NHA PHLEBOTOMY CERTIFICATION E
n n n
XAM 2 VERSIONS 2023/2024
n n n
,1. Whatntemperaturenshouldnansemennsamplenbentransported?n-nANSWER-36-
38ndegreesnC
2. Whichnofnthenfollowingnwouldnresultninnangrosslynhemolyzednspecimen?
a. Incorrectnordernofndraw
b. Incorrectnneedlengauge
c. Applyingntourniquetntoonclosentonthendrawnsite
d. Failurentoninvertntuben-nANSWER-b.nIncorrectnneedlengauge
3. Whichnofnthenfollowingnisnpropernprocedurenafterncollectingnammonianspecimen?
a. Protectnfromnlight
b. Keepnspecimennwarm
c. Keepnspecimennatnbodyntemp
d. Placenspecimenninnicewaternslurryn(ornancupnofnice)n-nANSWER-
d.nPlacenspecimenninnicewaternslurryn(ornancupnofnice)
,4. ThenphlebotomistnhasnanrequestntoncollectnanCBCnfromnanhealthyn10nmonthnold.nWhichnni
snappropriate?n-nANSWER-a.nEithernheel
5. Anphlebotomistnisnpreparingntondrawnbloodnfromnanpatientninnhospital/nThenpatientnnexten
dsnhisnarmnandnturnsnheadnaway.nWhichnconsentndoesnthisnindicate?n-nANSWER-
a.nImpliednconsent
6. Whynshouldnphlebotomistndocumentnvolumenofnbloodndrawnnfromnanpatient?n-
nnANSWER-a.nIatrogenicnanemiancouldnbenanresultnfontoonmuchntaken
7. AnphlebotomistnhasnanrequisitionntondrawnbloodnonnanpatientnwithnseverenDown'snnsynd
rome.nWhatnstepsnwouldnyountake?n-nANSWER-
a.nSpeaknwithnthenpatientnguardiannbeforenperformingnvenipuncturentonenmsurenthenpatie
ntnunderstands
8. An69nyearnoldnunconsciousnpatientnisnbroughtnotnthenER.nSeveralnbloodntestsnareno
rdered.nThenphlebotomistncollectsnbloodnundern-nANSWER-a.nImpliednconsent
9. Whichnofnthenfollowingnactionsnisnappropriatenwhennlabelingnspecimens?n-nANSWER-
a. Labelnspecimensnatnthentimenofncollectionninnfrontnofnthenpatient
10. Beforencollectingnbloodnonnanninpatient,nthenphlebotomistnnoticesnthere'snnonnwristb
andnonnwrist.nTherenisnonenonnthenIVnpole.nWhatndonyoundo?n-nANSWER-
a.nDon'tndrawnuntilnnursenputsnannarmbandnonnpatient
, 11. Whichnisnappropriatenformnofnidentificationninninpatientnsetting?n-nANSWER-
a.nVerbalnandnwristnband
12. WBC,nRBC,nElectrolytesnarenordered.nWhichntubesnarenusednforncapillary?n-
nnANSWER-a.nLavendernandnred
13. AnbloodnspecimennisnrejectednbynlabnwithnQNSnasnthenreason?nWhy?n-nANSWER-
a.nThenspecimennwasninsufficient-notnenoughnblood
14. Whichnofnthenfollowingnisnbestnmethodntonpreventninternalnornexternalnbleedingnfromnnv
enipuncturensitenafternneedlenisnremoved?n-nANSWER-
a.nApplynpressurentonpreventnnleakagenofnbloodnintonthentissues
15. AnphysiciannordersnanSTATnbutnphlebotomistnforgetsntonfillnoutnpatientnIDnnumber.nn
Whatnisnappropriatenprocedurenfornannimproperlynlabelednspecimennwhennreceivedninnnl
ab?n-nANSWER-a.nLabnrejectsnthenmislabelednspecimen
16. Phlebotomistnisnperformingnvenipuncturenandnpatientnbeginsntonseize.nWhatnisncorrectn
action?n-nANSWER-a.nDiscontinuenthendraw
17. Phlebotomistnreceivesnordersntondrawnanninfantnscreeningncard,nO2nlevels,nbilirubin,nna
ndnDNA.nWhichnisntonbendrawnnfirst?n-nANSWER-a.nO2nlevels
18. Whennperformingnanvenipuncturenonnanpatientnofnaveragenweight,nwhichnisnthencorrectnt
echniquenfornneedleninsertion?n-nANSWER-a.nInsertnuntilnanchangeninnresistance
19. Whichnisnthenbestnmethodntoncollectnanbloodnspecimennfromnannoldernadultnpatientn n
whonhasnfragile,neasyntoncollapsenveins?n-nANSWER-
a.nChoosenansyringenandnbutterflynassembly
20. Whichnofnthenfollowingnisnthentermnforndonationnofnanpatient'snownnbloodnfornannnu
pcomingnsurgery?n-nANSWER-a.nAutologousndonation
21. Thenordernofndrawnforncapillaryncollectionsnisndifferentnthannvenipuncturenbecausen-
nANSWER-a.nIncreasednrisknofncoagulationn(remembernplateletsnstartntonform)
22. Uponnenteringnanpatient'snroomnfornroutinenbloodndraw,nphlebotomistnnoticesnclergyn
membernisnwithnthenpatient.nWhatnshouldnyoundo?n-nANSWER-
a.nReturnnlaternafternndrawingnothernpatients
23. Anphlebotomistnnoticesnanhematomandevelopingnatnthensitenofnvenipuncture.nThen
phlebotomistnshouldn-nANSWER-a.nReleasenthentourniquetnandnstopnthendraw
24. KnownORDERnofnDRAW!!n-nANSWER-
n n n
XAM 2 VERSIONS 2023/2024
n n n
,1. Whatntemperaturenshouldnansemennsamplenbentransported?n-nANSWER-36-
38ndegreesnC
2. Whichnofnthenfollowingnwouldnresultninnangrosslynhemolyzednspecimen?
a. Incorrectnordernofndraw
b. Incorrectnneedlengauge
c. Applyingntourniquetntoonclosentonthendrawnsite
d. Failurentoninvertntuben-nANSWER-b.nIncorrectnneedlengauge
3. Whichnofnthenfollowingnisnpropernprocedurenafterncollectingnammonianspecimen?
a. Protectnfromnlight
b. Keepnspecimennwarm
c. Keepnspecimennatnbodyntemp
d. Placenspecimenninnicewaternslurryn(ornancupnofnice)n-nANSWER-
d.nPlacenspecimenninnicewaternslurryn(ornancupnofnice)
,4. ThenphlebotomistnhasnanrequestntoncollectnanCBCnfromnanhealthyn10nmonthnold.nWhichnni
snappropriate?n-nANSWER-a.nEithernheel
5. Anphlebotomistnisnpreparingntondrawnbloodnfromnanpatientninnhospital/nThenpatientnnexten
dsnhisnarmnandnturnsnheadnaway.nWhichnconsentndoesnthisnindicate?n-nANSWER-
a.nImpliednconsent
6. Whynshouldnphlebotomistndocumentnvolumenofnbloodndrawnnfromnanpatient?n-
nnANSWER-a.nIatrogenicnanemiancouldnbenanresultnfontoonmuchntaken
7. AnphlebotomistnhasnanrequisitionntondrawnbloodnonnanpatientnwithnseverenDown'snnsynd
rome.nWhatnstepsnwouldnyountake?n-nANSWER-
a.nSpeaknwithnthenpatientnguardiannbeforenperformingnvenipuncturentonenmsurenthenpatie
ntnunderstands
8. An69nyearnoldnunconsciousnpatientnisnbroughtnotnthenER.nSeveralnbloodntestsnareno
rdered.nThenphlebotomistncollectsnbloodnundern-nANSWER-a.nImpliednconsent
9. Whichnofnthenfollowingnactionsnisnappropriatenwhennlabelingnspecimens?n-nANSWER-
a. Labelnspecimensnatnthentimenofncollectionninnfrontnofnthenpatient
10. Beforencollectingnbloodnonnanninpatient,nthenphlebotomistnnoticesnthere'snnonnwristb
andnonnwrist.nTherenisnonenonnthenIVnpole.nWhatndonyoundo?n-nANSWER-
a.nDon'tndrawnuntilnnursenputsnannarmbandnonnpatient
, 11. Whichnisnappropriatenformnofnidentificationninninpatientnsetting?n-nANSWER-
a.nVerbalnandnwristnband
12. WBC,nRBC,nElectrolytesnarenordered.nWhichntubesnarenusednforncapillary?n-
nnANSWER-a.nLavendernandnred
13. AnbloodnspecimennisnrejectednbynlabnwithnQNSnasnthenreason?nWhy?n-nANSWER-
a.nThenspecimennwasninsufficient-notnenoughnblood
14. Whichnofnthenfollowingnisnbestnmethodntonpreventninternalnornexternalnbleedingnfromnnv
enipuncturensitenafternneedlenisnremoved?n-nANSWER-
a.nApplynpressurentonpreventnnleakagenofnbloodnintonthentissues
15. AnphysiciannordersnanSTATnbutnphlebotomistnforgetsntonfillnoutnpatientnIDnnumber.nn
Whatnisnappropriatenprocedurenfornannimproperlynlabelednspecimennwhennreceivedninnnl
ab?n-nANSWER-a.nLabnrejectsnthenmislabelednspecimen
16. Phlebotomistnisnperformingnvenipuncturenandnpatientnbeginsntonseize.nWhatnisncorrectn
action?n-nANSWER-a.nDiscontinuenthendraw
17. Phlebotomistnreceivesnordersntondrawnanninfantnscreeningncard,nO2nlevels,nbilirubin,nna
ndnDNA.nWhichnisntonbendrawnnfirst?n-nANSWER-a.nO2nlevels
18. Whennperformingnanvenipuncturenonnanpatientnofnaveragenweight,nwhichnisnthencorrectnt
echniquenfornneedleninsertion?n-nANSWER-a.nInsertnuntilnanchangeninnresistance
19. Whichnisnthenbestnmethodntoncollectnanbloodnspecimennfromnannoldernadultnpatientn n
whonhasnfragile,neasyntoncollapsenveins?n-nANSWER-
a.nChoosenansyringenandnbutterflynassembly
20. Whichnofnthenfollowingnisnthentermnforndonationnofnanpatient'snownnbloodnfornannnu
pcomingnsurgery?n-nANSWER-a.nAutologousndonation
21. Thenordernofndrawnforncapillaryncollectionsnisndifferentnthannvenipuncturenbecausen-
nANSWER-a.nIncreasednrisknofncoagulationn(remembernplateletsnstartntonform)
22. Uponnenteringnanpatient'snroomnfornroutinenbloodndraw,nphlebotomistnnoticesnclergyn
membernisnwithnthenpatient.nWhatnshouldnyoundo?n-nANSWER-
a.nReturnnlaternafternndrawingnothernpatients
23. Anphlebotomistnnoticesnanhematomandevelopingnatnthensitenofnvenipuncture.nThen
phlebotomistnshouldn-nANSWER-a.nReleasenthentourniquetnandnstopnthendraw
24. KnownORDERnofnDRAW!!n-nANSWER-
