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| Section | Weight | Objectives |
|---|---|---|
| Specimen Processing & Handling | 14% | - Specimen rejection criteria - Aliquoting & preservation - Transport & storage requirements - Documentation & tracking - Processing & centrifugation |
| Patient Preparation | 20% | - Patient positioning & comfort - Site selection & preparation - Informed consent & communication - Requisition review & test verification - Patient identification & verification |
| Special Collections | 12% | - Therapeutic drug monitoring - Blood cultures & sterile collection - Pediatric & geriatric collections - Glucose tolerance & dynamic tests - Blood alcohol & legal collections |
| Safety and Compliance | 26% | - PPE & sharps disposal - Quality control & error prevention - Bloodborne pathogens & exposure control - Infection control & OSHA standards - HIPAA & patient confidentiality |
| Routine Blood Collections | 28% | - Venipuncture techniques & equipment - Post-collection care & labeling - Tourniquet use & vein assessment - Capillary puncture procedures - Order of draw & tube selection |
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NEW QUESTION # 10
Which of the following information should a phlebotomist document for a blood culture collection?
Answer: B
Explanation:
For blood culture collection, the phlebotomist should document the site of collection. Blood cultures are often drawn from separate sites to help distinguish true bloodstream infection from contamination. Accurate site documentation supports interpretation if one bottle set grows organisms and another does not. It also provides traceability for collection quality, timing, and possible contamination review. Type of culture media is generally determined by the blood culture bottle system and laboratory protocol; it is not the key patient-specific documentation item in this question. Blood collection technique is expected to follow facility policy, but it is not typically the primary required field compared with date, time, collector identity, and site. Informed consent is not usually a separate required document for routine blood culture collection unless facility policy or special circumstances require it. Blood culture technique requires strict antisepsis, appropriate bottle preparation, correct order, sufficient volume, and avoidance of contamination. NHA CPT special collection content includes performing blood culture collections, blood culture locations, skin preparation, equipment, volume requirements, bottle preparation, and order of draw. Reference topics: Special Collections; blood culture collection; site documentation; contamination control.
NEW QUESTION # 11
Which of the following can cause a preanalytic error for serum bilirubin?
Answer: A
Explanation:
Light exposure can cause a preanalytic error for serum bilirubin because bilirubin is light-sensitive. If a bilirubin specimen is exposed to light for too long, photodegradation can occur, leading to falsely decreased bilirubin results. This is why bilirubin specimens are commonly protected from light by using an amber container or wrapping the specimen in foil according to facility procedure. "Population" is not a specimen-handling variable that directly causes bilirubin degradation. "Pollutants" is too vague and does not identify the specific preanalytical issue tested here. "Location" may matter for collection site selection in some contexts, but it is not the classic handling error for bilirubin. The phlebotomist must know which specimens require special handling for light, temperature, time, transport, and processing. Failure to protect light-sensitive analytes can compromise specimen integrity before testing even begins, producing inaccurate laboratory results despite correct venipuncture technique. The NHA CPT outline directly includes maintaining specimen integrity based on handling requirements such as temperature, light, and time, as well as recognizing the impact of preanalytical errors on test results. Reference topics: Processing Specimens; bilirubin handling; light protection; preanalytical error.
NEW QUESTION # 12
Which of the following patient positions is safest for a patient who reports a history of fainting during blood draws?
Answer: C
Explanation:
A patient with a history of fainting should be positioned reclining or lying down before collection. Syncope is a common phlebotomy complication and can lead to falls, head injury, needle injury, or specimen loss if the patient is not positioned safely. Standing is never appropriate for venipuncture because a fainting patient can collapse. Sitting on an unsupported exam table is also unsafe because the patient may fall from a height. Sitting with legs crossed can affect circulation and does not protect against syncope. The phlebotomist should ask about prior fainting, observe the patient's color and behavior, explain the procedure calmly, and stop the draw if the patient becomes pale, diaphoretic, dizzy, nauseated, or unresponsive. If syncope occurs, the phlebotomist should remove the needle when safe, activate the safety device, call for assistance, lower the patient's head or follow facility policy, and monitor the patient until help arrives. Reference topics: Patient Preparation; syncope prevention; patient positioning; adverse reactions; venipuncture safety.
NEW QUESTION # 13
Using outdated supplies can result in which of the following?
Answer: D
Explanation:
Using outdated supplies can result in specimen rejection because expired collection materials may fail to preserve the specimen correctly or meet laboratory acceptance criteria. Expired evacuated tubes may have inadequate vacuum, degraded additives, compromised sterility, or incorrect blood-to-additive performance. These problems are preanalytical errors, meaning they occur before testing and can make results unreliable. The laboratory may reject the specimen rather than risk reporting inaccurate data. Stat processing refers to urgent priority handling and is unrelated to supply expiration. Postanalytical error occurs after testing, such as reporting or result-delivery mistakes, not from using expired collection supplies during acquisition. Claim rejection is a billing or insurance issue, not a specimen integrity issue. A competent phlebotomist prevents rejection by checking tube expiration dates, inspecting supplies, confirming required specimen type, filling tubes properly, mixing additives correctly, and following transport requirements. NHA CPT processing and routine collection content covers specimen integrity, preanalytical errors, equipment quality control, expiration checks, and recollection when required. Reference topics: Processing Specimens; preanalytical error; specimen rejection; equipment quality control.
NEW QUESTION # 14
Which of the following should a sharps container have?
Answer: D
Explanation:
A sharps container should have a leakproof lid or leak-resistant closure to prevent contaminated blood or fluid from escaping during handling, storage, or transport. Sharps containers must also be puncture-resistant, closable, upright and stable during use, and properly labeled or color-coded as biohazardous. A "room temperature" label is used for certain specimen storage or transport conditions, not for sharps disposal. A 1-gallon capacity is not a universal requirement; sharps containers come in multiple approved sizes depending on the setting and volume of use. Dual openings are not required and could increase risk if poorly designed. The essential safety standard is containment: the device must prevent puncture injury and leakage while allowing safe disposal at the point of use. The phlebotomist must never overfill a sharps container, reach into it, shake it, force items into it, or dispose of sharps in regular trash or soft biohazard bags. Reference topics: Safety and Compliance; sharps container requirements; biohazard disposal; OSHA bloodborne pathogen safety; needlestick prevention.
NEW QUESTION # 15
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