NHA Phlebotomy certification exam with precise detailed
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answers
1. What temperature should a semen sample be transported? - ✔✔36-38 degrees C
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2. Which of the following would result in a grossly hemolyzed specimen?
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a. Incorrect order of draw
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b. Incorrect needle gauge
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c. Applying tourniquet too close to the draw site
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d. Failure to invert tube - ✔✔b. Incorrect needle gauge
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3. Which of the following is proper procedure after collecting ammonia specimen?
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a. Protect from light
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b. Keep specimen warm
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c. Keep specimen at body temp
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d. Place specimen in icewater slurry (or a cup of ice) - ✔✔d. Place specimen in
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icewater slurry (or a cup of ice)
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4. The phlebotomist has a request to collect a CBC from a healthy 10 month old.
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Which is appropriate? - ✔✔a. Either heel
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5. A phlebotomist is preparing to draw blood from a patient in hospital/ The patient
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extends his arm and turns head away. Which consent does this indicate? - ✔✔a.
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Implied consent ||
,6. Why should phlebotomist document volume of blood drawn from a patient? - ✔✔a.
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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
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syndrome. What steps would you take? - ✔✔a. Speak with the patient guardian before
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performing venipuncture to enmsure the patient understands
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8. A 69 year old unconscious patient is brought ot the ER. Several blood tests are
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ordered. The phlebotomist collects blood under - ✔✔a. Implied consent
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9. Which of the following actions is appropriate when labeling specimens? - ✔✔a.
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Label specimens at the time of collection in front of the patient
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10. Before collecting blood on an inpatient, the phlebotomist notices there's no
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wristband on wrist. There is one on the IV pole. What do you do? - ✔✔a. Don't draw
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until nurse puts an armband on patient
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11. Which is appropriate form of identification in inpatient setting? - ✔✔a. Verbal and
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wrist band ||
12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary? - ✔✔a.
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Lavender and red || ||
13. A blood specimen is rejected by lab with QNS as the reason? Why? - ✔✔a. The
|| || || || || || || || || || || || || || || || ||
specimen was insufficient-not enough blood || || || ||
14. Which of the following is best method to prevent internal or external bleeding
|| || || || || || || || || || || || || ||
from venipuncture site after needle is removed? - ✔✔a. Apply pressure to prevent
|| || || || || || || || || || || || ||
leakage of blood into the tissues || || || || ||
,15. A physician orders a STAT but phlebotomist forgets to fill out patient ID number.
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What is appropriate procedure for an improperly labeled specimen when received in
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lab? - ✔✔a. Lab rejects the mislabeled specimen
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16. Phlebotomist is performing venipuncture and patient begins to seize. What is
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correct action? - ✔✔a. Discontinue the draw
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17. Phlebotomist receives orders to draw an infant screening card, O2 levels, bilirubin,
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and DNA. Which is to be drawn first? - ✔✔a. O2 levels
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18. When performing a venipuncture on a patient of average weight, which is the
|| || || || || || || || || || || || || ||
correct technique for needle insertion? - ✔✔a. Insert until a change in resistance
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19. Which is the best method to collect a blood specimen from an older adult patient
|| || || || || || || || || || || || || || || ||
who has fragile, easy to collapse veins? - ✔✔a. Choose a syringe and butterfly
|| || || || || || || || || || || || || ||
assembly
20. Which of the following is the term for donation of a patient's own blood for an
|| || || || || || || || || || || || || || || || ||
upcoming surgery? - ✔✔a. Autologous donation || || || || ||
21. The order of draw for capillary collections is different than venipuncture because -
|| || || || || || || || || || || || || ||
✔✔a. Increased risk of coagulation (remember platelets start to form)
|| || || || || || || || ||
22. Upon entering a patient's room for routine blood draw, phlebotomist notices
|| || || || || || || || || || || ||
clergy member is with the patient. What should you do? - ✔✔a. Return later after
|| || || || || || || || || || || || || || ||
drawing other patients || ||
, 23. A phlebotomist notices a hematoma developing at the site of venipuncture. The
|| || || || || || || || || || || || ||
phlebotomist should - ✔✔a. Release the tourniquet and stop the draw || || || || || || || || || ||
24. Know ORDER of DRAW!! - ✔✔
|| || || || || ||
25. A phlebotomist working in an infertility clinic and the patient is to submit a semen
|| || || || || || || || || || || || || || ||
specimen. The phlebotomist would tell the patient: - ✔✔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)
|| || || || || || || || || || ||
26. After placing tourniquet on a patients arm, the phlebotomist notices small red
|| || || || || || || || || || || || ||
spots below the tourniquet. - ✔✔a. Petechiae
|| || || || || ||
27. The phlebotomist should examine the antecubital veins of both arms because: -
|| || || || || || || || || || || || ||
✔✔a. The median cubital might be more accessible on one side than the other
|| || || || || || || || || || || || ||
28. What is the appropriate cleanser to clean the meatus for a clean catch urine
|| || || || || || || || || || || || || || ||
specimen? - ✔✔a. Benzalkonium chloride || || || ||
29. When should the code on glucose cuvettes or strips be compared to the code on
|| || || || || || || || || || || || || || || ||
the glucose meter? - ✔✔a. When the patient is tested
|| || || || || || || || ||
30. Which of the following is appropriate to use when collecting for a chemistry test
|| || || || || || || || || || || || || || ||
that requires serum? - ✔✔a. SST (this is the red gel tube)
|| || || || || || || || || || ||
31. A patient state she is a difficult draw and requests a skin puncture. The test is a
|| || || || || || || || || || || || || || || || || ||
PTT. Which should you do? - ✔✔a. Use a syringe and transfer to a light blue tube
|| || || || || || || || || || || || || || || ||
|| || || || || || ||
answers
1. What temperature should a semen sample be transported? - ✔✔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 - ✔✔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) - ✔✔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? - ✔✔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? - ✔✔a.
|| || || || || || || || || || || || || ||
Implied consent ||
,6. Why should phlebotomist document volume of blood drawn from a patient? - ✔✔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? - ✔✔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 - ✔✔a. Implied consent
|| || || || || || || || ||
9. Which of the following actions is appropriate when labeling specimens? - ✔✔a.
|| || || || || || || || || || || || ||
Label specimens at the time of collection in front of the patient
|| || || || || || || || || || ||
10. 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? - ✔✔a. Don't draw
|| || || || || || || || || || || || || || || || || ||
until nurse puts an armband on patient
|| || || || || ||
11. Which is appropriate form of identification in inpatient setting? - ✔✔a. Verbal and
|| || || || || || || || || || || || || ||
wrist band ||
12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary? - ✔✔a.
|| || || || || || || || || || || || || ||
Lavender and red || ||
13. A blood specimen is rejected by lab with QNS as the reason? Why? - ✔✔a. The
|| || || || || || || || || || || || || || || || ||
specimen was insufficient-not enough blood || || || ||
14. Which of the following is best method to prevent internal or external bleeding
|| || || || || || || || || || || || || ||
from venipuncture site after needle is removed? - ✔✔a. Apply pressure to prevent
|| || || || || || || || || || || || ||
leakage of blood into the tissues || || || || ||
,15. 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? - ✔✔a. Lab rejects the mislabeled specimen
|| || || || || || ||
16. Phlebotomist is performing venipuncture and patient begins to seize. What is
|| || || || || || || || || || || ||
correct action? - ✔✔a. Discontinue the draw
|| || || || || ||
17. Phlebotomist receives orders to draw an infant screening card, O2 levels, bilirubin,
|| || || || || || || || || || || || ||
and DNA. Which is to be drawn first? - ✔✔a. O2 levels
|| || || || || || || || || || ||
18. When performing a venipuncture on a patient of average weight, which is the
|| || || || || || || || || || || || || ||
correct technique for needle insertion? - ✔✔a. Insert until a change in resistance
|| || || || || || || || || || || ||
19. Which is the best method to collect a blood specimen from an older adult patient
|| || || || || || || || || || || || || || || ||
who has fragile, easy to collapse veins? - ✔✔a. Choose a syringe and butterfly
|| || || || || || || || || || || || || ||
assembly
20. Which of the following is the term for donation of a patient's own blood for an
|| || || || || || || || || || || || || || || || ||
upcoming surgery? - ✔✔a. Autologous donation || || || || ||
21. The order of draw for capillary collections is different than venipuncture because -
|| || || || || || || || || || || || || ||
✔✔a. Increased risk of coagulation (remember platelets start to form)
|| || || || || || || || ||
22. Upon entering a patient's room for routine blood draw, phlebotomist notices
|| || || || || || || || || || || ||
clergy member is with the patient. What should you do? - ✔✔a. Return later after
|| || || || || || || || || || || || || || ||
drawing other patients || ||
, 23. A phlebotomist notices a hematoma developing at the site of venipuncture. The
|| || || || || || || || || || || || ||
phlebotomist should - ✔✔a. Release the tourniquet and stop the draw || || || || || || || || || ||
24. Know ORDER of DRAW!! - ✔✔
|| || || || || ||
25. A phlebotomist working in an infertility clinic and the patient is to submit a semen
|| || || || || || || || || || || || || || ||
specimen. The phlebotomist would tell the patient: - ✔✔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)
|| || || || || || || || || || ||
26. After placing tourniquet on a patients arm, the phlebotomist notices small red
|| || || || || || || || || || || || ||
spots below the tourniquet. - ✔✔a. Petechiae
|| || || || || ||
27. The phlebotomist should examine the antecubital veins of both arms because: -
|| || || || || || || || || || || || ||
✔✔a. The median cubital might be more accessible on one side than the other
|| || || || || || || || || || || || ||
28. What is the appropriate cleanser to clean the meatus for a clean catch urine
|| || || || || || || || || || || || || || ||
specimen? - ✔✔a. Benzalkonium chloride || || || ||
29. When should the code on glucose cuvettes or strips be compared to the code on
|| || || || || || || || || || || || || || || ||
the glucose meter? - ✔✔a. When the patient is tested
|| || || || || || || || ||
30. Which of the following is appropriate to use when collecting for a chemistry test
|| || || || || || || || || || || || || || ||
that requires serum? - ✔✔a. SST (this is the red gel tube)
|| || || || || || || || || || ||
31. A patient state she is a difficult draw and requests a skin puncture. The test is a
|| || || || || || || || || || || || || || || || || ||
PTT. Which should you do? - ✔✔a. Use a syringe and transfer to a light blue tube
|| || || || || || || || || || || || || || || ||
