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NHA Phlebotomy Exam & Prep | A+ Graded Answers & Explanations | 35 Exam Questions | Latest update 2026/27

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This document provides 35 high-quality NHA Phlebotomy (CPT) exam questions with A+ graded, verified answers and expert-level explanations. It covers essential phlebotomy topics including patient identification, blood collection procedures, safety protocols, infection control, and exam-style scenarios, making it ideal for focused exam preparation and confidence building for the 2026 NHA exam.

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NHA Phlebotomy Exam & Prep | A+
Graded Verified Answers (35 Exam
Questions, Answers and Expert
Explanations) | Latest update 2026
Question one.
A patient suddenly feels faint during a blood draw. Which of the following is the phabotamist's
primary action?
A. Offer the patient a glass of water.
B. Continue the draw as quickly as possible.
C. Remove the tourniquet and needle immediately.
D. Ask the patient to lower their head between their knees.

Answer. C. Remove the tourniquet and needle immediately.
This question tests the correct response to a patient experiencing syncopy or fainting. The
keyword is primary action which means the very first thing to do for patient safety. Removing the
tourniquet and needle is the top priority to prevent injury such as the needle moving and
damaging the patients arm if they lose consciousness. For example, once the needle is safely
removed, the phabotamist can then help position the patient to recover. The most important tip
to remember is safety first. Get the sharp out of the arm before anything else?

Question two.
Which of the following is the correct order of draw for a set of blood cultures, a coagulation tube,
and a hematology tube?
A. Coagulation, blood cultures, hematology.
B. Blood cultures, coagulation, hematology.
C. Hematology, blood cultures, coagulation.
D. Blood cultures, hematology, coagulation.

Answer. B. Blood cultures, coagulation, hematology.
This question tests knowledge of the order of draw which prevents additive crosscontamination.
The key is to recognize the tube types. Blood cultures are always first to maintain sterility
followed by the light blue top coagulation and then the lavender top hematology. Drawing in this
sequence ensures that additives from other tubes do not interfere with sensitive coagulation
tests or contaminate sterile culture specimens. For instance, drawing the lavender tube before
the light blue tube could transfer EDTA and cause inaccurate clotting time results. Just
remember this rule. cultures first then light blue is true.

Question three,
what is the most common sight for a standard venopuncture on an adult?
A the basillic vein,

, B the syphalic vein,
C the back of the hand.
D the median cubital vein.

Answer D. The median cubital vein.
This question is about basic anatomy for venopuncture site selection. The keyword most
common points to the preferred vein. The median cubital vein located in the anticubital fossa,
the bend of the elbow is the best choice because it is large, well anchored, and generally
easiest to access with the lowest risk of injury. While other veins can be used, this one is
selected first whenever possible. A helpful way to think about it is that the median cubital is in
the middle, making it the central go to spot for a routine draw.

Question four.
When preparing a site for a blood culture collection, which of the following cleansing agents is
typically used?
A. Isopropyl alcohol only.
B. Povidoni iodine or chlorhexodine gluconate.
C. Sterile saline.
D. Hydrogen peroxide.

Answer B. Povidoni iodine or chlorhexodine gluconate.
This question focuses on the specific aseptic technique required for blood culture collection.
Blood cultures must be collected under sterile conditions to avoid contamination with skin
bacteria which could cause a false positive result. A more powerful antiseptic like chlorhexodine
gluconate is used to thoroughly disinfect the site after an initial cleaning with alcohol. For
example, the phabotamist would first scrub the site with an alcohol pad and then follow with a
chlorhexodine scrub in a circular motion. Remember, blood cultures demand a higher level of
clean to ensure you are only growing bacteria from the patients blood, not their skin.

Question five.
A phabbotomist is required to collect a specimen for a blood alcohol level test. Which of the
following should be used to clean the site?
A. Isopropyl alcohol,
B. Ben benzylconium chloride,
C. Povidoni iodine,
D. Methanol.

Answer B. Ben benzylconium chloride.
This question tests knowledge of special collection procedures where standard supplies are
inappropriate. The key here is the blood alcohol level test as using an alcohol-based cleanser
can contaminate the sample and produce a falsely elevated result. An antiseptic that does not
contain alcohol such as benzylconium chloride or povone iodine must be used instead. For
instance, cleaning the site with a typical alcohol prep pad could introduce enough alcohol to

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