NHA Phlebotomy certification EXAM
j j j
1.jWhatjtemperaturejshouldjajsemenjsamplejbejtransported?j-j
36-38jdegreesjC
jjjjjjj
2.jWhichjofjthejfollowingjwouldjresultjinjajgrosslyjhemolyzedjspecimen?
a.jIncorrectjorderjofjdraw
b.jIncorrectjneedlejgauge
c.jApplyingjtourniquetjtoojclosejtojthejdrawjsite
d.jFailurejtojinvertjtubej-j
b.jIncorrectjneedlejgauge
jjjjjjj
3.jWhichjofjthejfollowingjisjproperjprocedurejafterjcollectingjammoniajspecimen?
a.jProtectjfromjlight
b.jKeepjspecimenjwarm
c.jKeepjspecimenjatjbodyjtemp
d.jPlacejspecimenjinjicewaterjslurryj(orjajcupjofjice)j-j
d.jPlacejspecimenjinjicewaterjslurryj(orjajcupjofjice)
jjjjjjj
4.jThejphlebotomistjhasjajrequestjtojcollectjajCBCjfromjajhealthyj10jmonthjold.jWhichjisjappropriate?j-j
a.jEitherjheel
jjjjjjj
5.jAjphlebotomistjisjpreparingjtojdrawjbloodjfromjajpatientjinjhospital/jThejpatientjextendsjhisjarmjandjturns
jheadjaway.jWhichjconsentjdoesjthisjindicate?j-j
a.jImpliedjconsent
jjjjjjj
6.jWhyjshouldjphlebotomistjdocumentjvolumejofjbloodjdrawnjfromjajpatient?j-j
a.jIatrogenicjanemiajcouldjbejajresultjfojtoojmuchjtaken
jjjjjjj
,7.jAjphlebotomistjhasjajrequisitionjtojdrawjbloodjonjajpatientjwithjseverejDown'sjsyndrome.jWhatjstepsjwo
uldjyoujtake?j-j
a.jSpeakjwithjthejpatientjguardianjbeforejperformingjvenipuncturejtojenmsurejthejpatientjunderstands
jjjjjjj
8.jAj69jyearjoldjunconsciousjpatientjisjbroughtjotjthejER.jSeveraljbloodjtestsjarejordered.jThejphlebotomistjc
ollectsjbloodjunderj-j
a.jImpliedjconsent
jjjjjjj
9.jWhichjofjthejfollowingjactionsjisjappropriatejwhenjlabelingjspecimens?j-j
a.jLabeljspecimensjatjthejtimejofjcollectionjinjfrontjofjthejpatient
jjjjjjj
10.jBeforejcollectingjbloodjonjanjinpatient,jthejphlebotomistjnoticesjthere'sjnojwristbandjonjwrist.jTherejisj
onejonjthejIVjpole.jWhatjdojyoujdo?j-j
a.jDon'tjdrawjuntiljnursejputsjanjarmbandjonjpatient
jjjjjjj
11.jWhichjisjappropriatejformjofjidentificationjinjinpatientjsetting?j-j
a.jVerbaljandjwristjband
jjjjjjj
12.jWBC,jRBC,jElectrolytesjarejordered.jWhichjtubesjarejusedjforjcapillary?j-j
a.jLavenderjandjred
jjjjjjj
13.jAjbloodjspecimenjisjrejectedjbyjlabjwithjQNSjasjthejreason?jWhy?j-j
a.jThejspecimenjwasjinsufficient-notjenoughjblood
jjjjjjj
14.jWhichjofjthejfollowingjisjbestjmethodjtojpreventjinternaljorjexternaljbleedingjfromjvenipuncturejsitejaft
erjneedlejisjremoved?j-j
a.jApplyjpressurejtojpreventjleakagejofjbloodjintojthejtissues
jjjjjjj
,15.jAjphysicianjordersjajSTATjbutjphlebotomistjforgetsjtojfilljoutjpatientjIDjnumber.jWhatjisjappropriatejproc
edurejforjanjimproperlyjlabeledjspecimenjwhenjreceivedjinjlab?j-j
a.jLabjrejectsjthejmislabeledjspecimen
jjjjjjj
16.jPhlebotomistjisjperformingjvenipuncturejandjpatientjbeginsjtojseize.jWhatjisjcorrectjaction?j-j
a.jDiscontinuejthejdraw
jjjjjjj
17.jPhlebotomistjreceivesjordersjtojdrawjanjinfantjscreeningjcard,jO2jlevels,jbilirubin,jandjDNA.jWhichjisjtojb
ejdrawnjfirst?j-j
a.jO2jlevels
jjjjjjj
18.jWhenjperformingjajvenipuncturejonjajpatientjofjaveragejweight,jwhichjisjthejcorrectjtechniquejforjneedl
ejinsertion?j-j
a.jInsertjuntiljajchangejinjresistance
jjjjjjj
19.jWhichjisjthejbestjmethodjtojcollectjajbloodjspecimenjfromjanjolderjadultjpatientjwhojhasjfragile,jeasyjtojc
ollapsejveins?j-j
a.jChoosejajsyringejandjbutterflyjassembly
jjjjjjj
20.jWhichjofjthejfollowingjisjthejtermjforjdonationjofjajpatient'sjownjbloodjforjanjupcomingjsurgery?j-j
a.jAutologousjdonation
jjjjjjj
21.jThejorderjofjdrawjforjcapillaryjcollectionsjisjdifferentjthanjvenipuncturejbecausej-j
a.jIncreasedjriskjofjcoagulationj(rememberjplateletsjstartjtojform)
jjjjjjj
22.jUponjenteringjajpatient'sjroomjforjroutinejbloodjdraw,jphlebotomistjnoticesjclergyjmemberjisjwithjthejp
atient.jWhatjshouldjyoujdo?j-j
a.jReturnjlaterjafterjdrawingjotherjpatients
jjjjjjj
23.jAjphlebotomistjnoticesjajhematomajdevelopingjatjthejsitejofjvenipuncture.jThejphlebotomistjshouldj-j
, a.jReleasejthejtourniquetjandjstopjthejdraw
jjjjjjj
24.jKnowjORDERjofjDRAW!!j-j
jjjjjjj
25.jAjphlebotomistjworkingjinjanjinfertilityjclinicjandjthejpatientjisjtojsubmitjajsemenjspecimen.jThejphlebot
omistjwouldjtelljthejpatient:j-j
a.jAsjsoonjasjyoujcollectjthejspecimen,jkeepjitjnextjtojyourjbodyjandjbringjitjinjrightjaway.j(thejreasonjisjitjne
jjjjjjj
edsjtojstayjatjbodyjtempjandjdeliveredjinjlabjwithinj2jhours)
26.jAfterjplacingjtourniquetjonjajpatientsjarm,jthejphlebotomistjnoticesjsmalljredjspotsjbelowjthejtournique
t.j-j
a.jPetechiae
jjjjjjj
27.jThejphlebotomistjshouldjexaminejthejantecubitaljveinsjofjbothjarmsjbecause:j-j
a.jThejmedianjcubitaljmightjbejmorejaccessiblejonjonejsidejthanjthejother
jjjjjjj
28.jWhatjisjthejappropriatejcleanserjtojcleanjthejmeatusjforjajcleanjcatchjurinejspecimen?j-j
a.jBenzalkoniumjchloride
jjjjjjj
29.jWhenjshouldjthejcodejonjglucosejcuvettesjorjstripsjbejcomparedjtojthejcodejonjthejglucosejmeter?j-j
a.jWhenjthejpatientjisjtested
jjjjjjj
30.jWhichjofjthejfollowingjisjappropriatejtojusejwhenjcollectingjforjajchemistryjtestjthatjrequiresjserum?j-j
a.jSSTj(thisjisjthejredjgeljtube)
jjjjjjj
31.jAjpatientjstatejshejisjajdifficultjdrawjandjrequestsjajskinjpuncture.jThejtestjisjajPTT.jWhichjshouldjyoujdo?j
-j
a.jUsejajsyringejandjtransferjtojajlightjbluejtube
jjjjjjj
j j j
1.jWhatjtemperaturejshouldjajsemenjsamplejbejtransported?j-j
36-38jdegreesjC
jjjjjjj
2.jWhichjofjthejfollowingjwouldjresultjinjajgrosslyjhemolyzedjspecimen?
a.jIncorrectjorderjofjdraw
b.jIncorrectjneedlejgauge
c.jApplyingjtourniquetjtoojclosejtojthejdrawjsite
d.jFailurejtojinvertjtubej-j
b.jIncorrectjneedlejgauge
jjjjjjj
3.jWhichjofjthejfollowingjisjproperjprocedurejafterjcollectingjammoniajspecimen?
a.jProtectjfromjlight
b.jKeepjspecimenjwarm
c.jKeepjspecimenjatjbodyjtemp
d.jPlacejspecimenjinjicewaterjslurryj(orjajcupjofjice)j-j
d.jPlacejspecimenjinjicewaterjslurryj(orjajcupjofjice)
jjjjjjj
4.jThejphlebotomistjhasjajrequestjtojcollectjajCBCjfromjajhealthyj10jmonthjold.jWhichjisjappropriate?j-j
a.jEitherjheel
jjjjjjj
5.jAjphlebotomistjisjpreparingjtojdrawjbloodjfromjajpatientjinjhospital/jThejpatientjextendsjhisjarmjandjturns
jheadjaway.jWhichjconsentjdoesjthisjindicate?j-j
a.jImpliedjconsent
jjjjjjj
6.jWhyjshouldjphlebotomistjdocumentjvolumejofjbloodjdrawnjfromjajpatient?j-j
a.jIatrogenicjanemiajcouldjbejajresultjfojtoojmuchjtaken
jjjjjjj
,7.jAjphlebotomistjhasjajrequisitionjtojdrawjbloodjonjajpatientjwithjseverejDown'sjsyndrome.jWhatjstepsjwo
uldjyoujtake?j-j
a.jSpeakjwithjthejpatientjguardianjbeforejperformingjvenipuncturejtojenmsurejthejpatientjunderstands
jjjjjjj
8.jAj69jyearjoldjunconsciousjpatientjisjbroughtjotjthejER.jSeveraljbloodjtestsjarejordered.jThejphlebotomistjc
ollectsjbloodjunderj-j
a.jImpliedjconsent
jjjjjjj
9.jWhichjofjthejfollowingjactionsjisjappropriatejwhenjlabelingjspecimens?j-j
a.jLabeljspecimensjatjthejtimejofjcollectionjinjfrontjofjthejpatient
jjjjjjj
10.jBeforejcollectingjbloodjonjanjinpatient,jthejphlebotomistjnoticesjthere'sjnojwristbandjonjwrist.jTherejisj
onejonjthejIVjpole.jWhatjdojyoujdo?j-j
a.jDon'tjdrawjuntiljnursejputsjanjarmbandjonjpatient
jjjjjjj
11.jWhichjisjappropriatejformjofjidentificationjinjinpatientjsetting?j-j
a.jVerbaljandjwristjband
jjjjjjj
12.jWBC,jRBC,jElectrolytesjarejordered.jWhichjtubesjarejusedjforjcapillary?j-j
a.jLavenderjandjred
jjjjjjj
13.jAjbloodjspecimenjisjrejectedjbyjlabjwithjQNSjasjthejreason?jWhy?j-j
a.jThejspecimenjwasjinsufficient-notjenoughjblood
jjjjjjj
14.jWhichjofjthejfollowingjisjbestjmethodjtojpreventjinternaljorjexternaljbleedingjfromjvenipuncturejsitejaft
erjneedlejisjremoved?j-j
a.jApplyjpressurejtojpreventjleakagejofjbloodjintojthejtissues
jjjjjjj
,15.jAjphysicianjordersjajSTATjbutjphlebotomistjforgetsjtojfilljoutjpatientjIDjnumber.jWhatjisjappropriatejproc
edurejforjanjimproperlyjlabeledjspecimenjwhenjreceivedjinjlab?j-j
a.jLabjrejectsjthejmislabeledjspecimen
jjjjjjj
16.jPhlebotomistjisjperformingjvenipuncturejandjpatientjbeginsjtojseize.jWhatjisjcorrectjaction?j-j
a.jDiscontinuejthejdraw
jjjjjjj
17.jPhlebotomistjreceivesjordersjtojdrawjanjinfantjscreeningjcard,jO2jlevels,jbilirubin,jandjDNA.jWhichjisjtojb
ejdrawnjfirst?j-j
a.jO2jlevels
jjjjjjj
18.jWhenjperformingjajvenipuncturejonjajpatientjofjaveragejweight,jwhichjisjthejcorrectjtechniquejforjneedl
ejinsertion?j-j
a.jInsertjuntiljajchangejinjresistance
jjjjjjj
19.jWhichjisjthejbestjmethodjtojcollectjajbloodjspecimenjfromjanjolderjadultjpatientjwhojhasjfragile,jeasyjtojc
ollapsejveins?j-j
a.jChoosejajsyringejandjbutterflyjassembly
jjjjjjj
20.jWhichjofjthejfollowingjisjthejtermjforjdonationjofjajpatient'sjownjbloodjforjanjupcomingjsurgery?j-j
a.jAutologousjdonation
jjjjjjj
21.jThejorderjofjdrawjforjcapillaryjcollectionsjisjdifferentjthanjvenipuncturejbecausej-j
a.jIncreasedjriskjofjcoagulationj(rememberjplateletsjstartjtojform)
jjjjjjj
22.jUponjenteringjajpatient'sjroomjforjroutinejbloodjdraw,jphlebotomistjnoticesjclergyjmemberjisjwithjthejp
atient.jWhatjshouldjyoujdo?j-j
a.jReturnjlaterjafterjdrawingjotherjpatients
jjjjjjj
23.jAjphlebotomistjnoticesjajhematomajdevelopingjatjthejsitejofjvenipuncture.jThejphlebotomistjshouldj-j
, a.jReleasejthejtourniquetjandjstopjthejdraw
jjjjjjj
24.jKnowjORDERjofjDRAW!!j-j
jjjjjjj
25.jAjphlebotomistjworkingjinjanjinfertilityjclinicjandjthejpatientjisjtojsubmitjajsemenjspecimen.jThejphlebot
omistjwouldjtelljthejpatient:j-j
a.jAsjsoonjasjyoujcollectjthejspecimen,jkeepjitjnextjtojyourjbodyjandjbringjitjinjrightjaway.j(thejreasonjisjitjne
jjjjjjj
edsjtojstayjatjbodyjtempjandjdeliveredjinjlabjwithinj2jhours)
26.jAfterjplacingjtourniquetjonjajpatientsjarm,jthejphlebotomistjnoticesjsmalljredjspotsjbelowjthejtournique
t.j-j
a.jPetechiae
jjjjjjj
27.jThejphlebotomistjshouldjexaminejthejantecubitaljveinsjofjbothjarmsjbecause:j-j
a.jThejmedianjcubitaljmightjbejmorejaccessiblejonjonejsidejthanjthejother
jjjjjjj
28.jWhatjisjthejappropriatejcleanserjtojcleanjthejmeatusjforjajcleanjcatchjurinejspecimen?j-j
a.jBenzalkoniumjchloride
jjjjjjj
29.jWhenjshouldjthejcodejonjglucosejcuvettesjorjstripsjbejcomparedjtojthejcodejonjthejglucosejmeter?j-j
a.jWhenjthejpatientjisjtested
jjjjjjj
30.jWhichjofjthejfollowingjisjappropriatejtojusejwhenjcollectingjforjajchemistryjtestjthatjrequiresjserum?j-j
a.jSSTj(thisjisjthejredjgeljtube)
jjjjjjj
31.jAjpatientjstatejshejisjajdifficultjdrawjandjrequestsjajskinjpuncture.jThejtestjisjajPTT.jWhichjshouldjyoujdo?j
-j
a.jUsejajsyringejandjtransferjtojajlightjbluejtube
jjjjjjj
