NHA Phlebotomy certification EXAM
1. What temperature should a semen sample be transported? correct answer36-38 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 correct answerb. 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 icewater slurry (or a cup of ice) correct answerd. Place specimen in icewater
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? correct answera. 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? correct answera. Implied consent
6. Why should phlebotomist document volume of blood drawn from a patient? correct answera.
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? correct answera. Speak with the patient guardian before performing
venipuncture to enmsure 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 correct answera. Implied consent
,9. Which of the following actions is appropriate when labeling specimens? correct answera. 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? correct answera. Don't draw until nurse puts an
armband on patient
11. Which is appropriate form of identification in inpatient setting? correct answera. Verbal and
wrist band
12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary? correct answera.
Lavender and red
13. A blood specimen is rejected by lab with QNS as the reason? Why? correct answera. 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? correct answera. 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? correct answera.
Lab rejects the mislabeled specimen
16. Phlebotomist is performing venipuncture and patient begins to seize. What is correct action?
correct answera. Discontinue the draw
17. Phlebotomist receives orders to draw an infant screening card, O2 levels, bilirubin, and DNA.
Which is to be drawn first? correct answera. O2 levels
18. When performing a venipuncture on a patient of average weight, which is the correct technique
for needle insertion? correct answera. 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? correct answera. 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? correct answera. Autologous donation
21. The order of draw for capillary collections is different than venipuncture because correct
answera. Increased risk of coagulation (remember platelets start to form)
22. Upon entering a patient's room for routine blood draw, phlebotomist notices clergy member is
with the patient. What should you do? correct answera. Return later after drawing other patients
23. A phlebotomist notices a hematoma developing at the site of venipuncture. The phlebotomist
should correct answera. Release the tourniquet and stop the draw
24. Know ORDER of DRAW!! correct answer
25. A phlebotomist working in an infertility clinic and the patient is to submit a semen specimen. The
phlebotomist would tell the patient: correct answera. 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 patients arm, the phlebotomist notices small red spots below the
tourniquet. correct answera. Petechiae
27. The phlebotomist should examine the antecubital veins of both arms because: correct answera.
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? correct
answera. Benzalkonium chloride
29. When should the code on glucose cuvettes or strips be compared to the code on the glucose
meter? correct answera. When the patient is tested
30. Which of the following is appropriate to use when collecting for a chemistry test that requires
serum? correct answera. SST (this is the red gel tube)
, 31. A patient state she is a difficult draw and requests a skin puncture. The test is a PTT. Which
should you do? correct answera. Use a syringe and transfer to a light blue tube
32. Industry standard states needle insertion in the antecubital area should be: correct answera. 15-
30 degree angle
33. Tubes with which additive should be used for CBC? correct answera. EDTA (purple tube)
34. When preparing for transport, which specimen must be placed on ice within 30 minutes after
collection? correct answera. Arterial Blood Gases
35. Which provides the phlebotomist the best protection when drawing blood from a patient with
active TB? correct answera. N-95 respirator mask
36. During a draw, the patient becomes unresponsive. What should you do? correct answera. Check
for breathing
37. Why should a phlebotomist avoid drawing blood from a leg or foot of a diabetic patient? correct
answera. These areas are more susceptible to infection
38. Why is it important to place a specimen in a biohazard specimen bag outside the laboratory?
correct answera. The biohazard bag prevents a possible exposure incident
39. As a student. Proper introduction correct answera. Hi, my name is Sally Smith. I am a student
phlebotomist and I'm here to collect blood specimen
40. When using evacuated tube system (EVS). correct answera. Position the needle in the same
direction as the vein at 30 degree angle
41. What is additive for a PT/PTT? correct answera. Sodium Citrate (Blue top)
42. Blood cultures have been ordered on ICU patient. You would use: correct answera. Aerobic and
anaerobic bottles
1. What temperature should a semen sample be transported? correct answer36-38 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 correct answerb. 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 icewater slurry (or a cup of ice) correct answerd. Place specimen in icewater
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? correct answera. 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? correct answera. Implied consent
6. Why should phlebotomist document volume of blood drawn from a patient? correct answera.
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? correct answera. Speak with the patient guardian before performing
venipuncture to enmsure 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 correct answera. Implied consent
,9. Which of the following actions is appropriate when labeling specimens? correct answera. 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? correct answera. Don't draw until nurse puts an
armband on patient
11. Which is appropriate form of identification in inpatient setting? correct answera. Verbal and
wrist band
12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary? correct answera.
Lavender and red
13. A blood specimen is rejected by lab with QNS as the reason? Why? correct answera. 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? correct answera. 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? correct answera.
Lab rejects the mislabeled specimen
16. Phlebotomist is performing venipuncture and patient begins to seize. What is correct action?
correct answera. Discontinue the draw
17. Phlebotomist receives orders to draw an infant screening card, O2 levels, bilirubin, and DNA.
Which is to be drawn first? correct answera. O2 levels
18. When performing a venipuncture on a patient of average weight, which is the correct technique
for needle insertion? correct answera. 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? correct answera. 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? correct answera. Autologous donation
21. The order of draw for capillary collections is different than venipuncture because correct
answera. Increased risk of coagulation (remember platelets start to form)
22. Upon entering a patient's room for routine blood draw, phlebotomist notices clergy member is
with the patient. What should you do? correct answera. Return later after drawing other patients
23. A phlebotomist notices a hematoma developing at the site of venipuncture. The phlebotomist
should correct answera. Release the tourniquet and stop the draw
24. Know ORDER of DRAW!! correct answer
25. A phlebotomist working in an infertility clinic and the patient is to submit a semen specimen. The
phlebotomist would tell the patient: correct answera. 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 patients arm, the phlebotomist notices small red spots below the
tourniquet. correct answera. Petechiae
27. The phlebotomist should examine the antecubital veins of both arms because: correct answera.
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? correct
answera. Benzalkonium chloride
29. When should the code on glucose cuvettes or strips be compared to the code on the glucose
meter? correct answera. When the patient is tested
30. Which of the following is appropriate to use when collecting for a chemistry test that requires
serum? correct answera. SST (this is the red gel tube)
, 31. A patient state she is a difficult draw and requests a skin puncture. The test is a PTT. Which
should you do? correct answera. Use a syringe and transfer to a light blue tube
32. Industry standard states needle insertion in the antecubital area should be: correct answera. 15-
30 degree angle
33. Tubes with which additive should be used for CBC? correct answera. EDTA (purple tube)
34. When preparing for transport, which specimen must be placed on ice within 30 minutes after
collection? correct answera. Arterial Blood Gases
35. Which provides the phlebotomist the best protection when drawing blood from a patient with
active TB? correct answera. N-95 respirator mask
36. During a draw, the patient becomes unresponsive. What should you do? correct answera. Check
for breathing
37. Why should a phlebotomist avoid drawing blood from a leg or foot of a diabetic patient? correct
answera. These areas are more susceptible to infection
38. Why is it important to place a specimen in a biohazard specimen bag outside the laboratory?
correct answera. The biohazard bag prevents a possible exposure incident
39. As a student. Proper introduction correct answera. Hi, my name is Sally Smith. I am a student
phlebotomist and I'm here to collect blood specimen
40. When using evacuated tube system (EVS). correct answera. Position the needle in the same
direction as the vein at 30 degree angle
41. What is additive for a PT/PTT? correct answera. Sodium Citrate (Blue top)
42. Blood cultures have been ordered on ICU patient. You would use: correct answera. Aerobic and
anaerobic bottles
