Phlebotomy NHA Exam 2023/2024
Questions and Answers
Which of the following blood specimen test are photosensitive and should be protected
from the light?
A. Gastrin
B. Ammonia
C. Pyruvate
D. Bilirubin - ANSWER-D. Bilirubin
A phlebotomist should identify that a blood spot collection for inborn errors of
metabolism requires which of the following?
A. The newborn must be at least 3 days old
B. The circles on the filter paper must be at least half filled
C. The first drop of blood of blood immediately following the puncture must be included
D. The specimen must be completely dried before the test can be processed -
ANSWER-A. The newborn must be at least 3 days old.
Which of the following actions should a phlebotomist take to comply with guidelines for
a CLIA-waived procedure?
A. Document quality control results
B. Report results immediately to CLA
C. Transport specimens within 24 hr.
D. Process a specimen within 1 hour of collection - ANSWER-A. Document quality
control results
A phlebotomist should administer CPR to which of the following patients?
A. A patient who has chest pain
B. A patient who is pulseless
C. A patient who is lethargic
D. A patient who is short of breath - ANSWER-B. A patient who is pulsless
Which of the following color top tubes will the phlebotomist need to preform A1C, CBC,
Hepatic panel, and a comprehensive metabolic panel?
A. Yellow and Blue
B. Gold and lavender
C. Green and gray
,D. Red and Black - ANSWER-B. Gold and Lavender
Which of the following methods provides for the most secure and reliable delivery of
laboratory results?
A. Electronic reports
B. Courier Delivery
C. Verbal reports
D. Fax - ANSWER-D. Fax
A phlebotomist should instruct a patient to take which of the following actions when
providing a sputum specimen?
A. Collect the stool directly into a sterile container
B. Discard the first urine of the day and collect for 24 hr.
C. Aggressively swab the inside of the check
D. Take a deep breath and then expectorate - ANSWER-D. Take a deep breath and
then expectorate
Which of the following blood test is appropriate for a fasting specimen?
A. Glucose and triglycerides
B. BUN and alkaline
C. Creatinine and total protein
D. Lactate dehydrogenase and albumin - ANSWER-A. Glucose and triglycerides
A phlebotomist has just confirmed critical values on a laboratory test. Which of the
following actions should the phlebotomist take when the physician's office is already
closed?
A. Contact the physician by paging or calling right away
B. Leave a message at the physicians office number
C. Call the physicians office on the next business day
D. Fax the results to the physicians office with a stat fax cover - ANSWER-A. Contact
the physician by paging or calling right away
Which of the following is the appropriate procedure for handling an ammonia specimen
A. Protect from light
B. Transport on ice
C. Transport with warm water
D. Protect from diurnal variation - ANSWER-B. Transport on ice
A phlebotomist is preparing to collect a capillary blood specimen from a patient using
the aseptic technique. Which of the following cleansing agents should the phlebotomist
use?
, A. Povidone-iodine
B. Hand Sanitizer
C. 70% isopropyl alcohol
D. 10% chlorine bleach solution - ANSWER-C. 70% isopropyl alcohol
A phlebotomist is called to the emergency department to draw blood from a patient who
is in critical condition. Which of the following is the applicable consent for this procedure
A. Informed
B. Implied
C. Expressed
D. Written - ANSWER-B. Implied
A phlebotomist should identify which of the following as the best site for phenylketonuria
collection on an infant
A. The medial or lateral areas of the heel
B. The central area of the heel
C. The medial or lateral area of the fingertip
D. The central area of the fingertip - ANSWER-A. The medial or lateral areas of the heel
Which of the following criteria is acceptable in determining the quality of a peripheral
blood smear
A. Covers a quarter of the slide
B. A well-defined edge
C. Covers the entire slide
D. A feathered edge - ANSWER-D. a feathered edge
There has been a chemical spill in the laboratory. To which of the following should a
phlebotomist refer to for directions to clean up the spill?
A. CLIA
B. OSHA
C. SDS
D. CDC - ANSWER-C. SDS
When preparing for a blood smear, which of the following should a phlebotomist use to
ensure the best test result
A. venous blood from an EDTA tube
B. Venous blood from a sodium citrate tube
C. Venous blood from a fluoride tube
D. Venous blood from a heparin tube - ANSWER-A. Venous blood from an EDTA tube
Questions and Answers
Which of the following blood specimen test are photosensitive and should be protected
from the light?
A. Gastrin
B. Ammonia
C. Pyruvate
D. Bilirubin - ANSWER-D. Bilirubin
A phlebotomist should identify that a blood spot collection for inborn errors of
metabolism requires which of the following?
A. The newborn must be at least 3 days old
B. The circles on the filter paper must be at least half filled
C. The first drop of blood of blood immediately following the puncture must be included
D. The specimen must be completely dried before the test can be processed -
ANSWER-A. The newborn must be at least 3 days old.
Which of the following actions should a phlebotomist take to comply with guidelines for
a CLIA-waived procedure?
A. Document quality control results
B. Report results immediately to CLA
C. Transport specimens within 24 hr.
D. Process a specimen within 1 hour of collection - ANSWER-A. Document quality
control results
A phlebotomist should administer CPR to which of the following patients?
A. A patient who has chest pain
B. A patient who is pulseless
C. A patient who is lethargic
D. A patient who is short of breath - ANSWER-B. A patient who is pulsless
Which of the following color top tubes will the phlebotomist need to preform A1C, CBC,
Hepatic panel, and a comprehensive metabolic panel?
A. Yellow and Blue
B. Gold and lavender
C. Green and gray
,D. Red and Black - ANSWER-B. Gold and Lavender
Which of the following methods provides for the most secure and reliable delivery of
laboratory results?
A. Electronic reports
B. Courier Delivery
C. Verbal reports
D. Fax - ANSWER-D. Fax
A phlebotomist should instruct a patient to take which of the following actions when
providing a sputum specimen?
A. Collect the stool directly into a sterile container
B. Discard the first urine of the day and collect for 24 hr.
C. Aggressively swab the inside of the check
D. Take a deep breath and then expectorate - ANSWER-D. Take a deep breath and
then expectorate
Which of the following blood test is appropriate for a fasting specimen?
A. Glucose and triglycerides
B. BUN and alkaline
C. Creatinine and total protein
D. Lactate dehydrogenase and albumin - ANSWER-A. Glucose and triglycerides
A phlebotomist has just confirmed critical values on a laboratory test. Which of the
following actions should the phlebotomist take when the physician's office is already
closed?
A. Contact the physician by paging or calling right away
B. Leave a message at the physicians office number
C. Call the physicians office on the next business day
D. Fax the results to the physicians office with a stat fax cover - ANSWER-A. Contact
the physician by paging or calling right away
Which of the following is the appropriate procedure for handling an ammonia specimen
A. Protect from light
B. Transport on ice
C. Transport with warm water
D. Protect from diurnal variation - ANSWER-B. Transport on ice
A phlebotomist is preparing to collect a capillary blood specimen from a patient using
the aseptic technique. Which of the following cleansing agents should the phlebotomist
use?
, A. Povidone-iodine
B. Hand Sanitizer
C. 70% isopropyl alcohol
D. 10% chlorine bleach solution - ANSWER-C. 70% isopropyl alcohol
A phlebotomist is called to the emergency department to draw blood from a patient who
is in critical condition. Which of the following is the applicable consent for this procedure
A. Informed
B. Implied
C. Expressed
D. Written - ANSWER-B. Implied
A phlebotomist should identify which of the following as the best site for phenylketonuria
collection on an infant
A. The medial or lateral areas of the heel
B. The central area of the heel
C. The medial or lateral area of the fingertip
D. The central area of the fingertip - ANSWER-A. The medial or lateral areas of the heel
Which of the following criteria is acceptable in determining the quality of a peripheral
blood smear
A. Covers a quarter of the slide
B. A well-defined edge
C. Covers the entire slide
D. A feathered edge - ANSWER-D. a feathered edge
There has been a chemical spill in the laboratory. To which of the following should a
phlebotomist refer to for directions to clean up the spill?
A. CLIA
B. OSHA
C. SDS
D. CDC - ANSWER-C. SDS
When preparing for a blood smear, which of the following should a phlebotomist use to
ensure the best test result
A. venous blood from an EDTA tube
B. Venous blood from a sodium citrate tube
C. Venous blood from a fluoride tube
D. Venous blood from a heparin tube - ANSWER-A. Venous blood from an EDTA tube
