Phlebotomy NHA Practice Test
A Phlebotomist is drawing blood from a patient and observes red spots. Which of the
following is an appropriate action for the phlebotomist to take?
A) Stop the draw immediately
B) Apply ice to the site
C) Apply pressure after collecting the specimen
D) Release the tourniquet immediately - ANSWER-C
Which of the following is appropriate to use when collecting for a chemistry test that
requires serum?
A) SST
B) EDTA
C) PST
D) SPS - ANSWER-A
A Phlebotomist working in a fertility clinic draws blood form a patient who also must
submit a semen sample for analysis. Which of the following should the phlebotomist tell
the patient?
A) As soon as you collect the specimen, keep it next to your body. We will need to
submit it right away to the lab for testing
B) You'll have to talk to the lab techs about collecting the sample. They do all the testing
C) Leave the semen sample in the front desk for delivery to the lab
D) You should discuss that with your doctor, I only draw blood - ANSWER-A
A Phlebotomist has a requisition to draw blood on a patient who has severe Down
syndrome. Which of the following steps should the Phlebotomist take?
A) Explain the procedure to the patient in simple terms, then proceed with venipunture.
B) Speak with the patients guardian before performing the venipuncture to ensure the
explanation is understood
C) Draw the Patient's blood without trying to explain the procedure
D) Ask the patient's guardian to assist in holding the patient's arm still for the procedure
- ANSWER-B
Which of the following procedural steps for a finger stick should the phlebotomist do
first?
A) Cleanse the site
B) Select the appropriate part of the 3rd or 4th finger
,C) Position the Blade of the Lancet across the lines of the fingertip
D) Confirm Identity of the patient - ANSWER-D
Which of the following test results are affected when povidone iodine is used to cleanse
the site for a dermal procedure?
A) Glucose
B) Blood urea nitrogen
C) Potassium
D) Coagulation Studies - ANSWER-C
Blood Cultures have been ordered on a patient in the intensive care unit(ICU). The
nurse calls the phlebotomist to bring the appropriate materials. Which of the following
should the phlebotomist bring?
A) Two aerobic bottles
B) Two Anaerobic Bottles
C) An aerobic bottle and an SPS tube
D) An aerobic bottle and an anaerobic bottle - ANSWER-D
When a phlebotomist is distributing laboratory results to ordering physicians which
results have priority?
A) Lead
B) Basic Metabolic Panel (BMP)
C) Presurgical
D) Ferritin - ANSWER-C
Which of the following can cause a hemolyzed specimen?
A) Inverting the specimen 4 times
B) Partially filling the collection tube
C) Shaking the collection tube vigorously
D) Allowing the specimen to clot - ANSWER-C
Which is an example of the acceptable reporting of routine lab results?
A) Call the family physician with the results
B) Send the results to the patient's personal email
C) Send the results to the physician in a marked Envelope
D) Fax the results to the insurance company - ANSWER-C
Before the phlebotomist performs a venipuncture, the patient warns that he is HIV
positive. According to OSHA regulations, after wearing gloves, the phlebotomist should?
A) Apply an extra set of gloves over the first set
B) Have the supervisor observe the draw
,C) Wear a mask and eye protection
D) Perform the venipuncture - ANSWER-D
Which of the following is appropriate cleanser for cleansing around the urinary meatus
for a clean-catch urine specimen?
A) Hydrogen Peroxide
B) Benzalkonium Chloride or mild antiseptic soap
C) Povidone Iodine
D) 70% Alcohol pad - ANSWER-B
The phlebotomist should use a tube with which of the following anticoagulants to collect
a PT/PTT test?
A) EDTA (Ethylenediaminetetraacetic acid)
B) Sodium citrate
C)Potassium oxalate
D) Heparin - ANSWER-B
When should the code on glucose cuvettes or strips be compared to the code on the
glucose meter?
A) After a new package is opened
B) When a patient is tested
C) At the beginning of the shift
D) Following an error code - ANSWER-B
A Phlebotomist recieves orders to draw an infant screening card, O2 levels, bilirubin,
and DNA. Which of the following should be drawn first?
A) O2 Levels
B) Bilirubin
C) DNA
D)Screening card - ANSWER-A
After performing a heel puncture for neonatal screening, which of the following is the
correct procedure for collecting the blood?
A) Smear the blood on the circle
B) Saturate each circle
C) Touch the heel to the center of the circle
D) Drop the blood on the circle - ANSWER-B
Which indicates the proper order of draw?
A) Lavender, Green, Gray
, B) Gray, Green, Lavender
C) Green, Gray, Lavender
D) Green, Lavender, Gray - ANSWER-D
The order of draw for a capillary collection is different than venipuncture because of?
A) The risk of hemoconcentration
B) An increased rate of coagulation
C) The smaller size of samples
D) Additive cross contamination - ANSWER-B
A Phlebotomist is preparing to perform a hand draw. Which of the following should the
phlebotomist assemble?
A) ETS Needle and transfer
B) Winged infusion set and adapter
C) Syringe and vacutainer
D) Lancet and microtainer - ANSWER-B
A patient comes in to find out his test results. The phlebotomist notices the results are
ready and verifies the patient's identity. Which of the following actions is most
appropriate?
A) Have the lab manager discuss the results with the patient
B) Have the nurse interpret the result for the patient
C) Obtain a signed authorization from the patient and explain the results in a private
exam room
D) Inform the patient to contact the ordering physician to get the results. - ANSWER-D
During a venipuncture, the patient reports a sharp pain radiating down the arm. Which
of the following actions should the phlebotomist take?
A) Release the tourniquet and remove the needle
B) Pull back on the needle and continue procedure
C) Reposition the patient and change the needle gauge
D) Continue to draw and monitor the patient's pain. - ANSWER-A
A blood specimen was rejected by the lab with the abbreviation QNS. Why was the
specimen rejected?
A) The specimen was insufficient
B) The specimen was exposed to light
C) The specimen was chilled
D) The specimen was not properly mixed - ANSWER-A
A Phlebotomist is drawing blood from a patient and observes red spots. Which of the
following is an appropriate action for the phlebotomist to take?
A) Stop the draw immediately
B) Apply ice to the site
C) Apply pressure after collecting the specimen
D) Release the tourniquet immediately - ANSWER-C
Which of the following is appropriate to use when collecting for a chemistry test that
requires serum?
A) SST
B) EDTA
C) PST
D) SPS - ANSWER-A
A Phlebotomist working in a fertility clinic draws blood form a patient who also must
submit a semen sample for analysis. Which of the following should the phlebotomist tell
the patient?
A) As soon as you collect the specimen, keep it next to your body. We will need to
submit it right away to the lab for testing
B) You'll have to talk to the lab techs about collecting the sample. They do all the testing
C) Leave the semen sample in the front desk for delivery to the lab
D) You should discuss that with your doctor, I only draw blood - ANSWER-A
A Phlebotomist has a requisition to draw blood on a patient who has severe Down
syndrome. Which of the following steps should the Phlebotomist take?
A) Explain the procedure to the patient in simple terms, then proceed with venipunture.
B) Speak with the patients guardian before performing the venipuncture to ensure the
explanation is understood
C) Draw the Patient's blood without trying to explain the procedure
D) Ask the patient's guardian to assist in holding the patient's arm still for the procedure
- ANSWER-B
Which of the following procedural steps for a finger stick should the phlebotomist do
first?
A) Cleanse the site
B) Select the appropriate part of the 3rd or 4th finger
,C) Position the Blade of the Lancet across the lines of the fingertip
D) Confirm Identity of the patient - ANSWER-D
Which of the following test results are affected when povidone iodine is used to cleanse
the site for a dermal procedure?
A) Glucose
B) Blood urea nitrogen
C) Potassium
D) Coagulation Studies - ANSWER-C
Blood Cultures have been ordered on a patient in the intensive care unit(ICU). The
nurse calls the phlebotomist to bring the appropriate materials. Which of the following
should the phlebotomist bring?
A) Two aerobic bottles
B) Two Anaerobic Bottles
C) An aerobic bottle and an SPS tube
D) An aerobic bottle and an anaerobic bottle - ANSWER-D
When a phlebotomist is distributing laboratory results to ordering physicians which
results have priority?
A) Lead
B) Basic Metabolic Panel (BMP)
C) Presurgical
D) Ferritin - ANSWER-C
Which of the following can cause a hemolyzed specimen?
A) Inverting the specimen 4 times
B) Partially filling the collection tube
C) Shaking the collection tube vigorously
D) Allowing the specimen to clot - ANSWER-C
Which is an example of the acceptable reporting of routine lab results?
A) Call the family physician with the results
B) Send the results to the patient's personal email
C) Send the results to the physician in a marked Envelope
D) Fax the results to the insurance company - ANSWER-C
Before the phlebotomist performs a venipuncture, the patient warns that he is HIV
positive. According to OSHA regulations, after wearing gloves, the phlebotomist should?
A) Apply an extra set of gloves over the first set
B) Have the supervisor observe the draw
,C) Wear a mask and eye protection
D) Perform the venipuncture - ANSWER-D
Which of the following is appropriate cleanser for cleansing around the urinary meatus
for a clean-catch urine specimen?
A) Hydrogen Peroxide
B) Benzalkonium Chloride or mild antiseptic soap
C) Povidone Iodine
D) 70% Alcohol pad - ANSWER-B
The phlebotomist should use a tube with which of the following anticoagulants to collect
a PT/PTT test?
A) EDTA (Ethylenediaminetetraacetic acid)
B) Sodium citrate
C)Potassium oxalate
D) Heparin - ANSWER-B
When should the code on glucose cuvettes or strips be compared to the code on the
glucose meter?
A) After a new package is opened
B) When a patient is tested
C) At the beginning of the shift
D) Following an error code - ANSWER-B
A Phlebotomist recieves orders to draw an infant screening card, O2 levels, bilirubin,
and DNA. Which of the following should be drawn first?
A) O2 Levels
B) Bilirubin
C) DNA
D)Screening card - ANSWER-A
After performing a heel puncture for neonatal screening, which of the following is the
correct procedure for collecting the blood?
A) Smear the blood on the circle
B) Saturate each circle
C) Touch the heel to the center of the circle
D) Drop the blood on the circle - ANSWER-B
Which indicates the proper order of draw?
A) Lavender, Green, Gray
, B) Gray, Green, Lavender
C) Green, Gray, Lavender
D) Green, Lavender, Gray - ANSWER-D
The order of draw for a capillary collection is different than venipuncture because of?
A) The risk of hemoconcentration
B) An increased rate of coagulation
C) The smaller size of samples
D) Additive cross contamination - ANSWER-B
A Phlebotomist is preparing to perform a hand draw. Which of the following should the
phlebotomist assemble?
A) ETS Needle and transfer
B) Winged infusion set and adapter
C) Syringe and vacutainer
D) Lancet and microtainer - ANSWER-B
A patient comes in to find out his test results. The phlebotomist notices the results are
ready and verifies the patient's identity. Which of the following actions is most
appropriate?
A) Have the lab manager discuss the results with the patient
B) Have the nurse interpret the result for the patient
C) Obtain a signed authorization from the patient and explain the results in a private
exam room
D) Inform the patient to contact the ordering physician to get the results. - ANSWER-D
During a venipuncture, the patient reports a sharp pain radiating down the arm. Which
of the following actions should the phlebotomist take?
A) Release the tourniquet and remove the needle
B) Pull back on the needle and continue procedure
C) Reposition the patient and change the needle gauge
D) Continue to draw and monitor the patient's pain. - ANSWER-A
A blood specimen was rejected by the lab with the abbreviation QNS. Why was the
specimen rejected?
A) The specimen was insufficient
B) The specimen was exposed to light
C) The specimen was chilled
D) The specimen was not properly mixed - ANSWER-A
