NHA PHLEBOTOMY CERTIFICATION
EVALUATION 2026 FULL QUESTIONS WITH
SOLUTIONS
◉ A Phlebotomy technician in an outpatient setting is identifying a
patient before performing a venipuncture procedure. To confirm the
patient's identity, which of the following questions should the
technician ask? Answer: "Would you please state and spell your full
name and provide your date of birth"
◉ Which of the following is a potential consequence of a phlebotomy
technician mislabeling a blood bank specimen? Answer: A
transfusion reaction
◉ A phlebotomy technician should invert anticoagulant tubes to
prevent which of the following complications? Answer: Hemolysis
◉ According to OSHA standards, which of the following vaccines
must employers offer to their phlebotomist at no cost? Answer:
Hepatitis B
◉ During a routine venipuncture, a phlebotomy technician notices
that a patient is becoming pale and diaphoretic. The technician
,should identify that the patient is at risk for which of the following
conditions? Answer: Syncope
◉ A phlebotomy technician should identify that which of the
following tube selections indicates the correct order of draw for
venipuncture? Answer: Green, lavender, grey
◉ Phlebotomy technician is preparing to collect a blood specimen
from the hand of a patient whose veins are difficult to access. Which
of the following devices should the technician use? Answer: Hand
immobilizer
◉ A phlebotomy technician is preparing to use an evacuated tube
system to obtain a venous blood specimen from a patient. The
tourniquet is in place and the technician has cleansed the puncture
site. Which of the following procedural steps should the technician
perform next? Answer: Ask the patient to make a fist
◉ Which of the following actions by a phlebotomy technician can
result in a grossly hemolyzed specimen? Answer: Using an incorrect
needle gauge
◉ A phlebotomy technician should identify that which of the
following series of venipuncture steps is in the appropriate order?
Answer: assess the site, cleanse the site, insert the needle
,◉ A phlebotomy technician should comply with HIPAA to protect
which of the following? Answer: Patients information
◉ A phlebotomy technician is performing a capillary blood
collection for an older adult patient. Which of the following sites
should the technician select? Answer: The distal phalanx of either
middle finger
◉ A phlebotomy technician is preparing to collect a blood specimen
from a patient who signed a general informed consent form upon
admission to the facility. Which of the following actions by the
patient indicates implied consent for the venipuncture? Answer:
Rolling up his shirtsleeve
◉ A phlebotomy technician is using an evacuated needle holder and
blood collection tubes to collect blood from a patient. Which of the
following actions should the technician take? Answer: Push the first
collection tube gently into the holder
◉ For an older adult patient who has difficult-to-access veins, a
phlebotomy technician should select which of the following beans to
perform a venipuncture? Answer: Dorsal veins
, ◉ How often should a phlebotomy technician run quality control
test on point-of-care testing instruments? Answer: Daily
◉ A phlebotomy technician must comply with which of the following
OSHA requirements when performing a venipuncture? Answer:
Wear gloves when contact with blood is anticipated
◉ Which of the following actions should the phlebotomy technician
take when performing a venipuncture using an evacuated tube
system? Answer: Position the needle at a 30° angle in the same
direction as the vein and with the bevel up
◉ A phlebotomy technician is collecting a blood specimen from a
patient to measure the trough level of a medication. The technician
should collect the specimen at which of the following times?
Answer: Within 15 mins before the patient receives the next dose of
medication.
◉ For which of the following test should a phlebotomy technician
follow chain of custody guidelines? Answer: Blood alcohol
◉ During a venipuncture, a patient reports a sharp pain radiating
down his arm. Which of the following actions should the phlebotomy
technician take? Answer: Release the tourniquet and remove the
needle
EVALUATION 2026 FULL QUESTIONS WITH
SOLUTIONS
◉ A Phlebotomy technician in an outpatient setting is identifying a
patient before performing a venipuncture procedure. To confirm the
patient's identity, which of the following questions should the
technician ask? Answer: "Would you please state and spell your full
name and provide your date of birth"
◉ Which of the following is a potential consequence of a phlebotomy
technician mislabeling a blood bank specimen? Answer: A
transfusion reaction
◉ A phlebotomy technician should invert anticoagulant tubes to
prevent which of the following complications? Answer: Hemolysis
◉ According to OSHA standards, which of the following vaccines
must employers offer to their phlebotomist at no cost? Answer:
Hepatitis B
◉ During a routine venipuncture, a phlebotomy technician notices
that a patient is becoming pale and diaphoretic. The technician
,should identify that the patient is at risk for which of the following
conditions? Answer: Syncope
◉ A phlebotomy technician should identify that which of the
following tube selections indicates the correct order of draw for
venipuncture? Answer: Green, lavender, grey
◉ Phlebotomy technician is preparing to collect a blood specimen
from the hand of a patient whose veins are difficult to access. Which
of the following devices should the technician use? Answer: Hand
immobilizer
◉ A phlebotomy technician is preparing to use an evacuated tube
system to obtain a venous blood specimen from a patient. The
tourniquet is in place and the technician has cleansed the puncture
site. Which of the following procedural steps should the technician
perform next? Answer: Ask the patient to make a fist
◉ Which of the following actions by a phlebotomy technician can
result in a grossly hemolyzed specimen? Answer: Using an incorrect
needle gauge
◉ A phlebotomy technician should identify that which of the
following series of venipuncture steps is in the appropriate order?
Answer: assess the site, cleanse the site, insert the needle
,◉ A phlebotomy technician should comply with HIPAA to protect
which of the following? Answer: Patients information
◉ A phlebotomy technician is performing a capillary blood
collection for an older adult patient. Which of the following sites
should the technician select? Answer: The distal phalanx of either
middle finger
◉ A phlebotomy technician is preparing to collect a blood specimen
from a patient who signed a general informed consent form upon
admission to the facility. Which of the following actions by the
patient indicates implied consent for the venipuncture? Answer:
Rolling up his shirtsleeve
◉ A phlebotomy technician is using an evacuated needle holder and
blood collection tubes to collect blood from a patient. Which of the
following actions should the technician take? Answer: Push the first
collection tube gently into the holder
◉ For an older adult patient who has difficult-to-access veins, a
phlebotomy technician should select which of the following beans to
perform a venipuncture? Answer: Dorsal veins
, ◉ How often should a phlebotomy technician run quality control
test on point-of-care testing instruments? Answer: Daily
◉ A phlebotomy technician must comply with which of the following
OSHA requirements when performing a venipuncture? Answer:
Wear gloves when contact with blood is anticipated
◉ Which of the following actions should the phlebotomy technician
take when performing a venipuncture using an evacuated tube
system? Answer: Position the needle at a 30° angle in the same
direction as the vein and with the bevel up
◉ A phlebotomy technician is collecting a blood specimen from a
patient to measure the trough level of a medication. The technician
should collect the specimen at which of the following times?
Answer: Within 15 mins before the patient receives the next dose of
medication.
◉ For which of the following test should a phlebotomy technician
follow chain of custody guidelines? Answer: Blood alcohol
◉ During a venipuncture, a patient reports a sharp pain radiating
down his arm. Which of the following actions should the phlebotomy
technician take? Answer: Release the tourniquet and remove the
needle
