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| Section | Weight | Objectives |
|---|---|---|
| Equipment Selection and Maintenance | 10% | - Needle, tube, and collection device selection - Equipment handling and maintenance |
| Collection of Blood and Non-Blood Specimens | 29% | - Capillary puncture techniques - Venipuncture procedures and order of draw - Non-blood specimen collection (urine, swabs) - Special collection procedures (blood cultures, glucose tolerance tests) |
| Patient Identification, Assessment, and Site Preparation | 17% | - Venipuncture site selection and preparation - Patient verification procedures |
| Infection Control and Safety | 16% | - Bloodborne pathogen safety protocols - Standard precautions and PPE usage |
| Professionalism and Regulatory Compliance | 18% | - Regulatory compliance (OSHA, HIPAA awareness) - Professional behavior and ethics in healthcare settings |
| Specimen Processing and Transportation | 10% | - Specimen handling, storage, and transport conditions - Labeling and documentation |
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NEW QUESTION # 14
In therapeutic drug monitoring, trough levels are collected:
Answer: D
Explanation:
Trough levels are collected when the serum concentration of the drug is at its lowest level, usually just prior to administration of the next dose. Peak levels are collected when the serum concentration is highest, usually 30-60 minutes after drug administration. If the peak level is above the toxic threshold, the dose is toxic and must be decreased. The therapeutic window is the range of blood concentrations of the drug between the minimum effective concentration and the toxic concentration.
NEW QUESTION # 15
If a vein collapses during a blood draw, the initial action should be to:
Answer: C
Explanation:
If a vein collapses during a blood draw, the phlebotomist should apply gentle pressure on the vein above the venipuncture site with a flat index finger so that the vein fills with blood for a couple of seconds and then release, allowing the blood to continue to flow. Veins are most likely to collapse if blood was withdrawn too forcefully or if veins are small and fragile, such as may occur with older adults.
NEW QUESTION # 16
When using an evacuated tube system for venipuncture, how can the phlebotomist determine that the needle is correctly positioned in the vein?
Answer: A
Explanation:
When using an evacuated tube system for venipuncture, the phlebotomist must rely on sensing a decrease in resistance to determine if the needle is correctly positioned in the vein. There is no flash ofblood with an evacuated tube system, only with a needle and syringe. If the phlebotomist notes that the needle is vibrating, this is an indication that the needle is in a valve and needs to be repositioned. No blood will flow into the holder until the vacuum tube is inserted.
NEW QUESTION # 17
The hormone epinephrine:
Answer: B
Explanation:
The hormone epinephrine increases heart rate, blood pressure, and metabolic rate. The antidiuretic hormone (ADH) decreases urine production. Calcitonin lowers blood calcium levels. Melatonin helps set diurnal rhythms and is associated with seasonal affective disorder (SAD).
NEW QUESTION # 18
A phlebotomist who wears contact lenses should:
Answer: A
Explanation:
A phlebotomist who wears contact lenses should wear protective goggles in the laboratory. While contact lenses may provide barrier protection in some cases of eye splashes, they can also pose problems. Some chemicals can penetrate soft lenses, with the lens then holding the substance in place against the cornea. Hard lenses can entrap foreign substances and material beneath them, resulting in abrasion of or other damage to the cornea. OSHA (Occupational Safety and Health Administration) allows the use of contact lenses with respirators.
NEW QUESTION # 19
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