NHA Phlebotomy certification EXAM
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
32. Industry standard states needle insertion in the antecubital area should be: ✔✔a. 15-30 degree
angle
33. Tubes with which additive should be used for CBC? ✔✔a. EDTA (purple tube)
34. When preparing for transport, which specimen must be placed on ice within 30 minutes after
collection? ✔✔a. Arterial Blood Gases
35. Which provides the phlebotomist the best protection when drawing blood from a patient with active
TB? ✔✔a. N-95 respirator mask
36. During a draw, the patient becomes unresponsive. What should you do? ✔✔a. Check for breathing
37. Why should a phlebotomist avoid drawing blood from a leg or foot of a diabetic patient? ✔✔a.
These areas are more susceptible to infection
38. Why is it important to place a specimen in a biohazard specimen bag outside the laboratory? ✔✔a.
The biohazard bag prevents a possible exposure incident
39. As a student. Proper introduction ✔✔a. Hi, my name is Sally Smith. I am a student phlebotomist and
I'm here to collect blood specimen
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
32. Industry standard states needle insertion in the antecubital area should be: ✔✔a. 15-30 degree
angle
33. Tubes with which additive should be used for CBC? ✔✔a. EDTA (purple tube)
34. When preparing for transport, which specimen must be placed on ice within 30 minutes after
collection? ✔✔a. Arterial Blood Gases
35. Which provides the phlebotomist the best protection when drawing blood from a patient with active
TB? ✔✔a. N-95 respirator mask
36. During a draw, the patient becomes unresponsive. What should you do? ✔✔a. Check for breathing
37. Why should a phlebotomist avoid drawing blood from a leg or foot of a diabetic patient? ✔✔a.
These areas are more susceptible to infection
38. Why is it important to place a specimen in a biohazard specimen bag outside the laboratory? ✔✔a.
The biohazard bag prevents a possible exposure incident
39. As a student. Proper introduction ✔✔a. Hi, my name is Sally Smith. I am a student phlebotomist and
I'm here to collect blood specimen
