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| Section | Weight | Objectives |
|---|---|---|
| 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 |
| Patient Identification, Assessment, and Site Preparation | 17% | - Patient verification procedures - Venipuncture site selection and preparation |
| Specimen Processing and Transportation | 10% | - Specimen handling, storage, and transport conditions - Labeling and documentation |
| Infection Control and Safety | 16% | - Bloodborne pathogen safety protocols - Standard precautions and PPE usage |
| Collection of Blood and Non-Blood Specimens | 29% | - Venipuncture procedures and order of draw - Special collection procedures (blood cultures, glucose tolerance tests) - Capillary puncture techniques - Non-blood specimen collection (urine, swabs) |
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NEW QUESTION # 98
To prevent hemoconcentration during venipuncture, the phlebotomist should:
Answer: C
Explanation:
To prevent hemoconcentration during venipuncture, the phlebotomist should ask the patient to release his or her fist when blood begins to flow: fist-pumping may increase blood potassium levels and should not be encouraged. Excessively massaging the site or probing or redirecting the needle multiple times may result in hemoconcentration.
NEW QUESTION # 99
When obtaining a blood specimen for coagulation tests (PT, aPTT), when is the use of a discard tube indicated?
Answer: D
Explanation:
When obtaining a blood specimen for coagulation tests (PT, aPTT), the use of a discard tube is indicated when a winged (butterfly) blood collection set is used and the coagulation tube is filled first. At one time, it was standard procedure to obtain a discard tube of 5 mL of blood when the coagulation tube was the first tube to be filled, but studies have indicated that this is not necessary when using a straight needle. However, when using a winged (butterfly) needle, the discard tube is collected in order to prime the tubing so that the correct ratio of blood to anticoagulant is maintained.
NEW QUESTION # 100
In therapeutic drug monitoring, sample collection timing is MOST critical for:
Answer: B
Explanation:
Collection timing is most critical for monitoring therapeutic drugs with short half-lives, such as the aminoglycosides. Timing is less critical for testing for levels of drugs with longer half-lives such as phenobarbital or digoxin, and even less so for ethanol, or blood alcohol, testing.
NEW QUESTION # 101
The POC test that is most accurate for monitoring heparin therapy is:
Answer: C
Explanation:
Even though aPTT is more commonly used to monitor heparin, the test that is most accurate is activated clotting time (ACT). Automated ACT analyzers measure how long it takes a blood sample to clot when activators are added to activate the clotting factors. This helps to determine how the body will respond to heparin and is more accurate than aPTT, especially if the patient is receiving high doses of heparin. The normal value for ACT may vary according to the equipment used, but it is generally 70-120 seconds. The therapeutic value is generally 150-600 seconds.
NEW QUESTION # 102
When collecting a blood sample from a geriatric patient, it is important to recognize that
Answer: D
Explanation:
When collecting a blood sample from a geriatric patient, it is important to recognize that the veins are more likely to collapse or roll because the tissue and veins are less elastic and the veins are less secured. Older adults often have skin that is thinner and more friable, with less underlying subcutaneous fat, than that of younger people. Although this may make vessels easier to visualize, they may be more difficult to access. Blood flow may be slower because of the narrowing of vessels that occurs with age.
NEW QUESTION # 103
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