1. What temperature should a semen sample be transported?
- ANS ✔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 - ANS ✔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
NHA Phlebotomy certification EXAM
, 2
NHA Phlebotomy
d. Place specimen in ice water slurry (or a cup of ice) - ANS
✔d. Place specimen in ice water 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? - ANS ✔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? - ANS ✔a. Implied
consent
6. Why should phlebotomist document volume of blood
drawn from a patient? - ANS ✔a. Iatrogenic anaemia could be a
result of 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? - ANS ✔a. Speak with the patient guardian before
performing venipuncture to ensure the patient understands
8. A 69 year old unconscious patient is brought to the ER.
Several blood tests are ordered. The phlebotomist collects
blood under - ANS ✔a. Implied consent
9. Which of the following actions is appropriate when
labelling specimens? - ANS ✔a. Label specimens at the time of
collection in front of the patient
NHA Phlebotomy certification EXAM
, 3
NHA Phlebotomy
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? - ANS ✔a. Don't draw until nurse puts an
armband on patient
11. Which is appropriate form of identification in inpatient
setting? - ANS ✔a. Verbal and wrist band
12. WBC, RBC, Electrolytes are ordered. Which tubes are used
for capillary? - ANS ✔a. Lavender and red
13. A blood specimen is rejected by lab with QNS as the
reason? Why? - ANS ✔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? - ANS ✔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 labelled specimen when received in lab? - ANS
✔a. Lab rejects the mislabelled specimen
NHA Phlebotomy certification EXAM
, 4
NHA Phlebotomy
16. Phlebotomist is performing venipuncture and patient
begins to seize. What is correct action? - ANS ✔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? - ANS ✔a. O2 levels
18. When performing a venipuncture on a patient of average
weight, which is the correct technique for needle insertion? -
ANS ✔a. Insert until a change in resistance
19. Which is the best method to collect a blood specimen
from an older adult patient who has fragile, easy to collapse
veins? - ANS ✔a. Choose a syringe and butterfly assembly
20. Which of the following is the term for donation of a
patient's own blood for an upcoming surgery? - ANS ✔a.
Autologous donation
21. The order of draw for capillary collections is different
than venipuncture because - ANS ✔a. Increased risk of
coagulation (remember platelets start to form)
22. Upon entering a patient's room for routine blood draw,
phlebotomist notices clergy member is with the patient.
What should you do? - ANS ✔a. Return later after drawing other
patients
NHA Phlebotomy certification EXAM
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