NHA Phlebotomy Certification Exam/ 218
Q&A/ A+ Score Solutions
1. What temperature should a semen sample be transported? - Answer: 36-38 degrees C
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. 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 ice water slurry (or a cup of ice) - Answer: d. Place specimen in ice water
slurry (or a cup of ice)
Page 1 of 39
,4. The phlebotomist has a request to collect a CBC from a healthy 10-month-old. Which is
appropriate? - Answer: a. Either heel
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. Why should phlebotomist document volume of blood drawn from a patient? - Answer: a.
Iatrogenic anemia could be a result fo too much taken
7. A phlebotomist has a requisition to draw blood on a patient with severe Down's syndrome.
What steps would you take? - Answer: a. Speak with the patient guardian before performing
venipuncture to ensure the patient understands
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. Which of the following actions is appropriate when labeling specimens? - Answer: a. Label
specimens at the time of collection in front of the patient
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
11. Which is appropriate form of identification in inpatient setting? - Answer: a. Verbal and wrist
band
12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary? - Answer: a.
Lavender and red
Page 2 of 39
,13. A blood specimen is rejected by lab with QNS as the reason? Why? - Answer: a. The
specimen was insufficient-not enough blood
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
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
16. Phlebotomist is performing venipuncture and patient begins to seize. What is correct
action? - Answer: a. Discontinue the draw
17. Phlebotomist receives orders to draw an infant screening card, O2 levels, bilirubin, and DNA.
Which is to be drawn first? - Answer: a. O2 levels
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 resistance
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. Which of the following is the term for donation of a patient's own blood for an upcoming
surgery? - Answer: a. Autologous donation
21. The order of draw for capillary collections is different than venipuncture because - Answer:
a. Increased risk of coagulation (remember platelets start to form)
Page 3 of 39
, 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. A phlebotomist notices a hematoma developing at the site of venipuncture. The
phlebotomist should - Answer: a. Release the tourniquet and stop the draw
24. Know ORDER of DRAW!! - Answer:
25. A phlebotomist working in an infertility clinic and the patient is to submit a semen
specimen. The phlebotomist would tell the patient: - Answer: a. As soon as you collect the
specimen, keep it next to your body and bring it in right away. (the reason is it needs to stay at
body temp and delivered in lab within 2 hours)
26. After placing tourniquet on a patient’s arm, the phlebotomist notices small red spots below
the tourniquet. - Answer: a. Petechiae
27. The phlebotomist should examine the antecubital veins of both arms because: - Answer: a.
The median cubital might be more accessible on one side than the other
28. What is the appropriate cleanser to clean the meatus for a clean catch urine specimen? -
Answer: a. Benzalkonium chloride
29. When should the code on glucose cuvettes or strips be compared to the code on the glucose
meter? - Answer: a. When the patient is tested
30. Which of the following is appropriate to use when collecting for a chemistry test that
requires serum? - Answer: a. SST (this is the red gel tube)
Page 4 of 39
Q&A/ A+ Score Solutions
1. What temperature should a semen sample be transported? - Answer: 36-38 degrees C
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. 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 ice water slurry (or a cup of ice) - Answer: d. Place specimen in ice water
slurry (or a cup of ice)
Page 1 of 39
,4. The phlebotomist has a request to collect a CBC from a healthy 10-month-old. Which is
appropriate? - Answer: a. Either heel
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. Why should phlebotomist document volume of blood drawn from a patient? - Answer: a.
Iatrogenic anemia could be a result fo too much taken
7. A phlebotomist has a requisition to draw blood on a patient with severe Down's syndrome.
What steps would you take? - Answer: a. Speak with the patient guardian before performing
venipuncture to ensure the patient understands
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. Which of the following actions is appropriate when labeling specimens? - Answer: a. Label
specimens at the time of collection in front of the patient
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
11. Which is appropriate form of identification in inpatient setting? - Answer: a. Verbal and wrist
band
12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary? - Answer: a.
Lavender and red
Page 2 of 39
,13. A blood specimen is rejected by lab with QNS as the reason? Why? - Answer: a. The
specimen was insufficient-not enough blood
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
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
16. Phlebotomist is performing venipuncture and patient begins to seize. What is correct
action? - Answer: a. Discontinue the draw
17. Phlebotomist receives orders to draw an infant screening card, O2 levels, bilirubin, and DNA.
Which is to be drawn first? - Answer: a. O2 levels
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 resistance
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. Which of the following is the term for donation of a patient's own blood for an upcoming
surgery? - Answer: a. Autologous donation
21. The order of draw for capillary collections is different than venipuncture because - Answer:
a. Increased risk of coagulation (remember platelets start to form)
Page 3 of 39
, 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. A phlebotomist notices a hematoma developing at the site of venipuncture. The
phlebotomist should - Answer: a. Release the tourniquet and stop the draw
24. Know ORDER of DRAW!! - Answer:
25. A phlebotomist working in an infertility clinic and the patient is to submit a semen
specimen. The phlebotomist would tell the patient: - Answer: a. As soon as you collect the
specimen, keep it next to your body and bring it in right away. (the reason is it needs to stay at
body temp and delivered in lab within 2 hours)
26. After placing tourniquet on a patient’s arm, the phlebotomist notices small red spots below
the tourniquet. - Answer: a. Petechiae
27. The phlebotomist should examine the antecubital veins of both arms because: - Answer: a.
The median cubital might be more accessible on one side than the other
28. What is the appropriate cleanser to clean the meatus for a clean catch urine specimen? -
Answer: a. Benzalkonium chloride
29. When should the code on glucose cuvettes or strips be compared to the code on the glucose
meter? - Answer: a. When the patient is tested
30. Which of the following is appropriate to use when collecting for a chemistry test that
requires serum? - Answer: a. SST (this is the red gel tube)
Page 4 of 39
