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| Section | Weight | Objectives |
|---|---|---|
| Specimen Processing and Transportation | 10% | - Specimen labeling and documentation - Handling, storage and transport requirements - Processing and quality assurance |
| Collection of Blood and Non-Blood Specimens | 29% | - Venipuncture techniques and procedures - Capillary puncture procedures - Order of draw and tube selection - Non-blood specimen collection |
| Infection Control and Safety | 16% | - Standard precautions and infection control - Biohazard handling and disposal - Needle safety and injury prevention |
| Professionalism and Regulatory Compliance | 18% | - Professional conduct and communication - Regulatory standards (OSHA, CLSI, HIPAA) - Ethical and legal responsibilities |
| Equipment Selection and Maintenance | 10% | - Equipment handling, cleaning and maintenance - Selection of collection supplies and devices |
| Patient Identification, Assessment, and Site Preparation | 17% | - Patient verification and consent - Site selection and preparation - Patient assessment and special considerations |
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47. Frage
The total blood volume of a child is approximately:
Antwort: A
Begründung:
The total blood volume of a child is approximately 75-80 mL/kg. Blood volume is greater in a premature neonate, ranging from 89 mL/kg to approximately 105 mL/kg. The volume of blood in a full-term neonate is approximately 82-86 mL/kg. Blood volume peaks at approximately 4 weeks of age and then decreases over the next few months. The total volume ofblood in an adult is typically 65-70 mL/kg.
48. Frage
When carrying out a heelstick blood collection on a newborn, what should the maximum depth of the puncture be?
Antwort: A
Begründung:
When carrying out a heelstick blood collection on a newborn, the depth of the puncture should be equal to or less than 2 mm. In a newborn, the blood supply is typically located 0.35-1.6 mm below the skin. Thus, a 2 mm depth provides an adequate flow of blood but is generally too shallow to cause injury to the calcaneus. The heelstick should be done on the lateral aspects of the heel rather than the middle or posterior aspects to ensure that the calcaneus is avoided.
49. Frage
In a patient with an W, blood should NOT be drawn:
Antwort: C
Begründung:
In a patient with an IV, blood should never be drawn from a site above the IV, as the specimen may become contaminated with IV fluid, causing erroneous test results. Venipuncture can be performed at a site distal to the IV, in a different vein than the one with the IV, or by capillary puncture.
50. Frage
When delivering a blood specimen that requires STAT testing to the laboratory, the phlebotomist must:
Antwort: D
Begründung:
When delivering a blood specimen that requires STAT (immediate) testing to the laboratory, the phlebotomist must notify the testing personnel and receive verbal acknowledgement of a STAT specimen. Even if a STAT rack is available, simply placing the specimen in the rack is not sufficient because personnel who are busily engaged in testing may not notice that a specimen has been placed in the rack, resulting in delays in getting the test results.
51. Frage
A sample being designated as QNS means that:
Antwort: B
Begründung:
If a sample is designated as QNS, the quantity is not sufficient for the test that has been ordered. In this case, the sample is rejected and another sample must be obtained. QNS is a common reason for rejecting chemistry specimens. The phlebotomist should review requirements for tests to ensure that the volume of the specimen is adequate. Reasons for QNS may include using expired tubes (resulting in decreased vacuum) and not ensuring complete filling of the tube before changing tubes. QNS may also occur if a patient has difficult-to-access veins.
52. Frage
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