Official NCCT Phlebotomy Certification Exam Review
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This is a review that can be purchased from the official NCCT website, and I decided to try and help out some fellow students by posting it on here. I hope it is helpful.
- 1.The forearm vein most commonly used for venipuncture is the _________.
- A.
Median Cubital
- B.
Basilic
- C.
Cephalic
- D.
Radial
- 2.The smallest veins in the human body are known as ___________.
- A.
Villi
- B.
Bronchioles
- C.
Venules
- D.
Lymph glands
- 3.The aorta branches into smaller divisions called arteries, which in turn branch into even smaller divisions called ___________.
- A.
Capillaries
- B.
Arterioles
- C.
Venules
- D.
Lymph glands
- 4.Characteristics of capillaries include ____________.
- A.
Having thin walls
- B.
Forming microscopic pathways
- C.
Connecting arterioles with venules
- D.
All of the above
- 5.Within the capillaries, blood cell functions include _________.
- A.
Releasing oxygen
- B.
Binding carbon dioxide
- C.
Eliminating waste
- D.
All of the above
- 6.The heart, lymphatic organs, and blood vessels are in the __________ system.
- A.
Respiratory
- B.
Cardiovascular
- C.
Digestive
- D.
Urinary
- 7.The suffix --URIA at the end of a medical term refers to what body location?
- A.
Blood stream
- B.
Urine
- C.
Kidney
- D.
Synovial fluid
- 8.The study of blood is known as _________.
- A.
Hematology
- B.
Hematoxylin
- C.
Hemoglobin
- D.
Hemolysis
- 9.The liver, stomach, mouth, and pancreas are in the __________ system.
- A.
Reproductive
- B.
Sensory
- C.
Digestive
- D.
Muscular
- 10.The most important step to ensure accuracy in sample collection is ______________.
- A.
Recording the time accurately
- B.
By always wearing gloves
- C.
Keeping the patient supine
- D.
Identifying the patient properly
- 11.The bladder, urethra, kidneys, and ureters are in the ________ system.
- A.
Urinary
- B.
Reproductive
- C.
Respiratory
- D.
Muscular
- 12.The trachea, nose, lungs, and pharynx are in the __________ system.
- A.
Skeletal
- B.
Respiratory
- C.
Nervous
- D.
Sensory
- 13.The sebaceous glands, skin, hair, and nails are in the ________ system.
- A.
Nervous
- B.
Cardiovascular
- C.
Sensory
- D.
Integumentary
- 14.The body system that is a primary regulator of hormones is the __________ system.
- A.
Reproductive
- B.
Endocrine
- C.
Integumentary
- D.
Cardiovascular
- 15.Neutrophils, eosinophils, basophils, lymphocytes, and monocytes are types of ___________.
- A.
Red blood cells
- B.
Coagulation factors
- C.
Anticoagulants
- D.
White blood cells
- 16.The common name for the thrombocyte is the ____________.
- A.
Red blood cell
- B.
White blood cell
- C.
Bone marrow
- D.
Platelet
- 17.The liquid portion of an anticoagulated blood sample is known as ___________.
- A.
Serum
- B.
Clot
- C.
Plasma
- D.
Hematocrit
- 18.The instrument that measures blood pressure is called a ______________.
- A.
Sphygmomonometer
- B.
Hydration barometer
- C.
Temperature probe
- D.
Co-oximeter
- 19.An artery can be distinguished from a vein because an artery will be __________.
- A.
Harder
- B.
Pulsating
- C.
A different color
- D.
Softer
- 20.Lancets are used to collect blood samples by ______________.
- A.
Venipuncture
- B.
Arterial puncture
- C.
Venous accession devices
- D.
Capillary or skin puncture
- 21.The abbreviation VAD is commonly used in hospitals to refer to __________.
- A.
Venous anesthetic devices
- B.
Venous access devices
- C.
Various anesthetic devices
- D.
Variable antiseptic dilutions
- 22.To determine the size of the needle, remember that the higher the gauge, the ___________.
- A.
Longer the needle length
- B.
Smaller the needle bore
- C.
Smaller the needle length
- D.
Larger the needle bore
- 23.Adult capillary punctures most often involve the use of the ______________ finger(s).
- A.
Second (index)
- B.
Little (fifth)
- C.
Third and fourth (middle and ring)
- D.
Second and third (index and middle)
- 24.A centrifuge is used in a clinical laboratory setting to __________________.
- A.
Sort tubes of different colors
- B.
Store tubes at correct temperatures
- C.
Measure blood oxygen levels
- D.
Separate liquid from cells in blood
- 25.The oral glucose tolerance test is used for the detection of _________________.
- A.
Hepatitis
- B.
Diabetes
- C.
Mononucleosis
- D.
AIDS
- 26.Use a _______-topped evacuated tube for collection of blood for a CBC test.
- A.
Black
- B.
Lavender
- C.
Red
- D.
Blue
- 27.Use a __________ -topped evacuated tube for collection of blood for electrolyte testing
- A.
Yellow
- B.
Red
- C.
Blue
- D.
Lavender
- 28.Use a ________-topped evacuated tube for collection of blood for cholesterol testing.
- A.
Red
- B.
Yellow
- C.
Blue
- D.
Lavender
- 29.Sodium citrate is an anticoagulant of choice for coagulation studies because it protects __________.
- A.
Clotting factors
- B.
Red blood cells
- C.
White blood cells
- D.
Enzyme inhibitors
- 30.When preparing a blood smear directly from a skin puncture, it is best to ___________.
- A.
Use plastic slides instead of glass
- B.
Make it as think as possible
- C.
Wipe away the first drop of blood
- D.
Add sodium citrate to the blood
- 31.The purpose of doing blood cultures is to detect____________.
- A.
Anemia
- B.
Cholesterol
- C.
Cancer
- D.
Septicemia
- 32.Anticoagulants are used to ___________.
- A.
Fight infection
- B.
Prevent blood from clotting
- C.
Neutralize stomach acid
- D.
Inhibit bacterial growth
- 33.White blood cells help the body by ________.
- A.
Carrying oxygen to the tissue
- B.
Collecting waste products
- C.
Defending against foreign invaders
- D.
Assisting in hemostasis
- 34.Platelets help the circulation by __________.
- A.
Carrying oxygen
- B.
Collecting waste products
- C.
Defending against foreign invaders
- D.
Participating in hemostasis
- 35.When blood seeps into the surrounding tissue during a venipuncture, a ______ may form.
- A.
Petechia
- B.
Carbuncle
- C.
Hematoma
- D.
Hemolysis
- 36.In a patient with a clotting disorder, pressure should be applied to the puncture site for at least ________ after venipuncture to insure blood stoppage.
- A.
3 minutes
- B.
5 minutes
- C.
7 minutes
- D.
10 minutes
- 37.Skin punctures may be indicated for use when ____________.
- A.
The patient is an infant, toddler, or preschooler
- B.
Only a small amount of blood is needed
- C.
Patient veins need to be preserved for IV therapy
- D.
All of the above
- 38.All specimens should be labeled with _________.
- A.
Patient's name (and numeric ID)
- B.
Date and time the specimen was drawn
- C.
Collector's initials
- D.
All of the above
- 39.When performing a skin puncture, squeezing the finger too tightly may dilute the blood with ____________ and ruin the test.
- A.
Swab particles
- B.
Alcohol
- C.
Skin particles
- D.
Tissue fluid
- 40.One test often used to assess hemostasis before surgery is _________.
- A.
Blood culture
- B.
Hemoglobin
- C.
Platelet count
- D.
Bleeding time
- 41.One possible cause of unexpected clotting is an anticoagulated blood tube might be ____________.
- A.
Insufficient mixing
- B.
Unbalanced centrifuge
- C.
Traumatized specimen
- D.
Incomplete filling of the tube
- 42.When performing a venipuncture, position the bevel of the needle ____________.
- A.
Facing up
- B.
Facing down
- C.
Turned sideways
- D.
None of the above
- 43.If blood does not appear in an evacuated tube upon venipuncture, a phlebotomist's first course of action should be to __________.
- A.
Pop the tourniquet and tie it tighter
- B.
Pull the needle out and start over
- C.
Slightly reposition or turn the needle
- D.
Push the needle further up the lumen
- 44.Redirecting a needle during venipuncture is sometimes necessary when _____________.
- A.
The vein was not properly anchored
- B.
The patient moves unexpectedly
- C.
Blood flow starts, and then stops
- D.
All of the above
- 45.A vein might be prone to collapse if the ______________.
- A.
Vaccum tube is too large for vein
- B.
Syringe plunger was pulled back too quickly
- C.
Vaccum tube lost its vacccum
- D.
Tourniquet was too tight
- E.
1,2,3,4
- F.
1,2,3
- G.
3,4
- H.
1,2
- 46.Hemolysis would cause rejection of a sample collected for __________ testing.
- A.
Potassium
- B.
Pregnancy
- C.
Rubella
- D.
Pyruvate
- 47.If a patient is prone to syncope during venipuncture, the phlebotomist should ____________.
- A.
Cancel the order entirely
- B.
Tie the tourniquet tighter
- C.
Watch in case if fainting
- D.
Use caffeine as a stimulant
- 48.A tube of blood that arrives in the laboratory without a label must be ___________.
- A.
Labeled by the phlebotomist
- B.
Labeled by the doctor
- C.
Labeled by the nurse
- D.
Rejected automatically
- 49.If a blood sample should be collected 2 hours post-prandial, the phlebotomist should collect the sample of ________.
- A.
2 hours after a meal
- B.
2 hours before bedtime
- C.
2 hours after wake-up
- D.
2 hours before a meal
- 50.Knowing when to collect peak and trough levels is important when drawing ____________.
- A.
Blood cultures
- B.
Therapeutic drugs
- C.
Cortisol levels
- D.
Estrogen levels
- 51.A pre-warming technique may be used to _______.
- A.
Keep the patient warm during phlebotomy
- B.
Warm the vacuum tubes for testing
- C.
Increase patient's tendency to bleed
- D.
Separate plasma from formed elements
- 52.The role of all anticoagulants is ultimately to prevent formation of __________.
- A.
Fibrin
- B.
Factor VII
- C.
Platelets
- D.
Collagen
- 53.The anticoagulant EDTA works by _____________.
- A.
Binding prothrombin
- B.
Lysis of red blood cells
- C.
Inactivating thrombin
- D.
Binding calcium
- 54.If the tourniquet is not released before the needle is withdrawn from the arm during venipuncture, this will most likely result in _________.
- A.
Bleeding from the site
- B.
Syncope in the phlebotomist
- C.
Bruising at the base of the arm
- D.
Inaccurate test results
- 55.Which of these test samples are light sensitive?
- A.
Arterial blood gases
- B.
Ammonia
- C.
Bilirubin
- D.
ACTH
- 56.The __________ must be followed exactly whenever drawing patient test samples that may be used in a legal proceeding.
- A.
Chain of command
- B.
Chain of custody
- C.
Standard deviation
- D.
Coefficient of variation
- 57.The anticoagulant SPS (sodium polyanetholesulfonate) is recommended for use in blood cultures because it ___________.
- A.
Is less expensive than most
- B.
Has longer half-life than most
- C.
Does not inhibit bacterial growth
- D.
Is completely biodegradable
- 58.Before entering an inpatient room if the door is closed, the phlebotomist should always ____________.
- A.
Knock
- B.
Ask for permission to enter
- C.
Check for isolation signage
- D.
All the above
- 59.Before entering designated isolation rooms, phlebotomists should always __________.
- A.
Put on masks and foot coverings
- B.
Put on gowns and tie them
- C.
Check requirements on signs
- D.
Call a nurse or physician
- 60.The single most important means of preventing the spread of infection in a hospital is by ____________.
- A.
Wearing gowns
- B.
Hand washing
- C.
Using disposables
- D.
Keeping rooms clean
- 61.The most prevalent type of nosocomial infections are those of the _______________.
- A.
Skin
- B.
Digestive tract
- C.
Gastrointestinal tract
- D.
Urinary tract
- 62.Phlebotomists have a statistically greater chance of contracting __________ in a work-related incident than they do of contracting AIDS.
- A.
Mononucleosis
- B.
Hepatitis
- C.
Cancer
- D.
Strep throat
- 63.AIDS is caused by _____________.
- A.
Parasites
- B.
HIV virus
- C.
Bacteria
- D.
Kissing
- 64.When performing heelsticks on infants in a hospital nursery, it is important never to ______________.
- A.
Wash you hands
- B.
Share supplies from one infant to another
- C.
Wake up a sleeping infant
- D.
Touch the infant in any way
- 65.When delivering blood samples to the laboratory, they should always be transported __________.
- A.
Inside sealed plastic bags
- B.
Inside triple-sealed plastic bags
- C.
Inside brown paper sacks
- D.
Individually boxed
- 66.If a biohazard spills in the laboratory, a phlebotomist should first try to ____________.
- A.
Call a physician to the site
- B.
Wash his or his hands
- C.
Contain the spill safely
- D.
Pull the fire alarm
- 67.According to OSHA, contaminated needle maybe safely discarded into a
- A.
Hard sided trash can
- B.
Sharps container
- C.
Plastic cup
- D.
All of the above
- 68.In mot hospitals, a phlebotomist with a cough may draw blood from a patient provided the
- A.
Patient is not in reverse isolation
- B.
Phlebotomist wears a mask
- C.
Phlebotomist does not have a fever
- D.
All of the above
- 69.When drawing blood from pediatric inpatients, a phlebotomist can increase safety for the patients by
- A.
Getting help to hold the patient securely during the draw
- B.
Using a smaller bore needle and smaller collection tubes
- C.
Making sure the bedrails are left raised if found that way
- D.
All of the above
- 70.To eliminate bacteria from the skin of a bacterial culture venipuncture site, ____________ is sometimes used in addition to the alcohol in the skin cleansing process.
- A.
Chlorine bleach
- B.
Iodine
- C.
Aspirin
- D.
Ammonia
- 71.The term that refers to right and wrong conduct is____________.
- A.
Empathy
- B.
Sympathy
- C.
Ethics
- D.
Rights
- 72.An unlawful threat or attempt to do bodily injury to another is__________.
- A.
Litigation
- B.
Assault
- C.
Crime
- D.
Libel
- 73.Law protects the heath worker if it can be determined that he or she acted reasonable as compared with fellow workers; this is called__________.
- A.
Negligence
- B.
Reasonable care
- C.
Duty of care
- D.
Statute
- 74.Negligence by a professional person is called____________.
- A.
Invasion of Privacy
- B.
Slander
- C.
Malpractice
- D.
Tort
- 75.The ability to see things from another person's point of view is ____________.
- A.
Consent
- B.
Sympathy
- C.
Empathy
- D.
Ethics
- 76.A violation of a person's right not to have his or her name, photograph, or private affairs made public without giving consent is __________.
- A.
False imprisonment
- B.
Malpractice
- C.
Invasion of privacy
- D.
Statute
- 77.Information given by a patient to medical personnel that cannot be disclosed without consent constitutes ___________.
- A.
Duty of care
- B.
Negligence
- C.
Judgment
- D.
Privileged communication
- 78.Failure to do something a reasonable person would do under ordinary circumstances, or doing something a reasonable person would not do under ordinary circumstances thereby causing harm to another person is called ___________.
- A.
Malpractice
- B.
Negligence
- C.
Slander
- D.
Defamation
- 79.Permission granted by a person voluntarily (and in his right mind) s _____________.
- A.
Consent
- B.
Litigation
- C.
Breach
- D.
Duty of care
- 80.A phlebotomist who attempts to draw blood without sufficient training could be accused of ____________ if the procedure is performed incorrectly, causing harm to the patient.
- A.
Duty of care
- B.
Abandonment
- C.
Negligence
- D.
Incompetence
- 81.Forcing Venipuncture on a patient who has refused it would be considered ____________?
- A.
Assault
- B.
Battery
- C.
Slander
- D.
Contributory negligence
- 82.The branch of Study of moral issues, questions, and problems arising in the practice of medicine and biomedical research is called ___________?
- A.
Bioethics
- B.
Litigation
- C.
Biocommunications
- D.
Privileged communications
- 83.Conduct , courtesy, and manners, customary in the medical profession, is called _____________?
- A.
Ethics
- B.
Judgment
- C.
Tort
- D.
Medical etiquette
- 84.Each and every patient is entitled to _____________ as a part of his/her patient rights.
- A.
Respect and complete care
- B.
What he can afford
- C.
How much insurance he has
- D.
What his family can afford
- 85.Some suggested methods for controlling on the job stress during phlebotomy might include ____________.
- A.
Reading the newspaper while working
- B.
Drinking lots of coffee
- C.
Taking deep breaths if anxious
- D.
Screaming to rid oneself of anger
- 86.An appropriate means of communicating with a patient who is profoundly hearing impaired might include __________.
- A.
Ignoring the patient entirely
- B.
Talking only to the hearing relative
- C.
Using written communication
- D.
Trying to speak a little louder
- 87.In performing phlebotomy on children, it is best to _____________.
- A.
Talk softly and gently
- B.
Enlist the help of parents
- C.
Tell the truth if asked
- D.
All of the above
- 88.In approaching an elderly patient, it is appropriate to call the patient by name using?
- A.
Miss, Mrs., Mr.
- B.
His/her first name
- C.
His/her nickname
- D.
Something like "honey"
- 89.A patient who is making a fist and frowning is exhibiting ____________ body language.
- A.
Positive
- B.
Compliant
- C.
Excited
- D.
Uncooperative
- 90.A rubber or plastic tube used to drain or inject fluid through a body opening is called _________.
- A.
Injection
- B.
Venipuncture
- C.
Catheter
- D.
None of the above
- 91.A 24-hour urine specimen must be kept __________.
- A.
Warm
- B.
Frozen
- C.
Refrigerated
- D.
At room temperature
- 92.A chronic disease in which the pancreas fails to secrete enough insulin is called ____________.
- A.
High blood pressure
- B.
Diabetes mellitus
- C.
A.I.D.S
- D.
Renal disease
- 93.The purpose of Bleeding time test is to assess __________.
- A.
Platelet plug formation in the capillaries
- B.
The pressure of the blood vessels
- C.
Elasticity in the major blood vessels
- D.
The amount of blockage in the veins
- 94.Diurnal rhythms refer to variations in the body's functions or fluids that occur during _____________.
- A.
Nighttime
- B.
Every 24 hours
- C.
Cyclically once per month
- D.
Sleep
- 95.EMLA is an emulsion of the lidocaine and prilocaine that can be used to __________.
- A.
Sterilize a venipuncture site
- B.
Anticoagulate whole blood
- C.
Topically anesthetize a draw site
- D.
Put a phlebotomy patient under
- 96.Another name for Red blood cells is?
- A.
Platelets
- B.
Leukocytes
- C.
Bone marrow
- D.
Erythrocytes
- 97.The artery located in the groin, lateral to femur bone, which is used as an alternative site, for arterial blood gas collections is the __________.
- A.
Radial
- B.
Ulnar
- C.
Carotid
- D.
Femoral
- 98.The federal law that was expanded in 2000 to protect the confidentiality of electronically stored health information is abbreviated as ___________.
- A.
CLIA
- B.
HIPAA
- C.
OSHA
- D.
EPA
- 99.The study of all aspects of disease in the body is known as __________
- A.
Phlebotomy
- B.
Hematology
- C.
Histology
- D.
Pathology
- 100.The Phase o the laboratory testing that refers to test order, test collection and sample preparation are all part of the __________ Phase.
- A.
Exponential
- B.
Pre-analytical
- C.
Testing
- D.
Post - prandial
- 101.A patient in reverse isolation has been so placed because he/she ___________.
- A.
Need protection from others carrying infection
- B.
Has tuberculosis or a similar respiratory disease
- C.
Needs to keep all blood and body fluids away from the staff
- D.
Has an infection in a wound or atop the skin
- 102.____________ are contaminated objects that can penetrate the skin including, but not limited to needles, scalpels, broken glass, broken capillary tubes, and exposed ends of dental wires.
- A.
Infectious waste materials
- B.
Disposable devices
- C.
Contaminated sharps
- D.
Dangerous incisors
- 103.Reasonable possibility of skin, eye, mucous membrane, parenteral contact with blood or other potentially infectious materials that may result from the performance of an employee's regular duties is termed _________.occupational
- A.
Occupational exposure
- B.
Bio hazardous probability
- C.
Job-related infestation
- D.
Professional acquisition
- 104.All of the following are examples of "Personal Protective Equipment" Except __________
- A.
Uniforms
- B.
Gloves
- C.
Aprons
- D.
Masks
- 105.To use a physical-chemical procedure to destroy all microbial life including highly resistant bacterial endospores is to __________.
- A.
Eradicate
- B.
Toxify
- C.
Sterilize
- D.
Acid wash
- 106.________ is the single most important source of HIV and HBV in the workplace.
- A.
Semen
- B.
Saliva in dental procedures
- C.
Pleural fluid
- D.
Blood
- 107.OSHA requires that training and educational information on bloodborne pathogens be provided to hospital or clinical employees _____________.
- A.
In large workplaces only
- B.
At no cost to them
- C.
Only if they request it
- D.
If anyone has had an accident
- 108.All workers whose jobs involve participation in tasks or activities with exposure to blood or other body fluids, to which universal precautions apply, should be vaccinated with a __________ vaccine.
- A.
Human immunodeficiency
- B.
Hepatitis C
- C.
Small pox
- D.
Hepatitis B
- 109.After they are used, disposable syringes and needles, scalpel blades and other sharp items, should be placed in ________ containers for disposals.
- A.
Biodegradable
- B.
Puncture-resistant
- C.
OSHA
- D.
Sanitized
- 110.Broken glassware that may be contaminated should be picked up by _________.
- A.
An environmental control specialist
- B.
Someone who's not afraid to do it
- C.
Mechanical means (broom/dustpan)
- D.
The end of the shift
- 111.Contaminated laundry should be _________ where it was soiled.
- A.
Destroyed at the location
- B.
Transported away from the location
- C.
Disinfected or discarded at the location
- D.
Bagged or containerized at the location
- 112.A specific eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or other potentially infectious materials that results from the performance of an employees duties is called __________.
- A.
Unfortunate incident
- B.
Hazardous exposure
- C.
Occupational hazard
- D.
Exposure incident
- 113.In the health care field when all evaluated services and the results compare with accepted standards, principles of ____________ have been used.
- A.
Quality assurance
- B.
Regulatory bodies
- C.
Networking
- D.
Management
- 114.The federal government requires that specimens are transported or shipped in ______________.
- A.
Paper containers
- B.
Watertight containers
- C.
Cardboard containers
- D.
Egg crate containers
- 115.The classification the physician's office laboratory (POL) falls into will be determined by __________.
- A.
Complexity of laboratory tests performed
- B.
Number of employees working there
- C.
Ratio of male to female employees
- D.
Length of time in operation
- 116.Tests that basically pose insignificant risks to patients if errors occur in the test performance are called ___________.
- A.
Level I laboratory tests
- B.
Waived tests
- C.
Level II laboratory tests
- D.
None of the above
- 117.When you send blood tubes by mail for analysis in a watertight container, they should be enclosed in ____________.
- A.
Paper box
- B.
Second durable watertight container
- C.
Secure certified mail envelope
- D.
Overnight envelope
- 118.When you send specimens in the mail, the label should state _____________.
- A.
Biohazardous materials
- B.
In case of breakage, send to CDC
- C.
Address of lab
- D.
All of the above
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