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Phlebotomy National Exam (NHA) – Study Guide, Revision Notes, and Practice Questions for Certification Preparation

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This document contains comprehensive preparation material for the Phlebotomy National Exam through the National Healthcareer Association (NHA), including key concepts, procedures, and practice questions. It is designed to help students review essential phlebotomy skills such as blood collection techniques, safety protocols, and patient care. The material supports structured revision, certification readiness, and a strong understanding of core phlebotomy competencies required for the exam.

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Phlebotomy National Exam (NHA) – Study Guide, Revision Notes, and Practice Questions for
Certification Preparation



Characteristics imperative to a phlebotomist - ✔✔Dependability, honesty, integrity, empathy
and compassion, professional appearance, interpersonal skills



Circulatory system function - ✔✔deliver oxygen, nutrients, hormones, & enzymes to cells and
transport cellular waste (CO2) to organs where they can be expelled



The two circulations - ✔✔Pulmonary & Systemic



Pulmonary circulation - ✔✔carries deoxygenated blood from the right ventricle to the lungs
and returns oxygenated blood from lungs to left atrium



Where does oxygenation take place in the lungs? - ✔✔alveoli



Systemic circulation - ✔✔carries oxygenated blood from left ventricle throughout the body



Upper chambers of the heart - ✔✔right and left atria



lower chambers of the heart - ✔✔right and left ventricle



tricuspid valve - ✔✔atrioventricular valve, situated between right atrium and right ventricle

**to remember this valve is on the right side of the heart-- people TRY to be RIGHT



pulmonic valve - ✔✔semi-lunar valve situated between the right ventricle and the pulmonary
artery

,Mitral valve (or bicuspid) - ✔✔atrioventricular valve located between the left atrium and left
ventricle



aortic valve - ✔✔semi lunar valve situated between the left ventricle and aorta



Flow of blood through the heart - ✔✔Superior and Inferior Vena Cavae< Right atrium<
tricuspid valve< right ventricle< pulmonic valve< pulmonary artery< lungs< pulmonary vein< left
atrium< mitral (bicuspid) valve< left ventricle< aorta< rest of body



Three layers of the heart - ✔✔Endocardium, myocardium, epicardium



Blood vessels - ✔✔arteries, arterioles, capillaries, venules, veins, superior & inferior vena
cavae



aorta, arteries, and arterioles carry_____ blood _______ the heart - ✔✔oxygenated & away
from



venules, veins, and superior and inferior vena cave carry _____ blood ________ the heart -
✔✔deoxygenated & back to



The average adult has ______ liters of blood - ✔✔5-6



Plasma comprises how much of circulating blood? - ✔✔55%



Plasma contains.... - ✔✔proteins, amino acids, gases, electrolytes, sugars, hormones, minerals,
vitamins, and water



What percent of plasma is water? - ✔✔92%

, Formed elements comprise what percent of circulating blood? - ✔✔45%



another name for red blood cells... - ✔✔Erythrocytes



What makes up the formed elements? - ✔✔Red blood cells, White blood cells, and platelets



Another name for white blood cells... - ✔✔leukocytes



another name for platelets... - ✔✔thrombocytes



What comprises 99% of the formed elements? - ✔✔red blood cells (erythrocytes)



Where do blood cells originate? - ✔✔stem cells in bone marrow



How many RBCs are in a microliter of blood? - ✔✔4.2 to 6.2 million



Normal life span of an RBS is... - ✔✔120 days



Function of a leukocyte - ✔✔provide the body protection against infection



Amount of WBCs per microliter of blood - ✔✔5,000-10,000



leukocytosis - ✔✔increase in WBCs



leukocytosis is seen when? - ✔✔cases of infection and leukemia

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