NHA Phlebotomy certification EXAM
(2026-2027) Already Passed
1. What temperature should a semen sample be transported? ✔✔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 ✔✔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) ✔✔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? ✔✔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? ✔✔a. Implied consent
6. Why should phlebotomist document volume of blood drawn from a patient? ✔✔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? ✔✔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 ✔✔a. Implied consent
9. Which of the following actions is appropriate when labeling specimens? ✔✔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? ✔✔a. Don't draw until nurse puts an
armband on patient
11. Which is appropriate form of identification in inpatient setting? ✔✔a. Verbal and wrist band
12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary? ✔✔a. Lavender
and red
13. A blood specimen is rejected by lab with QNS as the reason? Why? ✔✔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? ✔✔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? ✔✔a. Lab
rejects the mislabeled specimen
, 16. Phlebotomist is performing venipuncture and patient begins to seize. What is correct action?
✔✔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? ✔✔a. O2 levels
18. When performing a venipuncture on a patient of average weight, which is the correct
technique for needle insertion? ✔✔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? ✔✔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? ✔✔a. Autologous donation
21. The order of draw for capillary collections is different than venipuncture because ✔✔a.
Increased risk of coagulation (remember platelets start to form)
(2026-2027) Already Passed
1. What temperature should a semen sample be transported? ✔✔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 ✔✔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) ✔✔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? ✔✔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? ✔✔a. Implied consent
6. Why should phlebotomist document volume of blood drawn from a patient? ✔✔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? ✔✔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 ✔✔a. Implied consent
9. Which of the following actions is appropriate when labeling specimens? ✔✔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? ✔✔a. Don't draw until nurse puts an
armband on patient
11. Which is appropriate form of identification in inpatient setting? ✔✔a. Verbal and wrist band
12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary? ✔✔a. Lavender
and red
13. A blood specimen is rejected by lab with QNS as the reason? Why? ✔✔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? ✔✔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? ✔✔a. Lab
rejects the mislabeled specimen
, 16. Phlebotomist is performing venipuncture and patient begins to seize. What is correct action?
✔✔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? ✔✔a. O2 levels
18. When performing a venipuncture on a patient of average weight, which is the correct
technique for needle insertion? ✔✔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? ✔✔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? ✔✔a. Autologous donation
21. The order of draw for capillary collections is different than venipuncture because ✔✔a.
Increased risk of coagulation (remember platelets start to form)
