Phlebotomy Plan

CPT practice question: Patient Preparation

Patient PreparationDifficulty 3/5

A patient with dementia cannot give verbal or expressed consent. What does the test plan require?

  1. AProceed on the basis of implied consent because the patient is hospitalised
  2. BAsk another member of staff to witness and countersign the requisition
  3. CPostpone the draw indefinitely until the patient regains full capacity
  4. DObtain permission from the legal guardian before proceeding with the draw
Show answer and rationale

Correct: D. Task 2G requires obtaining permission from a legal guardian when the patient cannot give verbal or expressed consent, naming children and patients with dementia or mental disabilities.

  • A — Implied consent does not substitute for guardian permission where capacity is absent.
  • B — A staff witness does not supply the consent that the guardian is required to give.
  • C — Postponing indefinitely denies necessary care rather than following the consent pathway.

Concept being tested

20 of the 100 scored items. Diversity, cultural sensitivity and empathy; communication with patients and colleagues; obtaining and verifying the requisition; patient identification using specific identifiers; implied, informed and expressed consent, including consent from a legal guardian; insurance and billing; verifying compliance with fasting, medication and basal-state requirements; interviewing for allergies, medical history and a history of fainting; positioning; and determining the venipuncture site against CLSI standards. — 20% of the exam. Study guide for Patient Preparation.

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Primary references

  1. NHA Certified Phlebotomy Technician (CPT) — Test Plan for the CPT Exam — National Healthcareer Association (NHA) · primary · retrieved 2026-09-22, verified 2026-09-22
Last reviewed: 2026-10-07Reviewed by: Maria Torres, CPT, RMA (AMT), Clinical laboratory educator & venipuncture safety reviewHow we verify facts