NHA PHLEBOTOMY CERTIFICATION
EXAM 2024/2025
1. What temperature should a semen sample be transported? - Precise
Answer ✔✔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 - Precise Answer ✔✔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
d. Place specimen in icewater slurry (or a cup of ice) - Precise Answer
✔✔d. Place specimen in icewater 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? - Precise Answer ✔✔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? - Precise Answer ✔✔a. Implied consent
6. Why should phlebotomist document volume of blood drawn from a
patient? - Precise Answer ✔✔a. Iatrogenic anemia could be a result fo
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? - Precise Answer
✔✔a. Speak with the patient guardian before performing venipuncture
to enmsure the patient understands
8. A 69 year old unconscious patient is brought ot the ER. Several blood
tests are ordered. The phlebotomist collects blood under - Precise
Answer ✔✔a. Implied consent
9. Which of the following actions is appropriate when labeling
specimens? - Precise Answer ✔✔a. Label specimens at the time of
collection in front of the patient
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? - Precise Answer ✔✔a. Don't draw until nurse puts an armband on
patient
,11. Which is appropriate form of identification in inpatient setting? -
Precise Answer ✔✔a. Verbal and wrist band
12. WBC, RBC, Electrolytes are ordered. Which tubes are used for
capillary? - Precise Answer ✔✔a. Lavender and red
13. A blood specimen is rejected by lab with QNS as the reason? Why? -
Precise Answer ✔✔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? - Precise
Answer ✔✔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
labeled specimen when received in lab? - Precise Answer ✔✔a. Lab
rejects the mislabeled specimen
16. Phlebotomist is performing venipuncture and patient begins to seize.
What is correct action? - Precise Answer ✔✔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? - Precise Answer
✔✔a. O2 levels
, 18. When performing a venipuncture on a patient of average weight,
which is the correct technique for needle insertion? - Precise Answer
✔✔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? - Precise Answer
✔✔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? - Precise Answer ✔✔a. Autologous
donation
21. The order of draw for capillary collections is different than
venipuncture because - Precise Answer ✔✔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? - Precise
Answer ✔✔a. Return later after drawing other patients
23. A phlebotomist notices a hematoma developing at the site of
venipuncture. The phlebotomist should - Precise Answer ✔✔a. Release
the tourniquet and stop the draw
24. Know ORDER of DRAW!! - Precise Answer ✔✔
EXAM 2024/2025
1. What temperature should a semen sample be transported? - Precise
Answer ✔✔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 - Precise Answer ✔✔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
d. Place specimen in icewater slurry (or a cup of ice) - Precise Answer
✔✔d. Place specimen in icewater 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? - Precise Answer ✔✔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? - Precise Answer ✔✔a. Implied consent
6. Why should phlebotomist document volume of blood drawn from a
patient? - Precise Answer ✔✔a. Iatrogenic anemia could be a result fo
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? - Precise Answer
✔✔a. Speak with the patient guardian before performing venipuncture
to enmsure the patient understands
8. A 69 year old unconscious patient is brought ot the ER. Several blood
tests are ordered. The phlebotomist collects blood under - Precise
Answer ✔✔a. Implied consent
9. Which of the following actions is appropriate when labeling
specimens? - Precise Answer ✔✔a. Label specimens at the time of
collection in front of the patient
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? - Precise Answer ✔✔a. Don't draw until nurse puts an armband on
patient
,11. Which is appropriate form of identification in inpatient setting? -
Precise Answer ✔✔a. Verbal and wrist band
12. WBC, RBC, Electrolytes are ordered. Which tubes are used for
capillary? - Precise Answer ✔✔a. Lavender and red
13. A blood specimen is rejected by lab with QNS as the reason? Why? -
Precise Answer ✔✔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? - Precise
Answer ✔✔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
labeled specimen when received in lab? - Precise Answer ✔✔a. Lab
rejects the mislabeled specimen
16. Phlebotomist is performing venipuncture and patient begins to seize.
What is correct action? - Precise Answer ✔✔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? - Precise Answer
✔✔a. O2 levels
, 18. When performing a venipuncture on a patient of average weight,
which is the correct technique for needle insertion? - Precise Answer
✔✔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? - Precise Answer
✔✔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? - Precise Answer ✔✔a. Autologous
donation
21. The order of draw for capillary collections is different than
venipuncture because - Precise Answer ✔✔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? - Precise
Answer ✔✔a. Return later after drawing other patients
23. A phlebotomist notices a hematoma developing at the site of
venipuncture. The phlebotomist should - Precise Answer ✔✔a. Release
the tourniquet and stop the draw
24. Know ORDER of DRAW!! - Precise Answer ✔✔
