NHA Phlebotomy certification EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS / ALREADY GRADED A
1. What temperature should a semen sample be transported? - Correct 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 - Correct 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 icewater slurry (or a cup of ice) - Correct Answer ✔✔ - d. 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 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? - Correct Answer ✔✔ - a. Implied consent
,6. Why should phlebotomist document volume of blood drawn from a patient? - Correct 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? - Correct Answer ✔✔ - a. 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 Answer ✔✔ - a. Implied consent
9. Which of the following actions is appropriate when labeling specimens? - Correct 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? - Correct Answer ✔✔ - a. Don't draw until nurse puts an
armband on patient
11. Which is appropriate form of identification in inpatient setting? - Correct Answer ✔✔ - a. Verbal
and wrist band
12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary? - Correct Answer ✔✔ -
a. Lavender and red
13. A blood specimen is rejected by lab with QNS as the reason? Why? - Correct 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? - Correct 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? - Correct Answer
✔✔ - a. Lab rejects the mislabeled specimen
16. Phlebotomist is performing venipuncture and patient begins to seize. What is correct action? -
Correct 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? - Correct Answer ✔✔ - a. O2 levels
18. When performing a venipuncture on a patient of average weight, which is the correct technique for
needle insertion? - Correct 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? - Correct 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? -
Correct Answer ✔✔ - a. Autologous donation
21. The order of draw for capillary collections is different than venipuncture because - Correct
Answer ✔✔ - a. 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 Answer ✔✔ - a. Return later after drawing other patients
23. A phlebotomist notices a hematoma developing at the site of venipuncture. The phlebotomist
should - Correct Answer ✔✔ - a. 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 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 patients arm, the phlebotomist notices small red spots below the
tourniquet. - Correct Answer ✔✔ - a. Petechiae
27. The phlebotomist should examine the antecubital veins of both arms because: - Correct 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? - Correct
, Answer ✔✔ - a. Benzalkonium chloride
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29. When should the code on glucose cuvettes or strips be compared to the code on the glucose
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meter? - Correct Answer ✔✔ - a. When the patient is tested
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30. Which of the following is appropriate to use when collecting for a chemistry test that requires
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serum? - Correct Answer ✔✔ - a. SST (this is the red gel tube)
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31. A patient state she is a difficult draw and requests a skin puncture. The test is a PTT. Which
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should you do? - Correct Answer ✔✔ - a. Use a syringe and transfer to a light blue tube
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32. Industry standard states needle insertion in the antecubital area should be: - Correct Answer
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✔✔ - a. 15-30 degree angle
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33. Tubes with which additive should be used for CBC? - Correct Answer ✔✔ - a. EDTA (purple
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tube)
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34. When preparing for transport, which specimen must be placed on ice within 30 minutes after
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collection? - Correct Answer ✔✔ - a. Arterial Blood Gases
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35. Which provides the phlebotomist the best protection when drawing blood from a patient with
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active TB? - Correct Answer ✔✔ - a. N-95 respirator mask
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36. During a draw, the patient becomes unresponsive. What should you do? - Correct Answer ✔
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✔ - a. Check for breathing
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37. Why should a phlebotomist avoid drawing blood from a leg or foot of a diabetic patient? -
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Correct Answer ✔✔ - a. These areas are more susceptible to infection
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38. Why is it important to place a specimen in a biohazard specimen bag outside the laboratory? -
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Correct Answer ✔✔ - a. The biohazard bag prevents a possible exposure incident
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39. As a student. Proper introduction - Correct Answer ✔✔ - a. Hi, my name is Sally Smith. I am
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a student phlebotomist and I'm here to collect blood specimen
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QUESTIONS AND CORRECT DETAILED
ANSWERS / ALREADY GRADED A
1. What temperature should a semen sample be transported? - Correct 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 - Correct 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 icewater slurry (or a cup of ice) - Correct Answer ✔✔ - d. 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 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? - Correct Answer ✔✔ - a. Implied consent
,6. Why should phlebotomist document volume of blood drawn from a patient? - Correct 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? - Correct Answer ✔✔ - a. 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 Answer ✔✔ - a. Implied consent
9. Which of the following actions is appropriate when labeling specimens? - Correct 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? - Correct Answer ✔✔ - a. Don't draw until nurse puts an
armband on patient
11. Which is appropriate form of identification in inpatient setting? - Correct Answer ✔✔ - a. Verbal
and wrist band
12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary? - Correct Answer ✔✔ -
a. Lavender and red
13. A blood specimen is rejected by lab with QNS as the reason? Why? - Correct 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? - Correct 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? - Correct Answer
✔✔ - a. Lab rejects the mislabeled specimen
16. Phlebotomist is performing venipuncture and patient begins to seize. What is correct action? -
Correct 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? - Correct Answer ✔✔ - a. O2 levels
18. When performing a venipuncture on a patient of average weight, which is the correct technique for
needle insertion? - Correct 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? - Correct 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? -
Correct Answer ✔✔ - a. Autologous donation
21. The order of draw for capillary collections is different than venipuncture because - Correct
Answer ✔✔ - a. 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 Answer ✔✔ - a. Return later after drawing other patients
23. A phlebotomist notices a hematoma developing at the site of venipuncture. The phlebotomist
should - Correct Answer ✔✔ - a. 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 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 patients arm, the phlebotomist notices small red spots below the
tourniquet. - Correct Answer ✔✔ - a. Petechiae
27. The phlebotomist should examine the antecubital veins of both arms because: - Correct 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? - Correct
, Answer ✔✔ - a. Benzalkonium chloride
ik ik ik ik ik
29. When should the code on glucose cuvettes or strips be compared to the code on the glucose
ik ik ik ik ik ik ik ik ik ik ik ik ik ik ik ik ik
meter? - Correct Answer ✔✔ - a. When the patient is tested
ik ik ik ik ik ik ik ik ik ik ik ik ik
30. Which of the following is appropriate to use when collecting for a chemistry test that requires
ik ik ik ik ik ik ik ik ik ik ik ik ik ik ik ik
serum? - Correct Answer ✔✔ - a. SST (this is the red gel tube)
ik ik ik ik ik ik ik ik ik ik ik ik ik ik ik
31. A patient state she is a difficult draw and requests a skin puncture. The test is a PTT. Which
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should you do? - Correct Answer ✔✔ - a. Use a syringe and transfer to a light blue tube
ik ik ik ik ik ik ik ik ik ik ik ik ik ik ik ik ik ik ik ik
32. Industry standard states needle insertion in the antecubital area should be: - Correct Answer
ik ik ik ik ik ik ik ik ik ik ik ik ik ik ik ik
✔✔ - a. 15-30 degree angle
ik ik ik ik ik
33. Tubes with which additive should be used for CBC? - Correct Answer ✔✔ - a. EDTA (purple
ik ik ik ik ik ik ik ik ik ik ik ik ik ik ik ik ik ik
tube)
ik
34. When preparing for transport, which specimen must be placed on ice within 30 minutes after
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collection? - Correct Answer ✔✔ - a. Arterial Blood Gases
ik ik ik ik ik ik ik ik ik ik ik
35. Which provides the phlebotomist the best protection when drawing blood from a patient with
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active TB? - Correct Answer ✔✔ - a. N-95 respirator mask
ik ik ik ik ik ik ik ik ik ik ik ik
36. During a draw, the patient becomes unresponsive. What should you do? - Correct Answer ✔
ik ik ik ik ik ik ik ik ik ik ik ik ik ik ik ik
✔ - a. Check for breathing
ik ik ik ik ik
37. Why should a phlebotomist avoid drawing blood from a leg or foot of a diabetic patient? -
ik ik ik ik ik ik ik ik ik ik ik ik ik ik ik ik ik
Correct Answer ✔✔ - a. These areas are more susceptible to infection
ik ik ik ik ik ik ik ik ik ik ik ik ik
38. Why is it important to place a specimen in a biohazard specimen bag outside the laboratory? -
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Correct Answer ✔✔ - a. The biohazard bag prevents a possible exposure incident
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39. As a student. Proper introduction - Correct Answer ✔✔ - a. Hi, my name is Sally Smith. I am
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a student phlebotomist and I'm here to collect blood specimen
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