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| Section | Objectives |
|---|---|
| Safety and Compliance | - OSHA standards and safety protocols - Needlestick prevention and biohazard disposal - Infection control and PPE usage |
| Patient Preparation | - Site selection and preparation - Explaining procedures and obtaining consent - Patient identification and communication |
| Specimen Collection | - Order of draw and tube handling - Capillary puncture procedures - Venipuncture techniques |
| Professional Practice | - Ethics and patient confidentiality (HIPAA) - Communication and professionalism |
| Specimen Processing and Handling | - Specimen transport and storage - Labeling and documentation - Quality control and rejection criteria |
>> Phlebotomy-Technician Exam Syllabus <<
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NEW QUESTION # 25
A phlebotomist should immediately report which of the following to a supervisor?
Answer: D
Explanation:
A needlestick injury must be reported immediately to a supervisor because it is an occupational exposure incident involving potential transmission of bloodborne pathogens. Immediate reporting triggers the facility's exposure-control plan, which may include wound cleansing, documentation, source-patient evaluation when permitted, employee health assessment, post-exposure prophylaxis consideration, and required follow-up testing. Delayed reporting can compromise medical management and regulatory documentation. Outdated blood collection supplies should be removed from use and handled according to inventory or quality-control policy, but they do not carry the same immediate occupational exposure urgency. An allergic reaction must be managed clinically and reported according to severity and facility procedure, but the most direct supervisor-reporting requirement in this item is the needlestick injury. Patient noncompliance with dietary requirements should be documented or communicated as required because it may affect test validity, but it is not an occupational exposure emergency. NHA CPT safety content specifically includes following exposure control plans for needle sticks, notification requirements, needle stick protocols, bloodborne pathogen standards, and reporting requirements. Reference topics: Safety and Compliance; needlestick injury; exposure control protocols; reporting requirements.
NEW QUESTION # 26
Which of the following actions should a phlebotomist take if a patient develops a rapidly forming hematoma during venipuncture?
Answer: B
Explanation:
If a rapidly forming hematoma develops, the phlebotomist should remove the needle and apply pressure. A hematoma occurs when blood leaks into surrounding tissue, often because the needle has gone through the vein, partially exited the vein, or the vein wall has been injured. Continuing the collection can worsen bleeding, increase pain, and compromise the specimen. Asking the patient to pump their fist increases venous pressure and can worsen leakage or alter some test results. Inserting the needle deeper is unsafe because it may worsen vessel injury or strike nearby structures. The correct response is to release the tourniquet, remove the needle, activate the safety device, apply firm pressure, and monitor the site. A bandage should be applied only after bleeding has stopped. The phlebotomist should document or report the complication according to facility policy and avoid recollecting from the affected site. Reference topics: Routine Blood Collections; hematoma; venipuncture complications; needle removal; post-procedure care.
NEW QUESTION # 27
At which of the following angles should a phlebotomist insert an antecubital venipuncture needle?
Answer: D
NEW QUESTION # 28
A phlebotomist is preparing a container for a 24-hr urine collection when a chemical splash occurs. The phlebotomist should find information about this chemical from which of the following sources?
Answer: B
Explanation:
The correct source is the Safety Data Sheet. An SDS provides chemical-specific information about hazards, exposure controls, personal protective equipment, first aid, spill response, handling, storage, and disposal. During a chemical splash, the phlebotomist must follow facility policy immediately, use the eyewash or shower if indicated, notify appropriate personnel, and consult the SDS for the exact chemical involved. Current Procedural Terminology is a medical coding system and has no role in chemical exposure response. The CDC provides infection-control guidance, but it is not the primary document for a specific chemical's hazard and first-aid requirements. OSHA establishes workplace safety regulations, including hazard communication expectations, but the SDS is the actual document used at the point of exposure for chemical-specific instructions. NHA CPT safety content includes workplace safety regulations, exposure control protocols, reporting requirements, PPE, and biohazard or chemical safety practices. OSHA also describes SDSs as documents containing chemical properties, hazards, protective measures, and safety precautions. Reference topics: Safety and Compliance; chemical exposure; SDS; OSHA hazard communication.
NEW QUESTION # 29
Which of the following actions should a phlebotomist take when administering first aid?
Answer: C
Explanation:
The correct first-aid action is to apply direct pressure to a patient who is hemorrhaging. Direct pressure is the immediate basic intervention to control external bleeding because it compresses the injured vessel and supports clot formation. Inserting anything into the mouth of a patient who is seizing is dangerous; it can damage teeth, obstruct the airway, or injure the responder. A fainting patient should be protected from injury, placed safely, monitored, and assisted according to facility protocol; a warm compress to the neck is not the correct primary response. A patient in shock should not be offered water because altered consciousness, nausea, or urgent medical instability creates aspiration risk and delays proper emergency care. In phlebotomy, first aid is not optional "nice-to-know" material; blood collection can trigger syncope, seizures, excessive bleeding, allergic reactions, or shock-like symptoms. The technician must stop the draw when needed, protect the patient, call for help, and follow emergency procedures. Reference topics: Safety and Compliance; first aid; hemorrhage control; emergency response; patient complications.
NEW QUESTION # 30
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