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| Section | Weight | Objectives |
|---|---|---|
| Specimen Processing and Transportation | 10% | - Specimen processing procedures - Specimen transportation requirements - Specimen labeling and documentation |
| Patient Identification, Assessment and Site Preparation | 17% | - Patient identification verification - Venipuncture site preparation - Patient assessment |
| Infection Control and Safety | 16% | - Safety protocols and equipment - Infection control procedures |
| Professionalism and Regulatory Compliance | 18% | - Regulatory compliance and standards - Professional conduct and ethics |
| Equipment Selection and Maintenance | 10% | - Equipment maintenance and care - Phlebotomy equipment selection |
| Collection of Blood and Non-Blood Specimens | 29% | - Patient recovery and adverse reactions - Venipuncture techniques - Capillary collection techniques - Non-blood specimen collection |
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NEW QUESTION # 43
Exercise increases blood levels of all of the following EXCEPT:
Answer: C
Explanation:
Exercise may increase blood levels of protein, insulin, glucose, cholesterol, and skeletal muscle enzymes, but it does not affect liver enzyme levels.
NEW QUESTION # 44
The greatest risk when a tube breaks during centrifugation is:
Answer: A
Explanation:
The greatest risk when a tube breaks during centrifugation is aerosolization of the specimen because the spinning specimen breaks down into droplets, which can be easily inhaled or can land on exposed skin, increasing risk of infection. Aerosolization can also occur if collection tubes are overfilled or if the caps come off during processing. Additionally, care must be used if removing a cap after centrifugation. Buckets, tubes, and rotors should be carefully spaced and balanced before centrifugation.
NEW QUESTION # 45
During a venipuncture, if the patient cries out and complains of severe pain, the most appropriate response is to:
Answer: D
Explanation:
During a venipuncture, if the patient cries out and complains of severe pain, the most appropriate response is to immediately remove the needle even if it is in the middle of a draw. Severe pain may be an indication of damage to a nerve. Symptoms of nerve injury may additionally include shooting pain or shock-like electrical pain, tingling numbness, or tremor in the limb. If the blood draw must still be done, another site (such as the opposite arm) must be selected. The injury must be documented, and the ordering healthcare provider must be notified.
NEW QUESTION # 46
All of the following are indicative of a UTI EXCEPT:
Answer: C
Explanation:
A positive nitrite test in conjunction with a positive leukocyte test is indicative of urinary tract infection (UTI): a urine culture positive for blood or protein is also indicative of UTI. Glucose in the urine may be indicative of diabetes mellitus.
NEW QUESTION # 47
How long should the phlebotomist observe a venipuncture site for signs of excessive or persistent bleeding before applying a bandage?
Answer: A
Explanation:
The phlebotomist should observe a venipuncture site for 5-10 seconds for signs of excessive or persistent bleeding before applying a gauze pressure bandage. If there is bleeding, direct pressure should be applied until the bleeding is stopped and then the pressure dressing is applied. The patient should avoid exposing the site to direct pressure (such as that from a purse strap) or exertion for the next several hours to avoid reopening the wound and causing bleeding.
NEW QUESTION # 48
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