NHA Phlebotomy Review 2025 With
Correct Answers
Which of the following POC laboratory tests is within the CLIA defined scope of practice for a phlebotomist?
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a. cell differential and urine sediment
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b. strep test and urine sediment
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c. urine dip and cell differential
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d. strep test and urine dip - correct answer strep test and urine dip
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The phlebotomist is performing a venipuncture on an apprehensive school age child. Which of the following
k k k k k k k k k k k k k k k k
approaches should the phlebotomist use to calm the child? k k k k k k k k
a. Direct the child's questions to the parent and have the parent explain
k k k k k k k k k k k k k
b. tell the child she has to do this, but it won't hur
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c. explain the procedure and reassure the child that the parent can stay with her
k k k k k k k k k k k k k k
d. allow child to clean the puncture sit and give her a sticker - correct answer C. explain the procedure and
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reassure the child that the parent can stay with her
k k k k k k k k k
Which task should a phlebotomist complete prior to daily use of a POC instrument?
k k k k k k k k k k k k k
a. run the test patient sample
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,b. perform QC on the instrument
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c. ensure that QC was performed within the last month
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d. Calibrate the instrument - correct answer perform QC on the instrument
k k k k k k k k k k k
A patient brings in written lab test results, including a mix of POC and higher complexity tests, and asks the
k k k k k k k k k k k k k k k k k k k k
phlebotomist help with interpretation. Which of the following should the phlebotomist do? k k k k k k k k k k k
a. explain the interpretation behind the POC tests, but let the patient read the direction s with the higher level
k k k k k k k k k k k k k k k k k k k k
tests
b. explain the interpretation behind the poc care tests, but refer the patient to the physician for the higher
k k k k k k k k k k k k k k k k k k k
complexity tests k
c. refer the patient to the physician for interpretation of all results
k k k k k k k k k k k k
d. hand the patient pre printed test explanations downloaded from the CDC web site - correct answer c. refer
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the patient to the physician for interpretation of all results
k k k k k k k k k
Which of the following is outside the scope of practice for a phlebotomist?
k k k k k k k k k k k k
a. verifying equipment function on point of care testing using a control
k k k k k k k k k k k
b. prioritizing collections based on order requests
k k k k k k
c. recording quality control results on a log sheet
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d. performing CLIA moderate complexity tests - correct answer performing CLIA moderate complexity tests
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Which of the following specimens require the phlebotomist to follow chain-of custody documentation
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procedures? Select 2 correct answers k k k k
a. neonatal screening
k k
b. blood alcohol
k k
c. theraputic drug monitoring
k k k
d. drug testing
k k
e. maternal screening - correct answer blood alcohol
k k k k k k k k
drug testing k
Which of the following QC measures are within the phlebotomists' scope of practice? Select 3 correct
k k k k k k k k k k k k k k k
,a. checking expiration date of venipuncture supplies
k k k k k k
b. performing calibration on the chemistry analyzer
k k k k k k
c. monitoring temperatures of specimen refrigerators
k k k k k
d. daily maintenance on the laboratory hematology instruments
k k k k k k k
e. routine cleaning of surfaces where specimens are processed - correct answer Checking expiration date of
k k k k k k k k k k k k k k k k
venipuncture supplies k
monitoring temperatures of specimen refrigerators k k k k
routine cleaning of surfaces where specimens are processed
k k k k k k k
At which of the following times should a test tube be labeled with the patient's identification?
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a. before entering patients room
k k k k
b. after leaving the patients room
k k k k k
c. while in patients room, before drawing blood
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d. while in patients room, after drawing blood - correct answer while in patients room, after drawing blood
k k k k k k k k k k k k k k k k k
Instead of obtaining consent from a patient who is mentally competent, the phlebotomist obtains consent
k k k k k k k k k k k k k k k
from a family member. This is a violation of
k k k k k k k k k
a. HIPAA
k
b. the patients bill of rights
k k k k k
c. CLIA Waived Testing
k k k k
D. the Stark Law - correct answer the patient's Bill of Rights
k k k k k k k k k k k
The phlebotomist is asked to draw blood on a non responsive patient in an emergency department. This draw
k k k k k k k k k k k k k k k k k k
would be conducted under k k k k
a. expressed consent
k k
b. implied consent
k k
c. informed consent
k k
d. refusal of consent - correct answer implied consent
k k k k k k k k
, A patient presents to have a diagnostic HIV test drawn. Which of the following forms of consent must the
k k k k k k k k k k k k k k k k k k k
phlebotomist obtain prior to venipuncture? k k k k
a. expressed k
b. implied k
c. informed
k
d. verbal - correct answer informed consent
k k k k k k
A 19 year old patient offers her arm to the phlebotomist when she comes in with a venipuncture tray. This is an
k k k k k k k k k k k k k k k k k k k k k k
example of k k
a. parental consent
k k
b. implied consent
k k
c. informed consent
k k
d. verbal consent - correct answer implied consent
k k k k k k k
Which of the following is a CLIA waived test that can be performed by the phlebotomist?
k k k k k k k k k k k k k k k
a. differential
k
b. chemical urinalysis
k k
c. gram stain analysis
k k k
d. crossmatch - correct answer chemical urinalysis
k k k k k k
Commitment to privacy, continuity of care, advance directives, and the authority to refuse treatment are
k k k k k k k k k k k k k k k
granted according to which of the following?
k k k k k k
a. Americans with Disabilities Act
k k k k
b. The patients bill of rights
k k k k k
c. informed consent
k k
d. good samaritan law - correct answer the patient's bill of rights
k k k k k k k k k k k
While giving a patient an injection, the patient jumped, causing the phlebotomist to get stuck on the hand with
k k k k k k k k k k k k k k k k k k k
a contaminated needle. After performing thorough hand washing, which of the following should the
k k k k k k k k k k k k k k
phlebotomist do first? k k
Correct Answers
Which of the following POC laboratory tests is within the CLIA defined scope of practice for a phlebotomist?
k k k k k k k k k k k k k k k k k
a. cell differential and urine sediment
k k k k k
b. strep test and urine sediment
k k k k k k
c. urine dip and cell differential
k k k k k
d. strep test and urine dip - correct answer strep test and urine dip
k k k k k k k k k k k k k
The phlebotomist is performing a venipuncture on an apprehensive school age child. Which of the following
k k k k k k k k k k k k k k k k
approaches should the phlebotomist use to calm the child? k k k k k k k k
a. Direct the child's questions to the parent and have the parent explain
k k k k k k k k k k k k k
b. tell the child she has to do this, but it won't hur
k k k k k k k k k k k k
c. explain the procedure and reassure the child that the parent can stay with her
k k k k k k k k k k k k k k
d. allow child to clean the puncture sit and give her a sticker - correct answer C. explain the procedure and
k k k k k k k k k k k k k k k k k k k k k
reassure the child that the parent can stay with her
k k k k k k k k k
Which task should a phlebotomist complete prior to daily use of a POC instrument?
k k k k k k k k k k k k k
a. run the test patient sample
k k k k k
,b. perform QC on the instrument
k k k k k
c. ensure that QC was performed within the last month
k k k k k k k k k
d. Calibrate the instrument - correct answer perform QC on the instrument
k k k k k k k k k k k
A patient brings in written lab test results, including a mix of POC and higher complexity tests, and asks the
k k k k k k k k k k k k k k k k k k k k
phlebotomist help with interpretation. Which of the following should the phlebotomist do? k k k k k k k k k k k
a. explain the interpretation behind the POC tests, but let the patient read the direction s with the higher level
k k k k k k k k k k k k k k k k k k k k
tests
b. explain the interpretation behind the poc care tests, but refer the patient to the physician for the higher
k k k k k k k k k k k k k k k k k k k
complexity tests k
c. refer the patient to the physician for interpretation of all results
k k k k k k k k k k k k
d. hand the patient pre printed test explanations downloaded from the CDC web site - correct answer c. refer
k k k k k k k k k k k k k k k k k k k
the patient to the physician for interpretation of all results
k k k k k k k k k
Which of the following is outside the scope of practice for a phlebotomist?
k k k k k k k k k k k k
a. verifying equipment function on point of care testing using a control
k k k k k k k k k k k
b. prioritizing collections based on order requests
k k k k k k
c. recording quality control results on a log sheet
k k k k k k k k
d. performing CLIA moderate complexity tests - correct answer performing CLIA moderate complexity tests
k k k k k k k k k k k k k
Which of the following specimens require the phlebotomist to follow chain-of custody documentation
k k k k k k k k k k k k k
procedures? Select 2 correct answers k k k k
a. neonatal screening
k k
b. blood alcohol
k k
c. theraputic drug monitoring
k k k
d. drug testing
k k
e. maternal screening - correct answer blood alcohol
k k k k k k k k
drug testing k
Which of the following QC measures are within the phlebotomists' scope of practice? Select 3 correct
k k k k k k k k k k k k k k k
,a. checking expiration date of venipuncture supplies
k k k k k k
b. performing calibration on the chemistry analyzer
k k k k k k
c. monitoring temperatures of specimen refrigerators
k k k k k
d. daily maintenance on the laboratory hematology instruments
k k k k k k k
e. routine cleaning of surfaces where specimens are processed - correct answer Checking expiration date of
k k k k k k k k k k k k k k k k
venipuncture supplies k
monitoring temperatures of specimen refrigerators k k k k
routine cleaning of surfaces where specimens are processed
k k k k k k k
At which of the following times should a test tube be labeled with the patient's identification?
k k k k k k k k k k k k k k k
a. before entering patients room
k k k k
b. after leaving the patients room
k k k k k
c. while in patients room, before drawing blood
k k k k k k k
d. while in patients room, after drawing blood - correct answer while in patients room, after drawing blood
k k k k k k k k k k k k k k k k k
Instead of obtaining consent from a patient who is mentally competent, the phlebotomist obtains consent
k k k k k k k k k k k k k k k
from a family member. This is a violation of
k k k k k k k k k
a. HIPAA
k
b. the patients bill of rights
k k k k k
c. CLIA Waived Testing
k k k k
D. the Stark Law - correct answer the patient's Bill of Rights
k k k k k k k k k k k
The phlebotomist is asked to draw blood on a non responsive patient in an emergency department. This draw
k k k k k k k k k k k k k k k k k k
would be conducted under k k k k
a. expressed consent
k k
b. implied consent
k k
c. informed consent
k k
d. refusal of consent - correct answer implied consent
k k k k k k k k
, A patient presents to have a diagnostic HIV test drawn. Which of the following forms of consent must the
k k k k k k k k k k k k k k k k k k k
phlebotomist obtain prior to venipuncture? k k k k
a. expressed k
b. implied k
c. informed
k
d. verbal - correct answer informed consent
k k k k k k
A 19 year old patient offers her arm to the phlebotomist when she comes in with a venipuncture tray. This is an
k k k k k k k k k k k k k k k k k k k k k k
example of k k
a. parental consent
k k
b. implied consent
k k
c. informed consent
k k
d. verbal consent - correct answer implied consent
k k k k k k k
Which of the following is a CLIA waived test that can be performed by the phlebotomist?
k k k k k k k k k k k k k k k
a. differential
k
b. chemical urinalysis
k k
c. gram stain analysis
k k k
d. crossmatch - correct answer chemical urinalysis
k k k k k k
Commitment to privacy, continuity of care, advance directives, and the authority to refuse treatment are
k k k k k k k k k k k k k k k
granted according to which of the following?
k k k k k k
a. Americans with Disabilities Act
k k k k
b. The patients bill of rights
k k k k k
c. informed consent
k k
d. good samaritan law - correct answer the patient's bill of rights
k k k k k k k k k k k
While giving a patient an injection, the patient jumped, causing the phlebotomist to get stuck on the hand with
k k k k k k k k k k k k k k k k k k k
a contaminated needle. After performing thorough hand washing, which of the following should the
k k k k k k k k k k k k k k
phlebotomist do first? k k
