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| Section | Weight | Objectives |
|---|---|---|
| Infection Control and Safety | 16% | - Infection control procedures - Safety protocols and equipment |
| Patient Identification, Assessment and Site Preparation | 17% | - Patient assessment - Venipuncture site preparation - Patient identification verification |
| Professionalism and Regulatory Compliance | 18% | - Regulatory compliance and standards - Professional conduct and ethics |
| Equipment Selection and Maintenance | 10% | - Phlebotomy equipment selection - Equipment maintenance and care |
| Collection of Blood and Non-Blood Specimens | 29% | - Venipuncture techniques - Capillary collection techniques - Non-blood specimen collection - Patient recovery and adverse reactions |
| Specimen Processing and Transportation | 10% | - Specimen processing procedures - Specimen labeling and documentation - Specimen transportation requirements |
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NEW QUESTION # 269
After collecting a blood sample, a tube containing sodium citrate as an additive should be inverted:
Answer: B
Explanation:
After collecting a blood sample, a tube containing sodium citrate as an additive should be inverted 3-4 times rather than the 5-10 times required of other additives. Sodium citrate is an anticoagulant that binds to calcium, preventing blood clotting. Sodium citrate is preferred for coagulation tests (partial thromboplastin time [PTT] and activated partial thromboplastin time [aPTT]) because it best preserves coagulation factors. Tubes that contain sodium citrate have light- blue colored stoppers or black stoppers in special tubes used for the erythrocyte sedimentation rate. Shaking or inverting too much may activate the platelets, resulting in a shortened coagulation time.
NEW QUESTION # 270
Which of the following pieces of information does NOT have to be provided to patients as part of informed consent?
Answer: B
Explanation:
The information that does not have to be provided to patients as part of informed consent is the cost of testing; however, if the cost is extremely high, patients should be made aware of this, especially if they lack insurance. Patients do need to be aware of the methods used to conduct the test the risks of the test, and the benefits. If alternate methods of testing are available, patients should also be apprised of these so that they have the option to choose.
NEW QUESTION # 271
Which of the following statements regarding special blood collection procedures is FALSE?
Answer: B
Explanation:
An implanted port is attached to an indwelling line and should not be covered with a bandage. A heparin lock is a special type of cannula that can be left in the patient's vein for up to 48 hours; however, coagulation studies should not be drawn from a heparin lock. Arteriovenous (AV) shunts are usually created to provide access for dialysis. Venipuncture should not be performed on an AV shunt.
NEW QUESTION # 272
Mouth pipetting of a blood sample is:
Answer: C
Explanation:
Mouth pipetting which involves sucking a laboratory specimen into an open-ended tube, was once common practice in laboratories, but the practice was generally stopped in the 1970s when mechanical pipettes became available. However, mouth pipetting is still commonly used in developing nations where medical supplies are scarce and equipment is often outdated, so phlebotomists who work overseas should be aware that the practice puts them at high risk of disease and should never be utilized.
NEW QUESTION # 273
Proper technique for needle insertion includes:
Answer: D
Explanation:
The proper technique for anchoring the vein before venipuncture is known as the L hold technique. It involves using the fingers to support the back of the patient's arm below the elbow and placing the thumb 1 to 2 inches below and slightly to the side of the venipuncture site to pull the patients skin toward the wrist. The C hold technique, or the two-finger technique, should not be used because it may result in the needle springing back into the phlebotomist's index finger if the patient pulls his or her arm back Pushing down on the needle during insertion is painful and may increase the risk of blood leakage. Advancing the needle too slowly may prolong the patients discomfort.
NEW QUESTION # 274
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