NHA PHLEBOTOMY CERTIFICATION EXAM / LATEST COMPLETE VERSION / ACTUAL AUTHENTIC
QUESTIONS AND ANSWES (A+ GUIDE SOLUTION) 2025/2026
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
,NHA PHLEBOTOMY CERTIFICATION EXAM / LATEST COMPLETE VERSION / ACTUAL AUTHENTIC
QUESTIONS AND ANSWES (A+ GUIDE SOLUTION) 2025/2026
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)
,NHA PHLEBOTOMY CERTIFICATION EXAM / LATEST COMPLETE VERSION / ACTUAL AUTHENTIC
QUESTIONS AND ANSWES (A+ GUIDE SOLUTION) 2025/2026
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
40. When using evacuated tube system (EVS). - correct answer a. Position the needle in the
same direction as the vein at 30 degree angle
41. What is additive for a PT/PTT? - correct answer a. Sodium Citrate (Blue top)
42. Blood cultures have been ordered on ICU patient. You would use: - correct answer a.
Aerobic and anaerobic bottles
, NHA PHLEBOTOMY CERTIFICATION EXAM / LATEST COMPLETE VERSION / ACTUAL AUTHENTIC
QUESTIONS AND ANSWES (A+ GUIDE SOLUTION) 2025/2026
43. A phlebotomist is required to obtain what from a potential donor? - correct answer a.
Complete medical history
44. Phlebotomist needs to draw a glucose tolerance test on a patient and notices an empty
breakfast plate at bedside. What should you do? - correct answer a. Ask the patient when he or
she ate last
45. Which vein should you attempt first? - correct answer a. Median cubital
46. If a phlebotomist is stuck with a used needle, first action is: - correct answer a. Flush the
area with running water
47. correct specimen handling, what should you put on collection tubes? - correct answer
Before leaving a patient room, make sure the date, time and initials are on the tubes.
48. When removing the needle from the arm, engage the safety device immediately - correct
answer
49. What can cause hemolysis? - correct answer a. Vigorously shaking the tube
50. A phlebotomist must centrifuge a serum separator tube before shipment: - correct answer
a. Cells must be separated from the serum
51. The phlebotomist draws a CBC at 1800. Lab closed at 1730 and will not process until 500.
What temp should the CBC be stored - correct answer a. 2-10 degrees C (EDTA tubes may be
processed at 12 hours if refrigerated)
52. What test results can be affected if iodine is used to clean the site? - correct answer a.
Potassium
53. According to CLSI, what is collected first? - correct answer a. Blood cultures
54. KNOW ORDER OF DRAW - correct answer
1. KNOW ADDITIVES - correct answer
55. KNOW ORDER OF VENIPUNTURE PROCEDURE - correct answer
56. A physician ordered a Tobramycin level to be drawn one hour after dose. The Tobramycin
has been ordered for 11am. What should you do - correct answer a. Check with the nurse to
make sure meds were given (or not given)
57. phlebotomist notices red spots. What is appropriate action? - correct answer a. Apply
pressure after collecting During the draw, the the sample
58. What is a potential consequence of mislabeling a blood bank specimen? - correct answer a.
A Transfusion reaction
QUESTIONS AND ANSWES (A+ GUIDE SOLUTION) 2025/2026
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
,NHA PHLEBOTOMY CERTIFICATION EXAM / LATEST COMPLETE VERSION / ACTUAL AUTHENTIC
QUESTIONS AND ANSWES (A+ GUIDE SOLUTION) 2025/2026
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)
,NHA PHLEBOTOMY CERTIFICATION EXAM / LATEST COMPLETE VERSION / ACTUAL AUTHENTIC
QUESTIONS AND ANSWES (A+ GUIDE SOLUTION) 2025/2026
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
40. When using evacuated tube system (EVS). - correct answer a. Position the needle in the
same direction as the vein at 30 degree angle
41. What is additive for a PT/PTT? - correct answer a. Sodium Citrate (Blue top)
42. Blood cultures have been ordered on ICU patient. You would use: - correct answer a.
Aerobic and anaerobic bottles
, NHA PHLEBOTOMY CERTIFICATION EXAM / LATEST COMPLETE VERSION / ACTUAL AUTHENTIC
QUESTIONS AND ANSWES (A+ GUIDE SOLUTION) 2025/2026
43. A phlebotomist is required to obtain what from a potential donor? - correct answer a.
Complete medical history
44. Phlebotomist needs to draw a glucose tolerance test on a patient and notices an empty
breakfast plate at bedside. What should you do? - correct answer a. Ask the patient when he or
she ate last
45. Which vein should you attempt first? - correct answer a. Median cubital
46. If a phlebotomist is stuck with a used needle, first action is: - correct answer a. Flush the
area with running water
47. correct specimen handling, what should you put on collection tubes? - correct answer
Before leaving a patient room, make sure the date, time and initials are on the tubes.
48. When removing the needle from the arm, engage the safety device immediately - correct
answer
49. What can cause hemolysis? - correct answer a. Vigorously shaking the tube
50. A phlebotomist must centrifuge a serum separator tube before shipment: - correct answer
a. Cells must be separated from the serum
51. The phlebotomist draws a CBC at 1800. Lab closed at 1730 and will not process until 500.
What temp should the CBC be stored - correct answer a. 2-10 degrees C (EDTA tubes may be
processed at 12 hours if refrigerated)
52. What test results can be affected if iodine is used to clean the site? - correct answer a.
Potassium
53. According to CLSI, what is collected first? - correct answer a. Blood cultures
54. KNOW ORDER OF DRAW - correct answer
1. KNOW ADDITIVES - correct answer
55. KNOW ORDER OF VENIPUNTURE PROCEDURE - correct answer
56. A physician ordered a Tobramycin level to be drawn one hour after dose. The Tobramycin
has been ordered for 11am. What should you do - correct answer a. Check with the nurse to
make sure meds were given (or not given)
57. phlebotomist notices red spots. What is appropriate action? - correct answer a. Apply
pressure after collecting During the draw, the the sample
58. What is a potential consequence of mislabeling a blood bank specimen? - correct answer a.
A Transfusion reaction
