NHA Phlebotomy Certification Exam/ 218
Q&A/ A+ Score Solutions
12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary? - Answer: a.
Lavender and red
13. A blood specimen is rejected by lab with QNS as the reason? Why? - Answer: a. The
specimen was insufficient-not enough blood
14. Which of the following is best method to prevent internal or external bleeding from
venipuncture site after needle is removed? - Answer: a. Apply pressure to prevent leakage of
blood into the tissues
15. A physician orders a STAT but phlebotomist forgets to fill out patient ID number. What is
appropriate procedure for an improperly labeled specimen when received in lab? - Answer: a.
Lab rejects the mislabeled specimen
Page 1 of 39
,16. Phlebotomist is performing venipuncture and patient begins to seize. What is correct
action? - Answer: a. Discontinue the draw
17. Phlebotomist receives orders to draw an infant screening card, O2 levels, bilirubin, and DNA.
Which is to be drawn first? - Answer: a. O2 levels
18. When performing a venipuncture on a patient of average weight, which is the correct
technique for needle insertion? - Answer: a. Insert until a change in resistance
19. Which is the best method to collect a blood specimen from an older adult patient who has
fragile, easy to collapse veins? - Answer: a. Choose a syringe and butterfly assembly
20. Which of the following is the term for donation of a patient's own blood for an upcoming
surgery? - Answer: a. Autologous donation
21. The order of draw for capillary collections is different than venipuncture because - Answer:
a. Increased risk of coagulation (remember platelets start to form)
22. Upon entering a patient's room for routine blood draw, phlebotomist notices clergy member
is with the patient. What should you do? - Answer: a. Return later after drawing other patients
23. A phlebotomist notices a hematoma developing at the site of venipuncture. The
phlebotomist should - Answer: a. Release the tourniquet and stop the draw
24. Know ORDER of DRAW!! - Answer:
25. A phlebotomist working in an infertility clinic and the patient is to submit a semen
specimen. The phlebotomist would tell the patient: - Answer: a. As soon as you collect the
Page 2 of 39
,specimen, keep it next to your body and bring it in right away. (the reason is it needs to stay at
body temp and delivered in lab within 2 hours)
26. After placing tourniquet on a patient’s arm, the phlebotomist notices small red spots below
the tourniquet. - Answer: a. Petechiae
27. The phlebotomist should examine the antecubital veins of both arms because: - Answer: a.
The median cubital might be more accessible on one side than the other
28. What is the appropriate cleanser to clean the meatus for a clean catch urine specimen? -
Answer: a. Benzalkonium chloride
29. When should the code on glucose cuvettes or strips be compared to the code on the glucose
meter? - Answer: a. When the patient is tested
30. Which of the following is appropriate to use when collecting for a chemistry test that
requires serum? - Answer: a. SST (this is the red gel tube)
31. A patient state she is a difficult draw and requests a skin puncture. The test is a PTT. Which
should you do? - Answer: a. Use a syringe and transfer to a light blue tube
32. Industry standard states needle insertion in the antecubital area should be: - Answer: a. 15-
30 degree angle
33. Tubes with which additive should be used for CBC? - Answer: a. EDTA (purple tube)
34. When preparing for transport, which specimen must be placed on ice within 30 minutes
after collection? - Answer: a. Arterial Blood Gases
Page 3 of 39
, 35. Which provides the phlebotomist the best protection when drawing blood from a patient
with active TB? - Answer: a. N-95 respirator mask
36. During a draw, the patient becomes unresponsive. What should you do? - Answer: a. Check
for breathing
37. Why should a phlebotomist avoid drawing blood from a leg or foot of a diabetic patient? -
Answer: a. These areas are more susceptible to infection
38. Why is it important to place a specimen in a biohazard specimen bag outside the
laboratory? - Answer: a. The biohazard bag prevents a possible exposure incident
39. As a student. Proper introduction - Answer: a. Hi, my name is Sally Smith. I am a student
phlebotomist and I'm here to collect blood specimen
40. When using evacuated tube system (EVS). - Answer: a. Position the needle in the same
direction as the vein at 30 degree angle
41. What is additive for a PT/PTT? - Answer: a. Sodium Citrate (Blue top)
42. Blood cultures have been ordered on ICU patient. You would use: - Answer: a. Aerobic and
anaerobic bottles
43. A phlebotomist is required to obtain what from a potential donor? - Answer: a. Complete
medical history
44. Phlebotomist needs to draw a glucose tolerance test on a patient and notices an empty
breakfast plate at bedside. What should you do? - Answer: a. Ask the patient when he or she
ate last
Page 4 of 39
Q&A/ A+ Score Solutions
12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary? - Answer: a.
Lavender and red
13. A blood specimen is rejected by lab with QNS as the reason? Why? - Answer: a. The
specimen was insufficient-not enough blood
14. Which of the following is best method to prevent internal or external bleeding from
venipuncture site after needle is removed? - Answer: a. Apply pressure to prevent leakage of
blood into the tissues
15. A physician orders a STAT but phlebotomist forgets to fill out patient ID number. What is
appropriate procedure for an improperly labeled specimen when received in lab? - Answer: a.
Lab rejects the mislabeled specimen
Page 1 of 39
,16. Phlebotomist is performing venipuncture and patient begins to seize. What is correct
action? - Answer: a. Discontinue the draw
17. Phlebotomist receives orders to draw an infant screening card, O2 levels, bilirubin, and DNA.
Which is to be drawn first? - Answer: a. O2 levels
18. When performing a venipuncture on a patient of average weight, which is the correct
technique for needle insertion? - Answer: a. Insert until a change in resistance
19. Which is the best method to collect a blood specimen from an older adult patient who has
fragile, easy to collapse veins? - Answer: a. Choose a syringe and butterfly assembly
20. Which of the following is the term for donation of a patient's own blood for an upcoming
surgery? - Answer: a. Autologous donation
21. The order of draw for capillary collections is different than venipuncture because - Answer:
a. Increased risk of coagulation (remember platelets start to form)
22. Upon entering a patient's room for routine blood draw, phlebotomist notices clergy member
is with the patient. What should you do? - Answer: a. Return later after drawing other patients
23. A phlebotomist notices a hematoma developing at the site of venipuncture. The
phlebotomist should - Answer: a. Release the tourniquet and stop the draw
24. Know ORDER of DRAW!! - Answer:
25. A phlebotomist working in an infertility clinic and the patient is to submit a semen
specimen. The phlebotomist would tell the patient: - Answer: a. As soon as you collect the
Page 2 of 39
,specimen, keep it next to your body and bring it in right away. (the reason is it needs to stay at
body temp and delivered in lab within 2 hours)
26. After placing tourniquet on a patient’s arm, the phlebotomist notices small red spots below
the tourniquet. - Answer: a. Petechiae
27. The phlebotomist should examine the antecubital veins of both arms because: - Answer: a.
The median cubital might be more accessible on one side than the other
28. What is the appropriate cleanser to clean the meatus for a clean catch urine specimen? -
Answer: a. Benzalkonium chloride
29. When should the code on glucose cuvettes or strips be compared to the code on the glucose
meter? - Answer: a. When the patient is tested
30. Which of the following is appropriate to use when collecting for a chemistry test that
requires serum? - Answer: a. SST (this is the red gel tube)
31. A patient state she is a difficult draw and requests a skin puncture. The test is a PTT. Which
should you do? - Answer: a. Use a syringe and transfer to a light blue tube
32. Industry standard states needle insertion in the antecubital area should be: - Answer: a. 15-
30 degree angle
33. Tubes with which additive should be used for CBC? - Answer: a. EDTA (purple tube)
34. When preparing for transport, which specimen must be placed on ice within 30 minutes
after collection? - Answer: a. Arterial Blood Gases
Page 3 of 39
, 35. Which provides the phlebotomist the best protection when drawing blood from a patient
with active TB? - Answer: a. N-95 respirator mask
36. During a draw, the patient becomes unresponsive. What should you do? - Answer: a. Check
for breathing
37. Why should a phlebotomist avoid drawing blood from a leg or foot of a diabetic patient? -
Answer: a. These areas are more susceptible to infection
38. Why is it important to place a specimen in a biohazard specimen bag outside the
laboratory? - Answer: a. The biohazard bag prevents a possible exposure incident
39. As a student. Proper introduction - Answer: a. Hi, my name is Sally Smith. I am a student
phlebotomist and I'm here to collect blood specimen
40. When using evacuated tube system (EVS). - Answer: a. Position the needle in the same
direction as the vein at 30 degree angle
41. What is additive for a PT/PTT? - Answer: a. Sodium Citrate (Blue top)
42. Blood cultures have been ordered on ICU patient. You would use: - Answer: a. Aerobic and
anaerobic bottles
43. A phlebotomist is required to obtain what from a potential donor? - Answer: a. Complete
medical history
44. Phlebotomist needs to draw a glucose tolerance test on a patient and notices an empty
breakfast plate at bedside. What should you do? - Answer: a. Ask the patient when he or she
ate last
Page 4 of 39
