NHA Phlebotomy Certification Exam
2023/2024
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 ice water slurry (or a cup of ice) –
Answer d. Place specimen in ice water 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 of 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
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? - Answer a.
Don't draw until nurse puts an armband on patient
11. Which is appropriate form of identification in inpatient setting? - Answer a.
Verbal and wrist band
12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary? -
Answer a. Lavender and red
13. A blood specimen is rejected by lab with QNS as the reason? Why? - Answer
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? - Answer 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? - Answer a. Lab rejects the mislabeled specimen
16. Phlebotomist is performing venipuncture and patient begins to seize. What is
correct action? - Answer 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? - Answer a. O2 levels
18. 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
19. 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
20. 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)
22. 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
23. A phlebotomist notices a hematoma developing at the site of venipuncture.
The phlebotomist should - Answer a. Release the tourniquet and stop the draw
24. Know ORDER of DRAW!! - Answer
25. 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)
26. After placing tourniquet on a patients arm, the phlebotomist notices small
red spots below the tourniquet. - Answer a. Petechiae
27. 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
28. What is the appropriate cleanser to clean the meatus for a clean catch urine
specimen? - Answer a. Benzalkonium chloride
29. When should the code on glucose cuvettes or strips be compared to the code
on the glucose meter? - Answer a. When the patient is tested
30. Which of the following is appropriate to use when collecting for a chemistry
test that requires serum? - Answer 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? - Answer a. Use a syringe and transfer to a light
blue tube
32. Industry standard states needle insertion in the antecubital area should be: -
Answer a. 15-30 degree angle
33. Tubes with which additive should be used for CBC? - Answer a. EDTA (purple
tube)
34. When preparing for transport, which specimen must be placed on ice within
30 minutes after collection? - Answer a. Arterial Blood Gases
35. Which provides the phlebotomist the best protection when drawing blood
from a patient with active TB? - Answer a. N-95 respirator mask
36. During a draw, the patient becomes unresponsive. What should you do? -
Answer a. Check for breathing
2023/2024
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 ice water slurry (or a cup of ice) –
Answer d. Place specimen in ice water 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 of 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
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? - Answer a.
Don't draw until nurse puts an armband on patient
11. Which is appropriate form of identification in inpatient setting? - Answer a.
Verbal and wrist band
12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary? -
Answer a. Lavender and red
13. A blood specimen is rejected by lab with QNS as the reason? Why? - Answer
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? - Answer 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? - Answer a. Lab rejects the mislabeled specimen
16. Phlebotomist is performing venipuncture and patient begins to seize. What is
correct action? - Answer 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? - Answer a. O2 levels
18. 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
19. 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
20. 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)
22. 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
23. A phlebotomist notices a hematoma developing at the site of venipuncture.
The phlebotomist should - Answer a. Release the tourniquet and stop the draw
24. Know ORDER of DRAW!! - Answer
25. 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)
26. After placing tourniquet on a patients arm, the phlebotomist notices small
red spots below the tourniquet. - Answer a. Petechiae
27. 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
28. What is the appropriate cleanser to clean the meatus for a clean catch urine
specimen? - Answer a. Benzalkonium chloride
29. When should the code on glucose cuvettes or strips be compared to the code
on the glucose meter? - Answer a. When the patient is tested
30. Which of the following is appropriate to use when collecting for a chemistry
test that requires serum? - Answer 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? - Answer a. Use a syringe and transfer to a light
blue tube
32. Industry standard states needle insertion in the antecubital area should be: -
Answer a. 15-30 degree angle
33. Tubes with which additive should be used for CBC? - Answer a. EDTA (purple
tube)
34. When preparing for transport, which specimen must be placed on ice within
30 minutes after collection? - Answer a. Arterial Blood Gases
35. Which provides the phlebotomist the best protection when drawing blood
from a patient with active TB? - Answer a. N-95 respirator mask
36. During a draw, the patient becomes unresponsive. What should you do? -
Answer a. Check for breathing
