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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Collection of Blood and Non-Blood Specimens | 29% | - Special collection procedures (blood cultures, glucose tolerance tests) - Capillary puncture techniques - Venipuncture procedures and order of draw - Non-blood specimen collection (urine, swabs) |
| Topic 2: Infection Control and Safety | 16% | - Standard precautions and PPE usage - Bloodborne pathogen safety protocols |
| Topic 3: Specimen Processing and Transportation | 10% | - Specimen handling, storage, and transport conditions - Labeling and documentation |
| Topic 4: Patient Identification, Assessment, and Site Preparation | 17% | - Venipuncture site selection and preparation - Patient verification procedures |
| Topic 5: Equipment Selection and Maintenance | 10% | - Needle, tube, and collection device selection - Equipment handling and maintenance |
| Topic 6: Professionalism and Regulatory Compliance | 18% | - Professional behavior and ethics in healthcare settings - Regulatory compliance (OSHA, HIPAA awareness) |
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NEW QUESTION # 172
The greatest risk when a tube breaks during centrifugation is:
Answer: B
Explanation:
The greatest risk when a tube breaks during centrifugation is aerosolization of the specimen because the spinning specimen breaks down into droplets, which can be easily inhaled or can land on exposed skin, increasing risk of infection. Aerosolization can also occur if collection tubes are overfilled or if the caps come off during processing. Additionally, care must be used if removing a cap after centrifugation. Buckets, tubes, and rotors should be carefully spaced and balanced before centrifugation.
NEW QUESTION # 173
Following venipuncture with excessive bleeding, a saturated bloodstained gauze should be placed in a:
Answer: B
Explanation:
Following venipuncture with excessive bleeding, a saturated bloodstained gauze should be placed in a hazardous waste container, which should be clearly marked as such. Bloodstained gauze can be deposited in an open trash container, such as a bedside wastebasket, if the blood is dry or the gauze is not saturated. It should never be placed in a sharps container, which should be reserved for needles and other sharps and attached equipment only. Placing gauze in the sharps container may prevent needles from falling to the bottom of the container.
NEW QUESTION # 174
All of the following are indicative of a UTI EXCEPT:
Answer: A
Explanation:
A positive nitrite test in conjunction with a positive leukocyte test is indicative of urinary tract infection (UTI): a urine culture positive for blood or protein is also indicative of UTI. Glucose in the urine may be indicative of diabetes mellitus.
NEW QUESTION # 175
If a venipuncture is requested at a specific time but the phlebotomist mistakenly collects the specimen 30 minutes late, the phlebotomist should:
Answer: D
Explanation:
If a venipuncture must be done at a specific time but the phlebotomist mistakenly collects the specimen 30 minutes late, the phlebotomist should report the late collection immediately because, depending on the type of test, the late collection may alter the results. If the situation is immediately brought to the attention of the laboratory supervisor, the specimen may be salvaged. It is unethical to fail to report an error or to hope that no one finds out.
NEW QUESTION # 176
Which of the following is an appropriate method of applying pressure to stop bleeding after venipuncture in the antecubital area?
Answer: A
Explanation:
Applying a gauze pressure dressing is an appropriate method of applying pressure to stop bleeding after venipuncture in the antecubital area. The patient should be advised to keep the dressing in place for at least 15 minutes. Direct pressure may be applied for a few minutes by the patient (if monitored) or by the phlebotomist. Cotton and rayon balls should not be used to apply pressure to the venipuncture site because they may stick to the wound and dislodge the platelet plug.
NEW QUESTION # 177
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