NHA PHLEBOTOMY CERTIFICATION EXAM 2026
1. What temperature should a semen sample be transported? -
ANSWER -36-38 degrees C
2. Which of the following would result in a grossly hemolyzed
specimen?
a. Incorrect order of draw
b. Incorrect needle gauge
c. Applying tourniquet too close to the draw site
d. Failure to invert tube - ANSWER -b. Incorrect needle gauge
3. Which of the following is proper procedure after collecting
ammonia specimen?
a. Protect from light
b. Keep specimen warm
c. Keep specimen at body temp
,d. Place specimen in icewater slurry (or a cup of ice) - ANSWER -
d. Place specimen in icewater slurry (or a cup of ice)
4. The phlebotomist has a request to collect a CBC from a
healthy 10 month old. Which is appropriate? - ANSWER -a.
Either heel
5. A phlebotomist is preparing to draw blood from a patient in
hospital/ The patient extends his arm and turns head away.
Which consent does this indicate? - ANSWER -a. Implied
consent
6. Why should phlebotomist document volume of blood drawn
from a patient? - ANSWER -a. Iatrogenic anemia could be a
result fo too much taken
7. A phlebotomist has a requisition to draw blood on a patient
with severe Down's syndrome. What steps would you take? -
ANSWER -a. Speak with the patient guardian before performing
venipuncture to enmsure the patient understands
,8. A 69 year old unconscious patient is brought ot the ER.
Several blood tests are ordered. The phlebotomist collects
blood under - ANSWER -a. Implied consent
9. Which of the following actions is appropriate when labeling
specimens? - ANSWER -a. Label specimens at the time of
collection in front of the patient
10. Before collecting blood on an inpatient, the phlebotomist
notices there's no wristband on wrist. There is one on the IV
pole. What do you do? - ANSWER -a. Don't draw until nurse
puts an armband on patient
11. Which is appropriate form of identification in inpatient
setting? - ANSWER -a. Verbal and wrist band
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
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
1. What temperature should a semen sample be transported? -
ANSWER -36-38 degrees C
2. Which of the following would result in a grossly hemolyzed
specimen?
a. Incorrect order of draw
b. Incorrect needle gauge
c. Applying tourniquet too close to the draw site
d. Failure to invert tube - ANSWER -b. Incorrect needle gauge
3. Which of the following is proper procedure after collecting
ammonia specimen?
a. Protect from light
b. Keep specimen warm
c. Keep specimen at body temp
,d. Place specimen in icewater slurry (or a cup of ice) - ANSWER -
d. Place specimen in icewater slurry (or a cup of ice)
4. The phlebotomist has a request to collect a CBC from a
healthy 10 month old. Which is appropriate? - ANSWER -a.
Either heel
5. A phlebotomist is preparing to draw blood from a patient in
hospital/ The patient extends his arm and turns head away.
Which consent does this indicate? - ANSWER -a. Implied
consent
6. Why should phlebotomist document volume of blood drawn
from a patient? - ANSWER -a. Iatrogenic anemia could be a
result fo too much taken
7. A phlebotomist has a requisition to draw blood on a patient
with severe Down's syndrome. What steps would you take? -
ANSWER -a. Speak with the patient guardian before performing
venipuncture to enmsure the patient understands
,8. A 69 year old unconscious patient is brought ot the ER.
Several blood tests are ordered. The phlebotomist collects
blood under - ANSWER -a. Implied consent
9. Which of the following actions is appropriate when labeling
specimens? - ANSWER -a. Label specimens at the time of
collection in front of the patient
10. Before collecting blood on an inpatient, the phlebotomist
notices there's no wristband on wrist. There is one on the IV
pole. What do you do? - ANSWER -a. Don't draw until nurse
puts an armband on patient
11. Which is appropriate form of identification in inpatient
setting? - ANSWER -a. Verbal and wrist band
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
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
