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Phlebotomy NHA Certification Test Bank – Verified Questions and Answers (2026/2027)

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The Phlebotomy NHA Certification Test Bank provides a complete collection of multiple-choice, scenario-based, and application questions with verified answers for students and professionals preparing for the NHA Phlebotomy certification exam. Covers blood collection procedures, venipuncture techniques, patient safety, lab protocols, specimen handling, and clinical best practices. Designed for self-study, exam preparation, and practical skills review. Fully updated for 2026/2027 to align with current NHA standards and professional phlebotomy competencies.

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Institution
Essentials of pediatric nursing
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Uploaded on
January 14, 2026
Number of pages
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Written in
2025/2026
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Academic year#//00/2026#Actual #Real Exam Questions & Verified Correct
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NHA Phlebotomy final
Order of Draw - CORRECT ANSWER-1. Yellow (SPS)
2. Light Blue (sodium citrate)
3. Red, Red/Grey, Gold (none and SST)
4. Green (heparin)
5. Lavender (EDTA)
6. Grey (sodium fluoride, potassium oxalate, lithium iodoacetate)

Tube color departments & inversions - CORRECT ANSWER-1. yellow- microbiology
(8-10x)
2. light blue- coagulation (3-4x)
3. red, red/grey, gold- chemistry (none, 5x)
4. green- chemistry (8-10x)
5. lavender- hematology (8-10x)
6. grey-chemistry (8-10x)

A phlebotomy tech is working with a pt who has TB. Which of the following transmission
precautions should the tech use? - CORRECT ANSWER-airborne precautions

For which of the following conditions does emergency first aid treatment include
maintaining an open airway, controlling bleeding, and keeping the pt warm until help
arrives? - CORRECT ANSWER-shock

A phlebotomy tech should identify that HIPAA protects which of the following rights as
part of the Patient Care Partnership? - CORRECT ANSWER-patient information

A phlebotomy tech is collecting capillary blood drops on a filter paper card to screen a
newborn for PKU. Which of the following actions should the tech take? - CORRECT
ANSWER-apply blood to the printed side of the filter paper

pediatric needle gauge - CORRECT ANSWER-23g (over 1 year)
lancet (under 12 months)

Which tube is needed for a sickle cell screening? - CORRECT ANSWER-lavender

A phlebotomy tech is required to obtain which of the following from a potential blood
donor? - CORRECT ANSWER-complete medical history




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A phlebotomy tech has a requisition for collecting a fasting blood glucose and albumin
specimens from a patient. Which of the following actions should the tech take before
collecting blood? - CORRECT ANSWER-make sure the patient has fasted for the past
8-12 hours

A phlebotomy tech is performing a heel stick to obtain capillary blood for testing a
newborn's bilirubin. Which of the following should actions should the tech take? -
CORRECT ANSWER-use an amber colored microcontainer

pediatric heel puncture area - CORRECT ANSWER-medial and lateral portions of the
plantar surface

Which of the following is a potential consequence of mislabeling a blood bank
specimen? - CORRECT ANSWER-a transfusion reaction

A phlebotomy tech is preparing to use an ETS to obtain a venous blood specimen from
a patient. The tourniquet is in place and the site has been cleansed. Which of the
following procedural steps should the tech perform next? - CORRECT ANSWER-uncap
and inspect the needle

A phlebotomy tech is performing a brief physical examination on prospective blood
donor. Which of the following measurements would indicate the donor's eligibility to
donate blood? - CORRECT ANSWER-hematocrit level 42%

Which of the following actions by a phlebotomy tech can result in a grossly hemolyzed
specimen? - CORRECT ANSWER-using an incorrect needle gauge

A tech should identify that which of the following is one of the Joint Commission's
National Patient Safety Goals? - CORRECT ANSWER-identify patients correctly

A provider orders a stat specimen, but a phlebotomy tech forgets to fill out the patient ID
number on the collection tube. Which of the following should the tech expect from the
lab? - CORRECT ANSWER-reject the specimen

For which of the following reasons should a phlebotomy tech avoid drawing blood from
the leg or foot of a patient who has diabetes? - CORRECT ANSWER-these are more
susceptible to infection

Which of the following regulations ensures that phlebotomy tech is proficient to perform
job duties and responsibilities? - CORRECT ANSWER-CLIA




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Which of the following actions should a phlebotomy tech take when performing a
venipuncture using an ETS? - CORRECT ANSWER-position the needle at a 30 degree
angle in the same direction as the vein and with the bevel up

A phlebotomy tech is instructing a patent to collect a clean-catch urine specimen. Which
of the following cleansers should the tech instruct the patient to use when cleansing her
urinary meatus? - CORRECT ANSWER-mild antiseptic soap

A phlebotomy tech should identify which of the following phrases is represented by the
abbreviation "SD"? - CORRECT ANSWER-standard deviation

For which of the following reasons should a phlebotomy tech document the total volume
of blood drawn from a patient? - CORRECT ANSWER-to determine if the patient is at
risk for developing iatrogenic anemia

A phlebotomy tech should invert anticoagulant tubes to prevent which of the following
complications? - CORRECT ANSWER-hemolysis

A phlebotomy tech is collecting a unit of blood from a donor. Which of the following
actions should the tech take? - CORRECT ANSWER-have the donor open and close
her fist throughout the collection

Within which of the following time periods should a phlebotomy tech collect a newborn
blood-spot test screening card? - CORRECT ANSWER-within 72 hours

A phlebotomy tech is collecting a blood specimen from an adolescent patient who
weighs 42.6kg (94lb). Which of the following amounts is appropriate to collect if the
maximum allowable volume of blood is 1%? - CORRECT ANSWER-40 mL

A phlebotomy tech is performing venipuncture for a patient who suddenly reports feeling
faint. After removing the tourniquet and needle, which of the following actions should the
tech take? - CORRECT ANSWER-have the patient put her head between her legs

A phlebotomy tech should identify which of the following additives is used to break down
glucose? - CORRECT ANSWER-sodium fluoride

For an older adult patient who has difficult to access veins, a tech should select which of
the following veins for venipuncture? - CORRECT ANSWER-dorsal veins




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A phlebotomy tech is collecting a urine specimen from a patient for a pre-employment
drug screen. Which of the following findings should indicate to the tech that tampering
possibly occurred? - CORRECT ANSWER-the temperature of the specimen is 30
degrees celsius (86 degrees F)

A phlebotomy tech is explaining the venipuncture procedure to an adult patient. The
patient nods frequently but appears confused. Which of the following actions should the
tech take? - CORRECT ANSWER-rephrase the information for the patient

A patient asks the phlebotomist to use her finger for the blood work. The phlebotomist
can do this if - CORRECT ANSWER-the ordered tests can be performed on a capillary
specimen

Which of the following venipuncture steps is in the correct order? - CORRECT
ANSWER-assess the site, cleanse the site, insert the needle

According to the CLSI order of draw guidelines, which of the following sample should be
drawn first? - CORRECT ANSWER-blood cultures

A phlebotomy tech is preparing to draw a blood specimen from a patient who has a C
Diff infection. Which of the following precautions should the tech take? - CORRECT
ANSWER-contact precautions

Industry standards states that needle insertion in the antecubital area should be at a? -
CORRECT ANSWER-15 to 30 degree angle

If a phlebotomist notices a hematoma forming during blood draw, what should they do?
- CORRECT ANSWER-release the tourniquet and stop the draw

A phlebotomy tech should ensure that which of the following specimens is protected
from light? - CORRECT ANSWER-bilirubin

A phlebotomy tech is performing a heel stick to obtain capillary blood from a newborn
for bilirubin testing. Which of the following actions should the tech take? - CORRECT
ANSWER-use an amber-colored micro-container

A blood specimen was rejected by the lab with the abbreviations QNS. Why was the
specimen rejected? - CORRECT ANSWER-the specimen was insufficient

Routine phlebotomy collection needle gauge - CORRECT ANSWER-20g, 21g, 22g




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