

Correct

Incorrect
Question 107 of 208

107. Question

Category: Patient Preparation: Patient Identification

The Patient Bill of Rights includes which of the following protections relevant to phlebotomy practice?

The right to be informed about procedures and to give or refuse consent
Correct Incorrect Correct answer

The right to choose which laboratory analyzes their specimens
Correct Incorrect Correct answer

The right to select the phlebotomist who performs the blood draw
Correct Incorrect Correct answer

The right to receive test results directly from the phlebotomist
Correct Incorrect Correct answer

Correct

Incorrect
Question 108 of 208

108. Question

Category: Patient Preparation: Patient Identification

A phlebotomist enters a patient’s room to perform a blood draw. What is the appropriate first step when greeting the patient?

Introduce yourself by stating your name, title, and department
Correct Incorrect Correct answer

Immediately apply the tourniquet to save time
Correct Incorrect Correct answer

Ask the patient what tests have been ordered
Correct Incorrect Correct answer

Begin reviewing the patient's chart at the bedside computer
Correct Incorrect Correct answer

Correct

Incorrect
Question 109 of 208

109. Question

Category: Patient Preparation: Patient Communication

During a patient interview before blood collection, a phlebotomist should gather which of the following information?

Whether the patient has eaten, taken medications, or has any allergies relevant to the collection
Correct Incorrect Correct answer

The patient's preferred pharmacy and primary care physician
Correct Incorrect Correct answer

The patient's employment status and emergency contact
Correct Incorrect Correct answer

The patient's opinion on the necessity of the ordered tests
Correct Incorrect Correct answer

Correct

Incorrect
Question 110 of 208

110. Question

Category: Patient Preparation: Patient Communication

Which of the following is an example of non-verbal communication during a phlebotomy encounter?

Maintaining appropriate eye contact and a calm facial expression
Correct Incorrect Correct answer

Asking the patient to spell their last name
Correct Incorrect Correct answer

Explaining the venipuncture procedure step by step
Correct Incorrect Correct answer

Reading the test requisition aloud to the patient
Correct Incorrect Correct answer

Correct

Incorrect
Question 111 of 208

111. Question

Category: Patient Preparation: Patient Communication

A phlebotomist notices that a patient appears tense, with crossed arms and a clenched jaw, even though the patient verbally states they are fine. How should the phlebotomist respond?

Acknowledge the patient's body language and offer reassurance about the procedure
Correct Incorrect Correct answer

Proceed with the draw since the patient verbally consented
Correct Incorrect Correct answer

Document that the patient refused the blood draw
Correct Incorrect Correct answer

Ask another phlebotomist to perform the collection instead
Correct Incorrect Correct answer

Correct

Incorrect
Question 112 of 208

112. Question

Category: Patient Preparation: Patient Communication

When speaking with a patient who appears anxious about a blood draw, which adjustment to volume of voice is most appropriate?

Speak in a calm, moderate tone to help reduce the patient's anxiety
Correct Incorrect Correct answer

Speak loudly so the patient can hear instructions clearly over background noise
Correct Incorrect Correct answer

Whisper to avoid drawing attention from other patients nearby
Correct Incorrect Correct answer

Raise your voice to convey authority and maintain control of the situation
Correct Incorrect Correct answer

Correct

Incorrect
Question 113 of 208

113. Question

Category: Patient Preparation: Patient Communication

A phlebotomist is assigned to draw blood from a patient whose cultural background requires that a family member of the same gender be present during medical procedures. What is the best course of action?

Respect the cultural practice and allow the family member to be present during the draw
Correct Incorrect Correct answer

Explain that facility policy does not allow visitors during blood draws
Correct Incorrect Correct answer

Proceed with the draw and document the patient's cultural request afterward
Correct Incorrect Correct answer

Ask the patient to sign a waiver declining their cultural accommodation
Correct Incorrect Correct answer

Correct

Incorrect
Question 114 of 208

114. Question

Category: Patient Preparation: Patient Communication

A phlebotomist needs to collect blood from a patient who speaks only Spanish. The phlebotomist does not speak Spanish. What is the most appropriate action?

Use the facility's interpreter services to communicate with the patient
Correct Incorrect Correct answer

Use hand gestures to explain the procedure and proceed with the draw
Correct Incorrect Correct answer

Ask a bilingual patient in the waiting room to translate
Correct Incorrect Correct answer

Skip the verbal identification step and rely solely on the wristband
Correct Incorrect Correct answer

Correct

Incorrect
Question 115 of 208

115. Question

Category: Patient Preparation: Patient Communication

A phlebotomist is preparing to draw blood from a patient who is hearing impaired and does not read lips. Which communication method is most appropriate?

Use written instructions or a sign language interpreter to explain the procedure
Correct Incorrect Correct answer

Speak more loudly and slowly while facing the patient directly
Correct Incorrect Correct answer

Proceed without explanation since the patient cannot hear verbal instructions
Correct Incorrect Correct answer

Ask a family member to sign on the patient's behalf without the patient's awareness
Correct Incorrect Correct answer

Correct

Incorrect
Question 116 of 208

116. Question

Category: Patient Preparation: Patient Communication

A phlebotomist is explaining a blood draw to a 7-year-old child. The child begins crying and pulling away. The parent is present and has given consent. Which response best demonstrates awareness of the patient’s cognitive and developmental stage?

Use simple, age-appropriate language to explain what will happen and offer a distraction such as counting or looking at a picture
Correct Incorrect Correct answer

Explain the procedure using the same medical terminology used with adult patients
Correct Incorrect Correct answer

Tell the child to stop crying because the procedure will be quick
Correct Incorrect Correct answer

Ask the parent to hold the child down so the draw can be completed immediately
Correct Incorrect Correct answer

Correct

Incorrect
Question 117 of 208

117. Question

Category: Patient Preparation: Patient Communication

A phlebotomist arrives to draw blood from an elderly patient with moderate cognitive impairment. The patient does not understand what is happening and becomes agitated. What is the best approach?

Speak slowly and calmly, use simple phrases, and enlist the help of a caregiver or nurse to reassure the patient
Correct Incorrect Correct answer

Postpone the draw indefinitely until the patient's cognition improves
Correct Incorrect Correct answer

Proceed quickly while the patient is distracted by the television
Correct Incorrect Correct answer

Explain the full medical rationale for the blood test in detail
Correct Incorrect Correct answer

Correct

Incorrect
Question 118 of 208

118. Question

Category: Patient Preparation: Patient Communication

A patient informs the phlebotomist that their religion prohibits blood draws on certain holy days. Which of the following actions is most appropriate?

Notify the ordering provider and document the patient's religious concern so the draw can be rescheduled if medically appropriate
Correct Incorrect Correct answer

Explain that religious beliefs cannot override a physician's laboratory order
Correct Incorrect Correct answer

Perform the blood draw anyway since the order has already been placed
Correct Incorrect Correct answer

Cancel the laboratory order without notifying the ordering provider
Correct Incorrect Correct answer

Correct

Incorrect
Question 119 of 208

119. Question

Category: Patient Preparation: Patient Communication

A phlebotomist is collecting blood from a patient who recently lost their job and expresses concern about paying for laboratory tests. The patient asks the phlebotomist whether the tests are really necessary. What is the best response?

Acknowledge the patient's concern empathetically and suggest they speak with the billing department or their provider about financial assistance options
Correct Incorrect Correct answer

Tell the patient the tests are mandatory and cannot be questioned
Correct Incorrect Correct answer

Advise the patient to refuse the blood draw to avoid the charges
Correct Incorrect Correct answer

Explain the clinical significance of each test to justify the cost
Correct Incorrect Correct answer

Correct

Incorrect
Question 120 of 208

120. Question

Category: Patient Preparation: Patient Communication

When a patient identifies their preferred pronouns and gender expression during registration, the phlebotomist should do which of the following?

Use the patient's stated pronouns and treat the patient with respect throughout the encounter
Correct Incorrect Correct answer

Use pronouns based on the patient's appearance rather than their stated preference
Correct Incorrect Correct answer

Avoid using any pronouns and refer to the patient only by their medical record number
Correct Incorrect Correct answer

Ask the patient to explain why they use those pronouns before proceeding
Correct Incorrect Correct answer

Correct

Incorrect
Question 121 of 208

121. Question

Category: Patient Preparation: Patient Communication

A phlebotomist needs to draw blood from a 15-year-old patient who arrived at the outpatient lab without a parent or legal guardian. What should the phlebotomist do?

Follow facility policy regarding minor consent, which typically requires a parent or legal guardian to authorize the procedure
Correct Incorrect Correct answer

Proceed with the draw since the patient is a teenager and can consent independently
Correct Incorrect Correct answer

Call the ordering physician and ask them to authorize the draw by phone
Correct Incorrect Correct answer

Have the minor sign their own consent form and proceed with the collection
Correct Incorrect Correct answer

Correct

Incorrect
Question 122 of 208

122. Question

Category: Patient Preparation: Patient Communication

A phlebotomist is assigned to draw blood from a patient with dementia who does not recognize the phlebotomist and becomes fearful. Which approach is most appropriate?

Approach calmly, reintroduce yourself each time, use a gentle tone, and involve a familiar caregiver if available
Correct Incorrect Correct answer

Wait until the patient falls asleep and then perform the blood draw quickly
Correct Incorrect Correct answer

Firmly explain that the blood draw is medically necessary and must be done now
Correct Incorrect Correct answer

Ask the charge nurse to administer a sedative before attempting the draw
Correct Incorrect Correct answer

Correct

Incorrect
Question 123 of 208

123. Question

Category: Patient Preparation: Patient Communication

A phlebotomist is preparing to collect blood from a patient with a mental disability who has a legal guardian present. The patient appears to understand the procedure but the guardian insists the patient cannot make decisions. What is the most appropriate action?

Communicate with the patient at their level of understanding while also including the legal guardian in the consent process
Correct Incorrect Correct answer

Ignore the guardian and speak only to the patient since the patient appears to understand
Correct Incorrect Correct answer

Speak only to the guardian since they have legal authority over the patient
Correct Incorrect Correct answer

Postpone the draw until a social worker can evaluate the patient's capacity
Correct Incorrect Correct answer

Correct

Incorrect
Question 124 of 208

124. Question

Category: Patient Preparation: Patient Communication

Before performing a venipuncture, the phlebotomist should explain the procedure to the patient primarily to accomplish which goal?

Reduce patient anxiety and obtain informed consent for the procedure
Correct Incorrect Correct answer

Demonstrate the phlebotomist's technical knowledge to the patient
Correct Incorrect Correct answer

Satisfy the laboratory's quality assurance documentation requirements
Correct Incorrect Correct answer

Ensure the patient understands how to interpret their test results
Correct Incorrect Correct answer

Correct

Incorrect
Question 125 of 208

125. Question

Category: Patient Preparation: Order Verification

A laboratory order marked “STAT” indicates which of the following?

The specimen must be collected and processed immediately due to an urgent medical need
Correct Incorrect Correct answer

The specimen should be collected during the next routine morning draw
Correct Incorrect Correct answer

The test requires a special collection tube not normally stocked
Correct Incorrect Correct answer

The specimen can be collected at the patient's convenience within 24 hours
Correct Incorrect Correct answer

Correct

Incorrect
Question 126 of 208

126. Question

Category: Patient Preparation: Order Verification

A routine draw order differs from a STAT order primarily in which way?

A routine draw does not require immediate collection and is typically batched with other scheduled collections
Correct Incorrect Correct answer

A routine draw uses different collection tubes than a STAT draw
Correct Incorrect Correct answer

A routine draw does not require patient identification verification
Correct Incorrect Correct answer

A routine draw is always collected by a nurse rather than a phlebotomist
Correct Incorrect Correct answer

Correct

Incorrect
Question 127 of 208

127. Question

Category: Patient Preparation: Order Verification

A physician orders a timed cortisol collection for 8:00 AM. The phlebotomist arrives at the patient’s room at 8:15 AM. What is the most appropriate action?

Collect the specimen, note the actual collection time, and inform the laboratory of the delay
Correct Incorrect Correct answer

Cancel the order since the exact time window was missed
Correct Incorrect Correct answer

Collect the specimen and label it as if it were drawn at 8:00 AM
Correct Incorrect Correct answer

Wait until the next day and attempt the timed draw again without notifying anyone
Correct Incorrect Correct answer

Correct

Incorrect
Question 128 of 208

128. Question

Category: Patient Preparation: Order Verification

A laboratory order specifies that a drug level should be drawn at trough, which means the specimen should be collected at which time?

Just before the next scheduled dose of the medication, when the drug level is at its lowest
Correct Incorrect Correct answer

Immediately after the medication is administered, when the drug level is highest
Correct Incorrect Correct answer

At the midpoint between two consecutive doses of the medication
Correct Incorrect Correct answer

At any random time as long as the collection time is documented
Correct Incorrect Correct answer

Correct

Incorrect
Question 129 of 208

129. Question

Category: Patient Preparation: Order Verification

When a laboratory order specifies both peak and trough levels for an antibiotic, what do these terms refer to?

The highest and lowest concentrations of the drug in the patient's blood relative to dosing times
Correct Incorrect Correct answer

The normal and abnormal reference ranges for the antibiotic test
Correct Incorrect Correct answer

The maximum and minimum volumes of blood needed for the test
Correct Incorrect Correct answer

The fastest and slowest centrifuge speeds used to process the specimen
Correct Incorrect Correct answer

Correct

Incorrect
Question 130 of 208

130. Question

Category: Patient Preparation: Order Verification

In healthcare billing, what is the purpose of a diagnosis code on a laboratory order?

It identifies the medical reason for the test and supports insurance reimbursement
Correct Incorrect Correct answer

It specifies the exact collection tube and additives to use
Correct Incorrect Correct answer

It determines which phlebotomist should perform the blood draw
Correct Incorrect Correct answer

It indicates the priority level of the laboratory order
Correct Incorrect Correct answer

Correct

Incorrect
Question 131 of 208

131. Question

Category: Patient Preparation: Order Verification

A patient arrives at the outpatient lab for a fasting glucose test. The phlebotomist reviews the requisition and notices the test requirements indicate the patient must fast for 8 to 12 hours. The patient reports eating breakfast two hours ago. What should the phlebotomist do?

Inform the patient that fasting is required, do not collect the specimen, and reschedule the draw
Correct Incorrect Correct answer

Collect the specimen and note on the label that the patient was not fasting
Correct Incorrect Correct answer

Collect the specimen since the physician ordered it regardless of fasting status
Correct Incorrect Correct answer

Ask the patient to wait two more hours in the waiting room and then draw the specimen
Correct Incorrect Correct answer

Correct

Incorrect
Question 132 of 208

132. Question

Category: Patient Preparation: Order Verification

Before drawing blood at an outpatient facility, a phlebotomist discovers the patient’s insurance has not been verified. What is the appropriate action?

Notify the registration or billing staff to verify insurance before proceeding with the collection
Correct Incorrect Correct answer

Proceed with the blood draw since insurance verification is not the phlebotomist's responsibility
Correct Incorrect Correct answer

Ask the patient to call their insurance company from the waiting room
Correct Incorrect Correct answer

Refuse to draw the patient's blood until they provide proof of insurance
Correct Incorrect Correct answer

Correct

Incorrect
Question 133 of 208

133. Question

Category: Patient Preparation: Order Verification

What is a copayment in the context of outpatient laboratory services?

A fixed amount the patient pays at the time of service as their share of the cost
Correct Incorrect Correct answer

The total amount billed to the insurance company for the laboratory tests
Correct Incorrect Correct answer

A refund issued to the patient when a test is canceled
Correct Incorrect Correct answer

The fee charged for processing a STAT laboratory order
Correct Incorrect Correct answer

Correct

Incorrect
Question 134 of 208

134. Question

Category: Patient Preparation: Order Verification

A new patient arrives at an outpatient laboratory for the first time. Which information must be collected during patient registration before specimen collection can begin?

Full name, date of birth, address, insurance information, and the ordering provider's details
Correct Incorrect Correct answer

Only the patient's name and the tests ordered by the physician
Correct Incorrect Correct answer

The patient's blood type and previous laboratory results
Correct Incorrect Correct answer

The patient's preferred pharmacy and over-the-counter medication list
Correct Incorrect Correct answer

Correct

Incorrect
Question 135 of 208

135. Question

Category: Patient Preparation: Order Verification

A phlebotomist receives a laboratory requisition for a complete blood count (CBC) and a basic metabolic panel (BMP). The requisition lists the patient’s name and date of birth, but the ordering provider’s signature is missing. What should the phlebotomist do?

Do not collect the specimen until the order is verified with a valid provider signature or electronic authorization
Correct Incorrect Correct answer

Collect the specimen since the tests are common and routinely ordered
Correct Incorrect Correct answer

Sign the requisition on behalf of the ordering provider to avoid delays
Correct Incorrect Correct answer

Collect the specimen and have the provider sign the requisition afterward
Correct Incorrect Correct answer

Correct

Incorrect
Question 136 of 208

136. Question

Category: Patient Preparation: Order Verification

A phlebotomist reviews an electronic order and notices the diagnosis code does not appear to match the tests ordered. For example, a lipid panel is ordered but the diagnosis code indicates a urinary tract infection. What is the best course of action?

Flag the discrepancy and contact the ordering provider or appropriate department to clarify before collecting
Correct Incorrect Correct answer

Change the diagnosis code to one that matches the lipid panel
Correct Incorrect Correct answer

Collect the specimen regardless since diagnosis codes are a billing matter only
Correct Incorrect Correct answer

Cancel the order and document the reason in the patient's chart
Correct Incorrect Correct answer

Correct

Incorrect
Question 137 of 208

137. Question

Category: Patient Preparation: Collection Planning

Which factor primarily determines the type of collection tube selected for a blood draw?

The specific test ordered and the additive required for that test
Correct Incorrect Correct answer

The patient's age and weight
Correct Incorrect Correct answer

The phlebotomist's personal preference
Correct Incorrect Correct answer

The time of day the specimen is collected
Correct Incorrect Correct answer

Correct

Incorrect
Question 138 of 208

138. Question

Category: Patient Preparation: Collection Planning

What is the purpose of the additive contained in a blood collection tube?

To preserve the specimen or prevent clotting so the test can be performed accurately
Correct Incorrect Correct answer

To sterilize the blood specimen during transport to the laboratory
Correct Incorrect Correct answer

To change the color of the blood so the laboratory can identify the tube type
Correct Incorrect Correct answer

To increase the volume of blood collected in the tube
Correct Incorrect Correct answer

Correct

Incorrect
Question 139 of 208

139. Question

Category: Patient Preparation: Collection Planning

A test requires a minimum volume of 3 mL of whole blood in an EDTA tube. The phlebotomist collects only 1.5 mL. What is the most likely consequence?

The specimen may be rejected by the laboratory due to an incorrect blood-to-additive ratio
Correct Incorrect Correct answer

The laboratory will dilute the specimen with saline to reach the required volume
Correct Incorrect Correct answer

The test will produce accurate results since EDTA does not require a specific ratio
Correct Incorrect Correct answer

The laboratory will run the test on the partial specimen without any quality concern
Correct Incorrect Correct answer

Correct

Incorrect
Question 140 of 208

140. Question

Category: Patient Preparation: Collection Planning

What does the maximum blood volume indicated on a collection tube represent?

The highest amount of blood the tube is designed to hold while maintaining the correct additive ratio
Correct Incorrect Correct answer

The total amount of blood that can be safely drawn from a patient in one visit
Correct Incorrect Correct answer

The maximum volume the centrifuge can process at one time
Correct Incorrect Correct answer

The amount of blood required to perform all possible tests on that tube type
Correct Incorrect Correct answer

Correct

Incorrect
Question 141 of 208

141. Question

Category: Patient Preparation: Collection Planning

A phlebotomist reviews a patient’s medical record and discovers the patient has an arteriovenous fistula in the left arm for dialysis. How should this affect the collection plan?

Avoid drawing blood from the arm with the fistula and use the other arm or an alternative site
Correct Incorrect Correct answer

Draw from the fistula arm since it provides easier venous access
Correct Incorrect Correct answer

Apply a tourniquet above the fistula to increase blood flow for the draw
Correct Incorrect Correct answer

Use the fistula arm only if the patient gives verbal permission
Correct Incorrect Correct answer

Correct

Incorrect
Question 142 of 208

142. Question

Category: Patient Preparation: Collection Planning

Before applying a tourniquet, a phlebotomist asks the patient about allergies and learns the patient has a latex allergy. What is the appropriate action?

Use a non-latex tourniquet and latex-free gloves for the entire procedure
Correct Incorrect Correct answer

Apply the latex tourniquet over the patient's clothing to avoid direct skin contact
Correct Incorrect Correct answer

Proceed with latex gloves since only the tourniquet needs to be latex-free
Correct Incorrect Correct answer

Postpone the blood draw until the allergy can be confirmed by an allergist
Correct Incorrect Correct answer

Correct

Incorrect
Question 143 of 208

143. Question

Category: Patient Preparation: Collection Planning

While reviewing a patient’s medical history before a blood draw, a phlebotomist notes the patient had a mastectomy with lymph node removal on the right side. Where should the phlebotomist plan to draw blood?

From the left arm, avoiding the side where lymph nodes were removed
Correct Incorrect Correct answer

From the right arm since the mastectomy does not affect venipuncture
Correct Incorrect Correct answer

From either arm, as long as a tourniquet is applied properly
Correct Incorrect Correct answer

Only from a hand vein on the right side using a butterfly needle
Correct Incorrect Correct answer

Correct

Incorrect
Question 144 of 208

144. Question

Category: Patient Preparation: Collection Planning

A phlebotomist is preparing to draw blood from a patient who reports a history of fainting during blood draws. What should the phlebotomist do to prepare?

Have the patient lie down or recline during the draw and keep ammonia inhalants accessible
Correct Incorrect Correct answer

Ask the patient to stand during the draw to promote circulation
Correct Incorrect Correct answer

Proceed with the draw in a standard seated position since fainting is unpredictable
Correct Incorrect Correct answer

Cancel the blood draw and ask the physician to order a urine test instead
Correct Incorrect Correct answer

Correct

Incorrect
Question 145 of 208

145. Question

Category: Patient Preparation: Collection Planning

A phlebotomist needs to collect multiple tubes from a frail 85-year-old patient with small, fragile veins. Which consideration is most important when planning this collection?

Limit the total blood volume collected, use smaller tubes if available, and select the most appropriate needle gauge for fragile veins
Correct Incorrect Correct answer

Collect all tubes using the largest gauge needle to complete the draw quickly
Correct Incorrect Correct answer

Draw extra blood in case the laboratory needs to repeat any tests
Correct Incorrect Correct answer

Apply the tourniquet for an extended time to maximize vein distension
Correct Incorrect Correct answer

Correct

Incorrect
Question 146 of 208

146. Question

Category: Patient Preparation: Collection Planning

A phlebotomist is preparing to draw blood from a patient in a wheelchair who has limited mobility in both arms. Which factor should the phlebotomist assess first?

The patient's physical condition, including range of motion and accessibility of veins in each arm
Correct Incorrect Correct answer

Whether the patient can transfer to a standard phlebotomy chair
Correct Incorrect Correct answer

The distance from the wheelchair to the nearest sharps container
Correct Incorrect Correct answer

Whether the patient's insurance covers draws performed in a wheelchair
Correct Incorrect Correct answer

Correct

Incorrect
Question 147 of 208

147. Question

Category: Patient Preparation: Collection Planning

A phlebotomist reviews a patient’s chart and notes the patient is currently taking warfarin. How should this information affect the collection plan?

Plan for extended pressure application after the draw because warfarin increases bleeding time
Correct Incorrect Correct answer

Use a larger gauge needle to collect blood more quickly
Correct Incorrect Correct answer

Avoid collecting blood entirely until the patient stops taking warfarin
Correct Incorrect Correct answer

Apply the tourniquet more tightly than usual to control bleeding during the draw
Correct Incorrect Correct answer

Correct

Incorrect
Question 148 of 208

148. Question

Category: Patient Preparation: Collection Planning

A patient reports they have hemophilia. Why is this information critical for the phlebotomist to know before collection?

Hemophilia is a bleeding disorder that requires extra precautions to achieve hemostasis after venipuncture
Correct Incorrect Correct answer

Hemophilia requires a different order of draw than standard protocol
Correct Incorrect Correct answer

Hemophilia causes veins to collapse more easily during venipuncture
Correct Incorrect Correct answer

Hemophilia patients cannot have blood drawn under any circumstances
Correct Incorrect Correct answer

Correct

Incorrect
Question 149 of 208

149. Question

Category: Patient Preparation: Collection Planning

A phlebotomist is preparing to draw blood from a patient who appears confused and disoriented. The patient’s chart indicates no history of cognitive impairment. What should the phlebotomist do?

Notify the patient's nurse or provider about the change in mental condition before proceeding with the draw
Correct Incorrect Correct answer

Proceed with the draw since the order is already in the system
Correct Incorrect Correct answer

Document the observation but complete the draw without notifying anyone
Correct Incorrect Correct answer

Cancel the laboratory order and reschedule for the next day
Correct Incorrect Correct answer

Correct

Incorrect
Question 150 of 208

150. Question

Category: Patient Preparation: Collection Planning

Which tube stopper color indicates the tube contains sodium citrate, used for coagulation testing?

Light blue
Correct Incorrect Correct answer

Lavender
Correct Incorrect Correct answer

Green
Correct Incorrect Correct answer

Red
Correct Incorrect Correct answer

Correct

Incorrect
Question 151 of 208

151. Question

Category: Patient Preparation: Collection Planning

A phlebotomist must collect a light blue top tube for a PT/INR test. The tube requires a 9:1 blood-to-additive ratio. Why is it particularly important to fill this tube to the specified volume?

An incorrect ratio of blood to sodium citrate will produce inaccurate coagulation results
Correct Incorrect Correct answer

The light blue tube will shatter if not filled to the correct volume
Correct Incorrect Correct answer

Sodium citrate loses its preservative properties when exposed to air in an underfilled tube
Correct Incorrect Correct answer

The centrifuge cannot spin a partially filled light blue tube
Correct Incorrect Correct answer

Correct

Incorrect
Question 152 of 208

152. Question

Category: Patient Preparation: Collection Planning

A physician orders a urine culture and a blood culture for the same patient. The phlebotomist should plan for which type of specimen collection?

Both a blood specimen and a non-blood specimen, each following their respective collection protocols
Correct Incorrect Correct answer

Only the blood culture, since urine collection is always the patient's responsibility
Correct Incorrect Correct answer

Only the urine culture, since blood cultures require a nurse to collect
Correct Incorrect Correct answer

A single combined specimen that the laboratory will separate into blood and urine portions
Correct Incorrect Correct answer

Correct

Incorrect
Question 153 of 208

153. Question

Category: Patient Preparation: Site Selection Positioning

A patient with a history of syncope during blood draws should be placed in which position for the collection?

Supine (lying down) or semi-reclined to prevent injury from fainting
Correct Incorrect Correct answer

Seated upright in a standard phlebotomy chair with armrests
Correct Incorrect Correct answer

Standing with support from the phlebotomist
Correct Incorrect Correct answer

Seated on a stool without armrests to allow easy access to both arms
Correct Incorrect Correct answer

Correct

Incorrect
Question 154 of 208

154. Question

Category: Patient Preparation: Site Selection Positioning

Which vein is the most commonly preferred site for routine venipuncture?

The median cubital vein in the antecubital fossa
Correct Incorrect Correct answer

The dorsal metacarpal vein on the back of the hand
Correct Incorrect Correct answer

The external jugular vein in the neck
Correct Incorrect Correct answer

The great saphenous vein in the leg
Correct Incorrect Correct answer

Correct

Incorrect
Question 155 of 208

155. Question

Category: Patient Preparation: Site Selection Positioning

A phlebotomist accesses the patient’s electronic medical record before a blood draw and discovers the patient has bilateral IV lines in both antecubital areas. What should the phlebotomist do?

Select an alternative site below the IV, such as a hand vein, or consult with the nurse about pausing the IV
Correct Incorrect Correct answer

Draw from directly above the IV insertion site on either arm
Correct Incorrect Correct answer

Remove one IV line temporarily to access the vein for the draw
Correct Incorrect Correct answer

Collect the blood from the IV tubing port instead of performing venipuncture
Correct Incorrect Correct answer

Correct

Incorrect
Question 156 of 208

156. Question

Category: Patient Preparation: Site Selection Positioning

A physician orders a stool specimen for occult blood testing. Which of the following is the phlebotomist’s role in this collection?

Provide the patient with the collection container and instructions for proper specimen collection
Correct Incorrect Correct answer

Collect the stool specimen directly from the patient in the laboratory
Correct Incorrect Correct answer

Perform the occult blood test and report the results to the physician
Correct Incorrect Correct answer

Decline involvement since stool collection is outside the phlebotomy department
Correct Incorrect Correct answer

Correct

Incorrect
Question 157 of 208

157. Question

Category: Patient Preparation: Site Selection Positioning

Which of the following is a key patient safety consideration when positioning a patient for a blood draw?

Ensure the patient's arm is supported and extended downward to prevent injury and promote venous filling
Correct Incorrect Correct answer

Have the patient hold their arm above their head to increase blood pressure
Correct Incorrect Correct answer

Position the patient's arm behind their back to expose the antecubital area
Correct Incorrect Correct answer

Ask the patient to repeatedly open and close their fist for five minutes before the draw
Correct Incorrect Correct answer

Correct

Incorrect
Question 158 of 208

158. Question

Category: Patient Preparation: Site Selection Positioning

A phlebotomist palpates the antecubital area of a patient and cannot locate a suitable vein in either arm. The patient reports that previous phlebotomists have always had difficulty finding veins. Which approach to site selection is most appropriate?

Apply a warm compress to promote vein dilation, then reassess the antecubital area and hand veins
Correct Incorrect Correct answer

Attempt a blind stick in the area where the median cubital vein is typically located
Correct Incorrect Correct answer

Use an automatic vein finder to access a deep vein that cannot be palpated
Correct Incorrect Correct answer

Ask the patient to perform jumping jacks to increase circulation before the draw
Correct Incorrect Correct answer

Correct

Incorrect
Question 159 of 208

159. Question

Category: Patient Preparation: Patient Identification

A phlebotomist is about to draw blood from an inpatient. The patient verbally states their name as “Mary Johnson” and date of birth as “March 5, 1960,” but the identification band reads “Mary Johnston” with the same date of birth. What should the phlebotomist do?

Do not proceed with the draw and report the discrepancy to the nursing staff for resolution
Correct Incorrect Correct answer

Proceed with the draw since the date of birth matches and the name is close enough
Correct Incorrect Correct answer

Correct the spelling on the identification band and then draw the blood
Correct Incorrect Correct answer

Ask the patient which spelling is correct and use their verbal response as the final authority
Correct Incorrect Correct answer

Correct

Incorrect
Question 160 of 208

160. Question

Category: Patient Preparation: Patient Identification

When verifying a patient’s identity in an outpatient laboratory, the phlebotomist should protect patient privacy by taking which of the following actions?

Verify identifying information in a manner that prevents other patients from overhearing personal details
Correct Incorrect Correct answer

Call out the patient's full name and date of birth loudly in the waiting room
Correct Incorrect Correct answer

Display the patient's test requisition on the front desk where it is visible to others
Correct Incorrect Correct answer

Ask the patient to write their Social Security number on the sign-in sheet
Correct Incorrect Correct answer

Correct

Incorrect
Question 161 of 208

161. Question

Category: Patient Preparation: Patient Communication

Cultural competence in phlebotomy practice means the phlebotomist demonstrates which of the following?

Awareness of and respect for the cultural beliefs, values, and practices of diverse patient populations
Correct Incorrect Correct answer

The ability to speak multiple languages fluently
Correct Incorrect Correct answer

Knowledge of every cultural tradition practiced worldwide
Correct Incorrect Correct answer

A preference for treating patients from one's own cultural background
Correct Incorrect Correct answer

Correct

Incorrect
Question 162 of 208

162. Question

Category: Patient Preparation: Patient Communication

A phlebotomist needs to collect blood from a patient who has an intellectual disability and communicates using simple words and short phrases. What is the best approach?

Use simple, concrete language, demonstrate each step, and allow extra time for the patient to process information
Correct Incorrect Correct answer

Speak to the caregiver exclusively and avoid addressing the patient directly
Correct Incorrect Correct answer

Use the same detailed technical explanation given to all adult patients
Correct Incorrect Correct answer

Skip the explanation entirely and proceed with the draw to minimize patient distress
Correct Incorrect Correct answer

Correct

Incorrect
Question 163 of 208

163. Question

Category: Patient Preparation: Patient Communication

A phlebotomist is collecting blood from a patient who begins discussing personal financial struggles and asks whether the phlebotomist thinks the tests are worth the money. The patient seems emotionally distressed. What is the most professional response?

Listen empathetically, stay within your scope by not advising on test necessity, and suggest the patient discuss financial concerns with the billing office or social services
Correct Incorrect Correct answer

Agree with the patient that the tests may be unnecessary to validate their feelings
Correct Incorrect Correct answer

Tell the patient that financial concerns are not relevant to the blood draw
Correct Incorrect Correct answer

Recommend the patient cancel the tests to save money
Correct Incorrect Correct answer

Correct

Incorrect
Question 164 of 208

164. Question

Category: Patient Preparation: Patient Communication

Which of the following best describes the purpose of patient education provided by the phlebotomist before a blood draw?

To inform the patient about the collection procedure so they know what to expect
Correct Incorrect Correct answer

To teach the patient how to interpret their laboratory results
Correct Incorrect Correct answer

To provide detailed clinical information about their diagnosed condition
Correct Incorrect Correct answer

To explain the laboratory analysis methods used on their blood specimen
Correct Incorrect Correct answer

Correct

Incorrect
Question 165 of 208

165. Question

Category: Patient Preparation: Order Verification

A phlebotomist receives an order for a glucose tolerance test that requires multiple timed blood draws over three hours. Before beginning, the phlebotomist should verify which critical requirement?

That the patient has fasted for the required period and understands the timing of each draw
Correct Incorrect Correct answer

That the patient's insurance will cover the cost of all the timed draws
Correct Incorrect Correct answer

That the laboratory has enough staff available to process multiple specimens simultaneously
Correct Incorrect Correct answer

That the patient has someone to drive them home after the test
Correct Incorrect Correct answer

Correct

Incorrect
Question 166 of 208

166. Question

Category: Patient Preparation: Order Verification

In healthcare settings, ICD-10 codes are part of which coding system?

The International Classification of Diseases system used to document diagnoses for billing purposes
Correct Incorrect Correct answer

The Clinical and Laboratory Standards Institute classification for tube types
Correct Incorrect Correct answer

The OSHA hazard communication system for chemical labeling
Correct Incorrect Correct answer

The National Healthcareer Association certification code system
Correct Incorrect Correct answer

Correct

Incorrect
Question 167 of 208

167. Question

Category: Patient Preparation: Order Verification

An outpatient arrives for blood work and mentions they have a new insurance plan. The front desk has not updated the patient’s account. What should the phlebotomist recognize about this situation?

The patient's registration information should be updated by the appropriate staff before or at the time of service to avoid billing problems
Correct Incorrect Correct answer

Insurance changes do not affect the blood draw and can be addressed at any future visit
Correct Incorrect Correct answer

The phlebotomist should update the insurance information in the system before drawing blood
Correct Incorrect Correct answer

The patient should be turned away until they bring a physical copy of their new insurance card
Correct Incorrect Correct answer

Correct

Incorrect
Question 168 of 208

168. Question

Category: Patient Preparation: Order Verification

A phlebotomist reviews an order for a lipid panel and notices the ordering provider selected a CPT billing code that corresponds to a thyroid panel. What is the most appropriate action?

Alert the ordering provider or billing department about the code mismatch before proceeding
Correct Incorrect Correct answer

Collect the specimen for both a lipid panel and thyroid panel to cover both codes
Correct Incorrect Correct answer

Change the billing code to match the lipid panel order
Correct Incorrect Correct answer

Collect only the lipid panel and ignore the billing code since it is an administrative issue
Correct Incorrect Correct answer

Correct

Incorrect
Question 169 of 208

169. Question

Category: Patient Preparation: Order Verification

Before collecting a specimen, the phlebotomist should verify the order to confirm which of the following?

The patient's identity matches the order, the correct tests are listed, and the order is current and authorized
Correct Incorrect Correct answer

Only that the patient's name appears somewhere on the requisition
Correct Incorrect Correct answer

That the tests were ordered within the past calendar year
Correct Incorrect Correct answer

That the patient has given verbal approval of each test listed on the order
Correct Incorrect Correct answer

Correct

Incorrect
Question 170 of 208

170. Question

Category: Patient Preparation: Collection Planning

Which of the following additives acts as a preservative in a gray-stopper collection tube?

Sodium fluoride, which inhibits glycolysis to preserve glucose levels
Correct Incorrect Correct answer

EDTA, which chelates calcium to prevent clotting
Correct Incorrect Correct answer

Heparin, which inhibits thrombin to prevent coagulation
Correct Incorrect Correct answer

Sodium citrate, which binds calcium for coagulation testing
Correct Incorrect Correct answer

Correct

Incorrect
Question 171 of 208

171. Question

Category: Patient Preparation: Collection Planning

A phlebotomist is planning to collect blood from a 3-year-old child. Which special consideration is most important for this collection?

Use pediatric-sized tubes and an appropriate needle or butterfly device to limit the volume of blood drawn
Correct Incorrect Correct answer

Use the same adult-sized tubes and needles used for all other patients
Correct Incorrect Correct answer

Collect extra tubes in case the laboratory needs to repeat tests
Correct Incorrect Correct answer

Apply the tourniquet as tightly as possible to ensure adequate blood flow from smaller veins
Correct Incorrect Correct answer

Correct

Incorrect
Question 172 of 208

172. Question

Category: Patient Preparation: Collection Planning

When planning a blood collection, why is it important for the phlebotomist to ask about the patient’s current medications?

Certain medications can affect test results or increase bleeding risk during the collection
Correct Incorrect Correct answer

The phlebotomist needs to determine if the patient should stop taking their medications
Correct Incorrect Correct answer

Medication information determines which color tube to use for collection
Correct Incorrect Correct answer

Patients on medications cannot have blood drawn until their medications are discontinued
Correct Incorrect Correct answer

Correct

Incorrect
Question 173 of 208

173. Question

Category: Patient Preparation: Collection Planning

A phlebotomist reviews orders for a patient who needs a CBC (lavender top), PT/INR (light blue top), and a basic metabolic panel (green top). The patient has small veins and the phlebotomist anticipates a difficult draw. Which planning consideration is most critical?

Ensure the light blue top tube is filled to the correct volume first or per order of draw, since coagulation results are most sensitive to collection errors
Correct Incorrect Correct answer

Collect only the CBC since it requires the least amount of blood
Correct Incorrect Correct answer

Combine all specimens into a single large tube to minimize the number of punctures
Correct Incorrect Correct answer

Draw the green top first since the basic metabolic panel is the most common test
Correct Incorrect Correct answer

Correct

Incorrect
Question 174 of 208

174. Question

Category: Patient Preparation: Collection Planning

A patient informs the phlebotomist that they have a history of excessive bruising even from minor injuries. How should this information affect the collection plan?

Use a smaller gauge needle if appropriate and plan for prolonged pressure application after the draw
Correct Incorrect Correct answer

Refuse to draw blood until the patient sees a hematologist
Correct Incorrect Correct answer

Use the largest available needle to complete the draw as quickly as possible
Correct Incorrect Correct answer

Apply ice to the venipuncture site before inserting the needle
Correct Incorrect Correct answer

Correct

Incorrect
Question 175 of 208

175. Question

Category: Patient Preparation: Collection Planning

A 24-hour urine collection is an example of which type of specimen?

A non-blood specimen that requires specific collection and storage instructions
Correct Incorrect Correct answer

A blood specimen collected over a 24-hour period through an IV line
Correct Incorrect Correct answer

A capillary blood specimen collected at multiple intervals throughout the day
Correct Incorrect Correct answer

A blood culture specimen that requires a 24-hour incubation period
Correct Incorrect Correct answer

Correct

Incorrect
Question 176 of 208

176. Question

Category: Patient Preparation: Collection Planning

A phlebotomist reviews a patient’s chart and notes the patient has an IV running in the right arm and an AV fistula in the left arm for dialysis. Which collection plan is most appropriate?

Consult with the nursing staff to determine an acceptable alternative site, such as a hand vein on the right side below the IV
Correct Incorrect Correct answer

Draw from the left arm above the AV fistula since the fistula is in the lower arm
Correct Incorrect Correct answer

Draw directly from the IV line in the right arm to avoid any venipuncture
Correct Incorrect Correct answer

Postpone the draw indefinitely since no suitable site is available
Correct Incorrect Correct answer

Correct

Incorrect
Question 177 of 208

177. Question

Category: Patient Preparation: Collection Planning

When planning specimen collection, why must the phlebotomist know the maximum blood volume that can be safely drawn from a patient?

To prevent collecting an excessive amount of blood that could cause iatrogenic anemia, especially in pediatric or critically ill patients
Correct Incorrect Correct answer

To ensure the laboratory has enough blood to perform all possible future tests
Correct Incorrect Correct answer

To calculate the correct centrifuge speed for processing the specimens
Correct Incorrect Correct answer

To determine how many phlebotomists are needed for the draw
Correct Incorrect Correct answer

Correct

Incorrect
Question 178 of 208

178. Question

Category: Patient Preparation: Site Selection Positioning

Which three veins are located in the antecubital fossa and are most commonly used for venipuncture?

The median cubital, cephalic, and basilic veins
Correct Incorrect Correct answer

The jugular, subclavian, and femoral veins
Correct Incorrect Correct answer

The radial, ulnar, and brachial arteries
Correct Incorrect Correct answer

The popliteal, saphenous, and dorsal veins
Correct Incorrect Correct answer

Correct

Incorrect
Question 179 of 208

179. Question

Category: Patient Preparation: Site Selection Positioning

A phlebotomist is documenting a completed blood draw in the patient’s electronic health record. Which information should be recorded?

The date, time, site of collection, specimen types collected, and the phlebotomist's identification
Correct Incorrect Correct answer

Only the date and time of the collection
Correct Incorrect Correct answer

The patient's diagnosis and the reason the test was ordered
Correct Incorrect Correct answer

The expected results of the laboratory tests
Correct Incorrect Correct answer

Correct

Incorrect
Question 180 of 208

180. Question

Category: Patient Preparation: Site Selection Positioning

A phlebotomist needs to collect blood from a patient who is lying in bed with the head of the bed elevated at 45 degrees. The patient cannot sit up further due to a spinal condition. How should the phlebotomist proceed with site selection and positioning?

Extend the patient's arm on a supported surface, select the best palpable vein in the antecubital area, and adjust the bed height if needed for safe access
Correct Incorrect Correct answer

Ask the patient to sit fully upright regardless of their condition for a standard draw
Correct Incorrect Correct answer

Only attempt a capillary puncture since venipuncture cannot be done on a reclined patient
Correct Incorrect Correct answer

Postpone the draw until the patient can be transferred to a phlebotomy chair
Correct Incorrect Correct answer

Correct

Incorrect
Question 181 of 208

181. Question

Category: Patient Preparation: Site Selection Positioning

A phlebotomist palpates the antecubital area and identifies a vein that feels bouncy and rebounds when pressed. An adjacent structure feels pulsatile and rigid. Which structure should the phlebotomist select for venipuncture?

The bouncy, rebounding vessel, which is characteristic of a vein
Correct Incorrect Correct answer

The pulsatile, rigid structure, which indicates a larger blood vessel
Correct Incorrect Correct answer

Either structure, since both are suitable for routine venipuncture
Correct Incorrect Correct answer

Neither structure, because a proper vein should feel firm and non-compressible
Correct Incorrect Correct answer

Correct

Incorrect
Question 182 of 208

182. Question

Category: Patient Preparation: Patient Communication

A phlebotomist enters a patient’s room and notices the patient appears anxious, with crossed arms and a tense facial expression. What should the phlebotomist recognize about this communication?

The patient's non-verbal cues indicate anxiety or resistance, and the phlebotomist should address these feelings before proceeding
Correct Incorrect Correct answer

The patient is cold and needs a blanket
Correct Incorrect Correct answer

Non-verbal cues are not relevant to phlebotomy practice
Correct Incorrect Correct answer

The patient is ready for the draw
Correct Incorrect Correct answer

Correct

Incorrect
Question 183 of 208

183. Question

Category: Patient Preparation: Patient Communication

A phlebotomist needs to draw blood from a patient who is hearing impaired. Which accommodation is most appropriate?

Face the patient directly, speak clearly, use written instructions or visual aids, and confirm understanding
Correct Incorrect Correct answer

Speak more loudly than normal
Correct Incorrect Correct answer

Communicate only through the patient's family member
Correct Incorrect Correct answer

Skip the identification process to avoid embarrassing the patient
Correct Incorrect Correct answer

Correct

Incorrect
Question 184 of 208

184. Question

Category: Patient Preparation: Patient Communication

A phlebotomist needs to draw blood from a 12-year-old patient. The child’s parent is present. What consent consideration applies?

The parent or legal guardian must provide consent for the minor's blood draw
Correct Incorrect Correct answer

The child can consent for themselves at age 12
Correct Incorrect Correct answer

No consent is needed for laboratory tests
Correct Incorrect Correct answer

The physician's order serves as consent from the patient
Correct Incorrect Correct answer

Correct

Incorrect
Question 185 of 208

185. Question

Category: Patient Preparation: Patient Communication

What is the purpose of patient education in the phlebotomy setting?

To inform the patient about the procedure, preparation requirements, and post-draw care instructions
Correct Incorrect Correct answer

To teach the patient how to draw their own blood
Correct Incorrect Correct answer

To explain the laboratory analysis process in detail
Correct Incorrect Correct answer

To discuss the patient's diagnosis and treatment plan
Correct Incorrect Correct answer

Correct

Incorrect
Question 186 of 208

186. Question

Category: Patient Preparation: Collection Planning

How does a phlebotomist determine which collection tubes are needed for a patient’s ordered tests?

By referencing the laboratory's test directory, which lists the required tube type and minimum volume for each test
Correct Incorrect Correct answer

By asking the patient which tubes they prefer
Correct Incorrect Correct answer

By choosing the tube with the largest volume capacity
Correct Incorrect Correct answer

By using the same tube type for all tests
Correct Incorrect Correct answer

Correct

Incorrect
Question 187 of 208

187. Question

Category: Patient Preparation: Collection Planning

A phlebotomist reviews orders for a patient who has an arteriovenous fistula in the left arm for dialysis. Which arm should be used for venipuncture?

The right arm, as the arm with the fistula must be avoided
Correct Incorrect Correct answer

The left arm, near the fistula for better blood flow
Correct Incorrect Correct answer

Either arm is acceptable
Correct Incorrect Correct answer

Neither arm; use a foot vein instead
Correct Incorrect Correct answer

Correct

Incorrect
Question 188 of 208

188. Question

Category: Patient Preparation: Collection Planning

A patient tells the phlebotomist they fainted during their last blood draw. How should the phlebotomist prepare?

Position the patient in a supine or reclined position and have ammonia inhalants and cold compresses readily available
Correct Incorrect Correct answer

Cancel the blood draw entirely
Correct Incorrect Correct answer

Draw the blood faster to minimize the risk
Correct Incorrect Correct answer

Tell the patient fainting is normal and proceed as usual
Correct Incorrect Correct answer

Correct

Incorrect
Question 189 of 208

189. Question

Category: Patient Preparation: Collection Planning

Besides blood specimens, which non-blood specimen might a phlebotomist be asked to collect or assist with?

Urine specimens, throat swabs, or nasal swabs as part of point-of-care testing duties
Correct Incorrect Correct answer

Cerebrospinal fluid
Correct Incorrect Correct answer

Bone marrow aspirate
Correct Incorrect Correct answer

Tissue biopsy samples
Correct Incorrect Correct answer

Correct

Incorrect
Question 190 of 208

190. Question

Category: Patient Preparation: Order Verification

What does a STAT order on a laboratory requisition indicate?

The specimen must be collected and processed immediately due to medical urgency
Correct Incorrect Correct answer

The test is routine and can be collected during normal rounds
Correct Incorrect Correct answer

The test requires a 12-hour fasting period
Correct Incorrect Correct answer

The specimen should be refrigerated before transport
Correct Incorrect Correct answer

Correct

Incorrect
Question 191 of 208

191. Question

Category: Patient Preparation: Order Verification

What is a timed collection, and why is timing important?

A specimen that must be collected at a specific time to accurately measure analyte levels that fluctuate throughout the day
Correct Incorrect Correct answer

A collection that must be completed within one minute
Correct Incorrect Correct answer

A specimen collected only on certain days of the week
Correct Incorrect Correct answer

A blood draw performed while the patient is exercising
Correct Incorrect Correct answer

Correct

Incorrect
Question 192 of 208

192. Question

Category: Patient Preparation: Order Verification

Before drawing blood, what should the phlebotomist verify about the test order?

That the order is complete, current, signed by an authorized provider, and matches the patient
Correct Incorrect Correct answer

That the order was placed within the last 24 hours
Correct Incorrect Correct answer

That the patient's insurance has been verified
Correct Incorrect Correct answer

That all ordered tests use the same tube type
Correct Incorrect Correct answer

Correct

Incorrect
Question 193 of 208

193. Question

Category: Patient Preparation: Site Selection Positioning

What is the preferred patient position for a routine outpatient venipuncture?

Seated upright in a phlebotomy draw chair with the arm supported and extended downward
Correct Incorrect Correct answer

Standing at the laboratory counter
Correct Incorrect Correct answer

Lying prone (face down) on an examination table
Correct Incorrect Correct answer

Sitting on the floor with legs crossed
Correct Incorrect Correct answer

Correct

Incorrect
Question 194 of 208

194. Question

Category: Patient Preparation: Site Selection Positioning

Which veins in the antecubital fossa are most commonly used for routine venipuncture?

The median cubital, cephalic, and basilic veins
Correct Incorrect Correct answer

The saphenous and popliteal veins
Correct Incorrect Correct answer

The jugular and subclavian veins
Correct Incorrect Correct answer

The femoral and iliac veins
Correct Incorrect Correct answer

Correct

Incorrect
Question 195 of 208

195. Question

Category: Patient Preparation: Patient Identification

If a hospitalized patient’s identification band is missing, what should the phlebotomist do?

Do not draw the patient; notify the nurse to apply a new identification band before collection
Correct Incorrect Correct answer

Ask the patient to state their name and proceed with the draw
Correct Incorrect Correct answer

Use the room number and bed assignment to identify the patient
Correct Incorrect Correct answer

Draw the blood and label it with the room number
Correct Incorrect Correct answer

Correct

Incorrect
Question 196 of 208

196. Question

Category: Patient Preparation: Patient Identification

How does HIPAA’s privacy rule affect the phlebotomist’s handling of patient information?

Patient information, including test orders and results, must be kept confidential and shared only with authorized personnel
Correct Incorrect Correct answer

Patient information may be shared with any hospital employee
Correct Incorrect Correct answer

HIPAA applies only to physicians and nurses, not phlebotomists
Correct Incorrect Correct answer

Patient results may be posted publicly for educational purposes
Correct Incorrect Correct answer

Correct

Incorrect
Question 197 of 208

197. Question

Category: Patient Preparation: Collection Planning

A physician orders a comprehensive metabolic panel and a CBC on a 2 year old child. What should the phlebotomist consider before assembling equipment?

The total blood volume required for both tests relative to the child safe draw limit based on weight
Correct Incorrect Correct answer

Whether the child prefers a butterfly needle or a straight needle
Correct Incorrect Correct answer

The insurance coverage for pediatric blood draws
Correct Incorrect Correct answer

Whether the tests can be run on the same analyzer
Correct Incorrect Correct answer

Correct

Incorrect
Question 198 of 208

198. Question

Category: Patient Preparation: Collection Planning

A patient presents for blood work and mentions a recent mastectomy on the left side and an IV running in the right hand. The physician has ordered a CBC and metabolic panel. How should the phlebotomist proceed?

Consult with the nurse or physician about the best available site, avoiding the mastectomy side and the IV arm
Correct Incorrect Correct answer

Draw from the left arm since the mastectomy was recent and the arm needs circulation
Correct Incorrect Correct answer

Draw from the right arm above the IV site since the IV is only in the hand
Correct Incorrect Correct answer

Refuse to draw the patient and reschedule for another day
Correct Incorrect Correct answer

Correct

Incorrect
Question 199 of 208

199. Question

Category: Patient Preparation: Patient Communication

A phlebotomist needs to gather information from a patient about their current medications and fasting status. What type of questioning technique is most effective?

Using open-ended questions that allow the patient to provide detailed responses
Correct Incorrect Correct answer

Using only yes or no questions to save time
Correct Incorrect Correct answer

Reading a scripted checklist without pausing for the patient to respond
Correct Incorrect Correct answer

Asking the patient to write down all information without verbal communication
Correct Incorrect Correct answer

Correct

Incorrect
Question 200 of 208

200. Question

Category: Patient Preparation: Patient Communication

When addressing patients, which practice demonstrates cultural sensitivity and respect for diversity?

Using the patient preferred name and pronouns as indicated in their medical record
Correct Incorrect Correct answer

Addressing all patients by their first name for a casual, friendly atmosphere
Correct Incorrect Correct answer

Using generic terms like "honey" or "dear" to make patients feel comfortable
Correct Incorrect Correct answer

Assuming the patient gender and title based on appearance
Correct Incorrect Correct answer

Correct

Incorrect
Question 201 of 208

201. Question

Category: Patient Preparation: Patient Communication

Before beginning a venipuncture, what information should the phlebotomist communicate to the patient?

Identify yourself by name and title, explain the procedure, and describe what the patient should expect
Correct Incorrect Correct answer

Tell the patient it will not hurt at all to reduce anxiety
Correct Incorrect Correct answer

Only state that you are there to draw blood without further detail
Correct Incorrect Correct answer

Ask the patient to look away and remain still without explanation
Correct Incorrect Correct answer

Correct

Incorrect
Question 202 of 208

202. Question

Category: Patient Preparation: Order Verification

A phlebotomist receives a requisition for a peak drug level on a patient taking vancomycin. When should the specimen be collected?

At the time specified by the physician, typically 1 to 2 hours after the drug is administered
Correct Incorrect Correct answer

Immediately before the next scheduled dose
Correct Incorrect Correct answer

At any convenient time during the shift
Correct Incorrect Correct answer

12 hours after the last dose regardless of the drug
Correct Incorrect Correct answer

Correct

Incorrect
Question 203 of 208

203. Question

Category: Patient Preparation: Order Verification

Which of the following tasks related to laboratory billing may a phlebotomist be involved in?

Verifying that the correct test codes are associated with the requisition and patient information is complete
Correct Incorrect Correct answer

Determining the patient insurance copay amount
Correct Incorrect Correct answer

Negotiating reimbursement rates with insurance companies
Correct Incorrect Correct answer

Approving or denying coverage for laboratory tests
Correct Incorrect Correct answer

Correct

Incorrect
Question 204 of 208

204. Question

Category: Patient Preparation: Order Verification

A phlebotomist receives a requisition but notices the physician signature is missing and the test ordered is unclear. What should the phlebotomist do?

Contact the ordering physician or nursing unit to verify and complete the order before proceeding
Correct Incorrect Correct answer

Draw the blood anyway and have the physician sign later
Correct Incorrect Correct answer

Guess the intended test based on the patient diagnosis
Correct Incorrect Correct answer

Cancel the order and wait for a new one to be submitted
Correct Incorrect Correct answer

Correct

Incorrect
Question 205 of 208

205. Question

Category: Patient Preparation: Site Selection Positioning

A phlebotomist enters the room of a bedridden patient who cannot sit up. How should the patient be positioned for a venipuncture?

Position the patient arm on a firm, supported surface with the arm extended and slightly downward
Correct Incorrect Correct answer

Have the patient sit up regardless of their condition
Correct Incorrect Correct answer

Draw from whichever arm is closest without repositioning
Correct Incorrect Correct answer

Position the arm above the patient head to promote blood flow
Correct Incorrect Correct answer

Correct

Incorrect
Question 206 of 208

206. Question

Category: Patient Preparation: Patient Identification

A phlebotomist approaches an inpatient for a blood draw. The patient is sleeping and their wristband is partially covered by the blanket. What should the phlebotomist do?

Gently wake the patient, ask them to state their name and date of birth, and check the ID band on their wrist
Correct Incorrect Correct answer

Read the name on the door placard and proceed with the draw
Correct Incorrect Correct answer

Ask the nurse at the station to confirm the patient identity verbally
Correct Incorrect Correct answer

Check the bed number against the requisition and begin the draw
Correct Incorrect Correct answer

Correct

Incorrect
Question 207 of 208

207. Question

Category: Patient Preparation: Patient Identification

Which of the following is a patient right that the phlebotomist must respect during a blood collection?

The right to refuse the blood draw after being informed of the consequences
Correct Incorrect Correct answer

The right to choose which laboratory performs the testing
Correct Incorrect Correct answer

The right to select the specific phlebotomist who will draw their blood
Correct Incorrect Correct answer

The right to observe the laboratory testing process
Correct Incorrect Correct answer

Correct

Incorrect
Question 208 of 208

208. Question

Category: Patient Preparation: Patient Identification

When a phlebotomist introduces themselves to a patient, what information should be provided?

Their name, title or role, and the department they represent
Correct Incorrect Correct answer

Only their first name for a friendly, informal introduction
Correct Incorrect Correct answer

Their employee ID number and Social Security number
Correct Incorrect Correct answer

The name of the test and the expected results
Correct Incorrect Correct answer

Correct

Incorrect

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