NHA PHLEBOTOMY TECHNICIAN
CERTIFICATION
EXAM LATEST BRAND-NEW VERSION
WITH
ALL QUESTIONS AND CORRECT
ANSWERS 2026/2027 LATEST
1 2. WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary? -
ANSWER-a. Lavender and red
1 3. A blood specimen is rejected by lab with QNS as the reason? Why? -
ANSWER-a. The specimen was insufficient-not enough blood
1 4. Which of the following is best method to prevent internal or external
bleeding from venipuncture site after needle is removed? - ANSWER-a. Apply
pressure to prevent leakage of blood into the tissues
1 5. A physician orders a STAT but phlebotomist forgets to fill out patient ID
number. What is appropriate procedure for an improperly labeled specimen
when received in lab? - ANSWER-a. Lab rejects the mislabeled specimen
Page | 1
,1 6. Phlebotomist is performing venipuncture and patient begins to seize. What
is correct action? - ANSWER-a. Discontinue the draw
1 7. Phlebotomist receives orders to draw an infant screening card, O2 levels,
bilirubin, and DNA. Which is to be drawn first? - ANSWER-a. O2 levels
1 8. When performing a venipuncture on a patient of average weight,
which is the correct technique for needle insertion? - ANSWER-a. Insert until a
change in resistance
1. What temperature should a semen sample be transported? - ANSWER-
36-38 degrees C
2. Which of the following would result in a grossly hemolyzed specimen?
a. Incorrect order of draw
b. Incorrect needle gauge
c. Applying tourniquet too close to the draw site
d. Failure to invert tube - ANSWER-b. Incorrect needle gauge
3. Which of the following is proper procedure after collecting ammonia
specimen?
a. Protect from light
b. Keep specimen warm
c. Keep specimen at body temp
d. Place specimen in icewater slurry (or a cup of ice) - ANSWER-d. Place
specimen in icewater slurry (or a cup of ice)
,4. The phlebotomist has a request to collect a CBC from a healthy 10 month
old. Which is appropriate? - ANSWER-a. Either heel
5. A phlebotomist is preparing to draw blood from a patient in hospital/ The
patient extends his arm and turns head away. Which consent does this indicate?
- ANSWER-a. Implied consent
6 . Why should phlebotomist document volume of blood drawn from a patient? -
ANSWER-a. Iatrogenic anemia could be a result fo too much taken
7. A phlebotomist has a requisition to draw blood on a patient with severe
Down's syndrome. What steps would you take? - ANSWER-a. Speak with
the patient guardian before performing venipuncture to enmsure the patient
understands
8. A 69 year old unconscious patient is brought ot the ER. Several blood tests
are ordered. The phlebotomist collects blood under - ANSWER-a. Implied
consent
9. Which of the following actions is appropriate when labeling specimens? -
ANSWER-a. Label specimens at the time of collection in front of the patient
1 0. Before collecting blood on an inpatient, the phlebotomist notices there's no
wristband on wrist. There is one on the IV pole. What do you do? - ANSWER-a.
Don't draw until nurse puts an armband on patient
1 1. Which is appropriate form of identification in inpatient setting? - ANSWER-
a. Verbal and wrist band
, 2 9. Which is the best method to collect a blood specimen from an older
adult patient who has fragile, easy to collapse veins? - ANSWER-a. Choose a
syringe and butterfly assembly
3 0. Which of the following is the term for donation of a patient's own
blood for an upcoming surgery? - ANSWER-a. Autologous donation
21. The order of draw for capillary collections is different than venipuncture
because - ANSWER-a. Increased risk of coagulation (remember platelets start
to form)
2 2. Upon entering a patient's room for routine blood draw, phlebotomist
notices clergy member is with the patient. What should you do? - ANSWER-
a. Return later after drawing other patients
2 3. A phlebotomist notices a hematoma developing at the site of venipuncture.
The phlebotomist should - ANSWER-a. Release the tourniquet and stop the draw
2 4. Know ORDER of DRAW!! - ANSWER-
2 5. A phlebotomist working in an infertility clinic and the patient is to submit a
semen specimen. The phlebotomist would tell the patient: - ANSWER-a. As soon
as you collect the specimen, keep it next to your body and bring it in right away.
(the reason is it needs to stay at body temp and delivered in lab within 2 hours)
2 6. After placing tourniquet on a patients arm, the phlebotomist notices small
red spots below the tourniquet. - ANSWER-a. Petechiae
2 7. The phlebotomist should examine the antecubital veins of both arms
because: - ANSWER-a. The median cubital might be more accessible on one
side than the other
CERTIFICATION
EXAM LATEST BRAND-NEW VERSION
WITH
ALL QUESTIONS AND CORRECT
ANSWERS 2026/2027 LATEST
1 2. WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary? -
ANSWER-a. Lavender and red
1 3. A blood specimen is rejected by lab with QNS as the reason? Why? -
ANSWER-a. The specimen was insufficient-not enough blood
1 4. Which of the following is best method to prevent internal or external
bleeding from venipuncture site after needle is removed? - ANSWER-a. Apply
pressure to prevent leakage of blood into the tissues
1 5. A physician orders a STAT but phlebotomist forgets to fill out patient ID
number. What is appropriate procedure for an improperly labeled specimen
when received in lab? - ANSWER-a. Lab rejects the mislabeled specimen
Page | 1
,1 6. Phlebotomist is performing venipuncture and patient begins to seize. What
is correct action? - ANSWER-a. Discontinue the draw
1 7. Phlebotomist receives orders to draw an infant screening card, O2 levels,
bilirubin, and DNA. Which is to be drawn first? - ANSWER-a. O2 levels
1 8. When performing a venipuncture on a patient of average weight,
which is the correct technique for needle insertion? - ANSWER-a. Insert until a
change in resistance
1. What temperature should a semen sample be transported? - ANSWER-
36-38 degrees C
2. Which of the following would result in a grossly hemolyzed specimen?
a. Incorrect order of draw
b. Incorrect needle gauge
c. Applying tourniquet too close to the draw site
d. Failure to invert tube - ANSWER-b. Incorrect needle gauge
3. Which of the following is proper procedure after collecting ammonia
specimen?
a. Protect from light
b. Keep specimen warm
c. Keep specimen at body temp
d. Place specimen in icewater slurry (or a cup of ice) - ANSWER-d. Place
specimen in icewater slurry (or a cup of ice)
,4. The phlebotomist has a request to collect a CBC from a healthy 10 month
old. Which is appropriate? - ANSWER-a. Either heel
5. A phlebotomist is preparing to draw blood from a patient in hospital/ The
patient extends his arm and turns head away. Which consent does this indicate?
- ANSWER-a. Implied consent
6 . Why should phlebotomist document volume of blood drawn from a patient? -
ANSWER-a. Iatrogenic anemia could be a result fo too much taken
7. A phlebotomist has a requisition to draw blood on a patient with severe
Down's syndrome. What steps would you take? - ANSWER-a. Speak with
the patient guardian before performing venipuncture to enmsure the patient
understands
8. A 69 year old unconscious patient is brought ot the ER. Several blood tests
are ordered. The phlebotomist collects blood under - ANSWER-a. Implied
consent
9. Which of the following actions is appropriate when labeling specimens? -
ANSWER-a. Label specimens at the time of collection in front of the patient
1 0. Before collecting blood on an inpatient, the phlebotomist notices there's no
wristband on wrist. There is one on the IV pole. What do you do? - ANSWER-a.
Don't draw until nurse puts an armband on patient
1 1. Which is appropriate form of identification in inpatient setting? - ANSWER-
a. Verbal and wrist band
, 2 9. Which is the best method to collect a blood specimen from an older
adult patient who has fragile, easy to collapse veins? - ANSWER-a. Choose a
syringe and butterfly assembly
3 0. Which of the following is the term for donation of a patient's own
blood for an upcoming surgery? - ANSWER-a. Autologous donation
21. The order of draw for capillary collections is different than venipuncture
because - ANSWER-a. Increased risk of coagulation (remember platelets start
to form)
2 2. Upon entering a patient's room for routine blood draw, phlebotomist
notices clergy member is with the patient. What should you do? - ANSWER-
a. Return later after drawing other patients
2 3. A phlebotomist notices a hematoma developing at the site of venipuncture.
The phlebotomist should - ANSWER-a. Release the tourniquet and stop the draw
2 4. Know ORDER of DRAW!! - ANSWER-
2 5. A phlebotomist working in an infertility clinic and the patient is to submit a
semen specimen. The phlebotomist would tell the patient: - ANSWER-a. As soon
as you collect the specimen, keep it next to your body and bring it in right away.
(the reason is it needs to stay at body temp and delivered in lab within 2 hours)
2 6. After placing tourniquet on a patients arm, the phlebotomist notices small
red spots below the tourniquet. - ANSWER-a. Petechiae
2 7. The phlebotomist should examine the antecubital veins of both arms
because: - ANSWER-a. The median cubital might be more accessible on one
side than the other
