PCT / CPCT/A Exam FAQ (2026)

Answers to the most common CPCT/A questions: exam format, passing score, phlebotomy order of draw, EKG lead placement, registration, and how to prepare with Unlimited Practice Guide.

What is the CPCT/A exam?
The Certified Patient Care Technician/Assistant (CPCT/A) is administered by the NHA. It certifies competency in patient care, phlebotomy, EKG monitoring, infection control, and healthcare communication.
What is the passing score for the CPCT/A?
NHA uses a scaled scoring system from 200 to 500. The passing score is 390. Approximately 70–75% raw accuracy correlates with a passing scaled score.
How many questions are on the CPCT/A exam?
100 scored questions plus up to 20 unscored pretest items (120 total). The exam is 2 hours long.
What content areas does the CPCT/A cover?
Patient Care (35%), Phlebotomy (25%), EKG & Cardiac Monitoring (15%), Safety & Infection Control (15%), Administrative & Communication (10%).
What is the difference between CPCT/A and CNA?
The CNA covers basic nursing and personal care and is state-regulated. The CPCT/A is nationally recognized and adds phlebotomy and EKG competencies — preferred by many hospital systems for PCT roles.
What phlebotomy topics are most tested?
Venipuncture site selection, order of draw (blood culture → SST → heparin → EDTA → fluoride), tube additives, capillary puncture technique, specimen labeling, and rejection criteria.
How do I register for the CPCT/A?
Register at nhanow.com. Select CPCT/A, choose your modality, and pay the fee (~$155–$175). NHA requires an accredited PCT/phlebotomy program or 1 year of full-time patient care experience.
How long should I study for the CPCT/A?
Most candidates spend 6–10 weeks. Patient Care (35%) and Phlebotomy (25%) together account for 60% of the exam — prioritize these first.

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