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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Infection Control and Safety | 16% | - Standard precautions and PPE usage - Bloodborne pathogen safety protocols |
| Topic 2: Specimen Processing and Transportation | 10% | - Labeling and documentation - Specimen handling, storage, and transport conditions |
| Topic 3: Equipment Selection and Maintenance | 10% | - Needle, tube, and collection device selection - Equipment handling and maintenance |
| Topic 4: Collection of Blood and Non-Blood Specimens | 29% | - Special collection procedures (blood cultures, glucose tolerance tests) - Non-blood specimen collection (urine, swabs) - Venipuncture procedures and order of draw - Capillary puncture techniques |
| Topic 5: Patient Identification, Assessment, and Site Preparation | 17% | - Patient verification procedures - Venipuncture site selection and preparation |
| Topic 6: Professionalism and Regulatory Compliance | 18% | - Professional behavior and ethics in healthcare settings - Regulatory compliance (OSHA, HIPAA awareness) |
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NEW QUESTION # 154
Proper technique for needle insertion includes:
Answer: C
Explanation:
The proper technique for anchoring the vein before venipuncture is known as the L hold technique. It involves using the fingers to support the back of the patient's arm below the elbow and placing the thumb 1 to 2 inches below and slightly to the side of the venipuncture site to pull the patients skin toward the wrist. The C hold technique, or the two-finger technique, should not be used because it may result in the needle springing back into the phlebotomist's index finger if the patient pulls his or her arm back Pushing down on the needle during insertion is painful and may increase the risk of blood leakage. Advancing the needle too slowly may prolong the patients discomfort.
NEW QUESTION # 155
When an infection is spread through droplets, the phlebotomist should don:
Answer: D
Explanation:
Infections that are spread via droplets can travel long distances in the air before dropping to the ground, especially when spread through sneezing and coughing. CDC guidelines recommend that a mask and face shield be donned by all healthcare providers when entering a the room of a patient that is on droplet precautions (for instance, in cases of seasonal influenza or pertussis). When the healthcare provider is at risk for exposure to bodily fluids, such as in the case of phlebotomy practices, gloves and gown are also recommended. N95 respirators are recommended for airborne diseases (e.gβ COVID-19, tuberculosis).
NEW QUESTION # 156
When attempting venipuncture on a rolling vein, the vein is likelyto move:
Answer: C
Explanation:
When attempting venipuncture on a rolling vein, the vein is likely to move laterally because it is not firmly attached to the tissue. Rolling veins are most common in infants and older adults, but they are not uncommon and can occur in any patient. Veins are more likely to roll if the needle punctures the vein on the side rather than in the middle. Stretching the skin tautly and anchoring the vein well with the thumb can help to prevent the vein from rolling.
NEW QUESTION # 157
The hydrogen breath test is most often used to test for:
Answer: C
Explanation:
The hydrogen breath test is most often used to test for lactose intolerance. Typically, exhaled breath contains very little hydrogen. However, if there is a problem with the digestion of lactose or other carbohydrates (such as fructose), bacteria in the colon ferment the carbohydrates, and this produces hydrogen. The hydrogen is absorbed into the systemic circulation and sent to the lungs, then it is exhaled. Higher than normal levels of hydrogen suggest a problem with carbohydrate metabolism.
NEW QUESTION # 158
Which of the following is an appropriate question to verify a patient's ID?
Answer: B
Explanation:
An appropriate question to verify a patient's ID is "Can you tell me your name and birthdate?" Asking for direct information is important because if a patient is confused or hard of hearing. he or she may answer "yes" or "no" to questions incorrectly. For inpatients, the ID band should always be checked to verify the information that they provide. If patients do not have an ID band, which is common in the outpatient setting, they should be asked to provide and spell their names and provide their birthdates.
NEW QUESTION # 159
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