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NHA Phlebotomy certification EXAM QUESTIONS AND ANSWERS
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NHA Phlebotomy certification EXAM QUESTIONS AND ANSWERS
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NHA Phlebotomy certification EXAMQUESTIONS AND 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
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