NHA CPT Exam Study Questions 2026 Questions and Answers

NHA CPT Exam Study Questions 2026 Questions and Answers Q: For an older pt. Who has difficult-to-access veins, a phlebotomy tech should select which of the following veins to perform a venipuncture? Dorsal veins A phleb tech should transport a semen sample at which of the following temperatures? 36 - 38 *C For which of the following procedures should a phlebotomy tech follow chain of custody guidelines? Paternity testing To prevent hospital acquired infections, a phlebotomy tech should clean items that have been contaminated by blood with a 1:10 dilution of which of the following substances and water? Sodium hypochlorite Prior to transport, which of the following specimens should a phlebotomy tech place in an ice bath within 30 min after collection? Arterial blood gas A phlebotomy tech is collecting a urine specimen from a pt. for a pre-employment drug screening. Which of the following findings should indicate to the technician that tampering has possible occured? The temp of the specimen is 30 C (86F) A phlebotomy tech must comply with which of the following OSHA requirements when performing a venipuncture? Wear gloves when contact with blood is anticipated A phlebotomy tech should identify that which of the following additives is used to prevent the breakdown of glucose? Sodium fluoride An unconscious pt. is brought to the emergency department, and several blood tests are ordered. A phlebotomy tech should collect the pt.s blood because he has received which of the following types of consent? implied consent A phlebotomy tech should identify that which of the following is an identifier for a specimen as long as it remains in the laboratory? Accession number A phlebotomy tech is washing her hands at the beginning of her shift. Which of the following actions should the technician take? Use enough soap to form a lather For which of the following reasons should a phlebotomy technician document the total volume of blood drawn from a pt.? To determine if the pt. is at risk of developing iatrogenic anemia A phlebotomy technician is preparing several specimens for transport to the facility's laboratory. Which of the following specimens should the tech protect from bright light by placing it in amber/brown biohazard bag for transport? Vitamin B6 A phlebotomy tech is preparing to collect a blood specimen from a pt. who is allergic to alcohol. Which of the following antiseptic solutions should the technician use to prepare the insertion site Chlorhexidine A phlebotomy tech is collecting a blood specimen from a pt. to measure the trough level of a medication. The tech should collect the specimen at which of the following times? Within 15 min before the pt. receives the next dose of medication A phlebotomy tech is reviewing a lab requisition before obtaining blood specimens from a pt. The tech should verify that the requisition includes which of the following information?` A specimen identification code A phlebotomy tech is collecting blood specimens from a pt. for multiple blood assays. The tech should fill the tube that has which of the following additives first? Sodium citrate Which of the following is a potential consequence of a phlebotomy tech mislabeling a blood bank specimen? A transfusion reaction A patient arrives at a clinic with a requisition for a chemistry panel. A Tech notices that the pt's last name on the requisition differs from the pt's provided ID. Which of the following actions should the tech take? Contact the ordering provider to correct the requisition form When should a phlebotomy tech perform external liquid controls for quality control on a CLIA-waived glucose point-of-care test? When a new lot of number or kit is opened A phlebotomy tech is performing a heelstick to obtain capillary blood for testing a newborn's bilirubin level. Which of the following actions should the technician take? Use an amber-colored microcontainer Which of the following actions should a phlebotomy tech take to locate a vein using the warming technique? Encase the warm towel in a plastic bag A phlebotomy tech is preparing to perform a lactic acid test. Which of the following actions should the tech take? Collect the specimen in a gray-topped tube A phlebotomy tech is using the syringe method to obtain a blood culture specimen from an adult pt. Which of the following actions should the tech take? Withdraw the blood into a sterile safety syringe A pt. who has diabetes states that he prefers to be drawn on the inside of his wrist. Which of the following actions should a phlebotomy tech take? Attempt to draw from the antecubital region A phlebotomy technician is preparing to obtain a blood specimen from a pt. for thyroid studies. The tech should select a collection tube that has a top with which of the following colors? Speckled A phlebotomy tech is introducing herself to a pt. and explaining the venipuncture procedure. In which of the following comfort zones is the tech working? Personal A phlebotomy tech is instructing a pt. about proper semen specimen collection for determination of fertility potential. Which of the following instructions should the technician include? Protect the specimen from exposure to bright light A phlebotomy tech should select a tube that has which of the following anticoagulants to collect a sample for a PT/PTT test? Sodium citrate Which of the following tubes should a phlebotomy tech collect first when obtaining dermal samples? Lavender top A phlebotomy technician should select a tube that has which of the following additives when collecting a blood specimen for a CBC? EDTA A phlebotomy tech is processing a semen specimen. Which of the following actions should the tech take? Deliver the specimen to the laboratory within 2 hr. A phlebotomy tech is preparing to collect a blood specimen from a pt. who states that he is HIV positive. Which of the following actions should the tech take? Perform the venipuncture A phlebotomy technician has a requisition form for a series of tests on a pt's serum. The tech should select a collection tube that contains which of the following additives? Thrombin A phlebotomy technician is preparing to collect a specimen for a blood alcohol level test. Which of the following antiseptics should the technician use to clean the venipuncture site? Soap and water A phlebotomy technician is updating a quality control record while performing daily point-of-care tests. Which of the following information should the technician include? Expiration date 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? Shock A phlebotomy tech collects multiple specimens from a premature infant. Which of the following is a possible result of the procedure? iatrogenic anemia A phlebotomy tech is collecting capillary blood drops on a filter paper card to screen a newborn for phenylketonuria. Which of the following actions should the tech take? Apply blood to the printed side of the filter paper A pt. asks a phlebotomy tech to use her finger for blood work. In which of the following situations can the technician collect blood from the pt's finger? The ordered test can be performed on a capillary specimen A phlebotomy tech uses alcohol to cleanse a venipuncture site. Before performing the venipuncture, the tech should allow the site to dry for which of the following reasons? Alcohol requires time for the antiseptic action to take effort A phlebotomy tech is performing a venipuncture using a winged infusion set. The red topped tube fills, but the light blue-topped tube slows and does not fill completely. Which of the following actions should the tech take? Insert a new light blue-topped tube to see if it will fill A phlebotomy tech is preparing to perform a blood draw on a pt. who had a left-sided mastectomy and has an IV on her right side. In which of the following locations should the tech perform the draw? Below the IV Which of the following collection tubes should a phlebotomy tech use when collecting for a routine chemistry test that requires serum? SST A pt states that he is a "difficult draw" and requests a skin puncture. The test ordered is a PTT. Which of the following should a phlebotomy tech perform? A syringe draw transferred into a light blue vacuum tube While a phlebotomy tech is performing a blood collection, several drops of blood land on the drawing chair. Which of the following solutions should the tech use to remove the blood? 1:10 bleach A phlebotomy tech is reviewing a laboratory test requisition form before obtaining blood specimens from a pt. Which of the following actions should the tech take prior to performing the venipuncture? Check the requisition form for duplicate test orders A phlebotomy technician is preparing to store a blood specimen. At which of the following temperatures should the technician store the specimen? 2 to 8C (35.6 to 46.4F) A phlebotomy tech 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 tech use? One light blue, two serum tops, and one lavender tube 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 tech need? Lancet with a 2-mm depth and an EDTA microcollection container A phlebotomy tech is performing a venipuncture for a potassium test, CBC, and glucose test. The tech has left the tourniquet on the pt for 3 min. Which of the following outcomes should the tech expect? High potassium level A phlebotomy tech is performing a capillary collection for CBC, FSH, and electrolyte tests. Which of the following is the proper collection order? Lavender microcollection container, green microcollection container, then red microcollection container A phlebotomy tech is preparing to perform a venipuncture test for coagulation, WBC, pregnancy, and random glucose. Which of the following tubes should the technician choose? Sodium citrate, SST, and EDTA A phlebotomy tech is using povidone-iodine during a capillary specimen collection. Which of the following outcomes should the tech expect? Increased potassium level What size syringe is commonly used? 10-20 mL A phlebotomy tech is preparing to collect specimens to determine a pt's peak and trough levels of a medication. Which of the following actions should the technician take? Ask the nurse when the medication was administered A phlebotomy tech is preparing to draw a pt's blood when the pt informs him that she is taking warfarin. The tech should identify that the results of which of the following tests is affected by this medication? PT/INR A phlebotomy tech is performing a venipuncture on a pt who currently has an IV in both arms. Ask the nurse to turn the IVs off for 2 min A phlebotomy tech is positioning a pt for a venipuncture. To prevent reflux or backflow, the technician should instruct the pt to move her arm into which of the following positions? Fully extended in a downward position A phlebotomy tech is processing the blood sample of a pt who ate a meal of meat and cheese prior to the draw. Following the centrifugation of the sample, which of the following findings should the tech expect? The specimen is lipemic Amount of time a semen specimen must reach the lab? 1 hr after collection Amount of sputum needed to test? 1-2 teaspoons How much urine is generally enough to evaluate a specimen? 30 - 60 mL Urine should be tested or refrigerated within what amount of time? Urine begins to deteriorate within 30 min of collection. A phlebotomy technician is preparing to perform blood collection for blood cultures, PTT, and testosterone levels. In which of the following orders should the technician collect these samples? Yellow-topped tube, blue-topped tube, red-topped tube A phlebotomy technician is collecting a peripheral blood smear from a patient. The technician should identify that this collection technique is used for which of the following tests? WBC differential test A phlebotomy technician is performing a brief physical examination on a prospective blood donor. Which of the following measurements would indicate the donor's eligibility to donate blood? Hematocrit level 42% A phlebotomy technician is collecting a blood culture from an infant who weighs 3 kg (6.6 lb). The technician should identify that which of the following is the total blood volume for this infant? 240 to 330 ml A phlebotomy technician is caring for a 3-year-old child in an inpatient setting who weighs 15.9 kg (35 lb). The technician should identify that which of the following blood collection amounts is within total volume guidelines for a 1-month period for this patient? 95 mL PPE ON Mask, Gown, Goggles, Gloves PPE OFF Gloves, Goggles, Gown, Mask Order of Collection - Capillary Draw Blood gases - EDTA - Tubes with Additives - Serum Tubes Within what time frame should you transport blood to the lab? 45 minutes. What tube should be used for ESR? lavender A pt. arrives at a clinic with a requisition for a chemistry panel. A technician notices that the patient's last name on the requisition differs from the patient's provided ID. Which of the following actions should the technician take? Contact the ordering provider to correct the requisition form A phlebotomy technician is collecting a blood specimen from an adolescent patient who weighs 42.6 kg (94 lb). Which of the following amounts is appropriate to collect if the maximum allowable volume of blood is 1%? 40 mL A phlebotomy technician is assembling the equipment he will need for collecting donor units of blood. Which of the following needle sizes should the technician select? 18-gauge A phlebotomy technician is preparing to collect a blood specimen from a pt. who is allergic to alcohol. Which of the following antiseptic solutions should the technician use to prepare the insertion site? Chlorhexidine A phlebotomy technician is collecting a unit of blood from a donor. Which of the following actions should the technician take? Instruct the donor to open and close his hand gently throughout the collection