1. A phlebotomy technician is washing her hands at the beginning of her shift.

Which of the following

actions should the technician take?

A. Turn off the faucet with her wet hand

B. Use enough soap to form a lather
C. Rub hands together for at least 5 seconds
D. Hold hands with palms facing upward while rinsing

2. Which of the following test results are affected when a phlebotomy technician uses povidone-iodine to
cleanse a site for a dermal puncture?

A. Glucose
B. Blood urea nitrogen
C. Potassium
D. Coagulation studies

3. A phlebotomy technician is removing his gloves after a venipuncture procedure. Which of the following
actions should the technician take?

A. Grasp the tips of the fingers of one glove with the other gloved hand
B. Remove the first glove so that it turns inside out during removal
C. Discard the first glove before removing the second glove
D. Turn the gloves right side out before removing them

4. A Phlebotomy technician is preparing to dispose of contaminated sharps. According to OSHA standards,

which of the following actions should the technician take?

A. Replace the sharps container when it is two-thirds full

B. Discard covered lancets into a metal trash receptacle
C. Recap needles before placing them into a sharps container
D. Disassemble the evacuated tube system prior to dropping it into the sharps container

5. A phlebotomy technician is preparing to perform a fingerstick for a patient. Which of the following
actions should the technician take first?

A. Cleanse the site with an antiseptic wipe

B. Select the appropriate part of the third or fourth finger
C. Position the blade of the lancet across the lines of the fingertip
D. Confirm the identity of the patient

6. For which of the following procedures should a phlebotomy technician follow chain of custody
guidelines?
 A. Digoxin level testing
B. Blood culture testing
C. Paternity testing
D. Lead level testing

7. After exiting a patient’s room, which of the following is the last piece of personal protective equipment
(PPE) a phlebotomy technician should remove?

A. Gown
B. Gloves
C. Mask
D. Protective eyewear

8. After verifying a patient’s identity, a phlebotomy technician sees that the patient’s laboratory results are
ready. Which of the following actions should the technician take?

A. Have a laboratory manager discuss the results with the patient

B. Have a nurse interpret the results for the patient
C. Inform the patient to contact the ordering provider to obtain the results
D. Explain the results to the patient in a private exam room

9. A Phlebotomy technician should comply with HIPAA to protect which of the following?

A. Patients’ consent
B. Patients’ standards
C. Patients’ information
D. Patients’ compliance

10. A phlebotomy technician should select a tube that has which of the following anticoagulants to collect a
sample for a PT/PTT test?

A. EDTA
B. Sodium citrate
C. Potassium oxalate
D. Heparin

11. A phlebotomy technician is using an evacuated needle holder and blood collection tubes to collect
blood from a patient. Which of the following actions should the technician take?

A. Position the needle at a 45 degree angle to the skin

B. Insert the needle with the bevel side facing downward
C. Palpate below the puncture site if blood flow is not established
 D. Push the first collection tube gently into the holder

12. A phlebotomy technician is disposing of used supplies when he accidentally receives a needlestick
injury. According to OSHA guidelines, which of the following actions should the technician take first?

A. Seek out counseling about the incident

B. Go to a medical facility for evaluation
C. Wash the puncture site with soap and water
D. Report the incident to the supervisor

13. A phlebotomy technician is preparing to draw blood from a patient in an inpatient setting. The patient
extends his arm and turns his head away. This action by the patient is an example of which of the
following types of consent?

A. Informed consent
B. Implied consent
C. Refusal of consent
D. Expressed consent

14. When should a phlebotomy technician perform external liquid controls for quality control on a CLIA-
waived glucose point-of-care-test?

A. With every patient

B. Every week the test is performed
C. When a new lot number or kit is opened
D. When a different technician performs the test

15. A phlebotomy technician is performing a venipuncture for a patient who begins to seize. Which of the
following actions should the technician take?

A. Insert a tongue depressor into the patients mouth

B. Place the patient in the prone position
C. Discontinue the draw
D. Restrain the patient
16. A phlebotomy technician is preparing to draw blood from a patient’s arm and observes a sore at the site
where the tourniquet is to be placed. Which of the following actions should the technician take?

A. Keep the tourniquet on the patient’s arm for 2 min

B. Use a slip tourniquet
C. Tie the tourniquet over the patient’s sleeve
D. Position the tourniquet distal to the antecubital area
17. Which of the following tubes should a phlebotomy technician collect first when obtaining dermal
samples?

A. Lavender top
B. Green top
C. Red top
D. Light blue top

18. A phlebotomy technician is verifying a patient’s identity before performing a venipuncture procedure.
Which of the following information should the technician request from the patient?

A. The patient’s full name and date of birth

B. The name of the patient’s provider
C. The patient’s room and bed number
D. The patient’s city and date of birth

19. Prior to transport, which of the following specimens should a phlebotomy tech place in an ice bath
within 30 minutes after collection?

A. Arterial blood gas

B. Cold agglutinin
C. Cryoglobulin
D. Blood culture

20. A phlebotomy tech is preparing several specimen’s for transport to the facility’s lab. Which of the
following specimens should the tech protect from bright light by placing it in an amber/brown biohazard
bag for transport?

A. Lactic acid
B. Vitamin B6
C. Blood gas
D. Ammonia
21. A phlebotomy tech is preparing a peripheral blood smear from a patent’s capillary blood. Which of the
following actions should the tech take?

A. Select the patient’s index finger for the capillary blood draw
B. Use the second drop of blood that emerges from the puncture
C. Position the puncture device so it cuts along the lines of the finger print
D. Touch the slide to the blood at least 3.8 cm (1.5 in) from the end of the slide

22. A phlebotomy tech is using the syringe method to obtain a blood culture specimen from an adult patient.
Which of the following actions should the tech take?

A. Scrub the insertion site with isopropyl alcohol for 30 seconds

 B. Withdraw the blood into a safety syringe
C. Collect a total of 10 ml of blood from the patient
D. Transfer the blood into the aerobic culture bottle first

23. A phlebotomy tech is collecting blood from a patient for donation. The collection bag only fills halfway
and the vein collapses. Which of the following actions should the tech take?

A. Mark the collection bag as half full

B. Use a new collection bag to draw a new unit of blood
C. Continue filling the bag from an alternate site
D. Combine two separate collection bags to make a whole

24. A phlebotomy tech is applying a tourniquet prior to collecting a blood specimen from a patient. Which
of the following actions should the tech take?

A. Place the tourniquet 5 cm (2 in) above the antecubital space

B. Tuck a partial loop of tourniquet underneath the tourniquet
C. Allow space for two fingers beneath the tourniquet
D. Release the tourniquet after the blood tube is full

25. Which of the following sources for patient identification should a phlebotomy tech use in an inpatient
setting?

A. Verbal and wristband

B. Medical chart and nurse
C. Family member and driver’s license
D. Spiritual advisor and provider

26. According to OSHA standards, which of the following vaccines must employers offer to phlebotomists
at no cost?

A. Hepatitis B
B. Hepatitis C
C. Hepatitis D
D. Hepatitis E

27. A phlebotomy tech uses alcohol to cleanse a venipuncture site. Before performing the venipuncture, the
tech should allow the site to dry for which of the following reasons?

A. Alcohol requires time for antiseptic to take effect

B. Alcohol destroys white blood cells
C. Alcohol compromises additives in the tubes
D. Alcohol dilutes the blood specimen
28. A phlebotomy tech is preparing to draw blood from a patient who states that this is his first blood draw.
Which of the following actions should the tech take?

A. Explain the reason the test was ordered

B. Inform the patient of possible complications of the procedure
C. Show the patient the gauge of the needle
D. Describe the procedure to the patient

29. A phlebotomy tech should identify that which of the following colors signifies a health hazard in the
National Fire Protection Association (NFPA) 704 marking system?

A. Red
B. White
C. Yellow
D. Blue

30. A phlebotomy tech is collecting a blood specimen from a patient. To avoid hemolysis, which of the
following precautions should the tech take?

A. Leave the tourniquet in place for 90 seconds

B. Ensure the alcohol at the insertion site has dried
C. Shake the tube after filling it with the patients blood
D. Readjust the needle after insertion

31. When collecting a routine blood sample, which of the following veins should a phlebotomy tech attempt
to draw from first?

A. Radial
B. Ulnar
C. Distal cephalic
D. Median cubital

32. Which of the following collection tubes should a phlebotomy tech use when collecting for a routine
chemistry test that requires serum?

A. SST
B. EDTA
C. PST
D. SPS
33. A phlebotomy tech is collecting a blood specimen from a patient. Which of the following techniques
should the tech use to anchor the vein just before inserting the needle?

A. Use the thumb to anchor the vein 5cm (2 in) below the puncture site
B. Attach a 5 cm (2 in) piece of hypoallergenic tape 7.5 cm (3in) below the puncture to anchor the vein
C. Anchor the vein 7.5 to 10 cm (3 to 4 in) above the puncture site to anchor the vein
D. Apply a flat tourniquet snugly 2.5 cm (1in) below the puncture site to anchor the vein

34. A phlebotomy tech is preparing to obtain a blood specimen from a patent for thyroid studies. The tech
should select a collection tube that has a top with which of the following colors?

A. Speckled
B. Gray
C. Green
D. Light blue

35. How frequently should a phlebotomy tech perform a quality control test on a glucometer in the lab?

A. Every month the meter is used

B. Every week the meter is used
C. Every day the meter is used
D. Every 6 months the meter is used
36. A phlebotomy tech is preparing to collect a blood specimen from a patient who signed a general
informed consent form upon admission to the facility. Which of the following actions by the patient
indicates implied consent for the venipuncture?

A. Rolling up his shirt sleeve

B. Asking about the tech’s experience
C. Expressing apprehension about the procedure
D. Saying he needs to make sure his provider wants these tests

37. A phlebotomy tech is preparing to obtain a blood specimen to determine a patient’s sodium level. The
tech should select a collection tube that has a top of which of the following colors?

A. Lavender
B. Gray
C. Green
D. Yellow

38. A phlebotomy tech is collecting a specimen from a patient who has pneumonia. Besides gloves, which
of the following pieces of personal protective equipment should the tech wear?

A. Goggles
B. Gown
 C. Mask
D. N95 respirator

39. For which of the following reasons should a phlebotomy tech centrifuge a specimen before transport to
an outside reference lab?

A. Cells must be separated from the serum

B. Cells will hemolyze
C. Platelets must be separated from the serum
D. White blood cell levels will be elevated

40. A phlebotomy tech has a requisition form to preform a chromosome analysis for a patient. The tech
should select a collection tube that contains which of the following additives?

A. Sodium polyanethol sulfonate

B. Thrombin
C. Sodium citrate
D. Heparin
41. A phlebotomy tech is preparing to enter a patient’s room to collect a blood specimen. Which of the
following actions should the tech plan to take?

A. Knock firmly on the patient’s door

B. Speak in a loud tone when addressing the patient
C. Communicate name and department affiliation to the patient
D. Place the specimen collection tray on the patient’s bed

42. A phlebotomy tech is preparing a patient for a routine venipuncture. Which of the following antiseptic
solutions should the tech use?

A. Povidone-iodine
B. Hypochlorite-solution
C. Chloramine
D. Isopropyl alcohol

43. A phlebotomy tech is using a point-of-care test system to determine a patient’s WBC count. For which
of the following results should the tech immediately notify the provider?

A. 1.8/mm3
B. 4.6/mm3
C. 7.4/mm3
D. 10.8/mm3
44. A phlebotomy tech is collecting a blood specimen from a patient who has cutaneous diphtheria. Besides
gloves, which of the following pieces of personal protective equipment should the tech wear?

A. Mask
B. Gown
C. Goggles
D. N95 respirator

45. A phlebotomy tech is preparing to draw a peak level for a medication that was administered orally to a
patient. After verifying when the patient received the medication, how long should the tech wait prior to
attempting the draw?

A. 30 minutes after
B. 2 hours after
C. 15 minutes after
D. 4 hours after
46. A phlebotomy tech is drawing a patient’s blood when the patient states that she is becoming dizzy and
light-headed. Which of the following actions should the tech take first?

A. Place the patient’s head between her legs

B. Remove the tourniquet and needle
C. Call other medical personnel for help
D. Instruct the patient to breath deeply

47. For which of the following reasons should a phlebotomy tech examine the antecubital areas in both of a
patient’s arms?

A. The median cubital vein could be more accessible on one side than the other
B. The median cubital vein on the dominant arm tends to be anchored better
C. The median cubital vein in the nondominant arm tends to be inaccessible
D. The median cubital vein could bruise more easily on one side than the other

48. A phlebotomy tech is performing a total cholesterol point-of-car test for a patient. Which of the
following findings should the tech immediately report to the provider?

A. 300mg/dL
B. 200 mg/dL
C. 180 mg/dL
D. 140 mg/dL

49. A phlebotomy tech receives a chemical splash to his forearm. After removing he contaminated clothing,
which of the following is the minimum amount of time the tech should rinse the affected area?

A. 3 min
B. 5 min
 C. 10 min
D. 15 min

50. A phlebotomy tech should identify that the order of draw for capillary collections is different from
venipuncture for which of the following reasons?

A. The risk of hemoconcentration

B. An increased rate in coagulation
C. Smaller size of specimens
D. Additive cross-contamination

51. A phlebotomy tech observes a hematoma developing at the site of a venous blood draw. Which if the
following actions should the tech take?

A. Observe to see if the hematoma worsens

B. Ask the patient to apply pressure to the area
C. Release the tourniquet and stop the draw
D. Call for a nurse to asses the patient’s condition

52. A phlebotomy tech is planning to collect a sputum specimen from a patient. Which of the following
instructions should the tech give to the patient?

A. “Rinse your mouth out before we collect the specimen”

B. “Gargle some water before we collect the specimen”
C. “Leave your dentures in during specimen collection”
D. “Breath deeply and then cough up a specimen into the container”

53. A phlebotomy tech sees a coworker receive a major electrical shock from an instrument. Which of the
following actions should the tech take first?

A. Call 911
B. Notify the shift supervisor
C. Remove the coworker from contact with the instrument
D. Shut off power to the instrument

54. A phlebotomy tech is preparing to collect a blood specimen from a small vein of an older patient. Which
of the following actions should the tech take to keep the vein from collapsing?

A. Use a small needle for the draw

B. Use a large evacuated tube for the draw
C. Pull the syringe’s plunger back quickly
D. Probe the vein with the needle
55. A phlebotomy tech should select a tube that has which of the following additives when collecting a
blood specimen for a CBC?

A. SST
B. EDTA
C. Lithium heparin
D. Sodium citrate

56. A phlebotomy tech is preparing to perform a venipuncture for a 2-year-old child. The child asks if the
blood draw will hurt. Which of the following statements should the tech make?

A. “This will not hurt at all”

B. “This will go quickly”
C. “You will feel a small prick”
D. “You have no reason to worry”

57. A phlebotomy tech is collecting a urine specimen from a patient for a pre-employment drug test. Which
of the following actions should the tech take?

A. Ensure the specimen is within temperature range 21.1 degrees to 26.6 degrees Celsius (69.9 degrees
to 79.8 degrees F)
B. Take the temperature of the specimen withing 8 minutes of collection
C. Instruct the patient to flush the toilet after filling the collection container
D. Verify that the specimen contains at least 45 ml of urine

58. A phlebotomy tech is performing a venipuncture using a winged infusion set. The red-topped tube fill,
but the light blue-topped tube slows and does not fill completely. Which of the following actions should
the tech take?

A. Tell the patient that another venipuncture will need to be performed

B. Write “insufficient quantity” on the requisition form
C. Submit the partially filled light blue-topped tube to the lab
D. Insert a new light blue-topped tube and see if it will fill

59. A phlebotomy tech is interviewing a patient before performing a venipuncture. During the interview, the
patient states that he lives nearby and ran to the facility to “get in some running time today.” Which of
the following precautionary actions should the tech take?

A. Offer the patient a high-carbohydrate snack before the venipuncture

B. Place the patient in a reclining position for the venipuncture
C. Have the patient comfortably rest for at least 15 minutes before the venipuncture
D. Reschedule the venipuncture for another day
60. A phlebotomy tech has collected a blood specimen from a patient who is in an isolation room. Which of
the following pieces of personal protective equipment (PPE) should the tech remove first?

A. Gown
B. Gloves
C. Mask
D. Goggles

61. A phlebotomy tech is preparing to obtain a blood specimen from a patient in an outpatient setting. Using
standard precautions, which of the following pieces of personal protective equipment should the tech
wear?

A. Goggles
B. Gloves
C. Mask
D. Gown

62. A provider has ordered a urine culture and sensitivity test. Which of the following types of urine
collection should a phlebotomy tech obtain?

A. Random
B. Timed urine collection
C. First morning
D. Clean-catch midstream

63. A phlebotomy tech is preparing to draw blood from a patient who has scabies. Which pieces of personal
protection equipment should the tech use?

A. Goggles
B. N95 respirator
C. Gown
D. Face shield

64. A phlebotomy tech is preparing to collect a blood specimen from the antecubital site of a patient. Which
of the following devices can be used to help stabilize the arm for the collection?

A. Supply clamp
 B. Hand immobilizer
C. Phlebotomy wedge
D. Hand brace

65. To prevent hospital-acquired infections, a phlebotomy tech should clean items that have been
contaminated by blood with a 1:10 dilution of which of the following substances and water?

A. Hydrogen peroxide
B. Isopropyl alcohol
C. Sodium hypochlorite
D. Benzalkonium chloride

66. A phlebotomy tech has a mild sensitivity to latex. According to the National Institute for Occupational
Safety and Health (NIOSH), which of the following actions should the tech take?

A. Scrub hands with detergent after wearing latex gloves

B. Use gloves with powder inside of them
C. Apply oil-based hand creams before putting on latex gloves
D. Wear nitrile instead of latex gloves

67. A phlebotomy tech is collecting blood from a patient to measure the trough level of a medication. The
tech should collect the specimen at which of the following times?

A. Within 15 min before the patient receives the next dose of medication
B. Less than 15 min after the patient receives a dose of the medication
C. At least 2 hours after the patient receives the dose of the medication
D. Approximately halfway between the two doses of the medication

68. A phlebotomy tech is following the Clinical Laboratory Standards Institute’s (CLSI) clinical laboratory
workflow pathway. As part of the post examination phase of this process, which of the following actions
should the tech take?

A. Process the specimen

B. Review and verify results
C. Provide post-puncture care
D. Enter critical laboratory data

69. A phlebotomy tech is selecting a site to collect a blood specimen from a patient. After applying a
tourniquet, the tech sees no apparent vein to use for the venipuncture. Which of the following actions
should the tech take?
 A. Apply and inflate a blood pressure cuff to 60 mm Hg
B. Puncture the area where the patient’s vein should be located
C. Tap the area repeatedly until a vein appears
D. Have the patient dangle her arm for 1 to 2 min

70. Which of the following actions is a phlebotomy tech required to take before leaving a patient’s room?

A. Ask patient for feedback

B. Alert the nurse that she is leaving
C. Initial and mark the date and time on each tube drawn
D. Initial and mark the date and time on the requisition form

71. A phlebotomy tech is preparing to collect a vancomycin peak level for a patient in an inpatient setting.
Which of the following actions should the tech take prior to collecting the blood specimen?

A. Ask the patient when he received his last dose of vancomycin

B. Ask the attending nurse if the patient’s vancomycin dose schedule is accurate
C. Ask the pharmacist when the next dose of vancomycin is scheduled for the patient
D. Ask the provider if the patient has received his dose of vancomycin

72. A phlebotomy tech has a requisition form for a series of tests on a patient’s serum, The tech should
select a collection tube that contains which of the following additives?

A. Sodium fluoride
B. Thrombin
C. Sodium citrate
D. Heparin

73. A phlebotomy tech is obtaining a blood specimen from a patient. The patient reports experiencing a
sharp, painful and tingling sensation going down her arm into her hand. The tech should recognize that
which of the following complications of venipuncture is occurring?

A. Nerve injury
B. Petechiae
C. Hematoma
 D. Hemoconcentration

74. A phlebotomy tech is transporting blood specimens to a laboratory. Which of the following actions
should the tech take?

A. Place the specimens in a collection tray

B. Place the specimen in the trunk of a car
C. Place the specimens in a lockable container
D. Place the specimens near an air-conditioning vent in a car

75. A phlebotomy tech is preparing to perform a blood draw on a patient who had a left-sided mastectomy
and has an IV on her right side. In which of the following locations should the tech perform the draw?

A. Left median cubital vein

B. Above the IV
C. Left dorsal vein
D. Below the IV

76. After placing a tourniquet on a patient’s arm, a phlebotomy tech notices small red spots below the
tourniquet. Which of the following terms describes these spots?

A. Hemoconcentration
B. Edema
C. Urticaria
D. Petechiae

77. A phlebotomy tech is assembling the equipment he will need for collecting donor units of blood. Which
of the following needle sizes should the tech select?

A. 23-guage
B. 22-guage
C. 21-guage
D. 18-guage

78. According to standard precautions, a phlebotomy tech should take which of the following actions when
shipping specimens to a reference lab in hot weather?

A. Place the specimens in bubble wrap and a biohazard label

B. Place the specimens in a box with cold packs and a biohazard label
C. Place the specimens in a padded envelope with cold packs and a biohazard label
D. Place the specimens in a padded envelope with bubble wrap and a biohazard label
79. A phlebotomy tech is preparing to perform a venipuncture on a patient who states, “I faint at the sight of
blood.” Which of the following positions is optimal for the patent’s safety during the procedure?

A. Lying in a reclined position

B. Standing against the wall
C. Sitting upright on a chair
D. Leaning on a stool

80. A phlebotomy tech is educating a patient about the at-home collection of a semen specimen. Which of
the following statements by the patient indicates the understanding of the procedure?

A. “I will collect the specimen in a sterile container and refrigerate.”

B. “I will collect the specimen in a sterile container and return it to the lab within 1 hour.”
C. “I will collect the specimen in a clean condom and return it in 3 hours.”
D. “I will abstain from ejaculation for 12 hours prior to the test.”

81. A phlebotomy tech should transport a semen specimen at which of the following temperatures?

A. -20 degrees to -10 degrees C

B. 21 degrees to 23 degrees C
C. 25 degrees to 30 degrees C
D. 36 degrees to 38 degrees C

82. Which of the following actions should a phlebotomy tech take to locate a vein using the warming
technique?

A. Heat a clean towel to 45 degrees C (113 degrees F)

B. Wrap the warm towel around the site for 1 to 2 min
C. Encase the warm towel in a plastic bag
D. Ask the patient to rinse her hands in warm water for 2 min
83. A phlebotomy tech is collecting capillary blood drops on a filter paper card to screen a newborn for
phenylketonuria. Which of the following actions should the tech take?

A. Apply blood to the printed side of the filter paper

B. Add a second drop of blood if the circle is not full
C. Touch the puncture site to the filter paper
D. Allow the blood spots to dry for a minimum of 2 hours

84. An unconscious patient is brought to the emergency department, and several blood tests are ordered. A
phlebotomy tech should collect the patient’s blood because he has received which of the following types
of consent?

A. Implied
B. Informed
C. Expressed
 D. Explicit

85. Which of the following personal protective equipment provides a phlebotomy tech with the best
protection when drawing from a patient who has active tuberculosis?

A. Double gloves
B. N95 respirator
C. Surgical mask
D. Shoe covers

86. A phlebotomy tech should identify that which of the following is the first step in the blood collection
procedure?

A. Test requisition
B. Preparing equipment
C. Test accession
D. Vein location

87. A phlebotomy tech has a request to collect a routine CBC from a healthy 10-month-old infant. Which of
the following collection sites should the tech select?

A. Third finger of either hand

B. Median antecubital vein
C. Cephalic vein
D. Either heel

88. A phlebotomy tech is receiving a lab test requisition form before obtaining blood specimens from a
patient. Which of the following actions should the tech take prior to performing the venipuncture?

A. Ensure the requisition form includes an accession number

B. Review the patient’s medical record
C. Check the provider’s availability
D. Check the requisition for duplicate test orders

89. A phlebotomy tech should identify that which of the following is an identifier for a specimen as long as
it remains in the lab?

A. ICD-10 codes
B. Accession number
C. CPT code
D. Medical record number
90. A phlebotomy tech is using a glucose monitor for point-of-care testing of a patient who has been fasting
for 12 hours. For which of the following results should the tech immediately notify the provider?

A. 70 mg/dL
B. 90 mg/dL
C. 110 mg/dL
D. 130 mg/dL

91. A phlebotomy tech is preparing to collect a blood specimen from a patient who is allergic to alcohol.
Which of the following antiseptic solutions should the tech use to prepare the insertion site?

A. Chlorhexidine
B. Iodophor
C. Tincture of iodine
D. Hydrogen peroxide

92. Which of the following actions should a phlebotomy tech take after collecting an ammonia specimen?

A. Protect the specimen tube from light

B. Keep the specimen tube warm
C. Keep the specimen a body temperature
D. Place the specimen in an ice-water slurry
93. A phlebotomy tech is preparing to collect a patient’s troponin T level, Which of the following troponin
T levels should the tech immediately report to the provider?

A. 0.3 ng/ml
B. 0.2 ng/ml
C. 0.03 ng/ml
D. 0.02 ng/ml

94. A phlebotomy tech is explaining the venipuncture process to an adult patient. The patient nods
frequently but appears confused. Which of the following actions should the tech take?

A. Ask a family member of the patient to confirm if the patient understands

B. Assume the patient understands, proceed with the procedure
C. Rephrase the information for the patient
D. Repeat the information in a louder voice

95. A phlebotomy tech is collecting a patient’s blood specimen in a lavender-topped tube. How many times
should the tech gently invert the tube before setting it in the specimen collection tray?

A. Two to three times

B. Four to six times
C. Eight to ten times
 D. Eleven to twelve times

96. A phlebotomy tech is preparing to collect a blood specimen from a patient who signed a general
informed consent form upon admission to the facility. Which of the following actions by the patient
indicates implied consent for the venipuncture?

A. Rolling up his shirt sleeve

B. Asking about the techs experiences
C. Expressing apprehension about the procedure
D. Saying he needs to make sure the provider wants these tests

97. A phlebotomy tech is required to obtain which of the following from a potential blood donor?

A. Complete medical history

B. Drug screen
C. ECG test
D. GTT test
98. To prevent hospital-acquired infections, a phlebotomy tech should clean items that have been
contaminated with blood with a 1:10 dilution of which of the following substances and water?

A. Hydrogen peroxide
B. Isopropyl alcohol
C. Sodium hypochlorite
D. Benzalkonium chloride

99. According to the Clinical and Laboratory Standard Institute’s order of draw guidelines, which of the
following samples should a phlebotomy tech collect first?

A. Coagulation
B. Blood cultures
C. Electrolytes
D. Glucose level

100. Which of the following is a potential consequence of a phlebotomy tech mislabeling a blood
bank specimen?

A. A HIPAA violation
B. A transfusion reaction
C. A medical transcription error
D. A pharmaceutical reaction

101. A phlebotomy tech has a requisition for collecting fasting blood glucose and albumin specimens
from a patient. Which of the following actions should the tech take before collecting the patient’s blood.
 A. Make sure the patient did not drink any fluids for the past 2 to 6 hours
B. Assemble a green-topped heparin tube
C. Make sure the patient has fasted for the past 8 to 12 hours
D. Plan the specimen collection for the early afternoon

102. A phlebotomy tech is performing a heel stick to obtain capillary blood for testing newborn’s
bilirubin level. Which of the following actions should the tech take?

A. Use an amber-colored microtainer

B. Use a lancet with a penetration depth of 2.5 mm
C. Use a surgical blade to make the puncture
D. Use the posterior curvature of the newborn’s heel as the puncture site
103. A phlebotomy tech is preparing to use an evacuated tube system to obtain a venous blood
specimen from a patient. The tourniquet is in place and the tech has cleansed the puncture site. Which of
the following procedural steps should the tech perform next?

A. Tell the patient to expect a pricking sensation

B. Anchor the vein 2.5 to 5cm (1 to 2 in) below the puncture site
C. Uncap the needle and inspect it
D. Orient the needle in the same direction of the vein at a 15 degree to 30 degree angle

104. Which of the following actions by a phlebotomy tech can result in a grossly hemolyzed
specimen?

A. Following incorrect order of draw

B. Using an incorrect needle gauge
C. Applying the tourniquet too close to the draw site
D. Failing to invert the tube

105. A patient arrives at a clinic with a requisition for a chemistry panel. A tech notices that the
patients last name on the requisition differs from the patient’s provided identification. Which of the
following actions should the tech take?

A. Proceed with the blood draw

B. Ask the patient to verify the information verbally
C. Contact the ordering provider to correct the form
D. Change the patient’s name on the form

106. While performing a venipuncture, a phlebotomy tech is stuck with a used needle. Which of the
following actions should the tech take first?

A. Report for HIV evaluation

B. Report for a medical evaluation by a provider
 C. Contact the supervisor about the incident
D. Flush the area with running water

107. A phlebotomy tech is preparing a patient’s arm for venipuncture. Which of the following
techniques should the tech use when applying s antiseptic solution?

A. Gentle blotting
B. One downward wipe
C. Apply pressure and hold in place for 10 seconds
D. Back and forth strokes
108. A tech should identify that which of the following is one of the Joint Commission’s 2016
National Patient Safety Goals?

A. Identify the appropriate venipuncture site

B. Identify patients correctly
C. Identify the correct collection tubes for ordered assays
D. Identify the appropriate needle gauges

109. A phlebotomy tech should identify that which of the following colors signifies a health hazard in
the National Fire protection Association (NFPA) 704 Marking System?

A. Red
B. White
C. Yellow
D. Blue

110. A provider orders a STAT specimen, but the phlebotomy tech forgets to fill out the patient ID
number on the collection tube. The tech should expect the lab the received the specimen to take which of
the following actions?

A. Process the specimen

B. Correct the specimens label
C. Transfer the specimen to a properly labeled tube
D. Reject the specimen

111. A phlebotomy tech is collecting blood specimens from a patient for multiple blood assays. The
tech should fill the tube that has which of the following additives first?

A. EDTA
B. Potassium oxalate
C. Heparin
D. Sodium citrate
112. A phlebotomy tech enters a patient’s room to obtain a STAT specimen. The patient’s provider
and nurse are speaking with the patient. Which of the following actions should the tech take first?

A. Explain the procedure to the patient while setting up supplies

B. Introduce himself to the patient and health care team members
C. Ask permission to proceed with obtaining the STAT specimen
D. Ask the patient which arm she prefers the tech to use
113. A tourniquet should be left on a patient’s arm for which of the following amounts of time?

A. No longer than 150 seconds

B. No longer than 60 seconds
C. No longer than 90 seconds
D. No longer than 120 seconds

114. For an older adult patient who has difficult-to-access veins, a phlebotomy tech should select
which of the following veins to perform a venipuncture?

A. Dorsal veins
B. Superficial veins
C. Wrist veins
D. Foot veins

115. A phlebotomist tech should identify that which of the following is the next step after removing a
needle from a patient’s arm?

A. Ask the patient to open his fist

B. Remove the tourniquet
C. Engage the needle safety device
D. Invert all tubes

116. For which of the following reasons should a phlebotomy tech avoid drawing blood from the leg
or foot of a patient who has diabetes?

A. Veins in these areas are smaller

B. These areas are more susceptible to infection
C. Blood draws from these areas are more likely to cause petechiae
D. The volume from the draw in this area is too low for testing

117. A phlebotomy tech is using a evacuated needle holder and blood collection tubes to collect blood
from a patient. Which of the following actions should the tech take?

A. Position the needle at a 45 degree angle to the skin

B. Insert the needle with the bevel side facing down
C. Palpate below the puncture if blood flow is not established
 D. Push the first collection tube gently into the holder

118. A phlebotomy tech is performing a capillary blood collection for an older adult patient. Which of
the following sites should the tech select?

A. The distal phalanx of either middle finger

B. The plantar surface of either big toe
C. Either pinky finger
D. Either earlobe

119. A phlebotomy tech enters a patient’s room to perform a venipuncture and notices the patient is
sleeping. Which of the following actions should the tech take?

A. Perform the blood draw

B. Return later in the day
C. Wake the patient before collecting
D. Write “unable to collect” on the form

120. A phlebotomy tech must comply with which of the following OSHA requirements when
performing a venipuncture?

A. Recap contaminated venipuncture devices to reduce exposure incidents

B. Wear safety glasses if splashes, spray, splatter or droplets of blood might get generated
C. Wear gloves when contact with blood is anticipated
D. Report a blood exposure incident to the supervisor within 48 to 72 hr.

121. A phlebotomy tech is collecting a venipuncture blood specimen from a patient for a blood assay.
The tech should fill which of the following tubes first?

A. Light-blue topped tube

B. Lavender-topped tube
C. Green-topped tube
D. Yellow-topped tube

122. For which of the following tests should a phlebotomy tech follow chain of custody guidelines?

A. Lithium
B. Prothrombin time
C. Troponin
D. Blood alcohol
123. A phlebotomy tech is collecting a blood specimen from an adolescent patient who weighs 42.6
kg (94 lb.). Which of the following amounts is appropriate to collect if the maximum allowable blood
volume is 1%?

A. 70 ml
B. 60 ml
C. 50 ml
D. 40 ml

124. Which of the following regulations ensures that a phlebotomy tech is proficient to perform job
duties and responsibilities?

A. HIPAA
B. CLIA
C. Anti-kickback statute
D. Civil Monetary Penalties laws

125. Within which of the following time periods should a phlebotomy tech collect a newborn blood-
spot test screening card?

A. Within 72 hr.
B. Within 96 hr.
C. Within 5 days
D. Within 2 weeks

126. For which of the following procedures should a phlebotomy tech follow the chain of custody
guidelines?

A. Digoxin level testing

B. Blood culture testing
C. Paternity testing
D. Lead level testing

127. A phlebotomy tech should comply with HIPAA to protect which of the following?

A. Patient’s consent
B. Patients standards
C. Patients’ information
D. Patients’ compliance

128. A phlebotomy tech in an outpatient setting is identifying a patient before performing a

venipuncture procedure. To confirm the patient’s identity, which of the following questions should the
tech ask?
 A. “Are you Mr. Chapman?”
B. “Is this your name on the requisition?”
C. “Would you please state and spell your full name and provide your date of birth’”
D. “Is your name John C. Chapman?”

129. A phlebotomy tech is obtaining a blood specimen from a patient. The tech notices swelling and a
large hematoma forming at the puncture site. Which of the following actions should the tech take?

A. Remove the tourniquet and needle

B. Ask the patient to bend his arm at the elbow
C. Apply a warm compress to the site
D. Apply pressure to the site for no longer than 1 minute

130. When collecting a routine blood sample, which of the following veins should a phlebotomy tech
attempt to draw from first?

A. Radial
B. Ulnar
C. Distal cephalic
D. Median cubital

131. Which of the following actions should a phlebotomy tech take to prevent bleeding from a
venipuncture site after the needle is removed?

A. Apply pressure to prevent leakage of blood into the tissues

B. Have the patient bend the arm at the elbow to reduce bleeding
C. Apply a hot pack to the site if swelling or discoloration occurs
D. Apply a cotton ball to the site

132. A phlebotomy tech should invert anticoagulant tubes to prevent which of the following
complications?

A. Ph imbalance
B. Hemolysis
C. Hemoconcentration
D. Specific gravity imbalance
133. Which of the following actions should a phlebotomy tech take when labeling specimens?

A. Labeling specimens at the time of collection and in the presence of the patient
B. Specifying the patient’s room number, last name and date of birth on the label
C. Keeping the specimens in the tray and labeling them in the lab
D. Writing the tech’s initials and time on the label prior to collection
134. For which of the following reasons should a phlebotomy tech document the total volume of
blood drawn from a patient?

A. To provide documentation for the patient’s personal records

B. To ensure a sufficient amount is drawn for lab tests
C. To determine if the patient is at risk for developing lactogenic anemia
D. To obtain a reference for future blood draws.

135. A phlebotomy tech should identify that which of the following phrases is represented by the
abbreviation “SD”?

A. Standard decision
B. Standard determination
C. Standard deviation
D. Standard development

136. A phlebotomy tech should identify that which of the following series of venipuncture steps is in
the right order?

A. Insert the needle, place the tourniquet and label the tube
B. Assess the site, cleanse the site and insert the needle
C. Identify the patient, cleanse the site and assess the site
D. Draw the specimen, remove the needle and remove the tourniquet

137. According to OSHA standards, which of the following vaccines must employers offer to their
phlebotomists at no cost?

A. Hep B
B. Hep C
C. Hep D
D. Hep E

138. A phlebotomy tech is reviewing a lab requisition before obtaining blood specimens from a
patient. The tech should verify that the requisition includes which of the following information?

A. The patient’s next of kin

B. Emergency contact information
C. The patient’s previous meds
D. A specimen identification code
139. A phlebotomy tech should identify that which of the following tube selections indicates the
correct order of draw for a venipuncture?

A. Lavender, green , gray

B. Gray, green, lavender
C. Green, gray, lavender
D. Green, lavender, gray

140. When should a phlebotomy tech perform external liquid controls for quality control on a CLIA-
waived glucose point-of-care test?

A. With every patient

B. Every week the test is performed
C. When a new lot number kit is opened
D. When a different tech performs the test

141. A phlebotomy tech is instructing a patient how to collect a clean-catch urine specimen. Which of
the following cleansers should the tech instruct the patient to use when cleansing around her urinary
meatus?

A. Hydrogen peroxide
B. Mild antiseptic soap
C. Povidone-iodine
D. Isopropyl alcohol

142. A phlebotomy tech is preparing to collect a blood specimen from a patient for a coagulation
study. The patient states, “I faint every time I get my blood drawn.” Which of the following statements
should the tech take?

A. “Don’t worry, I am well trained and you won’t faint with me.”
B. “Tell me if you feel like you are going to faint and I will give you smelling salts.”
C. “I will perform the draw while you are lying down.”
D. “This procedure will be over before you know it.”
143. For which of the following reasons should a phlebotomy tech place a specimen in a biohazard
bag for transport to an outside lab?

A. The biohazard bag ensures prompt transportation of the specimen

B. The biohazard bag prevents a possible exposure incident
C. The biohazard bag allows a whole blood specimen to be placed in the freezer
D. The biohazard bag maintains the proper in vitro characteristics of the specimen

144. A phlebotomy tech is preparing to perform a lactic acid test. Which of the following actions
should the tech take?
 A. Collect the specimen in a gray-topped tube
B. Protect the specimen from light
C. Protect the specimen from cold
D. Collect the specimen in a royal blue-topped tube

145. Blood cultures have been ordered on an adult patient in the Intensive Care Unit. A nurse calls a
phlebotomy tech to bring the appropriate materials. Which of the following materials should the
phlebotomy tech bring?

A. Two aerobic bottles

B. Two anaerobic bottles
C. An aerobic bottle and a SPS tube
D. An aerobic bottle and an anaerobic bottle

146. A phlebotomy tech is preparing to obtain a blood specimen from a patient for an erythrocyte
sedimentation rate test. The tech should select a collection tube that has a top of which of the following
colors?

A. Red
B. Light green
C. Lavender
D. Royal blue

147. Which of the following actions should a phlebotomy tech take when reporting lab results?

A. Send the results to the patient’s partner

B. Send the results to the patient’s personal email
C. Send the results to the patient’s ordering provider
D. Send the results to the patient’s insurance office
148. Which of the following information should a phlebotomy tech document when adhering to chain
of custody guidelines?

A. Identity of everyone who has possession of the specimen

B. Identity of the officer in charge
C. Identity of the lawyers involved
D. Identity of the judge involved

149. When performing a hand draw, which of the following steps should a phlebotomy tech take
before removing the needle?

A. Ask the patient to release his fist

B. Apply pressure to the site
C. Disengage the tube from the adapter
D. Reapply the tourniquet
150. A phlebotomy tech is instructing a patient about how to collect a 24-hr urine specimen. Which of
the following instructions should the tech include?

A. Transport to the lab within 48 hours

B. Restrict fluid intake
C. Discard the first void of the morning
D. Keep the specimen at room temperature

151. Which of the following actions should a phlebotomy tech take to prevent needle stick injuries?

A. Lock the sharps container after every blood draw

B. Use a new sharps container with every blood draw
C. Recap a needle prior to discarding it in the sharps container
D. Replace a sharps container that has reached its fill line

152. A phlebotomy tech has a requisition for a series of tests on a patient’s serum. The tech should
collect a collection tube that contains which of the following additives?

A. Sodium fluoride
B. Thrombin
C. Sodium citrate
D. Heparin

153. A phlebotomy tech is instructing a patient about how to collect a fecal occult specimen. Which
of the following instructions should the tech include?

A. Avoid taking ibuprofen.

B. Collect fecal specimens for 2 days
C. Decrease fiber intake
D. Refrigerate each card until transporting them to the lab

154. After a phlebotomy tech performs a heel puncture for a neonatal screening, which of the
following is the correct procedure for collecting the blood?

A. Smear the blood on the circle

B. Saturate each circle with one drop of blood
C. Touch the heel to the center of the circle
D. Apply multiple drops of blood on each circle
155. A phlebotomy tech is preparing to obtain a blood specimen to determine a patient’s sodium level.
The tech should select a collection tube that has a top with which of the following colors?

A. Lavender
B. Gray
C. Green
D. Yellow

156. A phlebotomy tech is preparing to draw a blood specimen from a patient who is alone and
unresponsive. The tech should collect the specimens using which of the following forms of consent?

A. Informed consent
B. Full disclosure
C. Expressed consent
D. Implied consent

157. A phlebotomy tech is preparing to obtain a blood specimen from a patient for thyroid studies.
The tech should select a collection tube that has a top with which of the following colors?

A. Speckled
B. Gray
C. Green
D. Light blue
158. Which of the following tasks is within a phlebotomy tech’s scope of practice?

A. Requesting a blood collection

B. Sharing new lab results with a patient
C. Providing instructions to patients for specimen collection
D. Discharging an inpatient following a blood collection

159. Which of the following collection tubes should a phlebotomy tech use when collecting for a
routine chemistry test that requires serum?

A. SST
B. EDTA
C. PST
D. SPS

160. A phlebotomy tech is preparing to store a blood specimen. At which temperature should the tech
store the specimen?

A. 37° to 39° C (98.6° to 102.2° F)

B. 15° to 30° C (59° to 86° F)
C. 2° to 8° C (35.6° to 46.4° F)
 D. -20° to -10° C (-4° to 14° F)

161. A phlebotomy tech is processing a semen specimen. Which of the following actions should the
tech take?

A. Refrigerate the specimen

B. Transport the specimen at room temperature
C. Pour the specimen into a clean condom for transport
D. Deliver the specimen to the lab within 2 hours

162. Which of the following actions should a phlebotomy tech take to maintain compliance with
HIPAA?

A. Discard test results into the office trash can

B. Leave patient information next to the printer
C. Clear numbers from the fax machine
D. Share passwords with other facility staff

163. A patient who has diabetes states that he prefers to be drawn on the inside of his wrist. Which of
the following actions should the phlebotomy tech take?

A. Draw from the inside of the patient’s wrist

B. Warm the ventral side of the hand to enhance vein location prior to the draw
C. Perform the draw on his foot
D. Attempt to draw from the antecubital region

164. A phlebotomy tech is using the syringe method to obtain a blood culture specimen from an adult
patient. Which of the following actions should the tech take?

A. Scrub the insertion site with isopropyl alcohol for 60 seconds

B. Withdraw the blood into a sterile safety syringe
C. Collect a total of 10 ml of blood from the patient
D. Transfer blood to the aerobic culture bottle first

165. A phlebotomy tech should identify that which of the following is the first step in the blood
collection procedure?

A. Test requisition
B. Preparing equipment
C. Test accession
D. Vein location
166. For which of the following reasons should a phlebotomy tech examine the antecubital areas in
both of a patient’s arms?

A. The median cubital vein could be more accessible on one side than the other
B. The medial cubital vein on the dominant arm tends to be anchored better
C. The medial cubital vein in the nondominant arm tends to be inaccessible
D. The median cubital vein could bruise more easily on one side than the other

167. For which of the following reasons should a phlebotomy tech centrifuge a serum specimen
before transport to an outside reference lab?

A. Cells must be separated from the serum

B. Cells will hemolyze
C. Platelets must be separated from the serum
D. White blood cell levels will be elevated

168. A patient asks a phlebotomy tech to use her finger for blood work. In which of the following
situations can the tech collect blood from the patient’s finger?

A. The ordered test can be performed on a capillary specimen

B. The patient’s provider has preapproved the finger stick
C. The ordered test is a PTT
D. The patient states that she is taking warfarin

169. A phlebotomy tech is preparing to collect a specimen for a blood alcohol level test. Which of the
following antiseptics should the tech use to clean the venipuncture site?

A. Isopropyl alcohol
B. Soap and water
C. Ethyl alcohol
D. Glutaraldehyde

170. A phlebotomy tech should select a tube that has which of the following additives when collecting
a blood specimen for a CBC?

A. SST
B. EDTA
C. Lithium heparin
D. Sodium citrate
171. A patient states that he is a “difficult draw” and requests a skin puncture. The test ordered is a
PTT. Which of the following should a phlebotomy tech perform?

A. A capillary draw into a light blue microtainer

B. A capillary draw into a lavender microtainer
C. A syringe draw into a lavender vacuum tube
D. A syringe draw transferred into a light blue vacuum tube

172. A phlebotomy tech is informing a patient about how to enter a basal state for a blood collection.
The tech should inform the patient not to consume food for how many hours prior to blood collection?

A. 12 hr.
B. 6 hr.
C. 24 hr.
D. 15 hr.

173. A phlebotomy tech should select a tube that has which of the following anticoagulants to collect
a sample for a PT/PTT test?

A. EDTA
B. Sodium citrate
C. Potassium oxalate
D. Heparin

174. A phlebotomy tech is updating a quality control record while performing daily point-of-care
tests. Which of the following information should the tech include?

A. Patient’s name
B. Expiration date
C. Ordering provider
D. Diagnosis code

175. Which of the following actions should a phlebotomy tech take to verify the quality of
venipuncture supplies before beginning a blood draw on an adult patient?

A. Determine that the tourniquet is the proper size

B. Check the vacuum of the tube
C. Inspect the integrity of the needle’s seal
D. Verify that the adapter is the correct color

176. A phlebotomy tech is performing a venipuncture using a winged infusion set. The red topped
tube fills, but the light blue-topped tube slows and does not fill completely. Which of the following
actions should the tech take?
 A. Tell the patient that another venipuncture will need to be performed
B. Write “insufficient quantity” on the requisition form
C. Submit the partially filled light blue-topped tube to the lab
D. Insert a new light blue topped tube to see if it will fill

177. A phlebotomy tech is preparing to collect a blood specimen from a patient who states he is HIV
positive. Which of the following actions should the tech take?

A. Wear an extra set of gloves

B. Have a supervisor observe the puncture
C. Don a mask and eye protection
D. Perform the venipuncture

178. A phlebotomy tech uses sterile technique and demonstrates proper hygiene. Which of the
following characteristics is the tech displaying?

A. Respect for patients’ dignity

B. Attention to cleanliness
C. Working well with team members
D. Sincerity and compassion

179. A phlebotomy tech is preparing to collect a blood specimen from a patient. Which of the
following statements should the tech make prior to performing the venipuncture?

A. “Your provider requested this test”

B. “I am going to put my supplies here on your bedside table”
C. “I already have the supplies open to save time”
D. “We can leave all the lights off during the procedure”

180. A phlebotomy tech collects multiple specimens from a premature infant. Which of the following
is a possible result of the procedure?

A. Aplastic anemia
B. Pernicious anemia
C. Iatrogenic anemia
D. Microcytic anemia

181. A phlebotomy tech in an outpatient facility finds a patient who is in shock and bleeding
profusely from his leg. Which of the following actions should the tech take first?

A. Keep the patient warm

B. Seek support from other staff
 C. Raise the patient’s legs
D. Apply direct pressure to the wound

182. Which of the following actions is a phlebotomy tech required to take before leaving a patients
room?

A. Ask the patient for feedback

B. Alert the nurse that she is leaving
C. Initial and mark the date and time on each tube drawn
D. Initial and mark the date and time on the requisition

183. A phlebotomy tech is exposed to blood via a needlestick injury. Within how many hours should
the tech initiate postexposure prophylaxis (PEP)?

A. 24 hr.
B. 36 hr.
C. 48 hr.
D. 72 hr.

184. For which of the following conditions does emergency first aid treatment include maintaining
open airway, controlling bleeding and keeping the patient warm until help arrives?

A. Syncope
B. Convulsions
C. Vomiting
D. Shock

185. A phlebotomy tech is using an evacuated needle holder and blood collection tubes to collect
blood from a patient. Which of the following actions should the tech take?

A. Position the needle at a 45 degree angle to the shin

B. Insert the needle with the bevel side facing down
C. Palpate below the puncture site if blood flow is not established
D. Push the first collection tube gently into the holder
1. B
2. C
3. B
4. A
5. D
6. C
7. C
8. C
9. C
10. B
11. D
12. C
13. B
14. C
15. C
16. C
17. A
18. A
19. A
20. B
21. B
22. B
23. B
24. B
25. A
26. A
27. A
28. D
29. D
30. B
31. D
32. A
33. A
34. A
35. C
36. A
37. C
38. C
39. A
40. D
41. C
42. D
43. A
44. B
45. B
46. B
47. A
48. A
49. D
50. B
51. C
52. D
53. D
54. A
55. B
56. C
57. D
58. D
59. D
60. B
61. B
62. D
63. C
64. C
65. C
66. D
67. A
68. D
69. D
70. C
71. B
72. B
73. A
74. C
75. D
76. D
77. D
78. B
79. A
80. B
81. D
82. C
83. A
84. A
85. B
86. A
87. D
88. D
89. B
90. D
91. A
92. D
93. A
94. C
95. C
96. A
97. A
98. C
99. B
100. B
101. C
102. A
103. C
104. B
105. C
106. D
107. D
108. B
109. D
110. D
111. D
112. B
113. B
114. A
115. C
116. B
117. D
118. A
119. C
120. C
121. D
122. D
123. D
124. B
125. A
126. C
127. C
128. C
129. A
130. D
131. A
132. B
133. A
134. C
135. C
136. B
137. A
138. D
139. D
140. C
141. B
142. C
143. B
144. A
145. D
146. C
147. C
148. A
149. C
150. C
151. D
152. B
153. A
154. B
155. C
156. D
157. A
158. C
159. A
160. C
161. D
162. C
163. D
164. B
165. A
166. A
167. A
168. A
169. B
170. B
171. D
172. A
173. B
174. B
175. C
176. D
177. D
178. B
179. A
180. C
181. D
182. C
183. A
184. D
185. D