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| Section | Weight | Objectives |
|---|---|---|
| Collection of Blood and Non-Blood Specimens | 29% | - Non-blood specimen collection - Capillary puncture procedures - Venipuncture techniques and procedures - Order of draw and tube selection |
| Equipment Selection and Maintenance | 10% | - Equipment handling, cleaning and maintenance - Selection of collection supplies and devices |
| Specimen Processing and Transportation | 10% | - Handling, storage and transport requirements - Specimen labeling and documentation - Processing and quality assurance |
| Infection Control and Safety | 16% | - Needle safety and injury prevention - Biohazard handling and disposal - Standard precautions and infection control |
| Patient Identification, Assessment, and Site Preparation | 17% | - Patient verification and consent - Site selection and preparation - Patient assessment and special considerations |
| Professionalism and Regulatory Compliance | 18% | - Regulatory standards (OSHA, CLSI, HIPAA) - Ethical and legal responsibilities - Professional conduct and communication |
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NEW QUESTION # 250
Proper procedure for TB skin testing includes:
Answer: A
Explanation:
When administering a tuberculosis (TB) skin test, avoid areas of the arm with scars, bruises, burns, or excessive hair because they may interfere with test results. Applying pressure to the site may force the antigen out of the site, while wiping the site with gauze may cause the antigen to be absorbed. Applying a bandage to the site may result in fluid absorption or irritation and may affect test results.
NEW QUESTION # 251
Which stopper color indicates the correct tube for a CBC?
Answer: D
Explanation:
The stopper color that indicates the correct tube for a complete blood count (CBC) is lavender/purple (EDTA). This tube is used for CBC, differential, reticulocyte count, sedimentation (sed) rate, platelet count, Coombs test, cyclosporine test, and flow cytometry. The light-blue-top tube (3.2% sodium citrate) is used for coagulation tests such as PT, PTT, and thrombin clotting time. The pink-top tube (K2EDTA) is used for blood typing and screening, direct Coombs, and HIV viral load. The green-top tube (sodium heparin) is used for ammonia, lactate, and human leukocyte antigen typing.
NEW QUESTION # 252
The left atrioventricular valve of the heart is called the:
Answer: C
Explanation:
The left atrioventricular valve of the heart is called the mitral valve. After the blood flows into the right atrium, it flows through the tricuspid valve to the right ventricle; from there it travels through the pulmonic valve to the pulmonary arteries and to the lungs for oxygenation. The blood returns through the pulmonic veins into the left atrium and then through the mitral valve to the left ventricle and out the aortic valve to the general circulation via the aorta.
NEW QUESTION # 253
STAT blood tests are often performed on plasma rather than serum because:
Answer: B
Explanation:
STAT (immediate) blood tests are often performed on plasma rather than serum because serum requires longer processing times-approximately 30 minutes for a clot to form and 10 minutes for centrifugation. Plasma can be processed immediately because it is collected in a tube with an anticoagulant, so no clot forms. The primary difference between plasma and serum is that plasma contains fibrinogen and serum does not, and the presence or absence of fibrinogen may alter some test results.
NEW QUESTION # 254
If a patient has paralysis and lack of sensation in the right arm and hand, the best choice for venipuncture is:
Answer: D
Explanation:
If a patient has paralysis and lack of sensation in the right arm and hand, the best choice for venipuncture is any appropriate site on the left arm. With paralysis, muscle tone is lost, and this may cause some pooling of blood, increasing the risk of thromboses. Additionally, the lack of sensation means that if a nerve is inadvertently injured, the patient will be unaware. If venipuncture from a paralyzed limb cannot be avoided, then the phlebotomist should follow procedures carefully and avoid any lateral probing and ensure that pressure is held on the puncture site until any bleeding has stopped.
NEW QUESTION # 255
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