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| Section | Weight | Objectives |
|---|---|---|
| Specimen Processing and Transportation | 10% | - Specimen transportation requirements - Specimen labeling and documentation - Specimen processing procedures |
| Collection of Blood and Non-Blood Specimens | 29% | - Patient recovery and adverse reactions - Venipuncture techniques - Non-blood specimen collection - Capillary collection techniques |
| Professionalism and Regulatory Compliance | 18% | - Professional conduct and ethics - Regulatory compliance and standards |
| Infection Control and Safety | 16% | - Infection control procedures - Safety protocols and equipment |
| Patient Identification, Assessment and Site Preparation | 17% | - Venipuncture site preparation - Patient identification verification - Patient assessment |
| Equipment Selection and Maintenance | 10% | - Equipment maintenance and care - Phlebotomy equipment selection |
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NEW QUESTION # 37
How long should the phlebotomist observe a venipuncture site for signs of excessive or persistent bleeding before applying a bandage?
Answer: D
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 # 38
Asthma is caused by:
Answer: A
Explanation:
Asthma is caused by obstruction of the airway due to inflammation. Bronchitis is caused by inflammation of the bronchial tubes. Hyperventilation is characterized by rapid breathing resulting in a loss of carbon dioxide. Hypoxia is caused by oxygen deficiency.
NEW QUESTION # 39
The POC test that is most accurate for monitoring heparin therapy is:
Answer: A
Explanation:
Even though aPTT is more commonly used to monitor heparin, the test that is most accurate is activated clotting time (ACT). Automated ACT analyzers measure how long it takes a blood sample to clot when activators are added to activate the clotting factors. This helps to determine how the body will respond to heparin and is more accurate than aPTT, especially if the patient is receiving high doses of heparin. The normal value for ACT may vary according to the equipment used, but it is generally 70-120 seconds. The therapeutic value is generally 150-600 seconds.
NEW QUESTION # 40
When the phlebotomist is using microcollection tubes for a fingerstick, the collection tube that should usually be filled first is:
Answer: A
Explanation:
When the phlebotomist is using microcollection tubes for a fingerstick the collection tube that should usually be filled first is the lavender-capped tube (this different from the order used with venipuncture) to ensure that the volume collected is sufficient for hematology tests. This is followed by other collection tubes that contain additives, and the plain tubes utilized for serum collection are filled last. In most cases, the first drop of blood is wiped away and the second drop of blood is collected.
NEW QUESTION # 41
When collecting a capillary blood sample after a fingerstick or heelstick, it is generally necessary to:
Answer: D
Explanation:
When collecting a capillary blood sample after a fingerstick or heelstick it is generally necessary to wipe away the first drop with a gauze pad because this first drop is likely to be contaminated and may contain some alcohol from the antiseptic, which may cause hemolysis or prevent the blood from forming drops. However, some point-of-care (POC) testing devices, such as those for glucose testing, recommend using the first drop, making them exceptions to the rule.
NEW QUESTION # 42
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