A) As soon as you collect the specimen, keep it next to your body. We will need to
PHLEBOTOMY NHA PRACTICE TEST submit it right away to the lab for testing
B) You'll have to talk to the lab techs about collecting the sample. They do all the testing
(SOLVED) ACTUAL QUESTIONS AND C) Leave the semen sample in the front desk for delivery to the lab
D) You should discuss that with your doctor, I only draw blood - ANSWER-A
ANSWERS UPDATED VERSION
Which of the following test results are affected when povidone iodine is used to cleanse
the site for a dermal procedure?
A Phlebotomist has a requisition to draw blood on a patient who has severe Down
syndrome. Which of the following steps should the Phlebotomist take? A) Glucose
B) Blood urea nitrogen
A) Explain the procedure to the patient in simple terms, then proceed with venipunture. C) Potassium
B) Speak with the patients guardian before performing the venipuncture to ensure the D) Coagulation Studies - ANSWER-C
explanation is understood
C) Draw the Patient's blood without trying to explain the procedure Blood Cultures have been ordered on a patient in the intensive care unit(ICU). The
D) Ask the patient's guardian to assist in holding the patient's arm still for the procedure nurse calls the phlebotomist to bring the appropriate materials. Which of the following
- ANSWER-B should the phlebotomist bring?
Which of the following procedural steps for a finger stick should the phlebotomist do A) Two aerobic bottles
first? B) Two Anaerobic Bottles
C) An aerobic bottle and an SPS tube
A) Cleanse the site D) An aerobic bottle and an anaerobic bottle - ANSWER-D
B) Select the appropriate part of the 3rd or 4th finger
C) Position the Blade of the Lancet across the lines of the fingertip When a phlebotomist is distributing laboratory results to ordering physicians which
D) Confirm Identity of the patient - ANSWER-D results have priority?
A Phlebotomist is drawing blood from a patient and observes red spots. Which of the A) Lead
following is an appropriate action for the phlebotomist to take? B) Basic Metabolic Panel (BMP)
C) Presurgical
A) Stop the draw immediately D) Ferritin - ANSWER-C
B) Apply ice to the site
C) Apply pressure after collecting the specimen Which of the following can cause a hemolyzed specimen?
D) Release the tourniquet immediately - ANSWER-C
A) Inverting the specimen 4 times
Which of the following is appropriate to use when collecting for a chemistry test that B) Partially filling the collection tube
requires serum? C) Shaking the collection tube vigorously
D) Allowing the specimen to clot - ANSWER-C
A) SST
B) EDTA Which is an example of the acceptable reporting of routine lab results?
C) PST
D) SPS - ANSWER-A A) Call the family physician with the results
B) Send the results to the patient's personal email
A Phlebotomist working in a fertility clinic draws blood form a patient who also must C) Send the results to the physician in a marked Envelope
submit a semen sample for analysis. Which of the following should the phlebotomist tell D) Fax the results to the insurance company - ANSWER-C
the patient?
,Before the phlebotomist performs a venipuncture, the patient warns that he is HIV D) Drop the blood on the circle - ANSWER-B
positive. According to OSHA regulations, after wearing gloves, the phlebotomist should?
Which indicates the proper order of draw?
A) Apply an extra set of gloves over the first set
B) Have the supervisor observe the draw A) Lavender, Green, Gray
C) Wear a mask and eye protection B) Gray, Green, Lavender
D) Perform the venipuncture - ANSWER-D C) Green, Gray, Lavender
D) Green, Lavender, Gray - ANSWER-D
Which of the following is appropriate cleanser for cleansing around the urinary meatus
for a clean-catch urine specimen? The order of draw for a capillary collection is different than venipuncture because of?
A) Hydrogen Peroxide A) The risk of hemoconcentration
B) Benzalkonium Chloride or mild antiseptic soap B) An increased rate of coagulation
C) Povidone Iodine C) The smaller size of samples
D) 70% Alcohol pad - ANSWER-B D) Additive cross contamination - ANSWER-B
The phlebotomist should use a tube with which of the following anticoagulants to collect A Phlebotomist is preparing to perform a hand draw. Which of the following should the
a PT/PTT test? phlebotomist assemble?
A) EDTA (Ethylenediaminetetraacetic acid) A) ETS Needle and transfer
B) Sodium citrate B) Winged infusion set and adapter
C)Potassium oxalate C) Syringe and vacutainer
D) Heparin - ANSWER-B D) Lancet and microtainer - ANSWER-B
When should the code on glucose cuvettes or strips be compared to the code on the A patient comes in to find out his test results. The phlebotomist notices the results are
glucose meter? ready and verifies the patient's identity. Which of the following actions is most
appropriate?
A) After a new package is opened
B) When a patient is tested A) Have the lab manager discuss the results with the patient
C) At the beginning of the shift B) Have the nurse interpret the result for the patient
D) Following an error code - ANSWER-B C) Obtain a signed authorization from the patient and explain the results in a private
exam room
A Phlebotomist recieves orders to draw an infant screening card, O2 levels, bilirubin, D) Inform the patient to contact the ordering physician to get the results. - ANSWER-D
and DNA. Which of the following should be drawn first?
During a venipuncture, the patient reports a sharp pain radiating down the arm. Which
A) O2 Levels of the following actions should the phlebotomist take?
B) Bilirubin
C) DNA A) Release the tourniquet and remove the needle
D)Screening card - ANSWER-A B) Pull back on the needle and continue procedure
C) Reposition the patient and change the needle gauge
After performing a heel puncture for neonatal screening, which of the following is the D) Continue to draw and monitor the patient's pain. - ANSWER-A
correct procedure for collecting the blood?
A blood specimen was rejected by the lab with the abbreviation QNS. Why was the
A) Smear the blood on the circle specimen rejected?
B) Saturate each circle
C) Touch the heel to the center of the circle A) The specimen was insufficient
,B) The specimen was exposed to light A) pH imbalance
C) The specimen was chilled B) Clotting / hemolysis
D) The specimen was not properly mixed - ANSWER-A C) Hemoconcentration
D) Reflux - ANSWER-B
Which of the following is the best method to prevent internal or external bleeding from
the venipuncture site after the needle is removed? For Which of the following does emergency first-aid treatment include maintaining an
open airway, controlling bleeding, and keeping the victim warm until help arrives
A) Apply pressure to prevent leakage of blood into the tissues
B) Have the patient bend the arm at the elbow to reduce bleeding A) Syncope
C) Apply a hot pack to the site if swelling or discoloration occurs B) Convulsions
D)Apply a cotton ball to the site - ANSWER-A C) Diaphoresis
D) Shock - ANSWER-D
When collecting a routine blood sample, which of the following vessels should you
attempt to draw from first? Performing a venipuncture for blood cultures from other venipuncture procedures in that
A) Median Cubital A) More blood is drawn
B) Ulnar B) The site is Cleaned more stringently
C) Distal cephalic C) Special patient permission must be obtained
D) Radial - ANSWER-A D) A larger gauge needle is used - ANSWER-B
A diabetic patient states she prefers to be drawn on the inside of her wrist. Which of the Which of the following is the term for a donation of a patient's own blood for an
following actions should the phlebotomist do? upcoming surgery?
A) Draw from the inside of the patient's wrist A) Autonomic Donation
B) Warm the ventral side of the hand to enhance vein location prior to draw B) Presurgical Donation
C) Perform a draw on her foot C) Autologous donation
D) Attempt to draw from the antecubital region - ANSWER-D D) Homologous Donation - ANSWER-C
Which of the following provides the phlebotomist the best protection when drawing The tourniquet should be left on the patients arm for no longer than
blood from a patient with active TB?
A) 30 seconds
A) Double gloves B) 60 seconds
B) N-95 respirator C) 90 seconds
C) Surgical mask D) 120 seconds - ANSWER-B
D) Shoe covers - ANSWER-B
A phlebotomist is preparing to draw blood from a patient in a hospital, the patient
According to CLSI order of draw guidelines, which of the following samples should the extends his arm and turns his head away. Which of the following forms of consent does
phlebotomist collect first? this indicate?
A) Coagulation A) Informed consent
B) Blood culture B) Expressed Consent
C) Electrolytes C) Refusal of consent
D) Glucose levels - ANSWER-B D) Implied consent - ANSWER-D
A phlebotomist must invert anticoagulant tubes to prevent which of the following: A phlebotomist is drawing 5 blood collection tubes. When should the tourniquet be
released?
, A) Ask the patient to open his fist
A) After the draw is complete B) remove the tourniquet
B) After the last tube C) Engage the needle safety device
C) 1-2 minutes D) Invert all tubes - ANSWER-C
D) 3-4 minutes - ANSWER-C
Which of the following is the first step in the blood collection procedure?
A phlebotomist must choose the correct tube color and additive for the corresponding?
A) Test requisition
A) Laboratory Test B) Patient Identification
B) Order of draw C) Test Accession
C) Priority status D) Vein Location - ANSWER-A
D)Special handling - ANSWER-A
Capillary specimen collection is preferred over venipuncture when
Which of the following is the proper procedure for routine venipuncture?
A) veins are inaccessible
A) Cleanse site in an outward spiral B) The patient prefers capillary collection
B) Cleanse site in overlapping circles C) Collecting blood cultures
C) Cleanse site with a scrubbing motion D) Conducting coagulation tests - ANSWER-A
D) Cleanse site in an inward spiral - ANSWER-A
A 69 yr old unconscious patient is brought into the emergency dept. Several blood tests
Which of the following is appropriate when labeling specimens? are ordered. The blood collects blood under:
A) Labeling specimens at the time of collection in front of the patient a) implies consent
B) Specifying the patient's room number, last name, and DOB on the label b) informed consent
C) Keeping the specimen in the tray and labeling them in the laboratory c) active consent
D) Writing the phlebotomist's initials and the time on the label prior to collection - d) explicit consent - ANSWER-A
ANSWER-A
A physician orders a specimen STAT, but the phlebotomist forgets to fill out the patient
At what temperature should a semen sample be transported by the phlebotomist? id number. What is the appropriate procedure for an improperly labeled specimen once
the lab receives it?
a) -21 to -10 C
b) 21 to 23 C a) the specimen is processed as labeled
c) 25 to 30 C b) the label is corrected by lab personnel
d) 36 to 38 C - ANSWER-D c) the specimen is transferred to a properly labeled tube
d) the lab rejects the mislabeled specimen - ANSWER-D
While performing a venipuncture, the first tube fills, but the second tube slows and does
not fill completely,, The phlebtomist need to draw two additional tubes. Which of the Which is the best method to collect a blood specimen from an older adult patient who
following should the phle take? has fragile, easy to collapse veins?
A) Tell the patient that she will need to perform another venipuncture A) Choose a butterfly assemble utilizing a regular ETS tube
B) Write QNS on the requisition for the other tests B) Choose a butterfly assemble and utilize a pediatric tube
C) Submit the existing tubes for all the ordered tests C) Choose a syringe and butterfly assembly and transfer to ETS tube
D) Insert a new tube to see if it will fill - ANSWER-D D) Choose a regular ETS and Pediatric tube assembly - ANSWER-C
Which of the following is the next step after removing the needle from the patient's arm? A phlebotomist collects multiple specimens on a premature infant. What is a possible
result of such a procedure?
PHLEBOTOMY NHA PRACTICE TEST submit it right away to the lab for testing
B) You'll have to talk to the lab techs about collecting the sample. They do all the testing
(SOLVED) ACTUAL QUESTIONS AND C) Leave the semen sample in the front desk for delivery to the lab
D) You should discuss that with your doctor, I only draw blood - ANSWER-A
ANSWERS UPDATED VERSION
Which of the following test results are affected when povidone iodine is used to cleanse
the site for a dermal procedure?
A Phlebotomist has a requisition to draw blood on a patient who has severe Down
syndrome. Which of the following steps should the Phlebotomist take? A) Glucose
B) Blood urea nitrogen
A) Explain the procedure to the patient in simple terms, then proceed with venipunture. C) Potassium
B) Speak with the patients guardian before performing the venipuncture to ensure the D) Coagulation Studies - ANSWER-C
explanation is understood
C) Draw the Patient's blood without trying to explain the procedure Blood Cultures have been ordered on a patient in the intensive care unit(ICU). The
D) Ask the patient's guardian to assist in holding the patient's arm still for the procedure nurse calls the phlebotomist to bring the appropriate materials. Which of the following
- ANSWER-B should the phlebotomist bring?
Which of the following procedural steps for a finger stick should the phlebotomist do A) Two aerobic bottles
first? B) Two Anaerobic Bottles
C) An aerobic bottle and an SPS tube
A) Cleanse the site D) An aerobic bottle and an anaerobic bottle - ANSWER-D
B) Select the appropriate part of the 3rd or 4th finger
C) Position the Blade of the Lancet across the lines of the fingertip When a phlebotomist is distributing laboratory results to ordering physicians which
D) Confirm Identity of the patient - ANSWER-D results have priority?
A Phlebotomist is drawing blood from a patient and observes red spots. Which of the A) Lead
following is an appropriate action for the phlebotomist to take? B) Basic Metabolic Panel (BMP)
C) Presurgical
A) Stop the draw immediately D) Ferritin - ANSWER-C
B) Apply ice to the site
C) Apply pressure after collecting the specimen Which of the following can cause a hemolyzed specimen?
D) Release the tourniquet immediately - ANSWER-C
A) Inverting the specimen 4 times
Which of the following is appropriate to use when collecting for a chemistry test that B) Partially filling the collection tube
requires serum? C) Shaking the collection tube vigorously
D) Allowing the specimen to clot - ANSWER-C
A) SST
B) EDTA Which is an example of the acceptable reporting of routine lab results?
C) PST
D) SPS - ANSWER-A A) Call the family physician with the results
B) Send the results to the patient's personal email
A Phlebotomist working in a fertility clinic draws blood form a patient who also must C) Send the results to the physician in a marked Envelope
submit a semen sample for analysis. Which of the following should the phlebotomist tell D) Fax the results to the insurance company - ANSWER-C
the patient?
,Before the phlebotomist performs a venipuncture, the patient warns that he is HIV D) Drop the blood on the circle - ANSWER-B
positive. According to OSHA regulations, after wearing gloves, the phlebotomist should?
Which indicates the proper order of draw?
A) Apply an extra set of gloves over the first set
B) Have the supervisor observe the draw A) Lavender, Green, Gray
C) Wear a mask and eye protection B) Gray, Green, Lavender
D) Perform the venipuncture - ANSWER-D C) Green, Gray, Lavender
D) Green, Lavender, Gray - ANSWER-D
Which of the following is appropriate cleanser for cleansing around the urinary meatus
for a clean-catch urine specimen? The order of draw for a capillary collection is different than venipuncture because of?
A) Hydrogen Peroxide A) The risk of hemoconcentration
B) Benzalkonium Chloride or mild antiseptic soap B) An increased rate of coagulation
C) Povidone Iodine C) The smaller size of samples
D) 70% Alcohol pad - ANSWER-B D) Additive cross contamination - ANSWER-B
The phlebotomist should use a tube with which of the following anticoagulants to collect A Phlebotomist is preparing to perform a hand draw. Which of the following should the
a PT/PTT test? phlebotomist assemble?
A) EDTA (Ethylenediaminetetraacetic acid) A) ETS Needle and transfer
B) Sodium citrate B) Winged infusion set and adapter
C)Potassium oxalate C) Syringe and vacutainer
D) Heparin - ANSWER-B D) Lancet and microtainer - ANSWER-B
When should the code on glucose cuvettes or strips be compared to the code on the A patient comes in to find out his test results. The phlebotomist notices the results are
glucose meter? ready and verifies the patient's identity. Which of the following actions is most
appropriate?
A) After a new package is opened
B) When a patient is tested A) Have the lab manager discuss the results with the patient
C) At the beginning of the shift B) Have the nurse interpret the result for the patient
D) Following an error code - ANSWER-B C) Obtain a signed authorization from the patient and explain the results in a private
exam room
A Phlebotomist recieves orders to draw an infant screening card, O2 levels, bilirubin, D) Inform the patient to contact the ordering physician to get the results. - ANSWER-D
and DNA. Which of the following should be drawn first?
During a venipuncture, the patient reports a sharp pain radiating down the arm. Which
A) O2 Levels of the following actions should the phlebotomist take?
B) Bilirubin
C) DNA A) Release the tourniquet and remove the needle
D)Screening card - ANSWER-A B) Pull back on the needle and continue procedure
C) Reposition the patient and change the needle gauge
After performing a heel puncture for neonatal screening, which of the following is the D) Continue to draw and monitor the patient's pain. - ANSWER-A
correct procedure for collecting the blood?
A blood specimen was rejected by the lab with the abbreviation QNS. Why was the
A) Smear the blood on the circle specimen rejected?
B) Saturate each circle
C) Touch the heel to the center of the circle A) The specimen was insufficient
,B) The specimen was exposed to light A) pH imbalance
C) The specimen was chilled B) Clotting / hemolysis
D) The specimen was not properly mixed - ANSWER-A C) Hemoconcentration
D) Reflux - ANSWER-B
Which of the following is the best method to prevent internal or external bleeding from
the venipuncture site after the needle is removed? For Which of the following does emergency first-aid treatment include maintaining an
open airway, controlling bleeding, and keeping the victim warm until help arrives
A) Apply pressure to prevent leakage of blood into the tissues
B) Have the patient bend the arm at the elbow to reduce bleeding A) Syncope
C) Apply a hot pack to the site if swelling or discoloration occurs B) Convulsions
D)Apply a cotton ball to the site - ANSWER-A C) Diaphoresis
D) Shock - ANSWER-D
When collecting a routine blood sample, which of the following vessels should you
attempt to draw from first? Performing a venipuncture for blood cultures from other venipuncture procedures in that
A) Median Cubital A) More blood is drawn
B) Ulnar B) The site is Cleaned more stringently
C) Distal cephalic C) Special patient permission must be obtained
D) Radial - ANSWER-A D) A larger gauge needle is used - ANSWER-B
A diabetic patient states she prefers to be drawn on the inside of her wrist. Which of the Which of the following is the term for a donation of a patient's own blood for an
following actions should the phlebotomist do? upcoming surgery?
A) Draw from the inside of the patient's wrist A) Autonomic Donation
B) Warm the ventral side of the hand to enhance vein location prior to draw B) Presurgical Donation
C) Perform a draw on her foot C) Autologous donation
D) Attempt to draw from the antecubital region - ANSWER-D D) Homologous Donation - ANSWER-C
Which of the following provides the phlebotomist the best protection when drawing The tourniquet should be left on the patients arm for no longer than
blood from a patient with active TB?
A) 30 seconds
A) Double gloves B) 60 seconds
B) N-95 respirator C) 90 seconds
C) Surgical mask D) 120 seconds - ANSWER-B
D) Shoe covers - ANSWER-B
A phlebotomist is preparing to draw blood from a patient in a hospital, the patient
According to CLSI order of draw guidelines, which of the following samples should the extends his arm and turns his head away. Which of the following forms of consent does
phlebotomist collect first? this indicate?
A) Coagulation A) Informed consent
B) Blood culture B) Expressed Consent
C) Electrolytes C) Refusal of consent
D) Glucose levels - ANSWER-B D) Implied consent - ANSWER-D
A phlebotomist must invert anticoagulant tubes to prevent which of the following: A phlebotomist is drawing 5 blood collection tubes. When should the tourniquet be
released?
, A) Ask the patient to open his fist
A) After the draw is complete B) remove the tourniquet
B) After the last tube C) Engage the needle safety device
C) 1-2 minutes D) Invert all tubes - ANSWER-C
D) 3-4 minutes - ANSWER-C
Which of the following is the first step in the blood collection procedure?
A phlebotomist must choose the correct tube color and additive for the corresponding?
A) Test requisition
A) Laboratory Test B) Patient Identification
B) Order of draw C) Test Accession
C) Priority status D) Vein Location - ANSWER-A
D)Special handling - ANSWER-A
Capillary specimen collection is preferred over venipuncture when
Which of the following is the proper procedure for routine venipuncture?
A) veins are inaccessible
A) Cleanse site in an outward spiral B) The patient prefers capillary collection
B) Cleanse site in overlapping circles C) Collecting blood cultures
C) Cleanse site with a scrubbing motion D) Conducting coagulation tests - ANSWER-A
D) Cleanse site in an inward spiral - ANSWER-A
A 69 yr old unconscious patient is brought into the emergency dept. Several blood tests
Which of the following is appropriate when labeling specimens? are ordered. The blood collects blood under:
A) Labeling specimens at the time of collection in front of the patient a) implies consent
B) Specifying the patient's room number, last name, and DOB on the label b) informed consent
C) Keeping the specimen in the tray and labeling them in the laboratory c) active consent
D) Writing the phlebotomist's initials and the time on the label prior to collection - d) explicit consent - ANSWER-A
ANSWER-A
A physician orders a specimen STAT, but the phlebotomist forgets to fill out the patient
At what temperature should a semen sample be transported by the phlebotomist? id number. What is the appropriate procedure for an improperly labeled specimen once
the lab receives it?
a) -21 to -10 C
b) 21 to 23 C a) the specimen is processed as labeled
c) 25 to 30 C b) the label is corrected by lab personnel
d) 36 to 38 C - ANSWER-D c) the specimen is transferred to a properly labeled tube
d) the lab rejects the mislabeled specimen - ANSWER-D
While performing a venipuncture, the first tube fills, but the second tube slows and does
not fill completely,, The phlebtomist need to draw two additional tubes. Which of the Which is the best method to collect a blood specimen from an older adult patient who
following should the phle take? has fragile, easy to collapse veins?
A) Tell the patient that she will need to perform another venipuncture A) Choose a butterfly assemble utilizing a regular ETS tube
B) Write QNS on the requisition for the other tests B) Choose a butterfly assemble and utilize a pediatric tube
C) Submit the existing tubes for all the ordered tests C) Choose a syringe and butterfly assembly and transfer to ETS tube
D) Insert a new tube to see if it will fill - ANSWER-D D) Choose a regular ETS and Pediatric tube assembly - ANSWER-C
Which of the following is the next step after removing the needle from the patient's arm? A phlebotomist collects multiple specimens on a premature infant. What is a possible
result of such a procedure?
