Certified Phlebotomy Technician Exam Basic 3

Question 1

Which of the following is a symptom of a vasovagal reaction during phlebotomy?

Accepted Answer

Pallor, diaphoresis, and loss of consciousness

Answer

Hypertension and flushing

Answer

Localized redness at the puncture site

Answer

Rapid, bounding pulse

Question 2

What does 'CLSI' stand for and why is it important in phlebotomy?

Accepted Answer

Clinical Laboratory Standards Institute — sets standards for laboratory procedures

Answer

Certified Laboratory Safety Inspector — oversees facility inspections

Answer

Clinical Licensing and Specimen Integrity — governs specimen transport

Answer

Central Laboratory Systems Integration — manages LIS software

Question 3

A phlebotomist is collecting blood cultures. What is the correct skin preparation sequence?

Accepted Answer

Chlorhexidine gluconate (or iodine tincture) scrub after alcohol, allowed to dry completely

Answer

Isopropyl alcohol alone

Answer

Povidone-iodine alone for 60 seconds

Answer

Betadine applied and immediately wiped off with alcohol

Question 4

What is the primary purpose of inverting a collection tube after drawing blood?

Accepted Answer

To mix the blood with the tube additive thoroughly

Answer

To prevent the needle from clogging

Answer

To activate clotting for serum separation

Answer

To label the tube by noting the draw order

Question 5

Which condition makes the antecubital fossa an unsuitable venipuncture site?

Accepted Answer

Presence of an arteriovenous (AV) fistula for dialysis

Answer

Well-visible, non-dominant arm veins

Answer

Mild scarring from a previous draw

Answer

Slight hair follicles over the area

Question 6

What is 'reflux' in the context of phlebotomy and how is it prevented?

Accepted Answer

Backflow of tube additive into the patient's vein; prevented by keeping the arm angled down and the tube below the vein

Answer

Excess blood entering the tube; prevented by using a smaller gauge needle

Answer

Leakage of blood from around the needle; prevented by applying firmer pressure

Answer

Air entering the tube; prevented by capping immediately after draw

Question 7

Which federal agency requires healthcare workers to follow Standard Precautions to prevent bloodborne pathogen transmission?

Accepted Answer

OSHA

Answer

CDC

Answer

FDA

Answer

CMS