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| Section | Weight | Objectives |
|---|---|---|
| Infection Control and Safety | 16% | - Standard precautions and PPE usage - Bloodborne pathogen safety protocols |
| Patient Identification, Assessment, and Site Preparation | 17% | - Patient verification procedures - Venipuncture site selection and preparation |
| Professionalism and Regulatory Compliance | 18% | - Regulatory compliance (OSHA, HIPAA awareness) - Professional behavior and ethics in healthcare settings |
| Equipment Selection and Maintenance | 10% | - Needle, tube, and collection device selection - Equipment handling and maintenance |
| Specimen Processing and Transportation | 10% | - Labeling and documentation - Specimen handling, storage, and transport conditions |
| Collection of Blood and Non-Blood Specimens | 29% | - Non-blood specimen collection (urine, swabs) - Venipuncture procedures and order of draw - Capillary puncture techniques - Special collection procedures (blood cultures, glucose tolerance tests) |
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NEW QUESTION # 38
Proper capillary blood collection procedure includes:
Answer: C
Explanation:
During capillary blood collection, the first drop of blood should be wiped away, as it may be contaminated with tissue fluid or may contain alcohol residue that may hemolyze the specimen or prevent blood from forming a well-rounded drop. Using strong repetitive pressure to "milk" the site may result in hemolysis or tissue fluid contamination. Using a scooping motion against the skin surface may cause platelet clumping or hemolysis. Removing the tube from the site may create air spaces in the specimen that interfere with test results.
NEW QUESTION # 39
When using a portable heat block to maintain a blood specimen at body temperature, the phlebotomist should expect the heat block to hold the temperature for approximately:
Answer: C
Explanation:
When using a portable heat block to maintain a blood specimen at body temperature, the phlebotomist should expect the heat block to hold the temperature for approximately 15 minutes. Typically, the specimen tube should also be prewarmed to body temperature or 37 'C (98.6 The specimen should be transported to the lab as soon as possible and transferred to a heating device that will maintain the appropriate temperature.
NEW QUESTION # 40
If asked to transport a urine specimen to the laboratory, the phlebotomist should know that the longest the specimen can be stored at room temperature is:
Answer: C
Explanation:
If asked to transport a urine specimen to the laboratory, the phlebotomist should know that the longest the specimen can be stored at room temperature is 2 hours. If a urine specimen will not be processed within 60 minutes, it may be transferred into a urinalysis tube that contains a preservative. If the specimen is unpreserved and processing will be delayed beyond 2 hours, the specimen must be protected from exposure to light and can be refrigerated for up to 24 hours.
NEW QUESTION # 41
Which of the following statements regarding special blood collection procedures is FALSE?
Answer: C
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 # 42
When transporting a specimen at room temperature, an appropriate temperature is:
Answer: B
Explanation:
When transporting a specimen at room temperature, an appropriate temperature is 22° C (71.6 °F). Specimens that are transported or handled at room temperature should be maintained in an environment around 20-30 °C (68-86 °F), although some measurands may begin to deteriorate with extended temperatures greater than 22°C (71.6 °F). Specimens that must be maintained at body temperature should be kept at 36.4-37.6 °C (96.8-99.7 °F). Specimens transported and handled in the wrong temperature range may be altered.
NEW QUESTION # 43
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