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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Patient Identification, Assessment, and Site Preparation | 17% | - Patient assessment and special considerations - Site selection and preparation - Patient verification and consent |
| Topic 2: Infection Control and Safety | 16% | - Standard precautions and infection control - Biohazard handling and disposal - Needle safety and injury prevention |
| Topic 3: Equipment Selection and Maintenance | 10% | - Equipment handling, cleaning and maintenance - Selection of collection supplies and devices |
| Topic 4: Professionalism and Regulatory Compliance | 18% | - Ethical and legal responsibilities - Professional conduct and communication - Regulatory standards (OSHA, CLSI, HIPAA) |
| Topic 5: Collection of Blood and Non-Blood Specimens | 29% | - Non-blood specimen collection - Venipuncture techniques and procedures - Capillary puncture procedures - Order of draw and tube selection |
| Topic 6: Specimen Processing and Transportation | 10% | - Processing and quality assurance - Handling, storage and transport requirements - Specimen labeling and documentation |
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NEW QUESTION # 107
The myocardial infarction panel does NOT include:
Answer: B
Explanation:
The myocardial infarction (MI), or heart attack. panel does not include creatinine. The troponin test is the only test specific to cardiac muscle. Levels increase within 3-4 hours of an MI and stay elevated for 10-14 days. Myoglobin begins to increase within 2-3 hours of an MI, peaking within 8-12 hours; however, it is not specific to the heart but also found in skeletal muscle. Levels return to normal within 24 hours. Creatine kinase isoenzyme MB (CK-MB) increases within 3-4 hours, peaking at 18-24 hours and returning to normal within 72 hours.
NEW QUESTION # 108
To reduce the risk of transmission of a bloodborne pathogen via an open wound, the phlebotomist should:
Answer: B
Explanation:
Cleansing the wound with plain soap and water for at least 30 seconds is useful in reducing the risk oftransmission of a bloodborne pathogen via an open wound. Squeezing the wound or cleansing the wound with an antiseptic, bleach, or other caustic agent is not recommended.
NEW QUESTION # 109
A phlebotomist who wears contact lenses should:
Answer: A
Explanation:
A phlebotomist who wears contact lenses should wear protective goggles in the laboratory. While contact lenses may provide barrier protection in some cases of eye splashes, they can also pose problems. Some chemicals can penetrate soft lenses, with the lens then holding the substance in place against the cornea. Hard lenses can entrap foreign substances and material beneath them, resulting in abrasion of or other damage to the cornea. OSHA (Occupational Safety and Health Administration) allows the use of contact lenses with respirators.
NEW QUESTION # 110
If a patient sitting in a chair has a generalized convulsive seizure during venipuncture, the appropriate response is to discontinue venipuncture and:
Answer: B
Explanation:
If a patient sitting in a chair has a generalized convulsive seizure during venipuncture, the appropriate response is to discontinue venipuncture and call for help to ease the patient to the floor in order to avoid patient injury. The patient should be placed on one side if possible, but movements should not be restrained, and nothing should be placed in the patient's mouth. If possible, a pillow or blanket should be placed under the patient's head and restrictive clothing should be loosened. The time that the seizure begins and ends should be noted and first-aid personnel should be notified.
NEW QUESTION # 111
If a specimen must be chilled, the best method is to:
Answer: A
Explanation:
If a specimen must be chilled, the best method is to place the specimen in a water-and-ice mixture so that adequate contact is made. Placing it in or on ice alone is not adequate because the cold will not be applied uniformly. Refrigerating the specimen cools it too slowly, and placing it in dry ice poses the risk that hemolysis may occur because of the extreme temperature change. Whole blood specimens are not usually chilled.
NEW QUESTION # 112
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