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NHA Phlebotomy-Technician Exam Syllabus Topics:

SectionObjectives
Topic 1: Routine Blood Collections- Order of draw
- Venipuncture procedures
- Equipment selection and use
Topic 2: Specimen Processing and Handling- Specimen transport and storage
- Quality assurance procedures
- Common errors and rejection criteria
Topic 3: Patient Preparation- Site selection and preparation
- Patient identification and communication
- Specimen labeling procedures
Topic 4: Special Collections- Pediatric and geriatric considerations
- Non-routine specimen collection methods
- Capillary puncture (fingerstick/heel stick)
Topic 5: Safety and Compliance- OSHA regulations and patient safety
- HIPAA and patient confidentiality
- Infection control and standard precautions

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NHA Phlebotomy Technician Certification Exam (CPT) Sample Questions (Q78-Q83):

NEW QUESTION # 78
Which of the following types of medication is an indication for an INR draw?

Answer: A


NEW QUESTION # 79
A phlebotomist asks a patient to state their full name and date of birth. Which of the following patient safety practices is the phlebotomist performing?

Answer: A

Explanation:
The phlebotomist is performing two-identifier verification. Correct patient identification requires using at least two approved identifiers, commonly full name and date of birth or medical record number. The patient should actively state the identifiers when able, rather than merely confirming information read aloud by the phlebotomist. This reduces the risk of wrong-patient collection and specimen mislabeling. Chain of custody is used for legal specimens such as forensic drug or alcohol testing and involves documenting specimen control from collection through testing. Therapeutic communication describes respectful, effective interaction with the patient but is not the specific safety practice being tested. Quality control calibration applies to instruments or testing systems, not patient identification. Patient identification is one of the most important steps in phlebotomy because every later step depends on it. A properly collected specimen is clinically useless and dangerous if it belongs to the wrong patient. Reference topics: Patient Preparation; patient identification; two identifiers; specimen labeling; patient safety.


NEW QUESTION # 80
A patient has had a left-sided mastectomy. Which of the following actions should the phlebotomist take when collecting for a CBC and comprehensive metabolic panel?

Answer: A

Explanation:
The phlebotomist should draw from the right arm because the patient has had a left-sided mastectomy. The affected side should generally be avoided for venipuncture unless a provider specifically authorizes it, due to risk of lymphedema, impaired lymph drainage, infection, and delayed tissue recovery. Drawing from the left hand still uses the affected extremity and does not solve the problem. Cleaning with soap and water only is not an appropriate substitute for standard antisepsis and does not address the mastectomy restriction. A capillary stick is not automatically acceptable for a CBC and comprehensive metabolic panel, and it may not provide the correct specimen volume or type for both tests. The better and safer approach is to use the unaffected right arm when it is available and appropriate. If the unaffected arm is inaccessible, the phlebotomist should escalate according to policy instead of improvising. Reference topics: Routine Blood Collections; venipuncture site selection; mastectomy restrictions; CBC/CMP collection; patient safety.


NEW QUESTION # 81
Which of the following is the best response when a patient asks the phlebotomist to interpret an abnormal laboratory result?

Answer: B

Explanation:
The best response is, "Your provider can explain what the result means." Phlebotomists may explain collection procedures, specimen requirements, and general process steps, but they should not interpret laboratory results, diagnose conditions, or speculate about disease severity. Telling the patient the condition is serious is outside scope and may be inaccurate. Advising the patient to search online is unprofessional and can increase confusion or anxiety. Suggesting the laboratory made an error is also inappropriate unless an authorized investigation has identified an error. The correct response protects patient safety, scope of practice, and communication integrity. Laboratory results must be interpreted in clinical context, including history, medications, symptoms, other test results, and provider assessment. The phlebotomist should route result questions to the ordering provider or authorized clinical staff according to facility policy. This question tests professionalism and communication boundaries. Reference topics: Patient Preparation; scope of practice; patient communication; result interpretation; professional conduct.


NEW QUESTION # 82
A phlebotomist should identify which of the following as the best site for phenylketonuria collection on an infant?

Answer: B

Explanation:
The best site for phenylketonuria, or PKU, collection on an infant is the medial or lateral plantar surface of the heel. PKU screening is a newborn metabolic screening test commonly collected by heel stick onto filter paper. The medial and lateral heel areas are selected because they provide adequate capillary blood flow while reducing the risk of puncturing bone. The central area of the heel is unsafe because the calcaneus may be closer to the puncture site, increasing the risk of bone injury or osteomyelitis. Fingertip puncture is inappropriate for infants because the tissue is small, bone is close to the surface, and the site does not provide the recommended specimen collection area for newborn screening. Proper PKU collection also requires warming the heel when indicated, allowing blood to flow freely, filling filter-paper circles completely from one side, avoiding layering, and allowing the specimen to dry properly before transport. NHA CPT special collection content includes collecting blood for metabolic syndromes such as PKU, filter-paper collection techniques, pediatric considerations, and minimum/maximum volume requirements. Reference topics: Special Collections; PKU collection; infant heel puncture; filter-paper specimen collection.


NEW QUESTION # 83
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