NHA Phlebotomy Certification Exam 2026
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Guide
Question 1
A phlebotomist accidentally sticks their finger with a used
needle. What is the FIRST action?
A. Report to supervisor within 24 hours
B. Wash the site with soap and water
C. Start post-exposure prophylaxis immediately
D. Squeeze blood from the wound
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Correct Answer: B
Rationale: Immediate washing with soap and water reduces
infection risk. Then report exposure, follow facility protocol for
post-exposure evaluation.
Question 2
Which is an example of a bloodborne pathogen?
A. C. diff
B. MRSA
C. Hepatitis B virus
D. Norovirus
Correct Answer: C
Rationale: Hepatitis B, C, and HIV are bloodborne. MRSA and
C. diff are contact pathogens.
Question 3
A phlebotomist must replace the sharps container when it is:
A. Half full
B. Two-thirds full
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C. Completely full
D. At the fill line marked "full"
Correct Answer: B
*Rationale: OSHA requires replacement at 2/3 full to prevent
needlesticks from overfilled containers.*
Question 4
Which PPE must be worn during all venipunctures?
A. Gown and mask
B. Gloves only
C. Gloves and face shield
D. Gloves and N95 respirator
Correct Answer: B
Rationale: Gloves are minimal PPE for venipuncture. Face shields
are for splash risk.
Question 5
Scenario: Patient has active tuberculosis. What type of
precautions?
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A. Standard
B. Contact
C. Airborne
D. Droplet
Correct Answer: C
Rationale: TB requires airborne precautions (N95 mask, negative
pressure room).
Question 6
How long should a phlebotomist rub their hands during hand
hygiene with alcohol-based sanitizer?
A. 5 seconds
B. 10 seconds
C. Until dry
D. 30 seconds
Correct Answer: C
Rationale: Hands should be rubbed until dry (about 15–20
seconds) to ensure effectiveness.