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| Section | Weight | Objectives |
|---|---|---|
| Patient Identification, Assessment, and Site Preparation | 17% | - Patient assessment and special considerations - Patient verification and consent - Site selection and preparation |
| Infection Control and Safety | 16% | - Needle safety and injury prevention - Biohazard handling and disposal - Standard precautions and infection control |
| Specimen Processing and Transportation | 10% | - Handling, storage and transport requirements - Processing and quality assurance - Specimen labeling and documentation |
| Equipment Selection and Maintenance | 10% | - Equipment handling, cleaning and maintenance - Selection of collection supplies and devices |
| Professionalism and Regulatory Compliance | 18% | - Ethical and legal responsibilities - Regulatory standards (OSHA, CLSI, HIPAA) - Professional conduct and communication |
| Collection of Blood and Non-Blood Specimens | 29% | - Order of draw and tube selection - Venipuncture techniques and procedures - Capillary puncture procedures - Non-blood specimen collection |
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NEW QUESTION # 35
If a vein collapses during a blood draw, the initial action should be to:
Answer: D
Explanation:
If a vein collapses during a blood draw, the phlebotomist should apply gentle pressure on the vein above the venipuncture site with a flat index finger so that the vein fills with blood for a couple of seconds and then release, allowing the blood to continue to flow. Veins are most likely to collapse if blood was withdrawn too forcefully or if veins are small and fragile, such as may occur with older adults.
NEW QUESTION # 36
Which stopper color indicates the correct tube for a CBC?
Answer: A
Explanation:
The stopper color that indicates the correct tube for a complete blood count (CBC) is lavender/purple (EDTA). This tube is used for CBC, differential, reticulocyte count, sedimentation (sed) rate, platelet count, Coombs test, cyclosporine test, and flow cytometry. The light-blue-top tube (3.2% sodium citrate) is used for coagulation tests such as PT, PTT, and thrombin clotting time. The pink-top tube (K2EDTA) is used for blood typing and screening, direct Coombs, and HIV viral load. The green-top tube (sodium heparin) is used for ammonia, lactate, and human leukocyte antigen typing.
NEW QUESTION # 37
Newborn screening should be carried out after the first
Answer: A
Explanation:
Newborn screening should be carried out after the first 24 hours of life. If a neonate is discharged from the hospital prior to 24 hours and tested before discharge, the parent(s) should be advised to have the child retested because some tests are not accurate prior to the first 24 hours. The test is usually carried out with a capillary specimen from a heelstick. Tests included in newborn screening may vary somewhat from one state to another, but typically include tests for metabolic disorders, hormone disorders, hemoglobin disorders, and other rare conditions.
NEW QUESTION # 38
Lipid profiles may be completed on:
Answer: A
Explanation:
Lipid (fat) profiles may be completed with serum or plasma. A lipid profile (also called a cholesterol study) is done to evaluate a patient's risk of coronary artery disease, heart attack (myocardial infarction), and stroke (cerebrovascular accident [CVA]). Patients are advised to fast for 12 hours prior to the test except for water, coffee, or tea (no milk. cream, or sugar). The lipid profile includes HDL (high-density lipoprotein), LDL (low-density lipoprotein), triglycerides, total cholesterol, and total cholesterol/HDL ratio (optimal is 3.5:1).
NEW QUESTION # 39
If peritoneal fluid is aspirated during a paracentesis and must be tested for cell counts, which type of specimen tube is indicated?
Answer: C
Explanation:
When peritoneal fluid is aspirated during a paracentesis and must be tested for cell counts, the type of specimen tube that is indicated is EDTA. A sterile heparinized tube is used for cultures, a heparin or sodium fluoride tube is for chemistries, and a nonanticoagulant tube is for biochemical tests. Serous fluid is usually pale yellow in appearance and may include pericardial fluid that surrounds the heart, pleural fluid from the space around the lungs, and peritoneal fluid from the abdominal cavity.
NEW QUESTION # 40
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