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2025 NHA PHLEBOTOMY CERTIFICATION
EXAM|ACTUAL 200+Qs&As|LATEST
UPDATE|A+GRADE
- What temperature should a semen sample be transported? - ANS:->>- 36 - 38 degrees C
- 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 – ANS:->>-b. Incorrect needle gauge
- 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) - ANS:->>-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? - ANS:->>-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?
- ANS:->>-a. Implied consent
- Why should phlebotomist document volume of blood drawn from a patient? - ANS:->>-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? - ANS:->> - 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 - ANS:->>-a. Implied consent
- Which of the following actions is appropriate when labeling specimens? - ANS:->>- 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? - ANS:->>-a. Don't draw until nurse puts an armband on patient
technique for needle insertion?
- ANS:->>-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? - ANS:->>-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? - ANS:->>-a. Autologous donation
- The order of draw for capillary collections is different than venipuncture because - ANS:->>-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? - ANS:->>-a. Return later after drawing other patients
- A phlebotomist notices a hematoma developing at the site of venipuncture. The phlebotomist should - ANS:->>-a. Release the tourniquet and stop the draw
- Know ORDER of DRAW!! - ANS:->>-
- A phlebotomist working in an infertility clinic and the patient is to submit a semen
specimen. The phlebotomist would tell the patient:
- ANS:->>-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. - ANS:->>-a. Petechiae
- The phlebotomist should examine the antecubital veins of both arms because: - **ANS:-
-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? - ANS:->>-a. Benzalkonium chloride
- When should the code on glucose cuvettes or strips be compared to the code on the glucose meter?
- ANS:->>-a. When the patient is tested
- Which of the following is appropriate to use when collecting for a chemistry test that requires serum? - ANS:->>-a. SST (this is the red gel tube)
- Why is it important to place a specimen in a biohazard specimen bag outside the laboratory? - ANS:->>-a. The biohazard bag prevents a possible exposure incident
- As a student. Proper introduction - ANS:->>-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). - ANS:->>-a. Position the needle in the same direction as the vein at 30 degree angle
- What is additive for a PT/PTT? - ANS:->>-a. Sodium Citrate (Blue top)
- Blood cultures have been ordered on ICU patient. You would use: - ANS:->>-a. Aerobic and anaerobic bottles
- A phlebotomist is required to obtain what from a potential donor? - ANS:->>-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? - ANS:->>-a. Ask the patient when he or she ate last
- Which vein should you attempt first? - ANS:->>-a. Median cubital
- If a phlebotomist is stuck with a used needle, first action is: - ANS:->>-a. Flush the area with running water
- correct specimen handling, what should you put on collection tubes? - ANS:->>- 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 - ANS:-
- A physician ordered a Tobramycin level to be drawn one hour after dose. The Tobramycin has been ordered for 11am. What should you do - ANS:->>-a. Check with the nurse to make sure meds were given (or not given)
- phlebotomist notices red spots. What is appropriate action? - ANS:->>-a. Apply pressure after collecting During the draw, the the sample
- What is a potential consequence of mislabeling a blood bank specimen? - ANS:-
-a. A Transfusion reaction
- When should a phlebotomist perform external liquid controls for quality control on CLIA waived point of care test? - ANS:->>-a. When a new lot number or kit is opened
- A 3.3 kg infant has a total blood volume of 240 - 330ml - ANS:->>-
- Cleanse in an outward spiral - ANS:->>-
- What would you use for a hand draw? - ANS:->>-a. Butterfly or winged infusion set
- Invert anticoagulant tubes to :prevent coagulation - ANS:->>- Name the 3 types of blood samples - ANS:->>-whole blood/ plasma/ serum What two States require licensure - ANS:->>-Louisiana & California When the Phlebotomist collects blood, in which of the patient's zones of interpersonal space is
he/she operating? - ANS:->>-The patient's Intimate Zone or Space Define Phlebotomy - ANS:->>-An incision into the vein What is the meaning of these acronyms: ASPT, ASCP, and NHA? - ANS:->>-ASPT = American Society of Phlebotomy Technicians ASCP = American Society for Clinical Pathology NHA = National Healthcareer Association Define Reference Laboratory: - ANS:->>-A reference laboratory is one that specializes in one test or one group of tests, or where more unusual or obscure tests are performed.
. 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
What is the difference between a Criminal Lawsuit and a Civil Lawsuit? - ANS:->>-A criminal lawsuit is initiated by the government, a civil lawsuit is between private parties. What is Assault? - ANS:->>-The threat of touching another person without his or her consent and with the intention of causing fear of harm What is Battery? - ANS:->>-Actual harmful touching of another person without his or her consent. What is Libel? - ANS:->>-False defamatory writing that is published. What is a Sentinel Event? - ANS:->>-An unanticipated death or permanent loss of function not related to a patient's illness or underlying condition.
. What does PPE stand for? - ANS:->>-Personal Protective Equipment . How full should you fill the Sharps Container before using a new container? - ANS:->>-¾ full
. What is the name of the multi-purpose fire extinguisher? - ANS:->>-ABC To what does the term "aseptic techniques" refer? - ANS:->>-Techniques that provide a degree of cleanliness that prevents infection and keeps the phlebotomy environment free of contamination by microorganisms. . A nosocomial infection is: a. Something acquired by healthcare workers. 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. - ANS:->>-f. Both c and d. c. Something acquired by patients. d. A Hospital Acquired Infection 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 - ANS:->>-d. All of the above a. When gloves are visibly soiled. b. Before putting on gloves c. After removing gloves
A competent professional demeanor is shown by: a. neatness and cleanliness. b. courtesy and cheerfulness. c. pleasantness. d. all of the above. - ANS:->>-d. all of the above. 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. - ANS:-
-c. performance of tests on patient samples in the laboratory
. 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. - ANS:->>-c. anatomical and clinical. 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. - ANS:->>-d. plasma contains fibrinogen.
Specimens collected in serum separator tubes are most frequently delivered to: a. blood bank. b. serology. c. hematology. d. chemistry - ANS:->>-d. chemistry. To prevent blood from clotting the specimen must be: d. both A and B c. centrifuged right after collection. d. both A and B - ANS:->>-d. both A and B d. both A and B Which of the following pairings is wrong? a. icteric and yellow. b. lipemic and cloudy. c. hemolyzed and red. - ANS:->>-d. fasting and cloudy. The main anticoagulant for coagulation studies is:
b. blood culture. c. urinalysis. d. complete blood count. - ANS:->>-d. complete blood count.
. 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. - ANS:->>-a. Joint Commission. . 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. - ANS:->>-b. failure to correctly identify a patient. . 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. - ANS:->>-a. it is no longer sterile. 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 - ANS:->>-a. a short draw. 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. - ANS:->>-a. a private room. 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. - ANS:->>-b. contaminated surface. An infection contracted by a patient while in the hospital is termed: a. antibiotic-resistant. b. staphylococcal. c. nosocomial. d. unfortunate - ANS:->>-c. nosocomial.
