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| Section | Weight | Objectives |
|---|---|---|
| Special Collections | 12% | - Blood cultures & sterile collection - Glucose tolerance & dynamic tests - Blood alcohol & legal collections - Pediatric & geriatric collections - Therapeutic drug monitoring |
| Specimen Processing & Handling | 14% | - Aliquoting & preservation - Processing & centrifugation - Documentation & tracking - Specimen rejection criteria - Transport & storage requirements |
| Patient Preparation | 20% | - Patient identification & verification - Site selection & preparation - Requisition review & test verification - Informed consent & communication - Patient positioning & comfort |
| Safety and Compliance | 26% | - Quality control & error prevention - HIPAA & patient confidentiality - Infection control & OSHA standards - Bloodborne pathogens & exposure control - PPE & sharps disposal |
| Routine Blood Collections | 28% | - Capillary puncture procedures - Order of draw & tube selection - Post-collection care & labeling - Tourniquet use & vein assessment - Venipuncture techniques & equipment |
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NEW QUESTION # 71
Which of the following specimens is commonly collected using filter paper?
Answer: A
Explanation:
Newborn screening specimens are commonly collected using filter paper. These specimens are obtained by heel puncture and applied to designated circles on approved filter paper cards. The blood must soak through completely from one side, filling each circle properly without layering multiple drops. Blood cultures are collected in aerobic and anaerobic culture bottles, not filter paper. Coagulation studies require light-blue citrate tubes filled to the correct blood-to-additive ratio. Crossmatch specimens are collected in tubes specified by the transfusion service, with strict patient identification and labeling requirements. Filter-paper collection has its own technical risks: insufficient saturation, layering, contamination, touching the collection area, failure to dry completely, and improper transport can all make the specimen unsatisfactory. The phlebotomist must warm the heel if needed, use an approved puncture site, avoid excessive squeezing, and allow the card to dry horizontally away from direct heat or sunlight. Reference topics: Special Collections; newborn screening; PKU/metabolic screening; filter-paper collection; infant heel puncture.
NEW QUESTION # 72
A phlebotomist asks a patient to state their full name and date of birth. Which of the following patient safety practices is the phlebotomist performing?
Answer: B
Explanation:
The phlebotomist is performing two-identifier verification. Correct patient identification requires using at least two approved identifiers, commonly full name and date of birth or medical record number. The patient should actively state the identifiers when able, rather than merely confirming information read aloud by the phlebotomist. This reduces the risk of wrong-patient collection and specimen mislabeling. Chain of custody is used for legal specimens such as forensic drug or alcohol testing and involves documenting specimen control from collection through testing. Therapeutic communication describes respectful, effective interaction with the patient but is not the specific safety practice being tested. Quality control calibration applies to instruments or testing systems, not patient identification. Patient identification is one of the most important steps in phlebotomy because every later step depends on it. A properly collected specimen is clinically useless and dangerous if it belongs to the wrong patient. Reference topics: Patient Preparation; patient identification; two identifiers; specimen labeling; patient safety.
NEW QUESTION # 73
Which of the following needle gauges can be used for blood donation collection?
Answer: B
Explanation:
Blood donation collection requires a large-bore needle because a full unit of blood must be collected efficiently while minimizing hemolysis and maintaining adequate flow into the collection bag. An 18-gauge needle is the correct option from the list. Blood donor collections commonly use larger needles than routine diagnostic venipuncture because donor collection volume is much greater than routine tube collection. A 25-gauge or 27-gauge needle is too small; it would slow flow excessively, increase mechanical stress on cells, and be inappropriate for donor collection. A 21-gauge needle is common for routine adult venipuncture but is not the best answer for blood donation collection because donor procedures require faster sustained flow. The phlebotomist must also confirm donor eligibility, follow blood bank protocol, use correct equipment, maintain aseptic technique, and monitor the donor for adverse reactions. The NHA CPT outline includes phlebotomy for blood donations and blood donation standards such as hemoglobin/hematocrit screening, weight, and complete screening. Reference topics: Special Collections; blood donation; needle gauge selection; donor collection standards.
NEW QUESTION # 74
Which of the following is the correct method for cleaning a small blood spill?
Answer: C
Explanation:
A small blood spill should be cleaned using an approved disinfectant according to facility policy. Blood is treated as potentially infectious, so spill response requires gloves, appropriate PPE, containment, removal of visible material, disinfection with correct contact time, and proper disposal of contaminated materials. Dry gauze alone does not disinfect the surface and can spread contamination. Air freshener has no disinfection role. Covering the spill and leaving it to dry is unsafe because dried blood may still represent a contamination hazard and creates exposure risk for staff and patients. The specific disinfectant may vary by facility, but it must be appropriate for bloodborne pathogens and used as directed. The phlebotomist must also avoid direct hand contact, dispose of materials in designated biohazard waste when required, and perform hand hygiene after glove removal. This question tests standard precautions, environmental safety, and infection-control discipline. Reference topics: Safety and Compliance; blood spill cleanup; disinfectants; standard precautions; biohazard waste.
NEW QUESTION # 75
Which of the following types of medication is an indication for an INR draw?
Answer: D
NEW QUESTION # 76
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