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NHA Phlebotomy-Technician Exam Syllabus Topics:

SectionObjectives
Topic 1: Safety and Compliance- OSHA standards and safety protocols
- Needlestick prevention and biohazard disposal
- Infection control and PPE usage
Topic 2: Patient Preparation- Explaining procedures and obtaining consent
- Site selection and preparation
- Patient identification and communication
Topic 3: Specimen Collection- Venipuncture techniques
- Capillary puncture procedures
- Order of draw and tube handling
Topic 4: Professional Practice- Ethics and patient confidentiality (HIPAA)
- Communication and professionalism
Topic 5: Specimen Processing and Handling- Specimen transport and storage
- Quality control and rejection criteria
- Labeling and documentation

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NHA Phlebotomy Technician Certification Exam (CPT) Sample Questions (Q111-Q116):

NEW QUESTION # 111
Which of the following actions can cause hemolysis during venipuncture?

Answer: B

Explanation:
Using a needle with a gauge that is too small can cause hemolysis. A small-bore needle can create excessive mechanical force as blood passes through the lumen, damaging red blood cells and releasing intracellular contents into serum or plasma. Hemolysis can alter test results, especially potassium, lactate dehydrogenase, and other analytes affected by red-cell rupture. Allowing alcohol to dry before puncture is correct practice because it reduces stinging and helps prevent contamination. Releasing the tourniquet before needle removal is also correct because it reduces pressure and supports safer needle withdrawal. Mixing additive tubes by gentle inversion is required; the danger occurs when tubes are shaken vigorously. Additional hemolysis causes include probing, drawing through a hematoma, forcing blood from a syringe into a tube, rough transport, incorrect centrifugation, and delayed processing. A phlebotomist must choose equipment appropriate to the patient's vein while maintaining specimen quality. Reference topics: Routine Blood Collections; hemolysis; needle gauge selection; specimen integrity; preanalytical error.


NEW QUESTION # 112
Which of the following angles should a phlebotomist use when inserting a butterfly needle into a patient's dorsal hand veins?

Answer: A

Explanation:
A butterfly needle inserted into dorsal hand veins should be introduced at a shallow angle, and from the options provided, 10° is the best answer. Hand veins are usually superficial, smaller, and more mobile than antecubital veins, so a steep angle increases the risk of passing through the vein, causing infiltration, hematoma formation, pain, or failed collection. A winged infusion set gives better control for fragile or difficult veins, but the phlebotomist must still anchor the vein, insert bevel up, and keep the angle low. A 25° or 30° angle is more consistent with routine antecubital venipuncture rather than shallow hand-vein access. A 45° angle is excessive for venous collection and creates unnecessary tissue trauma. The NHA CPT test plan places this under routine blood collection skills, including equipment selection, winged collection sets, hand vascular anatomy, site selection, and angle of needle insertion and withdrawal. Reference topics: Routine Blood Collections; winged collection set; hand veins; angle of needle insertion.


NEW QUESTION # 113
Using outdated supplies can result in which of the following?

Answer: B

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 # 114
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: C

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 # 115
Which of the following conditions requires a blood transfusion due to cumulative blood loss for neonatal patients?

Answer: A

Explanation:
Anemia is the condition that can require blood transfusion due to cumulative blood loss in neonatal patients. Neonates have a small total blood volume, so repeated laboratory collections can remove a clinically significant amount of blood over time. This is called iatrogenic blood loss and is a major concern in premature or critically ill infants who require frequent testing. If blood loss becomes excessive relative to the infant's circulating volume, hemoglobin and hematocrit can decline, producing or worsening anemia and potentially requiring transfusion. Osteochondritis involves inflammation of bone and cartilage and is unrelated to cumulative phlebotomy blood loss. Osteomyelitis is bone infection, a possible complication of improper heel puncture, but it is not the transfusion-related condition tested here. Galactosemia is a metabolic disorder screened in newborn testing, not a condition caused by repeated blood collection. The phlebotomist must use pediatric tubes, collect only the required volume, avoid unnecessary redraws, and follow minimum-volume requirements. Reference topics: Special Collections; neonatal blood collection; pediatric microcollection; iatrogenic anemia; blood volume limits.


NEW QUESTION # 116
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