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NHA Phlebotomy-Technician Exam Syllabus Topics:

SectionObjectives
Routine Blood Collections- Order of draw
- Equipment selection and use
- Venipuncture procedures
Special Collections- Capillary puncture (fingerstick/heel stick)
- Pediatric and geriatric considerations
- Non-routine specimen collection methods
Specimen Processing and Handling- Quality assurance procedures
- Specimen transport and storage
- Common errors and rejection criteria
Safety and Compliance- OSHA regulations and patient safety
- Infection control and standard precautions
- HIPAA and patient confidentiality
Patient Preparation- Patient identification and communication
- Site selection and preparation
- Specimen labeling procedures

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NHA Phlebotomy Technician Certification Exam (CPT) Sample Questions (Q107-Q112):

NEW QUESTION # 107
A phlebotomist notices that a serum separator tube has not clotted before centrifugation. Which of the following actions should the phlebotomist take?

Answer: D

Explanation:
The phlebotomist should allow the serum separator tube to clot completely before centrifugation. Serum specimens require clot formation before centrifugation so the liquid serum can separate properly from the clot. Centrifuging before clotting is complete can cause fibrin strands, incomplete separation, instrument issues, and possible specimen rejection. Shaking the tube vigorously is incorrect because it can hemolyze the specimen and disrupt cellular integrity. Transferring the specimen into a plasma tube is unsafe and invalid because the specimen was not collected with the correct anticoagulant at the correct blood-to-additive ratio. Proper processing means respecting the requirements of the tube collected: serum tubes must clot for the required time, additive tubes must be gently inverted, and specimens must be centrifuged according to time, speed, and temperature requirements. This item tests processing discipline, not speed. A phlebotomist must protect specimen integrity from collection through transport and processing. Reference topics: Processing Specimens; serum separation; clotting time; centrifugation; specimen rejection.


NEW QUESTION # 108
Which of the following questions should a phlebotomist ask to verify fasting status?

Answer: A

Explanation:
The phlebotomist should ask, "When was the last time you had anything to eat or drink other than water?" This question directly verifies fasting status and avoids a vague yes/no answer. Patients may misunderstand fasting and think coffee, juice, gum, candy, or a small snack does not count. Asking about medication is important for some tests, but it does not verify fasting. Asking why the provider ordered the test is outside the phlebotomist's interpretive role and may lead to unauthorized clinical discussion. Asking whether the patient has had the test before does not confirm current preparation. Accurate fasting verification is part of patient preparation and preanalytical quality control. If the patient has not fasted as required, the phlebotomist should follow facility policy, notify appropriate personnel, document noncompliance if collection proceeds, or reschedule if instructed. Poor preparation can produce misleading chemistry results and unnecessary repeat testing. Reference topics: Patient Preparation; fasting verification; patient interview; basal-state requirements; preanalytical variables.


NEW QUESTION # 109
Using outdated supplies can result in which of the following?

Answer: C

Explanation:
Using outdated supplies can result in specimen rejection because expired collection materials may fail to preserve the specimen correctly or meet laboratory acceptance criteria. Expired evacuated tubes may have inadequate vacuum, degraded additives, compromised sterility, or incorrect blood-to-additive performance. These problems are preanalytical errors, meaning they occur before testing and can make results unreliable. The laboratory may reject the specimen rather than risk reporting inaccurate data. Stat processing refers to urgent priority handling and is unrelated to supply expiration. Postanalytical error occurs after testing, such as reporting or result-delivery mistakes, not from using expired collection supplies during acquisition. Claim rejection is a billing or insurance issue, not a specimen integrity issue. A competent phlebotomist prevents rejection by checking tube expiration dates, inspecting supplies, confirming required specimen type, filling tubes properly, mixing additives correctly, and following transport requirements. NHA CPT processing and routine collection content covers specimen integrity, preanalytical errors, equipment quality control, expiration checks, and recollection when required. Reference topics: Processing Specimens; preanalytical error; specimen rejection; equipment quality control.


NEW QUESTION # 110
A phlebotomist has just performed quality control measurements on a glucose monitor. The values exceed the acceptable limits. Which of the following actions should the phlebotomist take?

Answer: C

Explanation:
When glucose monitor quality control values exceed acceptable limits, the phlebotomist should perform the manufacturer's recommended actions. Out-of-range QC means the instrument, strips, controls, operator technique, storage conditions, or environmental factors may be unreliable. Patient testing should not proceed until the problem is corrected and QC results return to acceptable range according to the device instructions and facility procedure. Cleaning the monitor may be part of troubleshooting, but it is not automatically the complete or correct response unless the manufacturer's protocol identifies contamination as the cause. Replacing batteries may be appropriate only if the device indicates low power or the manufacturer's instructions direct it. Documenting the values is necessary, but documentation alone does not correct the failed QC or validate patient results. The correct professional action is to follow the device-specific troubleshooting and QC procedure, repeat controls when indicated, remove defective materials from use, and notify the appropriate supervisor if unresolved. NHA CPT competencies include point-of-care testing, quality control, CLIA-waived testing, equipment maintenance, and accurate documentation. Reference topics: Special Collections; point-of-care glucose testing; quality control; manufacturer instructions.


NEW QUESTION # 111
Which of the following is the maximum allowed time for a tourniquet application before possibly affecting test results?

Answer: A

Explanation:
The maximum recommended tourniquet application time before results may be affected is 60 seconds. A tourniquet is applied to increase venous filling and make the vein easier to locate and access, but prolonged application causes venous stasis and hemoconcentration. When blood remains trapped below the tourniquet too long, fluid shifts from the vascular space into surrounding tissue, concentrating cells, proteins, and protein-bound analytes. This can falsely elevate results such as potassium, calcium, proteins, and other chemistry values. It can also increase patient discomfort and make the collection more difficult. Thirty and forty-five seconds are acceptable but are not the maximum allowed time. Ninety seconds is too long and increases the risk of altered test values. Correct practice is to apply the tourniquet only long enough to select the site and establish blood flow, then release it promptly, especially before removing the needle. Reference topics: Routine Blood Collections; tourniquet application; hemoconcentration; venipuncture preanalytical variables.


NEW QUESTION # 112
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