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Phlebotomy Practice Exam Questions and Answers 2025/2026, Exams of Nursing

Piedmont Community CollegeNursing

A comprehensive set of practice exam questions and answers for phlebotomy technicians. it covers various aspects of phlebotomy procedures, including venipuncture techniques, specimen handling, safety protocols, and patient interaction. The questions are designed to assess knowledge and skills essential for competent phlebotomy practice, making it a valuable resource for students and professionals.

Typology: Exams

2024/2025

Available from 05/05/2025

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HARTMAN PHLEBOTOMY PRACTICE EXAM 150
QUESTIONS AND CORRECT ANSWERS 2025/2026
76. Which of these tasks is typically considered
within a phlebotomy technician's scope of
practice? (Choose three.)
(A) Creating peripheral blood smear slides
(B) Drawing blood from an indwelling port
(C) Performing a throat culture
(D) Drawing blood from the dorsal aspect
of the hand using a syringe and transfer
device
(E) Using a microscope to examine blood
smears - ANSWER(A) Creating peripheral blood smear slides
(C) Performing a throat culture
(D) Drawing blood from the dorsal aspect
of the hand using a syringe and transfer
device
77. Blood pulsing into collection tubes is an indication
that
(A) The needle is placed in the exact center
of the vein
(B) The needle has struck a nerve
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Download Phlebotomy Practice Exam Questions and Answers 2025/2026 and more Exams Nursing in PDF only on Docsity!

HARTMAN PHLEBOTOMY PRACTICE EXAM 150

QUESTIONS AND CORRECT ANSWERS 2025/

  1. Which of these tasks is typically considered within a phlebotomy technician's scope of practice? (Choose three.) (A) Creating peripheral blood smear slides (B) Drawing blood from an indwelling port (C) Performing a throat culture (D) Drawing blood from the dorsal aspect of the hand using a syringe and transfer device (E) Using a microscope to examine blood smears - ANSWER(A) Creating peripheral blood smear slides (C) Performing a throat culture (D) Drawing blood from the dorsal aspect of the hand using a syringe and transfer device
  2. Blood pulsing into collection tubes is an indication that (A) The needle is placed in the exact center of the vein (B) The needle has struck a nerve

(C) The needle has passed entirely through the vein (D) The needle has struck an artery - ANSWER(D) The needle has struck an artery

  1. A phlebotomist needs to collect gold, pink, and green-topped tubes by venipuncture. Which order is correct? (A) Gold, green, pink (B) Green, gold, pink (C) Pink, green, gold (D) Gold, pink, green - ANSWER(A) Gold, green, pink
  2. Collection tubes with should not be used for therapeutic drug testing. (A) Separator gel (B) Clot activator (C) Red tops (D) Internal vacuum - ANSWER(A) Separator gel
  3. Which of the following will help a phlebotomy technician avoid having a patient's vein roll away when the needle is inserted? (A) Selecting a vein in the hand (B) Forming an anchoring "window" around

finger (B) Venipuncture using a 23 - gauge butterfly needle and syringe/transfer device (C) Venipuncture using a 21 - gauge straight multisample needle (D) Venipuncture using a 23 - gauge butterfly needle and a 5 mL evacuated tube - ANSWER(B) Venipuncture using a 23 - gauge butterfly needle and syringe/transfer device

  1. Which of the following is a significant difference between midstream and routine urine specimens? (A) The area around the urethra is cleaned before collecting a midstream specimen (B) A routine urine specimen is collected first thing in the morning (C) A midstream urine specimen is collected at a patient's home (D) A routine urine specimen is collected in a sterile container - ANSWER(A) The area around the urethra is cleaned before collecting a midstream specimen
  2. Hemoconcentration may be caused by (A) Leaving a tourniquet in place for too long (B) A patient eating a breakfast rich in fatty

foods (C) Using too narrow a needle (D) Probing with the venipuncture needle - ANSWER(A) Leaving a tourniquet in place for too long

  1. A patient begins to experience a seizure during a blood draw. What should be the phlebotomist's first response? (A) To ask the patient if he is OK (B) To remove and sheathe the needle (C) To steady the patient's arm so the tube currently inserted can be filled completely (D) To lower the patient to the ground - ANSWER(B) To remove and sheathe the needle
  2. Which of these tests is an entry-level phlebotomy technician most likely to be trained to perform in its entirety? (A) Testing urine with a dipstick (B) Arterial blood gas (C) Urine culture and sensitivity (D) Complete blood count with differential - ANSWER(A) Testing urine with a dipstick
  3. Which of these items may be reused between patients with proper cleaning? (A) A tube holder if there is no blood visible

(A) Call her supervisor (B) Ask the patient if he has any known bloodborne illnesses (C) Complete an incident report (D) Wash the injury with soap under running water for 15 minutes - ANSWER(D) Wash the injury with soap under running water for 15 minutes

  1. Which of the following is one acceptable way of confirming a patient's identity? (A) Asking the patient to confirm his name and date of birth (B) Checking the name and date of birth on a wristband sitting on the patient's bedside table against his stated name and date of birth (C) Matching a patient's hospital room number to the room number on the requisition (D) Checking the name and date of birth on a wristband on the patient's wrist against his stated name and date of birth - ANSWER(D) Checking the name and date of birth on a wristband on the patient's wrist against his stated name and date of birth
  1. During centrifugation of a specimen the centrifuge becomes very hot and then bursts into flames. The power cord is plugged in behind the centrifuge. How should the phlebotomy technician operating the centrifuge respond? (A) He should reach around carefully and unplug the centrifuge, then activate the fire alarm. (B) He should leave the area and immediately activate the fire alarm. (C) He should attempt to smother the flames with his lab coat, then activate the fire alarm. (D) He should douse the centrifuge with water, then activate the fire alarm. - ANSWER(B) He should leave the area and immediately activate the fire alarm.
  2. Which of the following is the best response to a patient who is afraid of needles? (A) "The sooner we do this, the sooner you can leave." (B) "My last patient was ten years old and he said it didn't even hurt." (C) "You might find it easiest to look away while I get the equipment ready.

(D) Drawing blood from a site distal to an IV (E) Drawing blood from an ankle or foot - ANSWER(B) Drawing blood from either arm or hand of a patient who has had a double mastectomy (E) Drawing blood from an ankle or foot

  1. patients and patients in are at the highest risk for iatrogenic anemia. (A) Pediatric, intensive care (B) Geriatric, emergency departments (C) Middle aged, maternity wards (D) Iron-deficient, cardiac units - ANSWER(A) Pediatric, intensive care
  2. If a patient's veins seem difficult to access, one appropriate adaptation is to (A) Slightly bend the venipuncture needle to allow a low angle of insertion while still maintaining control of the needle (B) Ask the patient to dangle his arms for 3 minutes with the tourniquet in place (C) Ask the patient to dangle his arms for 3 minutes without the tourniquet in place (D) Attempt a "blind stick" - ANSWER(C) Ask the patient to dangle his arms for 3 minutes without the tourniquet in place
  1. Which set of regulations deals with how laboratories are staffed and what tests they can perform? (A) HITECH (B) HIPAA (C) CLSI (D) CLIA - ANSWER(D) CLIA
  2. When a patient's veins are difficult to access, how many attempts at venipuncture should a phlebotomy technician make before seeking help from other qualified personnel? (A) Four (B) Three (C) Two (D) One - ANSWER(C) Two
  3. Accidental artery puncture should be avoided for the following reason: (A) It can be more difficult to get an adequate amount of blood for testing (B) It can be more difficult to stop arterial bleeding (C) Diagnostic tests cannot be run on arterial
  1. When should gloves be removed and replaced? (A) Only if they become visibly soiled (B) Always between patients (C) Only if they are punctured or torn (D) After every three patients - ANSWER(B) Always between patients
  2. The bloodborne illness that has most commonly affected healthcare workers is (A) HIV (B) AIDS (C) Hepatitis B (D) Hepatitis C - ANSWER(C) Hepatitis B
  3. Coagulation studies are ordered for a patient whose veins require use of a butterfly assembly. Which of the following is true? (A) A discard tube should be started first, then a light blue tube filled completely (B) A discard tube should be started first, then a light green tube filled completely (C) A light blue tube should be filled at least halfway (D) A lavender tube should be filled completely - ANSWER(A) A discard tube should be started first,

then a light blue tube filled completely

  1. If a phlebotomy technician is not able to read a note made on a manual requisition form, she should (A) Perform the draw as long as she can read which tests are ordered (B) Ask the patient if she knows what the doctor wrote at the top of her requisition (C) Contact the ordering provider for clarification (D) Send the patient back to the ordering provider for a new requisition - ANSWER(C) Contact the ordering provider for clarification
  2. Sharp, shooting pain during venipuncture is a possible sign of what complication? (A) Nerve involvement (B) Hematoma (C) Vein collapse (D) Artery involvement - ANSWER(A) Nerve involvement
  3. Which of the following patients is most likely to require use of a syringe and transfer device?

a capillary puncture site? (Choose two.) (A) Decreased pain for the patient (B) Improved blood flow (C) Arterialization of the blood (D) Decreased blood oxygen at the site (E) Increased platelet activation at the site - ANSWER(B) Improved blood flow (C) Arterialization of the blood

  1. Gray-topped tubes typically have two additives. What are the actions of these two additives? (A) Anticoagulant and clot activation (B) Antihemolytic and antiglycolytic (C) Anticoagulant and antiglycolytic (D) Antiglycolytic and antithrombolytic - ANSWER(C) Anticoagulant and antiglycolytic
  2. When a patient is in an isolation room, where should the phlebotomy technician doff any required PPE? (A) Inside the patient's room right before exiting (B) Just outside the patient's room (C) At the nurses' station (D) At the patient's bedside after the procedure is complete - ANSWER(A) Inside the patient's room right before exiting
  1. When should a phlebotomy technician label and initial tubes drawn from patients in hospital rooms? (A) After completing all draws in a single hospital department (B) Right after completing the draw and in the presence of the patient (C) After exiting the patient's room, before moving to the next room (D) Before entering each patient's room - ANSWER(B) Right after completing the draw and in the presence of the patient
  2. Which of the following tasks related to pointof- care testing devices may be performed by a phlebotomy technician? (A) Opening the machine to perform simple repairs (B) Recording quality control measurements in a daily log (C) Deciding when a test result was inaccurate (D) Instructing a patient on medication dosage based on test results - ANSWER(B) Recording quality control measurements in a daily log

site and pulling firmly but gently toward the wrist (C) By placing the thumb of the nondominant hand just below and the index finger of the nondominant hand just above the venipuncture site and pulling firmly and gently outward (D) By placing the thumb of the nondominant hand 1-2 inches above the venipuncture site and pulling firmly but gently toward the upper arm - ANSWER(B) By placing the thumb of the nondominant hand 1-2 inches below the venipuncture site and pulling firmly but gently toward the wrist

  1. Drawing a patient's blood for routine testing after she has expressed that she does not wish to have the procedure performed may be considered (A) Assault (B) Battery (C) Slander (D) Libel - ANSWER(B) Battery
  2. Most collection tubes should be centrifuged

within of collection. (A) 30 minutes (B) One hour (C) Two hours (D) Three hours - ANSWER(C) Two hours

  1. Some swabs are transported in a tube with a(n) that must be to release liquid. (A) Bulb, squeezed lightly (B) Ampule, crushed (C) Sticker, peeled off (D) Attachment, screwed on - ANSWER(B) Ampule, crushed
  2. Which of the following equipment has an expiration date that must be checked prior to use? (A) Tube holders (B) Needles (C) Point-of-care test strips (D) Pipettes - ANSWER(C) Point-of-care test strips
  3. Adhesive bandages are never placed on (A) Capillary puncture sites (B) Venipuncture sites