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NCCT CPT-1 Practice
NCCT Official Review for National Certified Phlebotomy Technician
| Question | Answer |
|---|---|
| The forearm vein most commonly used for venipuncture is the - | median cubital |
| The smallest veins in the human body are known as - | venules |
| The aorta branches into smaller divisions called arteries, which in turn branch into even smaller divisions called - | arterioles |
| Characteristics of capillaries include - | having thin walls, forming microscopic pathways, and connecting arterioles with venules |
| Within capillaries, blood cell functions include - | releasing oxygen, binding carbon dioxide, and eliminating waste |
| The heart, lymphatic organs, and blood vessels are in the - - system. | cardiovascular |
| The suffix -URIA at the end of a medical term refers to what body location? | Urine |
| The study of blood is known as - | hematology |
| The liver, stomach, mouth, and pancreas are in the - - system. | digestive |
| The most important step to insure accuracy in sample collection is - | identifying the patient properly. |
| The bladder, urethra, kidneys, and ureters are in the - - system. | urinary |
| The trachea, nose, lungs, and pharynx are in the - - system. | respiratory |
| The sebaceous glands, skin, hair, and nails are in the - - system. | integumentary |
| The body system that is a primary regulator of hormones is the - - system. | endocrine |
| Neutrophils, eosinophils, basophils, lymphocytes, and monocytes are types of - | white blood cells. |
| The common name for the thrombocyte is the - | platelet. |
| The liquid portion of an anticoagulated blood sample is known as - | plasma. |
| The instrument that measures blood pressure is called a - | sphygmomanometer. |
| An artery can be distinguished from a vein because an artery will be - | pulsating. |
| Lancets are used to collect blood samples by - | capillary or skin puncture. |
| The abbreviation VAD is commonly used in hospitals to refer to - | venous access devices. |
| To determine the size of a needle, remember that the higher the gauge, the - | smaller the needle bore. |
| Adult capillary punctures most often involve the use of the - - finger(s). | third and fourth (middle and ring) |
| A centrifuge is used in a clinical laboratory setting to - | separate liquid from cells in blood. |
| The oral glucose tolerance test is used for the detection of - | diabetes. |
| Use a - -topped evacuated tube for collection of blood for a CBC test. | lavender |
| Use a - -topped evacuated tube for collection of blood for electrolyte testing. | red (or green for STAT orders) |
| Use a - -topped evacuated tube for collection of blood for cholesterol testing. | red |
| Sodium citrate is an anticoagulant of choice for coagulation studies because it protects - | clotting factors. |
| When preparing a blood smear directly from a skin puncture, it is best to - | wipe away the first drop of blood. |
| The purpose of doing blood cultures is to detect - | septicemia. |
| Anticoagulants are used to - | prevent blood from clotting. |
| White blood cells help the body by - | defending against foreign invaders. |
| Platelets help circulation by - | participating in hemostasis. |
| When blood seeps into the surrounding tissue during venipuncture, a - - may form. | hematoma |
| In a patient with a clotting disorder, pressure should be applied to the puncture site for at least - - minutes after venipuncture to insure blood stoppage. | 5 |
| Skin punctures may be indicated for use when - | 1)the patient is an infant, toddler, or preschooler, 2) only a small amount of blood is needed, or 3) patient veins need to be preserved for IV therapy. |
| All specimens should be labeled with - | 1) Patient's name, D.O.B., and numeric ID) 2) Date and time collected 3) Collector's initials |
| One test often used to assess hemostasis before surgery is - | bleeding time. |
| One possible cause of unexpected clotting in an anticoagulated blood tube might be - | insufficient mixing. |
| When performing a venipuncture, position the bevel of the needle - | facing up (you should be able to see the opening). |
| If blood does not appear in an evacuated tube upon venipuncture, the phlebotomist's first course of action should be to - | slightly reposition or turn the needle. |
| Redirecting a needle during venipuncture is sometimes necessary when - | 1) the vein was not properly anchored, 2) the patient moves unexpectedly, 3) blood flow starts, then stops. |
| A vein might be prone to collapse if the - | vacuum tube is too large for the vein, or the syringe plunger was pulled back too quickly. |
| Hemolysis would cause rejection of a sample collected for - - testing. | potassium |
| If a patient is prone to syncope during venipuncture, the phlebotomist should - | watch in case of fainting. |
| A tube of blood that arrives in the laboratory without a label must be - | rejected automatically. |
| If a blood sample must be collected 2 hours post-prandial, the phlebotomist should collect the sample - | 2 hours after a meal. |
| Knowing when to collect peak and trough levels is important when drawing - | therapeutic drugs. |
| A pre-warming technique may be used to - | increase a patient's tendency to bleed. |
| The role of all anticoagulants is ultimately to prevent formation of - | Fibrin. |
| The anticoagulant EDTA works by - | binding calcium. |
| If the tourniquet is not released before the needle is withdrawn from the arm during venipuncture, this will most likely result in - | bleeding from the site. |
| The bilirubin test is - - sensitive. | light |
| The - - must be followed exactly whenever drawing patient test samples that may be used in a legal proceeding. | Chain of Custody |
| The anticoagulant SPS (sodium polyanetholesulfonate) is recommended for use in blood cultures because it - | does not inhibit bacterial growth. |
| Before entering an inpatient room if the door is closed, phlebotomists should always - | Check for isolation signage, knock, and ask for permission to enter. |
| Before entering designated isolation rooms, phlebotomists should always - | check requirements on signs. |
| The single most important means of prevent the spread of infection in a hospital is by - | hand washing. |
| The most prevalent type of nosocomial infections are - | urinary tract infections. |
| Phlebotomists have a statistically greater chance of contracting - - in a work-related accident than they do of contracting AIDS. | hepatitis |
| AIDS is caused by - | the HIV virus. |
| When performing heelsticks on infants in a hospital nursery, it is important to never - | share supplies from one infant to another. |
| When delivering blood samples to a laboratory, they should always be transported inside - | sealed plastic bags. |
| If a biohazard spills in the laboratory, a phlebotomist should first try to - | contain the spill safely. |
| According to OSHA, a contaminated needle may be safely discarded into a - | sharps container. |
| In most hospitals, a phlebotomist with a cough may draw from a patient provided the - | 1) Patient is not in reverse isolation 2) The phlebotomist does not have a fever 3) The phlebotomist wears a mask |
| When drawing blood from pediatric inpatients, a phlebotomist can increase the safety for the patients by - | 1) Using a smaller bore needle and smaller collection tubes 2) Getting help to hold the patient securely during the draw 3) Making sure the bed-rails are left raised if found that way |
| To eliminate bacteria from the skin of a bacterial culture venipuncture site, - - is sometimes used in addition to alcohol in the skin cleansing process. | iodine |
| The term that refers to right and wrong conduct is - | ethics. |
| An unlawful threat or attempt to do bodily injury is - | assault. |
| Law protects the health worker if it can be determined that he or she acted reasonably as compared with fellow workers; this is called - | reasonable care. |
| Negligence by a professional person is called - | malpractice. |
| Information given by a patient to medical personnel that can not be disclosed without consent constitutes - | privileged communication. |
| Permission granted by a person voluntarily (and in his right mind) is - | consent. |
| 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. | incompetence |
| Forcing venipuncture on a patient who has refused it would be considered - | battery. |
| The branch of study of moral issues, questions, and problems arising in the practice of medicine and biomedical research is called - | bioethics. |
| Conduct, courtesy, and manners, customary in the medical profession, is called - | medical etiquette. |
| Each and every patient is entitled to - - as part of his or her patient rights. | respect and complete care |
| Some suggested methods of controlling on the job stress during phlebotomy might include - | taking deep breaths if anxious. |
| Appropriate means of communicating with a patient that is profoundly hearing impaired might include - | using written communication. |
| In performing phlebotomy on children, it is best to - | 1) talk softly and gently 2) enlist the help of parents 3) tell the truth if asked |
| A patient who is making a fist and frowning is exhibiting - - body language. | uncooperative |
| A 24-hour urine specimen must be kept - | refrigerated. |
| A chronic disease in which the pancreas fails to secrete enough insulin is called - | diabetes mellitus. |
| The purpose of the bleeding time test is to assess - | platelet plug formation in the capillaries. |
| Diurnal rhythms refer to variations in the body's functions or fluids that occur during - | every 24 hours. |
| EMLA is an emulsion of lidocaine and prilocaine that can be used to - | topically anesthetize a draw site. |
| Another name for red blood cells is - | erythrocytes. |
| The artery located in the groin, lateral to the femur bone, which is used as an alternative site for arterial blood gas collections is the - | femoral. |
| The federal law that was expanded in 2000 to protect the confidentiality of electronically stored health information is abbreviated as - | HIPPA. |
| The study of all aspects of disease in the body is known as - | pathology. |
| The phase of laboratory testing that refers to test orders, test collection, and test sample preparation are all part of the - - phase. | pre-analytical |
| A patient in reverse isolation has been so placed because he or she - | needs protection from others carrying infection. |
| Contaminated objects that can penetrate skin, such as needles, scalpels, broken class, and broken capillary tubes are called - | contaminated sharps. |
| To use a physical-chemical procedure to destroy all microbial life including highly resistant bacterial endospores is to - | sterilize. |
| The single most important source of HIV and HBV in the workplace is - | blood. |
| After they are used, disposable syringes, scalpel blades, and other sharp items should be placed in - - containers for disposal. | puncture resistant |
| Contaminated laundry should be - - where it was soiled. | bagged or containerized at the location |
| The suffix - - means blood. | -emia |
| The literal meaning of the word hemolysis is - | blood breaking down. |
| PT is the lab abbreviation for the - - test. | Prothrombin time |
| When a patient's arm is swollen with excess fluids, this is called - | edema. |
| A nosocomial infection is an infection acquired - | in the healthcare facility. |
| Choose the item that is NOT a single use only item: needles, tourniquets, tube holders, winged infusion sets. | Tourniquets |
| The name of the equipment used to separate plasma or serum from red blood cells is - | centrifuge. |
| The tube holder and needle are to be disposed of - - into a sharps container. | together, as a unit |
| Needles are color-coded to indicate their - | gauge. |
| According the the CLSI, the maximum recommended depth for heel punctures is - | 2.0 mm |
| The - - color stopper indicates the blood collection tube contains sodium heparin. | green |
| When a lipid panel is ordered, the patient should be fasting for - | at least 12 hours with water allowed. |
| The key principle of Universal Precautions is that - | the blood and body fluids of all individuals are considered potentially infectious. |
| A patient having a glucose tolerance test does not have the restriction of - | drinking water. |
| In the healthcare setting, HBV, HCV, and HIV can be transmitted by - | 1) sharps injuries, 2) splash of blood or body fluids to the mucous membranes, 3) touching non-intact skin without gloves |
| Needlestick injuries can be prevented by - | using safe needle devices and following instructions for proper use. |
| Sharps containers should be closed, sealed, and made ready for disposal when it is - | 3\4ths full. |
| If you should recieve a needlestick injury, you should report it - | immediately. |
| Antisepsis is a technique used on - | skin. |
| The transmission based isolation category Airborne Precautions is used when a patient is known or suspected to have - | tuberculosis. |
| The bloodborne disease most likely to be transmitted by a needlestick in the US is - | Hepatitis C. |
| A patient experiences shooting pains in his arm when you are drawing from the antecubital area, which means you may have - | punctured or nicked the basilic nerve. |
| The most likely reason a CBC specimen would clot is - | the blood and the anticoagulant in the tube were not mixed sufficiently. |
| A patient had a mastectomy on the right side five years ago. The side you will draw from is - | the left side, as blood is never drawn from the side with a mastectomy. |
| You are drawing blood from an outpatient when they begin to feel faint. The recommended course of action is to - | remove the needle, and lower the patient's head between their legs. |
| Hemoconcentration may be cause by - | prolonged application of the tourniquet. |
| The primary cause of a collapsed vein during venipuncture is - | blood is withdrawn too quickly or forcefully. |
| Mixing the blood with the anticoagulant or additive by shaking may result in - | a hemolyzed specimen. |
| If you find blood on the outside of the tube you have just filled, you should - | wipe the outside of the tube with a disinfectant. |
| Name three things that could result in a lawsuit being filed against a phlebotomist. | 1) Inserting the needle at an incorrect angle. 2) Excessive probing after missing a vein. 3) Mislabeling blood tubes. |
| Considering patient safety, the most dangerous phlebotomy practice is - | labeling the empty collection tubes before the collection. |
| Per CLSI, the maximum number of venipuncture attempts by an individual phlebotomist is - | no more than two. |
| According to standards of good practice, specimen collection tube labeling should always occur - | before the phlebotomist leaves the patient's side. |
| The first drop of blood that forms following a skin puncture should be - | wiped away. |
| When identifying a patient, you must ask them to state - | their name and date of birth. |
| The - - vein is recommended for use when drawing 5 mL of blood on an 18 month old. | dorsal hand |
| Cleansing the skin with Betadine for a skin puncture may interfere with the analysis of - | bilirubin. |
| When performing a microcollection procedure, the best way to increase blood flow is to - | pre-warm the site. |
| A patient's wristband matches your requisition form except for the birth date. It shows the same month and day, but the year is 1947 instead of 1945. In order to draw blood - | all identification discrepancies must be resolved FIRST! |
| Drugs used to kill or destroy bacteria that cause disease are called - | antibiotics. |
| CSF is the abbreviation for - | cerebrospinal fluid. |
| Red and white blood cell counts are examples of - - tests. | hematology |
| The blood cells most numerous in the circulating blood are the - | red blood cells. |
| The medical term for fainting is - | syncope. |
| Serum or plasma that has a milky white appearance is called - | lipemic. |
| The lab test "T & C" is the abbreviation for - | Type and Crossmatch. |
| The rubber sleeve (at the end opposite of the beveled needle tip) on an evacuated tube needle makes it possible for use with - | multiple tubes. |
| Capillary blood sampling may be used if the laboratory tests require - | very little blood. |
| A tube adapter visibly contaminated with blood should be - | disposed in a biohazard waste container. |
| The evacuated tube containing sodium citrate has a - - colored stopper. | blue or light blue |
| A fasting test is ordered to - | eliminate the effects of diet on the test results. |
| A - - topped tube should be used for a lab test requiring serum. | red |
| Hepatitis - - is not a blood borne pathogen. | A |
| The LAST choice for blood collection in the antecubital area is the - | brachial veins. |
| The venipuncture site should be cleaned in a circular motion from the center to the - | periphery. |
| A patient on which you have been ordered a draw has no armband. You should - | tell the patient's nurse that the patient does not have an armband, and you can not collect until it is placed on the patient. |
| Therapeutic phlebotomy is performed as a treatment for patients with - | polycythemia vera. |
| The formed elements make up about - - percent of the whole blood volume. | 45 |
| The buffy coat consists of - | leukocytes and thrombocytes. |
| The two components of blood found in a tube without anticoagulant are - | serum and clot. |
| The fluid portion of the whole blood that contains fibrinogen is called - | plasma. |
| The fluid portion of blood after clotting has taken place is called - | serum. |
| The difference between plasma and serum is - | plasma contains fibrinogen; serum does not. |
| Blood returns to the heart from the lungs into the - | left atrium. |
| The pulmonary - - does NOT carry oxygenated blood. | artery |
| A blood collection on dialysis patient with a fistula or graft should be drawn from - | the opposite arm. Never draw on the arm with a fistula or graft. |
| The order of which veins should be used for draw in the antecubital area is - | 1) Median Cubital 2) Cephalic 3) Basilic 4) Median |
| The most common phlebotomy complication is - | hematoma formation. |
| The test with cleaning techniques similar to those for blood culture tests is - | Arterial Blood Gases. |
| The Allen test checks the patient for - | collateral arterial circulation. |
| The two arteries are occluded during the Allen Test are - | The radial and the ulnar. |
| The artery on the thumb side of the wrist is the - | radial. |
| The safe area for heel punctures in an infant is - | the most lateral portion of the plantar surface (the side of the pinkie toe). |
| Skin puncture blood is more likely to be contaminated by - | hemolysis. |
| An estimate on how much time do you have for ASAP and STAT orders is - | 2-4 hours for ASAP orders, and 1 hour for a STAT order. |
| The amount of blood needed for blood culture draws for adults and for children are - | 8-10 mL for Adults, 1-5 mL for children. |
| When using a butterfly needle for a blood culture test with two bottles, the - - bottle goes first. | Aerobic |
| Examples of tests that must be chilled immediately after collection are - | Ammonia, Catecholamines, Lactic acid, and PH\blood gasses. |
| Examples of tests that must be kept warm after collection are - | Cold agglutinins, Cryoglobulin. |
| Examples of tests that must be kept from the light are - | Bilirubin, and vitamins C, E, and K. |
| The two bottles used in blood culture collections are - | Aerobic and Anaerobic. |
| Citrate tubes must be within - - percent to full to give accurate results. | 10 |
| A phlebotomist certified by the American Society of Clinical Pathologists (ASCP) is required to maintain certification by completing and documenting continuing education. This is known as the - | Certification Maintenance Program (CMP) |
| NPO means - | 'Non per os' or 'nothing by mouth'. |
| The lifespan of a red blood cell is - | 100 - 120 days. |
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