Phlebotomy Test Phlebotomy Exam Simulation 3

Question 1

Which of the following blood collection tubes does NOT require mixing after collection?

Accepted Answer

Plain red top (no additive)

Answer

Lavender top (EDTA)

Answer

Gold top (SST with clot activator)

Answer

Gray top (sodium fluoride)

Question 2

A patient states they are allergic to latex. Which modification is required for their blood draw?

Accepted Answer

Use of vinyl or nitrile gloves and latex-free collection supplies throughout

Answer

Apply a latex glove over the vinyl glove for added protection

Answer

No modification needed if the patient isn't handling the gloves

Answer

Document the allergy but proceed with standard latex gloves for a routine draw

Question 3

A phlebotomist labels a specimen tube after collection but BEFORE leaving the patient's room. This practice is:

Accepted Answer

Correct—tubes must be labeled at the bedside in the patient's presence before leaving the room

Answer

Incorrect—tubes must be labeled at the nursing station to avoid interruptions

Answer

Incorrect—prelabeled tubes must always be used to save time

Answer

Acceptable if the phlebotomist remembers which specimen is from which patient

Question 4

Which type of isolation precaution requires a phlebotomist to wear a fit-tested N95 respirator when entering the patient's room?

Accepted Answer

Airborne precautions

Answer

Contact precautions

Answer

Droplet precautions

Answer

Standard precautions

Question 5

A blood specimen for a fasting lipid panel is collected at 10:30 AM. The patient says they ate breakfast at 7:00 AM. What should the phlebotomist do?

Accepted Answer

Call the ordering physician immediately to notify them and get instructions before collecting

Answer

Collect the specimen anyway and note the collection time on the requisition

Answer

Ask the patient to return after a sufficient fasting period and document the refusal to fast

Answer

Collect the specimen without noting the patient's non-fasting status

Question 6

The CLSI recommended maximum time for leaving a tourniquet in place during venipuncture is:

Accepted Answer

1 minute

Answer

30 seconds

Answer

2 minutes

Answer

3 minutes

Question 7

A phlebotomist is asked to collect a timed specimen for a 2-hour postprandial glucose. The patient was supposed to start eating at 8:00 AM. What time should the specimen be collected?

Accepted Answer

10:00 AM exactly (2 hours after eating started)

Answer

9:30 AM to account for absorption time

Answer

At any time between 9:00 and 11:00 AM

Answer

Only at the exact time the physician orders, regardless of meal timing

Question 8

Standard precautions apply to which of the following in all patient care settings?

Accepted Answer

All blood, body fluids, non-intact skin, and mucous membranes of ALL patients regardless of diagnosis

Answer

Only patients with known infectious diseases

Answer

Only high-risk patients in the ICU or isolation rooms

Answer

Only blood and CSF; other body fluids are not covered