NHA Phlebotomy certification EXAM 2022/2023 with
100% correct answers
1.iWhatitemperatureishouldiaisemenisampleibeitransported?i-iicorrectiiianswer--36-
38idegreesiC
2.iWhichiofitheifollowingiwouldiresultiiniaigrosslyihemolyzedispecimen?
a.iIncorrectiorderiofidraw
b.iIncorrectineedleigauge
c.iApplyingitourniquetitooicloseitoitheidrawisite
d.iFailureitoiinvertitubei-iicorrectiiianswer--b.iIncorrectineedleigauge
3.iWhichiofitheifollowingiisiproperiprocedureiaftericollectingiammoniaispecimen?
a.iProtectifromilight
b.iKeepispecimeniwarm
c.iKeepispecimeniatibodyitemp
d.iPlaceispecimeniiniicewaterislurryi(oriaicupiofiice)i-iicorrectiiianswer--
d.iPlaceispecimeniiniicewaterislurryi(oriaicupiofiice)
4.iTheiphlebotomistihasiairequestitoicollectiaiCBCifromiaihealthyi10imonthiold.iWhichiisiappr
opriate?i-iicorrectiiianswer--a.iEitheriheel
5.iAiphlebotomistiisipreparingitoidrawibloodifromiaipatientiinihospital/iTheipatientiextendsihisi
armianditurnsiheadiaway.iWhichiconsentidoesithisiindicate?i-iicorrectiiianswer--
a.iImpliediconsent
6.iWhyishouldiphlebotomistidocumentivolumeiofibloodidrawnifromiaipatient?i-
iicorrectiiianswer--a.iIatrogenicianemiaicouldibeiairesultifoitooimuchitaken
7.iAiphlebotomistihasiairequisitionitoidrawibloodioniaipatientiwithisevereiDown'sisyndrome.i
Whatistepsiwouldiyouitake?i-iicorrectiiianswer--
a.iSpeakiwithitheipatientiguardianibeforeiperformingivenipunctureitoienmsureitheipatientiun
derstands
8.iAi69iyearioldiunconsciousipatientiisibroughtiotitheiER.iSeveraliblooditestsiareiordered.iThei
phlebotomisticollectsibloodiunderi-iicorrectiiianswer--a.iImpliediconsent
,9.iWhichiofitheifollowingiactionsiisiappropriateiwhenilabelingispecimens?i-iicorrectiiianswer--
a.iLabelispecimensiatitheitimeioficollectioniinifrontiofitheipatient
10.iBeforeicollectingibloodionianiinpatient,itheiphlebotomistinoticesithere'sinoiwristbandioniw
rist.iThereiisioneionitheiIVipole.iWhatidoiyouido?i-iicorrectiiianswer--
a.iDon'tidrawiuntilinurseiputsianiarmbandionipatient
11.iWhichiisiappropriateiformiofiidentificationiiniinpatientisetting?i-iicorrectiiianswer--
a.iVerbaliandiwristiband
12.iWBC,iRBC,iElectrolytesiareiordered.iWhichitubesiareiusediforicapillary?i-
iicorrectiiianswer--a.iLavenderiandired
13.iAibloodispecimeniisirejectedibyilabiwithiQNSiasitheireason?iWhy?i-iicorrectiiianswer--
a.iTheispecimeniwasiinsufficient-notienoughiblood
14.iWhichiofitheifollowingiisibestimethoditoipreventiinternalioriexternalibleedingifromivenipun
ctureisiteiafterineedleiisiremoved?i-iicorrectiiianswer--
a.iApplyipressureitoipreventileakageiofibloodiintoitheitissues
15.iAiphysicianiordersiaiSTATibutiphlebotomistiforgetsitoifillioutipatientiIDinumber.iWhatiisiap
propriateiprocedureiforianiimproperlyilabeledispecimeniwhenireceivediinilab?i-
iicorrectiiianswer--a.iLabirejectsitheimislabeledispecimen
16.iPhlebotomistiisiperformingivenipunctureiandipatientibeginsitoiseize.iWhatiisicorrectiactio
n?i-iicorrectiiianswer--a.iDiscontinueitheidraw
17.iPhlebotomistireceivesiordersitoidrawianiinfantiscreeningicard,iO2ilevels,ibilirubin,iandiD
NA.iWhichiisitoibeidrawnifirst?i-iicorrectiiianswer--a.iO2ilevels
18.iWheniperformingiaivenipunctureioniaipatientiofiaverageiweight,iwhichiisitheicorrectitechn
iqueiforineedleiinsertion?i-iicorrectiiianswer--a.iInsertiuntiliaichangeiiniresistance
19.iWhichiisitheibestimethoditoicollectiaibloodispecimenifromianiolderiadultipatientiwhoihasifr
agile,ieasyitoicollapseiveins?i-iicorrectiiianswer--a.iChooseiaisyringeiandibutterflyiassembly
20.iWhichiofitheifollowingiisitheitermiforidonationiofiaipatient'siownibloodiforianiupcomingisurg
ery?i-iicorrectiiianswer--a.iAutologousidonation
21.iTheiorderiofidrawiforicapillaryicollectionsiisidifferentithanivenipunctureibecausei-
iicorrectiiianswer--a.iIncreasediriskioficoagulationi(rememberiplateletsistartitoiform)
22.iUponienteringiaipatient'siroomiforiroutineibloodidraw,iphlebotomistinoticesiclergyimemb
eriisiwithitheipatient.iWhatishouldiyouido?i-iicorrectiiianswer--
a.iReturnilateriafteridrawingiotheripatients
,23.iAiphlebotomistinoticesiaihematomaidevelopingiatitheisiteiofivenipuncture.iTheiphleboto
mistishouldi-iicorrectiiianswer--a.iReleaseitheitourniquetiandistopitheidraw
24.iKnowiORDERiofiDRAW!!i-iicorrectiiianswer--
25.iAiphlebotomistiworkingiinianiinfertilityiclinicianditheipatientiisitoisubmitiaisemenispecimen
.iTheiphlebotomistiwoulditellitheipatient:i-iicorrectiiianswer--
a.iAsisooniasiyouicollectitheispecimen,ikeepiitinextitoiyouribodyiandibringiitiinirightiaway.i(their
easoniisiitineedsitoistayiatibodyitempiandideliverediinilabiwithini2ihours)
26.iAfteriplacingitourniquetioniaipatientsiarm,itheiphlebotomistinoticesismalliredispotsibelowit
heitourniquet.i-iicorrectiiianswer--a.iPetechiae
27.iTheiphlebotomistishouldiexamineitheiantecubitaliveinsiofibothiarmsibecause:i-
iicorrectiiianswer--a.iTheimedianicubitalimightibeimoreiaccessibleionioneisideithanitheiother
28.iWhatiisitheiappropriateicleanseritoicleanitheimeatusiforiaicleanicatchiurineispecimen?i-
iicorrectiiianswer--a.iBenzalkoniumichloride
29.iWhenishoulditheicodeioniglucoseicuvettesioristripsibeicompareditoitheicodeionitheiglucos
eimeter?i-iicorrectiiianswer--a.iWhenitheipatientiisitested
30.iWhichiofitheifollowingiisiappropriateitoiuseiwhenicollectingiforiaichemistryitestithatirequire
siserum?i-iicorrectiiianswer--a.iSSTi(thisiisitheiredigelitube)
31.iAipatientistateisheiisiaidifficultidrawiandirequestsiaiskinipuncture.iTheitestiisiaiPTT.iWhichi
shouldiyouido?i-iicorrectiiianswer--a.iUseiaisyringeianditransferitoiailightiblueitube
32.iIndustryistandardistatesineedleiinsertioniinitheiantecubitaliareaishouldibe:i-
iicorrectiiianswer--a.i15-30idegreeiangle
33.iTubesiwithiwhichiadditiveishouldibeiusediforiCBC?i-iicorrectiiianswer--
a.iEDTAi(purpleitube)
34.iWhenipreparingiforitransport,iwhichispecimenimustibeiplacedioniiceiwithini30iminutesiaft
ericollection?i-iicorrectiiianswer--a.iArterialiBloodiGases
35.iWhichiprovidesitheiphlebotomistitheibestiprotectioniwhenidrawingibloodifromiaipatientiwi
thiactiveiTB?i-iicorrectiiianswer--a.iN-95irespiratorimask
36.iDuringiaidraw,itheipatientibecomesiunresponsive.iWhatishouldiyouido?i-
iicorrectiiianswer--a.iCheckiforibreathing
37.iWhyishouldiaiphlebotomistiavoididrawingibloodifromiailegiorifootiofiaidiabeticipatient?i-
iicorrectiiianswer--a.iTheseiareasiareimoreisusceptibleitoiinfection
, 38.iWhyiisiitiimportantitoiplaceiaispecimeniiniaibiohazardispecimenibagioutsideitheilaborator
y?i-iicorrectiiianswer--a.iTheibiohazardibagipreventsiaipossibleiexposureiincident
39.iAsiaistudent.iProperiintroductioni-iicorrectiiianswer--
a.iHi,imyinameiisiSallyiSmith.iIiamiaistudentiphlebotomistiandiI'mihereitoicollectibloodispecim
en
40.iWheniusingievacuateditubeisystemi(EVS).i-iicorrectiiianswer--
a.iPositionitheineedleiinitheisameidirectioniasitheiveiniati30idegreeiangle
41.iWhatiisiadditiveiforiaiPT/PTT?i-iicorrectiiianswer--a.iSodiumiCitratei(Blueitop)
42.iBloodiculturesihaveibeeniorderedioniICUipatient.iYouiwouldiuse:i-iicorrectiiianswer--
a.iAerobiciandianaerobicibottles
43.iAiphlebotomistiisirequireditoiobtainiwhatifromiaipotentialidonor?i-iicorrectiiianswer--
a.iCompleteimedicalihistory
44.iPhlebotomistineedsitoidrawiaiglucoseitoleranceitestioniaipatientiandinoticesianiemptyibre
akfastiplateiatibedside.iWhatishouldiyouido?i-iicorrectiiianswer--
a.iAskitheipatientiwheniheiorisheiateilast
45.iWhichiveinishouldiyouiattemptifirst?i-iicorrectiiianswer--a.iMedianicubital
46.iIfiaiphlebotomistiisistuckiwithiaiusedineedle,ifirstiactioniis:i-iicorrectiiianswer--
a.iFlushitheiareaiwithirunningiwater
47.icorrectispecimenihandling,iwhatishouldiyouiputionicollectionitubes?i-iicorrectiiianswer--
Beforeileavingiaipatientiroom,imakeisureitheidate,itimeiandiinitialsiareionitheitubes.
48.iWheniremovingitheineedleifromitheiarm,iengageitheisafetyideviceiimmediatelyi-
iicorrectiiianswer--
49.iWhaticanicauseihemolysis?i-iicorrectiiianswer--a.iVigorouslyishakingitheitube
50.iAiphlebotomistimusticentrifugeiaiserumiseparatoritubeibeforeishipment:i-
iicorrectiiianswer--a.iCellsimustibeiseparatedifromitheiserum
51.iTheiphlebotomistidrawsiaiCBCiati1800.iLabiclosediati1730iandiwillinotiprocessiuntili500.i
WhatitempishoulditheiCBCibeistoredi-iicorrectiiianswer--a.i2-
10idegreesiCi(EDTAitubesimayibeiprocessediati12ihoursiifirefrigerated)
52.iWhatitestiresultsicanibeiaffectediifiiodineiisiuseditoicleanitheisite?i-iicorrectiiianswer--
a.iPotassium
53.iAccordingitoiCLSI,iwhatiisicollectedifirst?i-iicorrectiiianswer--a.iBloodicultures
100% correct answers
1.iWhatitemperatureishouldiaisemenisampleibeitransported?i-iicorrectiiianswer--36-
38idegreesiC
2.iWhichiofitheifollowingiwouldiresultiiniaigrosslyihemolyzedispecimen?
a.iIncorrectiorderiofidraw
b.iIncorrectineedleigauge
c.iApplyingitourniquetitooicloseitoitheidrawisite
d.iFailureitoiinvertitubei-iicorrectiiianswer--b.iIncorrectineedleigauge
3.iWhichiofitheifollowingiisiproperiprocedureiaftericollectingiammoniaispecimen?
a.iProtectifromilight
b.iKeepispecimeniwarm
c.iKeepispecimeniatibodyitemp
d.iPlaceispecimeniiniicewaterislurryi(oriaicupiofiice)i-iicorrectiiianswer--
d.iPlaceispecimeniiniicewaterislurryi(oriaicupiofiice)
4.iTheiphlebotomistihasiairequestitoicollectiaiCBCifromiaihealthyi10imonthiold.iWhichiisiappr
opriate?i-iicorrectiiianswer--a.iEitheriheel
5.iAiphlebotomistiisipreparingitoidrawibloodifromiaipatientiinihospital/iTheipatientiextendsihisi
armianditurnsiheadiaway.iWhichiconsentidoesithisiindicate?i-iicorrectiiianswer--
a.iImpliediconsent
6.iWhyishouldiphlebotomistidocumentivolumeiofibloodidrawnifromiaipatient?i-
iicorrectiiianswer--a.iIatrogenicianemiaicouldibeiairesultifoitooimuchitaken
7.iAiphlebotomistihasiairequisitionitoidrawibloodioniaipatientiwithisevereiDown'sisyndrome.i
Whatistepsiwouldiyouitake?i-iicorrectiiianswer--
a.iSpeakiwithitheipatientiguardianibeforeiperformingivenipunctureitoienmsureitheipatientiun
derstands
8.iAi69iyearioldiunconsciousipatientiisibroughtiotitheiER.iSeveraliblooditestsiareiordered.iThei
phlebotomisticollectsibloodiunderi-iicorrectiiianswer--a.iImpliediconsent
,9.iWhichiofitheifollowingiactionsiisiappropriateiwhenilabelingispecimens?i-iicorrectiiianswer--
a.iLabelispecimensiatitheitimeioficollectioniinifrontiofitheipatient
10.iBeforeicollectingibloodionianiinpatient,itheiphlebotomistinoticesithere'sinoiwristbandioniw
rist.iThereiisioneionitheiIVipole.iWhatidoiyouido?i-iicorrectiiianswer--
a.iDon'tidrawiuntilinurseiputsianiarmbandionipatient
11.iWhichiisiappropriateiformiofiidentificationiiniinpatientisetting?i-iicorrectiiianswer--
a.iVerbaliandiwristiband
12.iWBC,iRBC,iElectrolytesiareiordered.iWhichitubesiareiusediforicapillary?i-
iicorrectiiianswer--a.iLavenderiandired
13.iAibloodispecimeniisirejectedibyilabiwithiQNSiasitheireason?iWhy?i-iicorrectiiianswer--
a.iTheispecimeniwasiinsufficient-notienoughiblood
14.iWhichiofitheifollowingiisibestimethoditoipreventiinternalioriexternalibleedingifromivenipun
ctureisiteiafterineedleiisiremoved?i-iicorrectiiianswer--
a.iApplyipressureitoipreventileakageiofibloodiintoitheitissues
15.iAiphysicianiordersiaiSTATibutiphlebotomistiforgetsitoifillioutipatientiIDinumber.iWhatiisiap
propriateiprocedureiforianiimproperlyilabeledispecimeniwhenireceivediinilab?i-
iicorrectiiianswer--a.iLabirejectsitheimislabeledispecimen
16.iPhlebotomistiisiperformingivenipunctureiandipatientibeginsitoiseize.iWhatiisicorrectiactio
n?i-iicorrectiiianswer--a.iDiscontinueitheidraw
17.iPhlebotomistireceivesiordersitoidrawianiinfantiscreeningicard,iO2ilevels,ibilirubin,iandiD
NA.iWhichiisitoibeidrawnifirst?i-iicorrectiiianswer--a.iO2ilevels
18.iWheniperformingiaivenipunctureioniaipatientiofiaverageiweight,iwhichiisitheicorrectitechn
iqueiforineedleiinsertion?i-iicorrectiiianswer--a.iInsertiuntiliaichangeiiniresistance
19.iWhichiisitheibestimethoditoicollectiaibloodispecimenifromianiolderiadultipatientiwhoihasifr
agile,ieasyitoicollapseiveins?i-iicorrectiiianswer--a.iChooseiaisyringeiandibutterflyiassembly
20.iWhichiofitheifollowingiisitheitermiforidonationiofiaipatient'siownibloodiforianiupcomingisurg
ery?i-iicorrectiiianswer--a.iAutologousidonation
21.iTheiorderiofidrawiforicapillaryicollectionsiisidifferentithanivenipunctureibecausei-
iicorrectiiianswer--a.iIncreasediriskioficoagulationi(rememberiplateletsistartitoiform)
22.iUponienteringiaipatient'siroomiforiroutineibloodidraw,iphlebotomistinoticesiclergyimemb
eriisiwithitheipatient.iWhatishouldiyouido?i-iicorrectiiianswer--
a.iReturnilateriafteridrawingiotheripatients
,23.iAiphlebotomistinoticesiaihematomaidevelopingiatitheisiteiofivenipuncture.iTheiphleboto
mistishouldi-iicorrectiiianswer--a.iReleaseitheitourniquetiandistopitheidraw
24.iKnowiORDERiofiDRAW!!i-iicorrectiiianswer--
25.iAiphlebotomistiworkingiinianiinfertilityiclinicianditheipatientiisitoisubmitiaisemenispecimen
.iTheiphlebotomistiwoulditellitheipatient:i-iicorrectiiianswer--
a.iAsisooniasiyouicollectitheispecimen,ikeepiitinextitoiyouribodyiandibringiitiinirightiaway.i(their
easoniisiitineedsitoistayiatibodyitempiandideliverediinilabiwithini2ihours)
26.iAfteriplacingitourniquetioniaipatientsiarm,itheiphlebotomistinoticesismalliredispotsibelowit
heitourniquet.i-iicorrectiiianswer--a.iPetechiae
27.iTheiphlebotomistishouldiexamineitheiantecubitaliveinsiofibothiarmsibecause:i-
iicorrectiiianswer--a.iTheimedianicubitalimightibeimoreiaccessibleionioneisideithanitheiother
28.iWhatiisitheiappropriateicleanseritoicleanitheimeatusiforiaicleanicatchiurineispecimen?i-
iicorrectiiianswer--a.iBenzalkoniumichloride
29.iWhenishoulditheicodeioniglucoseicuvettesioristripsibeicompareditoitheicodeionitheiglucos
eimeter?i-iicorrectiiianswer--a.iWhenitheipatientiisitested
30.iWhichiofitheifollowingiisiappropriateitoiuseiwhenicollectingiforiaichemistryitestithatirequire
siserum?i-iicorrectiiianswer--a.iSSTi(thisiisitheiredigelitube)
31.iAipatientistateisheiisiaidifficultidrawiandirequestsiaiskinipuncture.iTheitestiisiaiPTT.iWhichi
shouldiyouido?i-iicorrectiiianswer--a.iUseiaisyringeianditransferitoiailightiblueitube
32.iIndustryistandardistatesineedleiinsertioniinitheiantecubitaliareaishouldibe:i-
iicorrectiiianswer--a.i15-30idegreeiangle
33.iTubesiwithiwhichiadditiveishouldibeiusediforiCBC?i-iicorrectiiianswer--
a.iEDTAi(purpleitube)
34.iWhenipreparingiforitransport,iwhichispecimenimustibeiplacedioniiceiwithini30iminutesiaft
ericollection?i-iicorrectiiianswer--a.iArterialiBloodiGases
35.iWhichiprovidesitheiphlebotomistitheibestiprotectioniwhenidrawingibloodifromiaipatientiwi
thiactiveiTB?i-iicorrectiiianswer--a.iN-95irespiratorimask
36.iDuringiaidraw,itheipatientibecomesiunresponsive.iWhatishouldiyouido?i-
iicorrectiiianswer--a.iCheckiforibreathing
37.iWhyishouldiaiphlebotomistiavoididrawingibloodifromiailegiorifootiofiaidiabeticipatient?i-
iicorrectiiianswer--a.iTheseiareasiareimoreisusceptibleitoiinfection
, 38.iWhyiisiitiimportantitoiplaceiaispecimeniiniaibiohazardispecimenibagioutsideitheilaborator
y?i-iicorrectiiianswer--a.iTheibiohazardibagipreventsiaipossibleiexposureiincident
39.iAsiaistudent.iProperiintroductioni-iicorrectiiianswer--
a.iHi,imyinameiisiSallyiSmith.iIiamiaistudentiphlebotomistiandiI'mihereitoicollectibloodispecim
en
40.iWheniusingievacuateditubeisystemi(EVS).i-iicorrectiiianswer--
a.iPositionitheineedleiinitheisameidirectioniasitheiveiniati30idegreeiangle
41.iWhatiisiadditiveiforiaiPT/PTT?i-iicorrectiiianswer--a.iSodiumiCitratei(Blueitop)
42.iBloodiculturesihaveibeeniorderedioniICUipatient.iYouiwouldiuse:i-iicorrectiiianswer--
a.iAerobiciandianaerobicibottles
43.iAiphlebotomistiisirequireditoiobtainiwhatifromiaipotentialidonor?i-iicorrectiiianswer--
a.iCompleteimedicalihistory
44.iPhlebotomistineedsitoidrawiaiglucoseitoleranceitestioniaipatientiandinoticesianiemptyibre
akfastiplateiatibedside.iWhatishouldiyouido?i-iicorrectiiianswer--
a.iAskitheipatientiwheniheiorisheiateilast
45.iWhichiveinishouldiyouiattemptifirst?i-iicorrectiiianswer--a.iMedianicubital
46.iIfiaiphlebotomistiisistuckiwithiaiusedineedle,ifirstiactioniis:i-iicorrectiiianswer--
a.iFlushitheiareaiwithirunningiwater
47.icorrectispecimenihandling,iwhatishouldiyouiputionicollectionitubes?i-iicorrectiiianswer--
Beforeileavingiaipatientiroom,imakeisureitheidate,itimeiandiinitialsiareionitheitubes.
48.iWheniremovingitheineedleifromitheiarm,iengageitheisafetyideviceiimmediatelyi-
iicorrectiiianswer--
49.iWhaticanicauseihemolysis?i-iicorrectiiianswer--a.iVigorouslyishakingitheitube
50.iAiphlebotomistimusticentrifugeiaiserumiseparatoritubeibeforeishipment:i-
iicorrectiiianswer--a.iCellsimustibeiseparatedifromitheiserum
51.iTheiphlebotomistidrawsiaiCBCiati1800.iLabiclosediati1730iandiwillinotiprocessiuntili500.i
WhatitempishoulditheiCBCibeistoredi-iicorrectiiianswer--a.i2-
10idegreesiCi(EDTAitubesimayibeiprocessediati12ihoursiifirefrigerated)
52.iWhatitestiresultsicanibeiaffectediifiiodineiisiuseditoicleanitheisite?i-iicorrectiiianswer--
a.iPotassium
53.iAccordingitoiCLSI,iwhatiisicollectedifirst?i-iicorrectiiianswer--a.iBloodicultures
