NHA Phlebotomy Practice Exam 2025
With Correct Answers
A phlebotomy technician should identify that which of the following additives is used to prevent the
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breakdown of glucose? - correct answer Sodium fluoride
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A Phlebotomy technician in an outpatient setting is identifying a patient before performing a venipuncture
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procedure. To confirm the patient's identity, which of the following questions should the technician ask? -
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correct answer "Would you please state and spell your full name and provide your date of birth"
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Which of the following is a potential consequence of a phlebotomy technician mislabeling a blood bank
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specimen? - correct answer A transfusion reaction
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A phlebotomy technician should invert anticoagulant tubes to prevent which of the following complications? -
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correct answer Hemolysis
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According to OSHA standards, which of the following vaccines must employers offer to their phlebotomist at
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no cost? - correct answer Hepatitis B
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During a routine venipuncture, a phlebotomy technician notices that a patient is becoming pale and
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diaphoretic. The technician should identify that the patient is at risk for which of the following conditions? -
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correct answer Syncope
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,A phlebotomy technician should identify that which of the following tube selections indicates the correct
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order of draw for venipuncture? - correct answer Green, lavender, grey
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Phlebotomy technician is preparing to collect a blood specimen from the hand of a patient whose veins are
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difficult to access. Which of the following devices should the technician use? - correct answer Hand
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immobilizer
A phlebotomy technician is preparing to use an evacuated tube system to obtain a venous blood specimen
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from a patient. The tourniquet is in place and the technician has cleansed the puncture site. Which of the
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following procedural steps should the technician perform next? - correct answer Ask the patient to make a fist
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Which of the following actions by a phlebotomy technician can result in a grossly hemolyzed specimen? -
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correct answer Using an incorrect needle gauge
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A phlebotomy technician should identify that which of the following series of venipuncture steps is in the
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appropriate order? - correct answer assess the site, cleanse the site, insert the needle
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A phlebotomy technician should comply with HIPAA to protect which of the following? - correct answer
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Patients information k
A phlebotomy technician is performing a capillary blood collection for an older adult patient. Which of the
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following sites should the technician select? - correct answer The distal phalanx of either middle finger
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A phlebotomy technician is preparing to collect a blood specimen from a patient who signed a general
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informed consent form upon admission to the facility. Which of the following actions by the patient indicates
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implied consent for the venipuncture? - correct answer Rolling up his shirtsleeve
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A phlebotomy technician is using an evacuated needle holder and blood collection tubes to collect blood from
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a patient. Which of the following actions should the technician take? - correct answer Push the first collection
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tube gently into the holder
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For an older adult patient who has difficult-to-access veins, a phlebotomy technician should select which of
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the following beans to perform a venipuncture? - correct answer Dorsal veins
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, How often should a phlebotomy technician run quality control test on point-of-care testing instruments? -
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correct answer Daily k k
A phlebotomy technician must comply with which of the following OSHA requirements when performing a
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venipuncture? - correct answer Wear gloves when contact with blood is anticipated k k k k k k k k k k k
Which of the following actions should the phlebotomy technician take when performing a venipuncture using
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an evacuated tube system? - correct answer Position the needle at a 30° angle in the same direction as the vein
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and with the bevel up
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A phlebotomy technician is collecting a blood specimen from a patient to measure the trough level of a
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medication. The technician should collect the specimen at which of the following times? - correct answer
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Within 15 mins before the patient receives the next dose of medication.
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For which of the following test should a phlebotomy technician follow chain of custody guidelines? - correct
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answer Blood alcohol k k
During a venipuncture, a patient reports a sharp pain radiating down his arm. Which of the following actions
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should the phlebotomy technician take? - correct answer Release the tourniquet and remove the needle
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A phlebotomy technician is teaching a patient about collecting a sputum specimen at home. Which of the
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following instruction should the technician include? - correct answer Spit thick secretions into the container
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after coughing deeplyk k
For which of the following procedures should a phlebotomy technician follow chain of custody guidelines? -
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correct answer Paternity testing k k k
A phlebotomy technician has a request to collect a routine CBC from a healthy 10 month old infant. Which of
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the following collection sites should the technician select? - correct answer Either heel
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When collecting a routine blood sample, which of the following beins should a phlebotomy technician
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attempt to draw from first? - correct answer Median cubital
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With Correct Answers
A phlebotomy technician should identify that which of the following additives is used to prevent the
k k k k k k k k k k k k k k k k
breakdown of glucose? - correct answer Sodium fluoride
k k k k k k k
A Phlebotomy technician in an outpatient setting is identifying a patient before performing a venipuncture
k k k k k k k k k k k k k k k
procedure. To confirm the patient's identity, which of the following questions should the technician ask? -
k k k k k k k k k k k k k k k k
correct answer "Would you please state and spell your full name and provide your date of birth"
k k k k k k k k k k k k k k k k
Which of the following is a potential consequence of a phlebotomy technician mislabeling a blood bank
k k k k k k k k k k k k k k k k
specimen? - correct answer A transfusion reaction
k k k k k k
A phlebotomy technician should invert anticoagulant tubes to prevent which of the following complications? -
k k k k k k k k k k k k k k k
correct answer Hemolysis
k k
According to OSHA standards, which of the following vaccines must employers offer to their phlebotomist at
k k k k k k k k k k k k k k k k
no cost? - correct answer Hepatitis B
k k k k k k
During a routine venipuncture, a phlebotomy technician notices that a patient is becoming pale and
k k k k k k k k k k k k k k k
diaphoretic. The technician should identify that the patient is at risk for which of the following conditions? -
k k k k k k k k k k k k k k k k k k
correct answer Syncope
k k
,A phlebotomy technician should identify that which of the following tube selections indicates the correct
k k k k k k k k k k k k k k k
order of draw for venipuncture? - correct answer Green, lavender, grey
k k k k k k k k k k
Phlebotomy technician is preparing to collect a blood specimen from the hand of a patient whose veins are
k k k k k k k k k k k k k k k k k k
difficult to access. Which of the following devices should the technician use? - correct answer Hand
k k k k k k k k k k k k k k k k
immobilizer
A phlebotomy technician is preparing to use an evacuated tube system to obtain a venous blood specimen
k k k k k k k k k k k k k k k k k
from a patient. The tourniquet is in place and the technician has cleansed the puncture site. Which of the
k k k k k k k k k k k k k k k k k k k
following procedural steps should the technician perform next? - correct answer Ask the patient to make a fist
k k k k k k k k k k k k k k k k k
Which of the following actions by a phlebotomy technician can result in a grossly hemolyzed specimen? -
k k k k k k k k k k k k k k k k k
correct answer Using an incorrect needle gauge
k k k k k k
A phlebotomy technician should identify that which of the following series of venipuncture steps is in the
k k k k k k k k k k k k k k k k k
appropriate order? - correct answer assess the site, cleanse the site, insert the needle
k k k k k k k k k k k k k
A phlebotomy technician should comply with HIPAA to protect which of the following? - correct answer
k k k k k k k k k k k k k k k k
Patients information k
A phlebotomy technician is performing a capillary blood collection for an older adult patient. Which of the
k k k k k k k k k k k k k k k k k
following sites should the technician select? - correct answer The distal phalanx of either middle finger
k k k k k k k k k k k k k k k
A phlebotomy technician is preparing to collect a blood specimen from a patient who signed a general
k k k k k k k k k k k k k k k k k
informed consent form upon admission to the facility. Which of the following actions by the patient indicates
k k k k k k k k k k k k k k k k k
implied consent for the venipuncture? - correct answer Rolling up his shirtsleeve
k k k k k k k k k k k
A phlebotomy technician is using an evacuated needle holder and blood collection tubes to collect blood from
k k k k k k k k k k k k k k k k k
a patient. Which of the following actions should the technician take? - correct answer Push the first collection
k k k k k k k k k k k k k k k k k k
tube gently into the holder
k k k k
For an older adult patient who has difficult-to-access veins, a phlebotomy technician should select which of
k k k k k k k k k k k k k k k k
the following beans to perform a venipuncture? - correct answer Dorsal veins
k k k k k k k k k k k
, How often should a phlebotomy technician run quality control test on point-of-care testing instruments? -
k k k k k k k k k k k k k k k
correct answer Daily k k
A phlebotomy technician must comply with which of the following OSHA requirements when performing a
k k k k k k k k k k k k k k k
venipuncture? - correct answer Wear gloves when contact with blood is anticipated k k k k k k k k k k k
Which of the following actions should the phlebotomy technician take when performing a venipuncture using
k k k k k k k k k k k k k k k
an evacuated tube system? - correct answer Position the needle at a 30° angle in the same direction as the vein
k k k k k k k k k k k k k k k k k k k k k
and with the bevel up
k k k k
A phlebotomy technician is collecting a blood specimen from a patient to measure the trough level of a
k k k k k k k k k k k k k k k k k k
medication. The technician should collect the specimen at which of the following times? - correct answer
k k k k k k k k k k k k k k k k
Within 15 mins before the patient receives the next dose of medication.
k k k k k k k k k k k
For which of the following test should a phlebotomy technician follow chain of custody guidelines? - correct
k k k k k k k k k k k k k k k k k
answer Blood alcohol k k
During a venipuncture, a patient reports a sharp pain radiating down his arm. Which of the following actions
k k k k k k k k k k k k k k k k k k
should the phlebotomy technician take? - correct answer Release the tourniquet and remove the needle
k k k k k k k k k k k k k k
A phlebotomy technician is teaching a patient about collecting a sputum specimen at home. Which of the
k k k k k k k k k k k k k k k k k
following instruction should the technician include? - correct answer Spit thick secretions into the container
k k k k k k k k k k k k k k k
after coughing deeplyk k
For which of the following procedures should a phlebotomy technician follow chain of custody guidelines? -
k k k k k k k k k k k k k k k k
correct answer Paternity testing k k k
A phlebotomy technician has a request to collect a routine CBC from a healthy 10 month old infant. Which of
k k k k k k k k k k k k k k k k k k k k
the following collection sites should the technician select? - correct answer Either heel
k k k k k k k k k k k k
When collecting a routine blood sample, which of the following beins should a phlebotomy technician
k k k k k k k k k k k k k k k
attempt to draw from first? - correct answer Median cubital
k k k k k k k k k
