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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Collection of Blood and Non-Blood Specimens | 29% | - Order of draw and tube selection - Non-blood specimen collection - Venipuncture techniques and procedures - Capillary puncture procedures |
| Topic 2: Patient Identification, Assessment, and Site Preparation | 17% | - Patient assessment and special considerations - Site selection and preparation - Patient verification and consent |
| Topic 3: Specimen Processing and Transportation | 10% | - Handling, storage and transport requirements - Processing and quality assurance - Specimen labeling and documentation |
| Topic 4: Infection Control and Safety | 16% | - Standard precautions and infection control - Needle safety and injury prevention - Biohazard handling and disposal |
| Topic 5: Equipment Selection and Maintenance | 10% | - Equipment handling, cleaning and maintenance - Selection of collection supplies and devices |
| Topic 6: Professionalism and Regulatory Compliance | 18% | - Regulatory standards (OSHA, CLSI, HIPAA) - Ethical and legal responsibilities - Professional conduct and communication |
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NEW QUESTION # 33
A blood sample in a gray-capped evacuated collection tube should be inverted a minimum of:
Answer: A
Explanation:
A blood sample in a gray-capped evacuated collection tube should be inverted a minimum of 8 times to ensure that the additive mixes adequately with the blood specimen. The gray-capped collection tube is used for glucose testing. Additives can include potassium oxalate/sodium fluoride, sodium fluoride only, or sodium fluoride/Naz EDTA. Because glucose levels vary with food intake, patients usually fast for 8 hours prior to testing unless the order specifically indicates times, such as after meals.
NEW QUESTION # 34
Using a foot vein for a blood draw:
Answer: A
Explanation:
Using a foot vein for a blood draw increases risk of blood clots because circulation is often impaired in the legs and feet, especially in older and/or diabetic patients. Patients are also at increased risk of ulceration of the site. Drawing blood from the foot or ankle should be avoided, but if neither arm can be used, blood may be drawn from the foot or ankle with a physician's order.
NEW QUESTION # 35
A venipuncture should never be carried out proximal to a PICC line because:
Answer: C
Explanation:
A venipuncture should never be carried out proximal to a peripherally inserted central catheter (PICC) line because the catheter may be damaged when the tourniquet is applied or the needle is inserted and could even break, causing fragments to migrate. If possible, the arm with a PICC line should be avoided for blocd draws: however, if it is absolutely necessary, the tourniquet must be placed and the venipuncture performed distal to the PICC line.
NEW QUESTION # 36
In most states, the qualifications of phlebotomists are determined by:
Answer: A
Explanation:
In most states, the qualifications for phlebotomists are determined by employers. Four states (California, Louisiana, Nevada, and Washington) currently require that phlebotomists meet specific qualifications, which include completing a phlebotomist training program and receiving licensure: other states are still exploring instituting requirements for education and/or licensure. Accrediting agencies generally require that phlebotomists have education and the training needed to carry out their duties. Employers may provide on-the-job training or may require that phlebotomists have certification or training before hire.
NEW QUESTION # 37
Which of the following tests requires that the specimen be chilled?
Answer: A
Explanation:
The specimen for a lactic acid test must be chilled. Other tests that require a chilled specimen include catecholamines, ammonia, pyruvate, adrenocorticotropic hormone, parathyroid hormone, metanephrines (plasma), and gastrin. Chilling the specimen slows the cell metabolism that otherwise continues and protects analytes that are altered by heat. Most specimens that require chilling are chilled in an ice-and-water slurry. A few specimens, such as homocysteine in the gel tube, are chilled on a cooler rack.
NEW QUESTION # 38
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