Free CPT Practice Questions (With Rationales)

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See where you stand before you buy. These sample questions match the NHA CPT
(phlebotomy) style — scenario-based, single best answer, with a rationale that explains the
reasoning. Work each one before reading the answer.

Unlock 590+ CPT practice questions across 5 full-length simulators — $19.99 lifetime →

How close are these to the real CPT?

The CPT is 120 questions (100 scored, 20 unscored) over 2 hours, weighted toward routine blood
collections and safety and compliance. The samples below reflect that.

Sample CPT questions

  1. Following blood culture bottles, which tube is collected next in the order of draw?
    • A. Lavender (EDTA)
    • B. Light blue (sodium citrate)
    • C. Red (no additive)
    • D. Green (heparin)

    Answer: B. The order of draw is blood cultures, then the light-blue coagulation
    tube, then serum, then additive tubes. Drawing out of order causes additive carryover and inaccurate results.

  2. A tourniquet should be left on for no longer than:
    • A. 1 minute
    • B. 3 minutes
    • C. 5 minutes
    • D. 10 minutes

    Answer: A. Leave a tourniquet on no more than one minute to avoid
    hemoconcentration, which alters results. Release it as soon as blood flow is established.

  3. Which vein is the first choice for routine venipuncture in the antecubital area?
    • A. Basilic vein
    • B. Cephalic vein
    • C. Median cubital vein
    • D. Brachial artery

    Answer: C. The median cubital vein is the preferred first choice — it’s
    well-anchored and away from major nerves and arteries. The basilic (A) carries more risk due to nearby structures.

  4. A specimen shows hemolysis. A likely cause is:
    • A. Using the correct tube
    • B. Vigorously shaking the tube
    • C. Gently inverting the tube
    • D. Filling the tube completely

    Answer: B. Vigorous shaking ruptures red cells and causes hemolysis, which can
    invalidate results (for example, falsely elevated potassium). Mix additive tubes by gentle inversion only.

  5. Before any blood draw, the phlebotomist must FIRST:
    • A. Apply the tourniquet
    • B. Identify the patient using two identifiers
    • C. Select the tubes
    • D. Clean the site

    Answer: B. Patient identification with two identifiers is the critical first
    step — misidentification is a leading source of serious lab errors.

How did you do?

If the order of draw or vein selection felt shaky, that’s what practice is for. Our bank has 590+
CPT questions across 5 timed simulators with rationales like these, plus a free sample test.

Unlock 590+ CPT practice questions across 5 full-length simulators — $19.99 lifetime →

Sources & references

The exam facts on this page are drawn from official certifying-body materials, reviewed 2026-06-18 by the DrCertifications exam-prep team (10+ years in exam preparation and publishing).