NHA PHLEBOTOMY CERTIFICATION EXAM
Questions & Answers
1. 1 . What temperature should a semen sample be transported?
Answer 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
Answer 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)
Answer 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?
Answer 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?
Answer a. Implied consent
6. 6. Why should phlebotomist document volume of blood drawn from a pa-
tient?
Answer 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?
Answer 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
Answer a. Implied consent
9. 9. Which of the following actions is appropriate when labeling specimens?-
Answer a. Label specimens at the time of collection in front of the patient
1 0. 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?
Answer a. Don't draw until nurse puts an armband on patient
,1 1 . 11 . Which is appropriate form of identification in inpatient setting?
Answer a. Verbal and wrist band
1 2. 12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capil-
lary?
Answer a. Lavender and red
1 3. 13. A blood specimen is rejected by lab with QNS as the reason? Why?
Answer a. The specimen was insufficient-not enough blood
1 4. 14. Which of the following is best method to prevent internal or external
bleeding from venipuncture site after needle is removed?
Answer a. Apply pressure to prevent leakage of blood into the tissues
1 5. 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?
Answer a. Lab rejects the mislabeled specimen
1 6. 16. Phlebotomist is performing venipuncture and patient begins to seize.
What is correct action?
Answer a. Discontinue the draw
, 1 7. 17. Phlebotomist receives orders to draw an infant screening card, O2
levels, bilirubin, and DNA. Which is to be drawn first?
Answer a. 02 levels
1 8. 18. When performing a venipuncture on a patient of average weight, which
is the correct technique for needle insertion?
Answer a. Insert until a change in resis- tance
1 9. 19. Which is the best method to collect a blood specimen from an older
adult patient who has fragile, easy to collapse veins?
Answer 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?
Answer a. Autologous donation
21 . 21 . The order of draw for capillary collections is different than venipuncture
because
Answer 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?
Answer a. Return later after drawing other patients
23. 23. A phlebotomist notices a hematoma developing at the site of venipunc-
ture. The phlebotomist should
Questions & Answers
1. 1 . What temperature should a semen sample be transported?
Answer 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
Answer 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)
Answer 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?
Answer 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?
Answer a. Implied consent
6. 6. Why should phlebotomist document volume of blood drawn from a pa-
tient?
Answer 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?
Answer 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
Answer a. Implied consent
9. 9. Which of the following actions is appropriate when labeling specimens?-
Answer a. Label specimens at the time of collection in front of the patient
1 0. 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?
Answer a. Don't draw until nurse puts an armband on patient
,1 1 . 11 . Which is appropriate form of identification in inpatient setting?
Answer a. Verbal and wrist band
1 2. 12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capil-
lary?
Answer a. Lavender and red
1 3. 13. A blood specimen is rejected by lab with QNS as the reason? Why?
Answer a. The specimen was insufficient-not enough blood
1 4. 14. Which of the following is best method to prevent internal or external
bleeding from venipuncture site after needle is removed?
Answer a. Apply pressure to prevent leakage of blood into the tissues
1 5. 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?
Answer a. Lab rejects the mislabeled specimen
1 6. 16. Phlebotomist is performing venipuncture and patient begins to seize.
What is correct action?
Answer a. Discontinue the draw
, 1 7. 17. Phlebotomist receives orders to draw an infant screening card, O2
levels, bilirubin, and DNA. Which is to be drawn first?
Answer a. 02 levels
1 8. 18. When performing a venipuncture on a patient of average weight, which
is the correct technique for needle insertion?
Answer a. Insert until a change in resis- tance
1 9. 19. Which is the best method to collect a blood specimen from an older
adult patient who has fragile, easy to collapse veins?
Answer 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?
Answer a. Autologous donation
21 . 21 . The order of draw for capillary collections is different than venipuncture
because
Answer 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?
Answer a. Return later after drawing other patients
23. 23. A phlebotomist notices a hematoma developing at the site of venipunc-
ture. The phlebotomist should
