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| Section | Objectives |
|---|---|
| Topic 1: Safety and Compliance | - HIPAA and patient confidentiality - Infection control and standard precautions - OSHA regulations and patient safety |
| Topic 2: Patient Preparation | - Patient identification and communication - Site selection and preparation - Specimen labeling procedures |
| Topic 3: Specimen Processing and Handling | - Specimen transport and storage - Quality assurance procedures - Common errors and rejection criteria |
| Topic 4: Routine Blood Collections | - Venipuncture procedures - Order of draw - Equipment selection and use |
| Topic 5: Special Collections | - Pediatric and geriatric considerations - Capillary puncture (fingerstick/heel stick) - Non-routine specimen collection methods |
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NEW QUESTION # 66
Which of the following actions should a phlebotomist take when transporting specimens to an outside laboratory?
Answer: C
Explanation:
The phlebotomist should use appropriate leakproof transport packaging when specimens are transported to an outside laboratory. Specimen transport must protect the patient sample, courier, laboratory personnel, and documentation from leakage, breakage, contamination, and temperature-related instability. Requisitions should be kept separate from the specimen container, usually in an outer pouch, so paperwork is not contaminated if leakage occurs. Removing labels is never acceptable because identification must remain intact from collection through testing. Freezing all specimens is incorrect because temperature requirements are test-specific; freezing some specimens can destroy cells, alter analytes, or make the sample unsuitable. Proper transport includes correct labeling, biohazard identification, absorbent material when required, secure closure, upright positioning when appropriate, and compliance with time, light, and temperature requirements. The phlebotomist must know the difference between routine transport, chilled transport, frozen transport, and protected-from-light transport. Reference topics: Processing Specimens; specimen transport; leakproof packaging; biohazard handling; specimen integrity.
NEW QUESTION # 67
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 # 68
Which of the following actions should the phlebotomist take after filling the last tube of a venipuncture procedure?
Answer: C
Explanation:
After the last tube has filled, the phlebotomist must complete the venipuncture termination sequence safely. The correct action from the choices is to withdraw the needle from the puncture site. In routine venipuncture, the tourniquet is released before needle removal, then the needle is withdrawn smoothly, the safety device is activated, and pressure is applied with clean gauze or cotton only after the needle is out. Applying cotton while the needle is still inserted can cause the needle to cut or traumatize the vein. Cleaning the site with antiseptic occurs before puncture, not after collection. A warm compress is not part of routine completion; it may be used only for selected complications or difficult venous access before collection. The NHA CPT outline specifically includes standard tourniquet removal, needle removal, safety-device use, post-procedural care, and bandaging as routine blood collection competencies. Reference topics: Routine Blood Collections; removing tourniquet, tubes, and needle; post-procedural patient care.
NEW QUESTION # 69
When performing a capillary collection, which of the following tubes should a phlebotomist collect last?
Answer: D
Explanation:
In capillary collection, the red tube should be collected last from the options listed. Capillary order of draw differs from venipuncture order of draw because capillary blood begins clotting quickly after puncture. Tubes containing anticoagulants are collected before serum tubes to prevent platelet clumping and microclot formation that could invalidate hematology or other additive-based testing. Lavender EDTA specimens are typically prioritized early because hematology testing requires well-mixed anticoagulated whole blood. Lithium heparin is also an additive tube and should be collected before a non-additive or serum specimen. Red tubes are generally serum tubes and are collected later because clotting is expected for serum production. Microhematocrit collection depends on the procedure and whether anticoagulated capillary tubes are used, but it is not the best answer for "last" in this item. The phlebotomist must also wipe away the first drop, avoid excessive squeezing, fill microcollection containers properly, and mix additive specimens immediately by gentle inversion. NHA CPT competencies include dermal puncture, capillary order of draw, microcollection devices, and specimen integrity. Reference topics: Routine Blood Collections; capillary collection; dermal puncture; microcollection order of draw.
NEW QUESTION # 70
Which of the following PPE should a phlebotomist wear when there is a risk of blood splatter during collection?
Answer: C
Explanation:
When there is a risk of blood splatter, the phlebotomist should wear eye and face protection, such as a face shield or goggles with a mask. Standard gloves protect the hands but do not protect the mucous membranes of the eyes, nose, and mouth. Sterile gloves are not routinely required for standard venipuncture; clean gloves are typically used unless a sterile procedure is specified. Shoe covers are not the primary protection for facial splash exposure. An N95 respirator protects against airborne particles but does not replace splash protection unless combined with appropriate eye and face protection when needed. The correct PPE is based on anticipated exposure. A routine venipuncture may require gloves only, but procedures with splash risk require additional barriers. The phlebotomist must evaluate the procedure, patient behavior, specimen type, and environment before collection. PPE use also includes proper donning, removal, disposal, and hand hygiene after glove removal. Reference topics: Safety and Compliance; PPE selection; standard precautions; splash exposure; mucous membrane protection.
NEW QUESTION # 71
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