NHA Phlebotomy Certification Exam Questions & Answers

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Questions & Answers 2026\2027 update v v v v




1. 1. What temperature should a semen sample be transported?
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Answer 36-38 degrees C
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2. 2. Which of the following would result in a grossly hemolyzed specimen?
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a. Incorrect order of draw v v v




b. Incorrect needle gauge v v




c. Applying tourniquet too close to the draw site
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d. Failure to invert tube v v v




Answer b. Incorrect needle gauge
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3. 3. Which of the following is proper procedure after collecting ammonia sp
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ecimen?
a. Protect from light v v




b. Keep specimen warm v v




c. Keep specimen at body temp
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d. Place specimen in icewater slurry (or a cup of ice) Answ
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er d. Place specimen in icewater slurry (or a cup of ice)
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4. 4. The phlebotomist has a request to collect a CBC from a healthy 10 month old.
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v Which is appropriate?
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Answer a. Either heelv v v


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,5. 5. A phlebotomist is preparing to draw blood from a patient in hospital/ The
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patient extends his arm and turns head away. Which consent does this indicat
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e?
Answer a. Implied consent v




6. 6. Why should phlebotomist document volume of blood drawn from a pa-
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tient?
Answer a. Iatrogenic anemia could be a result fo too much taken v v v v v v v v v




7. 7. A phlebotomist has a requisition to draw blood on a patient with se-
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vere Down's syndrome. What steps would you take?
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Answer a. Speak with the patient guardian before performing venipuncture to
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enmsure the patient understands v v v




8. 8. A69 year old unconscious patient is brought ot the ER. Several blood test
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s are ordered. The phlebotomist collects blood under
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Answer a. Implied consent v




9. 9. Which of the following actions is appropriate when labeling specimens?-
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Answer a. Label specimens at the time of collection in front of the patient
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1 0. 10. Before collecting blood on an inpatient, the phlebotomist notices there's
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v no wristband on wrist. There is one on the IV pole. What do you do?
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Answer a. Don't draw until nurse puts an armband on patient v v v v v v v v

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,1 1 . 11 . Which is appropriate form of identification in inpatient setting?
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Answer a. Verbal and wrist band
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1 2. 12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capil-
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lary?
Answer a. Lavender and red
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1 3. 13. A blood specimen is rejected by lab with QNS as the reason? Why?
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Answer a. The specimen was insufficient-not enough blood
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14. 14. Which of the following is best method to prevent internal or external bleedin
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g from venipuncture site after needle is removed?
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Answer a. Apply pressure to prevent leakage of blood into the tissues
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1 5. 15. A physician orders a STAT but phlebotomist forgets to fill out patient ID n
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umber. What is appropriate procedure for an improperly labeled specimen when
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received in lab? v v




Answer a. Lab rejects the mislabeled specimen
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1 6. 16. Phlebotomist is performing venipuncture and patient begins to seize.
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What is correct action?
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Answer a. Discontinue the draw
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, 17. 17. Phlebotomist receives orders to draw an infant screening card, O2 levels, bil
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irubin, and DNA. Which is to be drawn first?
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Answer a. 02 levels v




18. 18. When performing a venipuncture on a patient ofaverage weight, which is t
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he correct technique for needle insertion?
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Answer a. Insert until a change in resis- tance v v v v v v




19. 19. Which is the best method to collect a blood specimen from an older adult pa
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tient who has fragile, easy to collapse veins?
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Answer a. Choose a syringe and butterfly assembly v v v v v




20. 20. Which ofthe following is the term fordonation ofa patient's own blood for
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an upcoming surgery?
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Answer a. Autologous donation v




21 . 21. The order ofdrawfor capillarycollections is different than venipuncture becau
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se
Answer a. Increased risk of coagulation (remember platelets start to form) v v v v v v v v




22. 22. Upon entering a patient's room for routine blood draw, phlebotomist no
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tices clergymemberis with the patient.What should you do?
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Answer a. Return later after drawing other patients v v v v v




23. 23. Aphlebotomist notices a hematoma developing at the site of venipunc-
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ture. The phlebotomist should
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