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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Patient Identification, Assessment, and Site Preparation | 17% | - Patient verification procedures - Venipuncture site selection and preparation |
| Topic 2: Professionalism and Regulatory Compliance | 18% | - Professional behavior and ethics in healthcare settings - Regulatory compliance (OSHA, HIPAA awareness) |
| Topic 3: Specimen Processing and Transportation | 10% | - Specimen handling, storage, and transport conditions - Labeling and documentation |
| Topic 4: Collection of Blood and Non-Blood Specimens | 29% | - Non-blood specimen collection (urine, swabs) - Capillary puncture techniques - Special collection procedures (blood cultures, glucose tolerance tests) - Venipuncture procedures and order of draw |
| Topic 5: Equipment Selection and Maintenance | 10% | - Equipment handling and maintenance - Needle, tube, and collection device selection |
| Topic 6: Infection Control and Safety | 16% | - Standard precautions and PPE usage - Bloodborne pathogen safety protocols |
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NEW QUESTION # 95
If, after obtaining a blood sample, a phlebotomist accidentally experiences a needlestick that does not draw blood, the phlebotomist should:
Answer: A
Explanation:
If a phlebotomist obtains a blood sample and then accidentally experiences a needlestick that does not draw blood, the phlebotomist should wash the site with soap and water. The incident must be reported as soon as possible to a supervisor, and needlestick protocol should be followed. This may include testing and/or prophylaxis for communicable diseases such as HIV, depending on the patients health history. In some cases, the patient may also be tested for communicable diseases in order to determine the risk to the phlebotomist.
NEW QUESTION # 96
The primary reason that specimens are rejected in the lab is:
Answer: D
Explanation:
The primary reason that specimens are rejected in the lab is hemolysis. Hemolysis may alter test results or preclude testing. Hemolysis may occur if blood is drawn from an area distal to the antecubital area, the wrong size of needle is used, alcohol on the skin has not dried and contaminates the specimen, venipuncture technique is poor, a syringe is used to withdraw blood, or the tourniquet is left in place for longer than 1 minute.
NEW QUESTION # 97
If a laboratory detects a suspected outbreak of an infectious disease, such as E coli infections, to which governmental agency should a report be made?
Answer: D
Explanation:
If a laboratory detects a suspected outbreak of an infectious disease, such as E. coli infections, the laboratory should report this to their local or state health department. The health department will investigate and then report their findings to the Centers for Disease Control and Prevention (CDC) through the National Outbreak Reporting System (NORS). The CDC may take action depending on the information reported through NORS and their own investigations. The CDC maintains the Global Health Center, the goal of which is to protect the health and safety of Americans by tracking disease outbreaks and ensuring efforts to reduce disease incidence worldwide. The CDC monitors outbreaks throughout the world, takes measures to prevent spread, and provides technical assistance to public health organizations worldwide, often in conjunction with the World Health Organization.
NEW QUESTION # 98
When carrying out a rapid test for group A streptococci from a throat swab, if there is no blue control line on the dipstick at 5 minutes, the test is:
Answer: A
Explanation:
When carrying out a rapid test for group A streptococci from a throat swab, if there is no blue control line on the dipstick at 5 minutes, the test is invalid, possibly because the dipstick is outdated. For the test a tube is filled with three drops each of reagents A and B and the swab is placed into the tube for 1 minute and rotated at least five times before removal. The dipstick is then placed in the tube for 5 minutes. The blue control line must appear within 5 minutes for a valid test. A positive finding is a pink or purple test line.
NEW QUESTION # 99
If a patient reports a history of episodes of syncope, the most appropriate response is to:
Answer: C
Explanation:
If a patient reports a history of episodes of syncope, the most appropriate response is to place the patient in a recumbent position, either lying flat or reclining in a chair, so that he or she does not fall or experience injury if an episode of syncope occurs. Syncope is fainting that occurs with a sudden drop in blood pressure, and is sometimes associated with stress or fear. Patients who are fearful of needles or the sight of blood are especially at risk for syncope during venipuncture.
NEW QUESTION # 100
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