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| Section | Weight | Objectives |
|---|---|---|
| Safety and Compliance | 26% | - Quality control & error prevention - Infection control & OSHA standards - Bloodborne pathogens & exposure control - PPE & sharps disposal - HIPAA & patient confidentiality |
| Routine Blood Collections | 28% | - Capillary puncture procedures - Post-collection care & labeling - Tourniquet use & vein assessment - Venipuncture techniques & equipment - Order of draw & tube selection |
| Specimen Processing & Handling | 14% | - Documentation & tracking - Transport & storage requirements - Aliquoting & preservation - Processing & centrifugation - Specimen rejection criteria |
| Patient Preparation | 20% | - Site selection & preparation - Patient identification & verification - Patient positioning & comfort - Requisition review & test verification - Informed consent & communication |
| Special Collections | 12% | - Therapeutic drug monitoring - Blood cultures & sterile collection - Glucose tolerance & dynamic tests - Pediatric & geriatric collections - Blood alcohol & legal collections |
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NEW QUESTION # 93
Which of the following findings should cause a phlebotomist to delay collection and seek assistance?
Answer: A
Explanation:
A patient who is diaphoretic and says they feel faint requires the phlebotomist to delay collection and seek assistance. Diaphoresis, dizziness, pallor, nausea, and weakness can signal an impending syncopal episode. Continuing with venipuncture in this condition increases the risk of falls, needle injury, hematoma, and patient harm. Confirming date of birth is normal patient identification. Asking which arm will be used is a reasonable patient question and does not require delay. A visible median cubital vein is generally favorable for routine venipuncture. The phlebotomist should position the patient safely, preferably reclining or lying down if fainting risk is present, notify appropriate personnel, and proceed only when safe according to facility policy. If symptoms occur during a draw, the technician should remove the tourniquet and needle when safe, activate the safety device, call for help, and monitor the patient. Reference topics: Patient Preparation; syncope warning signs; patient assessment; collection delay; emergency response.
NEW QUESTION # 94
A phlebotomist receives a specimen without a patient identifier on the tube. Which of the following actions should the phlebotomist expect?
Answer: C
Explanation:
The laboratory should reject an unlabeled specimen. A specimen without patient identification cannot be reliably linked to the correct patient, even if a requisition is nearby or a provider verbally confirms the order. Labeling a tube later from the requisition is unsafe because it breaks the chain between patient, collection event, and specimen. Testing based only on an order number does not meet safe identification practice. Verbal confirmation after the fact cannot correct an unlabeled specimen because the tube's identity was not secured at the bedside or collection site. Proper labeling should occur immediately after collection in the presence of the patient, using required identifiers such as full name, date of birth, medical record number, date/time of collection, and collector identity according to facility policy. Mislabeling and unlabeled specimens are serious preanalytical errors that can cause wrong diagnosis, wrong treatment, transfusion risk, and patient harm. Reference topics: Processing Specimens; specimen labeling; patient identification; rejection criteria; preanalytical error.
NEW QUESTION # 95
Which of the following terms means a decrease in white blood cells?
Answer: B
Explanation:
Leukopenia means a decreased number of white blood cells. "Leuko-" refers to white blood cells, and "-penia" means deficiency or decrease. Leukocytosis means an increased white blood cell count and is often associated with infection, inflammation, stress response, or hematologic disorders. Thrombocytopenia means a decreased platelet count, which can increase bleeding risk after venipuncture. Erythrocytosis means an increased red blood cell count. This terminology matters to phlebotomy because laboratory orders and patient conditions often use hematologic language. The phlebotomist does not diagnose these conditions, but understanding terms helps the technician anticipate safety concerns and specimen requirements. For example, thrombocytopenia may require longer pressure after collection, while leukopenia may be associated with immunocompromised status and strict infection-control awareness. A CBC is the common test used to evaluate red cells, white cells, hemoglobin, hematocrit, and platelets. Reference topics: Phlebotomy Fundamentals; medical terminology; hematology; CBC components; blood cell disorders.
NEW QUESTION # 96
A phlebotomist is scheduled to perform a venipuncture on a patient who had a bilateral radical mastectomy. Which of the following actions should the phlebotomist take?
Answer: C
Explanation:
The phlebotomist should contact the provider for approval. After a mastectomy, especially radical mastectomy with lymph node involvement, venipuncture on the affected side is generally avoided because impaired lymphatic drainage can increase risk for lymphedema, infection, delayed healing, and patient complications. With a bilateral radical mastectomy, both arms may be restricted, so the phlebotomist should not independently choose an alternate arm vein. Drawing from an ulnar vein is not a standard solution and could still be in a restricted extremity. Requesting surgical outpatient records is not the immediate collection action and does not provide authorization to proceed. Obtaining a specimen from the subclavian vein is outside the phlebotomist's routine scope and would be a provider-level invasive procedure. The correct approach is to pause, follow facility policy, notify the nurse or provider, and obtain explicit direction for an approved site or alternate collection method. Reference topics: Routine Blood Collections; site contraindications; mastectomy precautions; provider communication; patient safety.
NEW QUESTION # 97
Which of the following actions should a phlebotomist take when administering first aid?
Answer: A
Explanation:
The correct first-aid action is to apply direct pressure to a patient who is hemorrhaging. Direct pressure is the immediate basic intervention to control external bleeding because it compresses the injured vessel and supports clot formation. Inserting anything into the mouth of a patient who is seizing is dangerous; it can damage teeth, obstruct the airway, or injure the responder. A fainting patient should be protected from injury, placed safely, monitored, and assisted according to facility protocol; a warm compress to the neck is not the correct primary response. A patient in shock should not be offered water because altered consciousness, nausea, or urgent medical instability creates aspiration risk and delays proper emergency care. In phlebotomy, first aid is not optional "nice-to-know" material; blood collection can trigger syncope, seizures, excessive bleeding, allergic reactions, or shock-like symptoms. The technician must stop the draw when needed, protect the patient, call for help, and follow emergency procedures. Reference topics: Safety and Compliance; first aid; hemorrhage control; emergency response; patient complications.
NEW QUESTION # 98
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