NHA Phlebotomy Exam 2026 Questions with correct Answers

NHA Phlebotomy Exam 2026 Questions with correct Answers Light blue tubes Additive: sodium citrate. Lab test: coagulation studies PT, PTT, factor assay. light green/marbled green tubes Additive: separator, Lithium heparin. Lab test: potassium purple/lavender tube Additive: EDTA, Lab test: CBC, whole blood hematology cell count. Gray tubes Additives: potassium oxalate/ heparin, sodium fluoride Lab test: glucose, GTT, alcohol. Royal blue tube Additives: sodium heparin, EDTA. Lab test: drug screen, trace metals. yellow tubes Additives: SPS, ACD. Lab test: blood cultures, HLA studies. Serum tubes used for blood tests that require the blood to clot. Red tube no additive, Lab test: Discard, chemistries, serologies, blood bank. Gold tube Clot activator Orange tube thrombin based clot activator, used when the chemistry determination is for stat blood collection. First choice vein median cubital vein A phlebotomy technician is performing a capillary collection for CBC, FSH, and electrolyte tests. Which of the following is the proper collection order? Lavender, green, red. 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 procedure? -21 gauge ETS eclipse needle -25 gauge ETS eclipse needle -23 gauge winged collection set -23 gauge syringe collection set 23-gauge winged collection set A patient sits down for a vina puncture in an outpatient setting, rolls up her sleeve, and extends her arm. The patient turns her head away from the phlebotomy technician and says, "I don't want my blood drawn." Which of the following responses should the technician make to the patient? -I am going to start the drawing now. -May I draw your blood? -do you want me to get the nurse? -I will get another phlebotomist. May I draw your blood? A phlebotomy technician is performing a vina puncture for a potassium test, CBC, and glucose test. The technician has left the tourniquet on the patient for three minutes. Which of the following outcomes should the technician expect? High potassium level A phlebotomy technician is preparing to perform a vina puncture test for coagulation, WBC, pregnancy, and random glucose. Which of the following tubes of the technician choose? -SPS, ACD, and sodium citrate -sodium heparin, EDTA, SST -SPS, AC D, and sodium heparin -sodium citrate, SST, and EDTA sodium citrate, SST, and EDTA Phlebotomy technician is preparing to collect a variety of blood specimens. Which of the following specimens for the technician collect first? Blood culture phlebotomy technician is performing a dorsal been a puncture with the needle at a 15° angle, resulting in slow blood flow in the development of a hematoma which of the following to the technician identify as a cause of the hematoma? needle completely through the vein A Phlebotomy technician is performing a dermal puncture for an adult patient. Which of the following locations shut the technician use for the procedure? The side of the ring finger phlebotomy technician is performing a vina puncture on a patient. When the technician insert the needle, the rain collapses. Which of the following is a possible cars? Applying the tourniquet too tightly I phlebotomy technician accidentally punctures of patients artery during a vina puncture procedure. Which of the following actions should the technician take? apply pressure to the site for at least five minutes Phlebotomy technician is performing a blood collection for a patient who has Adema in her right arm. Which of the following locations should the technician identify as a best friend choice for a vina puncture? left side dorsal hand Phlebotomy technician is performing a vina puncture film for a billirubin test, a cold agglutinin titer, CBC, and a PTT test. Which of the following tube to the technician use? One light blue, two serum tops, and one lavender tube. How often should a phlebotomy technician run quality control tests on point-of-care testing instruments? Daily During a venipuncture, a patient reports a sharp pain radiating down his arm. Which of the following actions should a phlebotomy technician take? Release the tourniquet and remove the needle A phlebotomy technician is preparing to collect a blood specimen from a patient for a coagulation study. The patient states, "I faint every time I get my blood drawn." Which of the following statements should the technician make? "I will perform the draw while you are lying down" A phlebotomy technician has a requisition for collecting a fasting blood glucose and albumin specimens from a patient. Which of the following actions should the technician take before collecting the patient's blood? Make sure the patient has fasted for the past 8-12 hours A phlebotomy technician is educating a patient about the at-home collection of a semen specimen. Which of the following statements by the patient indicates an understanding of the procedure? "I will collect the specimen in sterile container and return it to the lab within 1 hour" Which of the following actions should a phlebotomy technician take to locate a vein using the warming technique? Encase the warm towel in a plastic bag While performing a venipuncture, a phlebotomy technician is stuck with a used needle. Which of the following actions should the technician take first? Flush the injured area with running water Which of the following is a potential consequence of a phlebotomy technician mislabeling a blood bank specimen? A transfusion reaction Venipuncture order -yellow -light blue, -gold red, speckled red & gray -green, -lavender -gray A phlebotomy technician is preparing to collect a blood specimen from the hand of a patient whose veins are difficult to access. Which of the following devices should the technician use? Hand immobilizer Which of the following actions by a phlebotomy technician can result in a grossly hemolyzed specimen? Using an incorrect needle gauge A phlebotomy technician is preparing to collect a blood specimen from a patient who signed a general informed consent form upon admission to the facility. Which of the following actions by the patient indicates implied consent for the venipuncture? Rolling up his shirtsleeve A phlebotomy technician is using an evacuated needle holder and blood collection tubes to collect blood from a patient. Which of the following actions should the technician take? Push the first collection tube gently into the holder A phlebotomy technician must comply with which of the following OSHA requirements when performing a venipuncture? Wear gloves when contact with blood is anticipated Which of the following actions should a phlebotomy technician take when performing a venipuncture using an evacuated tube system? Position the needle at a 30 degree angle in the same direction as the vein and with the bevel up A phlebotomy technician is collecting a blood specimen from a patient to measure the trough level of a medication. The technician should collect the specimen at which of the following times? Within 15 minutes before the patient receives the next dose of medication For which of the following tests should a phlebotomy technician follow chain of custody guidelines? drug screenings, forensic studies, blood alcohol tests, and paternity testing. A phlebotomy technician has a request to collect a routine CBC from a healthy 10-month-old infant. Which of the following collection sites should the technician select? Either heel A phlebotomy technician is collecting a blood specimen from a patient for blood cultures. Which of the following additives do the blood collection tubes require? Sodium polyanethol sulfonate (SPS) A phlebotomy technician is reviewing a laboratory requisition before obtaining blood specimens from a patient. The technician should verify that the requisition includes which of the following information? A specimen identification code Which of the following personal protective equipment provides a phlebotomy technician with the best protection when drawing blood from a patient who has active tuberculosis? N95 respirator A phlebotomy technician is using a point-of-care test system to determine a patient's WBC count. For which of the following results should the technician immediately notify the provider? 1.8mm3 A phlebotomy technician should identify that which of the following is an identifier for a specimen as long as it remains in the laboratory? Accession number Which of the following actions should a phlebotomy technician take after collecting an ammonia specimen? Place the specimen tube in an ice-water slurry A phlebotomy technician should transport a semen sample at which of the following temperatures? 36 degrees to 38 degrees Celsius A phlebotomy technician is performing a heel-stick 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 According to standard precautions, a phlebotomy technician should take which of the following actions when shipping specimens to a reference laboratory in hot weather? Place the specimens in a box with cold packs and a biohazard label An unconscious patient is brought to the emergency department, and several blood tests are ordered. A phlebotomy technician should collect the patient's blood because he has received which of the following types of consent? Implied consent A phlebotomy technician is performing a venipuncture on a patient who recently had a mastectomy on her right side. The technician should draw blood from which of the following locations? Left arm A phlebotomy technician should identify that which of the following colors signifies a health hazard in the National Fire Protection Association (NFPA) 704 Marking System? Blue A phlebotomy technician is collecting blood specimen from a patient for multiple blood assays. The technician should fill the tube that has which of the following additives first? Sodium citrate A phlebotomy technician is collecting a blood specimen from a patient who has pneumonia. Besides gloves, which of the following pieces of personal protective equipment should the technician wear? mask A phlebotomy technician is using a glucose monitor for point-of-care testing of a patient who has been fasting for 12 hours. For which of the following results should the technician immediately notify the provider? 130 mg/dL Prior to transport, which of the following specimens should a phlebotomy technician place in an ice bath within 30 minutes after collection? Arterial blood gas A tourniquet should be left on a patient's arm for which of the following amounts of time? No longer than 60 seconds A phlebotomy technician is transporting blood specimens to a laboratory. Which of the following actions should the technician take? Place the specimen in a lockable container According to the Clinical and Laboratory Standards Institute's order of draw guidelines, which of the following samples should a phlebotomy technician collect first? Blood cultures A phlebotomy technician is required to obtain which of the following from a potential blood donor? Complete medical history A phlebotomy technician is performing a venipuncture for a patent. The patient suddenly reports "feeling faint." After removing the tourniquet and the needle, which of the following actions should the technician take next? Have the patient put her head between her legs Maximum depth of capillary puncture for infant? 2.0mm What is the minimal information needed to label a tube after the specimen is drawn? Name of patient, date and time, phlebotomist's initials What do you do if the patient has no ID bracelet on? What do you do if the patient has no ID bracelet on? peripheral blood smear from a patients capillary blood use the second drop of blood that emerges from the puncture to ensure accurate results when collecting a specimen for a lactic acid test a collection tube that has a gray-colored top The technician should ensure patient confidentiality by clearing phone numbers and email addresses from office equipment, such as fax machines and copiers. to disinfect items that are contaminated by blood use a 1:10 dilution of sodium hypochlorite, or chlorine bleach with water to collect specimen from older adults with easy to collapse vein use a syringe and butterfly assembly and transfer to an ets tube a patient has a right side mastectomy and an IV on the left arm, where should blood be drawn? draw blood from a site below the IV to avoid hemolysis allow alcohol to dry completely before venipuncture How often should quality test on glucometer be performed in the laboratory everyday that it is used