NHA PHLEBOTOMY CERTIFICATION Exam SCRIPT
2026/2027 QUESTIONS WITH ANSWERS RATED A+
• venipuncture cannot be done in... -✓✓ a tattoo site or scar site
• the tourniquet is not to be left on the patient for longer than... -✓✓ 60 seconds
• to confirm the patients identity... -✓✓ identify the patients name, date of birth and any
other demographic information
• always ask the patient which arm is best to... -✓✓ draw blood out of
• vasovagal response -✓✓ fainting
• provide an explanation of the... -✓✓ process and purpose of the procedure to help the
patients feel comfortable
• you must have all of your supplies... -✓✓ ready
• ask patients about latex allerges before... -✓✓ preparing gloves and tourniquets
• for routine phlebotomy you use... -✓✓ isopropyl alcohol wipes
• for routine blood cultures you use... -✓✓ nonalcohol prep kits or swabs
• avoid using... -✓✓ cotton balls
• hemostasis -✓✓ stoppage of flow of blood
• a butterfly needle and a winged infusion are... -✓✓ the same thing
• a blood collection tube is also called a... -✓✓ vacuum tube
• sterile syringe, needle, and syringe transfer device are used for syringe draws when...
-✓✓ a butterfly needle is not available
• tubes are color-coded for easy... -✓✓ identification
• if the tubes are not drawn in the correct order, the additives could... -✓✓ inadvertently
affect the test
• site selection is sometimes determined based on... -✓✓ the patients age
,• newborns to infants 6 months of age use... -✓✓ a heel stick
• patients 6 months to 2 years of age require... -✓✓ a finger stick
• for patients 2 years and older use... -✓✓ a regular venipuncture
• fistulas -✓✓ abnormal passage from one organ or cavity to another
• mastectomy -✓✓ surgical removal of a breast
• median cubital vein -✓✓ drains the anterior elbow
• cephalic vein -✓✓ a large vein of the arm that empties into the axillary vein
• basillic vein -✓✓ prominent vein in antecubital fossa; third choice for blood draw
• venous insufficiency -✓✓ an abnormal circulatory condition characterized by
decreased return of venous blood from the legs to the trunk of the body
• deep vein thrombosis (DVT) -✓✓ A blood clot in a deep vein, most often an extremity
• when positing the arm... -✓✓ the arm must be up and feet must be on the floor
• avoid switching hands once the skin has been... -✓✓ penetrated
• disinfect the site with 70% alcohol pads, moving in... -✓✓ concentric circles of
increasing diameter starting from the anticipated needle insertion site
• do not use alcohol with blood cultures use.. -✓✓
• allow the skin to air dry, do NOT... -✓✓ touch the site after cleansing
• evacuated tube system -✓✓ Requires three components, the evacuated sample tube,
the double pointed needle and a special plastic adapter
• syringe method -✓✓ blood collection method using a syringe and sterile needle
• butterfly method -✓✓ used for difficult venous draws, such as when a vein is small or
sclerosed (hardened)
• what is the gauge of a butterfly needle? -✓✓ 25-26
, • selecting phlebotomy method is based... -✓✓ the patients veins, age, skin condition
and overall health
• the method should be the most appropriate for each patient while providing the
greatest chance for... -✓✓ successful blood collection and limiting patient discomfort
• anchor the vein with the bevel facing... -✓✓ upward at a 15 to 30 degree angle
• elevate the arm for 2 mintues after... -✓✓ removing needle
• label the tubes immediately after... -✓✓ the procedure and confirm with the patients
that the information is correct
• applying too much force on the plunger or drawing too quickly can cause... -✓✓ the
vein to collapse
• the butterfly technique takes more time than traditional straight-needle draws due to...
-✓✓ the smaller needle gauge and length of tubing
• capillary punctures are also called... -✓✓ finger sticks
• the preferred puncture site for obtaining a capillary puncture in adults and children is...
-✓✓ the middle or ring finger of the non dominant hand
• for the capillary puncture procedure to be successful, the capillaries msut... -✓✓ have
good blood flow
• always wipe away the first drop of blood to... -✓✓ appear after the puncture because
of its contamination with tissue fluids
• if the blood is slow to flow, a gentle pressure may be applied to... -✓✓ the patients
finger to avoid milking the finger
• blood gases -✓✓ gases that are normally dissolved in the liquid portion of blood
• EDTA tubes -✓✓ order of draw:
fifth (lavender and pink)
• additive tubes -✓✓ substance added to tube
• serum tubes -✓✓ red tops and red/gray top SST
• the care after any phlebotomy procedure is just as important as... -✓✓ the care during
the procedure
2026/2027 QUESTIONS WITH ANSWERS RATED A+
• venipuncture cannot be done in... -✓✓ a tattoo site or scar site
• the tourniquet is not to be left on the patient for longer than... -✓✓ 60 seconds
• to confirm the patients identity... -✓✓ identify the patients name, date of birth and any
other demographic information
• always ask the patient which arm is best to... -✓✓ draw blood out of
• vasovagal response -✓✓ fainting
• provide an explanation of the... -✓✓ process and purpose of the procedure to help the
patients feel comfortable
• you must have all of your supplies... -✓✓ ready
• ask patients about latex allerges before... -✓✓ preparing gloves and tourniquets
• for routine phlebotomy you use... -✓✓ isopropyl alcohol wipes
• for routine blood cultures you use... -✓✓ nonalcohol prep kits or swabs
• avoid using... -✓✓ cotton balls
• hemostasis -✓✓ stoppage of flow of blood
• a butterfly needle and a winged infusion are... -✓✓ the same thing
• a blood collection tube is also called a... -✓✓ vacuum tube
• sterile syringe, needle, and syringe transfer device are used for syringe draws when...
-✓✓ a butterfly needle is not available
• tubes are color-coded for easy... -✓✓ identification
• if the tubes are not drawn in the correct order, the additives could... -✓✓ inadvertently
affect the test
• site selection is sometimes determined based on... -✓✓ the patients age
,• newborns to infants 6 months of age use... -✓✓ a heel stick
• patients 6 months to 2 years of age require... -✓✓ a finger stick
• for patients 2 years and older use... -✓✓ a regular venipuncture
• fistulas -✓✓ abnormal passage from one organ or cavity to another
• mastectomy -✓✓ surgical removal of a breast
• median cubital vein -✓✓ drains the anterior elbow
• cephalic vein -✓✓ a large vein of the arm that empties into the axillary vein
• basillic vein -✓✓ prominent vein in antecubital fossa; third choice for blood draw
• venous insufficiency -✓✓ an abnormal circulatory condition characterized by
decreased return of venous blood from the legs to the trunk of the body
• deep vein thrombosis (DVT) -✓✓ A blood clot in a deep vein, most often an extremity
• when positing the arm... -✓✓ the arm must be up and feet must be on the floor
• avoid switching hands once the skin has been... -✓✓ penetrated
• disinfect the site with 70% alcohol pads, moving in... -✓✓ concentric circles of
increasing diameter starting from the anticipated needle insertion site
• do not use alcohol with blood cultures use.. -✓✓
• allow the skin to air dry, do NOT... -✓✓ touch the site after cleansing
• evacuated tube system -✓✓ Requires three components, the evacuated sample tube,
the double pointed needle and a special plastic adapter
• syringe method -✓✓ blood collection method using a syringe and sterile needle
• butterfly method -✓✓ used for difficult venous draws, such as when a vein is small or
sclerosed (hardened)
• what is the gauge of a butterfly needle? -✓✓ 25-26
, • selecting phlebotomy method is based... -✓✓ the patients veins, age, skin condition
and overall health
• the method should be the most appropriate for each patient while providing the
greatest chance for... -✓✓ successful blood collection and limiting patient discomfort
• anchor the vein with the bevel facing... -✓✓ upward at a 15 to 30 degree angle
• elevate the arm for 2 mintues after... -✓✓ removing needle
• label the tubes immediately after... -✓✓ the procedure and confirm with the patients
that the information is correct
• applying too much force on the plunger or drawing too quickly can cause... -✓✓ the
vein to collapse
• the butterfly technique takes more time than traditional straight-needle draws due to...
-✓✓ the smaller needle gauge and length of tubing
• capillary punctures are also called... -✓✓ finger sticks
• the preferred puncture site for obtaining a capillary puncture in adults and children is...
-✓✓ the middle or ring finger of the non dominant hand
• for the capillary puncture procedure to be successful, the capillaries msut... -✓✓ have
good blood flow
• always wipe away the first drop of blood to... -✓✓ appear after the puncture because
of its contamination with tissue fluids
• if the blood is slow to flow, a gentle pressure may be applied to... -✓✓ the patients
finger to avoid milking the finger
• blood gases -✓✓ gases that are normally dissolved in the liquid portion of blood
• EDTA tubes -✓✓ order of draw:
fifth (lavender and pink)
• additive tubes -✓✓ substance added to tube
• serum tubes -✓✓ red tops and red/gray top SST
• the care after any phlebotomy procedure is just as important as... -✓✓ the care during
the procedure
