{2026} NHA Phlebotomy-Technician PDF Questions For Stress-free Exam Preparation

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NHA Phlebotomy-Technician Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Routine Blood Collections28%- Tourniquet use & vein assessment
- Post-collection care & labeling
- Capillary puncture procedures
- Order of draw & tube selection
- Venipuncture techniques & equipment
Topic 2: Safety and Compliance26%- PPE & sharps disposal
- Infection control & OSHA standards
- Quality control & error prevention
- HIPAA & patient confidentiality
- Bloodborne pathogens & exposure control
Topic 3: Specimen Processing & Handling14%- Documentation & tracking
- Specimen rejection criteria
- Processing & centrifugation
- Aliquoting & preservation
- Transport & storage requirements
Topic 4: Special Collections12%- Glucose tolerance & dynamic tests
- Blood alcohol & legal collections
- Pediatric & geriatric collections
- Blood cultures & sterile collection
- Therapeutic drug monitoring
Topic 5: Patient Preparation20%- Patient identification & verification
- Requisition review & test verification
- Patient positioning & comfort
- Informed consent & communication
- Site selection & preparation

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NHA Phlebotomy Technician Certification Exam (CPT) Sample Questions (Q70-Q75):

NEW QUESTION # 70
At which of the following angles should a phlebotomist insert an antecubital venipuncture needle?

Answer: D

Explanation:
For antecubital venipuncture, the needle is inserted bevel up at approximately a 15° to 30° angle, with 30° commonly used as the upper accepted standard for routine venous access. From the options provided, 30° is the best answer. A 10° angle is usually too shallow for antecubital venipuncture and may cause the needle to skim the skin surface or fail to enter the vein lumen. A 45° angle is too steep and increases the risk of passing through the vein, causing hematoma, pain, or arterial/nerve injury depending on site depth and anatomy. A 25° angle can be clinically workable in some routine venipunctures, but this item is asking for the standard recognized insertion angle, and 30° is the expected test answer. Proper angle must be combined with vein anchoring, bevel-up orientation, stable equipment control, and avoidance of excessive probing. The NHA CPT outline specifically includes needle insertion, angle of needle insertion and withdrawal, and routine venipuncture technique. Reference topics: Routine Blood Collections; antecubital venipuncture; angle of needle insertion; needle withdrawal and safety.


NEW QUESTION # 71
Which of the following actions should a phlebotomist take when administering first aid?

Answer: D

Explanation:
The correct first-aid action is to apply direct pressure to a patient who is hemorrhaging. Direct pressure is the immediate basic intervention to control external bleeding because it compresses the injured vessel and supports clot formation. Inserting anything into the mouth of a patient who is seizing is dangerous; it can damage teeth, obstruct the airway, or injure the responder. A fainting patient should be protected from injury, placed safely, monitored, and assisted according to facility protocol; a warm compress to the neck is not the correct primary response. A patient in shock should not be offered water because altered consciousness, nausea, or urgent medical instability creates aspiration risk and delays proper emergency care. In phlebotomy, first aid is not optional "nice-to-know" material; blood collection can trigger syncope, seizures, excessive bleeding, allergic reactions, or shock-like symptoms. The technician must stop the draw when needed, protect the patient, call for help, and follow emergency procedures. Reference topics: Safety and Compliance; first aid; hemorrhage control; emergency response; patient complications.


NEW QUESTION # 72
A phlebotomist receives a phone call from a provider's practice asking for a patient's CBC results. To which of the following departments should the phlebotomist transfer the call?

Answer: D

Explanation:
A complete blood count, or CBC, is handled by the hematology department because it evaluates cellular components of blood, including red blood cells, white blood cells, hemoglobin, hematocrit, platelets, and differential findings when ordered. Chemistry focuses on analytes such as glucose, electrolytes, enzymes, renal markers, liver markers, and metabolic panels. Coagulation handles clotting studies such as PT, INR, aPTT, fibrinogen, and related hemostasis testing. Serology focuses on antigen-antibody testing and immune-response assays. A phlebotomist should not disclose results unless authorized by facility policy and role scope. The correct action is to direct the caller to the department that performs or releases the requested test result. This protects patient confidentiality and avoids miscommunication of clinical information. NHA CPT processing content includes communication between non-laboratory personnel, retrieving specimen or result data through laboratory systems, distributing results to ordering providers, and understanding blood components and laboratory testing roles. Reference topics: Processing Specimens; laboratory departments; hematology testing; communication of laboratory results.


NEW QUESTION # 73
A phlebotomist should instruct a patient to take which of the following actions when providing a sputum specimen?

Answer: B

Explanation:
For a sputum specimen, the patient should take a deep breath and then expectorate material from the lower respiratory tract into the appropriate container. Sputum is not saliva; it must come from the lungs or bronchi after a deep cough. The phlebotomist's role is to provide clear collection instructions, confirm the correct container, reduce contamination, and ensure the specimen is labeled and transported according to facility procedure. Option A describes stool collection, not sputum collection. Option B describes the start of a 24-hour urine collection, where the first void is discarded and subsequent urine is saved. Option C describes a buccal swab or oral specimen procedure and is not appropriate for sputum. "Aggressively" swabbing the cheek could cause discomfort or trauma and still would not produce a respiratory specimen. A valid sputum specimen is clinically useful for respiratory infection testing because it contains secretions from the affected airway. NHA CPT competencies include non-blood specimen collection, patient instructions, specimen identification, and maintaining specimen integrity. Reference topics: Special Collections; non-blood specimens; patient instructions; specimen integrity.


NEW QUESTION # 74
Which of the following actions should the phlebotomist take when labelling inpatient specimens?

Answer: A

Explanation:
For inpatient specimens, the phlebotomist should label the specimen collection container immediately after collection using the patient's wristband information as the identification source. The key control is bedside labeling in the presence of the patient, after positive identification and collection, so the specimen is tied to the correct patient before it leaves the room. Labeling the lid is unsafe because lids can be removed, switched, or separated from the specimen. Having the patient write demographic information is not an acceptable patient-identification process and does not satisfy laboratory labeling requirements. Provider pre-labeling is also unsafe because it creates a risk of wrong-patient collection if the container is later used for another patient or if identification is not verified at collection. Correct labeling usually includes patient name, second identifier, date and time of collection, collector identity, and any facility-required information. The NHA CPT outline specifically includes patient identifiers, labeling procedures and requirements, documentation, and the task of labeling all specimens. Reference topics: Routine Blood Collections; patient identification; specimen labeling; documentation requirements.


NEW QUESTION # 75
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