Free NHA CPT Practice Test

A phlebotomist is preparing to draw blood from a patient who is severely dehydrated and has a history of difficult draws. The patient’s veins are barely palpable even after tourniquet application and warming. Which equipment combination best addresses this situation?

A phlebotomist finishes a venipuncture on a patient who takes a daily anticoagulant. After holding gauze with firm pressure for about 4 minutes, the phlebotomist observes that the site is still oozing blood. What is the most appropriate next action?

A phlebotomist must collect two tubes from a small, superficial vein on the back of an older patient’s hand. Which collection setup is most appropriate for this site?

A phlebotomy technician discovers that the specimen refrigerator temperature log has not been filled in for the past three days, and the current temperature reads 6 degrees Celsius (within the 2 to 8 degree range). The technician is unsure whether the temperature remained within range during the undocumented period. What should the technician do?

A laboratory decontaminates its own regulated medical waste on-site before the material enters the general waste stream. After a load of biohazard bags completes an autoclave cycle, the technician must confirm the waste was actually rendered noninfectious. Which finding best confirms this?

A phlebotomy technician notices that the supply of lavender-top EDTA tubes is running low and the next shipment is not scheduled for three days. What inventory management action should the technician take?

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?

A patient is scheduled to begin a 24-hour urine collection at home the following morning. Which instruction should the phlebotomist provide to preserve specimen integrity?

A laboratory returns a rejected insurance claim stating the ordered test lacks documented medical necessity. Which element of the original requisition should the phlebotomist confirm was completed to establish that necessity?

A forensic drug-testing specimen arrives at the laboratory with a chain-of-custody form showing a two-hour transfer period during which no signature or time was recorded. How should the receiving technologist handle this?

A provider calls the laboratory asking to review a patient’s potassium result that was verified and released three days ago. Where should the phlebotomist direct the provider to retrieve the permanent record of that result?

A phlebotomist spins serum separator tubes and the specimens keep returning hemolyzed. The centrifuge is currently set to 12,000 RPM. What adjustment best addresses the problem?

A phlebotomist performs a scheduled blood removal on a patient being treated for iron overload from hereditary hemochromatosis. A coworker asks whether this unit will be given back to the same patient during a future surgery, the way a presurgical self-donation would be. Which explanation is correct?

A provider using a CLIA-waived point-of-care lipid analyzer wants to counsel a patient about diet and possible medication during the same visit. Compared with sending the specimen to an outside reference laboratory, what is the main advantage of point-of-care testing here?