NHA PHLEBOTOMY CERTIFICATION EXAM 2023
REAL EXAM 200 QUESTIONS AND CORRECT
ANSWERS(VERIFIED ANSWERS)BRAND NEW!!
- What temperature should a semen sample be transported? - ANSWER>>36-38
degrees C
- Which of the following would result in a grossly hemolyzed specimen?
- Incorrect order of draw
- Incorrect needle gauge
- Applying tourniquet too close to the draw site
- Failure to invert tube - ANSWER>>b. Incorrect needle gauge
- Which of the following is proper procedure after collecting ammonia specimen?
- Protect from light
- Keep specimen warm
- Keep specimen at body temp
- Place specimen in icewater slurry (or a cup of ice) - ANSWER>>d. Place specimen in
icewater slurry (or a cup of ice)
- The phlebotomist has a request to collect a CBC from a healthy 10 month old. Which
is appropriate? - ANSWER>>a. Either heel
- 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? - ANSWER>>a. Implied consent
- Why should phlebotomist document volume of blood drawn from a patient? -
ANSWER>>a. Iatrogenic anemia could be a result fo too much taken
- A phlebotomist has a requisition to draw blood on a patient with severe Down's
syndrome. What steps would you take? - ANSWER>>a. Speak with the patient guardian before performing venipuncture to enmsure the patient understands
- A 69 year old unconscious patient is brought ot the ER. Several blood tests are
ordered. The phlebotomist collects blood under - ANSWER>>a. Implied consent
- Which of the following actions is appropriate when labeling specimens? -
ANSWER>>a. Label specimens at the time of collection in front of the patient
- 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? - ANSWER>>a. Don't draw until nurse puts an armband on patient
- Which is appropriate form of identification in inpatient setting? - ANSWER>>a.
Verbal and wrist band
- WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary? -
ANSWER>>a. Lavender and red
- A blood specimen is rejected by lab with QNS as the reason? Why? - ANSWER>>a.
The specimen was insufficient-not enough blood
- Which of the following is best method to prevent internal or external bleeding from
venipuncture site after needle is removed? - ANSWER>>a. Apply pressure to prevent leakage of blood into the tissues
- 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? - ANSWER>>a. Lab rejects the mislabeled specimen
- Phlebotomist is performing venipuncture and patient begins to seize. What is correct
action? - ANSWER>>a. Discontinue the draw
- Phlebotomist receives orders to draw an infant screening card, O2 levels, bilirubin,
and DNA. Which is to be drawn first? - ANSWER>>a. O2 levels
- When performing a venipuncture on a patient of average weight, which is the correct
technique for needle insertion? - ANSWER>>a. Insert until a change in resistance
- Which is the best method to collect a blood specimen from an older adult patient
who has fragile, easy to collapse veins? - ANSWER>>a. Choose a syringe and butterfly assembly
- Which of the following is the term for donation of a patient's own blood for an
upcoming surgery? - ANSWER>>a. Autologous donation
- The order of draw for capillary collections is different than venipuncture because -
ANSWER>>a. Increased risk of coagulation (remember platelets start to form)
- Upon entering a patient's room for routine blood draw, phlebotomist notices clergy
member is with the patient. What should you do? - ANSWER>>a. Return later after drawing other patients
- A phlebotomist notices a hematoma developing at the site of venipuncture. The
phlebotomist should - ANSWER>>a. Release the tourniquet and stop the draw
- Know ORDER of DRAW!! - ANSWER>>
- A phlebotomist working in an infertility clinic and the patient is to submit a semen
specimen. The phlebotomist would tell the patient: - ANSWER>>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)
- After placing tourniquet on a patients arm, the phlebotomist notices small red spots
below the tourniquet. - ANSWER>>a. Petechiae
- The phlebotomist should examine the antecubital veins of both arms because: -
ANSWER>>a. The median cubital might be more accessible on one side than the other
- What is the appropriate cleanser to clean the meatus for a clean catch urine
specimen? - ANSWER>>a. Benzalkonium chloride
- When should the code on glucose cuvettes or strips be compared to the code on the
glucose meter? - ANSWER>>a. When the patient is tested
- Which of the following is appropriate to use when collecting for a chemistry test that
requires serum? - ANSWER>>a. SST (this is the red gel tube)
- A patient state she is a difficult draw and requests a skin puncture. The test is a
PTT. Which should you do? - ANSWER>>a. Use a syringe and transfer to a light blue tube
- Industry standard states needle insertion in the antecubital area should be: -
ANSWER>>a. 15-30 degree angle
- Tubes with which additive should be used for CBC? - ANSWER>>a. EDTA (purple
tube)
- When preparing for transport, which specimen must be placed on ice within 30
minutes after collection? - ANSWER>>a. Arterial Blood Gases
- Which provides the phlebotomist the best protection when drawing blood from a
patient with active TB? - ANSWER>>a. N-95 respirator mask
- During a draw, the patient becomes unresponsive. What should you do? -
ANSWER>>a. Check for breathing
- Why should a phlebotomist avoid drawing blood from a leg or foot of a diabetic
patient? - ANSWER>>a. These areas are more susceptible to infection
- Why is it important to place a specimen in a biohazard specimen bag outside the
laboratory? - ANSWER>>a. The biohazard bag prevents a possible exposure incident
- As a student. Proper introduction - ANSWER>>a. Hi, my name is Sally Smith. I am
a student phlebotomist and I'm here to collect blood specimen
- When using evacuated tube system (EVS). - ANSWER>>a. Position the needle in
the same direction as the vein at 30 degree angle
- What is additive for a PT/PTT? - ANSWER>>a. Sodium Citrate (Blue top)
- Blood cultures have been ordered on ICU patient. You would use: - ANSWER>>a.
Aerobic and anaerobic bottles
- A phlebotomist is required to obtain what from a potential donor? - ANSWER>>a.
Complete medical history
- Phlebotomist needs to draw a glucose tolerance test on a patient and notices an
empty breakfast plate at bedside. What should you do? - ANSWER>>a. Ask the patient when he or she ate last
- Which vein should you attempt first? - ANSWER>>a. Median cubital
- If a phlebotomist is stuck with a used needle, first action is: - ANSWER>>a. Flush
the area with running water
- correct specimen handling, what should you put on collection tubes? -
ANSWER>>Before leaving a patient room, make sure the date, time and initials are on the tubes.
- When removing the needle from the arm, engage the safety device immediately -
ANSWER>>
- What can cause hemolysis? - ANSWER>>a. Vigorously shaking the tube
50. A phlebotomist must centrifuge a serum separator tube before shipment: -
ANSWER>>a. Cells must be separated from the serum
- The phlebotomist draws a CBC at 1800. Lab closed at 1730 and will not process
until 500. What temp should the CBC be stored - ANSWER>>a. 2-10 degrees C (EDTA tubes may be processed at 12 hours if refrigerated)
- What test results can be affected if iodine is used to clean the site? - ANSWER>>a.
Potassium
- According to CLSI, what is collected first? - ANSWER>>a. Blood cultures
- KNOW ORDER OF DRAW - ANSWER>>
