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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Safety and Compliance | 26% | - Quality control & error prevention - Infection control & OSHA standards - Bloodborne pathogens & exposure control - HIPAA & patient confidentiality - PPE & sharps disposal |
| Topic 2: Patient Preparation | 20% | - Site selection & preparation - Patient identification & verification - Requisition review & test verification - Patient positioning & comfort - Informed consent & communication |
| Topic 3: Routine Blood Collections | 28% | - Capillary puncture procedures - Venipuncture techniques & equipment - Tourniquet use & vein assessment - Order of draw & tube selection - Post-collection care & labeling |
| Topic 4: Specimen Processing & Handling | 14% | - Aliquoting & preservation - Transport & storage requirements - Processing & centrifugation - Specimen rejection criteria - Documentation & tracking |
| Topic 5: Special Collections | 12% | - Blood cultures & sterile collection - Pediatric & geriatric collections - Therapeutic drug monitoring - Glucose tolerance & dynamic tests - Blood alcohol & legal collections |
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NEW QUESTION # 108
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: A
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 # 109
A patient calls about their laboratory results, which the phlebotomist has just retrieved from the office fax machine. Which of the following actions should the phlebotomist take?
Answer: C
Explanation:
The phlebotomist should give the report to the requesting provider to review and notify the patient. Laboratory results are protected health information and often require clinical interpretation. A phlebotomist should not independently review, interpret, or communicate diagnostic results unless facility policy specifically authorizes a defined action. Telling the patient the results directly can create legal, privacy, and clinical risks, especially if the result is abnormal or requires medical explanation. Asking a laboratory supervisor to interpret and report the results is also inappropriate unless that person is the authorized provider or designated reporting professional. Telling the patient to pick up results may violate release-of-information procedures and still bypass provider review. The safe workflow is to route the report to the ordering provider or authorized clinical team for interpretation, documentation, and patient notification. Reference topics: Processing Specimens; communication of results; confidentiality; HIPAA; scope of practice; postanalytical handling. NHA CPT competencies include legal responsibilities, patient confidentiality, documentation, and result communication workflows.
NEW QUESTION # 110
Which of the following is an example of a patient giving a phlebotomist implied consent to complete a blood draw?
Answer: A
Explanation:
The patient extending their arm is an example of implied consent because the patient's action indicates cooperation with the blood draw without a written or explicit verbal statement. In routine phlebotomy, implied consent often occurs when the patient allows identification, listens to the procedure explanation, and physically presents the arm for collection. Signing a consent form is written consent, not implied consent. Saying "Okay" is verbal or expressed consent because the patient directly communicates agreement. Asking questions about the procedure is not consent by itself; it shows the patient is seeking information before deciding whether to proceed. The phlebotomist must still explain the procedure, verify identity, answer process-related questions within scope, respect refusal, and avoid coercion. Consent is not a technical formality; it is tied to patient rights, communication, and ethical practice. If a patient refuses or withdraws cooperation, the technician should not force collection and should follow facility reporting procedures. Reference topics: Patient Preparation; consent types; patient rights; communication; routine venipuncture preparation.
NEW QUESTION # 111
A phlebotomist observes that the lid of a sharps container will not close. Which of the following actions should the phlebotomist take?
Answer: D
Explanation:
The sharps container should be replaced. A sharps container must be closable, puncture-resistant, leak-resistant, and properly labeled or color-coded. If the lid will not close, the container no longer provides safe containment and creates a needlestick or exposure hazard. Continuing to use it is unsafe even if it has not reached the fill line. Emptying sharps into another container is strictly inappropriate because it requires handling contaminated needles and increases exposure risk. Taping the opening closed is not an approved correction and does not restore the container's designed safety function. The phlebotomist should obtain an approved replacement container and report the defective container according to facility protocol. This is not a minor housekeeping issue; sharps disposal is an engineering-control requirement designed to prevent occupational exposure to bloodborne pathogens. Phlebotomy technicians must dispose of needles immediately after use, never recap used needles, and never place sharps in regular trash or soft biohazard bags. Reference topics: Safety and Compliance; sharps disposal; engineering controls; needlestick prevention.
NEW QUESTION # 112
A phlebotomist is preparing to perform a phlebotomy procedure on a hospitalized patient. Which of the following steps should the phlebotomist take for the initial introduction?
Answer: D
Explanation:
The best initial introduction is to knock on the door, greet the patient, and introduce themselves. This sequence respects privacy, establishes professional presence, and begins communication before any technical identification or collection step. Entering quietly without first knocking may be inappropriate in a patient-care environment because the patient has a right to privacy and dignity. Turning on lights immediately can be abrupt, especially for hospitalized patients who may be resting, anxious, or ill. Checking the ID band is essential, but it follows professional entry and introduction. Checking the provider's prescription or order is important before collection, but it is not the interpersonal "initial introduction" step at bedside. The correct approach supports patient cooperation, consent, and safety. After introduction, the phlebotomist should verify the order, use two identifiers, explain the procedure, assess patient readiness, and obtain consent according to facility policy. Reference topics: Patient Preparation; therapeutic communication; patient rights; bedside approach; patient identification; consent. NHA's CPT test plan includes patient communication and preparation as a major domain.
NEW QUESTION # 113
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