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| Section | Weight | Objectives |
|---|---|---|
| Specimen Processing & Handling | 14% | - Transport & storage requirements - Documentation & tracking - Aliquoting & preservation - Processing & centrifugation - Specimen rejection criteria |
| Routine Blood Collections | 28% | - Order of draw & tube selection - Capillary puncture procedures - Venipuncture techniques & equipment - Tourniquet use & vein assessment - Post-collection care & labeling |
| Patient Preparation | 20% | - Requisition review & test verification - Patient identification & verification - Site selection & preparation - Informed consent & communication - Patient positioning & comfort |
| Special Collections | 12% | - Blood cultures & sterile collection - Glucose tolerance & dynamic tests - Therapeutic drug monitoring - Pediatric & geriatric collections - Blood alcohol & legal collections |
| Safety and Compliance | 26% | - Bloodborne pathogens & exposure control - HIPAA & patient confidentiality - Infection control & OSHA standards - PPE & sharps disposal - Quality control & error prevention |
>> Phlebotomy-Technician Valid Test Duration <<
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NEW QUESTION # 16
At the completion of a routine venipuncture, a phlebotomist incurs a needlestick to their finger. Which of the following information should the phlebotomist include on the incident report for this situation?
Answer: B
Explanation:
The incident report should include the type of blood collection device used. For a needlestick or contaminated sharps injury, the device involved is central to exposure documentation because the facility must evaluate whether safer devices, training, handling, or disposal procedures failed. OSHA states that a sharps injury log must include, at minimum, the type and brand of device involved when known, the department or work area, and an explanation of how the incident occurred. The number and color of tubes collected may matter for specimen documentation but does not explain the exposure mechanism. The employee's primary care provider information is not the key occupational exposure detail. Proof of biohazard container fill-line adherence may be relevant only if the injury involved sharps disposal, but the broader required incident-report item is the collection device involved. The phlebotomist should immediately wash the area, report the injury, follow exposure-control policy, document the event, and obtain occupational health evaluation. Reference topics: Safety and Compliance; needlestick injury; exposure control; OSHA sharps injury log; incident reporting.
NEW QUESTION # 17
Which of the following practices violates standard precautions?
Answer: A
Explanation:
Reusing a tourniquet visibly contaminated with blood violates standard precautions. Any reusable equipment contaminated with blood must be cleaned and disinfected according to facility policy, and single-use items must be discarded. Blood is treated as potentially infectious regardless of the patient's diagnosis or appearance. Wearing gloves during venipuncture is correct practice. Treating all blood as potentially infectious is the core principle of standard precautions. Washing hands after glove removal is also required because gloves can have microscopic defects or hands can become contaminated during removal. A contaminated tourniquet can transfer bloodborne pathogens or other organisms to patients, staff, and surfaces. Phlebotomists should inspect equipment before use, avoid placing supplies on contaminated surfaces, use disposable tourniquets when required, and disinfect reusable items appropriately. Infection-control failures often occur through routine shortcuts, not dramatic emergencies. This question tests whether the technician understands standard precautions as everyday behavior, not just PPE vocabulary. Reference topics: Safety and Compliance; standard precautions; reusable equipment; blood contamination; infection prevention.
NEW QUESTION # 18
A phlebotomist is collecting blood from a patient with small fragile veins. Which of the following devices is most appropriate?
Answer: C
Explanation:
A winged infusion set is most appropriate for a patient with small fragile veins. Butterfly devices provide better control, flexible tubing, and a shallower insertion angle, making them useful for hand veins, pediatric patients, geriatric patients, or difficult venous access. A 16-gauge needle is too large for routine diagnostic venipuncture and would likely damage fragile veins. A blood culture bottle adapter is used for blood culture collection but does not solve the problem of fragile vein access by itself. A lancet is used for dermal puncture, not venous collection, and may not provide the volume or specimen type required for ordered venipuncture tests. When using a winged infusion set, the phlebotomist should anchor the vein carefully, insert bevel up at a low angle, stabilize the device, monitor for infiltration, and activate the safety mechanism immediately after withdrawal. Equipment selection is a clinical safety decision, not a convenience choice. Reference topics: Routine Blood Collections; winged infusion set; fragile veins; equipment selection; venipuncture technique.
NEW QUESTION # 19
A phlebotomist is collecting from a patient under droplet precautions. Which of the following PPE is most directly indicated?
Answer: B
Explanation:
A surgical mask is most directly indicated for droplet precautions. Droplet precautions are used for organisms transmitted through respiratory droplets generated by coughing, sneezing, or talking. The mask helps protect the phlebotomist's nose and mouth from exposure at close range. A lead apron is used for radiation protection and has no role in droplet isolation. A sterile gown alone does not protect the respiratory mucosa and is not the primary droplet precaution. Shoe covers alone do not address droplet transmission. Depending on facility signage and procedure risk, additional PPE such as eye protection, gown, or gloves may be required, but from the options given, a surgical mask is the key droplet precaution. The phlebotomist should check isolation signs before entering, bring only necessary supplies, perform hand hygiene, wear PPE correctly, and remove PPE safely before leaving. This item tests transmission-based precaution matching: contact, droplet, airborne, and protective isolation are not interchangeable. Reference topics: Safety and Compliance; droplet precautions; PPE; isolation signage; infection control.
NEW QUESTION # 20
Which of the following is a possible complication of venipuncture collection for a patient who has been on warfarin therapy?
Answer: A
Explanation:
Prolonged bleeding is the expected complication for a patient on warfarin therapy. Warfarin is an anticoagulant, meaning it interferes with normal clot formation and can increase bleeding time after venipuncture. The phlebotomist should be alert for delayed hemostasis, apply firm pressure after needle removal, avoid having the patient bend the arm sharply, and confirm that bleeding has stopped before applying a bandage and leaving the patient. Blood clotting is the opposite of the expected medication effect. Hemostasis is the normal stopping of bleeding, not a complication. Petechiae can occur from tourniquet pressure, fragile capillaries, or platelet-related issues, but in this question the medication-specific risk is prolonged bleeding. Proper technique reduces complications: release the tourniquet, withdraw the needle smoothly, activate the safety device, apply pressure, and monitor the puncture site. Reference topics: Routine Blood Collections; post-procedure care; anticoagulant therapy; bleeding complications; hemostasis; patient observation. NHA includes routine venipuncture complications and post-collection care within the CPT test plan.
NEW QUESTION # 21
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