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NHA PHLEBOTOMY CERTIFICATION EXAM WITH ALL ANSWERS
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NHA PHLEBOTOMY CERTIFICATION EXAM WITH ALL ANSWERS
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NHA PHLEBOTOMYCERTIFICATION EXAM
WITH ALL ANSWERS
1. What temperature should a semen sample be transported? - correct answer-36-
B B B B B B B B B B B
38 degrees CB B
2. Which of the following would result in a grossly hemolyzed specimen?
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a. Incorrect order of draw
B B B B
b. Incorrect needle gauge
B B B
c. Applying tourniquet too close to the draw site
B B B B B B B B
d. Failure to invert tube - correct answer-b. Incorrect needle gauge
B B B B B B B B B B
3. Which of the following is proper procedure after collecting ammonia specimen?
B B B B B B B B B B B
a. Protect from light
B B B
b. Keep specimen warm
B B B
c. Keep specimen at body temp
B B B B B
d. Place specimen in icewater slurry (or a cup of ice) - correct answer-
B B B B B B B B B B B B B
d. Place specimen in icewater slurry (or a cup of ice)
B B B B B B B B B B
4. The phlebotomist has a request to collect a CBC from a healthy 10 month old. Whic
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h is appropriate? - correct answer-a. Either heel
B B B B B B B
5. A phlebotomist is preparing to draw blood from a patient in hospital/
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The patient extends his arm and turns head away. Which consent does this indicate?
B B B B B B B B B B B B B B
- correct answer-a. Implied consent
B B B B B
6. Why should phlebotomist document volume of blood drawn from a patient? -
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correct answer-a. Iatrogenic anemia could be a result fo too much taken
B B B B B B B B B B B B
,7. A phlebotomist has a requisition to draw blood on a patient with severe Down's synd
B B B B B B B B B B B B B B B
rome. What steps would you take? - correct answer-
B B B B B B B B
a. Speak with the patient guardian before performing venipuncture to enmsure the pati
B B B B B B B B B B B B
ent understands B
8. A 69 year old unconscious patient is brought ot the ER. Several blood tests are orde
B B B B B B B B B B B B B B B B
red. The phlebotomist collects blood under - correct answer-a. Implied consent
B B B B B B B B B B
9. Which of the following actions is appropriate when labeling specimens? -
B B B B B B B B B B B
correct answer-a. Label specimens at the time of collection in front of the patient
B B B B B B B B B B B B B B
10. Before collecting blood on an inpatient, the phlebotomist notices there's no wristba
B B B B B B B B B B B B
nd on wrist. There is one on the IV pole. What do you do? - correct answer-
B B B B B B B B B B B B B B B B
a. Don't draw until nurse puts an armband on patient
B B B B B B B B B
11. Which is appropriate form of identification in inpatient setting? - correct answer-
B B B B B B B B B B B B
a. Verbal and wrist band
B B B B
12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary? -
B B B B B B B B B B B B
correct answer-a. Lavender and red
B B B B B
13. A blood specimen is rejected by lab with QNS as the reason? Why? -
B B B B B B B B B B B B B B
correct answer-a. The specimen was insufficient-not enough blood
B B B B B B B B
14. Which of the following is best method to prevent internal or external bleeding from
B B B B B B B B B B B B B B B
venipuncture site after needle is removed? - correct answer- B B B B B B B B
a. Apply pressure to prevent leakage of blood into the tissues
B B B B B B B B B B
15. A physician orders a STAT but phlebotomist forgets to fill out patient ID number. W
B B B B B B B B B B B B B B B
hat is appropriate procedure for an improperly labeled specimen when received in lab
B B B B B B B B B B B B
? - correct answer-a. Lab rejects the mislabeled specimen
B B B B B B B B
16. Phlebotomist is performing venipuncture and patient begins to seize. What is corre
B B B B B B B B B B B B
ct action? - correct answer-a. Discontinue the draw
B B B B B B B
17. Phlebotomist receives orders to draw an infant screening card, O2 levels, bilirubin,
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and DNA. Which is to be drawn first? - correct answer-a. O2 levels
B B B B B B B B B B B B B
18. When performing a venipuncture on a patient of average weight, which is the corre
B B B B B B B B B B B B B B
ct technique for needle insertion? - correct answer-
B B B B B B B
a. Insert until a change in resistance
B B B B B B
19. Which is the best method to collect a blood specimen from an older adult patient w
B B B B B B B B B B B B B B B B
ho has fragile, easy to collapse veins? - correct answer-
B B B B B B B B B
a. Choose a syringe and butterfly assembly
B B B B B B
20. Which of the following is the term for donation of a patient's own blood for an upco
B B B B B B B B B B B B B B B B B
ming surgery? - correct answer-a. Autologous donation
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, 21. The order of draw for capillary collections is different than venipuncture because -
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correct answer-a. Increased risk of coagulation (remember platelets start to form)
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22. Upon entering a patient's room for routine blood draw, phlebotomist notices clergy
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member is with the patient. What should you do? - correct answer-
B B B B B B B B B B B
a. Return later after drawing other patients
B B B B B B
23. A phlebotomist notices a hematoma developing at the site of venipuncture. The phl
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ebotomist should - correct answer-a. Release the tourniquet and stop the draw
B B B B B B B B B B B
24. Know ORDER of DRAW!! - correct answer-
B B B B B B B
25. A phlebotomist working in an infertility clinic and the patient is to submit a semen s
B B B B B B B B B B B B B B B B
pecimen. The phlebotomist would tell the patient: - correct answer-
B B B B B B B B B
a. As soon as you collect the specimen, keep it next to your body and bring it in right a
B B B B B B B B B B B B B B B B B B B
way. (the reason is it needs to stay at body temp and delivered in lab within 2 hours)
B B B B B B B B B B B B B B B B B
26. After placing tourniquet on a patients arm, the phlebotomist notices small red spots
B B B B B B B B B B B B B
below the tourniquet. - correct answer-a. Petechiae
B B B B B B B
27. The phlebotomist should examine the antecubital veins of both arms because: -
B B B B B B B B B B B B
correct answer-
B B
a. The median cubital might be more accessible on one side than the other
B B B B B B B B B B B B B
28. What is the appropriate cleanser to clean the meatus for a clean catch urine speci
B B B B B B B B B B B B B B B
men? - correct answer-a. Benzalkonium chloride
B B B B B
29. When should the code on glucose cuvettes or strips be compared to the code on th
B B B B B B B B B B B B B B B B
e glucose meter? - correct answer-a. When the patient is tested
B B B B B B B B B B
30. Which of the following is appropriate to use when collecting for a chemistry test tha
B B B B B B B B B B B B B B B
t requires serum? - correct answer-a. SST (this is the red gel tube)
B B B B B B B B B B B B
31. A patient state she is a difficult draw and requests a skin puncture. The test is a PT
B B B B B B B B B B B B B B B B B B
T. Which should you do? - correct answer-
B B B B B B B
a. Use a syringe and transfer to a light blue tube
B B B B B B B B B B
32. Industry standard states needle insertion in the antecubital area should be: -
B B B B B B B B B B B B
correct answer-a. 15-30 degree angle
B B B B B
33. Tubes with which additive should be used for CBC? - correct answer-
B B B B B B B B B B B B
a. EDTA (purple tube)
B B B
34. When preparing for transport, which specimen must be placed on ice within 30 min
B B B B B B B B B B B B B B
utes after collection? - correct answer-a. Arterial Blood Gases
B B B B B B B B
35. Which provides the phlebotomist the best protection when drawing blood from a pa
B B B B B B B B B B B B B
tient with active TB? - correct answer-a. N-95 respirator mask
B B B B B B B B B
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