NHA Phlebotomy certification EXAM Questions with Correct Answers

NHA Phlebotomy certification EXAM Questions with

Correct Answers

1. What temperature should a semen sample be transported? ✔✔ 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 ✔✔ 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) ✔✔ 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? ✔✔ 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? ✔✔ a. Implied

consent

6. Why should phlebotomist document volume of blood drawn from a patient? ✔✔ 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? ✔✔ 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 ✔✔ a. Implied consent

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. 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. Which is appropriate form of identification in inpatient setting? ✔✔ a. Verbal and

wrist band

12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary? ✔✔ a.

Lavender and red

13. A blood specimen is rejected by lab with QNS as the reason? Why? ✔✔ 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? ✔✔ 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? ✔✔ a. Lab rejects the mislabeled specimen

16. Phlebotomist is performing venipuncture and patient begins to seize. What is correct

action? ✔✔ 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? ✔✔ a. O2 levels

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. 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. Which of the following is the term for donation of a patient's own blood for an

upcoming surgery? ✔✔ a. Autologous donation

21. The order of draw for capillary collections is different than venipuncture because ✔✔

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? ✔✔ a. Return later after drawing other

patients

23. A phlebotomist notices a hematoma developing at the site of venipuncture. The

phlebotomist should ✔✔ a. Release the tourniquet and stop the draw

24. Know ORDER of DRAW!! ✔✔

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)

26. After placing tourniquet on a patients arm, the phlebotomist notices small red spots

below the tourniquet. ✔✔ a. Petechiae

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. What is the appropriate cleanser to clean the meatus for a clean catch urine

specimen? ✔✔ a. Benzalkonium chloride

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. 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. 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. Industry standard states needle insertion in the antecubital area should be: ✔✔ a.

15-30 degree angle

33. Tubes with which additive should be used for CBC? ✔✔ a. EDTA (purple tube)

34. When preparing for transport, which specimen must be placed on ice within 30

minutes after collection? ✔✔ a. Arterial Blood Gases

35. Which provides the phlebotomist the best protection when drawing blood from a

patient with active TB? ✔✔ a. N-95 respirator mask

36. During a draw, the patient becomes unresponsive. What should you do? ✔✔ a.

Check for breathing

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. 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. 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