NHA PHLEBOTOMY
CERTIFICATION EXAM 2025
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,1. What temperature should a semen sample be transported?
o Answer: 36-38°C.
2. Which of the following would result in a grossly hemolyzed specimen?
o Answer: Incorrect needle gauge.
3. Which of the following is the proper procedure after collecting an ammonia
specimen?
o Answer: Place the specimen in an ice-water slurry (or a cup of ice).
4. The phlebotomist has a request to collect a CBC from a healthy 10-month-
old. Which is appropriate?
o Answer: Either heel.
5. A phlebotomist is preparing to draw blood from a patient in the hospital. The
patient extends his arm and turns his head away. Which consent does this
indicate?
o Answer: Implied consent.
6. Why should a phlebotomist document the volume of blood drawn from a
patient?
o Answer: Iatrogenic anemia could result from too much blood being
taken.
7. A phlebotomist has a requisition to draw blood on a patient with severe
Down's syndrome. What steps would you take?
o Answer: Speak with the patient's guardian before performing
venipuncture to ensure the patient understands.
8. A 69-year-old unconscious patient is brought to the ER. Several blood tests
are ordered. The phlebotomist collects blood under:
o Answer: Implied consent.
9. Which of the following actions is appropriate when labeling specimens?
o Answer: 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 the wrist. There is one on the IV pole. What do you do?
o Answer: Don't draw until the nurse puts an armband on the patient.
11. Which is the appropriate form of identification in an inpatient setting?
, o Answer: Verbal and wristband.
12. WBC, RBC, and Electrolytes are ordered. Which tubes are used for capillary
collection?
o Answer: Lavender and red.
13. A blood specimen is rejected by the lab with QNS as the reason. Why?
o Answer: The specimen was insufficient—not enough blood.
14. Which of the following is the best method to prevent internal or external
bleeding from the venipuncture site after the needle is removed?
o Answer: Apply pressure to prevent leakage of blood into the tissues.
15. A physician orders a STAT test, but the phlebotomist forgets to fill out the
patient ID number. What is the appropriate procedure for an improperly
labeled specimen when received in the lab?
o Answer: The lab rejects the mislabeled specimen.
16. A phlebotomist is performing venipuncture, and the patient begins to seize.
What is the correct action?
o Answer: Discontinue the draw.
17. A phlebotomist receives orders to draw an infant screening card, O2 levels,
bilirubin, and DNA. Which is to be drawn first?
o Answer: O2 levels.
18. When performing a venipuncture on a patient of average weight, which is the
correct technique for needle insertion?
o Answer: 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?
o Answer: Choose a syringe and butterfly assembly.
20. Which of the following is the term for the donation of a patient's own blood
for an upcoming surgery?
o Answer: Autologous donation.
21. The order of draw for capillary collections is different than venipuncture
because:
o Answer: Increased risk of coagulation (remember platelets start to form).
CERTIFICATION EXAM 2025
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,1. What temperature should a semen sample be transported?
o Answer: 36-38°C.
2. Which of the following would result in a grossly hemolyzed specimen?
o Answer: Incorrect needle gauge.
3. Which of the following is the proper procedure after collecting an ammonia
specimen?
o Answer: Place the specimen in an ice-water slurry (or a cup of ice).
4. The phlebotomist has a request to collect a CBC from a healthy 10-month-
old. Which is appropriate?
o Answer: Either heel.
5. A phlebotomist is preparing to draw blood from a patient in the hospital. The
patient extends his arm and turns his head away. Which consent does this
indicate?
o Answer: Implied consent.
6. Why should a phlebotomist document the volume of blood drawn from a
patient?
o Answer: Iatrogenic anemia could result from too much blood being
taken.
7. A phlebotomist has a requisition to draw blood on a patient with severe
Down's syndrome. What steps would you take?
o Answer: Speak with the patient's guardian before performing
venipuncture to ensure the patient understands.
8. A 69-year-old unconscious patient is brought to the ER. Several blood tests
are ordered. The phlebotomist collects blood under:
o Answer: Implied consent.
9. Which of the following actions is appropriate when labeling specimens?
o Answer: 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 the wrist. There is one on the IV pole. What do you do?
o Answer: Don't draw until the nurse puts an armband on the patient.
11. Which is the appropriate form of identification in an inpatient setting?
, o Answer: Verbal and wristband.
12. WBC, RBC, and Electrolytes are ordered. Which tubes are used for capillary
collection?
o Answer: Lavender and red.
13. A blood specimen is rejected by the lab with QNS as the reason. Why?
o Answer: The specimen was insufficient—not enough blood.
14. Which of the following is the best method to prevent internal or external
bleeding from the venipuncture site after the needle is removed?
o Answer: Apply pressure to prevent leakage of blood into the tissues.
15. A physician orders a STAT test, but the phlebotomist forgets to fill out the
patient ID number. What is the appropriate procedure for an improperly
labeled specimen when received in the lab?
o Answer: The lab rejects the mislabeled specimen.
16. A phlebotomist is performing venipuncture, and the patient begins to seize.
What is the correct action?
o Answer: Discontinue the draw.
17. A phlebotomist receives orders to draw an infant screening card, O2 levels,
bilirubin, and DNA. Which is to be drawn first?
o Answer: O2 levels.
18. When performing a venipuncture on a patient of average weight, which is the
correct technique for needle insertion?
o Answer: 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?
o Answer: Choose a syringe and butterfly assembly.
20. Which of the following is the term for the donation of a patient's own blood
for an upcoming surgery?
o Answer: Autologous donation.
21. The order of draw for capillary collections is different than venipuncture
because:
o Answer: Increased risk of coagulation (remember platelets start to form).
