NHA PHLEBOTOMY CERTIFICATION EXAM
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1. 1. What temperature should a semen sample be transported?: 36-
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38 degrees C
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2. 2. Which of the following would result in a grossly hemolyzed specimen?
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a. Incorrect order of draw G G G
b. Incorrect needle gauge G G
c. Applying tourniquet too close to the draw site
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d. Failure to invert tube: b. Incorrect needle gauge
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3. 3. Which of the following is proper procedure after collecting ammonia
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specimen?
a. Protect from light G G
b. Keep specimen warm
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c. Keep specimen at body temp
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d. Place specimen in icewater slurry (or a cup of ice): d. Place specimen in i
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cewater slurry (or a cup of ice)
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4. 4. The phlebotomist has a request to collect a CBC from a healthy 10 month
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old. Which is appropriate?: a. Either heel
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5. 5. A phlebotomist is preparing to draw blood from a patient in hospital/ T
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he patient extends his arm and turns head away. Which consent does this in
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dicate?: a. Implied consent
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1G/G63
, NHA PHLEBOTOMY CERTIFICATION EXAM
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6. 6. Why should phlebotomist document volume of blood drawn from a pa-
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G tient?: a. Iatrogenic anemia could be a result fo too much taken
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7. 7. A phlebotomist has a requisition to draw blood on a patient with se-
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G vere Down's syndrome. What steps would you take?: a. Speak with the patient
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guardian before performing venipuncture to enmsure the patient understands
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8. 8. A 69 year old unconscious patient is brought ot the ER. Several blood t
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ests are ordered. The phlebotomist collects blood under: a. Implied consent
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9. 9. Which of the following actions is appropriate when labeling specimens?-
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: a. Label specimens at the time of collection in front of the patient
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10. 10. Before collecting blood on an inpatient, the phlebotomist notices ther
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e's no wristband on wrist. There is one on the IV pole. What do you do?: a. Don't
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G draw until nurse puts an armband on patient
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11. 11. Which is appropriate form of identification in inpatient setting?: a.
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Verbal and wrist band G G G
12. 12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capil-
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G lary?: a. Lavender and red
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13. 13. A blood specimen is rejected by lab with QNS as the reason? Why?: a.
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The specimen was insufficient-not enough blood
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2G/G63
, NHA PHLEBOTOMY CERTIFICATION EXAM
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14. 14. Which of the following is best method to prevent internal or external bl
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eeding from venipuncture site after needle is removed?: a. Apply pressure to pr
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event leakage of blood into the tissues
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15. 15. A physician orders a STAT but phlebotomist forgets to fill out patient I
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D number. What is appropriate procedure for an improperly labeled specimen
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when received in lab?: a. Lab rejects the mislabeled specimen
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16. 16. Phlebotomist is performing venipuncture and patient begins to seize.
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What is correct action?: a. Discontinue the draw
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17. 17. Phlebotomist receives orders to draw an infant screening card, O2
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levels, bilirubin, and DNA. Which is to be drawn first?: a. O2 levels
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18. 18. When performing a venipuncture on a patient of average weight, which
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is the correct technique for needle insertion?: a. Insert until a change in resis-
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G tance
19. 19. Which is the best method to collect a blood specimen from an older ad
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ult patient who has fragile, easy to collapse veins?: a. Choose a syringe and but
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terfly assembly
G
20. 20. Which of the following is the term for donation of a patient's own blood f
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or an upcoming surgery?: a. Autologous donation
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21. 21. The order of draw for capillary collections is different than venipuncture
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3G/G63
, NHA PHLEBOTOMY CERTIFICATION EXAM
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because: a. Increased risk of coagulation (remember platelets start to form)
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22. 22. Upon entering a patient's room for routine blood draw, phlebotomist n
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otices clergy member is with the patient. What should you do?: a. Return later af
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ter drawing other patients
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23. 23. A phlebotomist notices a hematoma developing at the site of venipunc-
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G ture. The phlebotomist should: a. Release the tourniquet and stop the draw
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24. 24. Know ORDER of DRAW!!:
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25. 25. A phlebotomist working in an infertility clinic and the patient is to sub
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mit a semen specimen. The phlebotomist would tell the patient:: a. As soon as y
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ou collect the specimen, keep it next to your body and bring it in right away. (the reas
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on is it needs to stay at body temp and delivered in lab within 2 hours)
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26. 26. After placing tourniquet on a patients arm, the phlebotomist notices
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small red spots below the tourniquet.: a. Petechiae
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27. 27. The phlebotomist should examine the antecubital veins of both arms
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because:: a. The median cubital might be more accessible on one side than the o
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ther
28. 28. What is the appropriate cleanser to clean the meatus for a clean catch
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urine specimen?: a. Benzalkonium chloride
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29. 29. When should the code on glucose cuvettes or strips be compared to
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4G/G63
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1. 1. What temperature should a semen sample be transported?: 36-
G G G G G G G G G
38 degrees C
G G
2. 2. Which of the following would result in a grossly hemolyzed specimen?
G G G G G G G G G G G
a. Incorrect order of draw G G G
b. Incorrect needle gauge G G
c. Applying tourniquet too close to the draw site
G G G G G G G
d. Failure to invert tube: b. Incorrect needle gauge
G G G G G G G
3. 3. Which of the following is proper procedure after collecting ammonia
G G G G G G G G G G G
specimen?
a. Protect from light G G
b. Keep specimen warm
G G
c. Keep specimen at body temp
G G G G
d. Place specimen in icewater slurry (or a cup of ice): d. Place specimen in i
G G G G G G G G G G G G G G
cewater slurry (or a cup of ice)
G G G G G G
4. 4. The phlebotomist has a request to collect a CBC from a healthy 10 month
G G G G G G G G G G G G G G G
old. Which is appropriate?: a. Either heel
G G G G G G
5. 5. A phlebotomist is preparing to draw blood from a patient in hospital/ T
G G G G G G G G G G G G G
he patient extends his arm and turns head away. Which consent does this in
G G G G G G G G G G G G G
dicate?: a. Implied consent
G G G
1G/G63
, NHA PHLEBOTOMY CERTIFICATION EXAM
G G G
6. 6. Why should phlebotomist document volume of blood drawn from a pa-
G G G G G G G G G G G
G tient?: a. Iatrogenic anemia could be a result fo too much taken
G G G G G G G G G G G
7. 7. A phlebotomist has a requisition to draw blood on a patient with se-
G G G G G G G G G G G G G
G vere Down's syndrome. What steps would you take?: a. Speak with the patient
G G G G G G G G G G G G G
guardian before performing venipuncture to enmsure the patient understands
G G G G G G G G
8. 8. A 69 year old unconscious patient is brought ot the ER. Several blood t
G G G G G G G G G G G G G G
ests are ordered. The phlebotomist collects blood under: a. Implied consent
G G G G G G G G G G
9. 9. Which of the following actions is appropriate when labeling specimens?-
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: a. Label specimens at the time of collection in front of the patient
G G G G G G G G G G G G G
10. 10. Before collecting blood on an inpatient, the phlebotomist notices ther
G G G G G G G G G G
e's no wristband on wrist. There is one on the IV pole. What do you do?: a. Don't
G G G G G G G G G G G G G G G G G
G draw until nurse puts an armband on patient
G G G G G G G
11. 11. Which is appropriate form of identification in inpatient setting?: a.
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Verbal and wrist band G G G
12. 12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capil-
G G G G G G G G G G G
G lary?: a. Lavender and red
G G G G
13. 13. A blood specimen is rejected by lab with QNS as the reason? Why?: a.
G G G G G G G G G G G G G G G
The specimen was insufficient-not enough blood
G G G G G
2G/G63
, NHA PHLEBOTOMY CERTIFICATION EXAM
G G G
14. 14. Which of the following is best method to prevent internal or external bl
G G G G G G G G G G G G G
eeding from venipuncture site after needle is removed?: a. Apply pressure to pr
G G G G G G G G G G G G
event leakage of blood into the tissues
G G G G G G
15. 15. A physician orders a STAT but phlebotomist forgets to fill out patient I
G G G G G G G G G G G G G
D number. What is appropriate procedure for an improperly labeled specimen
G G G G G G G G G G G
when received in lab?: a. Lab rejects the mislabeled specimen
G G G G G G G G G
16. 16. Phlebotomist is performing venipuncture and patient begins to seize.
G G G G G G G G G G
What is correct action?: a. Discontinue the draw
G G G G G G G
17. 17. Phlebotomist receives orders to draw an infant screening card, O2
G G G G G G G G G G G
levels, bilirubin, and DNA. Which is to be drawn first?: a. O2 levels
G G G G G G G G G G G G
18. 18. When performing a venipuncture on a patient of average weight, which
G G G G G G G G G G G G
is the correct technique for needle insertion?: a. Insert until a change in resis-
G G G G G G G G G G G G G
G tance
19. 19. Which is the best method to collect a blood specimen from an older ad
G G G G G G G G G G G G G G
ult patient who has fragile, easy to collapse veins?: a. Choose a syringe and but
G G G G G G G G G G G G G G
terfly assembly
G
20. 20. Which of the following is the term for donation of a patient's own blood f
G G G G G G G G G G G G G G G
or an upcoming surgery?: a. Autologous donation
G G G G G G
21. 21. The order of draw for capillary collections is different than venipuncture
G G G G G G G G G G G G
3G/G63
, NHA PHLEBOTOMY CERTIFICATION EXAM
G G G
because: a. Increased risk of coagulation (remember platelets start to form)
G G G G G G G G G G
22. 22. Upon entering a patient's room for routine blood draw, phlebotomist n
G G G G G G G G G G G
otices clergy member is with the patient. What should you do?: a. Return later af
G G G G G G G G G G G G G G
ter drawing other patients
G G G
23. 23. A phlebotomist notices a hematoma developing at the site of venipunc-
G G G G G G G G G G G
G ture. The phlebotomist should: a. Release the tourniquet and stop the draw
G G G G G G G G G G G
24. 24. Know ORDER of DRAW!!:
G G G G
25. 25. A phlebotomist working in an infertility clinic and the patient is to sub
G G G G G G G G G G G G G
mit a semen specimen. The phlebotomist would tell the patient:: a. As soon as y
G G G G G G G G G G G G G G
ou collect the specimen, keep it next to your body and bring it in right away. (the reas
G G G G G G G G G G G G G G G G G
on is it needs to stay at body temp and delivered in lab within 2 hours)
G G G G G G G G G G G G G G G
26. 26. After placing tourniquet on a patients arm, the phlebotomist notices
G G G G G G G G G G G
small red spots below the tourniquet.: a. Petechiae
G G G G G G G
27. 27. The phlebotomist should examine the antecubital veins of both arms
G G G G G G G G G G G
because:: a. The median cubital might be more accessible on one side than the o
G G G G G G G G G G G G G G
ther
28. 28. What is the appropriate cleanser to clean the meatus for a clean catch
G G G G G G G G G G G G G G
urine specimen?: a. Benzalkonium chloride
G G G G
29. 29. When should the code on glucose cuvettes or strips be compared to
G G G G G G G G G G G G G
4G/G63
