NHA Phlebotomy certification EXAM LATEST UPDATE 2023/2024

NHA Phlebotomy certification EXAM LATEST UPDATE 2023/2024 1. 1. What temperature should a semen sample be transported?: 36-38 degrees C 2. 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: b. Incorrect needle gauge 3. 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): d. Place specimen in icewater slurry (or a cup of ice) 4. 4. The phlebotomist has a request to collect a CBC from a healthy 10 month old. Which is appropriate?: a. Either heel 5. 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?: a. Implied consent 6. 6. Why should phlebotomist document volume of blood drawn from a patient?: a. Iatrogenic anemia could be a result fo too much taken 7. 7. A phlebotomist has a requisition to draw blood on a patient with severe Down's syndrome. What steps would you take?: a. Speak with the patient guardian before performing venipuncture to enmsure the patient understands 8. 8. A 69 year old unconscious patient is brought ot the ER. Several blood tests are ordered. The phlebotomist collects blood under: a. Implied consent 9. 9. Which of the following actions is appropriate when labeling specimens?- : a. Label specimens at the time of collection in front of the patient 10. 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?: a. Don't draw until nurse puts an armband on patient 11. 11. Which is appropriate form of identification in inpatient setting?: a. Verbal and wrist band 12. 12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary?: a. Lavender and red 1 / 27 NHA Phlebotomy certification EXAM 13. 13. A blood specimen is rejected by lab with QNS as the reason? Why?: a. The specimen was insufficient-not enough blood 14. 14. Which of the following is best method to prevent internal or external bleeding from venipuncture site after needle is removed?: a. Apply pressure to prevent leakage of blood into the tissues 15. 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?: a. Lab rejects the mislabeled specimen 16. 16. Phlebotomist is performing venipuncture and patient begins to seize. What is correct action?: a. Discontinue the draw 17. 17. Phlebotomist receives orders to draw an infant screening card, O2 levels, bilirubin, and DNA. Which is to be drawn first?: a. O2 levels 18. 18. When performing a venipuncture on a patient of average weight, which is the correct technique for needle insertion?: a. Insert until a change in resistance 19. 19. Which is the best method to collect a blood specimen from an older adult patient who has fragile, easy to collapse veins?: a. Choose a syringe and butterfly assembly 20. 20. Which of the following is the term for donation of a patient's own blood for an upcoming surgery?: a. Autologous donation 21. 21. The order of draw for capillary collections is different than venipuncture because: a. Increased risk of coagulation (remember platelets start to form) 22. 22. Upon entering a patient's room for routine blood draw, phlebotomist notices clergy member is with the patient. What should you do?: a. Return later after drawing other patients 23. 23. A phlebotomist notices a hematoma developing at the site of venipuncture. The phlebotomist should: a. Release the tourniquet and stop the draw 24. 24. Know ORDER of DRAW!!: 25. 25. A phlebotomist working in an infertility clinic and the patient is to submit a semen specimen. The phlebotomist would tell the patient:: a. As soon as you collect the specimen, keep it next to your body and bring it in right away. (the reason is it needs to stay at body temp and delivered in lab within 2 hours) 2 / 27 NHA Phlebotomy certification EXAM 26. 26. After placing tourniquet on a patients arm, the phlebotomist notices small red spots below the tourniquet.: a. Petechiae 27. 27. The phlebotomist should examine the antecubital veins of both arms because:: a. The median cubital might be more accessible on one side than the other 28. 28. What is the appropriate cleanser to clean the meatus for a clean catch urine specimen?: a. Benzalkonium chloride 29. 29. When should the code on glucose cuvettes or strips be compared to the code on the glucose meter?: a. When the patient is tested 30. 30. Which of the following is appropriate to use when collecting for a chemistry test that requires serum?: a. SST (this is the red gel tube) 31. 31. A patient state she is a difficult draw and requests a skin puncture. The test is a PTT. Which should you do?: a. Use a syringe and transfer to a light blue tube 32. 32. Industry standard states needle insertion in the antecubital area should be:: a. 15-30 degree angle 33. 33. Tubes with which additive should be used for CBC?: a. EDTA (purple tube) 34. 34. When preparing for transport, which specimen must be placed on ice within 30 minutes after collection?: a. Arterial Blood Gases 35. 35. Which provides the phlebotomist the best protection when drawing blood from a patient with active TB?: a. N-95 respirator mask 36. 36. During a draw, the patient becomes unresponsive. What should you do?: a. Check for breathing 37. 37. Why should a phlebotomist avoid drawing blood from a leg or foot of a diabetic patient?: a. These areas are more susceptible to infection 38. 38. Why is it important to place a specimen in a biohazard specimen bag outside the laboratory?: a. The biohazard bag prevents a possible exposure incident 39. 39. As a student. Proper introduction: a. Hi, my name is Sally Smith. I am a student phlebotomist and I'm here to collect blood specimen 40. 40. When using evacuated tube system (EVS).: a. Position the needle in the same direction as the vein at 30 degree angle 41. 41. What is additive for a PT/PTT?: a. Sodium Citrate (Blue top) 3 / 27 NHA Phlebotomy certification EXAM Study online at 4 / 27 42. 42. Blood cultures have been ordered on ICU patient. You would use:: a. Aerobic and anaerobic bottles 43. 43. A phlebotomist is required to obtain what from a potential donor?: a. Complete medical history 44. 44. Phlebotomist needs to draw a glucose tolerance test on a patient and notices an empty breakfast plate at bedside. What should you do?: a. Ask the patient when he or she ate last 45. 45. Which vein should you attempt first?: a. Median cubital 46. 46. If a phlebotomist is stuck with a used needle, first action is:: a. Flush the area with running water 47. 47. correct specimen handling, what should you put on collection tubes?- : Before leaving a patient room, make sure the date, time and initials are on the tubes. 48. 48. When removing the needle from the arm, engage the safety device immediately: 49. 49. What can cause hemolysis?: a. Vigorously shaking the tube 50. 50. A phlebotomist must centrifuge a serum separator tube before shipment:: a. Cells must be separated from the serum 51. 51. The phlebotomist draws a CBC at 1800. Lab closed at 1730 and will not process until 500. What temp should the CBC be stored: a. 2-10 degrees C (EDTA tubes may be processed at 12 hours if refrigerated) 52. 52. What test results can be affected if iodine is used to clean the site?: a. Potassium 53. 53. According to CLSI, what is collected first?: a. Blood cultures 54. 54. KNOW ORDER OF DRAW: 55. 1. KNOW ADDITIVES: 56. 55. KNOW ORDER OF VENIPUNTURE PROCEDURE: 57. 56. A physician ordered a Tobramycin level to be drawn one hour after dose. The Tobramycin has been ordered for 11am. What should you do: a. Check with the nurse to make sure meds were given (or not given) 58. 57. phlebotomist notices red spots. What is appropriate action?: a. Apply pressure after collecting During the draw, the the sample NHA Phlebotomy certification EXAM Study online at 5 / 27 59. 58. What is a potential consequence of mislabeling a blood bank specimen?: a. A Transfusion reaction 60. 59. When should a phlebotomist perform external liquid controls for quality control on CLIA waived point of care test?: a. When a new lot number or kit is opened 61. 60. A 3.3 kg infant has a total blood volume of 240-330ml: 62. 61. Cleanse in an outward spiral: 63. 62. What would you use for a hand draw?: a. Butterfly or winged infusion set 64. 63. Invert anticoagulant tubes to :prevent coagulation: 65. Name the 3 types of blood samples: whole blood/ plasma/ serum 66. What two States require licensure: Louisiana & California 67. When the Phlebotomist collects blood, in which of the patient's zones of interpersonal space is he/she operating?: The patient's Intimate Zone or Space 68. Define Phlebotomy: An incision into the vein 69. What is the meaning of these acronyms: ASPT, ASCP, and NHA?: ASPT = American Society of Phlebotomy Technicians ASCP = American Society for Clinical Pathology NHA = National Healthcareer Association 70. Define Reference Laboratory:: A reference laboratory is one that specializes in one test or one group of tests, or where more unusual or obscure tests are performed. 71. . Number the following items to reflect the correct blood flow through the heart and lungs: _1 Vena Cave (superior/inferior) _7 Lungs _5 Pulmonary Valve _6 Pulmonary Artery _13 Aorta _9 Left Atrium _2 Right Atrium _8 Pulmonary Veins _4 Right Ventricle _11 Left Ventricle _3 Tricuspid Valve _12 Aortic Valve _10 Mitral Valve (aka, Bi-Cuspid): 72. To whom does the phlebotomist report?: A technical phlebotomy supervisor NHA Phlebotomy certification EXAM Study online at 6 / 27 73. What two government agencies administer CLIA?: Center for Medicare/Medicaid Services (CMS) FDA 74. . Is the Joint Commission a non-profit organization?: No, it's a not for profit organization 75. In what year and by what organization was The Patient's Bill of Rights initiated?: 1973 by the American Hospital Association. 76. . What is Informed Consent?: When you explain the procedure to the patient and they give you verbal or written permission to proceed. 77. What is Implied Consent?: When you explain the procedure to the patient and they make a gesture that implies their permission to proceed, such as extending their arm, rolling up their sleeve or nodding their head. 78. What is required to obtain Informed Consent for a child?: You explain the procedure to the parent or legal guardian and obtain their informed consent for the child. 79. What is the difference between a Criminal Lawsuit and a Civil Lawsuit?: A criminal lawsuit is initiated by the government, a civil lawsuit is between private parties. 80. What is Assault?: The threat of touching another person without his or her consent and with the intention of causing fear of harm 81. What is Battery?: Actual harmful touching of another person without his or her consent. 82. What is Libel?: False defamatory writing that is published. 83. What is a Sentinel Event?: An unanticipated death or permanent loss of function not related to a patient's illness or underlying condition. 84. . What does PPE stand for?: Personal Protective Equipment 85. . How full should you fill the Sharps Container before using a new container?: ¾ full 86. . What is the name of the multi-purpose fire extinguisher?: ABC 87. To what does the term "aseptic techniques" refer?: Techniques that provide a degree of cleanliness that prevents infection and keeps the phlebotomy environment free of contamination by microorganisms. 88. . A nosocomial infection is: a. Something acquired by healthcare workers. NHA Phlebotomy certification EXAM Study online at 7 / 27 b. Something acquired by visitors to a hospital. c. Something acquired by patients. d. A Hospital Acquired Infection. e. Caused by antibiotic resistant bacteria. f. Both c and d. g. Both a and c.: f. Both c and d. c. Something acquired by patients. d. A Hospital Acquired Infection 89. When is hand hygiene performed? a. When gloves are visibly soiled. b. Before putting on gloves c. After removing gloves d. All of the above e. Both a and b: d. All of the above a. When gloves are visibly soiled. b. Before putting on gloves c. After removing gloves 90. Before entering an isolation room, what is the first thing the phlebotomist should do? a. Wash hands b. Put on a gown, mask and gloves c. Read the posted instructions d. Obtain permission: c. Read the posted instructions 91. What does the acronym PASS describe and stand for?: It describes the use of a fire extinguisher and stands for: Pull pin, Aim nozzle, Squeeze handle, Sweep from side to side. 92. What does the acronym RACE stand for?: It stands for what a healthcare worker should do if a fire or explosion occurs in the workplace: Rescue, Alarm, Contain, Exit 93. . Before placing a call on hold, a phlebotomist should: a. record the caller's name. b. check to see if it is an emergency. c. transfer the call to the phlebotomy supervisor. d. tell the caller his or her name.: b. check to see if it is an emergency. 94. A competent professional demeanor is shown by: a. neatness and cleanliness. b. courtesy and cheerfulness. NHA Phlebotomy certification EXAM Study online at 8 / 27 c. pleasantness. d. all of the above.: d. all of the above. 95. Traditional duties of the phlebotomist include all of the following except: a. correct labeling of all specimens with the required information. b. selection of the appropriate specimen containers for the specified tests. c. performance of tests on patient samples in the laboratory. d. collection of the appropriate amount of blood by venipuncture or dermal puncture.: c. performance of tests on patient samples in the laboratory 96. . The two major areas of the clinical laboratory are: a. chemistry and hematology. b. cytology and histology. c. anatomical and clinical. d. urinalysis and microbiology.: c. anatomical and clinical. 97. The difference between plasma and serum is that: a. serum contains fibrinogen. b. serum is obtained from a non-clotted specimen. c. plasma is obtained from a clotted specimen. d. plasma contains fibrinogen.: d. plasma contains fibrinogen. 98. Specimens collected in serum separator tubes are most frequently delivered to: a. blood bank. b. serology. c. hematology. d. chemistry: d. chemistry. 99. To prevent blood from clotting the specimen must be: d. both A and B c. centrifuged right after collection. d. both A and B: d. both A and B d. both A and B 100. Which of the following pairings is wrong? a. icteric and yellow. b. lipemic and cloudy. c. hemolyzed and red.: d. fasting and cloudy. 101. The main anticoagulant for coagulation studies is: a. ethylenediaminetetraacetic acid (EDTA). NHA Phlebotomy certification EXAM Study online at 9 / 27 b. sodium citrate. c. heparin. d. oxalate.: b. sodium citrate. 102. . ABO and Rh typing are performed in which laboratory section? a. Hematology b. Blood bank c. Chemistry d. Cytology: b. Blood bank 103. The activated partial thromboplastin time (APTT) or partial thromboplastin time (PTT) test is performed in: a. coagulation. b. chemistry. c. urinalysis. d. histology.: a. coagulation. 104. . Which test would a physician order on a patient with a suspected infection? a. Glucose b. Complete blood count (CBC) c. Cholesterol d. Antinuclear antibody (ANA): b. Complete blood count (CBC) 105. An anemia would be detected by a: a. glucose test. b. blood culture. c. urinalysis. d. complete blood count.: d. complete blood count. 106. . An agency that assures quality care by hospitals is the: a. Joint Commission. b. Centers for Disease Control and Prevention. c. Occupational Safety and Health Administration. d. College of American Pathologists.: a. Joint Commission. 107. . The most serious error a phlebotomist can make is: a. causing a hematoma. b. failure to correctly identify a patient. c. drawing a specimen in the wrong tube. d. collecting a hemolyzed dermal puncture specimen.: b. failure to correctly identify a patient. 10 / 27 108. . A puncture device with a broken seal should not be used because: a. it is no longer sterile. b. the needle may contain a barb. c. there may be a manufacturing defect. d. the color coding will not match the size.: a. it is no longer sterile. 109. Using an evacuated tube after its expiration date can result in all of the following except: a. a short draw. b. a clotted specimen. c. a lipemic specimen. d. a contaminated specimen: a. a short draw. 110. The Patient's Bill of Rights guarantees the patient all of the following except: a. a private room. b. informed consent. c. confidentiality. d. treatment refusal.: a. a private room. 111. To complete the chain of infection, all of the following are required except a: a. source. b. contaminated surface. c. mode of transmission. d. host.: b. contaminated surface. 112. An infection contracted by a patient while in the hospital is termed: a. antibiotic-resistant. b. staphylococcal. c. nosocomial. d. unfortunate: c. nosocomial. 113. The recommended disinfectant for blood and body fluid contamination is: a. sodium hydroxide. b. antimicrobial soap. c. hydrogen peroxide. d. sodium hypochlorite.: d. sodium hypochlorite. 114. . The term universal precautions refers to: a. universal blood donors. b. mixing organic chemicals under a hood. 11 / 27 c. wellness clinics available to everyone. d. treating all specimens as infectious.: d. treating all specimens as infectious. 115. In addition to changing gloves between every patient, phlebotomists should also: a. change their lab coats. b. disinfect the phlebotomy tray. c. double-bag the specimens. d. wash their hands.: d. wash their hands. 116. To comply with the current Bloodborne Pathogens Standard, phlebotomists must: a. discard sharps only into containers attached to the wall. b. activate the needle protection device before removing the needle from the adapter. c. decontaminate needle adapters between each patient. d. activate the needle protective device and discard the needle and the adapter.: d. activate the needle protective device and discard the needle and the adapter. 117. The code word PASS refers to: a. storage of volatile chemicals. b. operation of a fire extinguisher. c. labeling of hazardous material. d. the presence of radioactive material: b. operation of a fire extinguisher. 118. Alcohol-based hand sanitizers may be used as a substitute for handwashing: a. only in a blood donation center. b. only in certain patient care areas such as oncology or obstetrics and gynecology. c. at any time. d. when the hands are not visibly contaminated with blood or other body fluid.: d. when the hands are not visibly contaminated with blood or other body fluid 119. The prefix that means decreased is: a. hypob. hyperc. heterod. haplo-: a. hypo- 12 / 27 120. Which of the following abbreviations on a patient's chart, test requisition, or bedside notice would be most important if a patient asked a phlebotomist for a drink of water? a. TPR b. PRN c. OP d. NPO: d. NPO 121. The ability to keep body systems functioning in a steady state is called: a. coagulation. b. articulation. c. metabolism. d. homeostasis.: d. homeostasis. 122. The layer of skin that contains the blood vessels is the: a. epidermis. b. dermis. c. keratinized epithelium. d. root shaft.: b. dermis. 123. The artery of choice for measuring the pulse rate in an adult is the: a. carotid. b. radial. c. brachial. d. temporal.: b. radial. 124. The blood vessels that carry deoxygenated blood to the heart are: a. arteries. b. alveoli. c. capillaries. d. veins.: d. veins. 125. All of the following are formed elements found in the blood except: a. erythrocytes. b. platelets. c. macrophages. d. leukocytes.: c. macrophages 126. . The primary role of the thrombocyte is to: a. transport nutrients. b. promote blood clotting. c. phagocytize bacteria. d. produce antibodies.: b. promote blood clotting. 13 / 27 127. . Functions of the blood include all of the following except: a. transport oxygen. b. regulate pulse rate. c. deliver nutrients. d. transport waste products.: b. regulate pulse rate. 128. The fluid that comprises approximately 55% of the total blood volume is made up of: a. hematocrit. b. plasma. c. tissue fluid. d. serum.: b. plasma. 129. The primary antiseptic for routine venipuncture is: a. iodine. b. chlorhexidine. c. isopropyl alcohol. d. Betadine.: c. isopropyl alcohol. 130. A properly tied tourniquet: a. permits arterial flow and blocks venous flow. b. blocks arterial and venous flow. c. prevents backflow. d. permits venous flow and blocks arterial flow.: a. permits arterial flow and blocks venous flow