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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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  • 25 augustus 2024
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NHA PHLEBOTOMY
CERTIFICATION 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?
B B B B B B B B B B B


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
B B B B B B B B B B B B B B B B


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/
B B B B B B B B B B B B


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? -
B B B B B B B B B B B B


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,
B B B B B B B B B B B B


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
B B B B B B

, 21. The order of draw for capillary collections is different than venipuncture because -
B B B B B B B B B B B B B


correct answer-a. Increased risk of coagulation (remember platelets start to form)
B B B B B B B B B B B




22. Upon entering a patient's room for routine blood draw, phlebotomist notices clergy
B B B B B B B B B B B B B


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
B B B B B B B B B B B B B


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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