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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Equipment Selection and Maintenance | 10% | - Equipment handling and maintenance - Needle, tube, and collection device selection |
| Topic 2: Infection Control and Safety | 16% | - Bloodborne pathogen safety protocols - Standard precautions and PPE usage |
| Topic 3: Patient Identification, Assessment, and Site Preparation | 17% | - Patient verification procedures - Venipuncture site selection and preparation |
| Topic 4: Collection of Blood and Non-Blood Specimens | 29% | - Non-blood specimen collection (urine, swabs) - Special collection procedures (blood cultures, glucose tolerance tests) - Venipuncture procedures and order of draw - Capillary puncture techniques |
| Topic 5: Specimen Processing and Transportation | 10% | - Specimen handling, storage, and transport conditions - Labeling and documentation |
| Topic 6: Professionalism and Regulatory Compliance | 18% | - Professional behavior and ethics in healthcare settings - Regulatory compliance (OSHA, HIPAA awareness) |
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NEW QUESTION # 211
If a patient is markedly obese, the first site to check for vein access is the:
Answer: C
Explanation:
If a patient is markedly obese, the first site to check is the antecubital area because patients often exhibit a double crease in that area. and the median cubital vein can often be easily palpated and accessed within that creased space. If the phlebotomist is unable to locate the median cubital vein, the cephalic vein may sometimes be accessed if the arm is rotated medially. The phlebotomist may also ask the patient where blood draws have been successful previously.
NEW QUESTION # 212
The order of the draw for specimens obtained by capillary puncture is (first to last):
Answer: D
Explanation:
The order of the draw for specimens obtained by capillary puncture is (first to last) EDTA specimens, specimens requiring other additives, then serum specimens. Puncturing the skin begins the coagulation process because the body responds to trauma with hemostasis and clotting so the specimens should be obtained quickly, with the EDTA specimen collected first because this specimen will be used for hematology studies and will be the most affected by clotting.
NEW QUESTION # 213
If a phlebotomist is asked to transport a nonblood specimen, such as a urine sample, to the laboratory for testing, the phlebotomist should:
Answer: D
Explanation:
If the phlebotomist is asked to transport a nonblood specimen, such as a urine sample, to the laboratory for testing, the phlebotomist should verify that the specimen is labeled correctly. The label should be on the container and not the lid (which must be removed for testing) and should contain the same type of identifying information as on the blood sample containers. Additionally, the type and source of the sample should be identified on the label because different types of samples may have similar appearances.
NEW QUESTION # 214
Which of the following actions may result in hemolysis of a specimen?
Answer: B
Explanation:
Collecting a specimen from a vascular access device (VAD) may result in hemolysis of a specimen. A specimen should also not be collected during an intravenous (livo line start. Additional precautions include ensuring that the needle is secure, avoiding forcibly pulling on a plunger to withdraw blood or forcefully transferring blood from a syringe into a tube, discontinuing a sluggish draw, avoiding the use of 25-gauge needles, limiting tourniquet use to 60 seconds, and avoiding shaking or vigorously mixing specimens.
NEW QUESTION # 215
Which of the following is NOT a cause of vein collapse?
Answer: A
Explanation:
A collapsed vein may result from the vacuum draw of the tube, pressure from pulling on the syringe, or if the tourniquet is too tight or too close to the venipuncture site. Frequent venipunctures, whether to draw blood or inject medications, can also cause veins to collapse. Stoppage of blood flow when the tourniquet is removed may simply indicate that the needle is not positioned properly slightly adjusting the needle usually reestablishes blood flow.
NEW QUESTION # 216
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