NHA PHLEBOTOMY CERTIFICATION EXAM
1. 1. What temperature should a semen sample be transported?: 36-38 degrees
C
2. 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: b. Incorrect needle gauge
3. 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): d. Place specimen in
icewater slurry (or a cup of ice)
4. 4. The phlebotomist has a request to collect a CBC from a healthy 10 month
old. Which is appropriate?: a. Either heel
5. 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?: a. Implied consent
, NHA PHLEBOTOMY CERTIFICATION EXAM
6. 6. Why should phlebotomist document volume of blood drawn from a pa-
tient?: a. Iatrogenic anemia could be a result fo too much taken
7. 7. A phlebotomist has a requisition to draw blood on a patient with se-
vere Down's syndrome. What steps would you take?: a. Speak with the patient
guardian before performing venipuncture to enmsure the patient understands
8. 8. A 69 year old unconscious patient is brought ot the ER. Several blood
tests are ordered. The phlebotomist collects blood under: a. Implied consent
9. 9. Which of the following actions is appropriate when labeling specimens?-
: a. Label specimens at the time of collection in front of the patient
10. 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?: a.
Don't draw until nurse puts an armband on patient
11. 11. Which is appropriate form of identification in inpatient setting?: a.
Verbal and wrist band
12. 12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capil-
lary?: a. Lavender and red
13. 13. A blood specimen is rejected by lab with QNS as the reason? Why?: a.
The specimen was insufficient-not enough blood
, NHA PHLEBOTOMY CERTIFICATION EXAM
14. 14. Which of the following is best method to prevent internal or external
bleeding from venipuncture site after needle is removed?: a. Apply pressure to
prevent leakage of blood into the tissues
15. 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?: a. Lab rejects the mislabeled specimen
16. 16. Phlebotomist is performing venipuncture and patient begins to seize.
What is correct action?: a. Discontinue the draw
17. 17. Phlebotomist receives orders to draw an infant screening card, O2
levels, bilirubin, and DNA. Which is to be drawn first?: a. O2 levels
18. 18. When performing a venipuncture on a patient of average weight, which
is the correct technique for needle insertion?: a. Insert until a change in resis-
tance
19. 19. Which is the best method to collect a blood specimen from an older
adult patient who has fragile, easy to collapse veins?: a. Choose a syringe and
butterfly assembly
20. 20. Which of the following is the term for donation of a patient's own blood
for an upcoming surgery?: a. Autologous donation
21. 21. The order of draw for capillary collections is different than venipuncture
, NHA PHLEBOTOMY CERTIFICATION EXAM
because: a. Increased risk of coagulation (remember platelets start to form)
22. 22. Upon entering a patient's room for routine blood draw, phlebotomist
notices clergy member is with the patient. What should you do?: a. Return later
after drawing other patients
23. 23. A phlebotomist notices a hematoma developing at the site of venipunc-
ture. The phlebotomist should: a. Release the tourniquet and stop the draw
24. 24. Know ORDER of DRAW!!:
25. 25. A phlebotomist working in an infertility clinic and the patient is to
submit a semen specimen. The phlebotomist would tell the patient:: 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. 26. After placing tourniquet on a patients arm, the phlebotomist notices
small red spots below the tourniquet.: a. Petechiae
27. 27. The phlebotomist should examine the antecubital veins of both arms
because:: a. The median cubital might be more accessible on one side than the
other
28. 28. What is the appropriate cleanser to clean the meatus for a clean catch
urine specimen?: a. Benzalkonium chloride
29. 29. When should the code on glucose cuvettes or strips be compared to
1. 1. What temperature should a semen sample be transported?: 36-38 degrees
C
2. 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: b. Incorrect needle gauge
3. 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): d. Place specimen in
icewater slurry (or a cup of ice)
4. 4. The phlebotomist has a request to collect a CBC from a healthy 10 month
old. Which is appropriate?: a. Either heel
5. 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?: a. Implied consent
, NHA PHLEBOTOMY CERTIFICATION EXAM
6. 6. Why should phlebotomist document volume of blood drawn from a pa-
tient?: a. Iatrogenic anemia could be a result fo too much taken
7. 7. A phlebotomist has a requisition to draw blood on a patient with se-
vere Down's syndrome. What steps would you take?: a. Speak with the patient
guardian before performing venipuncture to enmsure the patient understands
8. 8. A 69 year old unconscious patient is brought ot the ER. Several blood
tests are ordered. The phlebotomist collects blood under: a. Implied consent
9. 9. Which of the following actions is appropriate when labeling specimens?-
: a. Label specimens at the time of collection in front of the patient
10. 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?: a.
Don't draw until nurse puts an armband on patient
11. 11. Which is appropriate form of identification in inpatient setting?: a.
Verbal and wrist band
12. 12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capil-
lary?: a. Lavender and red
13. 13. A blood specimen is rejected by lab with QNS as the reason? Why?: a.
The specimen was insufficient-not enough blood
, NHA PHLEBOTOMY CERTIFICATION EXAM
14. 14. Which of the following is best method to prevent internal or external
bleeding from venipuncture site after needle is removed?: a. Apply pressure to
prevent leakage of blood into the tissues
15. 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?: a. Lab rejects the mislabeled specimen
16. 16. Phlebotomist is performing venipuncture and patient begins to seize.
What is correct action?: a. Discontinue the draw
17. 17. Phlebotomist receives orders to draw an infant screening card, O2
levels, bilirubin, and DNA. Which is to be drawn first?: a. O2 levels
18. 18. When performing a venipuncture on a patient of average weight, which
is the correct technique for needle insertion?: a. Insert until a change in resis-
tance
19. 19. Which is the best method to collect a blood specimen from an older
adult patient who has fragile, easy to collapse veins?: a. Choose a syringe and
butterfly assembly
20. 20. Which of the following is the term for donation of a patient's own blood
for an upcoming surgery?: a. Autologous donation
21. 21. The order of draw for capillary collections is different than venipuncture
, NHA PHLEBOTOMY CERTIFICATION EXAM
because: a. Increased risk of coagulation (remember platelets start to form)
22. 22. Upon entering a patient's room for routine blood draw, phlebotomist
notices clergy member is with the patient. What should you do?: a. Return later
after drawing other patients
23. 23. A phlebotomist notices a hematoma developing at the site of venipunc-
ture. The phlebotomist should: a. Release the tourniquet and stop the draw
24. 24. Know ORDER of DRAW!!:
25. 25. A phlebotomist working in an infertility clinic and the patient is to
submit a semen specimen. The phlebotomist would tell the patient:: 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. 26. After placing tourniquet on a patients arm, the phlebotomist notices
small red spots below the tourniquet.: a. Petechiae
27. 27. The phlebotomist should examine the antecubital veins of both arms
because:: a. The median cubital might be more accessible on one side than the
other
28. 28. What is the appropriate cleanser to clean the meatus for a clean catch
urine specimen?: a. Benzalkonium chloride
29. 29. When should the code on glucose cuvettes or strips be compared to
