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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Patient Preparation | 20% | - Patient identification & verification - Requisition review & test verification - Site selection & preparation - Patient positioning & comfort - Informed consent & communication |
| Topic 2: Routine Blood Collections | 28% | - Capillary puncture procedures - Order of draw & tube selection - Post-collection care & labeling - Tourniquet use & vein assessment - Venipuncture techniques & equipment |
| Topic 3: Safety and Compliance | 26% | - Quality control & error prevention - Bloodborne pathogens & exposure control - Infection control & OSHA standards - HIPAA & patient confidentiality - PPE & sharps disposal |
| Topic 4: Specimen Processing & Handling | 14% | - Processing & centrifugation - Specimen rejection criteria - Documentation & tracking - Aliquoting & preservation - Transport & storage requirements |
| Topic 5: Special Collections | 12% | - Therapeutic drug monitoring - Pediatric & geriatric collections - Glucose tolerance & dynamic tests - Blood alcohol & legal collections - Blood cultures & sterile collection |
>> Phlebotomy-Technician Sample Exam <<
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NEW QUESTION # 106
A phlebotomist is preparing a container for a 24-hr urine collection when a chemical splash occurs. The phlebotomist should find information about this chemical from which of the following sources?
Answer: B
Explanation:
The correct source is the Safety Data Sheet. An SDS provides chemical-specific information about hazards, exposure controls, personal protective equipment, first aid, spill response, handling, storage, and disposal. During a chemical splash, the phlebotomist must follow facility policy immediately, use the eyewash or shower if indicated, notify appropriate personnel, and consult the SDS for the exact chemical involved. Current Procedural Terminology is a medical coding system and has no role in chemical exposure response. The CDC provides infection-control guidance, but it is not the primary document for a specific chemical's hazard and first-aid requirements. OSHA establishes workplace safety regulations, including hazard communication expectations, but the SDS is the actual document used at the point of exposure for chemical-specific instructions. NHA CPT safety content includes workplace safety regulations, exposure control protocols, reporting requirements, PPE, and biohazard or chemical safety practices. OSHA also describes SDSs as documents containing chemical properties, hazards, protective measures, and safety precautions. Reference topics: Safety and Compliance; chemical exposure; SDS; OSHA hazard communication.
NEW QUESTION # 107
A phlebotomist enters a patient's room and finds the patient motionless and cyanotic. Which of the following actions should the phlebotomist take?
Answer: C
Explanation:
The first action is to assess responsiveness by speaking loudly and directly to the patient, such as asking whether they are okay. A motionless, cyanotic patient may be in respiratory or cardiac arrest, but the phlebotomist must follow the emergency response sequence rather than jumping to airway maneuvers, rescue breaths, or AED use before confirming responsiveness and activating help according to facility protocol. The head-tilt/chin-lift maneuver is an airway-opening step, but it follows initial responsiveness assessment and emergency activation. Rescue breaths are not the first step and are performed only within the appropriate CPR sequence and training level. Applying an AED is appropriate when cardiac arrest is suspected and the emergency response process has been initiated, but the first immediate action from the options is responsiveness assessment. NHA CPT safety content includes recognizing emergencies, initiating first aid, responding to codes, and CPR-related guidelines. Reference topics: Safety and Compliance; emergency recognition; CPR sequence; first aid response.
NEW QUESTION # 108
Which of the following should a sharps container have?
Answer: D
Explanation:
A sharps container should have a leakproof lid or leak-resistant closure to prevent contaminated blood or fluid from escaping during handling, storage, or transport. Sharps containers must also be puncture-resistant, closable, upright and stable during use, and properly labeled or color-coded as biohazardous. A "room temperature" label is used for certain specimen storage or transport conditions, not for sharps disposal. A 1-gallon capacity is not a universal requirement; sharps containers come in multiple approved sizes depending on the setting and volume of use. Dual openings are not required and could increase risk if poorly designed. The essential safety standard is containment: the device must prevent puncture injury and leakage while allowing safe disposal at the point of use. The phlebotomist must never overfill a sharps container, reach into it, shake it, force items into it, or dispose of sharps in regular trash or soft biohazard bags. Reference topics: Safety and Compliance; sharps container requirements; biohazard disposal; OSHA bloodborne pathogen safety; needlestick prevention.
NEW QUESTION # 109
A phlebotomist must recollect a blood sample after the initial sample was rejected by the laboratory. Which of the following factors might have caused the sample to be rejected?
Answer: D
Explanation:
An underfilled collection tube is a common reason for laboratory rejection because many tests require a specific blood-to-additive ratio. This is especially critical for coagulation specimens, where insufficient blood relative to anticoagulant can falsely prolong clotting results. Underfilling can also produce inadequate specimen volume for testing, repeat analysis, or instrument requirements. A hematoma at the puncture site is a patient complication and may indicate procedural difficulty, but it does not automatically require specimen rejection unless it affected specimen quality. Use of a multiple-sample needle is a standard venipuncture method and is not a rejection criterion by itself. The cephalic vein is an acceptable antecubital vein when selected appropriately, so using it does not invalidate the specimen. Processing accuracy begins at collection: correct tube, correct volume, correct mixing, correct labeling, and correct transport. The NHA CPT outline identifies preanalytical errors, minimum and maximum volume requirements, fill levels and ratios, maintaining specimen integrity, and recollection as core processing and collection competencies. Reference topics: Processing Specimens; preanalytical errors; tube fill level; specimen rejection and recollection.
NEW QUESTION # 110
A phlebotomist is performing a glucose tolerance test. Which of the following actions should the phlebotomist take after the patient drinks the glucose solution?
Answer: A
Explanation:
After the patient drinks the glucose solution, the phlebotomist should start timing according to the test protocol. Glucose tolerance testing depends on strict timed specimen collection after ingestion of a measured glucose load. If timing is inaccurate, the results may be invalid or misleading. The patient should not eat crackers because additional food intake can alter glucose results. Exercise should also be avoided unless specifically directed because physical activity can affect glucose metabolism. Collecting all remaining specimens immediately defeats the purpose of the timed test, which evaluates the body's glucose response over defined intervals. The phlebotomist must verify fasting status, collect the baseline specimen if required, ensure the patient consumes the glucose solution within the allowed time, document the time finished, and collect subsequent specimens at exact ordered intervals. If the patient vomits, eats, leaves, or misses a timed draw, the phlebotomist should follow facility policy and notify appropriate personnel. Reference topics: Special Collections; glucose tolerance testing; timed specimens; patient preparation; test protocol compliance.
NEW QUESTION # 111
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