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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Specimen Processing and Transportation | 10% | - Labeling and documentation - Specimen handling, storage, and transport conditions |
| Topic 2: Collection of Blood and Non-Blood Specimens | 29% | - Special collection procedures (blood cultures, glucose tolerance tests) - Venipuncture procedures and order of draw - Capillary puncture techniques - Non-blood specimen collection (urine, swabs) |
| Topic 3: Equipment Selection and Maintenance | 10% | - Equipment handling and maintenance - Needle, tube, and collection device selection |
| Topic 4: Patient Identification, Assessment, and Site Preparation | 17% | - Venipuncture site selection and preparation - Patient verification procedures |
| Topic 5: Infection Control and Safety | 16% | - Standard precautions and PPE usage - Bloodborne pathogen safety protocols |
| Topic 6: Professionalism and Regulatory Compliance | 18% | - Regulatory compliance (OSHA, HIPAA awareness) - Professional behavior and ethics in healthcare settings |
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NEW QUESTION # 100
Which of the following POC tests measures the volume of RBCs in a patient's blood?
Answer: A
Explanation:
Hematocrit (Hct), also called packed cell volume (PCV), measures the volume of RBCs in a patient's blood. A small sample of anticoagulated blood is centrifuged; the results reflect the percentage of cells to liquid. The normal hematocrit value varies according to gender and age:
NEW QUESTION # 101
Serum differs from plasma in that serum:
Answer: D
Explanation:
Serum differs from plasma in that serum does not contain fibrinogen and other clotting factors. Serum is the extracellular liquid portion of plasma, minus fibrinogen, clotting factors, and blood cells. However, serum does contain solutes (proteins, minerals, hormones, and gases) and is important as a source of electrolytes. Serum is the product of centrifugation of coagulated blood and consists of 90% water. Serum is commonly used for chemistry testing, except for potassium because potassium is released into the serum during the clotting process, resulting in a higher level than in plasma.
NEW QUESTION # 102
If a vein collapses during a blood draw, the initial action should be to:
Answer: A
Explanation:
If a vein collapses during a blood draw, the phlebotomist should apply gentle pressure on the vein above the venipuncture site with a flat index finger so that the vein fills with blood for a couple of seconds and then release, allowing the blood to continue to flow. Veins are most likely to collapse if blood was withdrawn too forcefully or if veins are small and fragile, such as may occur with older adults.
NEW QUESTION # 103
Which of the following is NOT a cause of vein collapse?
Answer: C
Explanation:
A collapsed vein may result from the vacuum draw of the tube, pressure from pulling on the syringe, or if the tourniquet is too tight or too close to the venipuncture site. Frequent venipunctures, whether to draw blood or inject medications, can also cause veins to collapse. Stoppage of blood flow when the tourniquet is removed may simply indicate that the needle is not positioned properly slightly adjusting the needle usually reestablishes blood flow.
NEW QUESTION # 104
If the antecubital veins cannot be used for specimen collection, the next site to consider is the:
Answer: A
Explanation:
If the antecubital veins cannot be used for specimen collection, the next site to consider is the dorsal (top) surface of the hand. The veins on the lateral wrist above the thumb lie near the radial nerve, so this site should be avoided. The palmar surface of the hand poses increased risk of nerve and tendon involvement. The veins in the foot should not be used without specific physician orders because of an increased risk of necrosis and thrombophlebitis.
NEW QUESTION # 105
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