NWCA CCMA Exam Questions and Answers | Fall 2025/2026
Update | 100% Correct
Question 1
Which laboratory test result is affected most if the patient is NOT fasting?
a. Testosterone
b. Cortisol
c. Triglycerides
d. ACTH
Correct Answer
c. Triglycerides
Question 2
Hemolysis in collected blood can cause a falsely decreased value for:
a. Total protein
b. Ammonia
c. Phosphorus
d. Hemoglobin
Correct Answer
d. Hemoglobin
Page 1 of 27
,Question 3
After the needle is inserted for a venipuncture and the blood begins to squirt out in pulses, this might indicate that:
a. The patient has petechiae
b. An artery has been penetrated by the needle
c. A vein has been penetrated by the needle
d. The patient has a low red blood cell count
Correct Answer
b. An artery has been penetrated by the needle
Question 4
If a patient is obese, what special equipment, if any, would be helpful in the specimen collection process?
a. Specially sized collection tubes
b. A large blood pressure cuff
c. An oxygen mask in case of fainting
d. No special equipment should be needed
Correct Answer
b. A large blood pressure cuff
Page 2 of 27
, Question 5
When a patient has "difficult" veins, what strategies, if any, can be used to improve the likelihood of a successful puncture?
a. Slight rotation of the patient's arm to a different position
b. Warming the site
c. Palpating the entire antecubital area to trace vein path
d. All of the above
Correct Answer
d. All of the above
Question 6
During the venipuncture procedure, what should the phlebotomist do after the needle is inserted and blood begins to
flow?
a. Adjust the hub of the needle
b. Withdraw the needle
c. Release the tourniquet about half-way through the procedure
d. Release the adpater
Correct Answer
c. Release the tourniquet about half-way through the procedure
Page 3 of 27
Update | 100% Correct
Question 1
Which laboratory test result is affected most if the patient is NOT fasting?
a. Testosterone
b. Cortisol
c. Triglycerides
d. ACTH
Correct Answer
c. Triglycerides
Question 2
Hemolysis in collected blood can cause a falsely decreased value for:
a. Total protein
b. Ammonia
c. Phosphorus
d. Hemoglobin
Correct Answer
d. Hemoglobin
Page 1 of 27
,Question 3
After the needle is inserted for a venipuncture and the blood begins to squirt out in pulses, this might indicate that:
a. The patient has petechiae
b. An artery has been penetrated by the needle
c. A vein has been penetrated by the needle
d. The patient has a low red blood cell count
Correct Answer
b. An artery has been penetrated by the needle
Question 4
If a patient is obese, what special equipment, if any, would be helpful in the specimen collection process?
a. Specially sized collection tubes
b. A large blood pressure cuff
c. An oxygen mask in case of fainting
d. No special equipment should be needed
Correct Answer
b. A large blood pressure cuff
Page 2 of 27
, Question 5
When a patient has "difficult" veins, what strategies, if any, can be used to improve the likelihood of a successful puncture?
a. Slight rotation of the patient's arm to a different position
b. Warming the site
c. Palpating the entire antecubital area to trace vein path
d. All of the above
Correct Answer
d. All of the above
Question 6
During the venipuncture procedure, what should the phlebotomist do after the needle is inserted and blood begins to
flow?
a. Adjust the hub of the needle
b. Withdraw the needle
c. Release the tourniquet about half-way through the procedure
d. Release the adpater
Correct Answer
c. Release the tourniquet about half-way through the procedure
Page 3 of 27
