NHA PHLEBOTOMY CERTIFICATION EXAM QUESTIONS
WITH ANSWERS #7
1. What temperature should a semen sample be transported? - correct 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 - correct 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 icewater slurry (or a cup of ice) - correct answer 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? - correct 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? - correct
answer a. Implied consent
6. Why should phlebotomist document volume of blood drawn from a patient? - correct
answer 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? - correct 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 - correct answer a. Implied consent
9. Which of the following actions is appropriate when labeling specimens? - correct
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? - correct answer a.
Don't draw until nurse puts an armband on patient
11. Which is appropriate form of identification in inpatient setting? - correct answer a.
Verbal and wrist band
,12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary? - correct
answer a. Lavender and red
13. A blood specimen is rejected by lab with QNS as the reason? Why? - correct
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? - correct 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? - correct answer a. Lab rejects the mislabeled specimen
16. Phlebotomist is performing venipuncture and patient begins to seize. What is correct
action? - correct 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? - correct answer a. O2 levels
18. When performing a venipuncture on a patient of average weight, which is the correct
technique for needle insertion? - correct 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? - correct 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? - correct answer a. Autologous donation
21. The order of draw for capillary collections is different than venipuncture because -
correct 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? - correct answer a. Return later after
drawing other patients
23. A phlebotomist notices a hematoma developing at the site of venipuncture. The
phlebotomist should - correct answer a. Release the tourniquet and stop the draw
24. Know ORDER of DRAW!! - correct answer
25. A phlebotomist working in an infertility clinic and the patient is to submit a semen
specimen. The phlebotomist would tell the patient: - correct 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. - correct answer a. Petechiae
27. The phlebotomist should examine the antecubital veins of both arms because: -
correct 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? - correct answer a. Benzalkonium chloride
29. When should the code on glucose cuvettes or strips be compared to the code on the
glucose meter? - correct 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? - correct 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? - correct answer a. Use a syringe and transfer to a light
blue tube
32. Industry standard states needle insertion in the antecubital area should be: - correct
answer a. 15-30 degree angle
33. Tubes with which additive should be used for CBC? - correct answer a. EDTA
(purple tube)
34. When preparing for transport, which specimen must be placed on ice within 30
minutes after collection? - correct answer a. Arterial Blood Gases
35. Which provides the phlebotomist the best protection when drawing blood from a
patient with active TB? - correct answer a. N-95 respirator mask
36. During a draw, the patient becomes unresponsive. What should you do? - correct
answer a. Check for breathing
37. Why should a phlebotomist avoid drawing blood from a leg or foot of a diabetic
patient? - correct answer 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? - correct answer a. The biohazard bag prevents a possible exposure
incident
39. As a student. Proper introduction - correct answer a. Hi, my name is Sally Smith. I
am a student phlebotomist and I'm here to collect blood specimen
WITH ANSWERS #7
1. What temperature should a semen sample be transported? - correct 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 - correct 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 icewater slurry (or a cup of ice) - correct answer 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? - correct 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? - correct
answer a. Implied consent
6. Why should phlebotomist document volume of blood drawn from a patient? - correct
answer 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? - correct 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 - correct answer a. Implied consent
9. Which of the following actions is appropriate when labeling specimens? - correct
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? - correct answer a.
Don't draw until nurse puts an armband on patient
11. Which is appropriate form of identification in inpatient setting? - correct answer a.
Verbal and wrist band
,12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary? - correct
answer a. Lavender and red
13. A blood specimen is rejected by lab with QNS as the reason? Why? - correct
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? - correct 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? - correct answer a. Lab rejects the mislabeled specimen
16. Phlebotomist is performing venipuncture and patient begins to seize. What is correct
action? - correct 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? - correct answer a. O2 levels
18. When performing a venipuncture on a patient of average weight, which is the correct
technique for needle insertion? - correct 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? - correct 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? - correct answer a. Autologous donation
21. The order of draw for capillary collections is different than venipuncture because -
correct 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? - correct answer a. Return later after
drawing other patients
23. A phlebotomist notices a hematoma developing at the site of venipuncture. The
phlebotomist should - correct answer a. Release the tourniquet and stop the draw
24. Know ORDER of DRAW!! - correct answer
25. A phlebotomist working in an infertility clinic and the patient is to submit a semen
specimen. The phlebotomist would tell the patient: - correct 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. - correct answer a. Petechiae
27. The phlebotomist should examine the antecubital veins of both arms because: -
correct 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? - correct answer a. Benzalkonium chloride
29. When should the code on glucose cuvettes or strips be compared to the code on the
glucose meter? - correct 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? - correct 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? - correct answer a. Use a syringe and transfer to a light
blue tube
32. Industry standard states needle insertion in the antecubital area should be: - correct
answer a. 15-30 degree angle
33. Tubes with which additive should be used for CBC? - correct answer a. EDTA
(purple tube)
34. When preparing for transport, which specimen must be placed on ice within 30
minutes after collection? - correct answer a. Arterial Blood Gases
35. Which provides the phlebotomist the best protection when drawing blood from a
patient with active TB? - correct answer a. N-95 respirator mask
36. During a draw, the patient becomes unresponsive. What should you do? - correct
answer a. Check for breathing
37. Why should a phlebotomist avoid drawing blood from a leg or foot of a diabetic
patient? - correct answer 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? - correct answer a. The biohazard bag prevents a possible exposure
incident
39. As a student. Proper introduction - correct answer a. Hi, my name is Sally Smith. I
am a student phlebotomist and I'm here to collect blood specimen
