NHA PHLEBOTOMY CERTIFICATION E
b b b
XAM 2 VERSIONS 2023/2024
b b b
,1. Whatbtemperaturebshouldbabsemenbsamplebbebtransported?b-bANSWER-36-
38bdegreesbC
2. Whichbofbthebfollowingbwouldbresultbinbabgrosslybhemolyzedbspecimen?
a. Incorrectborderbofbdraw
b. Incorrectbneedlebgauge
c. Applyingbtourniquetbtoobclosebtobthebdrawbsite
d. Failurebtobinvertbtubeb-bANSWER-b.bIncorrectbneedlebgauge
3. Whichbofbthebfollowingbisbproperbprocedurebafterbcollectingbammoniabspecimen?
a. Protectbfromblight
b. Keepbspecimenbwarm
c. Keepbspecimenbatbbodybtemp
d. Placebspecimenbinbicewaterbslurryb(orbabcupbofbice)b-bANSWER-
d.bPlacebspecimenbinbicewaterbslurryb(orbabcupbofbice)
,4. ThebphlebotomistbhasbabrequestbtobcollectbabCBCbfrombabhealthyb10bmonthbold.bWhichbbi
sbappropriate?b-bANSWER-a.bEitherbheel
5. Abphlebotomistbisbpreparingbtobdrawbbloodbfrombabpatientbinbhospital/bThebpatientbbexten
dsbhisbarmbandbturnsbheadbaway.bWhichbconsentbdoesbthisbindicate?b-bANSWER-
a.bImpliedbconsent
6. Whybshouldbphlebotomistbdocumentbvolumebofbbloodbdrawnbfrombabpatient?b-
bbANSWER-a.bIatrogenicbanemiabcouldbbebabresultbfobtoobmuchbtaken
7. AbphlebotomistbhasbabrequisitionbtobdrawbbloodbonbabpatientbwithbseverebDown'sbbsynd
rome.bWhatbstepsbwouldbyoubtake?b-bANSWER-
a.bSpeakbwithbthebpatientbguardianbbeforebperformingbvenipuncturebtobenmsurebthebpatie
ntbunderstands
8. Ab69byearboldbunconsciousbpatientbisbbroughtbotbthebER.bSeveralbbloodbtestsbarebo
rdered.bThebphlebotomistbcollectsbbloodbunderb-bANSWER-a.bImpliedbconsent
9. Whichbofbthebfollowingbactionsbisbappropriatebwhenblabelingbspecimens?b-bANSWER-
a. Labelbspecimensbatbthebtimebofbcollectionbinbfrontbofbthebpatient
10. Beforebcollectingbbloodbonbanbinpatient,bthebphlebotomistbnoticesbthere'sbnobbwristb
andbonbwrist.bTherebisbonebonbthebIVbpole.bWhatbdobyoubdo?b-bANSWER-
a.bDon'tbdrawbuntilbnursebputsbanbarmbandbonbpatient
, 11. Whichbisbappropriatebformbofbidentificationbinbinpatientbsetting?b-bANSWER-
a.bVerbalbandbwristbband
12. WBC,bRBC,bElectrolytesbarebordered.bWhichbtubesbarebusedbforbcapillary?b-
bbANSWER-a.bLavenderbandbred
13. AbbloodbspecimenbisbrejectedbbyblabbwithbQNSbasbthebreason?bWhy?b-bANSWER-
a.bThebspecimenbwasbinsufficient-notbenoughbblood
14. Whichbofbthebfollowingbisbbestbmethodbtobpreventbinternalborbexternalbbleedingbfrombbv
enipuncturebsitebafterbneedlebisbremoved?b-bANSWER-
a.bApplybpressurebtobpreventbbleakagebofbbloodbintobthebtissues
15. AbphysicianbordersbabSTATbbutbphlebotomistbforgetsbtobfillboutbpatientbIDbnumber.bb
Whatbisbappropriatebprocedurebforbanbimproperlyblabeledbspecimenbwhenbreceivedbinbbl
ab?b-bANSWER-a.bLabbrejectsbthebmislabeledbspecimen
16. Phlebotomistbisbperformingbvenipuncturebandbpatientbbeginsbtobseize.bWhatbisbcorrectb
action?b-bANSWER-a.bDiscontinuebthebdraw
17. Phlebotomistbreceivesbordersbtobdrawbanbinfantbscreeningbcard,bO2blevels,bbilirubin,bba
ndbDNA.bWhichbisbtobbebdrawnbfirst?b-bANSWER-a.bO2blevels
18. Whenbperformingbabvenipuncturebonbabpatientbofbaveragebweight,bwhichbisbthebcorrectbt
echniquebforbneedlebinsertion?b-bANSWER-a.bInsertbuntilbabchangebinbresistance
19. Whichbisbthebbestbmethodbtobcollectbabbloodbspecimenbfrombanbolderbadultbpatientb b
whobhasbfragile,beasybtobcollapsebveins?b-bANSWER-
a.bChoosebabsyringebandbbutterflybassembly
20. Whichbofbthebfollowingbisbthebtermbforbdonationbofbabpatient'sbownbbloodbforbanbbu
pcomingbsurgery?b-bANSWER-a.bAutologousbdonation
21. Theborderbofbdrawbforbcapillarybcollectionsbisbdifferentbthanbvenipuncturebbecauseb-
bANSWER-a.bIncreasedbriskbofbcoagulationb(rememberbplateletsbstartbtobform)
22. Uponbenteringbabpatient'sbroombforbroutinebbloodbdraw,bphlebotomistbnoticesbclergyb
memberbisbwithbthebpatient.bWhatbshouldbyoubdo?b-bANSWER-
a.bReturnblaterbafterbbdrawingbotherbpatients
23. Abphlebotomistbnoticesbabhematomabdevelopingbatbthebsitebofbvenipuncture.bTheb
phlebotomistbshouldb-bANSWER-a.bReleasebthebtourniquetbandbstopbthebdraw
24. KnowbORDERbofbDRAW!!b-bANSWER-
b b b
XAM 2 VERSIONS 2023/2024
b b b
,1. Whatbtemperaturebshouldbabsemenbsamplebbebtransported?b-bANSWER-36-
38bdegreesbC
2. Whichbofbthebfollowingbwouldbresultbinbabgrosslybhemolyzedbspecimen?
a. Incorrectborderbofbdraw
b. Incorrectbneedlebgauge
c. Applyingbtourniquetbtoobclosebtobthebdrawbsite
d. Failurebtobinvertbtubeb-bANSWER-b.bIncorrectbneedlebgauge
3. Whichbofbthebfollowingbisbproperbprocedurebafterbcollectingbammoniabspecimen?
a. Protectbfromblight
b. Keepbspecimenbwarm
c. Keepbspecimenbatbbodybtemp
d. Placebspecimenbinbicewaterbslurryb(orbabcupbofbice)b-bANSWER-
d.bPlacebspecimenbinbicewaterbslurryb(orbabcupbofbice)
,4. ThebphlebotomistbhasbabrequestbtobcollectbabCBCbfrombabhealthyb10bmonthbold.bWhichbbi
sbappropriate?b-bANSWER-a.bEitherbheel
5. Abphlebotomistbisbpreparingbtobdrawbbloodbfrombabpatientbinbhospital/bThebpatientbbexten
dsbhisbarmbandbturnsbheadbaway.bWhichbconsentbdoesbthisbindicate?b-bANSWER-
a.bImpliedbconsent
6. Whybshouldbphlebotomistbdocumentbvolumebofbbloodbdrawnbfrombabpatient?b-
bbANSWER-a.bIatrogenicbanemiabcouldbbebabresultbfobtoobmuchbtaken
7. AbphlebotomistbhasbabrequisitionbtobdrawbbloodbonbabpatientbwithbseverebDown'sbbsynd
rome.bWhatbstepsbwouldbyoubtake?b-bANSWER-
a.bSpeakbwithbthebpatientbguardianbbeforebperformingbvenipuncturebtobenmsurebthebpatie
ntbunderstands
8. Ab69byearboldbunconsciousbpatientbisbbroughtbotbthebER.bSeveralbbloodbtestsbarebo
rdered.bThebphlebotomistbcollectsbbloodbunderb-bANSWER-a.bImpliedbconsent
9. Whichbofbthebfollowingbactionsbisbappropriatebwhenblabelingbspecimens?b-bANSWER-
a. Labelbspecimensbatbthebtimebofbcollectionbinbfrontbofbthebpatient
10. Beforebcollectingbbloodbonbanbinpatient,bthebphlebotomistbnoticesbthere'sbnobbwristb
andbonbwrist.bTherebisbonebonbthebIVbpole.bWhatbdobyoubdo?b-bANSWER-
a.bDon'tbdrawbuntilbnursebputsbanbarmbandbonbpatient
, 11. Whichbisbappropriatebformbofbidentificationbinbinpatientbsetting?b-bANSWER-
a.bVerbalbandbwristbband
12. WBC,bRBC,bElectrolytesbarebordered.bWhichbtubesbarebusedbforbcapillary?b-
bbANSWER-a.bLavenderbandbred
13. AbbloodbspecimenbisbrejectedbbyblabbwithbQNSbasbthebreason?bWhy?b-bANSWER-
a.bThebspecimenbwasbinsufficient-notbenoughbblood
14. Whichbofbthebfollowingbisbbestbmethodbtobpreventbinternalborbexternalbbleedingbfrombbv
enipuncturebsitebafterbneedlebisbremoved?b-bANSWER-
a.bApplybpressurebtobpreventbbleakagebofbbloodbintobthebtissues
15. AbphysicianbordersbabSTATbbutbphlebotomistbforgetsbtobfillboutbpatientbIDbnumber.bb
Whatbisbappropriatebprocedurebforbanbimproperlyblabeledbspecimenbwhenbreceivedbinbbl
ab?b-bANSWER-a.bLabbrejectsbthebmislabeledbspecimen
16. Phlebotomistbisbperformingbvenipuncturebandbpatientbbeginsbtobseize.bWhatbisbcorrectb
action?b-bANSWER-a.bDiscontinuebthebdraw
17. Phlebotomistbreceivesbordersbtobdrawbanbinfantbscreeningbcard,bO2blevels,bbilirubin,bba
ndbDNA.bWhichbisbtobbebdrawnbfirst?b-bANSWER-a.bO2blevels
18. Whenbperformingbabvenipuncturebonbabpatientbofbaveragebweight,bwhichbisbthebcorrectbt
echniquebforbneedlebinsertion?b-bANSWER-a.bInsertbuntilbabchangebinbresistance
19. Whichbisbthebbestbmethodbtobcollectbabbloodbspecimenbfrombanbolderbadultbpatientb b
whobhasbfragile,beasybtobcollapsebveins?b-bANSWER-
a.bChoosebabsyringebandbbutterflybassembly
20. Whichbofbthebfollowingbisbthebtermbforbdonationbofbabpatient'sbownbbloodbforbanbbu
pcomingbsurgery?b-bANSWER-a.bAutologousbdonation
21. Theborderbofbdrawbforbcapillarybcollectionsbisbdifferentbthanbvenipuncturebbecauseb-
bANSWER-a.bIncreasedbriskbofbcoagulationb(rememberbplateletsbstartbtobform)
22. Uponbenteringbabpatient'sbroombforbroutinebbloodbdraw,bphlebotomistbnoticesbclergyb
memberbisbwithbthebpatient.bWhatbshouldbyoubdo?b-bANSWER-
a.bReturnblaterbafterbbdrawingbotherbpatients
23. Abphlebotomistbnoticesbabhematomabdevelopingbatbthebsitebofbvenipuncture.bTheb
phlebotomistbshouldb-bANSWER-a.bReleasebthebtourniquetbandbstopbthebdraw
24. KnowbORDERbofbDRAW!!b-bANSWER-
