NHA Phlebotomy Practice Test 146 questions with Accurate
Answers | Latest Update 2026\2027 Exam Prep
1. Describe a scenario in which capillary collection would be preferred over
venipuncture and explain why.
Capillary collection is preferred for patients needing extensive testing.
Capillary collection is preferred for infants because their veins are
small and difficult to access.
Capillary collection is preferred for patients with high blood pressure.
Capillary collection is preferred for adults to avoid pain.
2. If a phlebotomy technician observes petechiae on a patient after applying a
tourniquet, what should be the technician's next step?
Loosen the tourniquet
Proceed with the venipuncture
Apply a second tourniquet
Document the finding and continue
3. If a phlebotomy technician encounters a patient who becomes faint during
the blood draw, what immediate action should they take?
Document the incident and proceed with the draw.
Continue the draw to finish quickly.
Call for another technician to take over.
Stop the procedure and assist the patient to a safe position.
4. A phleb tech is obtaining a blood speicmen from a pt. the pt reports sharp,
painful, and tingling sensation going down her arm and into her hand. the
, tech should realize that which complication is occuring
hematoma
petechiae
hemoconcentration
nerve injury
5. Describe the significance of glucose testing in both home and medical
facility settings.
Glucose testing is crucial for monitoring blood sugar levels, helping
manage diabetes effectively.
Glucose testing is used to assess cholesterol levels in the blood.
Glucose testing is primarily for diagnosing infections.
Glucose testing is only performed in hospitals.
6. Why is it important for a phlebotomy technician to initial and mark the date
and time on each tube drawn?
It is necessary for billing purposes.
It helps in organizing the patient's medical records.
It is a requirement for patient consent.
It ensures proper identification and tracking of the specimen for
accurate testing.
7. If a patient with diabetes insists on having their blood drawn from the inside
of their wrist, what should the phlebotomist do while ensuring safety and
compliance?
, Assess the site for suitability and explain any concerns before
proceeding.
Only draw from the wrist if the patient signs a waiver.
Refuse to draw from that site and insist on the antecubital fossa.
Draw from the wrist without any discussion to avoid conflict.
8. What is the first action a phlebotomy technician should take when
encountering a patient in shock and bleeding profusely?
Check the patient's vital signs.
Call for emergency medical assistance.
Apply direct pressure to the bleeding site.
Administer fluids to the patient.
9. Which tests will povidone-iodine have an adverse effect with dermal
puncture?
calcium and magnesium
antibody test
bilirubin, phosphorus, and potassium
blood culture tests
10. If a phlebotomy technician mistakenly uses an EDTA tube instead of an SST
tube for a routine chemistry test, what impact might this have on the test
results?
The test results will be unaffected as both tubes are interchangeable.
The test results may be inaccurate due to the presence of
anticoagulant in the EDTA tube.
, The test results will be delayed due to additional processing
requirements.
The test results will be more accurate because EDTA prevents
clotting.
11. Describe the rationale behind the order of removing Personal Protective
Equipment (PPE) after interacting with an isolated patient.
The mask should be removed first to allow for easier breathing after
the procedure.
The face shield should be removed first to avoid fogging during the
procedure.
Gloves should be removed first to prevent contamination and
protect the technician from exposure to pathogens.
The gown should be removed first to ensure the technician's clothing
is not contaminated.
12. If a phlebotomy technician receives a needlestick injury while drawing blood
from a patient, what should they do next after washing the area?
Continue with the procedure as if nothing happened.
Wait until the end of the shift to report the incident.
Leave the work area to avoid further injury.
Notify their supervisor and seek medical evaluation.
13. When performing infant PKU testing, a phlebotomist should process a
specimen by adhering to which of the following protocols regarding
screening cards?
Hold vertically
Place in sunlight
Answers | Latest Update 2026\2027 Exam Prep
1. Describe a scenario in which capillary collection would be preferred over
venipuncture and explain why.
Capillary collection is preferred for patients needing extensive testing.
Capillary collection is preferred for infants because their veins are
small and difficult to access.
Capillary collection is preferred for patients with high blood pressure.
Capillary collection is preferred for adults to avoid pain.
2. If a phlebotomy technician observes petechiae on a patient after applying a
tourniquet, what should be the technician's next step?
Loosen the tourniquet
Proceed with the venipuncture
Apply a second tourniquet
Document the finding and continue
3. If a phlebotomy technician encounters a patient who becomes faint during
the blood draw, what immediate action should they take?
Document the incident and proceed with the draw.
Continue the draw to finish quickly.
Call for another technician to take over.
Stop the procedure and assist the patient to a safe position.
4. A phleb tech is obtaining a blood speicmen from a pt. the pt reports sharp,
painful, and tingling sensation going down her arm and into her hand. the
, tech should realize that which complication is occuring
hematoma
petechiae
hemoconcentration
nerve injury
5. Describe the significance of glucose testing in both home and medical
facility settings.
Glucose testing is crucial for monitoring blood sugar levels, helping
manage diabetes effectively.
Glucose testing is used to assess cholesterol levels in the blood.
Glucose testing is primarily for diagnosing infections.
Glucose testing is only performed in hospitals.
6. Why is it important for a phlebotomy technician to initial and mark the date
and time on each tube drawn?
It is necessary for billing purposes.
It helps in organizing the patient's medical records.
It is a requirement for patient consent.
It ensures proper identification and tracking of the specimen for
accurate testing.
7. If a patient with diabetes insists on having their blood drawn from the inside
of their wrist, what should the phlebotomist do while ensuring safety and
compliance?
, Assess the site for suitability and explain any concerns before
proceeding.
Only draw from the wrist if the patient signs a waiver.
Refuse to draw from that site and insist on the antecubital fossa.
Draw from the wrist without any discussion to avoid conflict.
8. What is the first action a phlebotomy technician should take when
encountering a patient in shock and bleeding profusely?
Check the patient's vital signs.
Call for emergency medical assistance.
Apply direct pressure to the bleeding site.
Administer fluids to the patient.
9. Which tests will povidone-iodine have an adverse effect with dermal
puncture?
calcium and magnesium
antibody test
bilirubin, phosphorus, and potassium
blood culture tests
10. If a phlebotomy technician mistakenly uses an EDTA tube instead of an SST
tube for a routine chemistry test, what impact might this have on the test
results?
The test results will be unaffected as both tubes are interchangeable.
The test results may be inaccurate due to the presence of
anticoagulant in the EDTA tube.
, The test results will be delayed due to additional processing
requirements.
The test results will be more accurate because EDTA prevents
clotting.
11. Describe the rationale behind the order of removing Personal Protective
Equipment (PPE) after interacting with an isolated patient.
The mask should be removed first to allow for easier breathing after
the procedure.
The face shield should be removed first to avoid fogging during the
procedure.
Gloves should be removed first to prevent contamination and
protect the technician from exposure to pathogens.
The gown should be removed first to ensure the technician's clothing
is not contaminated.
12. If a phlebotomy technician receives a needlestick injury while drawing blood
from a patient, what should they do next after washing the area?
Continue with the procedure as if nothing happened.
Wait until the end of the shift to report the incident.
Leave the work area to avoid further injury.
Notify their supervisor and seek medical evaluation.
13. When performing infant PKU testing, a phlebotomist should process a
specimen by adhering to which of the following protocols regarding
screening cards?
Hold vertically
Place in sunlight
