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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Equipment Selection and Maintenance | 10% | - Needle, tube, and collection device selection - Equipment handling and maintenance |
| Topic 2: Collection of Blood and Non-Blood Specimens | 29% | - Non-blood specimen collection (urine, swabs) - Venipuncture procedures and order of draw - Capillary puncture techniques - Special collection procedures (blood cultures, glucose tolerance tests) |
| Topic 3: Professionalism and Regulatory Compliance | 18% | - Regulatory compliance (OSHA, HIPAA awareness) - Professional behavior and ethics in healthcare settings |
| Topic 4: Specimen Processing and Transportation | 10% | - Specimen handling, storage, and transport conditions - Labeling and documentation |
| Topic 5: Patient Identification, Assessment, and Site Preparation | 17% | - Patient verification procedures - Venipuncture site selection and preparation |
| Topic 6: Infection Control and Safety | 16% | - Standard precautions and PPE usage - Bloodborne pathogen safety protocols |
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NEW QUESTION # 214
A sign with a picture of falling leaves may be used to indicate:
Answer: C
Explanation:
A sign with a picture of falling leaves indicates that fall precautions are required for the patient The letters DNR indicate a "do not resuscitate" order. A pink wristband or sign labeled "restricted extremity" may be used to indicate that the arm should not be used for venipuncture, blood pressures, or other procedures.
NEW QUESTION # 215
During a blood draw and collection in multiple vacuum tubes, if the third tube fails to fill, the most appropriate initial response is to:
Answer: C
Explanation:
During a blood draw and collection in multiple vacuum tubes, if the third tube fails to fill, the most appropriate initial response is to try a different vacuum tube. Tubes sometimes lose their vacuum. If the new tube also does not fill, then the phlebotomist should check to make sure that the entire bevel of the needle is completely under the skin. If a new tube does not solve the problem and the needle is in the correct place, the venipuncture may need to be discontinued and a new site tried.
NEW QUESTION # 216
Intraoperative blood collection may be used in which type of surgery?
Answer: A
Explanation:
Intraoperative blood collection is used for procedures in which the estimated amount of blood loss is 20% or more of the patient's blood volume. The blood is collected from the incision site, filtered, washed, and returned to the patient via an IV: it is a form of auto transfusion. It is typically used in patients undergoing cardiac, vascular, gvmecologic, trauma, or transplant surgery. Intraoperative blood collection is not used for cancer or lower GI tract surgery or for infants or small children due to the risk of anemia or cardiac arrest.
NEW QUESTION # 217
When attempting venipuncture on a rolling vein, the vein is likelyto move:
Answer: D
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 # 218
If a patient is chewing gum when the phlebotomist arrives to collect a blood specimen, the phlebotomist should:
Answer: D
Explanation:
If a patient is chewing gum when the phlebotomist arrives to collect a blood specimen, the phlebotomist should ask the patient to remove the gum before proceeding. The patient should not be eating or drinking anything or have anything in the mouth, except for what is needed for medical treatment. Because patients sometimes jerk or even faint during venipuncture, they may choke on the gum or other substance or swallow it inadvertently.
NEW QUESTION # 219
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