NCPT Practice Test Welcome to your NCPT Practice Test 1. NCPT: Infection Control and Safety What is the most effective method for preventing the transmission of infectious diseases in a healthcare setting? A. Proper use of personal protective equipment (PPE) B. Hand hygiene practices C. Regular use of antibiotics D. Isolation of all patients None 1 out of 100 2. NCPT: Infection Control and Safety Which of the following is an appropriate action following a needlestick injury? A. Immediately squeeze the wound to expel blood B. Wash the area with water only C. Apply a topical antibiotic and cover with a bandage D. Wash the area with soap and water and report the incident None 2 out of 100 3. NCPT: Infection Control and Safety Which type of isolation precaution is specifically designed for patients known or suspected to be infected with pathogens transmitted by airborne droplet nuclei? A. Contact precautions B. Droplet precautions C. Airborne precautions D. Standard precautions None 3 out of 100 4. NCPT: Infection Control and Safety Which of the following is NOT considered a standard precaution in infection control? A. Use of personal protective equipment B. Hand hygiene C. Sterilizing patient's skin with alcohol before venipuncture D. Recapping used needles None 4 out of 100 5. NCPT: Infection Control and Safety What is the correct order of donning personal protective equipment (PPE)? A. Gloves, gown, mask, goggles B. Gown, mask, goggles, gloves C. Mask, gloves, gown, goggles D. Goggles, gown, mask, gloves None 5 out of 100 6. NCPT: Infection Control and Safety What is the primary purpose of using a sharps container in phlebotomy? A. To store unused needles and syringes B. To dispose of sharp objects such as needles and lancets safely C. To recycle reusable sharp instruments D. To clean contaminated needles for reuse None 6 out of 100 7. NCPT: Infection Control and Safety What is the primary reason for performing hand hygiene before donning gloves for a phlebotomy procedure? A. To provide a double layer of protection against pathogens B. To prevent contamination of the gloves C. To increase the grip on the patient's skin D. To warm the hands, making vein selection easier None 7 out of 100 8. NCPT: Infection Control and Safety What is the primary purpose of using a biological safety cabinet 'BSC' in phlebotomy? A. To store contaminated waste until disposal B. To provide a sterile environment for the preparation of culture media C. To protect the operator and environment from aerosols generated during the handling of potentially infectious materials D. To disinfect phlebotomy instruments None 8 out of 100 9. NCPT: Infection Control and Safety In phlebotomy, what is the most appropriate action if a tourniquet becomes contaminated with blood? A. Wipe it with an alcohol pad and reuse B. Rinse it under running water and allow it to air dry C. Dispose of it properly and use a new tourniquet D. Place it in a biohazard bag for sterilization None 9 out of 100 10. NCPT: Infection Control and Safety What is the significance of the "time" element in the chain of infection? A. The duration of exposure to an infectious agent required to contract an infection B. The period needed for hand hygiene effectiveness C. The shelf life of personal protective equipment D. The time it takes for an autoclave to sterilize equipment None 10 out of 100 11. NCPT: Infection Control and Safety What is the primary purpose of the Occupational Safety and Health Administration 'OSHA' Bloodborne Pathogens Standard in a healthcare setting? A. To regulate the disposal of pharmaceutical waste B. To ensure the safe use of radioactive materials C. To protect workers from health hazards associated with bloodborne pathogens D. To establish guidelines for patient privacy and data protection None 11 out of 100 12. NCPT: Infection Control and Safety Which of the following best describes the purpose of an exposure control plan in a healthcare facility? A. To outline procedures for handling radioactive materials B. To document the facility's vaccination policy for employees C. To detail actions to take in response to occupational exposure to bloodborne pathogens D. To establish a cleaning schedule for the facility None 12 out of 100 13. NCPT: Infection Control and Safety What is the significance of the "neutral zone" technique in a phlebotomy procedure? A. It refers to maintaining a balanced posture to prevent musculoskeletal injuries. B. It involves placing sharps in a designated area to minimize the risk of needlestick injuries. C. It is the practice of adjusting the pH level of antiseptics before skin disinfection. D. It denotes the optimal temperature range for storing phlebotomy reagents. None 13 out of 100 14. NCPT: Infection Control and Safety In phlebotomy, what is the primary reason for implementing the use of safety-engineered devices? A. To increase the efficiency of blood collection B. To reduce the risk of bloodborne pathogen transmission C. To minimize the use of personal protective equipment (PPE) D. To comply with patient privacy laws None 14 out of 100 15. NCPT: Preparing for Specimen Collection. How should a phlebotomist proceed if the order of draw cannot be followed due to the patient's vein condition? A. Skip the tubes that cannot be collected. B. Collect the tubes in any order, noting the deviation. C. Use a butterfly needle to ensure adherence to the order of draw. D. Consult with a supervisor or healthcare provider for alternative instructions. None 15 out of 100 16. NCPT: Preparing for Specimen Collection. What is the recommended procedure if a patient's identification cannot be verbally confirmed? A. Proceed with specimen collection based on bed number. B. Ask a family member to confirm the patient's identity. C. Check the patient's medical record for photo identification. D. Do not proceed until identity can be confirmed by nursing or medical staff. None 16 out of 100 17. NCPT: Preparing for Specimen Collection. What is the importance of asking a patient about anticoagulant therapy before a venipuncture? A. To choose a larger gauge needle for the collection B. To prepare for immediate application of pressure post-collection C. To adjust the volume of blood to be collected D. To determine the need for a tourniquet during collection None 17 out of 100 18. NCPT: Preparing for Specimen Collection. Which of the following is the most appropriate action when preparing to collect a blood specimen from a patient with a history of syncope? A. Collect the specimen while the patient is standing. B. Have the patient lie down or sit in a reclining chair for the collection. C. Increase the tourniquet time to reduce the collection duration. D. Use a smaller gauge needle to expedite the collection process. None 18 out of 100 19. NCPT: Preparing for Specimen Collection. What is the correct action when a patient refuses blood draw after all preparatory steps have been taken? A. Inform the patient of the consequences and proceed with the draw. B. Document the refusal and notify the ordering physician immediately. C. Persuade the patient by explaining the importance of the test. D. Wait for a few minutes and attempt the draw again. None 19 out of 100 20. NCPT: Preparing for Specimen Collection. Which of the following is a critical step in preparing for an arterial blood gas (ABG) collection? A. Warming the site for 1 minute to increase vein dilation. B. Performing the Allen test to evaluate ulnar artery circulation. C. Using a tourniquet to increase arterial pressure. D. Selecting a vein in the antecubital fossa for collection. None 20 out of 100 21. NCPT: Preparing for Specimen Collection. What is the best practice for labeling specimen tubes collected during a phlebotomy procedure? A. Label the tubes before the procedure begins. B. Label the tubes immediately after collection while still in the presence of the patient. C. Label the tubes at the end of the day for efficiency. D. Have the patient label the tubes to ensure accuracy. None 21 out of 100 22. NCPT: Preparing for Specimen Collection. Which of the following is an essential consideration when collecting a specimen for a cold agglutinin test? A. The specimen must be kept at body temperature until testing. B. The tourniquet application time should be extended to ensure vein distension. C. The specimen should be immediately placed in an ice bath after collection. D. Fasting is required for 12 hours before specimen collection. None 22 out of 100 23. NCPT: Preparing for Specimen Collection. What action should a phlebotomist take when a patient is found to be fasting unexpectedly for a routine blood draw? A. Proceed with the draw as it may benefit certain test results. B. Reschedule the patient for a non-fasting blood draw. C. Notify the ordering physician to determine if the fasting state affects the tests ordered. D. Only collect non-glucose or lipid profile tests. None 23 out of 100 24. NCPT: Preparing for Specimen Collection. In which circumstance is it acceptable to use a wristband for patient identification? A. When the patient is unconscious B. When the patient's arm band is missing C. Never; wristbands are not an acceptable form of identification D. During pediatric collections when arm bands are too large None 24 out of 100 25. NCPT: Preparing for Specimen Collection. How should the phlebotomist proceed if the patient's arm exhibits signs of intravenous drug use? A. Avoid using the arm with visible signs of drug use and select an alternative site. B. Proceed with the draw from the site with the most visible vein. C. Clean the site with an alcohol pad for a longer duration. D. Apply a tourniquet above and below the site to ensure vein prominence. None 25 out of 100 26. NCPT: Preparing for Specimen Collection. When collecting blood specimens from a patient with a left-sided mastectomy, what is the preferred site for venipuncture? A. The right arm B. The left arm C. Either arm, if no lymph nodes were removed D. The hand on the side of the mastectomy None 26 out of 100 27. NCPT: Preparing for Specimen Collection. What is the significance of the "order of draw" in phlebotomy? A. To prioritize patient comfort during the procedure B. To enhance the efficiency of specimen collection C. To prevent cross-contamination between different additives in collection tubes D. To determine which specimens require fasting None 27 out of 100 28. NCPT: Preparing for Specimen Collection. What is the appropriate technique for mixing anticoagulated blood tubes after collection? A. Vigorously shaking the tubes. B. Inverting the tubes 3-5 times gently. C. Centrifuging immediately after collection. D. Allowing the tubes to sit undisturbed for 10 minutes. None 28 out of 100 29. NCPT: Preparing for Specimen Collection. In the event of an accidental needlestick injury to the phlebotomist after drawing blood from a patient, what is the first step that should be taken? A. Immediately wash the area with soap and water. B. Apply a bandage to the injury site. C. Recap the needle to prevent further injury. D. Continue with the next patient to maintain workflow. None 29 out of 100 30. NCPT: Preparing for Specimen Collection. What is the appropriate action if the phlebotomist notices a rash at the intended venipuncture site? A. Proceed with the draw after applying an antiseptic cream B. Choose an alternative site for the venipuncture C. Cover the rash with a bandage before proceeding D. Clean the rash area with extra antiseptic swabs None 30 out of 100 31. NCPT: Preparing for Specimen Collection. For a patient on hemodialysis, what is the recommended venipuncture site? A. The arm with the fistula or graft B. The arm opposite the fistula or graft C. Any accessible vein in the legs D. The jugular vein as an alternative None 31 out of 100 32. NCPT: Preparing for Specimen Collection. When preparing for a glucose tolerance test (GTT), what is the initial step before beginning the test? A. Administer a standard glucose dose intravenously B. Have the patient fast for 8-12 hours C. Collect a urine sample for baseline measurement D. Give the patient a high-carbohydrate meal None 32 out of 100 33. NCPT: Preparing for Specimen Collection. In pediatric phlebotomy, what is the maximum volume of blood that should be collected in a single draw? A. 1% of the child's total blood volume B. 3% of the child's total blood volume in a single draw C. 5 mL per kilogram of the child's body weight D. 10% of the child's total blood volume in a 24-hour period None 33 out of 100 34. NCPT: Preparing for Specimen Collection. What is the primary reason for inverting anticoagulant tubes immediately after blood collection? A. To cool the blood specimen B. To prevent clot formation C. To separate the plasma from the cells D. To mix the blood with the anticoagulant None 34 out of 100 35. NCPT: Preparing for Specimen Collection. When preparing to collect a specimen for therapeutic drug monitoring (TDM), what is crucial to ensure accurate results? A. Collecting the specimen exactly one hour after medication administration. B. Ensuring the specimen is collected at the specified time relative to the last dose. C. Refrigerating the specimen for at least 30 minutes before processing. D. Collecting a large volume of blood to allow for multiple tests. None 35 out of 100 36. NCPT: Preparing for Specimen Collection. What is the primary reason for using a syringe for blood collection instead of a vacuum tube system? A. To collect a larger volume of blood B. To minimize the risk of hemolysis in fragile veins C. To speed up the collection process D. To avoid the use of anticoagulants None 36 out of 100 37. NCPT: Preparing for Specimen Collection. For a patient with a difficult venous access, what alternative site can be considered for blood collection? A. The carotid artery B. The dorsal hand veins using a butterfly needle C. The femoral vein D. The antecubital veins of the feet None 37 out of 100 38. NCPT: Preparing for Specimen Collection. Which of the following is a critical step when preparing to collect a blood specimen for a light-sensitive analyte? A. Chilling the tube prior to collection B. Wrapping the tube in aluminum foil immediately after collection C. Exposing the tube to light for 5 minutes before labeling D. Using a clear tube to ensure visibility of the specimen None 38 out of 100 39. NCPT: Preparing for Specimen Collection. What is the most appropriate action if a patient has a seizure during a blood collection procedure? A. Continue the blood draw to complete the procedure quickly. B. Remove the needle and apply pressure to the site immediately. C. Try to restrain the patient to prevent injury. D. Administer anticonvulsant medication if available. None 39 out of 100 40. NCPT: Specimen Collection. What is the recommended angle of needle insertion for a standard venipuncture? A. 15-30 degrees B. 30-45 degrees C. 45-60 degrees D. 60-75 degrees None 40 out of 100 41. NCPT: Specimen Collection. When collecting blood from a patient with a coagulation disorder, what special consideration should be taken? A. Use a larger bore needle to prevent hemolysis. B. Apply prolonged pressure to the puncture site post-draw. C. Increase the tourniquet time for better vein selection. D. Collect a smaller volume of blood to reduce patient impact. None 41 out of 100 42. NCPT: Specimen Collection. What is the most critical action to perform if a patient develops a hematoma during a blood draw? A. Continue the draw until the required volume is obtained. B. Immediately stop the draw and remove the needle. C. Apply a warm compress to the site. D. Elevate the patient's arm above heart level. None 42 out of 100 43. NCPT: Specimen Collection. What is the appropriate course of action when blood does not appear in the tube after needle insertion? A. Reinsert the needle deeper into the tissue. B. Adjust the needle position slightly while maintaining insertion depth. C. Immediately remove the needle and apply pressure. D. Attempt the draw with a new needle in the other arm. None 43 out of 100 44. NCPT: Specimen Collection. Which type of specimen collection requires the maintenance of a specific temperature range from collection to processing? A. Hematology tests B. Blood cultures C. Cold agglutinins D. Routine chemistry tests None 44 out of 100 45. NCPT: Specimen Collection. In the event of a venipuncture-induced nerve injury, what is the initial step the phlebotomist should take? A. Ask the patient to move their fingers to assess mobility. B. Immediately remove the needle and document the incident. C. Apply a cold compress to reduce swelling. D. Continue the draw to minimize the number of venipunctures. None 45 out of 100 46. NCPT: Specimen Collection. What is the importance of mixing an EDTA tube immediately after collection? A. To prevent clotting of the specimen B. To enhance the separation of plasma C. To prevent hemolysis D. To dissolve the EDTA completely None 46 out of 100 47. NCPT: Specimen Collection. Which antiseptic is preferred for cleaning the venipuncture site when drawing a blood culture specimen? A. 70% isopropyl alcohol B. Povidone-iodine C. Chlorhexidine gluconate D. Hydrogen peroxide None 47 out of 100 48. NCPT: Specimen Collection. How should a phlebotomist proceed with a blood collection for a patient undergoing anticoagulant therapy? A. Use a smaller gauge needle to minimize bleeding. B. Increase the angle of needle insertion. C. Decrease the amount of blood drawn. D. Use a syringe draw technique and apply pressure for a longer duration post-draw. None 48 out of 100 49. NCPT: Specimen Collection. What is the most appropriate action for ensuring specimen integrity when drawing a lipid panel? A. Collect the specimen at any time, regardless of food intake. B. Ensure the patient has fasted for at least 12 hours. C. Position the patient standing up during collection. D. Apply heat to the collection site to increase blood flow. None 49 out of 100 50. NCPT: Specimen Collection. When is it necessary to perform a capillary puncture rather than a venipuncture? A. When large volumes of blood are required. B. When a patient's veins are too fragile for venipuncture. C. When blood gases are the primary tests required. D. When the patient requests a less painful method. None 50 out of 100 51. NCPT: Specimen Collection. When collecting a specimen for a coagulation test from a patient with a heparin lock, what is the appropriate procedure? A. Use the heparin lock directly for specimen collection. B. Flush the lock with saline, then proceed with specimen collection. C. Draw and discard a small volume of blood, then collect the specimen. D. Increase the volume of blood drawn to dilute the heparin. None 51 out of 100 52. NCPT: Specimen Collection. What is the recommended course of action if the first attempt at venipuncture is unsuccessful? A. Attempt the venipuncture again immediately in the same vein. B. Select a different site and use a new needle for the second attempt. C. Apply a warm compress to the area and try again. D. Proceed with a fingerstick method if appropriate. None 52 out of 100 53. NCPT: Specimen Collection. For which type of test is it crucial to maintain the specimen at body temperature after collection? A. Complete blood count 'CBC' B. Blood cultures C. Cold agglutinins D. Serum electrolytes None 53 out of 100 54. NCPT: Specimen Collection. What is the primary reason for inverting a tube containing EDTA after collection? A. To prevent hemolysis B. To activate the anticoagulant properties C. To ensure proper mixing of blood with the additive D. To prevent clotting of the specimen None 54 out of 100 55. NCPT: Specimen Collection. When performing a dermal puncture, which site is generally recommended to minimize the risk of injury to the patient? A. The central area of the fingertip B. The side of the fingertip C. The heel for infants and lateral finger for adults D. The top of the hand None 55 out of 100 56. NCPT: Specimen Collection. What is the most appropriate action when a patient has an edematous extremity where the venipuncture needs to be performed? A. Use the edematous extremity, as it will be easier to locate the veins. B. Apply a tourniquet above the edema to reduce swelling. C. Select an alternative site for the venipuncture. D. Perform the venipuncture without a tourniquet. None 56 out of 100 57. NCPT: Specimen Collection. In what order should specimens be collected when performing a venipuncture? A. Blood culture, coagulation tube, serum tube, heparin tube, EDTA tube, glycolytic inhibitor tube B. Coagulation tube, blood culture, serum tube, EDTA tube, heparin tube, glycolytic inhibitor tube C. Serum tube, blood culture, coagulation tube, EDTA tube, heparin tube, glycolytic inhibitor tube D. Blood culture, serum tube, coagulation tube, heparin tube, EDTA tube, glycolytic inhibitor tube None 57 out of 100 58. NCPT: Specimen Collection. How should a phlebotomist proceed if a patient is taking anticoagulant medication and requires a venipuncture? A. Avoid the venipuncture and use a dermal puncture instead. B. Apply additional pressure after the needle is removed to ensure proper hemostasis. C. Increase the size of the needle to allow for a quicker draw. D. Decrease the angle of insertion to avoid penetrating through the vein. None 58 out of 100 59. NCPT: Specimen Collection. What is the primary reason for discarding the first 1-2 mL of blood when collecting a specimen for lead testing? A. To warm up the vein and increase blood flow. B. To ensure the blood is free from lead contamination from the skin. C. To reduce the viscosity of the blood for easier collection. D. To remove any air bubbles that may be present in the syringe. None 59 out of 100 60. NCPT: Specimen Collection. When collecting blood from a patient with a history of mastectomy, what is an important consideration to take into account? A. Always use the arm on the same side as the mastectomy. B. Avoid using a tourniquet on either arm. C. Do not perform venipuncture on the same side as the mastectomy. D. Use only a butterfly needle for venipuncture on these patients. None 60 out of 100 61. NCPT: Specimen Collection. What is the recommended course of action when a blood specimen tube appears underfilled? A. Top off the tube with saline to reach the fill line. B. Centrifuge the tube longer to compensate for the low volume. C. Label the tube as underfilled and send it for testing. D. Discard the tube and collect a new specimen, ensuring adequate fill. None 61 out of 100 62. NCPT: Specimen Collection. In what situation is it appropriate to perform a venipuncture immediately above an IV site? A. When the IV has been turned off for at least 2 minutes. B. If the patient has no other accessible veins. C. When drawing blood for a complete blood count (CBC). D. This practice should be avoided to prevent contamination and inaccurate results. None 62 out of 100 63. NCPT: Specimen Collection. Which technique is recommended to prevent hemolysis of the blood specimen during collection? A. Using the smallest gauge needle possible for the venipuncture. B. Filling the tube quickly to avoid prolonged tourniquet application. C. Allowing the alcohol to dry completely before inserting the needle. D. Drawing the blood slowly and smoothly into the tube. None 63 out of 100 64. NCPT: Specimen Collection. When collecting blood for a potassium test, why is it important to avoid fist clenching by the patient? A. Clenching can cause an increase in body temperature, affecting the result. B. It can lead to prolonged tourniquet application. C. Clenching can lead to hemoconcentration and falsely elevated potassium levels. D. It increases the risk of vein collapse during the draw. None 64 out of 100 65. NCPT: Specimen Collection. What is the optimal blood-to-additive ratio for a light blue top tube used for coagulation testing? A. 4:01 B. 9:01 C. 1:04 D. 1:09 None 65 out of 100 66. NCPT: Specimen Collection. When is the use of a syringe preferred over a vacuum tube system for blood collection? A. When collecting a large volume of blood is necessary. B. When the patient has fragile, small, or difficult-to-access veins. C. When the patient has a high risk of infection. D. When faster collection times are required. None 66 out of 100 67. NCPT: Specimen Collection. How should the phlebotomist proceed if there is a discrepancy between the patient's verbal confirmation and the identification on their wristband? A. Proceed with the blood draw and note the discrepancy in the patient's file. B. Use the identification information from the patient's wristband for labeling. C. Delay the blood draw and verify the patient's identity through medical records or staff. D. Ask another patient in the room to confirm the patient's identity. None 67 out of 100 68. NCPT: Specimen Collection. What is the primary purpose of warming the puncture site prior to performing a capillary blood collection? A. To reduce the sensation of pain. B. To increase blood flow and enhance the quality of the sample. C. To sterilize the skin surface. D. To relax the patient before the procedure. None 68 out of 100 69. NCPT: Specimen Collection. In a patient with a right mastectomy and a left arm intravenous (IV) line, where should the phlebotomist collect the blood specimen? A. The right arm, avoiding the mastectomy site. B. The left arm below the IV line. C. The left arm above the IV line. D. Distal to the IV line on the left hand. None 69 out of 100 70. NCPT: Collection Complications and Troubleshooting Which of the following is the best course of action for a phlebotomist if blood is not flowing into the tube after needle insertion? A. Reassure the patient that this is normal and try another tube. B. Gently reposition the needle by advancing it slightly or withdrawing it a little. C. Immediately remove the needle and apply pressure to avoid a hematoma. D. Apply additional tourniquet pressure to force the blood into the tube. None 70 out of 100 71. NCPT: Collection Complications and Troubleshooting When a patient reports persistent tingling in their arm after a blood draw, what is the likely cause? A. An allergic reaction to the antiseptic used. B. Nerve irritation or injury during the venipuncture. C. The tourniquet was applied too tightly. D. Inadequate hydration before the blood draw. None 71 out of 100 72. NCPT: Collection Complications and Troubleshooting What complication is indicated by a rapid swelling at the puncture site during blood collection? A. An allergic reaction to the collection equipment. B. The development of a hematoma. C. A vasovagal reaction. D. Venous spasm. None 72 out of 100 73. NCPT: Collection Complications and Troubleshooting What is the appropriate response if the blood flow stops suddenly during a venipuncture procedure? A. Ask the patient to pump their fist to increase blood flow. B. Adjust the needle slightly either by advancing or pulling back. C. Apply more pressure with the tourniquet to increase venous pressure. D. Remove the tourniquet and needle immediately and apply pressure. None 73 out of 100 74. NCPT: Collection Complications and Troubleshooting In cases of a hematoma developing during venipuncture, what is the first action that should be taken? A. Apply a warm compress to the area. B. Continue the draw until the required volume is obtained. C. Remove the needle and apply firm pressure to the site. D. Elevate the patient's arm above the heart level. None 74 out of 100 75. NCPT: Collection Complications and Troubleshooting If a patient develops hives shortly after a venipuncture, what should the phlebotomist suspect? A. A hematoma has formed. B. The patient is experiencing a vasovagal reaction. C. An allergic reaction to the latex in the tourniquet or gloves. D. The patient is having an anxiety attack. None 75 out of 100 76. NCPT: Collection Complications and Troubleshooting How should a phlebotomist handle a situation where a patient's vein collapses during venipuncture? A. Attempt to re-access the vein at a different site with a new needle. B. Use a syringe to apply gentle suction and continue the draw. C. Increase the angle of insertion to access the deeper part of the vein. D. Encourage the patient to hydrate and schedule a redraw. None 76 out of 100 77. NCPT: Collection Complications and Troubleshooting Which of the following actions is recommended after a failed venipuncture attempt in which the patient experiences bruising? A. Instruct the patient to apply heat to the site to promote healing. B. Advise the patient to avoid using the affected arm for heavy lifting. C. Immediately redraw from a vein close to the bruised area. D. Apply a cold compress to the site immediately after the attempt. None 77 out of 100 78. NCPT: Collection Complications and Troubleshooting What is the most appropriate next step if a patient develops petechiae around the puncture site during blood collection? A. Continue the collection as petechiae are not a cause for concern. B. Immediately release the tourniquet and assess the need to continue the draw. C. Apply a warm compress to the site to stop petechiae from forming. D. Complete the draw and apply an antibiotic ointment to the area. None 78 out of 100 79. NCPT: Collection Complications and Troubleshooting What is an appropriate measure to take when a phlebotomist encounters a rolling vein during venipuncture? A. Use a larger gauge needle to secure the vein in place. B. Ask the patient to hold their breath to immobilize the vein. C. Anchor the vein firmly with the thumb of the non-dominant hand. D. Schedule the patient for a central venous collection instead. None 79 out of 100 80. NCPT: Collection Complications and Troubleshooting When should a phlebotomist use a "butterfly" needle instead of a standard straight needle? A. When drawing blood from a large, easily accessible vein. B. When the patient has deep veins that are difficult to palpate. C. When the patient has small or fragile veins that might collapse with a standard needle. D. When the patient requests it for comfort reasons. None 80 out of 100 81. NCPT: Collection Complications and Troubleshooting How should a phlebotomist respond to a suspected arterial puncture during venipuncture? A. Continue drawing the blood as arteries provide a good blood flow. B. Quickly withdraw the needle and apply firm pressure to the site for at least 5 minutes. C. Immediately apply a tourniquet above the site to stop arterial blood flow. D. Have the patient bend their arm and hold it above their head. None 81 out of 100 82. NCPT: Collection Complications and Troubleshooting What should a phlebotomist do if a patient exhibits signs of fainting during the blood collection process? A. Complete the blood draw as quickly as possible before addressing the patient's condition. B. Stop the blood draw, remove the needle, and position the patient to prevent injury. C. Ask the patient to take deep breaths and proceed with the draw once they feel better. D. Lower the patient's head between their knees while seated to restore blood flow. None 82 out of 100 83. NCPT: Collection Complications and Troubleshooting What is the best practice when a blood specimen tube appears to be filling very slowly? A. Adjust the needle position as it may not be fully in the vein. B. Remove the tube and try another one to check for vacuum integrity. C. Change to a syringe draw if low blood flow continues. D. Encourage the patient to hydrate more for future draws. None 83 out of 100 84. NCPT: Collection Complications and Troubleshooting What is an appropriate step to take if a phlebotomist notices a change in the color of a patient's blood during collection? A. Switch to a larger gauge needle to improve blood flow. B. Stop the draw, as it may indicate a change in oxygenation or contamination. C. Complete the draw and label the tube with the observed color change. D. Mix the blood gently to see if the color returns to normal. None 84 out of 100 85. NCPT: Law and Ethics Under which circumstance is it permissible to share patient information with a third party without the patient's consent? A. When discussing the case with a family member who is curious B. When the law requires disclosure, such as in cases of certain communicable diseases C. When a co-worker asks casually for an update D. When sharing interesting case details with friends outside of work None 85 out of 100 86. NCPT: Law and Ethics A phlebotomist observes a colleague not changing gloves between patients. What is the best course of action? A. Report the behavior to a supervisor immediately. B. Ignore the behavior; it is not your responsibility. C. Offer to provide the colleague with extra gloves. D. Wait to see if any patient complains about the behavior. None 86 out of 100 87. NCPT: Law and Ethics Which document should a phlebotomist consult to determine the scope of practice in their work setting? A. The facility's standard operating procedures B. The latest medical journals C. The patient's medical records D. A medical dictionary None 87 out of 100 88. NCPT: Law and Ethics When is it ethically justifiable for a phlebotomist to breach patient confidentiality? A. When the information is interesting and the patient is not named. B. When disclosing to family members who are worried about the patient's health. C. When required by law, such as reporting notifiable diseases. D. When speaking with friends who work in healthcare. None 88 out of 100 89. NCPT: Law and Ethics What is the legal consequence of a phlebotomist performing a procedure outside their scope of practice? A. Receiving a bonus for initiative B. Enhanced reputation among peers C. Potential legal action and loss of certification D. Promotion to a higher position None 89 out of 100 90. NCPT: Law and Ethics Informed consent for a phlebotomy procedure includes explaining what to the patient? A. The phlebotomist's personal qualifications B. The financial cost of the procedure C. The risks, benefits, and alternatives to the procedure D. The date of the phlebotomist's last certification exam None 90 out of 100 91. NCPT: Law and Ethics A phlebotomist witnesses a colleague accepting a gift from a patient. Which ethical principle is potentially being compromised? A. Autonomy B. Justice C. Nonmaleficence D. Beneficence None 91 out of 100 92. NCPT: Law and Ethics What is the ethical response when a phlebotomist is asked to draw blood from a patient who has refused the procedure? A. Proceed with the draw to avoid conflict with the ordering physician. B. Convince the patient that the procedure is in their best interest. C. Respect the patient's decision and inform the ordering physician. D. Postpone the draw until the patient is more cooperative. None 92 out of 100 93. NCPT: Law and Ethics If a phlebotomist is subpoenaed to court regarding a patient they drew blood from, what is their obligation? A. To ignore the subpoena if it conflicts with their work schedule B. To attend and testify truthfully about the collection procedure C. To discuss the case with the patient beforehand for clarification D. To provide personal opinion on the case outcome None 93 out of 100 94. NCPT: Law and Ethics A patient requests a copy of their blood test results. How should a phlebotomist proceed? A. Provide the results directly to the patient to ensure transparency. B. Refuse the request as it violates the lab's policies. C. Instruct the patient to obtain the results from their healthcare provider. D. Send the results to the patient's email address. None 94 out of 100 95. NCPT: Law and Ethics How should a phlebotomist handle a situation where a patient expresses dissatisfaction with previous phlebotomy experiences? A. Dismiss the patient's concerns as irrelevant. B. Listen attentively and assure quality care during the current procedure. C. Tell the patient about other patients who have had worse experiences. D. Advise the patient to complain to the facility's management. None 95 out of 100 96. NCPT: Law and Ethics When is it appropriate for a phlebotomist to discuss a patient's condition or test results in a public area? A. When speaking quietly to another healthcare professional. B. When the patient brings up the topic first. C. When the conversation cannot be overheard by others. D. It is never appropriate due to the risk of violating patient confidentiality. None 96 out of 100 97. NCPT: Law and Ethics What should a phlebotomist do if they accidentally access a patient's medical record that is not related to their blood draw? A. Report the incident to their supervisor and document the accidental access. B. Ignore the incident since it was accidental. C. Share the information with the patient's nurse for continuity of care. D. Make a note in the patient's record explaining why the information was accessed. None 97 out of 100 98. NCPT: Law and Ethics A minor presents for a blood draw without a parent or guardian. Under which circumstance can the phlebotomist proceed? A. If the minor insists they have permission. B. If the procedure is non-invasive and routine. C. In the case of a medical emergency where consent is implied. D. When the minor is legally emancipated. None 98 out of 100 99. NCPT: Law and Ethics What is the legal doctrine that may apply if a phlebotomist fails to exercise due care during a blood draw, resulting in harm to the patient? A. Respondeat superior B. Due diligence C. Informed consent D. Negligence None 99 out of 100 100. NCPT: Infection Control and Safety When is it appropriate to use an alcohol-based hand sanitizer instead of washing with soap and water in a phlebotomy setting? A. When hands are visibly soiled B. After removing gloves C. Before eating or handling food D. When hands are not visibly soiled None 100 out of 100 Time is Up! Time's up
