NHA PHLEBOTOMY CERTIFICATION EXAM / LATEST
COMPLETE VERSION / ACTUAL AUTHENTIC
QUESTIONS AND ANSWES (A+ GUIDE SOLUTION)
2025/2026.
Terms in this set (218)
1. What temperature should 36-38 degrees C
a semen sample be
transported?
2. Which of the followingb. Incorrect needle gauge
would result in a grossly
hemolyzed specimen?
a. Incorrect order of
draw
b. Incorrect needle gauge
c. Applying tourniquet
tooclose to the draw site
d. Failure to invert tube
3. Which of the following is d. Place specimen in icewater slurry (or a cup of ice)
proper procedure after
collecting ammonia
specimen?
a. Protect from light
b. Keep specimen warm
c. Keep specimen at
bodytemp
d. Place specimen
inicewater slurry (or a cup of
ice)
, a. Either heel
4. The phlebotomist has a
request to collect a CBC from
a healthy 10 month old.
Which is appropriate?
5. A phlebotomist is a. Implied consent
preparing to draw blood
from a patient in hospital/
The patient extends his arm
and turns head away. Which
consent does this indicate?
6. Why should phlebotomist a. Iatrogenic anemia could be a result fo too much taken
document volume of blood
drawn from a patient?
7. A phlebotomist has a a. Speak with the patient guardian before performing venipuncture
requisition to draw blood on to enmsure the patient understands
a patient with severe
Down's syndrome. What
steps would you take?
8. A 69 year old unconscious a. Implied consent
patient is brought ot the ER.
Several blood tests are
ordered. The phlebotomist
collects blood under
9. Which of the following a. Label specimens at the time of collection in front of the
actions is appropriate when patient
labeling specimens?
,10. Before collecting blood a. Don't draw until nurse puts an armband on patient
on an inpatient, the
phlebotomist notices there's
no wristband on wrist. There
is one on the
IV pole. What do you do?
a. Verbal and wrist band
11. Which is appropriate
form of identification in
inpatient setting?
12. WBC, RBC, Electrolytes a. Lavender and red
are ordered. Which tubes are
used for capillary?
13. A blood specimen is a. The specimen was insufficient-not enough blood
rejected by lab with QNS as
the reason? Why?
14. Which of the following is a. Apply pressure to prevent leakage of blood into the
best method to prevent tissues
internal or external bleeding
from venipuncture site after
needle is removed?
15. A physician orders a STAT a. Lab rejects the mislabeled specimen
but phlebotomist forgets to
fill out patient ID number.
What is appropriate
procedure for an improperly
labeled specimen when
received in lab?
, 16. Phlebotomist is a. Discontinue the draw
performing venipuncture
and patient begins to seize.
What is correct action?
a. O2 levels
17. Phlebotomist receives
orders to draw an infant
screening card, O2 levels,
bilirubin, and DNA. Which is
to be drawn first?
18. When performing a a. Insert until a change in resistance
venipuncture on a patient of
average weight, which is the
correct technique for needle
insertion?
19. Which is the best method a. Choose a syringe and butterfly assembly
to collect a blood specimen
from an older adult patient
who has fragile, easy to
collapse veins?
20. Which of the following is a. Autologous donation
the term for donation of a
patient's own blood for an
upcoming surgery?
21. The order of draw for a. Increased risk of coagulation (remember platelets start to
capillary collections is form)
different than
venipuncture because
COMPLETE VERSION / ACTUAL AUTHENTIC
QUESTIONS AND ANSWES (A+ GUIDE SOLUTION)
2025/2026.
Terms in this set (218)
1. What temperature should 36-38 degrees C
a semen sample be
transported?
2. Which of the followingb. Incorrect needle gauge
would result in a grossly
hemolyzed specimen?
a. Incorrect order of
draw
b. Incorrect needle gauge
c. Applying tourniquet
tooclose to the draw site
d. Failure to invert tube
3. Which of the following is d. Place specimen in icewater slurry (or a cup of ice)
proper procedure after
collecting ammonia
specimen?
a. Protect from light
b. Keep specimen warm
c. Keep specimen at
bodytemp
d. Place specimen
inicewater slurry (or a cup of
ice)
, a. Either heel
4. The phlebotomist has a
request to collect a CBC from
a healthy 10 month old.
Which is appropriate?
5. A phlebotomist is a. Implied consent
preparing to draw blood
from a patient in hospital/
The patient extends his arm
and turns head away. Which
consent does this indicate?
6. Why should phlebotomist a. Iatrogenic anemia could be a result fo too much taken
document volume of blood
drawn from a patient?
7. A phlebotomist has a a. Speak with the patient guardian before performing venipuncture
requisition to draw blood on to enmsure the patient understands
a patient with severe
Down's syndrome. What
steps would you take?
8. A 69 year old unconscious a. Implied consent
patient is brought ot the ER.
Several blood tests are
ordered. The phlebotomist
collects blood under
9. Which of the following a. Label specimens at the time of collection in front of the
actions is appropriate when patient
labeling specimens?
,10. Before collecting blood a. Don't draw until nurse puts an armband on patient
on an inpatient, the
phlebotomist notices there's
no wristband on wrist. There
is one on the
IV pole. What do you do?
a. Verbal and wrist band
11. Which is appropriate
form of identification in
inpatient setting?
12. WBC, RBC, Electrolytes a. Lavender and red
are ordered. Which tubes are
used for capillary?
13. A blood specimen is a. The specimen was insufficient-not enough blood
rejected by lab with QNS as
the reason? Why?
14. Which of the following is a. Apply pressure to prevent leakage of blood into the
best method to prevent tissues
internal or external bleeding
from venipuncture site after
needle is removed?
15. A physician orders a STAT a. Lab rejects the mislabeled specimen
but phlebotomist forgets to
fill out patient ID number.
What is appropriate
procedure for an improperly
labeled specimen when
received in lab?
, 16. Phlebotomist is a. Discontinue the draw
performing venipuncture
and patient begins to seize.
What is correct action?
a. O2 levels
17. Phlebotomist receives
orders to draw an infant
screening card, O2 levels,
bilirubin, and DNA. Which is
to be drawn first?
18. When performing a a. Insert until a change in resistance
venipuncture on a patient of
average weight, which is the
correct technique for needle
insertion?
19. Which is the best method a. Choose a syringe and butterfly assembly
to collect a blood specimen
from an older adult patient
who has fragile, easy to
collapse veins?
20. Which of the following is a. Autologous donation
the term for donation of a
patient's own blood for an
upcoming surgery?
21. The order of draw for a. Increased risk of coagulation (remember platelets start to
capillary collections is form)
different than
venipuncture because
