NHA PHLEBOTOMY STUDY GUIDE
Latest Updated
Anchor the vein 2.5 to 5 cm (1 to 2 in) below the puncture site. - ANSWER-A
phlebotomy tech is performing a venipuncture. After removing the needle cap, which of
the following steps should the technician take?
a. Position the needle at a 40° angle above the puncture site.
b. Perform a "C" hold over the intended puncture site.
c. Anchor the vein 2.5 to 5 cm (1 to 2 in) below the puncture site.
d. Insert the needle quickly into the puncture site.
Lancet with a 2-mm depth and an EDTA micro collection container - ANSWER-A
phlebotomy tech is preparing to perform a collection for a CBC for a 7-month old infant.
Which of the following equipment will the technician need?
a. Butterfly set with a 21-gauge needle and an EDTA evacuated tube
b. ETS system with a 25-gauge needle and an SST evacuated tube
c. Lancet with a 2-mm depth and an EDTA micro collection container
d. Syringe with a 21-gauge needle and an SST evacuated tube
Technician's initials, date, and time of collection - ANSWER-A phlebotomy tech has
three bar-coded labels but has filled four tubes. The technician needs to create one
more label for an evacuated tube. Which of the following info should the technician
include on the label?
a. Patient's name, room number, and date of collection
b. Patient's date of birth, accession number, and time of collection
c. Technician's initials, date, and time of collection
d. Technician's initials, provider's name, and patient's date of birth
Light blue, SST, lavender - ANSWER-A phlebotomy tech is performing a venipuncture
for a venipuncture for a lipid profile, WBC, and a clotting time test. Which of the
following is the correct order of draw?
a. Light blue, SST, lavender
b. Purple, grey, light blue
c. Serum, green, light yellow ACD
d. Green, light yellow ACD, serum
Use a new tube from the front of the shelf. - ANSWER-A phlebotomy tech is preparing
equipment for a blood draw. The technician notices that one of the tubes on the tray is
expired. Which of the following actions should the technician take to ensure accurate
test results?
a. Use a tube from the back of the shelf.
,b. Use a new tube from the front of the shelf.
c. Use the expired tube regardless of the date.
d. Use the tube within 5 days of expiration.
Needle completely through the vein - ANSWER-A phlebotomy technician is performing
a dorsal venipuncture with the needle at a 15* angle, resulting in slow blood flow and
the development of a hematoma. Which of the following should the technician identify
as the cause of the hematoma?
a. needle completely through the vein
b. needle at too shallow of an angle
c. needle bevel opening in the vein
d. Needle beside the vein
Withdraw with the bevel up at a 25° to 30° angle. - ANSWER-A phlebotomy technician
is performing a venipuncture on a patients deep median cubital vein. Which of the
following methods of withdrawal should the technician use?
a. Withdraw with the bevel down at a 25° to 30° angle.
b. Withdraw with the bevel down at a 10° to 15° angle.
c. Withdraw with the bevel up at a 10° to 15° angle.
d. Withdraw with the bevel up at a 25° to 30° angle.
23-gauge winged collection set - ANSWER-A phlebotomy technician is performing a
hand venipuncture on a 25-year old patient who has small veins that are difficult to
access. Which of the following equipment should the technician use to perform the the
procedure?
a. 21-gauge ETS eclipse needle
b. 25-gauge ETS eclipse needle
c. 23-gauge winged collection set
d. 23-gauge syringe collection set
Blood culture - ANSWER-A phlebotomy technician is performing to collect a variety of
blood specimens. Which of the following specimens should the technician collect first?
a. Blood culture
b. Cholesterol
c. Complete blood count (CBC)
d. Basic metabolic panel (BMP)
Applying the tourniquet too tightly - ANSWER-A phlebotomy technician is performing a
venipuncture on a patient. When the technician inserts the needle, the vein collapses.
Which of the following is a possible cause?
a. Applying the tourniquet too tightly
b. Inserting a smaller evacuated tube
c. Applying the blood pressure cuff to 30 mm Hg
d. Using a 25-gauge needle and syringe
, Apply pressure to the site for at least 5 min - ANSWER-A phlebotomy technician
accidently punctures a patient's artery during a venipuncture procedure. Which of the
following actions should the technician take?
a. Instruct the patient to bend the arm at the elbow.
b. Apply pressure to the site for at least 5 min.
c. Apply self-adherent tape with a cotton ball.
d. Instruct the patient to hold the arm below the heart.
Left side dorsal hand - ANSWER-A phlebotomy technician is performing a blood
collection for a patient who has a edema in her right arm. Which of the following
locations should the technician identify as the best vein collection for a venipuncture?
a. Right side median cubital
b. Right side median cephalic
c. Left side basilic
d. Left side dorsal hand
One light blue, two serum tops, and one lavender tube - ANSWER-A phlebotomy
technician is performing a venipuncture for a bilirubin test, a cold agglutinin titer, a CBC,
and a PTT test. Which of the following tubes should the technician use?
a. One gray, two light yellow SPS, and one dark blue tube
b. One serum top, two purple, and one light blue tube
c. Two gray, one light yellow SPS, and one dark blue tube
d. One light blue, two serum tops, and one lavender tube
Hemolysis - ANSWER-A phlebotomy technician is drawing blood through a hematoma.
Which of the following errors should the technician expect to see in the specimen?
a. Decreased electrolytes
b. Increased potassium
c. Hemolysis
d. Increased epithelial tissue
High potassium level - ANSWER-A phlebotomy technician is performing a venipuncture
for a potassium test, CBC, and glucose test. The tech has left the tourniquet on the
patient for 3min. Which of the following outcomes should the technician expect?
a. Low iron level
b. High potassium level
c. High CBC level
d. Low potassium level
Lavender microcollection container, green microcollection container, then red
microcollection container - ANSWER-A phlebotomy technician is performing a capillary
collection for CBC, FSH, and electrolytes tests. Which of the following is the proper
collection order?
a. Lavender microcollection container, green microcollection container, then red
microcollection container
Latest Updated
Anchor the vein 2.5 to 5 cm (1 to 2 in) below the puncture site. - ANSWER-A
phlebotomy tech is performing a venipuncture. After removing the needle cap, which of
the following steps should the technician take?
a. Position the needle at a 40° angle above the puncture site.
b. Perform a "C" hold over the intended puncture site.
c. Anchor the vein 2.5 to 5 cm (1 to 2 in) below the puncture site.
d. Insert the needle quickly into the puncture site.
Lancet with a 2-mm depth and an EDTA micro collection container - ANSWER-A
phlebotomy tech is preparing to perform a collection for a CBC for a 7-month old infant.
Which of the following equipment will the technician need?
a. Butterfly set with a 21-gauge needle and an EDTA evacuated tube
b. ETS system with a 25-gauge needle and an SST evacuated tube
c. Lancet with a 2-mm depth and an EDTA micro collection container
d. Syringe with a 21-gauge needle and an SST evacuated tube
Technician's initials, date, and time of collection - ANSWER-A phlebotomy tech has
three bar-coded labels but has filled four tubes. The technician needs to create one
more label for an evacuated tube. Which of the following info should the technician
include on the label?
a. Patient's name, room number, and date of collection
b. Patient's date of birth, accession number, and time of collection
c. Technician's initials, date, and time of collection
d. Technician's initials, provider's name, and patient's date of birth
Light blue, SST, lavender - ANSWER-A phlebotomy tech is performing a venipuncture
for a venipuncture for a lipid profile, WBC, and a clotting time test. Which of the
following is the correct order of draw?
a. Light blue, SST, lavender
b. Purple, grey, light blue
c. Serum, green, light yellow ACD
d. Green, light yellow ACD, serum
Use a new tube from the front of the shelf. - ANSWER-A phlebotomy tech is preparing
equipment for a blood draw. The technician notices that one of the tubes on the tray is
expired. Which of the following actions should the technician take to ensure accurate
test results?
a. Use a tube from the back of the shelf.
,b. Use a new tube from the front of the shelf.
c. Use the expired tube regardless of the date.
d. Use the tube within 5 days of expiration.
Needle completely through the vein - ANSWER-A phlebotomy technician is performing
a dorsal venipuncture with the needle at a 15* angle, resulting in slow blood flow and
the development of a hematoma. Which of the following should the technician identify
as the cause of the hematoma?
a. needle completely through the vein
b. needle at too shallow of an angle
c. needle bevel opening in the vein
d. Needle beside the vein
Withdraw with the bevel up at a 25° to 30° angle. - ANSWER-A phlebotomy technician
is performing a venipuncture on a patients deep median cubital vein. Which of the
following methods of withdrawal should the technician use?
a. Withdraw with the bevel down at a 25° to 30° angle.
b. Withdraw with the bevel down at a 10° to 15° angle.
c. Withdraw with the bevel up at a 10° to 15° angle.
d. Withdraw with the bevel up at a 25° to 30° angle.
23-gauge winged collection set - ANSWER-A phlebotomy technician is performing a
hand venipuncture on a 25-year old patient who has small veins that are difficult to
access. Which of the following equipment should the technician use to perform the the
procedure?
a. 21-gauge ETS eclipse needle
b. 25-gauge ETS eclipse needle
c. 23-gauge winged collection set
d. 23-gauge syringe collection set
Blood culture - ANSWER-A phlebotomy technician is performing to collect a variety of
blood specimens. Which of the following specimens should the technician collect first?
a. Blood culture
b. Cholesterol
c. Complete blood count (CBC)
d. Basic metabolic panel (BMP)
Applying the tourniquet too tightly - ANSWER-A phlebotomy technician is performing a
venipuncture on a patient. When the technician inserts the needle, the vein collapses.
Which of the following is a possible cause?
a. Applying the tourniquet too tightly
b. Inserting a smaller evacuated tube
c. Applying the blood pressure cuff to 30 mm Hg
d. Using a 25-gauge needle and syringe
, Apply pressure to the site for at least 5 min - ANSWER-A phlebotomy technician
accidently punctures a patient's artery during a venipuncture procedure. Which of the
following actions should the technician take?
a. Instruct the patient to bend the arm at the elbow.
b. Apply pressure to the site for at least 5 min.
c. Apply self-adherent tape with a cotton ball.
d. Instruct the patient to hold the arm below the heart.
Left side dorsal hand - ANSWER-A phlebotomy technician is performing a blood
collection for a patient who has a edema in her right arm. Which of the following
locations should the technician identify as the best vein collection for a venipuncture?
a. Right side median cubital
b. Right side median cephalic
c. Left side basilic
d. Left side dorsal hand
One light blue, two serum tops, and one lavender tube - ANSWER-A phlebotomy
technician is performing a venipuncture for a bilirubin test, a cold agglutinin titer, a CBC,
and a PTT test. Which of the following tubes should the technician use?
a. One gray, two light yellow SPS, and one dark blue tube
b. One serum top, two purple, and one light blue tube
c. Two gray, one light yellow SPS, and one dark blue tube
d. One light blue, two serum tops, and one lavender tube
Hemolysis - ANSWER-A phlebotomy technician is drawing blood through a hematoma.
Which of the following errors should the technician expect to see in the specimen?
a. Decreased electrolytes
b. Increased potassium
c. Hemolysis
d. Increased epithelial tissue
High potassium level - ANSWER-A phlebotomy technician is performing a venipuncture
for a potassium test, CBC, and glucose test. The tech has left the tourniquet on the
patient for 3min. Which of the following outcomes should the technician expect?
a. Low iron level
b. High potassium level
c. High CBC level
d. Low potassium level
Lavender microcollection container, green microcollection container, then red
microcollection container - ANSWER-A phlebotomy technician is performing a capillary
collection for CBC, FSH, and electrolytes tests. Which of the following is the proper
collection order?
a. Lavender microcollection container, green microcollection container, then red
microcollection container
