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National Certified Phlebotomy Technician Practice Test

NCPT test Format | Course Contents | Course Outline | test Syllabus | test Objectives

Exam Code: NCPT
Exam Name: National Certified Phlebotomy Technician
Total Number of Questions: 125 questions total (typically 100 scored questions and 25 unscored pre-test questions)
Time Allotted: 3 hours (180 minutes)
Question Format: Multiple-choice and alternative items (e.g., drag and drop, hot spot, multi-select).
Passing Score: The NCCT uses a scaled score. You must achieve a scaled score of 390 or higher (on a 200-500 scale). Some sources suggest this corresponds roughly to a raw score of 70% correct.

1. Quality and Professional Issues 19%

- Patient Registration and Order Management:
- Perform patient registration and verify demographic information.
- Enter and process laboratory test orders accurately.
- Resolve errors or discrepancies in requisitions (e.g., mismatched patient IDs or incomplete orders).

- Documentation and Reporting:
- Maintain accurate records of specimen collection, including labeling and chain of custody.
- Report critical values or abnormal findings to appropriate healthcare personnel.
- Adhere to confidentiality standards (e.g., HIPAA) and obtain informed consent.

- Quality Control:
- Implement quality assurance protocols for specimen integrity (e.g., monitoring rejection rates).
- Participate in continuing education and professional development.
- Understand scope of practice and when to refer to other healthcare professionals.

2. Infection Control and Safety 22%

- Personal Protective Equipment (PPE) and Protocols:
- Select and use appropriate PPE (e.g., gloves, gowns, masks) based on exposure risk.
- Follow hand hygiene and standard precautions for all patient interactions.
- Implement transmission-based precautions (e.g., airborne, droplet, contact).

- Equipment Safety and Disposal:
- Activate safety mechanisms on needles and devices to prevent needlestick injuries.
- Properly dispose of sharps and biohazardous waste per OSHA bloodborne pathogens standards.
- Clean and disinfect equipment, phlebotomy trays, and workspaces.

- Exposure Response:
- Respond to blood or body fluid exposures (e.g., needlestick) with immediate first aid, reporting, and post-exposure prophylaxis.
- Recognize and mitigate environmental hazards (e.g., spills, contaminated surfaces).

3. Orders and Specimen Selection 22%

- Test Order Review:
- Interpret physician orders and prioritize based on urgency (e.g., stat vs. routine).
- Identify special handling requirements (e.g., timed specimens, fasting status).

- Specimen and Equipment Selection:
- Choose appropriate tubes/additives (e.g., EDTA for hematology, SST for chemistry) and order of draw to prevent contamination.
- Select venipuncture vs. capillary puncture based on patient age, condition, or test type.
- Account for patient-specific factors (e.g., anticoagulants, allergies, or difficult veins).

- Volume and Labeling:
- Determine required blood volumes to avoid under- or over-collection.
- Label specimens correctly at the bedside with patient identifiers and collection details.

4. Patient Identification and Site Preparation 23%

- Patient Identification:
- Use at least two identifiers (e.g., name, DOB, medical record number) to confirm identity.
- Handle situations with altered mental status, pediatrics, or non-verbal patients.

- Site Selection and Preparation:
- Assess veins for venipuncture (e.g., antecubital fossa) or sites for capillary sticks (e.g., heel in infants).
- Clean the site with appropriate antiseptics (e.g., 70% alcohol) and allow drying time.
- Position the patient comfortably and explain the procedure to reduce anxiety.

- Special Populations:
- Adapt techniques for pediatrics, geriatrics, or obese patients.
- Identify contraindications (e.g., mastectomy side, IV sites).

5. Collections 23%

- Venipuncture Techniques:
- Assemble and use equipment (e.g., tourniquet, needle, holder) correctly.
- Perform anchor, bevel-up insertion, and proper tube inversion/mixing.
- Monitor for complications like hematoma or nerve injury.

- Capillary and Alternative Collections:
- Execute skin punctures (e.g., heel or finger sticks) with warmers and lancets.
- Collect from vascular access devices (e.g., PICC lines) if authorized.
- Handle difficult draws (e.g., rolling veins, fragile skin).

- Post-Collection Care:
- Apply pressure, monitor for bleeding, and provide aftercare instructions.
- Transport specimens promptly under proper conditions (e.g., temperature control).

6. Problems and Corrections 16%

- Complication Recognition:
- Identify hemolysis, clotting, or insufficient volume and their causes.
- Manage patient reactions (e.g., syncope, pain, or vasovagal response).

- Error Correction:
- Recollect specimens when necessary and document the incident.
- Adjust techniques for repeat issues (e.g., switching arms for phlebitis).

- Specimen Rejection and Follow-Up:
- Evaluate rejected specimens and notify lab/supervisors.
- Document all incidents in accordance with facility policies.

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NCPT
National Certified Phlebotomy Technician (NCPT)
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Question: 45
Phil the New Phlebotomy Tech accidently stuck himself with a needle just used to
draw a specimen for a CBC. The patient is a young nun, who assures him, �I
don"t have anything you need to be worried about.� Phil the New Phlebotomy
Tech squeezes the site to promote bleeding, washes his puncture site, applies a bit
of antibiotic ointment and a bandage over the site, and promises himself to be
much more careful. What (if anything) has Phil done wrong?
A. Phil has not done anything wrong.
B. Phil did everything wrong!
C. Phil did not use tincture of iodine on his puncture site.
D. Phil did not notify his supervisor or otherwise report the injury as the
guidelines of his facility instruct.
Answer: D
Phil did not report the injury. Needle sticks must be reported immediately after
the occurrence. Each facility has guidelines on the proper reporting system. The
occupational health department of the facility will offer confidential counseling,
treatment and follow up care, if needed.
Question: 46
Between runs, Phil the New Phlebotomy Tech conducts control tests on new
shipments, and checks the lot numbers for designated factors. Phil understands
that this is part of his job duties. Which of the following is also part of Phil"s job
duties?
A. The clinical laboratory"s quality assurance plan.
B. JCAHO standards.
C. The hospital"s total quality management plan.
D. All of the above.
Answer: D
The quality control tests Phil conducts and the logs and lot number checking tasks
he completes when shipments are received are part of JCAHO (Joint Commission
on Accreditation of Healthcare Organizations) standards for clinical laboratories.
They are therefore part of a hospital"s total quality management plan, and,
ultimately, the clinical lab"s quality assurance plan.
Question: 47
Phil the New Phlebotomy Tech is working in the outpatient lab. A patient has
come in for a drug screening of urine. Phil places a tamper-proof urine collection
cup in the bathroom designated for drug screening. After receiving the urine from
the patient, Phil immediately examines the color of the urine, as well as noting the
temperature. He notes his observations and initiates the chain of custody form.
Why did Phil examine the color and temperature of the urine sample?
A. Phil is a curious fellow.
B. Phil is checking for evidence of tampering.
C. Phil is checking for signs of dehydration.
D. Phil is determining if drugs are present.
Answer: B
Phil is checking for evidence of tampering. Many chemicals, fluids, and
commercially available products can be used to skew drug-screening tests. Many
urine collection devices intended for this type of testing are not only tamper
proof, but made with a temperature sensitive strip to measure the temperature of
the urine. Acceptable urine temperature is about 95-99 degrees. Urine should also
be visually examined for color and turbidity. If Phil suspects tampering, he must
request a second sampling. A second trial may require direct observation of the
specimen collection process.
Question: 48
The word partglyc/o means:
A. Salt
B. Potassium
C. Glucose
D. None of the above
Answer: C
Glyc/o is a word root that means sugar or, more specifically, glucose. When large
amounts of glucose are stored in the body, they are directed to the liver where
they are converted to the storage substance known as glycogen.
Question: 49
The purpose of an incident report is:
A. To get your story in before the patient does.
B. Report an incident.
C. Tell on a co-worker anonymously.
D. Admit wrong doing in writing.
Answer: B
An incident is required for any kind of incident, it should be completed within
twenty-four hours of an occurrence. It is an internal document used to document
the details of an unusual event. Incidents are not only patient injuries, an incident
can be a visitor tripping, or missing patient belongings, or using the wrong
colored topped tube. Incidents reports are not an admission of guilt, simply a
report of the incident.
Question: 50
A ___________________ is a word part that comes at the beginning of a medical
term:
A. Prefix
B. Suffix
C. Combining vowel
D. None of the above
Answer: A
A prefix is a word part that comes at the beginning of a medical term. A prefix is
a word part that adds meaning to a combining form to provide it a more precise
definition. For example, the prefix pre- means before. Someone who is getting
prenatal care is getting care before the birth of a baby.
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