CERTIFICATION EXAM COMPLETE QUESTIONS AND
ANSWERS NHA PHLEBOTOMY 2023-2024.
• What temperature should a semen sample be transported?:
36-38 degrees C
• Which of the following would result in a grossly hemolyzed
specimen? a. Incorrectorder of draw
• Incorrect needle gauge
• Applying tourniquet too close to the draw site
• Failure to invert tube: b. Incorrect needle gauge
• 3. Which of the following is proper procedure after collecting
ammonia specimen?
• Protect from light
• Keep specimen warm
• Keep specimen at body temp
• 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. Impliedconsent
• 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'ssyndrome. 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 areordered. The phlebotomist collects
blood under: a. Implied consent
• 9. Which of the following actions is appropriate when labeling
specimens?: a. Labelspecimens 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 untilnurse puts an armband
on patient
• 11. Which is appropriate form of identification in inpatient
setting?: a. Verbal andwrist 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. Thespecimen was insufficient-not
enough blood
• 14. Which of the following is best method to prevent internal
or external bleedingfrom 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 inlab?: a. Lab rejects
the mislabeled specimen
,• 16. Phlebotomist is performing venipuncture and patient
begins to seize. What iscorrect 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 thecorrect 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 butterflyassembly
• 20. Which of the following is the term for donation of a
patient's own blood for anupcoming surgery?: a. Autologous
donation
• 21. The order of draw for capillary collections is
different than venipuncturebecause: a. Increased risk of
coagulation (remember platelets start to form)
• 22. Upon entering a patient's room for routine blood draw,
phlebotomist noticesclergy 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. Thephlebotomist 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 collectthe 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 redspots below the tourniquet.: a.
Petechiae
• 27. The phlebotomist should examine the antecubital veins of
both arms because::
• 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 urinespecimen?: a. Benzalkonium chloride
• 29. When should the code on glucose cuvettes or strips be
compared to the code onthe glucose meter?: a. When the
patient is tested
• 30. Which of the following is appropriate to use when collecting
for a chemistry testthat 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 aPTT. 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)
ANSWERS NHA PHLEBOTOMY 2023-2024.
• What temperature should a semen sample be transported?:
36-38 degrees C
• Which of the following would result in a grossly hemolyzed
specimen? a. Incorrectorder of draw
• Incorrect needle gauge
• Applying tourniquet too close to the draw site
• Failure to invert tube: b. Incorrect needle gauge
• 3. Which of the following is proper procedure after collecting
ammonia specimen?
• Protect from light
• Keep specimen warm
• Keep specimen at body temp
• 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. Impliedconsent
• 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'ssyndrome. 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 areordered. The phlebotomist collects
blood under: a. Implied consent
• 9. Which of the following actions is appropriate when labeling
specimens?: a. Labelspecimens 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 untilnurse puts an armband
on patient
• 11. Which is appropriate form of identification in inpatient
setting?: a. Verbal andwrist 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. Thespecimen was insufficient-not
enough blood
• 14. Which of the following is best method to prevent internal
or external bleedingfrom 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 inlab?: a. Lab rejects
the mislabeled specimen
,• 16. Phlebotomist is performing venipuncture and patient
begins to seize. What iscorrect 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 thecorrect 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 butterflyassembly
• 20. Which of the following is the term for donation of a
patient's own blood for anupcoming surgery?: a. Autologous
donation
• 21. The order of draw for capillary collections is
different than venipuncturebecause: a. Increased risk of
coagulation (remember platelets start to form)
• 22. Upon entering a patient's room for routine blood draw,
phlebotomist noticesclergy 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. Thephlebotomist 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 collectthe 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 redspots below the tourniquet.: a.
Petechiae
• 27. The phlebotomist should examine the antecubital veins of
both arms because::
• 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 urinespecimen?: a. Benzalkonium chloride
• 29. When should the code on glucose cuvettes or strips be
compared to the code onthe glucose meter?: a. When the
patient is tested
• 30. Which of the following is appropriate to use when collecting
for a chemistry testthat 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 aPTT. 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)
