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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Patient Identification, Assessment, and Site Preparation | 17% | - Patient verification and consent - Patient assessment and special considerations - Site selection and preparation |
| Topic 2: Equipment Selection and Maintenance | 10% | - Equipment handling, cleaning and maintenance - Selection of collection supplies and devices |
| Topic 3: Professionalism and Regulatory Compliance | 18% | - Regulatory standards (OSHA, CLSI, HIPAA) - Ethical and legal responsibilities - Professional conduct and communication |
| Topic 4: Specimen Processing and Transportation | 10% | - Processing and quality assurance - Specimen labeling and documentation - Handling, storage and transport requirements |
| Topic 5: Infection Control and Safety | 16% | - Biohazard handling and disposal - Standard precautions and infection control - Needle safety and injury prevention |
| Topic 6: Collection of Blood and Non-Blood Specimens | 29% | - Venipuncture techniques and procedures - Capillary puncture procedures - Order of draw and tube selection - Non-blood specimen collection |
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NEW QUESTION # 295
If a patient complains of feeling faint during collection of a blood specimen, the tourniquet and needle should be removed, pressure should be applied, and then the patient should be:
Answer: D
Explanation:
If a patient complains of feeling faint during collection of a blood specimen, the tourniquet and needle should be removed; pressure applied: and then the patient reclined, lain flat or have his or her head and arms lowered. Tight clothing, especially around the neck and chest, should be loosened. Ammonia inhalants are no longer used because their use may result in adverse effects. Personnel trained in first aid should be notified so they can examine and monitor the patient.
NEW QUESTION # 296
If a venipuncture is requested at a specific time but the phlebotomist mistakenly collects the specimen 30 minutes late, the phlebotomist should:
Answer: D
Explanation:
If a venipuncture must be done at a specific time but the phlebotomist mistakenly collects the specimen 30 minutes late, the phlebotomist should report the late collection immediately because, depending on the type of test, the late collection may alter the results. If the situation is immediately brought to the attention of the laboratory supervisor, the specimen may be salvaged. It is unethical to fail to report an error or to hope that no one finds out.
NEW QUESTION # 297
The left atrioventricular valve of the heart is called the:
Answer: B
Explanation:
The left atrioventricular valve of the heart is called the mitral valve. After the blood flows into the right atrium, it flows through the tricuspid valve to the right ventricle; from there it travels through the pulmonic valve to the pulmonary arteries and to the lungs for oxygenation. The blood returns through the pulmonic veins into the left atrium and then through the mitral valve to the left ventricle and out the aortic valve to the general circulation via the aorta.
NEW QUESTION # 298
When the phlebotomist has trouble visualizing a vein, the best approach is to:
Answer: B
Explanation:
When having trouble visualizing a vein, the best approach is to ask the patient to make a fist but to avoid having them pump the fist because this may result in hemoconcentration and can affect the test results, especially that of potassium. The fist should be released as soon as blood begins to flow into the collection tube. Vigorously massaging the vein or leaving the tourniquet in place for more than 60 seconds can also cause hemoconcentration.
NEW QUESTION # 299
Which of the following steps can help prevent the development of a hematoma?
Answer: C
Explanation:
Steps that can help prevent the development of a hematoma include:
*Maintaining the position of the needle throughout the specimen collection
*Removing the tourniquet before removing the needle
*Removing the tube from the holder before removing the needle
*Examining the puncture site to ensure it is properly sealed prior to applying a bandage If bruising, swelling, or other signs of a hematoma are evident during collection, the needle must be removed immediately and pressure must be applied to the site.
NEW QUESTION # 300
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