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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Safety and Compliance | 26% | - HIPAA & patient confidentiality - Infection control & OSHA standards - Quality control & error prevention - PPE & sharps disposal - Bloodborne pathogens & exposure control |
| Topic 2: Routine Blood Collections | 28% | - Capillary puncture procedures - Tourniquet use & vein assessment - Venipuncture techniques & equipment - Order of draw & tube selection - Post-collection care & labeling |
| Topic 3: Special Collections | 12% | - Glucose tolerance & dynamic tests - Therapeutic drug monitoring - Pediatric & geriatric collections - Blood alcohol & legal collections - Blood cultures & sterile collection |
| Topic 4: Specimen Processing & Handling | 14% | - Aliquoting & preservation - Processing & centrifugation - Documentation & tracking - Specimen rejection criteria - Transport & storage requirements |
| Topic 5: Patient Preparation | 20% | - Patient positioning & comfort - Requisition review & test verification - Patient identification & verification - Informed consent & communication - Site selection & preparation |
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NEW QUESTION # 107
A phlebotomist receives a phone call from a provider's practice asking for a patient's CBC results. To which of the following departments should the phlebotomist transfer the call?
Answer: D
Explanation:
A complete blood count, or CBC, is handled by the hematology department because it evaluates cellular components of blood, including red blood cells, white blood cells, hemoglobin, hematocrit, platelets, and differential findings when ordered. Chemistry focuses on analytes such as glucose, electrolytes, enzymes, renal markers, liver markers, and metabolic panels. Coagulation handles clotting studies such as PT, INR, aPTT, fibrinogen, and related hemostasis testing. Serology focuses on antigen-antibody testing and immune-response assays. A phlebotomist should not disclose results unless authorized by facility policy and role scope. The correct action is to direct the caller to the department that performs or releases the requested test result. This protects patient confidentiality and avoids miscommunication of clinical information. NHA CPT processing content includes communication between non-laboratory personnel, retrieving specimen or result data through laboratory systems, distributing results to ordering providers, and understanding blood components and laboratory testing roles. Reference topics: Processing Specimens; laboratory departments; hematology testing; communication of laboratory results.
NEW QUESTION # 108
Which of the following actions demonstrates active listening by a phlebotomist?
Answer: C
Explanation:
Restating the patient's concern for clarification demonstrates active listening. Active listening means giving attention, confirming understanding, and responding appropriately to the patient's expressed concern. For example, if a patient says, "I always pass out," the phlebotomist might respond, "You have fainted during blood draws before, so I'm going to position you safely and get assistance if needed." Interrupting the patient to save time is poor communication and may cause the technician to miss safety information. Looking away while the patient speaks can appear dismissive and reduce trust. Saying all patients feel the same way minimizes the patient's concern and is not individualized care. Active listening improves patient cooperation, consent, safety, and collection success. It also helps identify issues such as needle fear, syncope history, allergies, fasting noncompliance, language barriers, or previous complications. In phlebotomy, communication is not soft decoration; it is a safety tool. Reference topics: Patient Preparation; active listening; patient communication; anxiety reduction; patient interview.
NEW QUESTION # 109
OSHA requires employers to provide which of the following to employees who are at risk for bloodborne pathogen exposure?
Answer: C
Explanation:
OSHA requires employers to offer the hepatitis B vaccine to employees who have occupational exposure risk to bloodborne pathogens. Phlebotomists routinely handle blood, contaminated needles, sharps, and potentially infectious materials, so they fall into the category of workers who require bloodborne pathogen protection under workplace safety standards. Hepatitis B is a bloodborne viral infection that can be transmitted through needlestick injuries, mucous membrane exposure, or contact with contaminated blood. The vaccine is an important preventive measure and must be offered according to employer exposure-control procedures. Medical insurance and life insurance are employee benefit issues, not OSHA bloodborne-pathogen requirements. Phenylketonuria screening is a newborn metabolic screening test and has no connection to employee exposure prevention. In practice, the phlebotomist must also follow standard precautions, use PPE, activate safety devices, dispose of sharps immediately, report exposures, and comply with the facility exposure-control plan. Reference topics: Safety and Compliance; OSHA Bloodborne Pathogens Standard; hepatitis B vaccination; occupational exposure; needlestick prevention.
NEW QUESTION # 110
Which of the following actions should a phlebotomist take immediately after blood splashes into their eye?
Answer: A
Explanation:
The phlebotomist should immediately flush the eye with water at an eyewash station. Blood exposure to mucous membranes is a bloodborne pathogen exposure incident and requires immediate decontamination before administrative steps. Wiping the eye with gauze is inadequate and can irritate tissue or fail to remove infectious material. Continuing patient collections delays treatment and increases occupational risk. Applying antibiotic ointment is outside the phlebotomist's role and does not replace proper exposure response. After flushing, the phlebotomist must report the incident according to facility policy, complete required documentation, and obtain occupational health follow-up. This may include source-patient evaluation, baseline testing, and post-exposure prophylaxis assessment when indicated. The correct professional sequence is decontaminate first, report immediately, document accurately, and follow the exposure-control plan. This question tests standard precautions, exposure control, OSHA-related safety obligations, and emergency response in the phlebotomy environment. Reference topics: Safety and Compliance; bloodborne pathogen exposure; mucous membrane exposure; eyewash use; incident reporting.
NEW QUESTION # 111
Which of the following actions should a phlebotomist take after receiving a critical value?
Answer: D
Explanation:
A critical value must be reported to the provider directly and promptly according to facility policy. Critical values represent results that may indicate an immediate threat to the patient's health, so delayed communication can create patient-safety risk. The phlebotomist should follow the organization's read-back, documentation, escalation, and notification procedure, especially when the result comes from point-of-care or waived testing performed by the phlebotomist. Waiting until all collections are completed is unsafe because critical values require timely clinical action. Asking a colleague to repeat the testing is not the correct first response unless the facility's procedure specifically requires confirmatory testing and the phlebotomist is authorized to perform it. Recording the value in the chart for later nurse review is also insufficient because it does not ensure immediate provider notification. Critical value handling is part of specimen processing, communication, patient safety, and point-of-care testing responsibility. NHA CPT competencies include reporting abnormal or critical results, communicating with clinical personnel, documenting results, and following testing protocols. Reference topics: Processing Specimens; Special Collections; point-of-care testing; critical value reporting.
NEW QUESTION # 112
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