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| Section | Objectives |
|---|---|
| Specimen Collection | - Order of draw and tube handling - Capillary puncture procedures - Venipuncture techniques |
| Professional Practice | - Communication and professionalism - Ethics and patient confidentiality (HIPAA) |
| Specimen Processing and Handling | - Labeling and documentation - Quality control and rejection criteria - Specimen transport and storage |
| Patient Preparation | - Site selection and preparation - Patient identification and communication - Explaining procedures and obtaining consent |
| Safety and Compliance | - Needlestick prevention and biohazard disposal - Infection control and PPE usage - OSHA standards and safety protocols |
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Our PDF version is a printable document of exam questions which are real and updated. We have included original NHA Phlebotomy Technician Certification Exam (CPT) questions in this format so that can you get ready for the exam quickly by just memorizing them. This format of NHA Phlebotomy Technician Certification Exam (CPT) (Phlebotomy-Technician) test questions is also usable on smart devices such as laptops, tablets, and smartphones.
NEW QUESTION # 68
A phlebotomist discovers that they obtained a specimen in an expired additive tube. Which of the following actions should the technician take?
Answer: D
Explanation:
The specimen must be redrawn in an unexpired tube. Expired additive tubes cannot be trusted because the vacuum, sterility, additive concentration, stopper integrity, and chemical performance may be compromised. Once blood has been collected into an expired additive tube, the specimen is already affected by that collection environment; transferring it into another tube does not correct the original exposure and can introduce additional hemolysis, contamination, clotting, or additive-ratio errors. Placing the specimen on ice does not reverse an expired additive problem. Submitting the specimen because the tube is "within 30 days" of expiration is unsafe; expired means expired, and laboratory acceptance criteria are based on valid collection supplies. This is a preventable preanalytical error, and the phlebotomist should also remove expired supplies from use to prevent recurrence. Tube expiration checks must occur before collection, not after the draw. Reference topics: Processing Specimens; preanalytical error; expired supplies; specimen rejection; tube quality control; recollection procedures.
NEW QUESTION # 69
Which of the following is required for a midstream clean-catch urine specimen?
Answer: B
Explanation:
A midstream clean-catch urine specimen requires use of a sterile specimen container because the purpose is to reduce contamination from skin flora, genital secretions, and environmental organisms. The patient is instructed to clean the area using the facility-provided cleansing materials, begin voiding, then collect the midstream portion without touching the inside of the container or lid. Filling the container to the lid is not required and can create leakage, contamination, or transport problems. Labeling the lid is incorrect because the label must be placed on the specimen container itself; lids can be separated or switched. Cleansing with alcohol wipes is also not the standard answer because urine collection kits typically use antiseptic cleansing towelettes designed for clean-catch collection, not alcohol as the defining requirement. The phlebotomist must provide clear patient instructions and verify that the specimen is properly labeled and handled. The NHA CPT outline includes non-blood specimen collection, patient instructions for urine specimens, specimen handling, and processing requirements. Reference topics: Special Collections; non-blood specimen collection; urine specimen instructions; specimen integrity.
NEW QUESTION # 70
A phlebotomist receives a specimen without a patient identifier on the tube. Which of the following actions should the phlebotomist expect?
Answer: C
Explanation:
The laboratory should reject an unlabeled specimen. A specimen without patient identification cannot be reliably linked to the correct patient, even if a requisition is nearby or a provider verbally confirms the order. Labeling a tube later from the requisition is unsafe because it breaks the chain between patient, collection event, and specimen. Testing based only on an order number does not meet safe identification practice. Verbal confirmation after the fact cannot correct an unlabeled specimen because the tube's identity was not secured at the bedside or collection site. Proper labeling should occur immediately after collection in the presence of the patient, using required identifiers such as full name, date of birth, medical record number, date/time of collection, and collector identity according to facility policy. Mislabeling and unlabeled specimens are serious preanalytical errors that can cause wrong diagnosis, wrong treatment, transfusion risk, and patient harm. Reference topics: Processing Specimens; specimen labeling; patient identification; rejection criteria; preanalytical error.
NEW QUESTION # 71
Which of the following blood components is primarily responsible for oxygen transport?
Answer: A
Explanation:
Erythrocytes are primarily responsible for oxygen transport. They contain hemoglobin, the iron-containing protein that binds oxygen in the lungs and releases it to tissues. Platelets are involved in hemostasis and clot formation, not oxygen transport. Leukocytes are white blood cells that support immune defense. Plasma proteins perform functions such as maintaining oncotic pressure, transporting substances, and supporting clotting through proteins such as fibrinogen, but they are not the primary oxygen carriers. This foundational knowledge matters because phlebotomy technicians work with specimens used to evaluate red blood cell count, hemoglobin, hematocrit, indices, anemia, blood loss, and hemolysis. If a specimen is hemolyzed, red blood cells rupture and release intracellular contents, which can alter laboratory values. Understanding blood components helps the technician connect collection technique to specimen integrity. For example, rough handling, excessive suction, improper needle size, or vigorous shaking can damage erythrocytes and compromise results. Reference topics: Phlebotomy Fundamentals; blood components; erythrocytes; hemoglobin; CBC testing.
NEW QUESTION # 72
From which of the following sites should a phlebotomist take a capillary collection from a 3-year-old child?
Answer: B
Explanation:
For a 3-year-old child, the correct capillary collection site is the middle finger. Finger puncture is appropriate for older infants and children when the finger pad is sufficiently developed, commonly using the middle or ring finger on the palmar surface. Heel puncture is primarily used for infants, especially newborns, because the recommended medial or lateral plantar heel area provides a safer capillary site before the fingers are large enough. The antecubital fossa is used for venipuncture, not capillary puncture. The vastus lateralis is an intramuscular injection site, not a blood collection site. Proper capillary technique requires warming if needed, cleaning and drying the site, using an appropriate-depth lancet, wiping away the first drop when required, avoiding excessive squeezing, and collecting in the correct order. In a child, site choice must protect bone, nerves, and tissue while obtaining an adequate specimen. Reference topics: Routine Blood Collections; dermal puncture; pediatric capillary collection; site selection; microcollection safety. NHA CPT content includes dermal puncture procedures and capillary collection site selection.
NEW QUESTION # 73
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