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| Section | Weight | Objectives |
|---|---|---|
| Infection Control and Safety | 16% | - Bloodborne pathogen safety protocols - Standard precautions and PPE usage |
| Equipment Selection and Maintenance | 10% | - Equipment handling and maintenance - Needle, tube, and collection device selection |
| Patient Identification, Assessment, and Site Preparation | 17% | - Patient verification procedures - Venipuncture site selection and preparation |
| Collection of Blood and Non-Blood Specimens | 29% | - Non-blood specimen collection (urine, swabs) - Capillary puncture techniques - Special collection procedures (blood cultures, glucose tolerance tests) - Venipuncture procedures and order of draw |
| Professionalism and Regulatory Compliance | 18% | - Professional behavior and ethics in healthcare settings - Regulatory compliance (OSHA, HIPAA awareness) |
| Specimen Processing and Transportation | 10% | - Labeling and documentation - Specimen handling, storage, and transport conditions |
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NEW QUESTION # 116
If a patient is undergoing analysis of gastric fluids before and after a gastric stimulant, for which blood test is the phlebotomist likely to need to collect a specimen?
Answer: A
Explanation:
If a patient is undergoing analysis of gastric fluids before and after a gastric stimulant, the blood test that the phlebotomist is likely to need to collect a specimen for is serum gastrin, which evaluates gastric production. The serum is collected in a red- or gray-topped tube. Gastric fluid analysis and serum gastrin are tested to help diagnose chronic gastritis, chronic renal failure, gastric and duodenal ulcers, gastric carcinoma, G-cell hyperplasia. pernicious anemia, pyloric obstruction, and hyperparathyroidism.
NEW QUESTION # 117
During venipuncture, if the needle appears to be in the vein but no blood is flowing and a slight vibration or quiver of the needle is noted, the most appropriate initial response is to:
Answer: C
Explanation:
During venipuncture, if the needle appears to be in the vein but no blood is flowing and a slight vibration or quiver of the needle is noted, the most appropriate initial response is to remove the vacuum tube, pull back slightly on the needle, and reinsert the vacuum tube. If this is not successful, the venipuncture should be discontinued and another site attempted. The lack of blood flow and vibration or quiver suggest that the needle is in a valve and the valve is attempting to open and close.
NEW QUESTION # 118
The preferred venipuncture site is the:
Answer: C
Explanation:
Because the median cubital vein is close to the surface and located in an area least prone to nerve damage, it is the preferred site for venipuncture. The cephalic and median cephalic veins are the second choice. The basilic and median basilic veins are least preferred because of their proximity to the median nerve and brachial artery.
NEW QUESTION # 119
Accessioning of specimens refers to:
Answer: C
Explanation:
Accessioning of specimens refers to receiving and recording specimens as they are brought to the lab. The accessioning process usually involves entering the sample into the laboratory information system and assigning and labeling it with a barcode (unless a barcode was already assigned before sample collection). An accession number is usually provided by the laboratory information system. This number helps track the sample and the testing results.
NEW QUESTION # 120
When collecting a capillary blood sample after a fingerstick or heelstick, it is generally necessary to:
Answer: C
Explanation:
When collecting a capillary blood sample after a fingerstick or heelstick it is generally necessary to wipe away the first drop with a gauze pad because this first drop is likely to be contaminated and may contain some alcohol from the antiseptic, which may cause hemolysis or prevent the blood from forming drops. However, some point-of-care (POC) testing devices, such as those for glucose testing, recommend using the first drop, making them exceptions to the rule.
NEW QUESTION # 121
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