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NHA PHLEBOTOMY CERTIFICATION
EXAM 2025/2026 UPDATED EXAM WITH
VERIFIED SOLUTIONS.
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)
, Page | 2
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
, Page | 3
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
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
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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
NHA PHLEBOTOMY CERTIFICATION
EXAM 2025/2026 UPDATED EXAM WITH
VERIFIED SOLUTIONS.
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)
, Page | 2
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
, Page | 3
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
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
, Page | 4
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
