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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Infection Control and Safety | 16% | - Bloodborne pathogen safety protocols - Standard precautions and PPE usage |
| Topic 2: Specimen Processing and Transportation | 10% | - Labeling and documentation - Specimen handling, storage, and transport conditions |
| Topic 3: Professionalism and Regulatory Compliance | 18% | - Professional behavior and ethics in healthcare settings - Regulatory compliance (OSHA, HIPAA awareness) |
| Topic 4: Patient Identification, Assessment, and Site Preparation | 17% | - Venipuncture site selection and preparation - Patient verification procedures |
| Topic 5: Collection of Blood and Non-Blood Specimens | 29% | - Capillary puncture techniques - Non-blood specimen collection (urine, swabs) - Special collection procedures (blood cultures, glucose tolerance tests) - Venipuncture procedures and order of draw |
| Topic 6: Equipment Selection and Maintenance | 10% | - Equipment handling and maintenance - Needle, tube, and collection device selection |
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NEW QUESTION # 299
When selecting an antecubital vein, priority should be given to veins in the:
Answer: A
Explanation:
When selecting an antecubital vein, priority should be given to veins in the median (middle) aspect. These include the median vein and the lateral aspect of the median cubital vein. If these are not satisfactory, the next to consider are the veins in the lateral (outer) including the cephalic vein and the accessory cephalic vein, although there is increased risk of injury to the lateral nerve. The last to consider are the veins in the medial (inner) aspect. These include the basilic vein and the medial aspect of the median cubital vein. Venipuncture in these veins poses increased risk of injury to the brachial artery and median antebrachial cutaneous nerves.
NEW QUESTION # 300
If peritoneal fluid is aspirated during a paracentesis and must be tested for cell counts, which type of specimen tube is indicated?
Answer: B
Explanation:
When peritoneal fluid is aspirated during a paracentesis and must be tested for cell counts, the type of specimen tube that is indicated is EDTA. A sterile heparinized tube is used for cultures, a heparin or sodium fluoride tube is for chemistries, and a nonanticoagulant tube is for biochemical tests. Serous fluid is usually pale yellow in appearance and may include pericardial fluid that surrounds the heart, pleural fluid from the space around the lungs, and peritoneal fluid from the abdominal cavity.
NEW QUESTION # 301
Following venipuncture with excessive bleeding, a saturated bloodstained gauze should be placed in a:
Answer: A
Explanation:
Following venipuncture with excessive bleeding, a saturated bloodstained gauze should be placed in a hazardous waste container, which should be clearly marked as such. Bloodstained gauze can be deposited in an open trash container, such as a bedside wastebasket, if the blood is dry or the gauze is not saturated. It should never be placed in a sharps container, which should be reserved for needles and other sharps and attached equipment only. Placing gauze in the sharps container may prevent needles from falling to the bottom of the container.
NEW QUESTION # 302
Which of the following is NOT part of the renal system?
Answer: C
Explanation:
The adrenal glands sit on top of the kidneys, but these glands are part of the endocrine system and not the renal (kidney/urinary) system. The renal system excretes waste products in urine, regulates blood volume and blood pressure as well as blood pH and levels of electrolytes. It comprises two kidneys (located in the right and left flank areas) with ureters (which carry urine) extending from the kidneys to the bladder (which collects urine). The urethra carries the urine to the external meatus (opening) during urination.
NEW QUESTION # 303
With outpatients, urine specimens should be collected prior to venipuncture because:
Answer: B
Explanation:
With outpatients, urine specimens should be collected prior to venipuncture because patients may feel light-headed and faint in the bathroom after venipuncture, increasing the risk of injury. If the patient has locked the door or there is no obvious indication that the patient has fainted, the patient may not receive needed first aid for an extended time. Generally, venipuncture should be the last test carried out when tests of multiple body fluids are ordered.
NEW QUESTION # 304
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